“In today’s world it is vital we take care of the person on your left, the person on your right, and the ones that matter the most. When you connect with what matters the most, life is… I’ve learned life is more rewarding.” ~John Huaylinos, BSN, RN, HN-BC, HWNC-BC
GAD-7 (General Anxiety Disorder-7) Measures severity of anxiety.
PHQ-9 (Patient Health Questionnaire-9) Objectifies degree of depression severity.
Nicole Vienneau 00:01
Welcome, everyone, to Integrative Nurse Coaches in ACTION! My name is Nicole Vienneau. I am a Board-Certified Integrative Nurse Coach. And I’m also the host of this program. And today, we are welcoming John Huaylinos, all the way from Brooklyn, New York.
John is a Registered Nurse in a Brooklyn City Hospital. He’s a Board-Certified Holistic Nurse and Board-Certified Nurse Coach. He has been in the military for 21 years and is now a reservist. And I am so excited to speak with John today, I know that you are all just going to soak up all the positive energy and love that John brings to us today. So welcome, John.
John Huaylinos 00:47
Thank you, Nicole. Thank you. It’s a pleasure. And thank you for having me with you.
Nicole Vienneau 00:51
Well, I’m thrilled to have you with us today. And we always love to take a little historical dive back in our lives to just hear a little bit about your story about how you discovered Nursing.
John Huaylinos 01:06
So, how I discovered Nursing. My mother is a retired registered Nurse, and I kind of followed in her footsteps. I grew up in a Hispanic family household. Single mom. And she worked hard. And she played hard. She took vacations twice a year for her — now that I’m thinking about it — self-care, to recharge Her battery. And when she came back, she continued taking care of the family.
Growing up, Catholic household, and life along the way — went to college, had fun, and didn’t realize how important education and learning was, although my mother instilled that all the time, through her examples. Learned through life’s bumps and bruises.
And then I decided to get my stuff together — in the military, we use all the terminology — but just to what do I want to do in life. I decided to hunker down and just decided… I didn’t know what a GPA was. And that was my doing, having too much fun. And then I realized: what am I going to do? Then decided to go for… during that time, I worked my way up in a Nursing home facility as a housekeeper.
And I started talking to the elderly people, that I look at them and have a lot of years of experience. And they used to question life and I had the intuition of observations of other people and interacting with others. And I guess I developed those skills with being very personable and just chit chatting with individuals.
And I think that’s where I think my inquiry started, where observing some people were happy, some people weren’t happy, and questioning why. A lot of my answers in life, I grew up — my mom was very dedicated and dad was in the picture — but mostly from friends. Some good, not so good. And then decided: you know what? Education is the king and went into Nursing. Had to build up what I found out was a GPA, very important.
And then I graduated into Nursing in 1996. And then worked in a Nursing home — same place where I worked in housekeeping. And that was a big transition, because now from a lay person to a professional. And I was given the opportunity to read a lot of policy and procedures, and they stuck in my head.
So, when things needed to be adjusted, I remembered that we had to follow policy procedure in servicing. And four years later, I joined the military. I wanted to serve my country in 2001. And then September 11th happened two months later. And then I was in the Army Reserve, and then I had the birth of my child, a daughter. And then 13 months later, I was activated to go overseas.
And during that time, it was very — 2005 — it was a very trying situation with the United States and abroad. I didn’t know if I was going to come back. That time, I was transitioning to a hospital setting, worked in a surgical step-down unit, told my coworkers, and they looked at me as if that was it. I had maybe stage four cancer and was I going to come back?
So, functioned as an Army Nurse overseas, in an austere environment, and came back, my daughter was three and a half years old, and I remember that during that time I used the camera, so she only knew me through video. And she was the only one that grounded me — her innocence. I came back a changed person, as military people do when they come from overseas.
And that insight, looking back, is how I connect with military personnel or people that have gone through trauma, where they have their, I guess, scarring of their souls, and you lose that innocence and come back a different individual. Came back with my team, and we all understood each other, but we were the only ones.
My work, other people, my spouse at that time, didn’t understand and I didn’t know how to relate. And during that time, mental wellness was maybe… it was addressed, not addressed so well, just like anything new. And me, as a healthcare provider, I just wanted to come home. So, everything was fine, everything’s okay until the aftereffects later on.
I buried myself into work in the surgical ICU and then took on another location, private hospital, ER level one trauma. Took on working for a Wound Care agency, and just buried myself with work, not realizing that I was not connected or so connected with family, what mattered the most.
And now I teach my patients that change happens when you do it gradually on your terms, little by little, or change happens when you hit a wall. Life is upside down and you’re forced to make those changes. Two more daughters were born, I was blessed with two more daughters. Continued on with my work and family was there but I was just buried in work until one day my wall hits. I had a sudden death of my spouse.
Daughters were five years old, two years old, and two months. Stopped the military, stopped work as a Nurse in two jobs, three jobs, and just hunkered down. My intuition as a Nurse and as a veteran was to just do what needs to be done in front of you and taking care of now with what’s most important to me. Everything else didn’t matter.
I had the support of family and friends, but just like all of us when the hardships come, there’s so much support that we can receive, but my inner strength was connecting within myself, to listen to my inner voice and listen to my choices and what’s right for me. Because everyone has an opinion, and an opinion could be right or could be not correct with you.
But to follow your intuitions and that’s what will guide you; listening to your inner voice, inner messaging, just how to listen within yourself amongst the storm on the outside. My city job — continued with it six months, I think, I was out and then it was time to come back. The insurance was going to… the sick days was going to finish. Everybody’s very supportive.
And I came back and switch on to day shift. I work PM flex. Not good for the diet, not good for sleep, not good for weight, not good for stress management. And I realized that my children were my priority, my three girls, and I realized what it is to take care of the house, to take care of your children, what it was –I’m a male — to be the other aspect of the caregiver, as a majority is female.
And that’s a lot of work. And I came back as a humongous, big advocate with telling the male populations that were… if they had their partners female, to give your partner support, give them their time. Spend time with their children, get to know their children. I became a Mr. Mom. Before my wife had passed away, I found out what paternity leave was, and I took paternity leave.
And I was there for the birth of my daughters, and I’m happy because I guess it was a prelude to what was to come. I always say things happen for reasons in life. Got into Nursing, got into ICU float team, and then my priority was still my children. Was offered interventional radiology. Excellent department.
All my Nursing departments, the hospitals were very, very conducive to their support of me and my situation. But I still needed my priority — were my girls. Then I was offered this program that I’m in currently, in 2015, called Collaborative Care — a depression program. And I was given insight where within the ambulatory care setting, you provide medical care, but you also screened for depression and anxiety.
A depression tool using PHQ-9, and the GAD-7, which is the anxiety, the general anxiety and depression tool screening. How you’ve been feeling the last two weeks, and I was amazed how you can take care of your mental… address your mental distress in a medical care setting, all at the same time. Because there’s always been a stigma, if something’s wrong with you, you go there, take this referral, then you go get help somewhere else. Elsewhere.
And it was very separated versus being in one stop shopping with this program. So, right away, I joined the program and said this is great, Monday to Friday, flexibility. Again, thinking of my children, being there for them after work with their activities, and home on the weekends. But I could not relate to individual stories. How do you open a door of people that are referred to you or referred to us with depressive mood and anxiety during their mental stress?
Meaning how do I… am I aware of how do I feel? and then put that in one place and then adjust their needs. So, my interview style was like a thesis interview until we had a Nurse Coach from central office, she had some credentials behind her name. So, I guess my curiosity, as always, I Googled it. And I found what a Nurse Coach was, and I was very curious to amplify my skills that I knew I needed.
And then I found INCA. I was enrolled in cohort 17. I was mentored by Miss Barbara Dossey, and may she rest in peace, Miss Susan Luck. And that was my turning point as a Nurse, as a professional Nurse, to amplify the insight within myself first, and then how to be insightful and mirror other people’s stories during their time of distress.
And how to provide a safe place for a conducive environment to see and hear their scarred souls, and to start their healing process when they’re ready. Because it’s a voluntary program, and everything is given back to them to empower them. It’s not me anymore, take this pill, I’m gonna give you this. I’m telling you what to do. I’m the Nurse, you have to follow these orders.
Now it’s more: how can we work as a team, where you are the driver of your story today, now? And what do you want to do? Your changes, step by step. Or you can come back later, but things within you still build up. And nobody knows, not even oneself. So, it’s how can I engage the individual and foster that change, but recognize what I’m feeling. Because in the beginning, there was burnout.
And we had a team of three Nurses and we were excellent. We just bounced off each other. And it was a building program from the city hospitals, and our program had Nurses. And we were a great team. We are a great team. And that’s how we addressed burnouts, because we told each other stories on what you did and how you help them out.
We’re led by a psychiatrist and we have meetings with the senior internist to do chart reviews. So how does their mental wellness, or their depressive state, elevated depressive state or anxiety, affect their medical management or the comorbidities or their hypertension, diabetes, their eating habits, if they come with a trauma from their past, if they’re using now substance use as a way of coping?
And now COVID has just amplified the grief and bereavement loss which affects your mental wellness. So, I have been fortunate to expand the program and be a pro-advocate, very strong with that. Now we are a depression / anxiety / substance use disorder / bereavement program.
And anyone who comes to us, doesn’t matter their race, religion, sexual orientation, legal status — what matters is one soul touching another soul. And that’s how I related to my patients and my clients. And with that, they just feel like, wow, I’ve never gotten that. We do telephone sessions, in-person sessions, we do group sessions with problem solving techniques with our populations, English group, Spanish group, men’s group, women’s group, LGBT group.
And then during COVID, we got the okay from New York State Office of Mental Health to go telehealth and video sessions. And it just amplified our program where our metrics speak for themselves — patient engagements, patient improvements, and a continual ongoing education with ourselves, with our staff, and just highlighting what services we offer to others.
And Nurse Coaching has just… wow… has made me who I am today, has been my therapy. I share within the military my insight with drug awareness, with suicide interventions, prevention. Participate in the American VA where we have other veterans in our local armory here in Brooklyn.
Been invited to speak during Mental Health Wellness month to some graduate program for students and also younger students, and it’s been very insightful. When you teach something, and then the feedback, what they give to you, is amazing. Because I get to reach out and touch their soul, and also that same safe space.
And they just open up and ask so many questions and build on my skill to adapt versus control on the fly. And that’s the issue a lot of individuals verbalize — I can’t control this, I can’t control that. And I’ve learned life is not about control. I use the rigid tree in the storm. What happens? And just giving that back to them — open dialogue.
And they verbalize, of course, in the storm, the rigid tree will fall verses a palm tree that would sway back and forth. A lot of little stories are used to help relay messages. And that’s just being insightful, and treating each individual as an individual versus, well, this is what I got to do, and you’re here in front of me, and I gotta get through this, and I completed what I had to do.
Thank you, have a nice day. Everything is how you feel. What’s your connection, now, that you feel within yourself that I don’t have to ask. Just how do you feel within yourself with our session? So, if it makes a connection with you then you see if you want to go further or not.
Nicole Vienneau 18:46
What an incredible life journey you have had so far, John.
John Huaylinos 18:51
Yes. Life is great.
Nicole Vienneau 18:55
Well, I imagine you as a young… as a youngster. A youngster. Your mom such a positive influence on you, and a role model for you. Role modeling self-care and taking care of the family. And then you went to college and you’re like: “Okay, I’m just gonna have fun. I don’t even know what a GPA is.” To tell you the truth, I didn’t really know that either.
And then working in an elderly home as a housekeeper, and then realizing that you enjoyed the conversation and the curiosity and learning and observing from people who had so much history to share with you. And then that curiosity led you into more discovery about yourself and realizing that education would be an important investment in yourself.
Then you went to Nursing school. Yay! Became an amazing Nurse, became an amazing Nurse. Also, went into the military. Experienced 911 before that… or during that… is that during that? Around there?
John Huaylinos 20:07
Went into the military, then 911 occurred.
Nicole Vienneau 20:09
Yes. And then having to be deployed overseas shortly after your first child was born. Yeah. And then all of that, that you really touched on about the scarring of your soul during that time and how it relates now, because of those experiences and recognizing that others, of course, have scarred souls, as well.
But that interconnectedness that we have and can share with each other really opens up the space for the safe relationships and the safe interactions that we have. You also mentioned a deep loss of your wife. And I know our listeners would love to know her name.
John Huaylinos 21:00
Her name is Marianne Daisy.
Nicole Vienneau 21:04
Marianne Daisy.
John Huaylinos 21:06
Yes, thank you.
Nicole Vienneau 21:08
Thank you for sharing her with us, too. And then you realized you buried yourself in your work. Didn’t know it at the time. And I know that speaks to a lot of Nurses here who are listening.
John Huaylinos 21:27
Yes. What’s very important is I buried my feelings during my spouse’s… during the sudden loss. But at the same time, I was grateful because I had my three daughters. Later on, I knew I had to build… rebuild within myself. I had a lot of crazy advice — go and rebuild your life and do it somewhere else and let somebody else, you know, just be disconnected with the girls.
And I was like: no, that’s not how it’s going to be. So, I became a very fierce Mr. Mom. Protective. Now I met my wife now, who was also an advocate of: you’re not working those hours anymore, you’re not working all those jobs anymore. You’re not working the nighttime anymore, you’re going to be in daytime. And if you’re going to be married, I need a spouse with me.
And she was absolutely correct. And I got to see a different culture, a different self-care with the adults, now. I’m from Hispanic background, everybody’s we get married, we meet, get married, you work hard, you work hard, you work hard, you work hard. And then somehow the norm was the relationship gets more further away.
Versus my wife now, who her name is Alla, she’s European. And I’ve seen that they have their time together, and can eat, can have fun. And I’m always questioning where are the children. The children are alive, the children are being taken care of. And I was like: Okay, there’s a better life, before I became a Nurse Coach.
So, just these analysis of people’s interactions and different cultures. And she was another big step, and I was blessed with my fourth daughter. Girls. Girls are the best. Girls rule. Girls are the strongest sex. Yes, very much. And we have… we as men, male, have a lot to learn. And it’s okay. And it’s okay. It’s okay to make mistakes. But now what do you do with that new knowledge? You know?
Nicole Vienneau 24:05
Right. Yes, it is okay to make mistakes. I think that’s how we definitely grow if we’re willing to acknowledge the learnings from them. Right?
John Huaylinos 24:16
You know, before I became… before I was in the program, before I became a Nurse Coach, I was not that. I was very Alpha, very gung ho, very work, work, work, and I don’t have time for this discussion, this talking, this… let’s make myself vulnerable and just, you know, open up my heart. And in the military, there is no such thing as that.
So, now that I’m on the other aspect, and learning and hit my wall, and seeing that there’s what’s important in life, I guess, once you’ve been on the other side, then you value what you have now. I believe others that have not had a personal loss or experience or seen things that are further away, says: no, that’s happening over here, that’s not happening here.
But once you hit home, it hits home. And COVID has just amplified that so much with everyone. Depressive mood, anxious mood, life and death situations, uncertainty, burnout, there is no time, how do I take care of myself? The uncertainty — my program just blew up into worldwide.
So, now more than ever, how do we first recognize the calm within us? And what do we do about it? Like we did a little self-care breathing session before our session today, which is good, which was fantastic. Because we need continuous reminders, little nudges, little let’s take care of each other.
And I always say that– how can we take care of each other? Because we recognize other people, but they’re… I will say we are all in our own hamster wheel. We’re on auto mode. And it’s hard to disengage. And sometimes we need somebody– you know what, come with me, I have an emergency and come and then I sneak you into this wellness room that our hospital have and then there’s like: wow, this place exists and it smells good. And we have self-care treats. And wow, it’s good. It’s good to take care of each other. It’s great.
Nicole Vienneau 26:33
I love that. Yeah, let’s take care of each other. And I also appreciated what you said: sometimes you need a reminder. And someone else can be a reminder to take care of yourself. Yes, and to take care of one another. I love that. Thank you for bringing that up.
John Huaylinos 26:52
Thank you.
Nicole Vienneau 26:53
So, this Collaborative Care Center that you have– you mentioned quite a bit about it. And this sounds like a very unique program in Brooklyn. But you also mentioned you went to telehealth, and then it expanded and now it’s more worldwide. So, tell us more about that. What you do and what you see.
John Huaylinos 27:14
So, initially, our program was in person, the initial contacts, and we did telephone follow ups. We’re under Office of Mental Health and all of it is documentations and is how can we engage the patients, first of all, in the screening of the PHQ-9 and GAD-7 per visit.
And also work on smart goal planning with using behavioral activations, motivational interviewing, we do problem solving, we do cognitive behavioral therapy. All these are our tools that I’ve used with our patients. Monitor their follow ups as the initial phases, like I call the PHQ-9 and the GAD– the PHQ-9 is your mental blood pressure, and GAD is your emotional pulse.
So your mental blood pressure is elevated or your emotional post is elevated, those are warning signs. And what do you do with those warning signs? I relate it to having a high blood pressure. If your blood pressures keeps creeping or you have a family history of it, if your lifestyle is not well, if your diet is not well, the blood pressure is going to start creeping up until, if it is not attended to, can have a hypertensive crisis.
Diabetes if you don’t manage your stress, if you don’t manage your diet, if you don’t balance those things, stress relief, weight management, you’re going to wind up in a diabetic coma in the emergency room.
With your depression and anxiety, all those signs and symptoms of how you’ve been feeling the last few weeks, if they’re not managed, if you’re not seeing how does that relate to my eating habits, my feelings of guilt, my worrisome, feeling annoyed or irritable, not able to control, worrying too much about different things.
Eating too much, eating too poorly, not sleeping, cannot sleep, over sleeping, disengaged from pleasurable activities, moving slower than usual or feeling restlessness. Up until all those indicators keep elevating and unchecked, leads to you know what, there’s no other way out but to check out. And it doesn’t matter what I have, what am I striving for, I don’t see anything else but my problems, my failures, my lack of coping, my avalanche of circumstances within me… my life.
And that leads to mental 911, which is suicidal ideations. So, I have been a strong advocate in this screening, every visit, just like a blood pressure. This is your mental vital signs. This is how we check ourselves because I can be good today and tomorrow, I go home, something happens and my world’s upside down tomorrow.
And all these issues that I’ve had from my past, I haven’t been dealing with stuff and everything could be the camel that breaks… the straw that breaks the camel’s back. Yep, that’s it. And nobody knows. Everything is good, everything is fine. And I’m just planning. I’m just planning for the day where it’s not going to be, I’m not going to be here anymore, and I’m not going to suffer.
So, we have actively… I’ve actively engaged in assisting others towards their safety when they verbalize this. Within our program, we have addressed this, we have policy and procedures. And the team knows, and the medical team is aware of it, and they know and we have implemented that. Knock on wood.
We are holding strong because we’re strong advocates of mental illness. And how can we advocate towards mental wellness? And that includes everything in mind, body and soul. And so our program, yeah, expanded from telehealth into group sessions. We were asked if we can do a pilot program, like Nurses doing group sessions.
Isn’t that for social workers or psychiatrists? Or psychologists? You know, that type of… I was that person. And what I was shown, and then we did in the military, we say, you know, we left see, right see, we train, I’ll show you, you watch me. And then you do it. And I watch you. And that’s how we support each other. We call that training the trainer.
So, yes, and we just took with it. And we kept going, and I’m like, what else can we do? I was so hungry, so hungry. How can I make a change? How can I adapt– adapt to what’s going on? How can I make it better or have so many various skills to offer the patient? Because everybody’s an individual.
Everybody learns differently. Some people are readers, some people are visual, some people are tactile. And that’s the uniqueness of all of us. I always say we’re all snowflakes. And then during COVID, we just amplified and we did video, we got the okay from our central office, Collaborative Care and their support and their IT department, and then we just connected.
And then just it’s a matter of you’re given the tools, now what are you going to do with it? And we implemented it. And we continued it. And that benefits our patients, the program, the hospital. And it benefited me to show that I can make a difference in this world. And I guess that comes down to when we’re born, we live and then we go, when we go, we don’t know, but how can we make a difference in this world while we’re here and foster that growth within others?
Nicole Vienneau 34:07
Yes. Yes. And feel that deep satisfaction. Deep satisfaction for each other as we take care of each other. And then deep satisfaction for self, as well. And honoring self and our needs and what speaks to us and calls to us.
John Huaylinos 34:26
Absolutely.
Nicole Vienneau 34:27
Yes. Well, thank you for sharing a little bit more about Collaborative Care. And in our last few minutes here, I always love to just open it up and ask this question: Speaking from your heart, what would you like our listeners to know?
John Huaylinos 34:49
Speaking from my heart, it is amazing and an honor to recognize how you feel inside. And our listeners that are majority Nurses or other individuals who are listening, to get in touch, and how do you calm… how can I calm myself? How can I be mindful of how I’m feeling and practice self-care now?
When I practice self-care now, then I’m able to function at what needs to be done today. And this awareness has been fostered since I became a Nurse Coach, holistic Nurse Coach in our INCA family. And I remember being in my cohort, at the time when it was in person, and the amazing individuals, Nurses from all across the United States.
There’s so much various backgrounds, and just learning those techniques for myself first. I couldn’t meditate. I had monkey brain, my mind was everywhere. But then others brought other skills with yoga to calm the body, and when it was time to meditate, I was so relaxed. So, I can count my breaths in…10… 15… and then I had a moment of pause, where I’m like: okay, when am I going to let go of this breath?
I was so relaxed. And then I exhaled. And I realized how much it was to calm myself first, and then I can be present for someone else. And I attributed who I am today, because of me seeking new knowledge within INCA. I just finished, within INCA, cannabis certification, and now that has just amplified my knowledge on how I can relate with patients that use substance, use now in the realm of marijuana.
Legal or not legal. Okay, not okay. Stigma present, myself in the military. And I have just another broad through case in how I can relate and talk to individuals, and they don’t feel shame. And everything is normalized, and everything is okay. And I can recognize that restlessness within others and come to them and say, “You know what, thank you for you.”
And offering a handshake, the touch, therapeutic touch. And just that appreciation goes a tremendous way, versus avoidance, versus becoming impulsive. But thinking, I guess, rationale within my soul on how I can reach another soul. Problem solve. And people call it a problem, I call them situations. It’s a kinder word. It’s a neutral word.
Nicole Vienneau 38:06
I love that. It’s a situation.
John Huaylinos 38:10
It’s a situation.
Nicole Vienneau 38:13
We can adapt. Yeah.
John Huaylinos 38:15
100%. Yes.
Nicole Vienneau 38:18
Wonderful. So, John, if people would like to get in touch with you, how would they do that?
John Huaylinos 38:26
Wow, good questions. Wow, I started late in this technology. I am on LinkedIn. And I try to offer support. Some people say can you speak via Zoom? Can you be a guest speaker? I use my lunch break because I have responsibilities. And I just want to honor those responsibilities. And I use my lunch break to take time to connect with others because I know we’re in different time zones.
And to take care of my responsibilities for my civilian work, for my military responsibilities. And the wife still needs husband to function as a spouse and father. And that is priority and I always say happy wife, happy life. So yeah, that is key always. And I have to remember that. She reminds me and that’s okay.
Nicole Vienneau 39:41
Happy wife, happy life.
John Huaylinos 39:43
Happy wife, happy life. And in regards to communicating with me, I’m open to suggestions. I guess we don’t know everything and we reach out to those that know and how to build.
Nicole Vienneau 39:56
Wonderful. Well, we’ll definitely share your LinkedIn profile so people can catch you there.
John Huaylinos 40:03
Thank you. Thank you, Nicole.
Nicole Vienneau 40:05
Well, thank you so much for spending time with us today, John. One of my biggest takeaways from today is take care of each other.
John Huaylinos 40:13
Yes, in today’s world it is vital we take care of the person on your left, the person on your right, and the ones that matter the most. When you connect with what matters the most, life is… I’ve learned life is more rewarding. My self-care. Self-care is everybody. What makes you happy? What recharges your soul?
Jujitsu, kickboxing, karate with my girls. That is my stress release. That’s my go-to. That is my zen place. That is just to improve on my mind, body and soul. And just individuals, connect with what makes you happy, connect with what makes you laugh. Connect with what you used to do as a child.
Journaling, coloring, sing, dance, and nature, being outside. Whatever it is, connect every day. When you practice those things each and every day, you recharge your inner battery, your inner soul. And then you have all the energy in the world to take care of the rest of what the day requires.
Nicole Vienneau 41:23
Beautiful. Take care of yourself first, and then have space and time to take care of each other.
John Huaylinos 41:31
Yes.
Nicole Vienneau 41:33
Well, thank you so much for being a guest today, John. You brought us so much wisdom and so much thought around how we can reduce the stigma of mental health and also to really care for ourselves.
John Huaylinos 41:49
Thank you, Nicole, thank you for this. This has been a tremendous honor. And I’m happy to connect with others through this forum.
John Huaylinos 42:02
Thank you. Take care, all. Bye-bye.
Is an Integrative Nurse Coach, Holistic Nurse in MOPD Collaborative Care Depression/ Anxiety/ Substance Use Disorder/ Grief-Bereavement Program. He uses in-person, Televisits, and Telehealth WebEx Video, Group sessions with his patients in Brooklyn, NY, as the Collaborative Care Manager
He is experienced in Depression/ Anxiety / Suicide Assessment, Prevention and Intervention. Level 1 Trauma ER. Surgical Intensive Care, ICU’s, Special Procedure IR, Wound Care Registered Nurse. Military Veteran with experience in War time ICU/ED/Flight Nurse.
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