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Connie Kubiak Interview

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Connie Kubiak Interview

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0:01

Adam Kornegay: Hello Connie. I'm Adam Kornegay and this is July

0:05

1st, and I get the honor and privilege to interview you on

0:08

behalf of ASET.

0:09

Connie Kubiak: And I'm looking forward to it.

0:10

Adam Kornegay: You ready?

0:11

Connie Kubiak: Yep.

0:12

Adam Kornegay: All right. First question. Can you name when and

0:15

where you received your credentials and where do you

0:18

currently work?

0:19

Connie Kubiak: So I received my R. EEG T. June 1991. I'm number

0:22

2192 and did my oral boards in Fort Myers, Florida. I received

0:26

my registered in Evoked Potential May of 1995. I'm

0:29

number 528, and I did my orals in Chicago. Lew Kull was

0:32

actually one of my examiners, had me so nervous, I thought I

0:36

was going to just throw up. I received my CNIM December of

0:39

2006, I'm number 74. Took it in Detroit. Decided to take the

0:43

first round because I had this horrible fear that the Erwin's

0:47

out of Duke were going to require us to do some kind of

0:50

oral practical exam. So I took my exam with Doctors Verne Hulce

0:54

and HB Calder sitting behind me and Martha Coyne sitting next to

0:58

me on my left side which, needless to say, was extremely

1:02

intimidating. Verne was done in 45 minutes, and HB swore through

1:06

the whole study. My CLTM I received in 2009. I'm number 32

1:09

and I did that here in Gaylord, Michigan. Currently I'm a travel

1:13

tech on hiatus for a little bit of time. President and co-owner

1:17

of Innovative Group Incorporated, maker and

1:20

co-developer of the Electrode Puller. So that's what I'm doing

1:24

with my time, along with my ASET volunteer work.

1:27

Adam Kornegay: That's fantastic. What drew you to the

1:30

neurodiagnostic profession?

1:31

Connie Kubiak: So, when I was four years old, I had a head

1:33

injury, and a couple years later, started having blackouts.

1:36

I went to Catholic school, and the nuns weren't very happy,

1:39

because they always occurred during church. At that time, I

1:42

had numerous EEGs done in Saginaw with that horrible

1:45

bentonite paste I could hear, as a kid, I could hear the pen

1:49

noise when I swallowed or I chewed, and at this point in

1:52

time, knowing what I know now, I wish I could say I was sorry to

1:55

the tech who ran my studies. I remember having hair down to my

1:58

knees at the age of five, and my mother had it cut because it was

2:02

easier than dealing with the paste cleanup afterwards. I was

2:05

on phenobarb for four years. There was talk of possible

2:08

learning disabilities. After that, I was always interested,

2:11

but never really knew how to get the training. Got married, moved

2:15

to Florida, trained in EKG and non-invasive cardiology. I

2:18

wanted to learn Echo, which was just coming out. My boss told me

2:21

it was a dying art. I didn't want to do that. I think it was

2:25

just a way to get me into the EEG lab. So I was trained on the

2:28

job, and in hindsight, not trained very well. I found out

2:31

about ASET and ABRET accidentally through mail that

2:34

came to my lab while the boss was on vacation. A new

2:37

neurologist came in and said he'd help me get registered, and

2:40

after three months of training me on the job, told me, in

2:43

exchange for training his wife, who was also his office staff,

2:47

to do his EEGs, he'd help me get registered. I said, "No, can't

2:50

do that, small hospital." While covering for a little

2:53

neighboring hospital where the tech was on vacation, she was

2:56

getting a new Nihon-Koden machine, and I met Jennifer

2:59

Doremo, who had been a past MSET president here in Michigan, was

3:02

very active with ASET. She was extremely kind. Told me about a

3:06

school in Tampa, which was the closest at the time. I lived in

3:09

Kissimmee. I interviewed there, went to school and then once

3:12

trained, I knew this is what I wanted to do when I grew up. I

3:16

was 32 years old, with two kids, a husband, and it was the best

3:19

thing I ever did.

3:20

Adam Kornegay: I love it. So was EEG a popular specialty when you

3:23

first started?

3:24

You know, as a kid, I had no clue. I mean, I just assumed

3:26

everybody had EEG in the lab, right? I had my first EEG in

3:29

1964 and we drove into town, but it wasn't a big deal. After I

3:35

moved to Florida in the late 70s, the hospital that I was in

3:38

was 110 beds. They had a tech that came out of Orlando once or

3:42

twice a week, recorded EEGs, and took them back to the doctor to

3:46

read. Eventually, they hired a respiratory therapist who had

3:48

done tele-EEG in South Florida. I trained under her. She took

3:53

over for the registered tech. Trained under her, did EEGs and

3:56

pulmonary function testing, because neither areas were very

3:59

busy, but the boss wanted to make sure he had enough coverage

4:02

in case somebody was out or on vacation. We covered both

4:06

areas. In 1988 when I went to school in Florida, there were

4:10

actually three accredited programs. It was pretty popular,

4:13

and Florida was pretty progressive, so. Now, in

4:17

hindsight, I guess it wasn't very popular. I don't think it

4:20

still really is, right?

4:21

Adam Kornegay: Do you do you recall who your early mentors

4:23

were?

4:23

Connie Kubiak: So, in school, and I have to say that only

4:26

because prior to that, I really didn't have, I mean, I had

4:29

somebody who trained me, but I don't know if I really call her

4:32

a mentor. Dee Sibeck was my clinical coordinator at St Joe's

4:35

in Tampa, and Vivian Porter was the program director. They were

4:39

very influential, along with classmates there, Kamar Kip

4:43

Anthony and Celia Barreto. As I progressed in my career, doctors

4:48

Verne Hulce and HB Calder, Martha Coyne, Judy Ahn-Ewing, Dr

4:52

Tim Thoits who I worked with at Butterworth Hospital, which is

4:55

now Corewell in Grand Rapids. My boss there, Gina Watkins, my

4:59

boss up here in Traverse City, Leon Olewinski and involving

5:03

myself with ASET. I would say Elizabeth Mullikin, Susan

5:06

Agostini, Adam Kornegay and Mary Betinis. I'm sure there's more

5:11

and other ones. There are tons of people who influenced me, but

5:14

they were probably the ones I refer to the most.

5:16

Adam Kornegay: That's quite an impressive group of people you

5:18

just mentioned. What are some of your earliest career influences?

5:22

Connie Kubiak: Well, I think the biggest influential thing was

5:24

always the patient. Once I went to school, I realized I'd done a

5:27

few studies on people and didn't really know what I was doing. I

5:31

was trained with a styrofoam head laying next to the

5:33

patient's head with all the markings, and told to put them

5:36

on, just line them up and put them there, right? Nothing about

5:39

prep, nothing about paste, nothing about cleanup, just

5:41

that's what you did. I remembered my experience as a

5:44

kid and how horrible my hair was when I got it done, and the fact

5:47

that I had to have it cut. I thought, I'm never going to do

5:50

that to another person. I think that's probably been a thing

5:53

that's gotten me through most of my career, trying to put

5:57

yourself in the patient's shoes. How are they feeling at the

6:00

time?

6:01

Adam Kornegay: Beautiful. If you had not become an EEG

6:02

technologist, what do you think you'd be doing?

6:05

Connie Kubiak: Well, initially, after high school, I went to

6:07

college to be a special education teacher. In my first

6:09

year, I was extremely disappointed, because we spent

6:12

more time teaching students how to do the things that they were

6:16

eventually going to be teaching students. My basic math for

6:20

teachers was teaching supposed high school graduates basic

6:25

math, and I was very disillusioned. I ended up,

6:27

after the first year, I just didn't, didn't go back to

6:30

college. I lost interest and started working retail. Ended up

6:34

moving to Florida for job opportunities because the

6:37

financial economy and things like that in Michigan were going

6:41

bad in the late 70s. Got married and sort of fell into the job.

6:46

As they say, the rest is history. I think I was always

6:48

destined to be in medicine, I just didn't know it yet.

6:51

Adam Kornegay: So why do you think that this field took off?

6:53

Connie Kubiak: Well, I think once there became more

6:55

widespread knowledge. It really wasn't used a lot clinically

6:58

until the 70s, late 60s and 70s. I think once there was more

7:03

education for the physicians and the neurologists who are using

7:06

it, and they saw the benefits of testing, they decided that, you

7:11

know, maybe they could use it for more things. It got bigger

7:15

and bigger. Then they started training people. It got bigger

7:18

and bigger too. When I started training, the CAT scan had just

7:21

started, MRI wasn't even in the picture yet, so EEG was done for

7:26

a lot of things that it's not even used for now. When the CAT

7:29

scan came out, I was told that EEG would go by the wayside.

7:33

When the MRI came out, I was told my job was going to be

7:36

obsolete because they had MRI. When auto recordings that

7:40

Nihon-Koden had came out, I was told they wouldn't need an EEG

7:42

tech anymore. Same with digital, right? That it was a dying

7:47

career, but it didn't happen. If anything, it made it expand more

7:51

and more and more, and now we're playing catch up.

7:54

Adam Kornegay: Yeah, we are. Do you remember what equipment that

7:56

you trained on and what the limitations were back then?

7:59

Connie Kubiak: So I was trained on a GRASS Model 8-16, a 16

8:01

channel GRASS machine. It had three master switches in the

8:04

middle, and I was told not to touch anything else but those

8:08

three master switches., I would destroy the machine. I didn't

8:11

touch anything when I helped across town. She had, I think, a

8:15

Model 6. It had the electrode switch panels off to the side of

8:18

the machine. It was mounted on the side. She didn't do any

8:22

portables at all because, she said, if she moved the machine

8:25

it went so out of whack it took forever to get it straightened

8:29

up. I think it was just because she didn't want to do portables,

8:33

because the machine was actually smaller, it was only eight

8:36

channels. For the Model 6, you had to warm it up. It had tubes

8:40

in it. You turned it on, you went for coffee, you came back

8:43

20 minutes later. The machines were very heavy. That one was

8:46

actually bolted to the floor. Everybody talks about

8:49

limitations. I never had a problem with the ink and the

8:52

pens and all that kind of stuff. I think it was because I was

8:56

taught to really baby this equipment. You took care of

8:59

things and you did what needed to be done with it. Probably the

9:03

biggest “limitations” had to do with storage of everything.

9:06

Manipulating all of that paper around. Put it in this room, put

9:10

it in that room, put it in storage, put it out of town,

9:13

microfilm it, throw it away, you know, that kind of thing. I

9:16

think it also helped you be a better tech, because you learned

9:20

what was important. What montages you had to do, what

9:23

electrodes you had to add, what you had to drop off, what you

9:27

didn't have to. How to make the patient do what you needed them

9:30

to do, because the noise, the noise would wake them up, right?

9:31

Adam Kornegay: Yeah.

9:31

Connie Kubiak: That's all I had when I was training.

9:36

Adam Kornegay: You recall some of the other pieces of equipment

9:38

that you used over time?

9:39

Connie Kubiak: Yeah, the analog world. It was well, Nihon-Koden

9:42

and GRASS. Teca, Nicolet and evoked potentials. I had a

9:47

Nicolet CA1000 and then a 2000. I used Biologic, Xceltech,

9:52

Nihon-Koden, Cadwell, Natus, Compumedics from the digital

9:55

world, evoked potentials. Like I said, the Nicolet, Biologic,

9:59

Cadwell, Viking Nerve Conductions, Teca, Natus. I did

10:03

ambulatory reel to reel and cassette tape recordings with an

10:06

old Oxford system and a scanner with the bifurcated and the

10:10

single leads that were with a collar system. That's what was

10:14

used to attach it to the patient's neck so that it wasn't

10:18

full of artifacts. Then Xltech, Lifeline, Natus, and Cadwell. I

10:23

think I've used them all. In intraoperative monitoring it's

10:28

mostly Cadwell and Biologic.

10:30

Adam Kornegay: When you were using the equipment over the

10:31

years, did you did you feel like there was negatives or cons to

10:37

using some of that equipment? Or did you just focus on on the

10:40

positives and what it could do at that time?

10:42

Connie Kubiak: Well, I mean, there were, you know, when you

10:44

were using so my first ambulatory system was a reel to

10:47

reel system, and then the cassette tapes. If somebody put

10:50

an ambulatory on and they didn't clean the clutches on those tape

10:54

recorders, it would come back and the tape would be all messed

10:57

up. Inevitably, as you were switching from one montage to

11:00

the other, that's when your patient had a seizure, or they

11:03

would start it. You would miss it, because you had to run a

11:07

blank page so you could write on it for the doctor. You'd turn it

11:10

off for 10 seconds, and then you'd change your montage real

11:13

quick, and you'd start again. Inevitably, something would have

11:15

started at that time, or the paper would catch or something

11:18

like that. The positives on it? It taught you to be a better

11:22

tech. It taught you how to troubleshoot your equipment and

11:27

how to change what you had to do. We didn't have biomed people

11:29

then. I had a maintenance guy with a screwdriver that I didn't

11:33

even need the screwdriver because GRASS sent screwdrivers

11:36

with all of their equipment. If you had a problem, you called

11:39

GRASS. They told you how to troubleshoot it. If you needed a

11:42

part, they sent it to you. You sent the old one back, and the

11:44

tech changed it out. You didn't have biomed. I didn't have a

11:47

biomed guy until probably 1990. I was in the field a good 10

11:53

years before I even knew what a biomed guy was.

11:56

Adam Kornegay: Thinking about your training program, do you

11:58

have any specific memories that kind of pop out?

12:01

Connie Kubiak: Oh, tons, tons. I started school when I was 32

12:04

years old. I was married, I had two kids, I had a husband, I had

12:07

a full time job, and I couldn't give up any of those things at

12:10

that point in time and survive. In my interview, I was told by a

12:14

male physician, neurologist who was also the lab medical

12:17

director and the program director that I would never make

12:20

it because I was married and I had two children, and I was

12:23

working a full time job, and it was just impossible to do. We

12:26

started the program As a student we spent three months doing head

12:29

measurement and basic general medical training. Sometimes we

12:33

went out on the floor with experienced techs. Since I had

12:36

already had five years of clinical experience, I think

12:38

they treated me a little bit differently. I was doing things

12:41

differently than the other students were. We had five

12:43

women, three were over 30, and three men when we started. One

12:47

of the days we were doing clinicals, and one fella did his

12:50

first rotation. He went into the ICU, and he came down halfway

12:53

through the study. He quit school, picked up all his stuff

12:55

and walked out and he said he couldn't do EEGs on dead people.

12:59

Then he became a paramedic, which we thought was just

13:02

ironic. He said they weren't dead yet, so he didn't worry

13:05

about it. Two of my very good friends from school, Kip and

13:08

Celia, kept me sane. I was driving 85 miles one way to

13:11

school, driving back, and then going to work. I was working 30

13:15

hours a week, five days a week, sometimes six, to keep my hours

13:19

up. I had the benefits at the hospital. They were supposed to

13:22

be paying for my schooling. I got let go partway through my

13:26

schooling. Kip and I were the same age, had the same number of

13:28

kids and the same need to get a good career to help take care of

13:32

our family. Celia was a little bit younger, and her family

13:35

became my godsend. I got hit broadside, t-boned, in May of 89

13:40

on my way to school, rolled my van seven times, graduated in

13:45

September. After a week or so of recovery, I got my schoolwork by

13:48

phone every day with Vivian and I lived on and off with Celia

13:51

and her family for about two months until I could drive again

13:56

and then go to classes. It was tough, but her family and Kip

13:59

are wonderful, and I appreciate them, and we're still friends.

14:04

As a group, we would take our weekly terminology words and

14:07

make up a story on this big chalkboard in the classroom. We

14:10

had a story about a band called Sulcus Fissure and the Gyrettes,

14:14

and we would write these stories. We write these little

14:17

chapter stories every week using all of our words, and I don't

14:20

know if anybody ever wrote it down, but we had so much fun

14:22

doing that, it was such a riot. As we were going to graduate,

14:25

Dee, who was a mentor to me, became sick. She and I had

14:30

chatted because I had background experience in pulmonary disease

14:33

issues. She was starting to have some issues. She was diagnosed

14:37

with AIDS, and she passed away right before we graduated, or

14:40

right after we graduated. Her personal life was scrutinized

14:43

due to the fact that she had AIDS. Once it was discovered how

14:47

she contacted it through work, they sort of dropped it. Thank

14:50

goodness now for HIPAA, because that would have never happened

14:53

as HIPAA would have been around at the time. Kip and I graduated

14:55

top of our class. We were extremely competitive. In spite

14:59

of everything Vivian and her staff, and were very supportive

15:03

for all of us, and even with all of the issues, and even after we

15:06

graduated. One of my highlights was interviewing Vivian Porter

15:10

and having her a guest of ours when we were in Kansas City. It

15:13

was such a good time to see her.

15:15

Adam Kornegay: So over time, in your opinion, how do you think

15:17

that the field has changed over the course of your career?

15:20

Connie Kubiak: Well, I think online education, computers and

15:23

digital EEG, has been a great opportunity for a lot of people

15:28

to expand their knowledge. It's made our job easier and harder

15:33

at the same time. Easier in the fact that you're not dealing

15:36

with all of the technical stuff and the moving around and all of

15:41

the heavy work is a little bit lighter and a little easier. But

15:44

I think it also gives you a false sense of knowing it all,

15:47

because you're not troubleshooting equipment like

15:49

you were, and you're not having the mechanics that you did. You

15:52

push a button and it goes, and if a doctor wants to change it,

15:55

the doctor can change it. You don't have to as a technologist.

15:58

An analog system can humble you really quick if you don't do

16:02

something right, and depending on who your instructor was, they

16:04

humbled you even more. Same thing when punching in montages.

16:07

I think when you had the mechanics having to change a

16:10

montage on the fly, it gave you a better understanding of how

16:14

the 10-20 system was set up, and how it was constructed, and why

16:18

you did what you did, and if you had to change it, why you

16:21

changed it. You learned the "whys". Now you don't learn the

16:25

"whys", too much anymore. Now it's just "do this". The doctor

16:28

can change it when they want to.

16:29

Adam Kornegay: Thinking about scientific knowledge, how do you

16:32

think the scientific knowledge has changed the field, and what

16:35

do you think are some major breakthroughs?

16:37

Connie Kubiak: So I think in medicine in general, MRI changed

16:40

tremendously what we knew about neuroscience and neurology and

16:45

digital EEG for our organization. Prior to that we

16:49

had telefactor and some ambulatory things, and you can

16:54

do 24 hours of video recording and hope that the VCRs didn't

16:58

fall apart and that your machine didn't lose power. All those

17:01

kinds of things. I think once we went digital, and we were able

17:05

to do so many more channels, I think it just opened everything

17:09

up for intraoperative monitoring and things like SEEG, and

17:13

epilepsy surgery and all of those things that were so

17:16

minimal back in the day, I did carotid monitoring on an analog

17:20

machine and if you weren't paying much attention to what

17:24

the physician was doing, your machine was totally jacked if

17:27

they hit the Bovie while you were holding onto something. I

17:31

think also it's been exceptionally good for the

17:33

patient. Now you can do things in the OR, in the ICU, the ER.

17:37

I think at the same time the technical staff and physicians I

17:44

think that's the thing that we're trying to catch up on now.

17:46

Adam Kornegay: So what do you think are two or three large

17:49

issues in EEG or neurodiagnostics?

17:52

most absolutely no idea what we do or

17:52

Connie Kubiak: You know, it’s funny, as I was reading this

17:54

question, I was thinking, you know, I've been doing the HAC,

17:57

the Historical Chair work now for about 10 years on and off.

18:01

I'm finding we have the same issues now that they were having

18:05

when ASET started in 1959. To me, that's sort of sad. To

18:11

think that in almost 70 years, 65 years, we're still dealing

18:15

with the same stuff-short staff, lack of education, lack of

18:20

training, lack of physician support. I'm not saying for

18:24

everybody, just sort of across the board. It depends on where

18:28

you work. it depends on who happens to be that physician in

18:32

your lab. They're still talking about competency and salaries

18:50

where we're located or how well trained we are, especially

18:53

physicians, especially neurologists. You talk to a

18:56

neurologist who's not part of your team, and they ask you what

19:00

you do, Some

19:18

Adam Kornegay: some of the main areas of professional discussion

19:21

or disagreement today?

19:23

Connie Kubiak: My number one thing, I think, is the rapid EEG

19:25

systems. I think there's so many people who are afraid of them,

19:29

instead of looking at them as a tool and trying to get involved

19:32

with them. I blame some of that on the manufacturers who seem to

19:36

circumvent the neurodiagnostics field. They went to the ER docs,

19:39

they went to the ICU docs and nurses and the hospital admins,

19:43

and they sort of went around technologists, instead of

19:46

embracing technologists, I think it's a good tool to use in your

19:50

lab so that you're not killing the staff that you have, which

19:53

is, I think, why hospitals are having such a hard time keeping

19:57

staff because of call and schedules. I also think that

20:00

physicians need to understand that that machine will never

20:03

replace a good, qualified technologist and a full EEG set.

20:06

I don't care what kind of set you put on somebody, that person

20:10

and that nurse who has to flip that person in an intensive care

20:13

unit. Sometimes those systems don't stay on well. I think

20:17

that's one of the things. Cross training of non EEG staff,

20:20

because of that is a big caveat. Iif I'm using the system now, do

20:23

I need an EEG tech? Can I just do away with the lab and use the

20:27

system on everybody? That's where I think the neurologists

20:30

need to come in and say, "No, you can't". Respiratory

20:33

therapists have to be registered, and because a lot of

20:36

them do sleep now, there's a push again, to train Respiratory

20:40

Therapy people to cover the EEG lab. When I was asked to do that

20:44

over 30 years ago now, I took all of my school books into my

20:47

meeting and sat down with the Vice President and said, "Okay,

20:50

here's all the books I used. Here's a tape measure, here's a

20:54

crayon, here's a set of electrodes. When whoever we're

20:55

and credentials. Yet still ultimately what's best

20:57

training, can put all these on a patient in 30 minutes, and then

21:00

run a 30 minute recording, a good quality recording, where

21:04

they have to sit in the room because they can't leave

21:07

especially for a 30 minute study, and they can identify

21:10

when the patient's at risk and when the patient's having

21:13

issues. Then we can leave them on their own." I said, "You

21:16

know, I've been doing this for 10 years, and I still don't know

21:20

all this stuff". He never brought it up again. I think

21:23

those are the big things, I think from a career side, it’s

21:26

development, I think some of the things we need to start looking

21:30

at is maybe, and for lack of a better word, a technical or

21:33

vocational school approach, initially. HB Calder told me one

21:37

time he said, "I don't need a registered tech to put

21:39

electrodes on, I need a registered tech to look at the

21:43

data and interact with the patient. Anybody can put

21:45

electrodes on". You can teach anybody in three weeks how to

21:49

put electrodes on. They may not know what they're doing or why

21:52

they're doing what they're doing, but they can do that. I

21:56

think if we, if we get people younger, like they get these

21:59

high school kids as med techs and phlebotomists early on, and

22:02

then grab and then get them that job as an assistant, then get

22:06

them as a Tech 1, then move them into school and get them then to

22:10

come registered. I think it's only going to help us more.

22:11

Adam Kornegay: And what are you most proud of?

22:15

Connie Kubiak: Well, I think we missed licensure in the 80s and

22:17

the 90s, and I don't see that really happening, but I don't

22:19

think we give it away. I think we still have to work on just at

22:22

least being recognized and and being treated as the

22:26

professionals that we are. It bothers me at some places that

22:29

I've been to that the technologists, because they

22:31

don't have to be credentialed, are techs, and they're at the

22:34

same level as environmental services or cafeteria workers,

22:40

and I have a problem with that. What am I most proud of? All my

22:43

credentials and my education. Disappointed I didn't get a

22:46

degree, but at the time, there really wasn't much, and life

22:49

just got in the way. But those things belong to me. Nobody paid

22:53

for them. I did. I paid for all of them. Now, I never was

22:56

reimbursed. I never got compensated. It was all me.

22:59

Influenced my kids to know how important their life path is,

23:02

for them to decide. Made a career that would support me and

23:05

then myself and my children when I got divorced, and every job,

23:09

even as a travel tech, taught me something.

23:11

Adam Kornegay: Where do you see neurodiagnostics in 10 years?

23:13

Connie Kubiak: Well, I think that there's going to come a

23:16

point in time where we're not going to, as a technologist,

23:20

we're not going to be working at the same capacity we're working

23:22

now. I think that the head pieces will get better. If we

23:27

still need to use electrode pieces. You know, think of Star

23:31

Trek, and Dr Bones had this scanner that he scanned over

23:35

you, and it read your EEGs. There was an article in the ASET

23:40

journal years ago about a group out of Japan who was working on

23:45

that. Thinking it would be held in an ambulance or in a police

23:49

car, and if they found somebody who's unresponsive, they would

23:52

just scan it over their head, and it would go transmitted to

23:55

an emergency room, and they could tell if the patient was

23:58

seizing or not. I think you're going to see something like

24:00

that, whether it be some kind of a cap or a system of some time

24:04

for that. I think as technologists, our role will

24:08

change to be more of the reader, more of the data manipulator,

24:13

for lack of a better word. Think NA-CLTM on steroids. We'll be

24:19

the people who'll be reading them and telling the physicians

24:22

what we're seeing, and the neurologists won't even probably

24:25

look at it. The only person who would look at it would be an

24:27

epileptologist or somebody doing surgical interventions. It'll be

24:31

that next step credential whether it be a PA level or an

24:34

electroencephalographer level or something like that. I think

24:37

that's we're going and I hope that ASET's at the forefront of

24:39

those changes, I hope that they are more proactive than reactive

24:43

and sort of find that before it gets started. I think we're

24:47

going there right now.

24:48

Adam Kornegay: What is the best piece of advice that you've ever

24:50

received?

24:51

Connie Kubiak: So, I actually have two. My teacher in fourth

24:52

grade told me, "You can do whatever you want. Don't let

24:56

anyone tell you otherwise". She was a very wise woman. My boss

24:59

up here, Leon Olewinski, told me he could teach an EEG tech and

25:05

have them trained to do anything in an allied health profession,

25:09

just because of how they were trained, but that he couldn't

25:11

take another allied health profession professional and have

25:15

them do a quality EEG. From a management standpoint, he was

25:19

probably my biggest supporter. He had told me that he would

25:22

have my back no matter what. He may not agree with everything

25:25

that I did, but as his supervisor-manager person, he

25:29

respected me and trusted me to make great decisions, and I

25:31

appreciated him for that.

25:33

Adam Kornegay: Is there anyone else in electroencephalography

25:36

that you think would be beneficial to talk to?

25:38

Connie Kubiak: Oh my gosh. So, doing all the past presidents.

25:44

Dr Hans Luders, Keith Chiappa. Dr Ojemann, Dr Rich Vogel. Dr,

25:49

Jeff Balzer, Fazel Jahangiri, I know I was going to mess up his

25:54

name. Dr, Tatum. Dr, Drazkowski. Techs like Cathy Boldery and

25:58

Patty Baumgartner and Brett Netherton I mean, there's so

26:01

many more. I just, like I said, I have this ongoing list. I add

26:05

to them as I come across people and and I'm now sharing them

26:08

with as part of the members to hopefully get these people

26:10

interviewed.

26:11

Adam Kornegay: Who were the prominent

26:12

electroencephalographers who should be documented?

26:16

Connie Kubiak: Well, other than the doctors that I previously

26:18

spoke of, I would like to see more from the field of

26:21

intraoperative monitoring. I think that's still such a

26:23

developing field, and I think we have so many people who are at

26:26

the forefront for that. I also like to see some write ups on

26:31

people like Drs Alzheimer and Creutzfeldt and Penfield and

26:35

Jasper and Jackson. You know that era people, the people who

26:39

came way before us, who started all of this. I don't think,

26:42

especially from an EEG standpoint, that there's a lot

26:44

of things that technologists have access to about them.

26:48

Adam Kornegay: So if you could have a conversation with any

26:50

neurodiagnostic related scientists, who would it be and

26:53

Adam Kornegay: So shifting gears a little bit and thinking about

26:53

why?

26:53

Connie Kubiak: So my most favorite person that I would

26:55

love to be able to chat with, again, was Dr Ernst Niedermeyer.

26:59

He would come to the meetings, and he would sit with the techs,

27:03

and he would talk. The first time I ever met him, he sat next

27:06

to me, and we were talking, and I asked him if he was a

27:10

lecturer. He told me yes. I asked him if he was a

27:13

technologist, and he sort of smiled, and he said, "I have

27:13

your time as president of ASET. Thank you for serving in that

27:16

been" and then he got up from lunch and he lectured. He made

27:19

me feel about, you know, yay big, but he was such a pleasant

27:23

guy, and I would love to talk to him again. He would be great,

27:27

but I wouldn't turn any of the other ones down if they showed

27:30

up at the door.

27:39

capacity. What years did you serve?

27:41

Connie Kubiak: So I was President-Elect from 2017 to

27:44

2019. I served as President from 2019 to 2021 and the Past

27:49

President was supposed to be from 2021 to 2022 but then the

27:53

president at that time, Adam Kornegay, oh, wait, he's right

27:58

here in the room, changed the rules. I served one more year

28:02

until 2023. Now the past president served two years,

28:06

which I think it's good for continuity. It was a good change.

28:11

Adam Kornegay: So what do you think was your greatest

28:11

accomplishment as president?

28:12

Connie Kubiak: I had a couple, I think, when I when I started

28:15

looking at this. So, when I came in as President, I, as President

28:19

Elect, I served with Susan Agostini, and was very grateful

28:23

that I was there working with her at the time, because of some

28:27

of the things that she was going through. In my tenure, I helped

28:31

develop a better relationship with ABRET, ACNS, AES, AANEM,

28:35

and ASNM, from what had happened prior to that. Started the

28:38

International Members Task Force, which became the now

28:42

International Committee, which is a co-committee with ABRET and

28:46

ASET. Change the leadership for ASET and executive office, and I

28:50

hired the new executive director and assisted in developing

28:54

ASET's first virtual annual meeting. I couldn't pick one.

28:58

Adam Kornegay: What do you think we can learn from experience?

29:00

Connie Kubiak: Probably that everyone is human and makes

29:02

mistakes. To learn to forgive, to learn to stay morally and

29:05

ethically strong even during times of adversity, and to know

29:09

that sometimes things are better or bigger than yourself.

29:13

Adam Kornegay: What advice would you give to a new board member?

29:15

Connie Kubiak: I think, and I don't know if ASET is doing this

29:18

now, but I think to have a board mentor, someone who's either

29:22

through the first year or is now in their last year of service,

29:26

that can gently guide you in some of the ins and outs of

29:29

ASET. Things are a little bit different now than they were

29:33

when I first started on the board, and I think it's for the

29:35

better. I think it can be very daunting. When you walk into it,

29:39

especially if you don't have any past society chapter or

29:44

organizational background for a not for profit, it could be very

29:48

different. To get friendly with all of the board, not just those

29:50

that you know or that you work with. That your work is for ASET

29:54

as a whole, not just a small group, and most definitely not

29:57

for your best interest. That membership is watching you. Act

30:01

professionally, show up, be a professional during the time

30:04

that you serve.

30:05

Adam Kornegay: What advice would you give to a new ASET member?

30:07

Connie Kubiak: To attend a meeting. An annual conference.

30:10

The virtual stuff is great, and it's very easy, and it gives you

30:13

access to things that if you're from, you know, Kingsley,

30:16

Michigan, you probably never would have access to. But the

30:21

networking at a conference, that physical interaction and the

30:24

camaraderie that's developed can't be gotten in a virtual

30:28

platform. It's the conversations during the socials, it's the

30:33

conversations at lunch, it's the conversations after the

30:37

presentations that are better than some of the presentations.

30:42

Then you have a network of people that you most likely

30:45

would have never had.. they will never say no to you. If you

30:48

contact them for any reason and ask a question or you see them

30:52

five years from now, you're just going to pick up just like you

30:55

never stop chatting. They'll be your first go- to if you find

30:59

yourself looking for a job, if you're looking to change

31:01

careers. I never would reply to something in the newspaper. I

31:04

would call somebody and say, hey, guess what? I'm looking for

31:07

a job. When you can give back. Someone helped you, and I think

31:10

it's great for you to reach back and help. A, it's very

31:14

educational. And B, someone helped you get where you were.

31:17

So that's how people are going to get where they're going.

31:20

We're not just talking financially, we're talking

31:23

through education or mentorship or sometimes just somebody to

31:26

bounce things off. Then ultimately get involved, whether

31:30

it be a local, regional or national society, the skills

31:33

that you learn through volunteering with these

31:35

organizations and the networkings that you develop,

31:38

it's free, and it can only help you in your career path,

31:41

Adam Kornegay: What do you think are the elements, or what

31:46

elements do you think are important to sustain a legacy?

31:50

Connie Kubiak: I think learning from mistakes, to make sure

31:52

history doesn't repeat itself. To be proactive and not

31:55

reactive, and to always be a step ahead and professional in

32:01

every aspect of everything that you do.

32:02

Adam Kornegay: Where do you see ASET in the next five years? We

32:02

Unknown: Yeah, yeah. Because I think as a past president, I

32:06

asked that, but do you wanna answer anyway?

32:12

think you look at it as a past president, different than you do

32:15

as a technologist, right?

32:17

Adam Kornegay: Okay, so where do you see ASET in the next five

32:20

years?

32:21

Connie Kubiak: I think, hopefully, still be the global

32:23

leader for technologists with broader education and

32:26

international presence. I think we have so much to learn from

32:30

those who are less fortunate than us, even in the US. There's

32:33

still so many locations in the US that don't have access to the

32:37

education, the knowledge base, the networking and the

32:41

mentorship. I think they're being left behind because

32:44

they're afraid to say something, because they didn't go to formal

32:47

schooling, and they work in a very small hospital, and they

32:49

work with older equipment, and they're not formally trained,

32:53

and I think they're intimidated by ASET. I think they're

32:57

intimidated by the people in ASET. I think we're doing them

33:01

a disservice, and I'm hoping that we'll reach out more to

33:03

them. Then through the emerging markets and the international

33:06

presence, I think there's a big need for a lot of people out

33:09

there, for us to to help them, and I'm hoping that's where we

33:13

go. I think AI is going to make a big difference in everything

33:19

that we do eventually, and I think ASET’s going to have to be

33:22

at the forefront for that. I don't think it's going to take a

33:24

tech's place. I don't think it's going to take a physician's

33:26

place, because I think machines are only as good as machines

33:30

are. I think there's still going to need to be oversight, but I

33:34

think it's going to be up to us to decide how that's used best.

33:36

Adam Kornegay: Well, thank you for allowing me to talk with

33:39

you.

33:39

Connie Kubiak: Well, thank you for doing that with me. I

33:42

appreciate it so much.

33:43

Adam Kornegay: It's an honor to go down memory lane with you.

33:46

Connie Kubiak: Oh God, sometimes it's good, sometimes it's not

33:49

good, right?

Interactive Summary

Connie Kubiak shares her extensive career journey in neurodiagnostics, starting from her personal experience with epilepsy as a child which sparked her interest in the field. She details obtaining multiple credentials, including R. EEG T., registered in Evoked Potential, CNIM, and CLTM, and her current role as president and co-owner of Innovative Group Incorporated. Kubiak reflects on the evolution of EEG technology, the challenges and rewards of her training, and the importance of mentorship and professional development within the neurodiagnostics field. She discusses the historical issues in the field, such as staffing shortages and lack of physician support, and expresses optimism for the future with advancements like AI and a broader international presence for ASET.

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