Four Patients A Day Beats One Every Ten Minutes
7 hours ago
- Thirty days of food comes before anything else, and it doubles as her filter. New patients at Simone Medical get one intervention to start: “I don’t do anything but change their diet for the first thirty days.” Her rule for what goes in the cart is just as short. If it comes in a bag or a box, or the label runs past about four ingredients, it does not belong in the house. And she is willing to lose the patient over it. “I will not do anything for you if you’re not pooping every day and if you’re still eating garbage. I wanna help everybody, but if you’re not willing to make that change, I’m not willing to help you, because I know that it’s not gonna work.”
- Why the clinical work turned out to be the easy half. Lindsay was trained to treat people. Nobody trained her to run the thing that lets her treat people. “I’ve never been trained in business. I went to NC State, I took some economics classes. But that’s been the hardest part.” Taxes, payroll, the first two hires, the decision to sign a lease on a brick and mortar after years of telehealth: all of it landed on the person who says she just wants to see patients. It is the same wall almost every clinician hits on the way out of employment, and it is worth hearing her say it plainly.
- Muscle is the insurance policy a GLP-1 does not come with. She prescribes them and she is glad they exist. What worries her is how casually they get handed out. “Everybody wants a shot,” she says, and the people who take one without doing the rest are writing themselves a bill that comes due at seventy, in a hip. So strength training is non-negotiable in her program, alongside protein, fiber and creatine. Her line for the patients who resist it: “Muscle is our fat insurance. If you build more muscle, you can eat more food.”
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