WEBVTT - Dr Lily Vrtik - all things aesthetic medicine. 0:00:05.961 --> 0:00:07.281 Apogee Production. 0:00:10.321 --> 0:00:13.681 Hi, my name's beck Woodbine and welcome to Tenderness for Nurses. 0:00:14.281 --> 0:00:18.041 I'm grateful for the person that I have the opportunity 0:00:18.161 --> 0:00:21.721 to be, so I hit it and parked it for 0:00:21.801 --> 0:00:24.961 Nelly four years. We always have free will, We always 0:00:24.961 --> 0:00:26.881 get to choose. We are autonomous. 0:00:26.961 --> 0:00:29.601 Hi everyone, thank you for tuning into Tenderness for Nurses. 0:00:30.121 --> 0:00:33.601 Today we have the lovely doctor Lilli Burteck again who 0:00:33.881 --> 0:00:37.281 is becoming a regular on the podcast. We all can't 0:00:37.281 --> 0:00:40.080 get enough of her information, so thanks Lily for coming 0:00:40.120 --> 0:00:40.641 and joining me. 0:00:41.521 --> 0:00:45.361 Thanks bec It's a worry when you become a frequent flyer, 0:00:45.441 --> 0:00:48.441 isn't it. I tell my patients that all the time. 0:00:48.480 --> 0:00:49.720 Don't become a frequent flyer. 0:00:50.081 --> 0:00:53.721 Well, the feedback of your information that you disseminate has 0:00:53.761 --> 0:00:58.441 been very popular, so people have been asking to hear 0:00:58.441 --> 0:01:00.641 from you again, which is why I keep us send 0:01:00.641 --> 0:01:02.401 your back on and also it's just an opportunity for 0:01:02.441 --> 0:01:05.921 us to catch up, so of course I love that. Also, 0:01:05.921 --> 0:01:11.761 a big congratulations on taking over the presidency of ACEPS. 0:01:12.241 --> 0:01:12.681 Thank you. 0:01:13.961 --> 0:01:15.121 Another feather in the cap. 0:01:16.000 --> 0:01:17.761 I think I think there's so much we can do 0:01:17.920 --> 0:01:20.641 with that, and I'm actually quite excited about the things 0:01:20.640 --> 0:01:22.161 that we can achieve with our apps. 0:01:22.521 --> 0:01:25.161 So can you just explain to our listeners what ACEPS is. 0:01:25.441 --> 0:01:30.401 Yeah, So as is an Australasian Society of Ascetic Plastic Surgeons. 0:01:31.521 --> 0:01:37.121 So it is a Australian New Zealand group which is 0:01:37.840 --> 0:01:42.241 looking after our plastic surgeons who does ascetic surgery, which 0:01:42.280 --> 0:01:48.161 is cosmetic surgery, and our ethos is really actually promoting 0:01:48.681 --> 0:01:53.921 public safety in cosmetic surgery and also making sure that 0:01:55.241 --> 0:01:59.521 the standards required for plastic surgery or plastic cosmetic surgery 0:01:59.721 --> 0:02:05.401 is well made aware in the public and that people 0:02:05.441 --> 0:02:08.961 know that about the risks and they make the right 0:02:08.961 --> 0:02:12.001 decisions about their decision to go ahead with cosmetic plastic 0:02:12.041 --> 0:02:15.280 surgery and they know who they should be looking for. 0:02:15.960 --> 0:02:19.761 So it's all about patient safety and promoting patient safety 0:02:20.041 --> 0:02:24.041 but also promoting who are the right people to see 0:02:24.121 --> 0:02:25.641 for cosmetic procedures. 0:02:25.721 --> 0:02:28.801 Yeah, it's very much about a few things. It's about 0:02:28.841 --> 0:02:34.081 advocacy to advocacy for public safety, advocacy for good safe 0:02:34.121 --> 0:02:38.481 cosmetic surgery and good regulations. It's also about education. As 0:02:38.481 --> 0:02:42.081 APPS is huge on education. Major component of as APPS 0:02:42.201 --> 0:02:48.961 is about educating, upskilling and keeping cosmetic plastic surgeons well 0:02:49.001 --> 0:02:52.641 informed and up to date. So one of our things 0:02:52.680 --> 0:02:55.361 that we talk about is that you know you have 0:02:55.401 --> 0:02:58.721 the qualifications. It takes you up to ten years through 0:02:58.761 --> 0:03:04.761 medical school specialist training to become a qualified and registered 0:03:04.800 --> 0:03:09.281 spaceless plastic surgeon. But that's ten years to get your qualification, 0:03:09.361 --> 0:03:13.201 but there is like ongoing in thirty five plus years 0:03:13.281 --> 0:03:16.681 of ongoing education that's required to keep you in the 0:03:16.721 --> 0:03:20.361 most safest standards and the most up to date standards 0:03:20.401 --> 0:03:23.041 of practice. So that's what we're all about. We're about 0:03:23.601 --> 0:03:29.321 supporting the specialist plastic surgeons in their ongoing education. 0:03:30.240 --> 0:03:36.201 As a plastic and reconstructive surgeon. Do all plastic surgeons 0:03:36.201 --> 0:03:40.921 do reconstructive work or is it some just do cosmetics, 0:03:40.921 --> 0:03:44.481 some just do reconstructive or you do a combination of both. 0:03:44.761 --> 0:03:47.241 Yeah, so it's interesting. I guess it depends on where 0:03:47.241 --> 0:03:51.561 your interest lies. However, what is important is that we 0:03:51.601 --> 0:03:56.121 are trained in both. And part of plastic surgery is 0:03:56.161 --> 0:04:02.681 about reconstructive surgery, which is, you know, reconstructing defects resulting 0:04:02.721 --> 0:04:06.201 from either trauma, cancer, or congenital Also, people are born 0:04:06.201 --> 0:04:11.321 with certain defects and the skills recontracting those and also 0:04:11.361 --> 0:04:18.361 skills of cancer surgery and trauma surgery actually helps us 0:04:18.441 --> 0:04:21.440 and it's also a part of the cosmetic surgery training 0:04:21.521 --> 0:04:24.921 because if you think about porotodectomy, so a perotidectomy is 0:04:25.121 --> 0:04:28.481 surgery that we do for cancer. We'll remove the cancer 0:04:28.521 --> 0:04:32.041 in the parotid gland which lies underneath the facial skin 0:04:32.161 --> 0:04:36.280 over your cheek. The surgery that we do for porotodectomy 0:04:36.561 --> 0:04:39.321 is actually lifting the skin, taking the porotecic gland out, 0:04:39.320 --> 0:04:42.041 and putting everything back down. And that's pretty much a 0:04:42.081 --> 0:04:44.841 face left. The only difference is that you don't take 0:04:44.841 --> 0:04:48.121 the parotid out, but the surgery to expose the parotid 0:04:48.121 --> 0:04:51.001 to do the cancer surgery is very similar to a 0:04:51.041 --> 0:04:53.960 face left. And obviously there's other components of a facelift 0:04:54.241 --> 0:04:56.361 that's in a face left surgery that's not in the 0:04:56.361 --> 0:04:59.281 product surgery, but it is, you know, everything that we 0:04:59.361 --> 0:05:02.840 do there is a component which we use in cosmetic surgery, 0:05:02.921 --> 0:05:06.281 such as you know, we harvest the abdominal flap for 0:05:06.361 --> 0:05:10.361 breast reconstruction, but the harvesting of abdominal flap part of 0:05:10.361 --> 0:05:13.841 that operation is actually a tummy tuck. So people talk about, oh, 0:05:13.841 --> 0:05:15.801 I'm getting a tummy tuck and a new boob at 0:05:15.841 --> 0:05:19.001 the same time. And that's because part of that reconstructive 0:05:19.041 --> 0:05:22.561 procedure is a tummy tuck, So a lot of our 0:05:22.721 --> 0:05:27.881 training is inclusive for both cosmetic and reconstruct surgery. And 0:05:27.921 --> 0:05:30.721 the other thing is that because we know how to 0:05:30.841 --> 0:05:36.161 deal with difficult defects and problems, we also know how 0:05:36.241 --> 0:05:39.880 to look after complications. So if things do go wrong, 0:05:40.440 --> 0:05:44.401 then we are equipped because we know how we don't know. 0:05:44.721 --> 0:05:48.681 You know, we're not just trained in doing the simple 0:05:48.721 --> 0:05:53.721 operation or creating something. We're also taught in how to 0:05:53.801 --> 0:05:59.561 reconstruct difficult defects and also deal with difficult problems. And 0:05:59.681 --> 0:06:02.521 when things do go wrong, we know what we're supposed 0:06:02.561 --> 0:06:04.760 to do and what the potential outcome could be, so 0:06:04.801 --> 0:06:05.961 we can try and prevent it. 0:06:07.001 --> 0:06:11.200 We actually discussed some of that with doctor Samya last 0:06:11.281 --> 0:06:13.001 week when I was chatting with him, and that was 0:06:13.041 --> 0:06:15.760 one of the things and I'll bring it up again 0:06:15.761 --> 0:06:19.521 because I think it's really important. Is that you have 0:06:19.681 --> 0:06:24.161 hospital visiting rights, that's right. And if you go to 0:06:24.281 --> 0:06:28.841 a cosmetic surgeon, can you say surgeon. 0:06:28.921 --> 0:06:32.401 Well depends you can. So the difference, I guess is 0:06:32.521 --> 0:06:36.481 a cosmetic plastic surgeon is a registered specialist. Plastic surgeon 0:06:36.961 --> 0:06:39.440 who does cosmetic surgery is you know, we do both. 0:06:40.561 --> 0:06:43.481 A cosmetic surgeon is a surgeon, so they have the 0:06:43.521 --> 0:06:46.401 fellowship or real Australasian College of Surgeons, but they could 0:06:46.481 --> 0:06:51.041 be a general surgeon, n T surgeon, vascular surgeon, any 0:06:51.041 --> 0:06:53.681 type of surgeon, so they can call themselves surgeons, but 0:06:53.721 --> 0:06:57.801 they can also do cosmetic surgery. So they are called 0:06:57.801 --> 0:07:02.881 cosmetic surgeons because the word cosmetic is not a protected title, Okay, 0:07:03.041 --> 0:07:04.041 the word surgeon is. 0:07:04.481 --> 0:07:08.961 So what about the people that GPS that have gone 0:07:09.001 --> 0:07:11.561 and done some extra a little bit of extra study 0:07:11.681 --> 0:07:13.721 and then then performing surgical. 0:07:13.681 --> 0:07:16.601 Well, they can't call themselves surgeons. They call themselves cosmetic doctors, 0:07:16.601 --> 0:07:21.561 cosmetic physicians. Okay, yes, cosurgeons are protected time, Yes, yes 0:07:21.641 --> 0:07:24.481 you can. I think they call themselves also cosmetic practitioners. 0:07:25.161 --> 0:07:30.081 But surgeon became a protected title earlier this year and 0:07:30.441 --> 0:07:32.481 I think w A was the last state to pass 0:07:32.521 --> 0:07:35.801 that legislation. But that's all through and now so throughout 0:07:36.321 --> 0:07:41.241 the whole of Australia. Yeah, that's a protected title. So yeah, 0:07:41.681 --> 0:07:46.521 cosmetic plastic surgeon is somebody who is a specialist plastic 0:07:46.521 --> 0:07:50.841 surgeon registered to such with OPRAH who performs cosmetic surgery. 0:07:50.681 --> 0:07:55.481 Okay, and you have hospital visitation rights yes, cosmetic physicians 0:07:55.481 --> 0:07:55.841 may not. 0:07:56.201 --> 0:07:59.681 No. Yeah, So it's all about admitting rights. So if 0:07:59.681 --> 0:08:02.041 things do go wrong, such as you have bad bleeding 0:08:02.921 --> 0:08:05.281 and required go back to return to operating theater in 0:08:05.321 --> 0:08:08.921 your blood transfusion, or your quite over nice stay and 0:08:08.961 --> 0:08:12.361 things like that, you know, to have hospital visiting and 0:08:12.521 --> 0:08:15.001 admitting rights is important because you want to be able 0:08:15.041 --> 0:08:18.001 to look after your patients in the hospital where you 0:08:18.041 --> 0:08:19.721 have all the support that you require. 0:08:20.161 --> 0:08:23.801 At the conference, did you talk or touch on wellness 0:08:24.081 --> 0:08:29.041 and wellness of self and looking after yourself? Is it 0:08:29.161 --> 0:08:33.121 something that you think people are becoming more aware of. 0:08:33.601 --> 0:08:35.921 Yeah, I think I think we are. I think we're 0:08:36.001 --> 0:08:40.801 recognizing that support for each other is really important. And 0:08:40.841 --> 0:08:43.361 that's one of the things I you know, spoke about 0:08:43.601 --> 0:08:47.841 in my speech about my acceptance of the position. My 0:08:47.961 --> 0:08:51.241 vision is to build and you know, an ethical and 0:08:51.321 --> 0:08:52.961 supportive aesthetic community. 0:08:53.041 --> 0:08:54.361 Absolutely, yeah, for. 0:08:54.361 --> 0:08:58.881 Everybody concerned, for the surgeons, for their staff, for the nurses, 0:08:59.401 --> 0:09:02.841 for the non surgical for the non surgical community, and 0:09:03.001 --> 0:09:08.001 also the industries because I think if the ethos of 0:09:08.201 --> 0:09:13.601 being ethical and supportive instead of just being concentrating on 0:09:13.681 --> 0:09:18.121 being competitive. I think if we can keep the supportive 0:09:18.161 --> 0:09:22.241 and ethical environment in this industry, patient safety I think 0:09:22.281 --> 0:09:25.401 will naturally come because people will do the right thing. 0:09:25.921 --> 0:09:28.921 It also creates a much better space for people to 0:09:29.041 --> 0:09:33.561 share ideas and also listen to each other, and that 0:09:33.641 --> 0:09:38.961 in itself produces the environment that fosters good relationships. You know, 0:09:39.401 --> 0:09:43.881 supportive environment, good mental health, and good practices. I think 0:09:43.881 --> 0:09:45.481 they're all just feeding each other. 0:09:45.881 --> 0:09:47.361 I agree, I totally agree. 0:09:47.561 --> 0:09:50.281 One of the I think what I found was extraordinary 0:09:50.521 --> 0:09:54.001 is about these conferences is every year we have a 0:09:54.481 --> 0:09:58.641 women in Plastic Surgery dinner. And you know, when I 0:09:58.681 --> 0:10:02.001 first started training, there want a lot of us at all, 0:10:02.321 --> 0:10:05.601 and this was back in the early two thousand and 0:10:06.801 --> 0:10:09.441 The women Plastic Surgery Dinner is that something that has 0:10:09.481 --> 0:10:15.121 grown over time or started by doctor Jillian Farrell, and 0:10:15.161 --> 0:10:17.961 now it's become quite a big group. We have about 0:10:18.001 --> 0:10:20.721 twenty four to twenty five people attending the dinner each 0:10:20.841 --> 0:10:24.441 year and there are more than that of plastic surgeons 0:10:24.441 --> 0:10:27.361 female plastic surgeons Australia. But what I love about that 0:10:27.481 --> 0:10:33.601 environment is that females are naturally very competitive. Yeah, it 0:10:33.681 --> 0:10:35.841 is just one of those things because and also like 0:10:36.041 --> 0:10:38.521 if you think about female in plastic surgery or in 0:10:38.561 --> 0:10:42.761 any surgical specialty, more competitive simply because we have to 0:10:42.801 --> 0:10:46.481 be to survive, because it's a very male dominating environment. 0:10:47.161 --> 0:10:50.681 I remember one emergency physician one said to me, which 0:10:50.721 --> 0:10:53.321 is rather nasty, I thought, He said to me, goes, 0:10:53.641 --> 0:10:59.081 So is it that people females will do surgery are 0:10:59.161 --> 0:11:03.001 just naturally nasty or is it and competitive and bitchy 0:11:03.121 --> 0:11:06.401 or is it the specialty that makes them competitive? And vicci? 0:11:07.361 --> 0:11:07.761 Wow? 0:11:07.921 --> 0:11:10.001 Yeah, I thought that was a bit nasty, wasn't it? 0:11:10.321 --> 0:11:13.641 And I thought, well, you know what, that's another here 0:11:13.681 --> 0:11:18.681 or there isn't it's it's actually about us feeling like 0:11:18.881 --> 0:11:23.001 we have to keep fighting to survive in the specialty, 0:11:23.121 --> 0:11:26.281 and we don't. I don't think people mean to be 0:11:26.361 --> 0:11:29.881 such that way, but it's almost it is a competition. 0:11:29.881 --> 0:11:33.121 It's a constant competition of trying to get ahead, and 0:11:33.161 --> 0:11:37.241 we always have to do things twice as good. We 0:11:37.361 --> 0:11:40.641 have to work twice as hard to prove ourselves to 0:11:40.641 --> 0:11:44.801 be heard sometimes even and that just makes us a 0:11:44.801 --> 0:11:48.641 little bit more that as certain, a little bit more 0:11:48.841 --> 0:11:53.121 you know, I guess in your face sometimes maybe. 0:11:52.801 --> 0:11:58.121 But if a man behaved that way that way, they 0:11:58.121 --> 0:12:00.281 would just say they're. 0:12:00.081 --> 0:12:03.201 Competent or oh, that's just being a boy. 0:12:03.481 --> 0:12:09.201 Yeah, Like, why do we as women have to always 0:12:10.001 --> 0:12:11.841 justify ourselves ourselves? 0:12:11.961 --> 0:12:14.641 Yeah, yeah, I don't know. I don't know. To be honest, 0:12:14.641 --> 0:12:19.961 I'm always puzzled by the way women behave, especially in 0:12:20.641 --> 0:12:27.161 positions or leadership. And sometimes even my husband tells me this. 0:12:27.281 --> 0:12:29.961 He says that, you know, sometimes you sound like a man, 0:12:30.201 --> 0:12:32.281 And I say, well, what exactly do you mean by that? 0:12:32.321 --> 0:12:34.801 He goes, well, you're just more aggressive, you know, you 0:12:34.841 --> 0:12:39.681 don't talk like you do at home with me, and really, yes, yes, 0:12:39.761 --> 0:12:42.401 And you know I catch myself that, I catch myself 0:12:42.441 --> 0:12:45.801 do that, And to be very brutally honest, I actually 0:12:46.521 --> 0:12:48.801 am a little bit ashamed that sometimes I do put 0:12:48.841 --> 0:12:52.601 on that front, because that is not who I am. 0:12:52.881 --> 0:12:54.761 It's who I feel like I have to be. 0:12:55.561 --> 0:12:57.161 I've never seen that side of you. 0:12:59.481 --> 0:13:02.161 I mean, you obviously haven't said yet, you obviously haven't 0:13:02.201 --> 0:13:03.121 sat in the board meeting. 0:13:04.801 --> 0:13:10.161 But I don't have an issue with that. I mean, 0:13:10.161 --> 0:13:12.921 it probably was an idiot that said something stupid. Yes, 0:13:13.321 --> 0:13:15.721 you know, I mean, I should probably say that, but 0:13:15.841 --> 0:13:17.521 you know, sometimes you just go, oh my god, did 0:13:17.561 --> 0:13:20.401 you just say that, like seriously if I said that 0:13:20.441 --> 0:13:21.641 as a female. 0:13:22.241 --> 0:13:25.881 Yeah, yeah, I know, I know. But what was was 0:13:26.161 --> 0:13:29.921 lovely about the whole women Plastic Surgery dinner is to 0:13:29.961 --> 0:13:34.001 see a group of women together and we're all like 0:13:34.121 --> 0:13:38.121 incredible right in our own right, we're all leaders in 0:13:38.161 --> 0:13:40.681 our own right, and we were just sitting there having 0:13:40.721 --> 0:13:45.281 a really nice dinner, having a fantastic talk about, you know, 0:13:45.321 --> 0:13:48.001 what we're all up to, and being supportive of each other. 0:13:48.041 --> 0:13:50.321 I mean it was amazing because so there they were 0:13:50.401 --> 0:13:55.601 like council members, vice presidents to vice presidents, do you know, 0:13:55.961 --> 0:13:59.001 And it was just a really nice thing. 0:13:59.481 --> 0:14:00.201 I think it's great. 0:14:00.361 --> 0:14:04.401 Yeah. So I find that that's the most rewarding, the 0:14:04.441 --> 0:14:07.361 most rewarding experience, and you walk away thinking, wow, you know, 0:14:07.841 --> 0:14:09.401 I can do anything. Well. 0:14:09.481 --> 0:14:12.961 Women are really great at holding space for other women, 0:14:13.041 --> 0:14:17.441 and I think when you find your right tribe, women 0:14:17.801 --> 0:14:18.601 uphold women. 0:14:19.041 --> 0:14:24.041 I think being a female is actually a fantastic advantage. 0:14:24.681 --> 0:14:28.401 And the reason is because I think we see things 0:14:28.481 --> 0:14:33.441 differently and we just by nature more caring. Do you know, 0:14:33.521 --> 0:14:36.361 we do it? Actually we worry about other people think. 0:14:36.921 --> 0:14:40.121 You know, we worry about you know, how people are going. 0:14:40.841 --> 0:14:44.001 You know, we naturally will ask questions like you know, 0:14:44.201 --> 0:14:47.561 even with patients, we naturally ask questions, go, so who's 0:14:47.601 --> 0:14:50.241 going to look after your WIFEI are you in hospital? 0:14:50.881 --> 0:14:53.801 Do you know? Things like that that I think as women, 0:14:53.921 --> 0:14:59.001 we just kind of consider because we understand, I guess 0:14:59.001 --> 0:15:02.321 we see a more lot more of a person, more 0:15:02.401 --> 0:15:05.601 than just a person, but also the life around them, 0:15:06.081 --> 0:15:08.641 not just the individual, but the whole you know, the 0:15:08.681 --> 0:15:11.041 whole village that they have a community around them. And 0:15:11.161 --> 0:15:13.401 you know, I find that to be advantage sometimes also 0:15:13.481 --> 0:15:15.681 because I have male colleagues that come up to me 0:15:16.401 --> 0:15:20.681 and talk to me about, you know, their concerns or 0:15:20.721 --> 0:15:24.721 they're having issues, and they probably I would not think 0:15:24.881 --> 0:15:28.521 comfortable talking to their own male colleagues. And I find 0:15:28.521 --> 0:15:31.201 that to be a real privilege. It is a privilege 0:15:31.241 --> 0:15:34.201 because they obviously feel comfortable enough to talk to me, 0:15:34.281 --> 0:15:36.441 but they kind of go, well, what do you think? 0:15:36.521 --> 0:15:40.321 You know, what are your thoughts? And I have male 0:15:40.361 --> 0:15:43.721 colleagues coming up to talk to me about their family, so, 0:15:43.881 --> 0:15:48.241 you know, about their daughters, about their wives, even something 0:15:48.281 --> 0:15:51.081 as simple as oh you know, my daughter's about turned sixteen. 0:15:52.161 --> 0:15:57.081 What do you think will be a good present? You know, 0:15:57.201 --> 0:16:00.761 you're like, oh, okay, so what is she like? They're 0:16:00.761 --> 0:16:02.721 trying to think back when I was sixteen, which is 0:16:02.761 --> 0:16:05.801 a long time ago. It's very thick up for me. 0:16:07.161 --> 0:16:11.481 But I think part of that is also mentally, women 0:16:11.681 --> 0:16:15.481 are a lot more in tune with people's emotions. I 0:16:15.481 --> 0:16:20.681 think we read situations, we have a more more situation awareness, 0:16:21.481 --> 0:16:24.601 and we're able to sort of have better perception what 0:16:24.641 --> 0:16:27.721 people need. I think it's a real intuitive yes, this 0:16:27.841 --> 0:16:28.881 intuitive thing, isn't it? 0:16:28.961 --> 0:16:31.441 Thing as well without a doubt? I mean, how many 0:16:31.481 --> 0:16:33.641 times has your husband told you that you know a 0:16:33.681 --> 0:16:35.361 friend of theirs has just had a baby, and the 0:16:35.401 --> 0:16:36.521 first thing you do is how much. 0:16:36.361 --> 0:16:36.761 Did it weighs? 0:16:36.881 --> 0:16:38.241 The warrior? Is it a girl? How's mum? 0:16:38.321 --> 0:16:38.401 Da? 0:16:38.481 --> 0:16:40.001 Da da? And they look at you blank and go, 0:16:42.481 --> 0:16:44.481 surely he would have asked that question. Now if had 0:16:44.521 --> 0:16:46.401 it been you and I that had found out about 0:16:46.441 --> 0:16:50.521 we would know maybe how mummy is, did you have 0:16:50.561 --> 0:16:51.401 an episiotomy? 0:16:52.161 --> 0:16:57.081 You know exactly exactly, and how long? What's name? 0:16:57.401 --> 0:17:01.601 We would have all that information, But they just it 0:17:01.721 --> 0:17:05.920 just doesn't enter the because it's not it's not that 0:17:05.961 --> 0:17:07.880 it's not important to them. They just don't think about 0:17:07.881 --> 0:17:09.001 asking those questions. 0:17:09.201 --> 0:17:12.400 No, no, But you know, there's things about women's psyche 0:17:12.481 --> 0:17:15.321 which are also not great sometimes, you know, things like 0:17:15.400 --> 0:17:20.080 we tend to internalize things. You worry, worry, We worry. 0:17:20.561 --> 0:17:23.840 If something goes wrong, we think it's our fault. So 0:17:24.201 --> 0:17:28.640 we internalize everything that happens outside. We don't know how 0:17:28.721 --> 0:17:30.801 to let go. Sometimes. 0:17:31.600 --> 0:17:33.881 Do you think women are more praying to burn out 0:17:33.880 --> 0:17:34.241 than men? 0:17:35.321 --> 0:17:37.321 I think so, And I think part of that is 0:17:37.360 --> 0:17:41.880 that compassion fatigue, do you know, I don't know. I 0:17:41.961 --> 0:17:47.001 mean I have met men who are amazingly compassionate and 0:17:47.160 --> 0:17:52.400 amazingly in tuned with their emotions and also in tunes 0:17:52.441 --> 0:17:57.680 with their patients' emotions, and they get quite significant compassion fatigue. 0:17:57.721 --> 0:18:01.280 Are they probably not as good as us in expressing it? 0:18:01.400 --> 0:18:04.960 I think so we forget sometimes that men can all 0:18:05.041 --> 0:18:09.440 also get quite severe compassion fatigue and burnout, And a 0:18:09.481 --> 0:18:11.440 lot of it is also they place a lot of 0:18:11.481 --> 0:18:15.160 pressure on themselves like we do, but their pressure is 0:18:15.201 --> 0:18:18.761 slightly different, you know about I think their pressure is 0:18:19.120 --> 0:18:25.241 a lot on themselves, you know, on wanting to bearing 0:18:25.321 --> 0:18:29.881 a burden of I'm responsible for this, and that our 0:18:29.921 --> 0:18:34.761 pressure on ourselves is more I think expectations or the 0:18:34.801 --> 0:18:37.881 imposter syndrome where we think we're not good enough. 0:18:38.281 --> 0:18:39.281 Imposter syndromes. 0:18:39.640 --> 0:18:44.920 Yeah, yeah, so it's a slightly different kind of I 0:18:44.961 --> 0:18:48.281 think pressure on ourselves and our burnout is slightly different. 0:18:48.561 --> 0:18:51.241 But as a female, I do have to keep reminding 0:18:51.321 --> 0:18:56.001 myself that, you know, I don't need to prove anything 0:18:56.041 --> 0:19:02.241 to anybody, and that my best is good enough because 0:19:02.241 --> 0:19:04.120 I can't do anything further than what I can do 0:19:04.281 --> 0:19:06.881 my best, and if that's not good enough for them, 0:19:07.041 --> 0:19:11.681 then I'm sorry. That's all I can give. So it's 0:19:11.721 --> 0:19:15.321 not my problem, is their problem, you know. 0:19:15.481 --> 0:19:18.360 So and if you know, if you know you've done 0:19:18.360 --> 0:19:22.080 your best and there's nothing else, I mean, there's nothing 0:19:22.080 --> 0:19:22.920 else to give, is there? 0:19:23.080 --> 0:19:25.801 No, there isn't. And that's the thing. As long as 0:19:25.840 --> 0:19:27.840 I know I've done my best, and at least I 0:19:27.880 --> 0:19:30.001 can say, well, I've done my best and I'm proud 0:19:30.041 --> 0:19:33.120 of myself. And if that's not good enough for them, 0:19:33.681 --> 0:19:36.121 too bad, So sad, I'll move on. 0:19:36.721 --> 0:19:40.921 It's interesting today a client of mine came in and 0:19:41.561 --> 0:19:44.801 she travels down from Rockhampton to see me, and she's 0:19:44.840 --> 0:19:48.640 just delightful and she's just finishing her two more assignments 0:19:48.640 --> 0:19:50.720 to do. And she's a registered nurse and she's a 0:19:50.761 --> 0:19:55.440 mature age becoming a mature agearin she's one on a million. 0:19:55.481 --> 0:20:03.241 She's amazing. And she was talking about imposter syndrome, how 0:20:03.721 --> 0:20:06.641 even though she was really high up in the government 0:20:06.681 --> 0:20:12.480 and decided to go do nursing, she is so nervous 0:20:12.521 --> 0:20:15.881 and anxious about becoming a registered nurse. And she said, 0:20:15.880 --> 0:20:17.921 I really feel like I've got imposter syndrome. She said, 0:20:17.921 --> 0:20:20.201 I just don't feel like I'm prepared enough to actually 0:20:20.241 --> 0:20:22.680 go into the ward. And I said, no, one's prepared 0:20:22.761 --> 0:20:24.720 enough in that first six months. I said, that's you 0:20:24.721 --> 0:20:29.121 know why you're supported and you've got other RNs around you. 0:20:29.441 --> 0:20:32.321 And I said, you know, when I became a nurse practitioner, 0:20:33.001 --> 0:20:37.960 I really had imposter syndrome. I was, well, I'm trained 0:20:38.001 --> 0:20:42.881 with all these alcohol and other drug nurses, eating nurses, 0:20:43.561 --> 0:20:49.801 cancer care, palliative care. Now, those nurses were remarkable, absolutely remarkable, 0:20:50.160 --> 0:20:52.321 and all I could do was compare myself to them 0:20:52.321 --> 0:20:55.241 and go, I don't know any of the stuff they know. Yes, 0:20:55.321 --> 0:20:58.680 you know, so how can I be a nurse practitioner, 0:20:59.241 --> 0:21:00.761 And there really was. 0:21:00.761 --> 0:21:06.360 This yeah inadequacy, absolutely absolutely, and you know I learned 0:21:06.400 --> 0:21:09.601 from that experience. You know, my husband always laughs and 0:21:09.721 --> 0:21:12.921 jokes that my master's in health law is a very 0:21:12.961 --> 0:21:18.281 expensive band aid for my imposter syndrome, because he was expensive. 0:21:18.561 --> 0:21:24.721 But I think the importance is that imposter syndrome is 0:21:24.761 --> 0:21:28.361 in everybody, isn't it. You have that feeling of inadequacy, 0:21:28.600 --> 0:21:32.001 but it's about how much you believe in yourself as well. 0:21:32.241 --> 0:21:35.640 And nobody can actually make you believe in yourself. I mean, 0:21:35.681 --> 0:21:37.561 you can have all the pep talks in the world, 0:21:37.840 --> 0:21:40.321 you know, people can boost you up with you know, 0:21:40.561 --> 0:21:43.841 great messages and all that stuff, but unless you actually 0:21:43.880 --> 0:21:47.480 believe in it, you are never going to surpass it. 0:21:47.880 --> 0:21:52.041 No, No, it is something. It is something I actually 0:21:52.120 --> 0:21:54.881 really had to work on. Yes, that I was adequate 0:21:54.961 --> 0:21:57.200 enough and I knew enough and in my area and 0:21:57.241 --> 0:22:00.240 my specialty, I was okay. 0:22:00.521 --> 0:22:02.961 Yeah, And I mean the fact that I guess some 0:22:03.001 --> 0:22:05.240 of the fact will be that because you are a 0:22:05.281 --> 0:22:10.321 nurse practitioner in cosmetic and dermatology and dermatology, right, and 0:22:10.360 --> 0:22:13.921 you probably don't feel that that is as important as 0:22:14.400 --> 0:22:18.200 cancer care and stuff like that. Right, It's just like, 0:22:18.281 --> 0:22:20.080 you know, I get told every day that he saves 0:22:20.120 --> 0:22:25.640 lives and I make the world pretty. I do remind 0:22:25.721 --> 0:22:31.761 him that ugly people do sue a lot. But it's 0:22:31.801 --> 0:22:35.720 a horrible thing to say, but you know, it is 0:22:35.761 --> 0:22:38.761 one of those things. And that's another thing that I 0:22:38.880 --> 0:22:41.840 find that it's really hard when you say you're a 0:22:41.880 --> 0:22:46.001 plastic surgeon. People kind of give you that look. It's 0:22:46.041 --> 0:22:48.201 really funny and just an example. Right. So a few 0:22:48.241 --> 0:22:50.561 years ago I was in anzac day dawn surfers in 0:22:50.681 --> 0:22:53.041 Melbourne and the man standing next to me this five 0:22:53.041 --> 0:22:56.561 o'clock in the morning collapse next to me, this old gentleman, 0:22:56.921 --> 0:22:59.041 and he just collapsed next to me. And then I 0:22:59.080 --> 0:23:01.920 went down on the grass and I saw how he was, 0:23:02.001 --> 0:23:04.241 and I think he was having a heart attack because 0:23:04.281 --> 0:23:07.640 he was obvious having very heavy chest pain and things. 0:23:07.640 --> 0:23:09.801 And I said, what do you have your GT and spray? 0:23:09.921 --> 0:23:11.961 He goes, yes, I do. I said, where is it? 0:23:12.201 --> 0:23:14.160 So I took it out for him, put two sprays 0:23:14.201 --> 0:23:16.400 under his tongue and then just lie him there and 0:23:16.481 --> 0:23:18.160 just sat with him, tried to calm him down and 0:23:18.241 --> 0:23:21.720 check his polls and then the ambos arrived because somebody 0:23:21.721 --> 0:23:24.720 obviously called when they got the ambulance officers, and the 0:23:24.721 --> 0:23:26.760 ambulance officer goes, oh, what's happened here? I said, oh, 0:23:26.801 --> 0:23:29.520 I think he's just having angina. I've given him two 0:23:29.561 --> 0:23:31.641 sprays with GT and under his tongue. He goes, oh, 0:23:31.761 --> 0:23:34.520 you're a doctor, and I said, yes, I'm a doctor. 0:23:34.600 --> 0:23:36.360 And then Mber goes, so what type of doctor are you? 0:23:36.481 --> 0:23:39.481 And I said, oh, I'm a plastic surgeon. And thember goes, oh, well, 0:23:39.561 --> 0:23:41.360 that's that's all right, will take it over from him, 0:23:45.201 --> 0:23:49.201 So you know, like why yes, And it's interesting. That's 0:23:49.241 --> 0:23:51.321