Crystal Maxwell, Lunch and Learn with Dr. Berry, Matters of the Heart

LLP153: Matters of the Heart with Dr. Crystal Maxwell

Matters of the Heart with Dr. Crystal

On this week's episode of the Lunch and Learn with Dr. Berry we have Dr. Crystal Maxwell, Dr. Crystal Maxwell is from Foxworth, MS where she graduated with honors from West Marion High School as Valedictorian in 1999. She proceeded to Spelman College and graduated Magna Cum Laude College with a B.S. in Biology in 2003. She graduated from the University of Tennessee College of Medicine with a medical doctorate in 2007 and went on to specialize in Family Medicine at the University of Tennessee Family Medicine Residency Program in Jackson, TN in 2010. Dr. Maxwell completed the Physician Executive MBA program at Auburn University in 2016.

After completing her residency training in 2010, Dr. Maxwell joined Sandhills Medical Foundation at its Jefferson, SC location as a Family Physician and she continues to serve in this position. Sandhills Medical Foundation is a federally qualified community health center that serves people of all backgrounds with specific assistance provided to those with financial disadvantages. She's responsible for the total care of her patients. Dr. Maxwell manages both chronic diseases such as diabetes, hypertension, and emphysema and acute problems such as respiratory and gastrointestinal infections.

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Introduction

Dr. Berry:
Hey, welcome to another episode of the Lunch and Learn with Dr. Berry. I'm your host, Dr. Berry Pierre, your favorite Board Certified Internist. Founder of drberrypierre.com, as well the CEO of Pierre Medical Consulting. Helping you empower yourself for better health with the number one podcast for patient advocacy, affirmation and education. This week we have Dr. Crystal Maxwell who's a Family Medicine Physician. Graduated from the University of Tennessee, a Family Medicine Residency Program, as well as a College of Medicine. And this week we bring her on to discuss her contribution to an anthology, The Chronicles of Women in White Coats, volume two. And she's actually the first in a series of interviews we're going to be doing based off the newest anthology of the Chronicles of Women in White Coats. And I've had the pleasure to interview a few members in the past. If you remember Dr.
Amber, as well as Dr. Kimberly on past episodes. I will put their links in show notes. I've got the opportunity to reach out to talk to a few more new physician authors which I love speaking to physicians who are doing stuff art that is outside of the typical norm. So, Dr. Crystal Maxwell gives an amazing interview and talks about a lot of her motivation to help teach and educate her community and why she's such an amazing leader. Again, her CV really speaks for itself. When I say that she's an amazing leader, amazing thought provoker. And she's someone that you're definitely gonna want to hear from. So like always, remember, take notes, sharing a podcast, or telling your friends, subscribe to the podcast and have a blessed day.

Episode

Dr. Berry:
Alright, Lunch and Learn community, you just heard another amazing introduction. And today we're going to be talking with a person who was very multifaceted and I'm very interested to get a deep into what she does as an entrepreneur, family physician, also an author. Dr. Maxwell, first of all thank you for hopping onto the Lunch and Learn community and Lunch and Learn podcast. I know you got a lot of stuff for them to take away from this episode. And I'm just excited for you being here.

Dr. Crystal Maxwell:
Thank you so much for having me.

Dr. Berry:
So, now again, is it because my doctors are typically different now? Is it Dr. Maxwell, Dr. Crystal? How do we know you in the world out here?

Dr. Crystal Maxwell:
Dr. Maxwell.

Dr. Berry:
Perfect. So, tell us a little bit, I got a lot of people who, they listened to the introduction, but they like to fast forward to get right to this main portion of the episode. Tell us a little bit about yourself. Who you are, where are you going to get into your business today. Just a little bit of introduction. Just in case someone fast forward, pass right through the introduction.

Dr. Crystal Maxwell:
Okay, wonderful. I'm Dr. Crystal Maxwell, a family medicine physician. I'm originally born in Mississippi, born and raised. And I still have a lot of family there as well, currently living in South Carolina. I'm a Chief Medical Officer at a community health center. I've been there for 10 years, been the Chief Medical Officer for eight years. And I am a wife and mom, most importantly. Those bring me my greatest joy of being able to be a part of my husband's life who is also in medicine and see my growing daughter, who's into almost everything from dance to soccer to swim. So, I'm trying to stay on top of those things and keep up with her busy schedule. It has been having to multitask has been a new learning curve. You get a lot of multitasking in medical school, but it becomes much different when you become a wife and a mom. So those are my greatest joys along with working with community organizations with my sorority
and serving as healthcare director at my local church.

Dr. Berry:
So, first of all, what was the sorority are you part of?

Dr. Crystal Maxwell:
Alpha Kappa Alpha Sorority, Incorporated.

Dr. Berry:
Love to see it. Every time I get my doctors on the show, because a lot of my audience, patients are getting into the healthcare field and stuff trying to be more health conscious. And I always tell them that not everyone's story is the same as far as how they got here. Typically they see the end result. Like they see Dr. Maxwell, all these amazing things. But don't necessarily see what it took to get to the point before Dr. Maxwell became Dr. Maxwell. Can you talk a little bit again about your path into medicine? Why medicine? Some hurdles that you may had to come across your way?

Dr. Crystal Maxwell:
Absolutely. So my path to medicine was always into science as a child. Science was always my favorite thing from Marine biology, that I wanted to be a Marine Biologist at one point and thought I wanted to be an astronomist at one point. But my freshman year of high school, my grandfather got diagnosed with advanced stage prostate cancer. And going in and out of the hospital seeing the nurses, the doctors, and all the machines, I was just absolutely fascinated with everything that they were doing. Coming home, having conversations, with our overhearing conversations not me being a part of it. But overhearing conversations with my grandmother and my mom then talking about his healthcare. It was just very interesting to me that they still had a lot of questions even though we had just left the hospital and left doctor's office. It was like, we just leave there, why do they all still have questions about what's going on? And so I knew I wanted it to be on the physician side of that story and to try to help bridge that gap and make sure that patients and their families understood what I was telling them from their medical care and that I knew what was going on. And that when my family had issues that I could be that one to say well. Let's talk about it, this is what's going on. So that really made me decide I really wanted to do medicine and I that became my commitment after that doing science programs every summer when I was in high school. And then when I went to college enrolling as a premed and then doing science medicine, summer camps to expose myself to physicians and began getting that training.

Dr. Berry:
What I love is, especially for those who typically go into the ambulatory community crime medicine. A lot of that story seems to always ring true where our family members are going to these doctor's offices. They're doing what they're supposed to do but when you ask them how was the visit? My mom still to this day, how was the visit? What did they say? How did you leave there, not necessarily knowing what you were supposed to do? I used to think people don't do that, they got get all their questions done. And I was generally shocked the amount of people that go to a doctor's office and have no clue what they're supposed to do next. And then on a physician side where we call those people they're just not compliant. They don't follow directions, they never even got a grasp of the initial directions in the first place to actually follow. I love that analogy because it rings so true and it is so common with the patient especially I experienced it pretty early to seeing my mom and dad. And like just in the healthcare system, but not necessarily in the healthcare system. They had one foot in and one foot out, wading through the waters. Absolutely love that aspect. Now you are actually introduced not only in medicine especially through your grandfather but also yourself, you gotta an early introduction to the healthcare system. Because a lot of people especially the mid-25, 35 range. They typically only in going to the doctors when the mom takes him everything else and they not necessarily for any other real reasons for it just like their wellness checkups but you were actually introduced unfortunately very early to the healthcare system. Can you talk a little bit about that path?

Dr. Crystal Maxwell:
Yes at the tender age of 30, I found myself being in congestive heart failure. My ejection fraction was less than 15 percent when I went, I just thought I probably had a pulmonary embolism. I had a PE, I'm 30 and on birth control. I was on a recent flight at that time, I had gone to fly to a friend's baby shower for the weekend. I had a six month old daughter, I'm thinking I obviously got a blood clot so this has been a change in my life. I got a blood clot because, I'm short of breath and I can't breathe well that was not the case. It was heart failure. Oh wow.

Dr. Berry:
And Lunch and Learn community, I want to give you an idea when she says her ejection fraction was 15%, the risk of sudden death, the risk of abnormal rhythm that can really take us is extremely high that's when we started talking about the fibrillating. I don't want us to like breeze through that 15% because that is very severe.

Dr. Crystal Maxwell:
Exactly. Normal ejection fraction is above 50%. So, you're talking about being down to 15%. So, I had to wear an external defibrillator after I got out of the hospital. Of course I was on every heart medicine that there was. I did not necessarily have a bad diet, I was not overweight. I was not obese at the time either. I was exercising. So, I wasn't necessarily even that typical case. But I still had to tweak some things with being a lot more serious with reading labels and how much salt was in food. Making sure that I wore the LifeVest and I will tell you for any patient that has to wear one it is not fun. So that has been a learning experience because I have had patients since I have gone through that they have had to wear like this and from my personal experience can tell them tips of how to make it more comfortable how to deal with the itching, how to deal with taking a shower. All things that you don't think about necessarily from the doctor's standpoint, when you tell someone well this is what you need to do, or how do you apply it and make it real that I when I have to do this all day, every day, 24/7. So I have a different perspective for that. And a lot of different ways that I can educate patients for them and support them in making that transition. So yes, that was a very scary time. Thankfully I have recovered and have a normal functioning heart, but it was a journey. It was a little over six months before I recovered. It was definitely a scary journey that took me to they were discussing actually doing the surgical procedure for defibrillator. Because it was taking a while before it was getting up at a safer point.

But my cardiologist just had me modified my activities for a while and as we began to see my heart pumping better, he said we can continue to watch and it did recover. And so I didn't have that surgical procedure because he knew that I loved to go on vacation. And so, he's talked to me about that would change how going through the airport having to have the defibrillator that would change all of those kinds of scenarios. So, thinking about the real life aspects of what the impact of what someone is prescribing or telling them to do, really opened my eyes up from going through that of me trying to make sure I'm being more sensitive when I'm talking to a patient about those lifestyle things that they will have to change and what's different.

Dr. Berry:
And can you talk to the Lunch and Learn Community a couple of things. One, what is a life vest? And then two, how do you take that news as a patient? Because obviously a lot of times it's sometimes very difficult for us to separate the physician in us. When someone's telling you your ejection fraction is 15%, how does you the patient saying what? And it just talk to a little just to give a little brief of what a LifeVest is?

Dr. Crystal Maxwell:
Okay. So a LifeVest is an external defibrillator. It's made up and strapped on like a vest and it will defibrillate, it's the defibrillator that will basically shock your heart. And it's located on the outside of your body instead of having the surgical procedure where they put it on the inside. And so you wear it as a vest so that if your heart goes out of rhythm or stops, it will shock you.

Dr. Berry:
This is something you had to wear all the time? All day?

Dr. Crystal Maxwell:
All day. I take it off when I shower quickly. When I did shower, I did let my husband know that I was about to shower. So that if something, if I were in there too long, he would know to come and check on me. All day. Yes. Being on that patient side, it was scary. And unfortunately I did not have the best way that I was told that it happened. When I was in the hospital, the doctor side of me knew what medications the nurse was bringing to me. I was being brought a beta blocker. I was being brought an ACE inhibitor, beta blocker. I was brought a Lisinopril, and I was like well I know my blood pressure's up a little bit but why am I being frightened these medicines specifically?
And the nurse couldn't tell me. She said a doctor had to talk to me about my medical treatment and the diagnosis. And I said, well can I talk to them? Well, it was a Sunday evening and she said that the doctor was not coming back till tomorrow. And I said, well somebody needs to talk to me because I'm not going to go all night until tomorrow, not knowing what a diagnosis is when clearly y'all have one. And so that doctor refused to set up any type of way of talking to me. So I fired him and we got a new cardiology group to come in and he called me on the phone and his words were so you're the new onset heart failure. And I said, what excuse me? What? And he said, “you have heart failure”. And I said well nobody's told me. And the doctor's side of me was able to think through that. They gave me a whole liter of fluid because I had gotten a contrast at CT to look for the blood clot in my lungs. And I said well they've given me a liter of fluid. I have not gotten Lasix yet. I had not gotten a fluid pill. So they had given me the first two minutes of apart the heart failure but not the fluid pill. And he was like you've been there how long? And I said well yeah I've been on the floor and I've not gotten Lasix but I've gotten a liter of fluid. And so immediately he went ahead ordered the Lasix. And so unfortunately it just was not a very good transitional period for me as a patient. And it's very scary if I had not had that knowledge with having the fluid I already had plus the extra given what would have happened that next 12 hours had I waited for the cardiologist the next day.

Dr. Berry:
You're a physician.

Dr. Crystal Maxwell:
I'm a physician.

Dr. Berry:
Wow. Okay. That's every reason why that's so sad is because again, that scenario happens to a lot of people who don't have the knowledge that you have. Consequences occur. Thankfully, you at least knew what you knew and you were able to kind of direct your care to make sure that you are taken care of. Because again gotta take care of yourself, especially if it doesn't seem like those who are in charge of taking care of you are doing it. So wow. Okay.

Dr. Crystal Maxwell:
So the next day I got my ultrasound, I got the echocardiogram and because again a physician I know too much looking at the readings, I saw all the machines. My heart sank when I realized how severe this was, because not only was it heart failure but it was I'm in the severe stage of this. And so, being the patient was, it's scary thinking of me on this side and knowing all of the possible worst case scenarios that's the patient intensify as that. And so, you don't want to always have to pull that doctor cart being the patient. Because I really want it to be the patient, but unfortunately things happened where I had to demonstrate my knowledge and make sure that I advocated for myself.

Dr. Berry:
It's so funny. Every time we go to a doctor's office, I be trying to be very low key with it and my wife say he's a doctor. So, we're aware of what's going on, he's a doctor. So, don't you give it to him directly straight. Unfortunately, people do treat you differently, when they know you're a physician, which again which is sad state from a healthcare standpoint. But so fortunately for us, six months later we were able to get over that hump. As you look back, especially at that journey in that past six months how were you able to manifest the feelings and all of the practices and the teaching and everything? And say, alright this is how I need to move forward, especially not only for myself but more importantly for the patient I take care of.

Dr. Crystal Maxwell:
Yeah. So I have a hard time sitting down and stopping. So I was actually at work in less than a week of being discharged from the hospital. I was the only physician at my rural clinic in South Carolina. And so I knew my patients were waiting for me. It's hard to find a physician or a nurse practitioner to come and fill in. While I'm trying to recoup at home, my mind is still, I've got patients needing refills on medicine, what if somebody is going through what I'm going through and are they going to be a misdiagnosis. And all of these things that I'm trying to balance to make sure what's worked. I was ready to get back to being normal and not necessarily thinking about that I have heart failure. So can I go be a doctor and not think about that I have to do these things?
One thing, I wanted to feel normal. I want it to be the doctor, not on the patient side. So can I just go to work and see patients? And it was a struggle. I could not walk from all of my patient rooms normally as I did, I had to sit and take breaks. I had to space out sometimes my appointments and let them know I'm just gonna need a few minutes. That was different even when I was pregnant with my daughter I got through her pregnancy that pregnancy pretty easily. And I worked up until the week before. And it wasn't, it was different from me having to say, okay, I can't do my usual. And so I mentally had to find a peace within myself and pray and stop and say, Crystal it's okay that you can't do what you could do, but think about it.
And so I had to find a peace point for myself in that and saying that it is okay, that I'm not perfect and that I'm not where I used to be, but I have to be thankful for where I am. And so that took some transitioning, undoing, remembering to take medications. I had all my bottles remembered medicine. I had to make sure I was looking at my daily weights, which I didn't really do that before. So making sure I woke up in enough time to take medicines, do my daily weights before work, plan out my meal for lunch. So that it's the salt content was safe. It was a struggle because I was not, I would do a lean cuisine or something and I would keep it moving. And then when I went through this, I that's when I learned how much salt is in lean cuisines.
And so, it was like wow. Okay, I'm cutting the calories, but all of this salt. So, even that perspective of me being able to educate patients and tell them okay, well just because it looks healthy for, this is not necessarily healthy for this. So, it took that whole eating journey on a whole another level for me even with dealing with that with my heart patients. So it was, it was a roller coaster ride of emotions and having to face my own mortality and being okay with not being able to do what I used to do, but remembering if I don't do the right things now I'm not going to get to where I want to be. And so that was my reminder. I love that. I have to do the right things now.

And thankfully it has paid off because now, I'm able to run three miles. I'm able to do things with my daughter, keep up with her. But if I had not done that the right way, who knows.

Dr. Berry:
But what I love is you have to face your own mortality. And as a health professional, especially as the physician I think a lot of our training separates us from that. Because our primary goal is take care others. And a lot of times, we do leave ourselves of falling back and not necessarily taking care of ourselves as we need to. So, with this diagnosis and then the treatment course and everything else that led up to it, had to put that right back front, center, and side by side because the patients really did it. They unfortunately couldn't even take a back seat because you had to knew what you had to do to take care of yourself, but really more importantly take care of your patients as well.

Dr. Crystal Maxwell:
Unfortunately, I do have good patients who some of them knew I was out on medical leave and they asked and for some of them I did share and they would make sure to tell my nurse, make sure she takes a break. So, as physicians particularly feel like we have to be the one to take care and we don't step back to remember that our patients even care about us, especially the good ones. And we have to be, to have that can't do and have as many patients on my schedule. I still hear about these things going on. I understand it because they realize they look at us and they're like she is human. They are human too. And so we do have reminders can be as if we're not setting that example when we're educating them, it's going to be hard for them to say, well, you didn't take time when you were doing XYZ and you told me to practice, what you preach thing has really helped me with my accountability with making sure that if I'm telling my patients this, that I'm also making sure that I'm practicing this.

Dr. Berry:
I love it. And obviously, especially with what was going on, you've added the title of author to a very extensive resume. And I was going to, I definitely wanted touch who Dr. Maxwell is as the leader. Because I mean your resume, your CV, it looks very good. Right. I always tell medical students all the time. It's one thing to be a part of the organization. But when you're thrust into leadership roles, which you seem to, when you get into an organization, I got to go up to the top. I got a sense of directions. I definitely would talk a little bit about that. But as an author. What is that about? Talk to us about that.

Dr. Crystal Maxwell:
Even since I was young growing up in the church, my parents always there was the Easter speech. There was the Bible study drill team. There was always something that I was doing, some public speaking, some of education class president of my class every year of high school. So, I was always thrust into leadership activities. I always enjoyed writing. A lot of my Easter speeches ended up being my own writings. By the time I hit high school or middle school, instead of the ones the Sunday school teacher gave me because I enjoy writing. And so when I came across the Women in White Coats and learn about the opportunity to tell my story it really appealed to me to further my writing because really with being the Chief Medical Officer and doing a lot of things in medicine, the personal side of me, I hadn't really had time to do much with that a lot. Going through med school you lose your life, going through residency you lose your life. Your focus is learning, hospital, patients and everything. And so, it's been a while since I really taken some time to get back into writing. And to that personal side of me, and I thought it was a great opportunity to be able to do that. And so, I enrolled in the media course part of Women and White Coats to help hone my skills with public speaking. Since that's something that I enjoy doing. And then part of that course also includes more writing. And so, it just opened doors of just really being able to get my story out there. Because I knew that even going through the episode with the heart failure, it wasn't just to go through it, but it was learning lessons that I learned. And I want it to be able to write that down and document it and know that regardless of whether it's heart failure or some other major thing that just that's life off, it's how you use it and how you build on it. That matters the most.

Dr. Berry:
Was there any, especially as obviously you were a writer, you enjoyed writing, what was it tough actually having to put down on paper, everything that went on, was a reliving type moment. Was it difficult that? Or was it more like a therapeutic, how would you describe that process?

Dr. Crystal Maxwell:
Well, the other part of my chapter, the way that chapter starts called matters of the heart actually starts with the loss of my mom. My mom had heart failure as well. She was actually diagnosed when she was 40, so still early but much later than me. And writing that portion initially was painful. Because it was a reliving in a way that I had not relived that day that I lost her. So, having to go back through and remembering the details, putting the deeper, willing to being able to be open when people wanted to talk about it, it was ready for that. But I felt like it was a much needed part of the book with, so with that part, it was a rather painful thing because that was actually, I was going to visit her for mother's day weekend. I was pregnant with my daughter, the first granddaughter. And so this was really going to be a special time for my mom and me celebrating one another, as mothers. And on the way to the airport is when I found out she was sick and I landed, I fell reliving that and the details that were needed for the book that was painful, but yet it was still therapeutic. Because there were some things about that day that I had. And even in that helped me, for patients who have lost loved ones, to be able to show even more sensitivity when I'm having those discussions or when those things are coming up or someone walks in and they tell me, yes, I lost my mom last month, or I lost my dad last month. It puts things on a different level for me in the way that I talk with them now. So, it was painful. But it was still yet therapeutic because I hadn't really shared it at that level. And so, getting it out and not holding it in was definitely a therapeutic process.

Dr. Berry:
I hope people, especially getting obviously read every chapter. Because there's so much that goes into that aspect of loss. My father actually passed away when I was in the last week of first year medical course. So, experiencing such a loss and such a time can change. And it's such an interesting fact that you, I've seen that following the journey and seeing what you're doing. You're able to take that and take that loss but really build upon it. And you probably don't even realize the amount of lives that you're affected in such a positive way. Because a lot of times especially while we're doing the changing, we don't really like keep track. Because that's unfortunately that's how physicians work. We don't really keep track of all of their lives are changed, but it's such an amazing job. So again, thank you for it. Definitely. Being able to pour your heart out and be open. Because as authors, I know that's usually the most difficult step. Just really being open to an audience like you don't even know, don't even know who these people are, who's listening. I don't know who's going to be reading this book every chapter. But I know that if I'm not open and if someone else who's reading, who's listening is not going to be open with what they need to be open with as well too. So, definitely being able to put those words and put those emotions for us so that we can go in and know who really is Dr. Maxwell, definitely appreciative of that.
If you had one goal that you would want the reader to get, when it's all said and done about Dr. Maxwell after they read and they follow you on social media and all that. If you had what would be the one thing you want them to get from you?

Dr. Crystal Maxwell:
Probably the one thing that I'd want people to get from me is learn from the journey because we're all going to go through something, at any point, I really thought when I lost my mom, that was probably the worst thing that could have ever happened to me. She was my phone call every evening on my way home from work. And then we talked on Saturday and Sunday. When I lost her and then the way that I did, I thought possibly, okay, this is it, this is my big thing. That's going to happen to me in life and I need to learn from it. But things going forward are going to be, they're going to go up from here and behold, six months later, the next year, I found myself in my own battle with heart disease. Embrace, even the negative because there's good in it. And even though it hurts and it's painful, just know that if you look to figure out where's the positive and what you can gain and what you need to learn from it you'll be all the more better for it, and you'll be able to find a peace with it. And it's a lot of times, not obvious when you're first going through it, but being reflective about it, sharing with those who love you and support you and letting them do that and letting them in will help you to see what that good is. So, focusing on, looking for the positive and the good and learning something through it, because it would be very disastrous to go through something bad and never learned something good.

Dr. Berry:
Let's see with everything on your plate. So, what's next. Because I don't see you stopping. You’ve probably got more plans on the horizon when it's all said and done. So, the book and everything, what's next for you? Do you have any plans, any thoughts of where you want to go or right now you're in the moment? Talk to us.

Dr. Crystal Maxwell:
Well, since you asked I am actually in the process of opening my own direct primary care practice. I have enjoyed being on the employee side and I am going to venture on the very scary side of being solo. One of the things that we discussed earlier was the problem with the disconnect of having your patients come in and you talk to them and then they go home and they're still a whole bunch of questions. And a lot of that is unfortunately the way that medicine is set up. I have 10 to 15 minutes with my patient and I have to get out because I've got the next patient waiting. And I don't have enough time to go through all of that education information, all of those lifestyle things to make those things work. Then I'm telling them that they need to do to get their diabetes under control that I'm telling them to do. If they need to figure out how to make the life vest work. And they're frustrated with having it on. I don't have the time for that a lot of times because of the way that it's set up. So ,I've made the decision that I am going to do direct primary care, where I can offer 30 to 60 minute visits with my patients and provide them more quality time with me about what those things are that they can do to change their lifestyle and be able to maintain that lifestyle. So, that's my next venture because that is where I started when I was 14. That is where I saw myself as a physician and I have made do with what I've had these last 10 years. But now I feel like I'm at a point that I'm really need to get back to the heart of medicine of where I wanted, where I saw myself as practicing. And so, I decided I'm going to do my own practice so that I can bring that into fruition.

Dr. Berry:
I love it. And those are obviously Lunch and Learn Community knows I've always been a fan of the physician entrepreneur who wants to step out and she is a doctor, myself is 100% correct that as a physician, we want to talk to you guys more. We want to give you all the time in the world. But the reality does not allow that. The reality doesn't allow us to have 30 minutes for every single patient. Because it just isn't is unless we take it into our own hands. And I have a few of my friends as well who are in the direct primary care who are going that direction because they realize that they're not going to be 100% fulfilled in what they're doing. And that is they don't love what they're doing but the confines of what they're doing it in just isn't successful for them. Mentally, spiritually, I got to break out, I got to do my own. So, we're definitely gonna wish you all of the best of luck. Where can people find you, follow you especially if people are going to be in South Carolina?

Dr. Crystal Maxwell:
Yes, I’m in South Carolina.

Dr. Berry:
So, people will find you to follow you, so they know that when it is ready, whenever you're ready, they can sign up and go like it, give them all of the details, websites, social, whatever that thing is. So, we can track you down.

Dr. Crystal Maxwell:
So, my website is in the making but I can be found on Facebook, Dr. Crystal Maxwell, a simple search will bring me up. Just Dr. Crystal Maxwell will bring you up to my Facebook page. And then from there this week I'm actually launching, my link will be on that Facebook page with an enrollment link or more are a request for more information.

Dr. Berry:
Nice, and remember Lunch and Learn community members, who have you listened to this, all the information, her link will definitely be in the show notes, so you'll be able to click and go to her Facebook page. Again, Dr. Maxwell, first of all, thank you for obviously taking the leap in becoming an author. But obviously being able to open up your story here on a podcast community. Because like I said, we have so many people, we have physicians, healthcare workers, people who want to be healthier who listened to this and they're going to be taken back to be more driven with your story. Because again, I think a lot of times as a physician, sometimes our patients don't necessarily see us as people as well. So, you don't realize, I may be dealing with someone, same medical related issue that you may be able to deal with as well. Thank you for opening up and giving us that opportunity to be motivated and to be driven and understand that like it can be done. Because clearly there's people in front of me who have a world of things to do, who are doing it as well. So again, thank you for that.

Dr. Crystal Maxwell:
My pleasure. Thank you.

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