Feb. 28, 2023

Episode 46: Susan Landers - Attention Working Moms and Healthcare Practitioners, Prevent that Burnout!

Episode 46: Susan Landers - Attention Working Moms and Healthcare Practitioners, Prevent that Burnout!
The Human Beauty Movement Podcast
Episode 46: Susan Landers - Attention Working Moms and Healthcare Practitioners, Prevent that Burnout!

Meet Dr. Susan Landers! Susan is an author, speaker, mom of three, and Neonatologist with over 34 years of experience in neonatal intensive care medicine. Susan suffered through a difficult midlife period that caused burnout after the birth of her third child, and this propelled her to make new life choices including a career change. She recently released her book, So Many Babies: My Life Balancing a Busy Medical Career and Motherhood. In this episode, we talk about the difference between being stressed out and burned out, what it means to be a 'good enough mom,' signs of postpartum depression, and what to do when you're feeling overwhelmed. Enjoy the listen!


Susan's Links:


The Human Beauty Movement's Links:

Jennifer Norman's Links:

Thank you for being a Beautiful Human. 

Transcript
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Hello, beautiful humans.
Welcome to another episode of

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Role Models.
You see conversations with

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beautiful humans.
I'm Jennifer Norman founder of

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the human Beauty movement and
your host, this podcast thrives

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on your support.
So if you like what you hear,

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follow us, radis reviewers and
share this episode with everyone

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across your network.
Now, today we're going to talk

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about a very important topic.
It is burnout so many of us are

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parents who take care of others.
But oftentimes we forget to take

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care of ourselves.
My guest today is dr.

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Susan Landers Susan is an author
a speaker, a mom of three and

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neonatologist with over 34 years
experience in neonatal

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Intensive, Care Medicine.
Susan suffered through a

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difficult midlife period that
caused burn out after the birth

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of her third child.
And this propelled her to make a

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Choice which included a career
change?

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She has recently released her
new book so many babies.

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My life balancing a busy medical
career and motherhood.

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Welcome Susan.
Thank you, Jennifer.

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It's a pleasure to be here,
talking with you.

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It's a pleasure to host you.
Now, you're a doctor, you've

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worked full-time for over 30
years in a demanding role.

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And you raised three, kids tell
us what that was like, oh, well,

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it was always a challenge and I
love my Medical career.

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I became a doctor and a
neonatologist before.

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I got married, and became a mom.
And so my identity was quite a

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bit wrapped up in being a NICU
doctor, and I loved that.

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I loved working with sick babies
and mothers and babies.

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And then when I got married and
we decided to have children, I

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thought I'll be a perfect
mother.

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I'm a pediatrician.
I know everything about kids

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which was not true.
I learned a lot as I read a

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long, we had three children
within the first seven years and

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I literally flew by the seat of
my pants.

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Working full-time, had a nanny
at home.

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We were very fortunate to be
able to afford that and my

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husband was also pediatrician,
so he was very helpful, but you

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still have to learn how much
work you can do and how much you

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can protect your home life and
does the stress from work spill

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over.
Into raising children.

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And then there's the, what do
your children?

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Throw at you?
You know, my son had some

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difficult years in preschool and
kindergarten, you know, things

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like that, that you face as you
become a mother, I think as we

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have more children to and we're
still working each child brings

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out different strengths and
different weaknesses in us.

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So I'd like to talk about
spending the first Seven Years

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Learning.
How to be a good mom and I'm not

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sure I was every minute.
Sometimes I work 24 hour shifts,

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and there's no easy way to be
away from your children for that

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many hours.
Even if your husband's there or

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Nanny's there.
Sometimes I brought a lot of mom

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guilt home with me.
Sometimes I brought a short

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temper and anger home with me.
If a case wasn't going

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correctly, or there were some
difficult parents and so, in the

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beginning of my career, Career.
I literally learned along with

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my friends, how to be a working
mother.

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I was fortunate.
I had a lot of other doctor

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friends who had children at the
same time.

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We saw each other at work.
We bounced ideas off each other.

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It was so wonderful to have that
support of other women.

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Going through exactly the same
challenges we move jobs.

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We move to a different city, my
husband got a great job offer

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with a Sharon and raised, and my
job was just okay.

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We had three little kids.
My youngest was still nursing,

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and this is the period of my
life.

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I had just turned 40.
So new job, three kids, turned

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40, new house, new schools.
Every one of the life stressors,

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you can have.
And I burned out, I became

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depressed.
I was still working, still

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taking care of my kids, but it
was a very unpleasant time Ntly

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friend of mine recognized that I
was acting depressed.

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You know, wasn't sleeping, I
wasn't eating, I was in a bad

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mood, all the time, all of the
signs of Oppression but my baby

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was 12 months old so I didn't
really think it was postpartum

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depression.
I thought it was all the stress

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from my work and the move and
being a mom to three kids.

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So I started therapy with a good
psychiatrist who helped me sort

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through All of my issues, I will
never forget the day that I

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described to him.
My life was like person on the

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stage of Ed Sullivan Show, who
runs around and spend sticks,

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and plates balance on the
spinning sticks, and you add

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more sticks, and you spend more
plates and you run around and

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you keep your plates from
wobbling and you're just running

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from plate to play, and you're
just spinning more plates and

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you're just frantic and Hectic
and I described to him, that was

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my life, because that's how I
imagined it.

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I was just going from child to
child, to work, to husband to

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school, to clinical research or
whatever.

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And he looked at me and he said,
why don't you take down some of

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the plates and I thought, oh my
gosh, that's amazing.

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I mean, literally it was an
epiphany when he said that and

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over the next six months, he
helped me to sort through the

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plates, the issues.
Was most important was not, what

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was I going to leave behind?
Because I was doing too much.

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I literally was trying to be
everything to everybody.

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Yeah.
I think a lot of working moms

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career moms especially fall into
that trap.

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So used to achieving and
succeeding in our careers that

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we think we're supposed to be
perfect in every aspect of Our

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Lives.
I've learned that nobody else

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was going to take care of me,
but me.

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Me.
I mean, my husband cared and my

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friends cared, of course, but
I've learned that I had to

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exercise running was my thing
for a long, long time.

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I learned that I had to talk
with friends.

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I learned that I had to have
some time off this working 50 or

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60 hours a week is crazy.
I learned that my children were

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allowed to say, Mom, you're
really grouchy today and we

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talked a lot about my
controlling, my Anger and my

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yelling at my kids, when I was
tired after a long night on

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call, so I did lots of things to
learn how to take care of

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myself.
While I was being a mother to

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three busy children.
And during that same period of

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time, I learn.
I think what it means to be a

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good enough mother.
I mentioned when I started, I

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wanted to be a perfect mom and
discovered that was impossible.

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You can't.
I work full-time and be a

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perfect mother but being a good
enough mother I think is about

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working at a job in which your
fulfilled and that gives you

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pleasure that gives you
satisfaction and and feeling

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worthwhile and also having time
to be a mother but not a

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full-time.
Mom, a mom.

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Who's gone some of the time and
that trade-off means your kids

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do not have you all the time.
They learn to be a little more

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independent.
They learned that you have other

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priorities not just them and so
that's what I think a good

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enough mother is, I think it's a
working mom who allows herself

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to do various things.
Not just be a mother but also

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have a career.
Have a job, have a relationship,

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have her own friends and so it
was during my midlife that I

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learned really how to be a good
enough mother and felt that I

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really was that.
And so now You provide coaching

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and mentorship on how to prevent
burnout.

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Can you talk about the
difference between what it means

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to be burnt out versus stressed
out?

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Oh yeah, there's a lot of
burnout among Healthcare

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Providers right now.
And the pandemic, really dealt a

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bad deal to all the health care
providers, especially those

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hospital-based.
But office space to because of

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the stresses, all the sick,
people inadequate bed, space,

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vaccine conflicts are Mets over
medicines and vaccines.

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They were given not a late too
much work but also too much

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emotional burden at work.
It wasn't just taking care of

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patients who were dying.
It was taking care of too many

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patients and not having anything
to do about it.

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So, Healthcare, burnout, creates
physical exhaustion, from too

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many hours of work, emotional
overwhelm from issues.

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It's ethical issues cases that
don't go well, death and dying,

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those sorts of things and when a
healthcare provider recognizes

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physical exhaustion and being
emotionally overwhelmed, they

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tend to detach and depersonalize
from their patients.

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I noticed at once when I was
much older in my 60s, I felt

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like I was sort of not as
involved with my patients and I

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wasn't as involved with my
colleagues.

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There.
But the crowning blow to

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healthcare provider burnout,
burnout that Physicians and

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nurses have is when you feel
you're no longer making a

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difference.
When I felt like I was just

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going through the motions.
I wouldn't making a difference,

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nothing mattered.
That's when I knew that I had

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burned it and so that's a
classic case of burnout for a

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physician or nurse.
I think what working mothers are

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experiencing is the feeling that
That they can't be everything to

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everybody.
They are grouchy with their

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kids.
They might yell at their kids,

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their relationship with their
husband, or partner is strain.

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They are not relying on their
friends, they're drinking more

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wine.
I've been there, they're not

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exercising, they're not
sleeping.

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Well, there may be working too
many hours if they're a manager,

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they're worrying about their
co-workers.

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And whether they're doing okay,
managers tend to worry a lot

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about schedules of their people
and accommodate other people,

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instead of taking care of
themselves.

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I don't know if you have to be a
perfectionist to get working

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mother burnout, but you sure
have to try to do everything for

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everybody, whether it's your
children, your husband, your

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job, not seeing your friends,
not taking care of yourself,

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working mother burnout.
Out shows, very similar to

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physician burnout the Mom.
Feels like she just can't deal

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with her kids.
She just can't deal with that

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job.
She hates, she just can't deal

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with her husband's relationship
with her.

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And so it's a sense of being
overwhelmed by all the things in

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your life that you're challenged
with all the things, you know,

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the pandemic asked women to do
all the household chores Work

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from home and home school.
Their kids remotely for two

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years working mothers had to do
all that, that is ownerís and I

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think that anybody that made it
through that and looks back and

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says, wow, that was awful.
She's got my respect because it

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was an awful time.
It was a lot of stress and some

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mothers who are still working
full-time are burnout is a

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result of it?
Yes, I actually read a statistic

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from From mental health
Americas, 2022, mind, the

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workplace report.
So this is recent that 80% of

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employees agree that the stress
from work, affects their

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relationships with family,
friends, and co-workers, and 47

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percent of Physicians reported
feeling burns out last year,

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which is up from a rate of 42
percent in 2020.

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So numbers are getting worse.
They are they, are you mentioned

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this stress from work?
And I noticed when I felt

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burnout as a It was long before
the pandemic, but there were

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difficult cases.
There was a chaotic NICU, it was

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busy, lots of triplets, lots of
twins, maybe a set of difficult

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parents, maybe too many
emergency deliveries.

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It was too much stress in the
workplace.

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Sometimes too much noise.
Sometimes too many interruptions

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sometimes chaotic management and
so even people who aren't in

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healthcare can be stuck in.
A workplace, that's too loud.

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That's two main that stew
critical.

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That is without teamwork where
your manager doesn't care about

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you.
I think any workplace can be

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perverted by folks with bad
attitudes.

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Especially if somebody doesn't
know what a working mother is

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going through.
If you have a manager, that's a

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man who does not have children
or his children.

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Grown or he's divorced.
And his wife takes care of the

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kids.
That manager may not appreciate.

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Why you need to get to the
school at 2 p.m. on Thursday for

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a parent-teacher conference that
manager may not realize why you

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want to do two days a week
remote from home and not every

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day in the office.
So I think that the workplace

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characteristics also play into
working mother burnout.

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Out too many responsibilities
were manager.

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That's not listening to you.
You're feeling like, you're not

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a member of the team, you're
just there doing your job, those

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kind of things, I think really
burdened working mothers and

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I've got a lot of people are
like I was you do carry some of

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that home with you.
I remember going home and

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pouring up a glass of wine and
unloading on my husband and him

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saying, I know there's nothing
you can do about it but Didn't

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help.
I mean, what I should have done

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is talk to my director.
So I think that there are things

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that working mothers can do, the
survey that you read.

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Also mention the importance of
flexible scheduling, the

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importance of remote work, for
people who have long commutes,

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the importance of self-care for
me, Jennifer learning how to

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take care of myself.
And when I was a young adult and

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especially in my 40s, He's was
so important.

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I had to figure out that if I
didn't get exercise, I didn't

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get sleep.
If I didn't get outside walking

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in nature, I didn't feel good.
My mood was affected, we know,

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clearly that being out in
nature, improves mood.

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Yeah, exercising, 20 minutes,
three times a week, improves

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mood and sleep.
We know that having social

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support and good friends,
improves me.

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And your emotional health and
so, part of what working mothers

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are doing right now, I think is
really learning how to take care

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of themselves.
Now, that the pandemic is a

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little less frightening, a
little less scary or children

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are back in school.
I think we all need to take a

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breath.
Look at our home life, talk to

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our partner, look at our work,
life, our jobs and think about

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the issues.
I I have developed a checklist

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and I tested it out with some
Millennial moms, it's very

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short, it's only got 21 items on
it.

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It's a checklist to determine if
working moms or overstressed or

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burn out, and it's on my
website.

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Susan, Landers MD.com burn out.
So your listeners can go to that

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website and find that free
checklist.

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And I've been told by Millennial
moms nurse Practitioners and

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young Physicians that they
thought it was a helpful way to

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just kind of review the issues
and their lives.

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What about the relationship?
What about their children?

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What about their job?
What about their health?

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What about their mental health?
What about friendships?

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And so the little checklist
takes you through all of those

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items that I hope will help
other working mothers figure out

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where they are and how to get
Get unstuck, amazing.

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Well, thank you so much for
that.

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Me Source, you talk about
symptoms and signs of being

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burnt out versus depressed.
But what about postpartum

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depression?
What are some things?

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I know that you also said that
you thought that you might have

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it, but we're sure because it
was after the fact, it was about

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a year later.
What are some of those things

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that young moms can look for, to
know or identify whether or not

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they actually have postpartum
depression.

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Well, postpartum depression in
general occurs.

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Within the first three to six
months after having a baby, not

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always, but usually, it can
occur anytime in the first 12

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months, it generally starts with
a depressed mood and of the baby

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blues only last two or three
weeks and everybody's exhausted

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and sleepy and can't function
well, and the first month but

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postpartum depression makes
women feel like they don't want

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to function.
Well, they don't want to take

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care of their baby or they're
overwhelmed by the the idea of

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caring for their baby or they're
scared that they're going to

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hurt their baby.
Their mood is depressed.

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Of course, they can't sleep.
They're eating either not enough

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or too much.
They usually have behaviors that

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family members recognized as not
being able to take care of

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themselves.
Not getting a shower, not

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getting a bath.
Not taking the baby outside in a

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stroller.
So Mom's behavior, Comes very

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Inward and she draws within
herself, some Mother's even have

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ideations of harming their baby.
Now, the good news about

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postpartum depression is that it
is totally treatable.

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I want your listeners to know
it's very common about one in

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eight pregnant, women will get
some degree of postpartum

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depression and it is treatable
with either psycho therapy or

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Russians or both postpartum
depression has to be talked

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about so that dads husbands
Partners can help Mom recognize

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that if she's acting abnormal
more than just being sleepy

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because the babies up all night
that she can get some help

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nowadays.
When mothers take their baby to

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see the pediatrician, the
pediatrician will give mom's new

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moms, the first few months a
checklist.

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I think it's ten or eleven items
for postpartum depression it's a

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great index.
It's a quick three-minute thing

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in the office that could clue
some of us into.

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Wow, this is really more than
just baby blues.

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Wow, I really need to talk to
somebody but I want to emphasize

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that postpartum.
Depression is treatable.

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It is a medical condition.
It is not something to be

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ashamed of it.
Is a neurobiological Logical

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abnormality in your brain as the
result of pregnancy delivery or

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their life.
Stresses, there's one more

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thing.
A lot of people don't know about

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postpartum, depression.
I wanted to mention breast

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feeding difficulties like sore
nipples Rod, nipples abnormal,

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latch struggling with milk
supply, real breast, feeding

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difficulties.
Second third, fourth month, they

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tend to correlate with
postpartum.

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Fresh women.
Try so hard to breastfeed,

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eighty-five percent of American
women.

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Start out after birth nursing
their children and within three

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months that's drop down to about
half that many.

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The reason I'm saying this is
that breast feeding difficulties

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that don't get help mothers with
problems who aren't supported

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tend to feel worse and worse
about themselves as a mother.

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And so if any of your listeners
are having Breastfeeding

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difficulties and haven't sought.
Help that is even more

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important, so they don't get
discouraged and don't develop

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depression.
So, the correlation between

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breast feeding, difficulties and
postpartum.

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Depression is pretty clear, but
it's all treatable, it's all

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fixable.
Yeah.

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Thank you for that information,
which is extremely important.

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And also the fact that feeling
burnout, feeling overwhelmed,

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feeling anxious, feeling
stressed out, having postpartum

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There is no shame.
There is absolutely nothing

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wrong with feeling those
feelings that you feel, but it

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is important to know that you
have agency over your life just

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like, Susan learns that she had
to take away some of the plates

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and didn't even think about it
up until reflected that back

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tire is like oh yeah I can take
some of these plates away.

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I changed my life and make it a
little bit easier for myself.

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There is really no reason for
you to put yourself up to these

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high bars that are completely
fabricated.

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You know.
No, it's okay to be a good

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enough mother.
You don't have to be a perfect

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mother.
There's no such thing as being a

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perfect mother, even though it's
something we wanted wise, I

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think we should all aspire to be
good enough mother's because as

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you said, there is no such thing
as a perfect mother.

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We all have interests outside of
raising children.

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Yeah, and we should allow
ourselves to be the people.

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We want to be without the
pressure of trying to be perfect

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right now.
Susan, you have a delightful

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00:22:58,100 --> 00:23:01,700
book behind you so Any babies
that I would love for you to

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00:23:01,700 --> 00:23:03,400
tell everybody what that's
about.

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I wrote that book.
So many babies after I retired

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because I wanted to tell stories
about what life in the NICU was

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00:23:12,100 --> 00:23:16,000
like there are a lot of Nikki
moms on social media, talking

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about how horrible the
experience was for them.

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And I'm sure it was Dreadful and
scary and traumatic and for

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those who got to take their
babies home eventually, it was

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wonderful and relieving but the
others Side of the Care.

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Are the doctors and nurses, who
take care of these very sick.

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Babies, tiny preemies, sick
newborns.

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And I chose some stories of
babies who thrived whose parents

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were inspiring and courageous.
Some of my favorite patients

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were in the hospital for six
months and I tell stories of

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those families.
And what I learned from them

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along the way, I also weave into
At stories of my own motherhood,

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experience things that were
challenging for me, things that

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worked out my third child
develop dyslexia at age five or

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six and I didn't have a clue how
to take care of it.

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Much less have it evaluated.
So things like that are in the

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book telling stories of how I
struggled as a mother and

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usually succeeded got through
the problems helped my kids with

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00:24:28,300 --> 00:24:32,400
what they needed and I wrote
those stories to reassure other

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00:24:32,400 --> 00:24:37,400
working moms that what we're
doing is really, very difficult.

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We really are balancing.
Lots of things.

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We're juggling lots of different
things and most of the time

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we're doing a good enough job
and so I wrote the book to be

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reassuring to other working
mothers that what they were

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going through.
Was normal, dr.

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Susan Landers.
Thank you.

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So much for being with us today.
So it's been my pleasure.

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Thank you.