Table Talk 029
Melody

All right. Welcome to the Table Talk podcast. I'm here with two of our fabulous pharmacists and one who has recently completed her IFMCP. So congratulations, Dr. Nicole Grahams, who is now Certifi certified functional medicine practitioner. So if you are in Wisconsin, Nicole is your girl. And then we also have Dr. Sarah Bachner, who is in Montana. So, Sarah, I was just saying it's gonna be like 12 degrees here this weekend, and then, so I'm gonna feel like it's in Montana, but you're gonna probably be in like the negatives or something crazy. Yeah.

Sarah

They canceled hockey practice tonight because it was in, it was, it's close to zero and then wind chills.

Melody

Oh my goodness. I can't even imagine. I'm just dreaming of the beach and trying to make it through until we get there in Jan, January and February. So, all right. Well, today we are around our table talking about coaching, and so we're gonna talk about health coaching a little bit because we have different programs available at PharmToTable, and some of those programs include health coaching as part of our packages.

And we also include functional medicine visits. So we're gonna start off by sort of describing what those look like and the differences between the functional medicine visits and what health coaching looks like. So I'll just start by saying our functional medicine process, if patients meet with us, they go through a really detailed intake form, and that's really where we learned so much about their story and about what has led them to be in this position that they are now, why they have these symptoms.

Try to connect the dots between things that have happened in their timeline of their life and their circumstances that have led to where they are today. And so there's a really detailed intake form. We also do a symptom score to look at all the different symptoms that patients have, and then as we're interacting with the patient in an hour long appointment, we're asking lots of questions about all the information that they've provided.

We're also sort of coming up with our initial assessment and plan and how we might further evaluate what's going on with laboratory work. So sometimes that laboratory work includes blood tests, sometimes it includes urine tests, sometimes it's hormone testing that might be done even though with saliva.

So there's various types of tests. Sometimes we even do comprehensive stool testing to look a little bit deeper at the microbiome and things that might be going on there. Most of our clinical visit is, is formulating that plan. We also include besides making a laboratory assessment with patients, we also talk about some nutrition things.

We talk about what someone's lifestyle looks like, what kinds of foods they're eating, what kind of activity and movement they're doing, what their stress looks like. We always talk about stress on the podcast and we always talk about stress with our patients. We're talking about that. We're talking about mindfulness.

Lots of these things impacting our health. So if you haven't listened to our initial podcast back, we talked about some of the core things that are important in health, and all of those things are pieces of that. So that's what those visits look like. We normally send our patients off with an initial plan.

Sometimes that plan includes supplements, but sometimes it just includes, Hey, let's, do these labs, let's implement some of these lifestyle changes. Sometimes it's a nutrition change, sometimes like an elimination diet or something like that to see if any symptoms resolve. And sometimes there's a few empiric supplements. Empiric is sort of like that initial best, targeted support.

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