Episode 28: Diabetic Neuropathy, Avoiding Amputation, and Foodie Dr. Tea Nguyen Podiatrist

28 foodie ngapali beach burma myanmar dr tea dpm 1

Dr Tea Nguyen DPM talks to Dr Trosclair on A Doctors Perspective Podcast

Dr Tea Nguyen podiatrist specializes in diabetic wound care, why educates against the webMD diagnosis, her honest and forward speech to patients, fat relocation advances for surgical outcomes, and shares her martial and daily staff tips and foodie.

Dr Tea Nguyen is Fellowship trained in wound care particularly with diabetics.

Big reason why diabetics have the wounds that can require amputation is because of peripheral neuropathy and losing the pain sensitivity. One of the problem is a patient doesn’t know a cut may have happened and can’t see it because of back pain or poor vision and therefore they get systemic symptoms or a bad smell before they know something is wrong.

If you are diabetic, establish a relationship with a podiatrist to monitor your feet health.

Why is a physical therapist or chiropractor an essential member of the foot health team?

Misconceptions: being a women, looks to young and just clips nails.

Her special ability is being forward and honest with patients.  She is upfront with patients if amputation is a serious option for their foot and unfortunately has to have this very difficult conversation weekly.

Another issue she finds is the “webMD” self-diagnosis patient. Listen to find out more about this topic and she uses Instagram to not only warn people of common conditions that could be serious but much more. This topic around minute 16-17 really can be implemented by many doctor specialties.

She doesn’t train the staff, but she comments on how important open communication is with them so that everyone, especially the patients have a good experience.

Dr. Tea discusses the future of podiatry and the hope of more advanced fat relocation surgeries.  

Dr. Tea always maximizes her days but admits being a surgeon requires someone to cover you and being really aware of scheduling the week prior to taking off.

Her key to happy marriage is that they make the effort to eat together at dinner and since they are both foodies, it works real well.  She also has a morning ritual that is powerful and simple, so listen to that.

When irritations stack up its easy to take it out on staff…find a way to refocus .

Audible for audiobooks, TED talks and the book  The Slight Edge by Jeff Olsen whatever goal or profession you have- how do you get that slight edge

Encourages women to seek the medical profession.

Drtea_podiatry Instagram   www.teadpm.com

Travel tip:

Travel Tip
LIMA personal cloud backup


Show notes can be found at www.adoctorsperspective.net/28 here you can also find links to things mentioned, the Travel Tip and the transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand

Justin Trosclair 0:02
Episode 28 diabetic neuropathy avoiding mutation and foodie. I’m your host Dr. Justin trust Claire and today we hear Dr. T when perspective

for doctors who want a thriving practice and abundant home life listen as your host, Dr. Justin Charles Claire goes behind the curtain and interviews doctors and guess about real world

Unknown 0:26
practical tips.

Unknown 0:28
On this episode of

Justin Trosclair 0:29
a doctor’s perspective, we’re going to continue our women spotlight with Dr. T, when she’s fellowship trained in wound care, particularly with diabetics, I mentioned it in the podcast, but you gotta check out her Instagram, it can be kind of gross, but to me, it’s pretty amazing because I remember, you know, cadaver lab and being impressed with the feet and how complicated that seems to be. She’s gonna go into some great advice on how to check to see if you have loved ones or even yourself if they have diabetes, to make sure that how your how you can keep your feet healthy, so you don’t have to have amputations she talks about self diagnosis and how that can be a bad thing and why should talk about things that she does with her husband to keep the love alive and so much more. All the show notes can be found at a doctor’s perspective, net slash to eight. Let’s go hashtag behind the curtain.

Welcome to the podcast, everybody. Dr. T. When DPM podiatry in Santa Cruz, California, she’s fellowship trained in wound care. She’s passionate about preventing Lake amputations, especially in diabetics, and she educates others in prevention.

Unknown 1:36
Welcome so much to the show. Hi, thank you for having me.

Justin Trosclair 1:39
Absolutely. I’m excited i i’ve had one podiatrist on the show before and he he was kind of the similar all about prevention and those types of things. But we know we kind of met via Instagram and I saw some of your your photos. I was like, wow,

Unknown 1:53

Justin Trosclair 1:54
are really graphic, but really awesome, because I don’t see that stuff as a chiropractor.

So I’m just kidding. I’m just curious. What What got you in the podiatry over anything else? And how did you pick it?

Unknown 2:05
To be frank nothing in particular caught my attention.

Unknown 2:10
undergrad I wish I had a really cool story, you know, but I don’t nobody in my family had gone to college at that age when I was trying to figure out what I wanted. So my last year in college I visited the college fair, just talked to a bunch of people and coolest person there was somebody marketing for the podiatry school and we just got to talk in and a lot of it was lifestyle choices. You know, I was interested in medicine. I dabbled a little bit in pharmacy and I really want to do a little bit more interactive with people. So that’s kind of how I stumbled upon it really.

Justin Trosclair 2:47
podiatry school are there a lot of residency programs are like sub specialties that you can go into?

Unknown 2:53
Yeah, once you finish the four years of podiatry school, there’s surgical residency, which is three years of training, then after that you can choose to specialize even further. So that’s when I went into the one year fellowship in Dallas to learn more about wound care and amputation prevention.

Justin Trosclair 3:11
That is a lot of extra schooling. So when you come out years train is like a certain

Unknown 3:17

Justin Trosclair 3:19
after I graduate, right, because this is too much.

What are you finding to be the cause of all these crazy wounds and cuts in diabetics? Like should they wait too long or won’t explain that, for me,

Unknown 3:31
a lot of diabetes, probably half are diagnosed with diabetes will end up developing what’s called neuropathy, peripheral neuropathy. So they start to lose feeling in the hands and feet. That’s the stocking gloves syndrome. When you start to lose feeling that protective sensation that telling you to pull back that’s from something that’s very hot, like a hot bath water, or stepping on a needle or thumb tack or toy or Lego, you know, those things hurt pain as a good thing. But when you don’t have that feedback, sensory you ignore it, ignore the cuts, ignore the infection. And it’s not until the patient gets very sick, they start to get fever, or somebody else notices smell or drainage or a hole in their foot is when they start to seek medical attention. Sometimes it’s not too late. But oftentimes, I do find a lot of situations where people just didn’t know that they needed a podiatrist to help them with those things. How

Justin Trosclair 4:25
is it because they’re really big and can’t they’re not very like mobile, because I’m thinking I washed my feet every day I can see my feet, there was something I would kind of notice. So what do you see there?

Unknown 4:36
Some people when they have diabetes are also having other medical problems, like they start to lose their vision so they can’t see the bottom of their feet, for instance, or they’re not flexible. They have back pain, arthritis, they can’t bend over to even reach and clean between between the feet are the toes Really? So those are some of the issues that I see. Okay,

Justin Trosclair 4:56
do you happen to have a tip for people who are might be diabetic or a loved one who might be listening to this might be late stage of diabetes like that to where they can be a little more preventative and what they’re looking for. So for their loved ones

Unknown 5:11

Unknown 5:14
diagnosed with diabetes. Establish a podiatrist immediately we can see things that you may not be able to notice small things like calluses, why is the callous there that’s thickening of tissue? That’s your body responding to excessive pressure? How do we fix them? We talked about using offloading mechanisms like an orthotic, maybe a custom made in Seoul, those are inserts that goes into different types of shoes, we can look at the current shoes that you have, maybe those are causing some problems as well. So that would be a starting point is just to establish care with us. What specialist

Justin Trosclair 5:49
Do you find a lot of people don’t do that. They just go to their general practitioner, and that’s about all they do.

Unknown 5:54
Yeah, you know, general practitioners are the gatekeepers for all of our specialties, and they’re often overwhelmed, or they do give the information and then the patients are overwhelmed. They have so many doctors appointments, and that’s the last thing they want to do is see, you know, something that they think is benign, their feet, everything else their heart, their eyes, their kidneys, you know, take precedence.

Justin Trosclair 6:17
That’s true, because some people are on a budget as well, where they’re like, well, that doctor didn’t say much or it’s not so bad. I’ll just, if it gets bad, I’ll notice I don’t know if it gets bad.

Unknown 6:28
Don’t wait till it gets bad. Unfortunately, that’s you know, that’s kind of

Unknown 6:32
really are you all surgery at this point?

Unknown 6:35
I am predominantly surgery but not all surgery. I do a lot of palliative care. So we do prevention education. All of the diabetics that I see I see them routinely. If they’re diabetic without problems like neuropathy, no history of amputation, no ulceration, I can see them once a year, if they’re a little bit older, maybe getting a little bit more frail, or they’re starting to service. And they can’t see and reach their feet to take good care and basic hygiene. I’ll see them about two to three months.

Unknown 7:09
Or their surgical patient. I usually see them every week

Justin Trosclair 7:12
really like before the surgery or just

Unknown 7:15
post care. Yeah.

Unknown 7:18
I definitely want to see them at least once a week to keep things clean, because it thinks gonna flip overnight. Yeah, that’s true.

Justin Trosclair 7:25
I’m curious. Um, as a chiropractor, you know, I’ll see you know, treats and plantar fasciitis, we treat some some ankle sprains and things like that. What’s a good tip, even from physical therapists to so when should we say this is beyond our realm, and we need to refer to you.

Unknown 7:40
I think it’s a given take, I rely heavily on physical therapy for a lot of these patients who don’t want surgery.

Unknown 7:51
It’s an option. So when I refer difficult therapists, you know, they already know them sending them for something very particular. And then once they complete their circuit, and the patient is not at 100%, or wherever their goals are, then we will revisit surgery. And that would be a good indicator, you know, let’s say you’ve exhausted your chiropractic care, and your patient is still not functional, they can’t go back to work without pain, then they, you know, bounce back to me. And then we talk a little bit more seriously about other options. Do you

Justin Trosclair 8:19
do if you’re hiking? And what are your ligaments rips off the bone?

Are you the person to go to? Or should you go to an orthopedic surgery.

Unknown 8:30
We are trained in

Unknown 8:35
school here in the stage is four years and then three years of surgical training to reconstruct some of those issues. Some of us go into fellowships as well. Additionally, for things like that. So it’s really it really depends on where you’re from and what you know, the doctors around you and what your referral faces

Justin Trosclair 8:54
and insurance coverage. You guys, right.

Unknown 8:58
nobody’s paying my bills.

Unknown 9:02
Are you private practice and you work in a hospital, I work in a private group with

Unknown 9:05
other podiatrist. I’m a new associate, I started with this particular group last year, and it’s a it’s all podiatry, there’s 234 other podiatrist as well. Wow.

Justin Trosclair 9:18
So I’m curious, coming out of school, or I guess finally finishing everything, you’re super duper turning 30. It’s not like, it’s not like you’re a rookie, you’re actually like a fellowship trained the boss, as they say, when they hire you, they they treat new people pretty good as far as like competitive salaries and things like that. They don’t just treat you like a brand new out of the four year program. You don’t have any other specialties. I would assume those guys or gals will probably get paid less than you. Is that a?

Unknown 9:46
I don’t know the answer to that. I knew that when I got interviewed, people were very laid back. Don’t forget I live in sac

Unknown 9:55
itself is pretty chill. You know, we’re serious about our work. But we’re also very serious about our downtime.

Unknown 10:02
So I think I got hooked up with a really great team, we all interact very well together. Very,

Justin Trosclair 10:15
very cool. And the reason why as there’s certain professions out there were if you’re new, they don’t really they say that they kind of short change you until you kind of learn the ropes, and then all of a sudden, now you’re gonna go What am I doing that for? So I’ll just curious how it works in your field?

Unknown 10:29
I’m sure it’s the same in every field. I don’t think there’s any field that isn’t like that.

Justin Trosclair 10:34
Okay, when you’re doing like educating your patients are likely be giving talks and educating other people. Are there any big misconceptions about what you do?

Unknown 10:42
Yes, well, yes. They can be super annoying to you. You’re like, Oh, my gosh,

Unknown 10:47
come on. For starters, I look very young. The misconception is she’s too young, to doesn’t have enough experience, I want the older male. So I have two hits against me, I’m a female, I look young, automatically will think I don’t have you know what’s necessary to help them, which is fine. You know, you get that every day, and then you just deal with it. The second misconception that I deal with is Oh, you’re a podiatrist. So you just trim toenails. That’s how it used to be. That’s how it started. Yes, but that was many decades ago. And our profession is rapidly changing. started training is very specific to the foot and ankle, everything related, whether it be an ankle fracture, or flat foot reconstruction, or you fell off a ladder and you broke your field. And you know, we fix all those things. So that’s the thing, too, that I deal with is that Oh, you don’t do surgery? Yes, I do. Oh, you’re young? Yes, I am experienced.

Justin Trosclair 11:45
That’s really cool. What would you say, to look out for? If I’m looking to send somebody to a podiatrist? What are some of the things that I should be asking to make sure that they’re a good fit for the type of client that I’m looking for?

Unknown 11:57
One in particular, are you referring to?

Justin Trosclair 12:00
Okay? I guess for like an ankle sprain or like a really bad plantar fasciitis versus like a wound care diabetes? Obviously, that would be the two you say, Would that be the questions to ask, what are your what’s their train?

Unknown 12:12
You can just ask them, Hey, I have this problem. Can you fix it? We have such a diverse set of podiatry training, not all the podiatrist.

Unknown 12:24
Sorry, hi.

Justin Trosclair 12:26
So it’s not all podiatrist are created equal? It’s all based. Really, I think what you’re saying is just ask the question, What are you trained in? And if you don’t match up to what the patients experiencing? Then just call another one?

Unknown 12:37
I mean, basically, hey, I had this problem, can you fix it? And I’m pretty honest, there’s a bunch of stuff I can’t do. I don’t want to do. And, you know, I have patients asked me all the time, what do you think about acupuncture for my heel pain? I don’t know. I don’t do them.

Unknown 12:52
Acupuncture is. So for me, I’m pretty frank about certain thing. But just because I do care doesn’t mean I don’t do other things as well.

Justin Trosclair 13:01
That’s true. This could be a redundant question. But I like to know, some doctors really feel like they have this this special ability, this unique quality, what would you say? Is your like, unique ability or quality that makes you so special?

Unknown 13:13
Well, I think we all want to feel special. Yeah. So I think for me, in particular, I take a lot of pride in being very forward by patients being on best, you know, ideal out a lot with care. And that means I deal a lot with amputations, too. I don’t like having that conversation with patients where I’ve done everything I could, and now they have to lose her leg. I think that is one of the hardest conversations I can have. But it’s necessary, otherwise, they can lose their life. And I think, you know, given the choice between you and me as well, we probably choose the leg over life. Whereas some people, they would actually rather die than lose a body part. So I have to deal with those differences. What makes me very different from my colleagues, perhaps is that I’m not afraid to have those conversations up front, even at first meeting, being very serious and say, Hey, you have this condition. If you’re not serious about taking care of yourself, who’s going to care about you? It should be you shouldn’t be me. Of course, I care. Obviously, you know, that’s why I feel right. So it’s my husband calls it tough love, essentially, we you know, he’s a general surgeon, so he deals with patients as well. And he, he just thinks that

Justin Trosclair 14:28
I’m a little bit more dry. If you see if an ankle and a leg that automatically, that’s the comment that you have to make, it’s gonna be pretty bad.

Unknown 14:36
Yeah, I, at least once a week, I have to deal with, you know, an amputation of some kind. So I’ve just learned to be very succinct and not dance around the issue and say, Hey, this is what you’re going through what you should expect and what I can do to help you but you need to meet me halfway. I do my part. You need to do your part.

Justin Trosclair 14:58
Yeah. Because it can be like just like most of it, is it like an infection type of situation? That that’s the reason why they have to you have to cut it off or amputated?

Unknown 15:07
Yeah, pretty much infection or gangrene, you know, they don’t have good circulation, and they’re having a lot of pain, that would be an indication for an amputation. Okay, well,

Justin Trosclair 15:16
that’s about as real as it gets right there.

Unknown 15:18
My goodness, I don’t put it off all the time. Right.

Unknown 15:21
don’t enjoy it, I do it very well, because there is a wrong way. For me these procedures, you can leave somebody very deformed, and you know, have to go through multiple surgeries. That’s not necessary,

Justin Trosclair 15:33
right? And I’m guessing like, if it’s a younger person who maybe doesn’t have diabetes, more like an accident, the way you do, it will set you up for the perfect prosthetic. Or if they don’t do a good job, you’re like, we could have done this, but you got botched.

Unknown 15:46
Sometimes, sometimes we can salvage sometimes, it can be pretty bad can be pretty bad.

Justin Trosclair 15:51
Okay, wow. Well, I am curious, then do you have to do any of the marketing at all for your, in your in your clinic,

Unknown 15:59
I really lucky I’m in a group that’s well established in the places that were set up in a market online, you know, through my Instagram will see it’s not marketing so much as educating, right? Because I feel a lot of things that I think are very easy to deal with. But by the time patients have exhausted their Google search, or Web MD, he, you know, they’ve mistakenly diagnose themselves with something therefore mistreating it, and they get to me and it’s To me, it’s obvious what it is to them. It’s brand spanking new. So that’s the only way I utilize marketing, not for myself, but more for education. Okay,

Justin Trosclair 16:37
but it seems to be working.

Unknown 16:38
Yeah, pretty busy.

Justin Trosclair 16:41
That’s good. One thing other doctors can just look what you just said, they can start doing that as well. You know, if you’re putting up pictures, you can put it up a public service announcement type of things. And they can do that as well. You can show a really bad tooth or a really bad is that looks like 15 different things. But you’re like that shouldn’t just be sitting around and you’re on your face. And you need go see this doctor.

Unknown 17:02
Yeah, and I,

Unknown 17:02
a lot of people are afraid of doctors and I tried to be, you know, I don’t want my white coat for that particular reason. I don’t want to build that barrier. I want to be able to be approachable for patients so that they can ask questions like, Hey, I think I made a mistake. You know, what do you think? And I want them to be honest with our interaction. That’s interesting. No white coat.

Justin Trosclair 17:24
Very interesting.

Do you have to deal with any of the staff as far as like hiring and firing or training

Unknown 17:36
on them, and they deal with it, and we have a good time.

Unknown 17:41
There the stuff is everything though. So I really value having them. And their inputs, you know, if it’s a bad day, I need them to speak up. If it’s a good day, I show my gratitude, my appreciation, because they’re the front lines to patient care. If the patient is don’t like my staff, they’re not going to like me right off the bat.

Justin Trosclair 17:59

Unknown 18:00
They’re not gonna come back. A lot of people

Justin Trosclair 18:02
lost patience and didn’t even realize it because of their staff. That’s true. Yeah, um, what, what they bought like five years or 10 year goals do you have for yourself? Or? And how do you know if they’re worthy to go after?

Unknown 18:14
And that’s a loaded question.

Unknown 18:17
I’m gonna be at this clinic

Justin Trosclair 18:18

Unknown 18:19
I love being where I’m at right now. I’m very happy with location with the group with when getting as far as building my practice. But I do see myself expand a little bit more on when care issues maybe in higher risk area. And I hope to see that grow, where people are actually wanting to stay in this community for wound care. Right now, we have a split between people who live in the area who want to stay and their referral, their primary doctors want to refer them out to a bigger academic facility. We’re not academic facility, we’re a small community. Okay. Oh, it’s my hope that we keep patient still live here in the neighborhood to get good care to get competitive care, as well as an academic center.

Justin Trosclair 19:07
What is it if you have five of them, four or five of y’all, y’all could really offer the gamut of podiatry things that even a teaching hospital down the street could do.

Unknown 19:16
Yeah, we do have experiences from different backgrounds with all specialized very unique things. There’s nothing we don’t really cover in this area. So that’s kind of my driving goal is to maintain that and keep that here.

Justin Trosclair 19:31
Well, that says something to because there’s such a need in a community where you can actually hire that many in one building and not feel like you’re competing against each other. Plus, there’s probably other podiatry groups in the town as well.

Unknown 19:42
Right. There’s other groups there, the their major groups, I think we’re the only private practice group here.

Justin Trosclair 19:46
Wow, where do you see it? Guess it’s a double question. Where do you see the future of your profession going in the next few years, and we’ll get you excited about podiatry and in the future,

Unknown 19:55
I think one care is very underappreciated tree, what it said, because now we’re noticing that more often than not a lot of our patients are diabetics. And they’re very difficult to, to cure, you can’t cure diabetes, always.

Unknown 20:14
So that’s kind of where my professional goals are headed towards, into educating maybe the people interested in podiatry, maybe those students who have not not much of a clear idea of where their practices heading, residency training where, you know, they want to do particular procedures that are really cool. And then they want to add to that area. And there’s, you know, the wound care component where not only are we utilizing advanced graphs, or don’t biologics, they’re called but we’re doing you know, these beautiful rotational muscle flaps where we’re using your own body to cover wound and get you healing without, you know, really expensive graphs and things like that.

Justin Trosclair 20:54
Is the technology they’re excited. They’re growing and 3d printing like kidneys and different things, are we there yet, in your profession,

Unknown 21:01
I don’t know what we need to grow in the lower extremity we can we harvest skin from your own body already. And that’s an old tech, you know, plastic surgery technique. That’s all we really need is skin, I think the next step is probably trying to read build fat in the bottom of your foot, you know, we that takes up a lot of pressure over time. And as you get older, the fat layer things out. And that’s how people start to get source. So I think I see that in plastic surgery, they’re talking about, you know, liposuction, and transferring fat from one area into another. So I kind of see that moving forward.

Justin Trosclair 21:37
That’s what they were, I thought they were doing that not necessary for like breast enhancements, but for like, redistributed it’s a different areas like your calf or like something like that if you needed it. So they’re not there yet for the feet.

Unknown 21:49
Correct. Some people are doing it. But the long term result or a little bit sketchy,

Justin Trosclair 21:54
because like I said, has to have its own blood supply, and otherwise it will just kind of like die inside your

Unknown 22:00

Unknown 22:03
every day.

Justin Trosclair 22:06
That’s true. So what’s protected it now just kind of what God gave you to begin with is pretty superior.

Unknown 22:19
It’s it’s a different architecture.

Justin Trosclair 22:22
Does the PRP stuff work in the feet? Like a way for an elbow?

Unknown 22:25
Yes. There’s a PRP for sports medicine and being distracted by the has.

Unknown 22:34
It has been shown to work in some particular pathologies. Yes. But that’s not my area of expertise. I don’t know too much about it.

Justin Trosclair 22:39

Unknown 22:40
Last couple questions. You okay. Yeah.

Justin Trosclair 22:42
All right. We’re going to switch gears. So you’re, you’re married? So as a question about that, too. All right. So sometimes as a doctor, it’s difficult to take vacation because we lose money on the week, well, we spend money on vacation, we lose revenue from not seeing clients. And then especially if you’re new, you may not actually have enough time built up. So do you take vacation? And if so, how are you able to do that or take more if you notice that you don’t

Unknown 23:04
have to take a vacation. It’s easy to get overwhelmed. I see over 20 patients a day, sometimes four days a week, sometimes five days a week just depends sometimes I take another Saturday to see patients it’s it’s overwhelming if you don’t take your break for yourself. So I I do commit to utilize every single day I have for vacation for that exclusively. And when I’m on vacation, I am checked off. And that’s very difficult for physician it’s difficult for a surgeon because if you just did a surgery, you need to be reachable.

Unknown 23:40
vacations coming up, I have to build around that and make sure that my colleagues can back me up out of town, something like that. But I think it’s critical to make time for vacation.

Justin Trosclair 23:50
So you do have a nice, most people I guess, are willing to cover for you because at some point, they’re gonna need to return favor.

Unknown 23:57
Yeah, that’s the advantage of a group.

Unknown 24:03
We have to cover for each other

Justin Trosclair 24:04
pretty good. What about this besides your profession, you have any hobbies or volunteers or kids or anything like that, that keeps you busy?

Unknown 24:14
Very busy.

Unknown 24:19
go to gym, hang out with my dogs, my husband. What we really do enjoy doing is restaurant hunting. So we’re always looking for new new foods to try new places to go and hang out. We make an effort to travel outside of our little neighborhood and try different things.

Justin Trosclair 24:37
With What’s your favorite non staple American food?

Unknown 24:42
Love Italian food.

Unknown 24:45

Justin Trosclair 24:51
noodles are so good. By the way.

When I go there, I’m like all these are so good. And then you know, I’m living in China. So we have a lot on noodles weather like the fresh made ones. And it’s a whole nother level. It’s a whole nother level you get like even an Italian place if you get fresh noodles versus not noodles.

Unknown 25:10
No matter where you are.

Unknown 25:11
Yeah, I mean,

Justin Trosclair 25:12
I just assumed I can cook noodles at the house? Because they’re just not the same.

Unknown 25:16

Justin Trosclair 25:19
Well, what is something that maybe you and your your husband do to make sure you guys feel connected and not kind of drift apart as the messenger, both surgeons?

Unknown 25:27
That’s a good

Unknown 25:28
question. He’s extremely busy as a general surgeon, and I am a try not to me very demanding wife, but it’s hard. And then in this, we went through this through school, I you know, we were both busy. And even though I’m studying to be a doctor, myself, I’m still wife, I still want to be around him. So we used to commit to having a date night, you know, Friday night, we think time to go out phones away. Now that we’re in practice, you know, we have a lot more leisure, we have a little bit more control in our schedule. So we make the effort to make to have dinner together every night, whether we eat out or from the goal to make that time to sit down and talk about our day and

Unknown 26:14
all that good. So that’s been pretty helpful.

Justin Trosclair 26:16
Yeah, very good. The reason why I asked there’s so many, you know, doctors just being a doctor increases your chance of divorce plus, just being married is always never, you know that this that’s always bad there. So there’s so many doctors, they gained the world and then they lose their family. So that’s that’s why we always kind of asked that question on the on the show and kind of get a, you know, everybody has a different answer. So that’s actually a new one having dinner together every night and having the

Unknown 26:38

Unknown 26:40
But we take it for granted sometimes.

Justin Trosclair 26:43
What easy to get distracted all my go to the gym instead while you go do your thing. And we’ll just kind of meet up after that. And

Unknown 26:48
yeah, so yeah,

Justin Trosclair 26:50
do you have to have a morning routine or a lunch routine that get you grounded and focused for the rest of the day?

Unknown 26:55
Oh, I wish I had a routine. You know, I used to wake up early and do yoga and just do like a three minute meditation, you know, try to plan out my day, this morning, and I’m going to have a healthy breakfast, I’m going to do my yoga, I’m going to work on some of the goals I want to achieve. Today I want to talk, I want to think about some of my weaknesses and things I wasn’t so good at last week, you know, perhaps I didn’t communicate very well, or whatever it is. And I kind of got it down. And I think about that actively throughout the day making sure that I don’t repeat those mistakes. And so that’s how I started to generate my day in and not trying to be so overwhelmed with the work because it’s easy to to get buried into the paperwork. And just, you know, when when irritation stack up, it’s easy to just take it on your staff and let it get out of control. But I tried to start the morning off, right? And just be a little bit more mindful, great answer.

Justin Trosclair 27:50
What about, um, any favorite books, or apps or podcast or things like that, that really have made an impact on your life, whether it’s something you would always give them if you’re a student, if you’re anybody, this is a book I would recommend. And then you know, secretly, this is another really good book that has helped me out in certain areas of my life,

Unknown 28:08
any nuggets for is there, I really enjoy two things, audio, audio books,

Unknown 28:15
whatever books you want your reader like me just want to listen, you can get through book a little bit faster, is a resource that I like. The other one is Ted, Ted Talks. Sometimes I wanted to branch out of my specialty and see the world and understand what other people are really good at. Or I take a motivational speaker and listen to them for an hour. And you know, whatever breaks I have, I try to utilize those two things exclusively to just expand my knowledge of the world. As far as particular books, there are so many, but the most recent one I read that I just bought for a bunch of people is called the slight edge.

Unknown 28:56
Are you familiar with that book? Not really? No, it’s a

Unknown 28:59
it’s a really easy read. And I really like it because there’s a there’s a nice chapter, there’s people’s writing on how that book has improved their life. And I kind of take I like those types of books a lot about other books. It’s a book about get having a slight edge and whatever profession you’re doing, or whatever goals you’re trying to achieve. You know, what is that secret? The secret is really obvious, actually.

Justin Trosclair 29:27
Yeah, now that sounds fantastic. I agree with you now that you said that isn’t that is a kind of a book that I like is is accumulation of a lot of people’s wisdom and other things that they’ve done. Learn from people. That’s what I say,

Unknown 29:38
Yes, me too. Well, how can people get in contact with you?

Unknown 29:41
You can find me easily online. T ea dpm.com is my website. DPM stands for a doctor Podiatric Medicine. So that’s designated for a podiatrist. Or you can find me on Instagram at Dr. T underscore podiatry.

Unknown 30:08
You can find me online.

Justin Trosclair 30:11
Keep it easy, right?

Unknown 30:12
Yes, absolutely. Well, any any parting words?

Justin Trosclair 30:16
might have missed that you would like to chat about? Before we go?

Unknown 30:19
I think you covered it all. Okay. Very good. Well, maybe we can emphasize the medical field and how there is still a need for females to represent. And I say that because you’ve asked me a question earlier about some misconception. Great. That’s oftentimes it’s because of my age, and oftentimes it’s my sex, your female doctor, what you know, do you have equal abilities as a male, whatever that really means I have patients coming to me all the time, not believing them the doctor for whatever reason, whatever bias that they have. So I really encourage women, if you’re interested in medicine to really get it a shot, because we need more representation.

Justin Trosclair 31:02
Absolutely. And this is women’s spotlight.

Unknown 31:06

Justin Trosclair 31:08
Yeah. So is it? How do you say it is there? The qualifications are the same, right? Like whenever you got to get in, it’s it’s scores. It’s what activities you’ve done. It’s like you’re just as qualified as quote them in, you just have to actually apply and want to do it. You’ll get it. Yeah, come on, ladies. Let’s do it.

You gotta study anyway. Right?

All right. Well, thank you so much for your time. And I wish you the best of of 2017 and in and work and in life and in everything that you’re doing.

Unknown 31:42
Thank you so much. All right.

Justin Trosclair 31:46
Dr. T, amazing. Great job. It’s so you know, the guy we don’t have to deal with this. You look too young. Maybe we’ll have two young, but not Oh, can I get the guy because the woman can’t do that job as crazy. So thank you for talking about that. And providing that encouragement for other women in high school and students to pursue the medical profession, you can do it are you to study right? Look forward to to read about the slight edge. I’m going to Google it. Just again, thank you so much for your time, and the great knowledge that you gave us today. Show Notes can be found at a doctor’s perspective, net slash to eight. Stay tuned for the travel tip at the end of the episode.

A big thank you to everybody who purchased the book for those who are considering it a doctor’s perspective. NET slash free ebook and get yourself a PDF version for free. If you watch the video, fantastic. You’ll see different reasons why you should read the book. We’ve got things from helping with headaches, stretches and exercises that you’ll actually do ways to figure out food labels. What’s the deal with sugar tricks for portion control? And a nice chunk of the book? How can your body heal itself? Are you minimizing Why are some people negative about chiropractic? What does it actually do? What is pain? What is a misalignment or a subway station in go on Amazon, they got the Kindle version paperback book. As always, there’s merchandise at the Resources tab. There’s podcast t shirts, carpeting, t shirts, mugs, weather’s getting a cup of coffee, all the stuff is high quality, good job. If you like what we’re doing, giving back a little bit, keep the show going. Definitely not necessary. Of course, it’s appreciated.

If you head over to the website, the top right is all the social media flavors, pick what you like friend is, of course active on Instagram and Facebook the most and trying to do more live videos trying to keep everything fresh. The pictures of my travels are typically on both of those big rush on Facebook, slow drip on Instagram. Of course, if you want to leave a comment, definitely do that. It helps us to know how to improve the podcast so that you guys like it better. And of course, if you leave a review on iTunes or your Android app, that’s very appreciate if you want screenshot it, boom, throw it up on Facebook, tag me and I’ll give you a shout out.

travel tip. I mentioned technology before but I’m not as you need to have like a cloud service, whether it’s a Dropbox or Box or Google Drive, outlook has one as well and the apps on your phone, it’s really important because you put important documents on there, you can password protect it, and if you need it, boom, it’s right there. You can print it, email it, whatever. Another option two is if you’re like man, I don’t want to pay all this money every year for storage. There’s something called Lima. Again, I’m not getting sponsored for this, but it’s like a device and you can connect to your Wi Fi. It’s like an external hard drive with a special program that connects to the Wi Fi. And then it has its own app. And so that ends up becoming like a drop box, but it’s connected at your house. And so the services for you just have to pay for that box. Sorry, just an idea if you’re traveling for a long time and you need to have important documents at your fingers tips at all times.

We just went hashtag behind the curtain and this episode has come to an end. I hope you got the right dose for your optimal life. Please spread the word about this podcast by telling to friends, share it on social media and visit the show notes on a doctor’s perspective. net to see all the references from today’s guests. sincere thank you in advance. You’ve been listening to Dr. Justin trust Claire giving you a doctor’s perspective.

Transcribed by https://otter.ai

About the Author
Dr. Justin Trosclair, D.C., an expert in Chiropractic Care, has been focusing on back and neck pain relief for over 12 years and has delivered treatment to more than 6000 patients. With advanced training in treating disc derangement conditions, you can count on him to keep up to date with the latest research in physical medicine for spinal pain. He has 5 years of hospital experience in China, is currently working in Germany, and had a private practice in Colorado for 6 years. Dr. Trosclair hosts a doctor to doctor interview podcast called ‘A Doctor’s Perspective‘ with over 220 episodes. During his free time he wrote 3 books. Today’s Choices Tomorrow’s Health (rebooting health in 4 categories), a Do-It- Yourself acupressure book for 40 common conditions called Needle-less Acupuncture, and a step by step guide to look like a local for Chinese dinner culture called Chinese Business Dinner Culture. If you have kids, you may be interested in his 6 series tri-lingual animal coloring book series (english, spanish and chinese).