Trigger note: This episode includes honest discussion bringing up COVID, mental health care, healthcare burnout, and systemic gaps. Please take care of yourself as you listen.

In today’s episode, we’re having one of those conversations that healthcare workers often have quietly—if at all.

After more than 20 years working across EMS, emergency medicine, and inpatient care, we’re unpacking what it feels like to work inside a system that often prioritizes algorithms, throughput, and crisis management over root-cause healing.

We talk candidly about:

1. What happens when patients cycle through the system without real change
2. The heartbreaking gaps in mental health care and crisis response
3. “Treat ’em and street ’em” culture—and how it impacts patients and providers
4. Why prevention and education so often get sidelined
5. The tension between protocol, liability, and human-centered care
6. How burnout grows when you know there has to be a better way

This is not medical advice. This is lived experience—from the back of an ambulance, the ER hallway, and the quiet moments where providers wrestle with what they wish healthcare looked like.

If you’ve ever felt disillusioned, conflicted, or burned out by the system—this conversation is for you. This isn’t about blaming providers or patients—it’s about naming the cracks in a system that leaves too many people unheard, untreated, and exhausted.

Thanks for hanging out with us on The Debrief with Staci & Ruthie. 🤍

If today’s episode brought up something heavy, please don’t carry it alone:

Call or text 988 (Suicide & Crisis Lifeline, available 24/7). If you are in immediate danger, call 911 or go to your nearest ER.

Want to support first responders and their mental health? Check out Beyond the Sirens https://www.facebook.com/profile.php?id=61582416343581

And if you’re in a season of burnout recovery, healing, or rebuilding your life from the inside out, Staci offers 1:1 coaching for women who want practical tools and compassionate support. https://www.stacikilecoaching.com/

1. 988 Suicide & Crisis Lifeline – Call or text 988 (U.S.)
2. NAMI (National Alliance on Mental Illness) – Education & advocacy
3. https://www.nami.org

1. American College of Lifestyle Medicine
2. https://lifestylemedicine.org