WEBVTT

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Welcome to Our Voices Our Future, the podcast

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where we amplify the voices driving change and

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equity within medicine and beyond. Brought to

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you by the Gender Equity Task Force, a committee

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of the American Medical Women's Association.

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We're here to challenge norms, break barriers

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and ignite conversations that matter. I'm Rhea

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Manohar and in each episode we'll bring you candid

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discussions with leaders, change makers and advocates

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working to create a more inclusive and just world.

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No more silence. No more waiting. We are listening

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to our voices, our future. Let's get into it.

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Today we are welcoming Dr. Ilana Zago. Dr. Zago

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is a second -year plastic surgery resident at

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Loma Linda University. She grew up in Southern

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California and attended UC Santa Barbara for

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her undergraduate degree. She worked as a health

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educator in a medically supervised weight management

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program prior to attending the Burnett School

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of Medicine at TCU in Texas for medical school.

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She then matched into the integrated plastic

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surgery program at Loa Linda University. Well,

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thank you so much for being with us here today.

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Yes, thank you so much for having me. This is

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such an honor. So with that, I'm going to go

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ahead and jump in. Can you start by sharing a

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little bit about your background and what inspired

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you to pursue a career in surgery? Yeah, I would

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love to so I grew up in Southern, California

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And I actually I didn't have any doctors or people

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in the medical field of my family And as I'm

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sure many can probably relate to I Decided during

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my ninth grade biology class one day that I was

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gonna be a doctor and like that was pretty much

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it And then I didn't officially though make the

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decision to pursue Surgery until my second year

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of medical school and I think looking back the

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seed had been planted years before, but I actually

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think that I was just scared to commit to a surgical

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specialty because I didn't know any women in

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surgery. I didn't know if it was possible to

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have a family. I feel like growing up, I was

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kind of told like dermatology was thrown out

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so many times to go into, and I just lacked that

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kind of representation. We can chat more about

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how important that is later. But during my second

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year of medical school, so I I left California,

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I went to Texas for med school, and we started

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clinicals at the beginning of our second year.

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And so at that time, I decided to observe a breast

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recon case, and it was a female plastic surgeon,

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which was awesome. And that was pretty much it.

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So when I decided surgery, I decided plastics

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at the same time. So it just felt. like a soul

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connection for me. I have a creative background.

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I think that definitely contributed to my decision.

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I love being able to help patients shape their

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identities. I love the attention to detail. I

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mean, I could go on about why it's the best specialty,

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but to speak about surgery in general, I just,

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there's something to be said about being in the

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OR. I was in the OR all day today and it's just,

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the world just stands still and it's so amazing

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and you're working with your hands, you're doing

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something tangible for the patient. it's truly

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just incredible. So I'm really happy I kind of

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pushed past not having the representation. I

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have now found the representation, which is amazing.

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But yeah, that's a little bit about my background

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and why I decided surgery. Thanks so much for

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kind of walking us through that journey. I actually

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do want to talk a little bit about what you shared

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about not having that mentor and representation.

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Kind of talk me through, what did that mean for

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you? How did you find it? Yeah, yeah, I'd love

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to talk more about that. I think, so when I made

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the decision to pursue plastic surgery at that

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time, I had a male mentor who was just absolutely

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incredible. I mean, I wouldn't be here if it

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wasn't for him. But I knew that I needed to find

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not only women in surgery, but women in surgery

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that also had the kind of life and were living

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the future that I could see for myself. Because

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I think it's not just enough to be surrounded

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by the women, the plastic surgeons, but ones

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that also, I want a family. So ones that had

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a family and were also plastic surgeons, ones

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that had a partner and were also plastic surgeons,

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ones that were happy and also plastic surgeons.

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So I think that's super important because then

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you can see yourself in them. And I think that

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goes for anyone looking for mentorship. It's

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really important to kind of... you want to be

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able to see yourself in them and see yourself

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in the specialty that you're going into, otherwise

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you're just going to be dissuaded from doing

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that. I mean, if nobody looks like you in the

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field, then why would you feel like you're welcomed

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in that space? So hopefully that kind of answers

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that question a little bit of why it's important.

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I think that's something that a lot of students

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experience throughout their medical journey of

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both hearing from other physicians as well as

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other students, maybe even family members about,

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specifically, I think women get this, that you

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won't be able to pursue a family. It's not conducive

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to your lifestyle. How do you think that that

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affects students who are looking into pursuing

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more challenging specialties? Yeah, I mean it

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almost affected me so I can I can definitely

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see how that can can get to you and I Will say

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it's not that it's not challenging because it

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is but it's possible and I think that that's

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Key is it's not nothing's going to be easy When

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you're doing surgery, I think it's the nature

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of the specialty too, but it's definitely it's

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definitely possible. And I think again, when

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you see people that are succeeding and doing

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amazing things, and they also have a family,

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it shows you, okay, I can do this too. And I

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remember, I was in one meeting during medical

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school and a female surgeon was sharing how something

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just sometimes has to give and time is money.

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And so you you can choose to have people support

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you and things like that to clear up other areas

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in your life so you can be present with your

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family when you when you can be and then you

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can be present in the OR when you need to be

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as well. So choosing where you put your energy

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I think is also important. Now I think that's

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so important that you shared that piece. Kind

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of going along with that What strategies have

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you found effective, or I know you're just starting

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out, or have others shared with you, about achieving

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work -life integration between your professional

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responsibilities and personal life? Yeah, I definitely

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wouldn't say I have this figured out just yet,

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especially this year of residency. It's been

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challenging. I think, like I said, something

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kind of has to give. I've found I'm not capable

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of doing it all, and that's okay. I think one

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day I might prioritize social life and social

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time and being around people and having that

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connection, which is super important. But then

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another day I might choose sleep over spending

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time with people. And I am someone that really,

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really prioritizes exercise. And so spending

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time with that, which I think helps me feel like

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I have this semblance of balance, and you may

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say integration, because balance is not, it's

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not really ever a true balance. But I think that's

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important. And I think you also have every every

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person is different. And so I think a good sign

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to kind of look at and see, am I achieving this

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work life integration as if I feel happy. And

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if I'm not feeling happy, then I have to look

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at how I'm spending my time and what do the quality

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of my hours look like? Do I have to take a step

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back from studying and maybe go on a walk? What

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do I have to do to fill up my cup? And so I think,

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again, I'm not going to sit here and pretend

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like I've perfected this, but I think you have

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to just maximize the hours that you have and

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you choose to spend them doing things that make

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you happy. And I think it's also super important

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to be efficient when you're in the hospital as

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well because that'll maximize your time outside

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of it. Definitely. I think what you shared there

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was really important, specifically that those

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priorities and needs can change over time. I

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think a lot of people have this belief that you

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have to allocate this part to like a certain

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number of hours or These are the priorities and

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they can't shift and they're really ever changing.

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They are definitely. Yeah. At each point in your

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life. And I'm sure they will continue to change

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for me. And what's important this year might

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not be next year, but we adapt. We go with the

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flow. So kind of going into that, what have been

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some of the most significant hurdles you've encountered

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as a surgical resident and how have they shaped

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your journey? I think. I think the most Probably

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a significant hurdle thus far has just been constantly

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being pushed outside of your comfort zone every

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single day. I feel like when I think it I have

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it down, I'm humbly reminded that I don't and

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I have a long way to go, which is OK. I mean,

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on the flip side of that, it's really cool and

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unique that you're you're never bored. You're

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always learning and you're always growing. Even

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today. I'm better than I was when I started the

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day because of what I've done throughout the

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course of just one day, which is pretty cool

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and really incredible to be able to say that.

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And I think it's shaped who I am as a person,

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even outside of residency, because I feel like

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every time I find myself in a new, different,

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challenging situation, I remind myself I've been

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in many new, different, challenging situations.

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I've done just fine. And so I think that's like

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a positive that comes from that. But truly, every

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single day I am uncomfortable. I think that's

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just residency. I think another hurdle is probably

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overcoming the exhaustion that just inevitably

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sets in. We work very long hours. Our call shifts

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are very busy. You're on your feet for pretty

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much every minute of the day. And so I think

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sometimes it's just hard to overcome that. And

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I think the way that it's shaped me a bit is

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just learning tactics. Like I write everything

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down and I'm not ashamed to admit that it helps

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me keep track of everything and not miss anything.

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And I wish I had amazing advice on how to combat

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being tired. But unfortunately, we are human

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and we do need to sleep. But kind of going back

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to what I said earlier, when you're more efficient

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in the hospital, you actually then have more

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time to sleep as well. So it does, it does pay

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off. And then I think the last one I'll share

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going off of just how busy your schedules are.

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I don't think I would fully prepared for the

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number of sacrifices that you do have to make

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when you are a resident. Even though I am very,

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very fortunate to live in the same state as many

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friends and family, which I know is not the case

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for many residents, I still cannot see them as

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often as I would like. You miss out on life events,

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you miss out on birthdays. I was actually just

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missed out on Thanksgiving because I was working

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in the ACO. It does shape you by making you very

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grateful for the moments that you do get to spend

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with your loved ones. And so you truly learn

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not to take any of them for granted. You kind

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of talked to me about that. I know you shared

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that you prioritize exercise. But what other

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ways have you found to kind of focus in on health

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and wellness in such a high pressure and like

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mentally strenuous environment? Yeah, I think

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I think exercise is super important because it

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actually builds mental strength as well as physical

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fitness, which I always joke that surgeons are

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athletes. Truly like we are we are on our feet.

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We are we are doing intense work. And so you

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do it does help to be physically able to do these

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things. But I do think it builds up that mental

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strength as well, which is so important. I also

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am big. on nutrition, I think that what you eat

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matters. And so when you're getting your energy

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through food, you perform better as well. I think

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another aspect of health and wellness really

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is connection. And that can come from community,

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friends, family. It's such an important piece

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that I think a lot of people forget. And again,

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sometimes you have to sacrifice maybe some studying

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or maybe some sleep to call a friend or to go

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see family. And you'll actually find yourself

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having more energy the next day because you did

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that. So I think, yeah, connection, what you

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eat, exercise, and then having hobbies, which...

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Everyone always says sounds crazy because we're

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so busy. But for me, exercise is one of my hobbies.

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So that goes, that does go hand in hand, but

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everyone's different. But just finding something

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that really just brings you joy because all of

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those things will make you perform better when

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you are in these high pressure, high stress environments.

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They really do go hand in hand. I love this common

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theme of joy that you shared throughout your

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answers and throughout like what you're prioritizing.

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I think a lot of people view residency as this

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like slog through it. But it's exciting to hear,

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particularly as a med student, how you're finding

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that space for yourself even through it all.

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Yeah, I mean, it's six years, my residency is

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six years, six years of my life. And you can't

00:15:54.440 --> 00:15:58.100
just tell yourself Okay, in six years, I'm going

00:15:58.100 --> 00:16:02.059
to prioritize my health because every day is

00:16:02.059 --> 00:16:04.960
a gift, right? I mean, nothing is guaranteed.

00:16:04.960 --> 00:16:08.000
And so if you're always, and we do this in medicine

00:16:08.000 --> 00:16:10.299
because it's delayed gratification, right? When

00:16:10.299 --> 00:16:12.240
I get into med school, okay, when I finish med

00:16:12.240 --> 00:16:15.480
school, when I finish residency, it's like, where

00:16:15.480 --> 00:16:19.340
does it end? You have to live where you're at

00:16:19.340 --> 00:16:23.679
now. And I actually got really incredible advice

00:16:23.679 --> 00:16:27.159
from a retired breast micro surgeon. She said

00:16:27.159 --> 00:16:30.139
something along the lines of if you neglect your

00:16:30.139 --> 00:16:32.679
health in residency, you're only going to pay

00:16:32.679 --> 00:16:34.980
for it when you're in attending and when you're

00:16:34.980 --> 00:16:38.200
in retirement. And that's when you want to be

00:16:38.200 --> 00:16:41.639
enjoying all the work that you've done all your

00:16:41.639 --> 00:16:46.299
life. So it's again, there are definitely bad

00:16:46.299 --> 00:16:48.039
days. I don't want to sit here and be like, I

00:16:48.039 --> 00:16:52.360
am happy 100 % of the time. But you you just

00:16:52.360 --> 00:16:55.370
have to make it a priority because you just,

00:16:55.610 --> 00:16:57.730
you can't put your life on hold for the number

00:16:57.730 --> 00:17:01.909
of years that we spend in education and in training.

00:17:03.370 --> 00:17:06.589
I appreciate you sharing that. I actually want

00:17:06.589 --> 00:17:10.069
to shift gears a little bit. Can you share how

00:17:10.069 --> 00:17:12.470
you found your voice as a female surgeon and

00:17:12.470 --> 00:17:14.910
the importance of that journey in your career?

00:17:15.849 --> 00:17:20.769
Yeah, I think looking back, I do feel like there

00:17:20.769 --> 00:17:24.150
was a pivotal moment for me where I started coming

00:17:24.150 --> 00:17:27.609
into my own with this a bit more. I was actually

00:17:27.609 --> 00:17:31.410
on one of my away rotations as a medical student.

00:17:32.309 --> 00:17:34.769
And one of the residents was giving me advice

00:17:34.769 --> 00:17:37.309
on how to really shine during these. And in my

00:17:37.309 --> 00:17:39.650
opinion, away rotations are super important,

00:17:39.690 --> 00:17:42.369
especially for plastic. So we were speaking very

00:17:42.369 --> 00:17:45.529
candidly. I was really appreciative of the advice.

00:17:46.430 --> 00:17:51.069
And he said to me, that his first impression

00:17:51.069 --> 00:17:54.789
of me when I had walked into an OR was that I

00:17:54.789 --> 00:17:58.549
was timid and I had never been called timid before.

00:17:59.609 --> 00:18:04.589
And he said, along the lines of, you know, in

00:18:04.589 --> 00:18:07.069
surgery and especially as a woman in surgery,

00:18:07.450 --> 00:18:11.210
you can't afford to be perceived as timid. And

00:18:11.210 --> 00:18:12.430
I know some people listening to this might be

00:18:12.430 --> 00:18:14.630
like, oh, my goodness, you know, he said that

00:18:14.630 --> 00:18:17.720
to you, but I actually really took it to heart

00:18:17.720 --> 00:18:20.900
because I knew what he was getting at and I understood

00:18:20.900 --> 00:18:24.180
what he was saying. I wasn't confident when I

00:18:24.180 --> 00:18:26.980
walked into that OR. I wasn't sure of myself.

00:18:27.720 --> 00:18:31.619
I was very hesitant. I know that. And I let that

00:18:31.619 --> 00:18:35.180
show. And so I told myself going forward, I was

00:18:35.180 --> 00:18:38.700
also new medical school, no home program. I just

00:18:38.700 --> 00:18:41.450
felt like I always... I just had something to

00:18:41.450 --> 00:18:43.529
prove and that I was always the least experienced

00:18:43.529 --> 00:18:45.829
person in the room. And I think that just really

00:18:45.829 --> 00:18:49.750
got to me. And so I said to myself, OK, never

00:18:49.750 --> 00:18:52.529
going to do that again. When you walk into a

00:18:52.529 --> 00:18:55.829
room, even if you have no idea what to do or

00:18:55.829 --> 00:18:59.069
no idea what's going on, you just walk in calm

00:18:59.069 --> 00:19:03.509
and confident and secure with yourself. And I

00:19:03.509 --> 00:19:05.670
say that, you know, as women, we have to work

00:19:05.670 --> 00:19:10.660
twice as hard to get half And I, you know, nothing

00:19:10.660 --> 00:19:13.319
is assumed. Like when we walk into a room, we

00:19:13.319 --> 00:19:16.920
have to prove ourselves. And I mean, you walk

00:19:16.920 --> 00:19:19.859
into a room in scrubs, you're pretty much assumed

00:19:19.859 --> 00:19:22.099
that you're the nurse and not the doctor. And

00:19:22.099 --> 00:19:23.759
you know, you have to make sure to introduce

00:19:23.759 --> 00:19:25.880
yourself as a doctor over and over again. And

00:19:25.880 --> 00:19:28.740
so that's what we're up against. And so why give

00:19:28.740 --> 00:19:32.680
people even more reason to doubt you? And so

00:19:32.680 --> 00:19:34.440
I really think it's important to just command

00:19:34.440 --> 00:19:37.170
the room that you. walk into and command it with

00:19:37.170 --> 00:19:40.829
grace, with kindness, be respectful and be compassionate.

00:19:41.009 --> 00:19:43.869
But I think it's been super, super important

00:19:43.869 --> 00:19:46.890
for me as I'm in my second year of residency

00:19:46.890 --> 00:19:50.769
because you're building your reputation and how

00:19:50.769 --> 00:19:53.990
other people view you. And I would like to think

00:19:53.990 --> 00:19:57.069
that that's a good one and that people associate

00:19:57.069 --> 00:20:01.990
me with someone who is trustworthy and is confident.

00:20:02.430 --> 00:20:05.849
and collected and knows her worth as well and

00:20:05.849 --> 00:20:09.190
speaks up when she needs to be and isn't afraid

00:20:09.190 --> 00:20:11.950
of that, especially when it comes to patients,

00:20:12.309 --> 00:20:14.650
because you should always speak up for patients.

00:20:15.230 --> 00:20:17.890
So hopefully that kind of gives some guidance

00:20:17.890 --> 00:20:20.970
and answers a bit of that question. No, definitely.

00:20:22.190 --> 00:20:24.690
Well, this has been just such a lovely conversation

00:20:24.690 --> 00:20:27.769
and you've shared so many different little tidbits

00:20:27.769 --> 00:20:31.809
of advice. But do you have one overarching piece

00:20:31.809 --> 00:20:35.289
of advice that you would offer to aspiring surgeons,

00:20:35.569 --> 00:20:38.390
particularly young women, since you mentioned

00:20:38.390 --> 00:20:41.930
that you didn't necessarily have a lot of representation

00:20:41.930 --> 00:20:44.230
in the field who are considering a career in

00:20:44.230 --> 00:20:48.400
surgery? Definitely, I think. just going back

00:20:48.400 --> 00:20:51.019
to what I was saying before, it's so important

00:20:51.019 --> 00:20:54.180
to surround yourself with role models and women

00:20:54.180 --> 00:20:57.500
that you can look up to. It's just important

00:20:57.500 --> 00:21:00.619
to see other women too being happy in careers

00:21:00.619 --> 00:21:03.779
similar to the ones that you want to have. And

00:21:03.779 --> 00:21:07.660
if that means you're cold emailing surgeons that

00:21:07.660 --> 00:21:10.640
you admire, cold email surgeons that you admire.

00:21:11.960 --> 00:21:14.799
And I think, yeah, it just shows you what's possible

00:21:14.799 --> 00:21:23.609
and it gives you that perspective. And, you know,

00:21:23.609 --> 00:21:27.190
I will say, don't be afraid to sit with yourself

00:21:27.190 --> 00:21:29.650
and think about if surgery is the right path

00:21:29.650 --> 00:21:32.049
for you and talk to your mentors and get their

00:21:32.049 --> 00:21:36.450
advice and perspective. And it's not, if you're

00:21:36.450 --> 00:21:38.730
questioning whether or not this is right for

00:21:38.730 --> 00:21:42.210
you, that's okay. You shouldn't be ashamed of

00:21:42.210 --> 00:21:45.799
that either. Well, thank you so much for having

00:21:45.799 --> 00:21:48.339
this really candid and thoughtful discussion

00:21:48.339 --> 00:21:51.599
with me today. That's a wrap on this episode

00:21:51.599 --> 00:21:54.880
of Our Voice is Our Future. We hope today's conversation

00:21:54.880 --> 00:21:57.619
inspired you, challenged you, and reminded you

00:21:57.619 --> 00:22:00.420
of the power of raising your voice. The fight

00:22:00.420 --> 00:22:02.740
for equity doesn't stop here. Join us in the

00:22:02.740 --> 00:22:05.240
movement. Subscribe wherever you get your podcasts.

00:22:05.539 --> 00:22:07.539
And if you loved this episode, share it with

00:22:07.539 --> 00:22:10.019
someone who needs to hear it. Until next time,

00:22:10.279 --> 00:22:12.759
stay bold, stay vocal, and keep the conversation

00:22:12.759 --> 00:22:15.359
going. This is our voices, our future.
