Full Transcript 0:05 Amber and Josh Shatter, welcome to 0:05 Amber and Josh Shatter, welcome to Rebels with a Root Cause. Thank you so
Introductions and Backgrounds 0:07 Rebels with a Root Cause. Thank you so 0:07 Rebels with a Root Cause. Thank you so much. 0:07 much. 0:08 much. >> Thank you, Tim. We're so excited to be 0:09 >> Thank you, Tim. We're so excited to be 0:09 >> Thank you, Tim. We're so excited to be here. 0:09 here. 0:09 here. >> Thank you for having us. 0:10 >> Thank you for having us. 0:10 >> Thank you for having us. >> You're so welcome. So, introduce 0:12 >> You're so welcome. So, introduce 0:12 >> You're so welcome. So, introduce yourself to the audience. I'd love to 0:14 yourself to the audience. I'd love to 0:14 yourself to the audience. I'd love to know who you are, where you're from, and 0:15 know who you are, where you're from, and 0:15 know who you are, where you're from, and and what it is that you do. 0:17 and what it is that you do. 0:17 and what it is that you do. >> Well, I'm Dr. Joshua Shakar. I'm a board 0:19 >> Well, I'm Dr. Joshua Shakar. I'm a board 0:19 >> Well, I'm Dr. Joshua Shakar. I'm a board certified orthopedic surgeon. I had been 0:21 certified orthopedic surgeon. I had been 0:21 certified orthopedic surgeon. I had been employed for about 15 years in a small 0:23 employed for about 15 years in a small 0:23 employed for about 15 years in a small town in in Texas, Witchto Falls, Texas. 0:26 town in in Texas, Witchto Falls, Texas. 0:26 town in in Texas, Witchto Falls, Texas. Then even though I was the head of the 0:28 Then even though I was the head of the 0:28 Then even though I was the head of the department and and doing a lot of I did 0:30 department and and doing a lot of I did 0:30 department and and doing a lot of I did about 15,000 surgeries in my in my 0:33 about 15,000 surgeries in my in my 0:33 about 15,000 surgeries in my in my career, I started to get really really 0:35 career, I started to get really really 0:35 career, I started to get really really burned out. And so we were really 0:37 burned out. And so we were really 0:38 burned out. And so we were really looking for a solution and our solution 0:40 looking for a solution and our solution 0:40 looking for a solution and our solution was to go into integrative orthopedics. 0:43 was to go into integrative orthopedics. 0:43 was to go into integrative orthopedics. So we left a traditional practice. We 0:45 So we left a traditional practice. We 0:45 So we left a traditional practice. We opened an an integrative orthopedic 0:47 opened an an integrative orthopedic 0:48 opened an an integrative orthopedic practice in Witchaw Falls, Texas. 0:50 practice in Witchaw Falls, Texas. 0:50 practice in Witchaw Falls, Texas. >> Uh and it's been quite a journey for us. 0:52 >> Uh and it's been quite a journey for us. 0:52 >> Uh and it's been quite a journey for us. >> Yeah. Yeah. Yeah. Which fall which falls 0:54 >> Yeah. Yeah. Yeah. Which fall which falls 0:54 >> Yeah. Yeah. Yeah. Which fall which falls Texas is about 2 hours from Dallas. 0:56 Texas is about 2 hours from Dallas. 0:56 Texas is about 2 hours from Dallas. Correct. 0:56 Correct. 0:56 Correct. >> So we're in the north central part of 0:58 >> So we're in the north central part of 0:58 >> So we're in the north central part of Texas. Yeah. So um I my background 1:03 Texas. Yeah. So um I my background 1:03 Texas. Yeah. So um I my background before I rescued Josh from the abuse of 1:08 before I rescued Josh from the abuse of 1:08 before I rescued Josh from the abuse of the traditional medical system was I 1:10 the traditional medical system was I 1:10 the traditional medical system was I spent the last 15 years in hospitality. 1:12 spent the last 15 years in hospitality. 1:12 spent the last 15 years in hospitality. And I've done everything from a big 1:15 And I've done everything from a big 1:15 And I've done everything from a big convention center fashion show design 1:17 convention center fashion show design 1:18 convention center fashion show design workflow of people and and how to move 1:20 workflow of people and and how to move 1:20 workflow of people and and how to move them in those big areas down to high-end 1:23 them in those big areas down to high-end 1:23 them in those big areas down to high-end white tablecloth fine dining. And so I 1:25 white tablecloth fine dining. And so I 1:25 white tablecloth fine dining. And so I really had spent a lot of time creating 1:28 really had spent a lot of time creating 1:28 really had spent a lot of time creating experiences for people to feel seen and 1:30 experiences for people to feel seen and 1:30 experiences for people to feel seen and held and enjoy uh their experience with 1:35 held and enjoy uh their experience with 1:35 held and enjoy uh their experience with me and in my environments. And so that's 1:38 me and in my environments. And so that's 1:38 me and in my environments. And so that's where my background comes in. Uh Josh 1:40 where my background comes in. Uh Josh 1:40 where my background comes in. Uh Josh and I have been married uh since I was 1:43 and I have been married uh since I was 1:43 and I have been married uh since I was 18 and he was 20. So we have got lots of 1:48 18 and he was 20. So we have got lots of 1:48 18 and he was 20. So we have got lots of time and road you know under our belts 1:51 time and road you know under our belts 1:51 time and road you know under our belts between us. But we came to integrative 1:53 between us. But we came to integrative 1:54 between us. But we came to integrative orthopedics and started the pinnacle 1:56 orthopedics and started the pinnacle 1:56 orthopedics and started the pinnacle method 3 years ago. 1:59 method 3 years ago. 1:59 method 3 years ago. >> So I know that Josh had talked about you 2:01 >> So I know that Josh had talked about you 2:02 >> So I know that Josh had talked about you know working 15 years as an employed 2:04 know working 15 years as an employed 2:04 know working 15 years as an employed doctor. I mean how did you feel about 2:06 doctor. I mean how did you feel about 2:06 doctor. I mean how did you feel about this? Like why did I create this 2:08 this? Like why did I create this 2:08 this? Like why did I create this business for you? The that's that's the 2:10 business for you? The that's that's the 2:10 business for you? The that's that's the real question is you know I'm sure 2:12 real question is you know I'm sure 2:12 real question is you know I'm sure things were good right in the system 2:14 things were good right in the system 2:14 things were good right in the system right you were 2:14 right you were 2:14 right you were >> you lots of money 2:16 >> you lots of money 2:16 >> you lots of money >> sure like hey listen I was caught as 2:17 >> sure like hey listen I was caught as 2:17 >> sure like hey listen I was caught as well right the gold handcuffs like they 2:19 well right the gold handcuffs like they 2:19 well right the gold handcuffs like they you know you get to rise inside the 2:21 you know you get to rise inside the 2:21 you know you get to rise inside the organization right you're you know 2:23 organization right you're you know 2:23 organization right you're you know become become respected in the community 2:26 become become respected in the community 2:26 become become respected in the community like all those things right and then but 2:29 like all those things right and then but 2:29 like all those things right and then but something went wrong what was that 2:30 something went wrong what was that 2:30 something went wrong what was that what's that rebel story 2:32 what's that rebel story 2:32 what's that rebel story >> well I you know as I did more and more 2:35 >> well I you know as I did more and more 2:35 >> well I you know as I did more and more surgeries through my career 2:36 surgeries through my career 2:36 surgeries through my career >> uh I started to really question one, do 2:40 >> uh I started to really question one, do 2:40 >> uh I started to really question one, do we need to be doing all these 2:41 we need to be doing all these 2:41 we need to be doing all these procedures? There's there are measures 2:42 procedures? There's there are measures 2:42 procedures? There's there are measures that I was starting to become aware of, 2:44 that I was starting to become aware of, 2:44 that I was starting to become aware of, regenerative therapy and other measures 2:46 regenerative therapy and other measures 2:46 regenerative therapy and other measures that that maybe could prevent us from 2:48 that that maybe could prevent us from 2:48 that that maybe could prevent us from needing to do 2:49 needing to do 2:49 needing to do >> fair number of the 2:50 >> fair number of the 2:50 >> fair number of the >> So, where were you learning all this 2:51 >> So, where were you learning all this 2:51 >> So, where were you learning all this from, right? Cuz you're in a small town. 2:53 from, right? Cuz you're in a small town. 2:53 from, right? Cuz you're in a small town. Where were you learning regenerative 2:54 Where were you learning regenerative 2:54 Where were you learning regenerative medicine? 2:55 medicine? 2:55 medicine? >> Well, it's it's something that I started 2:56 >> Well, it's it's something that I started 2:56 >> Well, it's it's something that I started to get interested in in
Burnout and the Shift to Integrative Orthopedics 2:58 to get interested in in 2:58 to get interested in in >> as sort of an augment to my sports 3:00 >> as sort of an augment to my sports 3:00 >> as sort of an augment to my sports medicine surgeries. I did a a massive 3:02 medicine surgeries. I did a a massive 3:02 medicine surgeries. I did a a massive number of like ACL reconstructions and 3:05 number of like ACL reconstructions and 3:05 number of like ACL reconstructions and shoulder scopes for rotator cuff repair 3:08 shoulder scopes for rotator cuff repair 3:08 shoulder scopes for rotator cuff repair and and I started to get exposed to the 3:10 and and I started to get exposed to the 3:10 and and I started to get exposed to the use of PRP and stem cell to sort of help 3:13 use of PRP and stem cell to sort of help 3:13 use of PRP and stem cell to sort of help accelerate healing in those cases. 3:15 accelerate healing in those cases. 3:16 accelerate healing in those cases. >> Uh and and as I was as I was 3:18 >> Uh and and as I was as I was 3:18 >> Uh and and as I was as I was >> sort of diving into that, I got more and 3:20 >> sort of diving into that, I got more and 3:20 >> sort of diving into that, I got more and more interested in in how can we use 3:21 more interested in in how can we use 3:22 more interested in in how can we use these to maybe prevent doing some 3:24 these to maybe prevent doing some 3:24 these to maybe prevent doing some surgeries. Yeah, 3:25 surgeries. Yeah, 3:25 surgeries. Yeah, >> this is not a popular sentiment by the 3:27 >> this is not a popular sentiment by the 3:27 >> this is not a popular sentiment by the way in hospital employee practice 3:30 way in hospital employee practice 3:30 way in hospital employee practice >> because it's a money maker, right? 3:32 >> because it's a money maker, right? 3:32 >> because it's a money maker, right? >> One thing most people don't understand 3:34 >> One thing most people don't understand 3:34 >> One thing most people don't understand is that you as a surgeon you're 3:37 is that you as a surgeon you're 3:37 is that you as a surgeon you're incentivized to do more surgery, not 3:41 incentivized to do more surgery, not 3:41 incentivized to do more surgery, not more necessary surgery, not give people 3:43 more necessary surgery, not give people 3:43 more necessary surgery, not give people the longest healthiest life possible, 3:46 the longest healthiest life possible, 3:46 the longest healthiest life possible, just to do the surgeries. And so when 3:49 just to do the surgeries. And so when 3:49 just to do the surgeries. And so when you are going to hospital administration 3:51 you are going to hospital administration 3:51 you are going to hospital administration and you were being told you you need to 3:54 and you were being told you you need to 3:54 and you were being told you you need to do 10% more surgeries than last year, 3:57 do 10% more surgeries than last year, 3:57 do 10% more surgeries than last year, you need to see patients in a quicker 4:00 you need to see patients in a quicker 4:00 you need to see patients in a quicker amount of time when Josh was getting so 4:03 amount of time when Josh was getting so 4:03 amount of time when Josh was getting so much push back cuz he's saying, "Hey, I 4:05 much push back cuz he's saying, "Hey, I 4:05 much push back cuz he's saying, "Hey, I would like to not operate on people with 4:07 would like to not operate on people with 4:08 would like to not operate on people with A1C so high. So I'm not going to operate 4:10 A1C so high. So I'm not going to operate 4:10 A1C so high. So I'm not going to operate on them." So then the hospital gets mad 4:12 on them." So then the hospital gets mad 4:12 on them." So then the hospital gets mad cuz that's cutting into the increase in 4:14 cuz that's cutting into the increase in 4:14 cuz that's cutting into the increase in surgery. Right. 4:14 surgery. Right. 4:14 surgery. Right. >> Yeah. They got that new building they're 4:15 >> Yeah. They got that new building they're 4:15 >> Yeah. They got that new building they're building there, right? 4:16 building there, right? 4:16 building there, right? >> Exactly. We have a whole new imaging 4:18 >> Exactly. We have a whole new imaging 4:18 >> Exactly. We have a whole new imaging center. I need everybody to have five 4:19 center. I need everybody to have five 4:19 center. I need everybody to have five MRIs this year. Right. 4:21 MRIs this year. Right. 4:22 MRIs this year. Right. >> Um and so he would for me as the 4:25 >> Um and so he would for me as the 4:25 >> Um and so he would for me as the business person and the entrepreneur, I 4:27 business person and the entrepreneur, I 4:27 business person and the entrepreneur, I saw my healer. So also something that 4:30 saw my healer. So also something that 4:30 saw my healer. So also something that you didn't mention, Josh is an 4:32 you didn't mention, Josh is an 4:32 you didn't mention, Josh is an osteopath. So he's a DO. So when and and 4:35 osteopath. So he's a DO. So when and and 4:35 osteopath. So he's a DO. So when and and there's a a bit of a fundamental 4:37 there's a a bit of a fundamental 4:37 there's a a bit of a fundamental difference between an MD and a DO in 4:39 difference between an MD and a DO in 4:39 difference between an MD and a DO in that you are you go to school and train 4:43 that you are you go to school and train 4:43 that you are you go to school and train about the whole body. you're you're to 4:45 about the whole body. you're you're to 4:45 about the whole body. you're you're to look at the human as a whole integrated 4:48 look at the human as a whole integrated 4:48 look at the human as a whole integrated system and so your basic training is 4:50 system and so your basic training is 4:50 system and so your basic training is more than that. 4:50 more than that. 4:50 more than that. >> Yeah. So the difference between a DO and 4:52 >> Yeah. So the difference between a DO and 4:52 >> Yeah. So the difference between a DO and an MD is we do a lot more manipulative 4:54 an MD is we do a lot more manipulative 4:54 an MD is we do a lot more manipulative medicine and then we also look more 4:56 medicine and then we also look more 4:56 medicine and then we also look more holistically at a patient from the 4:58 holistically at a patient from the 4:58 holistically at a patient from the training perspective right from medical 5:00 training perspective right from medical 5:00 training perspective right from medical school wasn't really able to use that in 5:03 school wasn't really able to use that in 5:03 school wasn't really able to use that in my traditional orthopedic practice and 5:05 my traditional orthopedic practice and 5:05 my traditional orthopedic practice and as we were doing initiatives in the 5:07 as we were doing initiatives in the 5:07 as we were doing initiatives in the hospital you know hey when especially 5:09 hospital you know hey when especially 5:09 hospital you know hey when especially when we look at joint replacements how 5:10 when we look at joint replacements how 5:10 when we look at joint replacements how how do we prevent some of the 5:12 how do we prevent some of the 5:12 how do we prevent some of the complications that are so disastrous in 5:14 complications that are so disastrous in 5:14 complications that are so disastrous in joint replacement right infection and
Insurance Incentives and Hospital Pressure 5:16 joint replacement right infection and 5:16 joint replacement right infection and chronic pain and stiffness well we know 5:19 chronic pain and stiffness well we know 5:19 chronic pain and stiffness well we know that these things are very closely tied 5:21 that these things are very closely tied 5:21 that these things are very closely tied to nutrition and and overall metabolic 5:24 to nutrition and and overall metabolic 5:24 to nutrition and and overall metabolic status of a patient. So we started to 5:28 status of a patient. So we started to 5:28 status of a patient. So we started to really dig in and and start some 5:29 really dig in and and start some 5:29 really dig in and and start some initiatives in our hospital system. I 5:31 initiatives in our hospital system. I 5:31 initiatives in our hospital system. I was the director of their joint center 5:33 was the director of their joint center 5:33 was the director of their joint center of excellence for a decade and so that 5:35 of excellence for a decade and so that 5:35 of excellence for a decade and so that that our specialty was hip and knee 5:37 that our specialty was hip and knee 5:37 that our specialty was hip and knee replacement at that time with um a 5:39 replacement at that time with um a 5:39 replacement at that time with um a little brag. The smallest hospital in 5:41 little brag. The smallest hospital in 5:41 little brag. The smallest hospital in Texas to have that charge was an elite 5:43 Texas to have that charge was an elite 5:43 Texas to have that charge was an elite level. He was an orthopedic surgeon 5:46 level. He was an orthopedic surgeon 5:46 level. He was an orthopedic surgeon doing more surgeries than he can handle 5:47 doing more surgeries than he can handle 5:47 doing more surgeries than he can handle at a hospital that had an excellent 5:50 at a hospital that had an excellent 5:50 at a hospital that had an excellent status and still having these kind of 5:52 status and still having these kind of 5:52 status and still having these kind of push back. 5:52 push back. 5:52 push back. >> Yeah. And and so when we wanted to do 5:54 >> Yeah. And and so when we wanted to do 5:54 >> Yeah. And and so when we wanted to do something like oh we weren't going to 5:55 something like oh we weren't going to 5:55 something like oh we weren't going to take care we weren't going to operate on 5:57 take care we weren't going to operate on 5:57 take care we weren't going to operate on somebody if they were smoking this was a 6:00 somebody if they were smoking this was a 6:00 somebody if they were smoking this was a huge move you would imagine. 6:02 huge move you would imagine. 6:02 huge move you would imagine. >> Yeah. Yeah. So my initiative was well 6:04 >> Yeah. Yeah. So my initiative was well 6:04 >> Yeah. Yeah. So my initiative was well okay so we know that nicotine products 6:06 okay so we know that nicotine products 6:06 okay so we know that nicotine products and and smoking in particular causes an 6:09 and and smoking in particular causes an 6:09 and and smoking in particular causes an increased risk to patients who have 6:10 increased risk to patients who have 6:10 increased risk to patients who have joint replacement. So we're not 6:12 joint replacement. So we're not 6:12 joint replacement. So we're not >> even even even nicotine not we're not 6:14 >> even even even nicotine not we're not 6:14 >> even even even nicotine not we're not talking about 6:15 talking about 6:15 talking about >> Yeah. It causes 6:16 >> Yeah. It causes 6:16 >> Yeah. It causes >> it causes contraction of the small blood 6:18 >> it causes contraction of the small blood 6:18 >> it causes contraction of the small blood vessels. So it can cause us problems. 6:20 vessels. So it can cause us problems. 6:20 vessels. So it can cause us problems. >> Uh when I brought that to the hospital 6:22 >> Uh when I brought that to the hospital 6:22 >> Uh when I brought that to the hospital administration as an initiative they 6:24 administration as an initiative they 6:24 administration as an initiative they were like wait what we're going to stop 6:26 were like wait what we're going to stop 6:26 were like wait what we're going to stop doing surgery on people who were smoking 6:28 doing surgery on people who were smoking 6:28 doing surgery on people who were smoking that there was a lot of push back there. 6:30 that there was a lot of push back there. 6:30 that there was a lot of push back there. And so there there were a lot of there 6:32 And so there there were a lot of there 6:32 And so there there were a lot of there were a lot of instances where I was 6:33 were a lot of instances where I was 6:34 were a lot of instances where I was trying to improve the health of our 6:35 trying to improve the health of our 6:35 trying to improve the health of our patients overall to improve my outcomes 6:39 patients overall to improve my outcomes 6:39 patients overall to improve my outcomes and and the the system not just my 6:41 and and the the system not just my 6:41 and and the the system not just my hospital system but the system as a 6:42 hospital system but the system as a 6:42 hospital system but the system as a whole was resistant. So there's a debate 6:44 whole was resistant. So there's a debate 6:44 whole was resistant. So there's a debate in orthopedic surgery. Do we need to do 6:46 in orthopedic surgery. Do we need to do 6:46 in orthopedic surgery. Do we need to do surgery on people who smoke or not? Like 6:48 surgery on people who smoke or not? Like 6:48 surgery on people who smoke or not? Like come on is this a debate really? Um and 6:51 come on is this a debate really? Um and 6:51 come on is this a debate really? Um and those sorts of tensions are what really 6:53 those sorts of tensions are what really 6:53 those sorts of tensions are what really drove me into burnout so deeply. I was 6:56 drove me into burnout so deeply. I was 6:56 drove me into burnout so deeply. I was doing almost a thousand cases a year. I 6:58 doing almost a thousand cases a year. I 6:58 doing almost a thousand cases a year. I did 15,000 plus surgeries in my career. 7:02 did 15,000 plus surgeries in my career. 7:02 did 15,000 plus surgeries in my career. >> Yeah. 7:02 >> Yeah. 7:02 >> Yeah. >> And I want you to think about how much 7:05 >> And I want you to think about how much 7:05 >> And I want you to think about how much >> 15,000 surgeries in your career. And how 7:07 >> 15,000 surgeries in your career. And how 7:07 >> 15,000 surgeries in your career. And how long was your career for in the system? 7:08 long was your career for in the system? 7:08 long was your career for in the system? >> It was well in the system I worked for 7:10 >> It was well in the system I worked for 7:10 >> It was well in the system I worked for about in in the traditional system I 7:12 about in in the traditional system I 7:12 about in in the traditional system I worked as a attending orthopedic surgeon 7:14 worked as a attending orthopedic surgeon 7:14 worked as a attending orthopedic surgeon for 15 years. 7:15 for 15 years. 7:15 for 15 years. >> All right. So you're basically doing a 7:17 >> All right. So you're basically doing a 7:17 >> All right. So you're basically doing a thousand a year. 7:17 thousand a year. 7:17 thousand a year. >> Super busy. 30 plus cases a week. 7:20 >> Super busy. 30 plus cases a week. 7:20 >> Super busy. 30 plus cases a week. >> Break that down. 7:20 >> Break that down. 7:20 >> Break that down. >> That is way above the national average. 7:22 >> That is way above the national average. 7:22 >> That is way above the national average. Yeah. And then think of call and think 7:24 Yeah. And then think of call and think 7:24 Yeah. And then think of call and think of how how much 7:26 of how how much 7:26 of how how much >> how now you're having to see the 7:27 >> how now you're having to see the 7:27 >> how now you're having to see the patients after the surgery. 7:28 patients after the surgery. 7:28 patients after the surgery. >> Well, and with reimbursement cuts every 7:31 >> Well, and with reimbursement cuts every 7:31 >> Well, and with reimbursement cuts every year our hospital administration would 7:32 year our hospital administration would 7:32 year our hospital administration would come to us and raise the bar. So when 7:34 come to us and raise the bar. So when 7:34 come to us and raise the bar. So when you are an employed doctor and and don't 7:37 you are an employed doctor and and don't 7:37 you are an employed doctor and and don't think that I think that your audience 7:39 think that I think that your audience 7:39 think that I think that your audience should really understand the vast 7:41 should really understand the vast 7:41 should really understand the vast majority of surgeons and proceduralists 7:43 majority of surgeons and proceduralists 7:43 majority of surgeons and proceduralists now are employed 7:45 now are employed 7:45 now are employed >> and this is a this is not a results 7:47 >> and this is a this is not a results 7:47 >> and this is a this is not a results driven market anymore. It is a it is a 7:51 driven market anymore. It is a it is a 7:51 driven market anymore. It is a it is a production driven volume. So you're paid 7:54 production driven volume. So you're paid 7:54 production driven volume. So you're paid based on the amount of procedures you do 7:56 based on the amount of procedures you do 7:56 based on the amount of procedures you do as a proceduralist as an orthopedic 7:58 as a proceduralist as an orthopedic 7:58 as a proceduralist as an orthopedic surgeon. And it's it gains the hospital 8:00 surgeon. And it's it gains the hospital 8:00 surgeon. And it's it gains the hospital system quite a lot of money. 8:02 system quite a lot of money. 8:02 system quite a lot of money. >> And so we were always incentivized to do 8:04 >> And so we were always incentivized to do 8:04 >> And so we were always incentivized to do more procedures. Um and they were always 8:07 more procedures. Um and they were always 8:07 more procedures. Um and they were always sort of moving the target. Well, this 8:09 sort of moving the target. Well, this 8:09 sort of moving the target. Well, this year you need to do 10% more. This year 8:12 year you need to do 10% more. This year 8:12 year you need to do 10% more. This year you need to do 10%. 8:13 you need to do 10%. 8:13 you need to do 10%. >> You said it almost sounds like a sales 8:14 >> You said it almost sounds like a sales 8:14 >> You said it almost sounds like a sales role. 8:14 role. 8:14 role. >> It's exactly right. I got a new quota 8:17 >> It's exactly right. I got a new quota 8:17 >> It's exactly right. I got a new quota this year. I got 10% more. I got to 8:19 this year. I got 10% more. I got to 8:19 this year. I got 10% more. I got to perform in [clears throat] the same 8:20 perform in [clears throat] the same 8:20 perform in [clears throat] the same amount of time, right? 8:21 amount of time, right? 8:21 amount of time, right? >> Yeah. I remember my my administrator 8:23 >> Yeah. I remember my my administrator 8:23 >> Yeah. I remember my my administrator once told me, my CEO of my hospital, I 8:25 once told me, my CEO of my hospital, I 8:25 once told me, my CEO of my hospital, I was the chairman of our physician group 8:27 was the chairman of our physician group 8:27 was the chairman of our physician group at the time. We were talking about 8:29 at the time. We were talking about 8:29 at the time. We were talking about salary and she's like, "We're going to 8:30 salary and she's like, "We're going to 8:30 salary and she's like, "We're going to move the we're going to move your goal 8:31 move the we're going to move your goal 8:31 move the we're going to move your goal up 10%." I said, "So, you're going to 8:33 up 10%." I said, "So, you're going to 8:33 up 10%." I said, "So, you're going to pay us less." She goes, "No, no, no, no. 8:36 pay us less." She goes, "No, no, no, no. 8:36 pay us less." She goes, "No, no, no, no. What it means is you're just going to 8:37 What it means is you're just going to 8:37 What it means is you're just going to have to work harder for what you make." 8:40 have to work harder for what you make." 8:40 have to work harder for what you make." Yeah. 8:43 Yeah. 8:43 Yeah. >> Totally bizarre. Totally bizarre. But 8:45 >> Totally bizarre. Totally bizarre. But 8:45 >> Totally bizarre. Totally bizarre. But the problem is this really incentivizes 8:48 the problem is this really incentivizes 8:48 the problem is this really incentivizes your proceduralist to do procedures, 8:50 your proceduralist to do procedures, 8:50 your proceduralist to do procedures, right? Your orthopedic surgeon when you 8:51 right? Your orthopedic surgeon when you 8:52 right? Your orthopedic surgeon when you come and see them is not looking at you 8:54 come and see them is not looking at you 8:54 come and see them is not looking at you as a whole organism, 8:56 as a whole organism, 8:56 as a whole organism, >> right? 8:57 >> right? 8:57 >> right? >> They're not looking to to give you more 8:58 >> They're not looking to to give you more 8:58 >> They're not looking to to give you more longevity and and more 9:01 longevity and and more 9:01 longevity and and more >> and help you heal your joint without 9:02 >> and help you heal your joint without 9:02 >> and help you heal your joint without that procedure. They're only looking to 9:04 that procedure. They're only looking to 9:04 that procedure. They're only looking to do that procedure. Yeah. And that's a 9:06 do that procedure. Yeah. And that's a 9:06 do that procedure. Yeah. And that's a real shame. 9:07 real shame. 9:07 real shame. >> Yeah. It it's it's tied to the whole 9:08 >> Yeah. It it's it's tied to the whole 9:08 >> Yeah. It it's it's tied to the whole insurance game as well. Let's, you know, 9:11 insurance game as well. Let's, you know, 9:11 insurance game as well. Let's, you know, let's look at it because it's, you know, 9:13 let's look at it because it's, you know, 9:13 let's look at it because it's, you know, they're driven to do more, right? 9:15 they're driven to do more, right? 9:15 they're driven to do more, right? Because they got that beautiful 9:16 Because they got that beautiful 9:16 Because they got that beautiful building. And by the way, I understand 9:17 building. And by the way, I understand 9:17 building. And by the way, I understand your hospital is probably the most 9:18 your hospital is probably the most 9:18 your hospital is probably the most spectacular looking hospital. 9:20 spectacular looking hospital. 9:20 spectacular looking hospital. >> It's a beautiful hospital. Beautiful. We 9:22 >> It's a beautiful hospital. Beautiful. We 9:22 >> It's a beautiful hospital. Beautiful. We live in a town, Witchaw Falls, Texas. It
Leaving the System and Building a Private Practice 9:24 live in a town, Witchaw Falls, Texas. It 9:24 live in a town, Witchaw Falls, Texas. It has 102,000 people in North Texas. And I 9:26 has 102,000 people in North Texas. And I 9:26 has 102,000 people in North Texas. And I I love our town. It's a nice town, 9:28 I love our town. It's a nice town, 9:28 I love our town. It's a nice town, >> but we can't get a pothole in the street 9:30 >> but we can't get a pothole in the street 9:30 >> but we can't get a pothole in the street fixed. And our hospital, which is a 9:32 fixed. And our hospital, which is a 9:32 fixed. And our hospital, which is a public hospital system, which receives 9:35 public hospital system, which receives 9:35 public hospital system, which receives federal and state monies to take care of 9:37 federal and state monies to take care of 9:37 federal and state monies to take care of the indigent, 9:38 the indigent, 9:38 the indigent, >> has a billion dollars 9:41 >> has a billion dollars 9:41 >> has a billion dollars >> inves 9:56 It's And I I think that that Witchaw 9:56 It's And I I think that that Witchaw Falls is not the only community that 9:58 Falls is not the only community that 9:58 Falls is not the only community that suffers from this. Oh, we happen to be 10:00 suffers from this. Oh, we happen to be 10:00 suffers from this. Oh, we happen to be unlucky and that and that the 10:02 unlucky and that and that the 10:02 unlucky and that and that the organization there is one of the most 10:04 organization there is one of the most 10:04 organization there is one of the most expensive in the country. 10:06 expensive in the country. 10:06 expensive in the country. >> And if you look at how expensive 10:08 >> And if you look at how expensive 10:08 >> And if you look at how expensive traditional medical care is and you're 10:10 traditional medical care is and you're 10:10 traditional medical care is and you're looking at public health, Witchah 10:12 looking at public health, Witchah 10:12 looking at public health, Witchah Falls's public health is some of the 10:13 Falls's public health is some of the 10:14 Falls's public health is some of the worst in Texas and that's some of the 10:15 worst in Texas and that's some of the 10:16 worst in Texas and that's some of the worst in the nation. So, we were there's 10:18 worst in the nation. So, we were there's 10:18 worst in the nation. So, we were there's a real disconnect between the cost of 10:20 a real disconnect between the cost of 10:20 a real disconnect between the cost of care, the quality of care, and what it's 10:22 care, the quality of care, and what it's 10:22 care, the quality of care, and what it's doing for the community. 10:23 doing for the community. 10:23 doing for the community. >> Was was there a competing hospital in 10:24 >> Was was there a competing hospital in 10:24 >> Was was there a competing hospital in town? No, there there was a well there 10:27 town? No, there there was a well there 10:27 town? No, there there was a well there was a competing small surgical hospital 10:30 was a competing small surgical hospital 10:30 was a competing small surgical hospital that was a full-ervice hospital that had 10:32 that was a full-ervice hospital that had 10:32 that was a full-ervice hospital that had been that was a physician owned 10:33 been that was a physician owned 10:33 been that was a physician owned hospital. Yeah. 10:34 hospital. Yeah. 10:34 hospital. Yeah. >> Um and that hospital sort of struggled 10:36 >> Um and that hospital sort of struggled 10:36 >> Um and that hospital sort of struggled along in competition for 25 years and 10:40 along in competition for 25 years and 10:40 along in competition for 25 years and then this year 10:41 then this year 10:41 then this year >> United Regional 10:43 >> United Regional 10:43 >> United Regional >> bought them. Yeah. So drove them into 10:46 >> bought them. Yeah. So drove them into 10:46 >> bought them. Yeah. So drove them into the ground. 10:46 the ground. 10:46 the ground. >> Yeah. Well drove competed them out 10:49 >> Yeah. Well drove competed them out 10:49 >> Yeah. Well drove competed them out competed them for sure. 10:50 competed them for sure. 10:50 competed them for sure. >> Well, they have a billion dollars in 10:52 >> Well, they have a billion dollars in 10:52 >> Well, they have a billion dollars in reserves. How is a small locallyowned 10:54 reserves. How is a small locallyowned 10:54 reserves. How is a small locallyowned hospital that's putting patients first 10:56 hospital that's putting patients first 10:56 hospital that's putting patients first going to keep up with that monster who 10:58 going to keep up with that monster who 10:58 going to keep up with that monster who has federal subsidies, state subsidies, 11:01 has federal subsidies, state subsidies, 11:01 has federal subsidies, state subsidies, doesn't pay any taxes? 11:02 doesn't pay any taxes? 11:02 doesn't pay any taxes? >> Yeah. 11:03 >> Yeah. 11:03 >> Yeah. >> So, and it's not they're not playing in 11:05 >> So, and it's not they're not playing in 11:05 >> So, and it's not they're not playing in the same game here. 11:06 the same game here. 11:06 the same game here. >> No, it and it's rigged. We all we all 11:08 >> No, it and it's rigged. We all we all 11:08 >> No, it and it's rigged. We all we all know it's rigged and and the most 11:10 know it's rigged and and the most 11:10 know it's rigged and and the most concerning thing is is that, you know, 11:12 concerning thing is is that, you know, 11:12 concerning thing is is that, you know, these doctors, you know, were driven to 11:15 these doctors, you know, were driven to 11:15 these doctors, you know, were driven to say you got to produce more, you know, 11:17 say you got to produce more, you know, 11:17 say you got to produce more, you know, with the same amount of time or less 11:19 with the same amount of time or less 11:19 with the same amount of time or less time, meaning you got to work more 11:20 time, meaning you got to work more 11:20 time, meaning you got to work more efficient, harder, right? be able to do 11:22 efficient, harder, right? be able to do 11:22 efficient, harder, right? be able to do more with less. 11:24 more with less. 11:24 more with less. >> And the challenge is is that that's not 11:26 >> And the challenge is is that that's not 11:26 >> And the challenge is is that that's not doing justice to the patient, right? To 11:28 doing justice to the patient, right? To 11:28 doing justice to the patient, right? To the individual and where your whole 11:30 the individual and where your whole 11:30 the individual and where your whole journey has taken you to is like, is 11:32 journey has taken you to is like, is 11:32 journey has taken you to is like, is that joint replacement really needed? 11:35 that joint replacement really needed? 11:35 that joint replacement really needed? >> Because that's what's fueling the 11:36 >> Because that's what's fueling the 11:36 >> Because that's what's fueling the industry. Like you look at this cabal of 11:38 industry. Like you look at this cabal of 11:38 industry. Like you look at this cabal of the insurance and the hospitals all 11:40 the insurance and the hospitals all 11:40 the insurance and the hospitals all working together to spin this thing up, 11:42 working together to spin this thing up, 11:42 working together to spin this thing up, of course, with the with the companies 11:44 of course, with the with the companies 11:44 of course, with the with the companies as well that are producing these joint 11:46 as well that are producing these joint 11:46 as well that are producing these joint replacements. And it is it's it's a it's 11:49 replacements. And it is it's it's a it's 11:49 replacements. And it is it's it's a it's a it's a heavy thing, right? you know it 11:51 a it's a heavy thing, right? you know it 11:51 a it's a heavy thing, right? you know it you you you've seen it like there are 11:53 you you you've seen it like there are 11:53 you you you've seen it like there are quotas inside the system and and that 11:56 quotas inside the system and and that 11:56 quotas inside the system and and that was I can imagine the frustration that 11:58 was I can imagine the frustration that 11:58 was I can imagine the frustration that you were feeling in that system. Now, 12:00 you were feeling in that system. Now, 12:00 you were feeling in that system. Now, what were some of the things that you 12:01 what were some of the things that you 12:01 what were some of the things that you were saying and doing that started to 12:04 were saying and doing that started to 12:04 were saying and doing that started to tip the tip the scale, so to speak, 12:06 tip the tip the scale, so to speak, 12:06 tip the tip the scale, so to speak, right, with the system? 12:09 right, with the system? 12:09 right, with the system? >> So, things that I was saying and doing 12:10 >> So, things that I was saying and doing 12:10 >> So, things that I was saying and doing as far as tip the 12:13 as far as tip the 12:13 as far as tip the >> This isn't right. This isn't right. 12:15 >> This isn't right. This isn't right. 12:15 >> This isn't right. This isn't right. Like, like 12:16 Like, like 12:16 Like, like >> just just having any sort of resistance 12:18 >> just just having any sort of resistance 12:18 >> just just having any sort of resistance to to really optimizing a patient's 12:21 to to really optimizing a patient's 12:21 to to really optimizing a patient's health around a procedure. In 12:23 health around a procedure. In 12:23 health around a procedure. In traditional medicine, there's an 12:25 traditional medicine, there's an 12:25 traditional medicine, there's an understanding that whole health is is 12:27 understanding that whole health is is 12:27 understanding that whole health is is important, but you can only spend if a 12:30 important, but you can only spend if a 12:30 important, but you can only spend if a primary care doctor can only spend 5 to 12:31 primary care doctor can only spend 5 to 12:32 primary care doctor can only spend 5 to 10 minutes with a patient, how much how 12:33 10 minutes with a patient, how much how 12:33 10 minutes with a patient, how much how deeply into their health are they 12:35 deeply into their health are they 12:35 deeply into their health are they digging? So, that was I think a big 12:37 digging? So, that was I think a big 12:37 digging? So, that was I think a big driver for me is is I'm seeing 50 12:39 driver for me is is I'm seeing 50 12:39 driver for me is is I'm seeing 50 patients a day, my PA seeing 30 patients 12:41 patients a day, my PA seeing 30 patients 12:41 patients a day, my PA seeing 30 patients a day, we're doing 30 surgeries a week. 12:43 a day, we're doing 30 surgeries a week. 12:43 a day, we're doing 30 surgeries a week. How am I present and focused with each 12:45 How am I present and focused with each 12:45 How am I present and focused with each person that I want to heal? And that 12:48 person that I want to heal? And that 12:48 person that I want to heal? And that lack of connection really drove me to 12:50 lack of connection really drove me to 12:50 lack of connection really drove me to disenchantment with with my own 12:52 disenchantment with with my own 12:52 disenchantment with with my own specialy, which I which I love. And then 12:55 specialy, which I which I love. And then 12:55 specialy, which I which I love. And then understanding that the traditional 12:57 understanding that the traditional 12:57 understanding that the traditional system puts us in this box. And there 13:00 system puts us in this box. And there 13:00 system puts us in this box. And there are so many treatments that 13:02 are so many treatments that 13:02 are so many treatments that >> our system here in the United States 13:04 >> our system here in the United States 13:04 >> our system here in the United States either doesn't believe in or or doesn't 13:06 either doesn't believe in or or doesn't 13:06 either doesn't believe in or or doesn't ascribe to or it's it's experimental 13:09 ascribe to or it's it's experimental 13:09 ascribe to or it's it's experimental that that can help our patients. 13:11 that that can help our patients. 13:11 that that can help our patients. >> Good for animals. 13:13 >> Good for animals. 13:13 >> Good for animals. >> Yeah. that we're [laughter] completely 13:14 >> Yeah. that we're [laughter] completely 13:14 >> Yeah. that we're [laughter] completely not using in a in a in a traditional 13:17 not using in a in a in a traditional 13:17 not using in a in a in a traditional orthopedic or or or any type of 13:19 orthopedic or or or any type of 13:19 orthopedic or or or any type of practice. 13:20 practice. 13:20 practice. >> Don't you think that this is about like 13:22 >> Don't you think that this is about like 13:22 >> Don't you think that this is about like you were saying this is an insurance 13:23 you were saying this is an insurance 13:23 you were saying this is an insurance issue. Insurance dictates care. 13:26 issue. Insurance dictates care. 13:26 issue. Insurance dictates care. >> If insurance doesn't pay for it, most 13:28 >> If insurance doesn't pay for it, most 13:28 >> If insurance doesn't pay for it, most physicians, hospitals, and practices 13:30 physicians, hospitals, and practices 13:30 physicians, hospitals, and practices aren't going to offer it. 13:33 aren't going to offer it. 13:33 aren't going to offer it. >> Because we've been trained as Americans 13:35 >> Because we've been trained as Americans 13:36 >> Because we've been trained as Americans that if insurance doesn't pay for it, it 13:37 that if insurance doesn't pay for it, it 13:37 that if insurance doesn't pay for it, it must not be legitimate medicine. And now 13:41 must not be legitimate medicine. And now 13:41 must not be legitimate medicine. And now I see this sea change coming. And this 13:43 I see this sea change coming. And this 13:43 I see this sea change coming. And this is part of the beautiful work that you 13:44 is part of the beautiful work that you 13:44 is part of the beautiful work that you do Tim 13:46 do Tim 13:46 do Tim >> is giving a platform for the few doctors 13:50 >> is giving a platform for the few doctors 13:50 >> is giving a platform for the few doctors and the few people who have been able to 13:52 and the few people who have been able to 13:52 and the few people who have been able to break through that major wall of 13:55 break through that major wall of 13:55 break through that major wall of insurance 13:56 insurance 13:56 insurance to offer medical care outside of the 13:59 to offer medical care outside of the 13:59 to offer medical care outside of the box. 14:00 box. 14:00 box. >> Yeah. 14:00 >> Yeah. 14:00 >> Yeah. >> Uh to give the patient what they 14:03 >> Uh to give the patient what they 14:03 >> Uh to give the patient what they deserve. They get to choose what's right 14:04 deserve. They get to choose what's right 14:04 deserve. They get to choose what's right for them instead of somebody who's 14:07 for them instead of somebody who's 14:07 for them instead of somebody who's counting beans in an office somewhere to 14:09 counting beans in an office somewhere to 14:09 counting beans in an office somewhere to tell you what medicines are appropriate 14:11 tell you what medicines are appropriate 14:11 tell you what medicines are appropriate for you. 14:12 for you. 14:12 for you. >> It's ridiculous. 14:12 >> It's ridiculous. 14:12 >> It's ridiculous. >> It turns out we can't do this based on a 14:15 >> It turns out we can't do this based on a 14:15 >> It turns out we can't do this based on a 5-minute office visit. 14:16 5-minute office visit. 14:16 5-minute office visit. >> Yeah. 14:17 >> Yeah. 14:17 >> Yeah. >> We can't do this on a superficial look 14:19 >> We can't do this on a superficial look 14:19 >> We can't do this on a superficial look at someone's health 14:21 at someone's health 14:21 at someone's health >> and we can't do this based on the 14:23 >> and we can't do this based on the 14:23 >> and we can't do this based on the approval of somebody who's probably not 14:25 approval of somebody who's probably not 14:25 approval of somebody who's probably not qualified to give you approval. Right? 14:27 qualified to give you approval. Right? 14:27 qualified to give you approval. Right? So the insurance company has these, you 14:29 So the insurance company has these, you 14:29 So the insurance company has these, you know, these employees who are not at at 14:33 know, these employees who are not at at 14:33 know, these employees who are not at at your educational level, don't have your 14:34 your educational level, don't have your 14:34 your educational level, don't have your exposure, don't know that person, and 14:36 exposure, don't know that person, and 14:36 exposure, don't know that person, and they're dictating whether or not they 14:37 they're dictating whether or not they 14:37 they're dictating whether or not they can receive a treatment, 14:39 can receive a treatment, 14:39 can receive a treatment, >> if it's even approved at all. 14:41 >> if it's even approved at all. 14:42 >> if it's even approved at all. >> Well, yeah. And and that system is is 14:44 >> Well, yeah. And and that system is is 14:44 >> Well, yeah. And and that system is is really constraining. Look, we all went 14:46 really constraining. Look, we all went 14:46 really constraining. Look, we all went into medicine to be healers, right? We 14:48 into medicine to be healers, right? We 14:48 into medicine to be healers, right? We felt a close connection with other human 14:50 felt a close connection with other human 14:50 felt a close connection with other human beings and we want to help them feel 14:52 beings and we want to help them feel 14:52 beings and we want to help them feel better. 14:53 better. 14:54 better. This system puts us in such a box that 14:56 This system puts us in such a box that 14:56 This system puts us in such a box that we are we we are in a constant state of 14:58 we are we we are in a constant state of 14:58 we are we we are in a constant state of frustration and a constant state of you 15:02 frustration and a constant state of you 15:02 frustration and a constant state of you know no doctor in the traditional system 15:04 know no doctor in the traditional system 15:04 know no doctor in the traditional system that I've ever spoken to loves working 15:07 that I've ever spoken to loves working 15:07 that I've ever spoken to loves working with an insurance company. 15:11 with an insurance company. 15:11 with an insurance company. >> No one yet. It's not I'm still looking 15:14 >> No one yet. It's not I'm still looking 15:14 >> No one yet. It's not I'm still looking for one. So 15:14 for one. So 15:14 for one. So >> yeah. And and the only ones that really 15:16 >> yeah. And and the only ones that really 15:16 >> yeah. And and the only ones that really love is the ones that are completely 15:18 love is the ones that are completely 15:18 love is the ones that are completely gaming the system. 15:19 gaming the system. 15:19 gaming the system. >> Those are the ones that love them. 15:20 >> Those are the ones that love them. 15:20 >> Those are the ones that love them. >> The ones that Yeah. 15:21 >> The ones that Yeah. 15:21 >> The ones that Yeah. >> Right. Right. they're not patient 15:23 >> Right. Right. they're not patient 15:23 >> Right. Right. they're not patient forward. 15:23 forward. 15:24 forward. >> You I guess you could love it if you're 15:26 >> You I guess you could love it if you're 15:26 >> You I guess you could love it if you're if you're a fraudster, but when you want 15:27 if you're a fraudster, but when you want 15:27 if you're a fraudster, but when you want to when you want to really give good 15:29 to when you want to really give good 15:29 to when you want to really give good care and spend time with people, you 15:31 care and spend time with people, you 15:31 care and spend time with people, you have to exit. 15:33 have to exit. 15:33 have to exit. >> You have to you have to give patients an 15:36 >> You have to you have to give patients an 15:36 >> You have to you have to give patients an alternative 15:37 alternative 15:37 alternative >> to what they what they're able to get in 15:39 >> to what they what they're able to get in 15:40 >> to what they what they're able to get in their traditional system. So, so let's 15:42 their traditional system. So, so let's 15:42 their traditional system. So, so let's talk about that because this is this is 15:45 talk about that because this is this is 15:45 talk about that because this is this is such and I listen I 100% totally agree 15:48 such and I listen I 100% totally agree 15:48 such and I listen I 100% totally agree with you that there are doctors that 15:50 with you that there are doctors that 15:50 with you that there are doctors that have became doctors to become healers, 15:52 have became doctors to become healers, 15:52 have became doctors to become healers, right? And what they didn't realize is 15:54 right? And what they didn't realize is 15:54 right? And what they didn't realize is that they got caught in in basically the 15:56 that they got caught in in basically the 15:56 that they got caught in in basically the vertical system, right? It's like 15:57 vertical system, right? It's like 15:58 vertical system, right? It's like there's one thing we know big pharma 15:59 there's one thing we know big pharma 15:59 there's one thing we know big pharma controls a lot of things inside medical 16:01 controls a lot of things inside medical 16:01 controls a lot of things inside medical schools like medical schools are 16:03 schools like medical schools are 16:03 schools like medical schools are basically teaching you one thing, right? 16:04 basically teaching you one thing, right? 16:04 basically teaching you one thing, right? So they're programming you to do one 16:06 So they're programming you to do one 16:06 So they're programming you to do one thing, right? Depending upon your 16:07 thing, right? Depending upon your 16:07 thing, right? Depending upon your specialty, this is what you're going to 16:08 specialty, this is what you're going to 16:08 specialty, this is what you're going to do, how you're going to do it, right? 16:09 do, how you're going to do it, right? 16:09 do, how you're going to do it, right? And then the hospital basically backs 16:12 And then the hospital basically backs 16:12 And then the hospital basically backs that up and says this is what you need 16:13 that up and says this is what you need 16:13 that up and says this is what you need to do, how you need to do it. You have 16:14 to do, how you need to do it. You have 16:14 to do, how you need to do it. You have 10% more you got to do. Like we got this 16:16 10% more you got to do. Like we got this 16:16 10% more you got to do. Like we got this new imaging center, right? We got we 16:18 new imaging center, right? We got we 16:18 new imaging center, right? We got we have things we have to build this, you 16:19 have things we have to build this, you 16:19 have things we have to build this, you know, this fund, right? We have to have 16:21 know, this fund, right? We have to have 16:21 know, this fund, right? We have to have these things in reserve. And the 16:23 these things in reserve. And the 16:23 these things in reserve. And the challenge is is that they're so 16:25 challenge is is that they're so 16:25 challenge is is that they're so programmed. It's they think this is such 16:27 programmed. It's they think this is such 16:27 programmed. It's they think this is such a huge divide. How do I cross this 16:30 a huge divide. How do I cross this 16:30 a huge divide. How do I cross this river? Right? From from being in the 16:32 river? Right? From from being in the 16:32 river? Right? From from being in the system to doing exactly what you did and 16:34 system to doing exactly what you did and 16:34 system to doing exactly what you did and how you set this up, understanding that 16:36 how you set this up, understanding that 16:36 how you set this up, understanding that there was a passion inside of you. It's 16:38 there was a passion inside of you. It's 16:38 there was a passion inside of you. It's like this isn't right. I got to get out 16:39 like this isn't right. I got to get out 16:39 like this isn't right. I got to get out and there's a lot of doctors in the 16:41 and there's a lot of doctors in the 16:41 and there's a lot of doctors in the system who are feeling that right now. 16:43 system who are feeling that right now. 16:43 system who are feeling that right now. So what is the advice like give us your 16:45 So what is the advice like give us your 16:45 So what is the advice like give us your journey is how you set this up Amber and 16:47 journey is how you set this up Amber and 16:47 journey is how you set this up Amber and Josh to get this thing put together. 16:49 Josh to get this thing put together. 16:49 Josh to get this thing put together. >> So on my end I had a partner who was a 16:52 >> So on my end I had a partner who was a 16:52 >> So on my end I had a partner who was a wonderful doctor who had turned into a 16:54 wonderful doctor who had turned into a 16:54 wonderful doctor who had turned into a carpenter. 16:56 carpenter. 16:56 carpenter. >> That's all he did was surgeries. He 16:57 >> That's all he did was surgeries. He 16:57 >> That's all he did was surgeries. He wasn't helping people. He didn't have 16:59 wasn't helping people. He didn't have 16:59 wasn't helping people. He didn't have control of who was coming to him, what 17:02 control of who was coming to him, what 17:02 control of who was coming to him, what really he was doing. He became a factory 17:05 really he was doing. He became a factory 17:05 really he was doing. He became a factory worker replacing joints who worked in a 17:07 worker replacing joints who worked in a 17:07 worker replacing joints who worked in a hospital. Burnt out, angry, and 17:10 hospital. Burnt out, angry, and 17:10 hospital. Burnt out, angry, and frustrated. Am I 17:11 frustrated. Am I 17:12 frustrated. Am I >> right? That's accurate. 17:13 >> right? That's accurate. 17:13 >> right? That's accurate. >> Yes. [laughter] 17:13 >> Yes. [laughter] 17:14 >> Yes. [laughter] >> I've never heard this from Carpenter, 17:15 >> I've never heard this from Carpenter, 17:15 >> I've never heard this from Carpenter, but that's a 17:15 but that's a 17:15 but that's a >> Well, that's how that's a great analogy. 17:17 >> Well, that's how that's a great analogy. 17:17 >> Well, that's how that's a great analogy. Like 17:17 Like 17:17 Like >> he say that when he would come home cuz 17:18 >> he say that when he would come home cuz 17:18 >> he say that when he would come home cuz [clears throat] you're basically sawing 17:19 [clears throat] you're basically sawing 17:19 [clears throat] you're basically sawing you're sawing bones and you 17:20 you're sawing bones and you 17:20 you're sawing bones and you >> make widgets all day long. That's what 17:22 >> make widgets all day long. That's what 17:22 >> make widgets all day long. That's what you put people back together. 17:23 you put people back together. 17:23 you put people back together. >> But he felt trapped in this. He knew 17:25 >> But he felt trapped in this. He knew 17:25 >> But he felt trapped in this. He knew this was not his path. He was miserable, 17:27 this was not his path. He was miserable, 17:27 this was not his path. He was miserable, completely burned out, frankly, very 17:30 completely burned out, frankly, very 17:30 completely burned out, frankly, very depressed. His anxiety was through the 17:32 depressed. His anxiety was through the 17:32 depressed. His anxiety was through the roof. Although he was functioning at an 17:33 roof. Although he was functioning at an 17:33 roof. Although he was functioning at an elite level at home, there was nothing 17:35 elite level at home, there was nothing 17:35 elite level at home, there was nothing left of the person who I had married. 17:37 left of the person who I had married. 17:37 left of the person who I had married. >> How many how many doctors did you know 17:39 >> How many how many doctors did you know 17:39 >> How many how many doctors did you know in the system that were facing this same 17:41 in the system that were facing this same 17:41 in the system that were facing this same issue this burnout and just 17:42 issue this burnout and just 17:42 issue this burnout and just >> I don't I don't honestly know any 17:44 >> I don't I don't honestly know any 17:44 >> I don't I don't honestly know any doctors in the system who aren't facing 17:46 doctors in the system who aren't facing 17:46 doctors in the system who aren't facing because if it's it's there's two types 17:49 because if it's it's there's two types 17:49 because if it's it's there's two types of doctors in my opinion in that system 17:51 of doctors in my opinion in that system 17:52 of doctors in my opinion in that system in that sort of you know hamster wheel 17:54 in that sort of you know hamster wheel 17:54 in that sort of you know hamster wheel hamster wheel scenario where I truly 17:57 hamster wheel scenario where I truly 17:57 hamster wheel scenario where I truly believe there are doctors who are burned 17:59 believe there are doctors who are burned 17:59 believe there are doctors who are burned out and there are doctors who are going 18:01 out and there are doctors who are going 18:01 out and there are doctors who are going to be burned out. Yeah. 18:02 to be burned out. Yeah. 18:02 to be burned out. Yeah. >> And and it's just a matter of time and 18:05 >> And and it's just a matter of time and 18:05 >> And and it's just a matter of time and frustration. And if you're the type of 18:07 frustration. And if you're the type of 18:07 frustration. And if you're the type of person who wants to be an employee and 18:09 person who wants to be an employee and 18:09 person who wants to be an employee and wants to just go and make widgets, then 18:12 wants to just go and make widgets, then 18:12 wants to just go and make widgets, then maybe the traditional system is good for 18:14 maybe the traditional system is good for 18:14 maybe the traditional system is good for you. It's not good for anybody else, but 18:16 you. It's not good for anybody else, but 18:16 you. It's not good for anybody else, but maybe just for that type of doctor. 18:18 maybe just for that type of doctor. 18:18 maybe just for that type of doctor. >> That's not the type of doctor that I 18:20 >> That's not the type of doctor that I 18:20 >> That's not the type of doctor that I wanted to be. 18:21 wanted to be. 18:21 wanted to be. >> And so it was absolutely essential. 18:24 >> And so it was absolutely essential. 18:24 >> And so it was absolutely essential. >> But we meet doctors all the time because 18:26 >> But we meet doctors all the time because 18:26 >> But we meet doctors all the time because they feel like you're saying the golden 18:27 they feel like you're saying the golden 18:28 they feel like you're saying the golden handcuffs. So you've got to understand 18:29 handcuffs. So you've got to understand 18:30 handcuffs. So you've got to understand in order to be an orthopedic surgeon, it 18:33 in order to be an orthopedic surgeon, it 18:33 in order to be an orthopedic surgeon, it is a very hard residency and fellowship 18:35 is a very hard residency and fellowship 18:36 is a very hard residency and fellowship track to get to. So you have been 18:38 track to get to. So you have been 18:38 track to get to. So you have been fighting for 20 years to get to this 18:41 fighting for 20 years to get to this 18:41 fighting for 20 years to get to this position. And so now you're a decade 18:43 position. And so now you're a decade 18:44 position. And so now you're a decade into something that's put you a half a 18:46 into something that's put you a half a 18:46 into something that's put you a half a million dollars in debt. You didn't have 18:48 million dollars in debt. You didn't have 18:48 million dollars in debt. You didn't have your first real job until you were 30. 18:51 your first real job until you were 30. 18:51 your first real job until you were 30. And now you're a decade in and you're 18:53 And now you're a decade in and you're 18:53 And now you're a decade in and you're miserable. So you feel like it's your 18:55 miserable. So you feel like it's your 18:56 miserable. So you feel like it's your fault. 18:57 fault. 18:57 fault. >> You feel broken. not the system. And 18:59 >> You feel broken. not the system. And 18:59 >> You feel broken. not the system. And you're told that you you are broken. 19:01 you're told that you you are broken. 19:01 you're told that you you are broken. >> Yeah. 19:02 >> Yeah. 19:02 >> Yeah. >> And so what happens is they feel 19:04 >> And so what happens is they feel 19:04 >> And so what happens is they feel trapped. They feel hopeless because 19:07 trapped. They feel hopeless because 19:07 trapped. They feel hopeless because where are you going to get another job? 19:08 where are you going to get another job? 19:08 where are you going to get another job? What am I going to do? They're not 19:09 What am I going to do? They're not 19:09 What am I going to do? They're not trained in business. 19:11 trained in business. 19:11 trained in business. >> Yeah. 19:11 >> Yeah. 19:11 >> Yeah. >> Actually, I think intentionally, and 19:13 >> Actually, I think intentionally, and 19:13 >> Actually, I think intentionally, and this is I don't know, maybe between you 19:15 this is I don't know, maybe between you 19:15 this is I don't know, maybe between you and I, they're in medical school, 19:17 and I, they're in medical school, 19:17 and I, they're in medical school, they're told not to think about money or 19:19 they're told not to think about money or 19:19 they're told not to think about money or business. 19:20 business. 19:20 business. >> Why? Because they want you to go to the 19:21 >> Why? Because they want you to go to the 19:22 >> Why? Because they want you to go to the system, right? You don't have to worry 19:23 system, right? You don't have to worry 19:23 system, right? You don't have to worry about it. You can take it. 19:24 about it. You can take it. 19:24 about it. You can take it. >> And it's just crazy for a physician. and 19:27 >> And it's just crazy for a physician. and 19:27 >> And it's just crazy for a physician. and this is your livelihood. And what other 19:29 this is your livelihood. And what other 19:29 this is your livelihood. And what other place do you spend all of this money for 19:30 place do you spend all of this money for 19:30 place do you spend all of this money for training, become an elite expert, top of 19:33 training, become an elite expert, top of 19:33 training, become an elite expert, top of your field, and then told that you're 19:35 your field, and then told that you're 19:35 your field, and then told that you're not supposed to make money? Like, is it 19:38 not supposed to make money? Like, is it 19:38 not supposed to make money? Like, is it supposed to be a hobby? How is that 19:39 supposed to be a hobby? How is that 19:39 supposed to be a hobby? How is that possible? And so, I would say a lot of 19:42 possible? And so, I would say a lot of 19:42 possible? And so, I would say a lot of doctors, like you're saying, Tim, feel 19:44 doctors, like you're saying, Tim, feel 19:44 doctors, like you're saying, Tim, feel so trapped that they can't even vocalize 19:47 so trapped that they can't even vocalize 19:47 so trapped that they can't even vocalize it because there's a lot of shame 19:48 it because there's a lot of shame 19:48 it because there's a lot of shame involved. too. 19:50 involved. too. 19:50 involved. too. >> You've been sold one thing, wanted to be 19:52 >> You've been sold one thing, wanted to be 19:52 >> You've been sold one thing, wanted to be a physician, wanted to help people and 19:54 a physician, wanted to help people and 19:54 a physician, wanted to help people and be well respected, and now you're 19:56 be well respected, and now you're 19:56 be well respected, and now you're treated like a factory worker by a 19:58 treated like a factory worker by a 19:58 treated like a factory worker by a medical administrator who's dictating 20:01 medical administrator who's dictating 20:01 medical administrator who's dictating how you're going to treat your patients 20:02 how you're going to treat your patients 20:02 how you're going to treat your patients and what you're going to do. So, for me 20:04 and what you're going to do. So, for me 20:04 and what you're going to do. So, for me and us and and what I saw in my partner, 20:08 and us and and what I saw in my partner, 20:08 and us and and what I saw in my partner, we were lucky enough that in my medical 20:10 we were lucky enough that in my medical 20:10 we were lucky enough that in my medical history, I had seen I'd been doctor to 20:13 history, I had seen I'd been doctor to 20:13 history, I had seen I'd been doctor to doctor and I knew that the medical 20:16 doctor and I knew that the medical 20:16 doctor and I knew that the medical system was broken. So I had my own 20:17 system was broken. So I had my own 20:17 system was broken. So I had my own personal view on it and then watching my 20:21 personal view on it and then watching my 20:21 personal view on it and then watching my husband get broken by the system I said 20:24 husband get broken by the system I said 20:24 husband get broken by the system I said this for me I was like screw the golden 20:26 this for me I was like screw the golden 20:26 this for me I was like screw the golden handcuffs I don't need a golden 20:28 handcuffs I don't need a golden 20:28 handcuffs I don't need a golden parachute you have got to quit this or 20:31 parachute you have got to quit this or 20:31 parachute you have got to quit this or there's not going to be anything left of 20:32 there's not going to be anything left of 20:32 there's not going to be anything left of you. 20:33 you. 20:33 you. >> Mhm. 20:33 >> Mhm. 20:34 >> Mhm. >> And so we decided I said let's talk 20:37 >> And so we decided I said let's talk 20:37 >> And so we decided I said let's talk about what would you love 20:39 about what would you love 20:39 about what would you love >> what would you love 20:41 >> what would you love 20:41 >> what would you love in the Mary Moresy way. What would you 20:43 in the Mary Moresy way. What would you 20:43 in the Mary Moresy way. What would you love? How would you treat patients if 20:45 love? How would you treat patients if 20:45 love? How would you treat patients if you could really treat somebody? And he 20:47 you could really treat somebody? And he 20:47 you could really treat somebody? And he said, "I want to spend an hour with 20:49 said, "I want to spend an hour with 20:49 said, "I want to spend an hour with patients." 20:49 patients." 20:49 patients." >> Do you remember this? 20:50 >> Do you remember this? 20:50 >> Do you remember this? >> Mhm. 20:51 >> Mhm. 20:51 >> Mhm. >> I do. 20:52 >> I do. 20:52 >> I do. >> You want to talk to them about their 20:53 >> You want to talk to them about their 20:53 >> You want to talk to them about their health. You want to talk to them about 20:55 health. You want to talk to them about 20:55 health. You want to talk to them about what they want because nobody wants a 20:58 what they want because nobody wants a 20:58 what they want because nobody wants a knee replacement surgery. They want to 20:59 knee replacement surgery. They want to 20:59 knee replacement surgery. They want to get down and pick up their grandkids. 21:01 get down and pick up their grandkids. 21:02 get down and pick up their grandkids. >> Yeah. 21:02 >> Yeah. 21:02 >> Yeah. >> So, for us, the the journey was really 21:04 >> So, for us, the the journey was really 21:04 >> So, for us, the the journey was really one from, you know, what am I going to 21:05 one from, you know, what am I going to 21:06 one from, you know, what am I going to do next, right? Like, I don't And and so 21:09 do next, right? Like, I don't And and so 21:09 do next, right? Like, I don't And and so many doctors feel like I'm a one-trick 21:11 many doctors feel like I'm a one-trick 21:11 many doctors feel like I'm a one-trick pony. 21:11 pony. 21:11 pony. >> Yes. I only have this to offer 21:13 >> Yes. I only have this to offer 21:13 >> Yes. I only have this to offer especially if you spent a lot of time in 21:15 especially if you spent a lot of time in 21:15 especially if you spent a lot of time in your specialty and if you're highly 21:17 your specialty and if you're highly 21:17 your specialty and if you're highly trained in it like a fellow and so when 21:19 trained in it like a fellow and so when 21:19 trained in it like a fellow and so when we when there was a lot of resistance to 21:21 we when there was a lot of resistance to 21:21 we when there was a lot of resistance to me internally making these changes 21:24 me internally making these changes 21:24 me internally making these changes luckily you know I have a a partner and 21:27 luckily you know I have a a partner and 21:27 luckily you know I have a a partner and a mission that helped me make these 21:29 a mission that helped me make these 21:30 a mission that helped me make these changes in myself internally. But for us 21:31 changes in myself internally. But for us 21:31 changes in myself internally. But for us what we did was we started a private 21:33 what we did was we started a private 21:33 what we did was we started a private practice 21:34 practice 21:34 practice and we quickly learned that the 21:36 and we quickly learned that the 21:36 and we quickly learned that the traditional insurance game was not going 21:38 traditional insurance game was not going 21:38 traditional insurance game was not going to work. 21:38 to work. 21:38 to work. >> And and and you did this while you were 21:40 >> And and and you did this while you were 21:40 >> And and and you did this while you were still working at the hospital correct? 21:41 still working at the hospital correct? 21:41 still working at the hospital correct? Yeah. So, we started in 2022. We started 21:44 Yeah. So, we started in 2022. We started 21:44 Yeah. So, we started in 2022. We started planning our practice and we opened 21:45 planning our practice and we opened 21:46 planning our practice and we opened January of 2023. Okay. 21:48 January of 2023. Okay. 21:48 January of 2023. Okay. >> Well, and you left the hospital on that 21:49 >> Well, and you left the hospital on that 21:49 >> Well, and you left the hospital on that day. 21:50 day. 21:50 day. >> Yeah, I left the hospital. I left the 21:51 >> Yeah, I left the hospital. I left the 21:51 >> Yeah, I left the hospital. I left the hospital at the end of January 202 21:53 hospital at the end of January 202 21:53 hospital at the end of January 202 because remember the hospital is not 21:55 because remember the hospital is not 21:55 because remember the hospital is not going to allow an employee physician to 21:57 going to allow an employee physician to 21:57 going to allow an employee physician to open their own thing, right? And it was 21:58 open their own thing, right? And it was 21:58 open their own thing, right? And it was the whole thing. They tried to Yeah. 22:00 the whole thing. They tried to Yeah. 22:00 the whole thing. They tried to Yeah. They tried to enforce a no compete 22:02 They tried to enforce a no compete 22:02 They tried to enforce a no compete clause and and at that time, no compete 22:04 clause and and at that time, no compete 22:04 clause and and at that time, no compete clauses still were not enforced. So they 22:08 clauses still were not enforced. So they 22:08 clauses still were not enforced. So they there's a whole lot of friction that 22:09 there's a whole lot of friction that 22:09 there's a whole lot of friction that your employed practice will will will 22:11 your employed practice will will will 22:11 your employed practice will will will create. So there's that friction that 22:13 create. So there's that friction that 22:13 create. So there's that friction that the system puts on you. There's the 22:15 the system puts on you. There's the 22:15 the system puts on you. There's the friction that you put on yourself and 22:17 friction that you put on yourself and 22:17 friction that you put on yourself and and those things combined to make it 22:19 and those things combined to make it 22:19 and those things combined to make it feel insurmountable. But it's really 22:21 feel insurmountable. But it's really 22:21 feel insurmountable. But it's really quite simple. I mean you just do you 22:23 quite simple. I mean you just do you 22:23 quite simple. I mean you just do you just you know your why, not necessarily 22:26 just you know your why, not necessarily 22:26 just you know your why, not necessarily your what like not necessarily your how. 22:28 your what like not necessarily your how. 22:28 your what like not necessarily your how. You know what you want to do. You know 22:29 You know what you want to do. You know 22:29 You know what you want to do. You know why you want to do it 22:30 why you want to do it 22:30 why you want to do it >> and you don't need to know how you how 22:32 >> and you don't need to know how you how 22:32 >> and you don't need to know how you how you're actually going to do it. There's 22:33 you're actually going to do it. There's 22:33 you're actually going to do it. There's lots of resources you and JJ and and 22:37 lots of resources you and JJ and and 22:37 lots of resources you and JJ and and health business growth collective 22:38 health business growth collective 22:38 health business growth collective there's there are so many wonderful 22:40 there's there are so many wonderful 22:40 there's there are so many wonderful masterminds that can give you absolutely
Pinnacle Method and Patient Outcomes 22:42 masterminds that can give you absolutely 22:42 masterminds that can give you absolutely a stepbystep road map of how to make 22:45 a stepbystep road map of how to make 22:45 a stepbystep road map of how to make this happen. 22:46 this happen. 22:46 this happen. >> Um that is something that we discovered 22:49 >> Um that is something that we discovered 22:49 >> Um that is something that we discovered after some trial and error. So I would 22:51 after some trial and error. So I would 22:51 after some trial and error. So I would urge docs who are thinking about doing 22:53 urge docs who are thinking about doing 22:53 urge docs who are thinking about doing this to one go and get it done 22:57 this to one go and get it done 22:57 this to one go and get it done >> you know make it happen and two seek 22:58 >> you know make it happen and two seek 22:58 >> you know make it happen and two seek some resources and this is a great place 23:00 some resources and this is a great place 23:00 some resources and this is a great place to start. 23:01 to start. 23:01 to start. >> Yeah. Yeah. 23:02 >> Yeah. Yeah. 23:02 >> Yeah. Yeah. >> Yeah. I mean I know that if you're 23:05 >> Yeah. I mean I know that if you're 23:05 >> Yeah. I mean I know that if you're putting the patient first and real 23:07 putting the patient first and real 23:07 putting the patient first and real science first and not just our western 23:10 science first and not just our western 23:10 science first and not just our western idea but arurvedic Chinese medicine 23:13 idea but arurvedic Chinese medicine 23:13 idea but arurvedic Chinese medicine movement somatic understanding how much 23:16 movement somatic understanding how much 23:16 movement somatic understanding how much our mind has a role in how our body 23:19 our mind has a role in how our body 23:19 our mind has a role in how our body heals 23:21 heals 23:21 heals if you make that the center the business 23:23 if you make that the center the business 23:23 if you make that the center the business part will follow. 23:24 part will follow. 23:24 part will follow. >> Yeah. Yeah. 23:25 >> Yeah. Yeah. 23:25 >> Yeah. Yeah. >> The basic business principles are the 23:27 >> The basic business principles are the 23:27 >> The basic business principles are the same everywhere really right. I mean 23:30 same everywhere really right. I mean 23:30 same everywhere really right. I mean that I know from going to restaurants 23:32 that I know from going to restaurants 23:32 that I know from going to restaurants into our practice that part was for me 23:35 into our practice that part was for me 23:35 into our practice that part was for me easy. I know it was a big learning curve 23:38 easy. I know it was a big learning curve 23:38 easy. I know it was a big learning curve for you but you stayed in your genius in 23:41 for you but you stayed in your genius in 23:41 for you but you stayed in your genius in medicine and created a system that 23:44 medicine and created a system that 23:44 medicine and created a system that really changed changed the way that you 23:47 really changed changed the way that you 23:47 really changed changed the way that you perceive. So how many surgeries do you 23:49 perceive. So how many surgeries do you 23:49 perceive. So how many surgeries do you do now versus the thousand a year that 23:51 do now versus the thousand a year that 23:51 do now versus the thousand a year that you used to do? 23:51 you used to do? 23:51 you used to do? >> I don't do I haven't done surgery in a 23:53 >> I don't do I haven't done surgery in a 23:53 >> I don't do I haven't done surgery in a year. You my focus is really Yeah. 23:55 year. You my focus is really Yeah. 23:55 year. You my focus is really Yeah. >> Yeah. Exactly. 23:56 >> Yeah. Exactly. 23:56 >> Yeah. Exactly. >> Yeah. So I stopped. 23:57 >> Yeah. So I stopped. 23:57 >> Yeah. So I stopped. >> Perfect. 23:59 >> Perfect. 23:59 >> Perfect. And and we're the big surgeons out 24:00 And and we're the big surgeons out 24:00 And and we're the big surgeons out there. You don't have to stop making 24:01 there. You don't have to stop making 24:01 there. You don't have to stop making money. How are you two making money? How 24:04 money. How are you two making money? How 24:04 money. How are you two making money? How long? So, we stopped we stopped doing 24:06 long? So, we stopped we stopped doing 24:06 long? So, we stopped we stopped doing surgery and my goal was to exit a system 24:08 surgery and my goal was to exit a system 24:08 surgery and my goal was to exit a system that I saw was broken. And and in my 24:11 that I saw was broken. And and in my 24:11 that I saw was broken. And and in my particular market, it's really difficult 24:13 particular market, it's really difficult 24:13 particular market, it's really difficult to do any surgery at any center there 24:16 to do any surgery at any center there 24:16 to do any surgery at any center there without taking traditional insurance. 24:18 without taking traditional insurance. 24:18 without taking traditional insurance. So, that did sort of drive us to to not 24:21 So, that did sort of drive us to to not 24:21 So, that did sort of drive us to to not want to do surgery. And I also saw such 24:25 want to do surgery. And I also saw such 24:25 want to do surgery. And I also saw such a great benefit to doing regenerative 24:27 a great benefit to doing regenerative 24:27 a great benefit to doing regenerative orthopedics. Right? So we focus on 24:30 orthopedics. Right? So we focus on 24:30 orthopedics. Right? So we focus on holistic health and integrative 24:32 holistic health and integrative 24:32 holistic health and integrative orthopedics is I a a wonderful 24:36 orthopedics is I a a wonderful 24:36 orthopedics is I a a wonderful combination of integrative medicine and 24:38 combination of integrative medicine and 24:38 combination of integrative medicine and muscularkeeletal care. So we use we use 24:42 muscularkeeletal care. So we use we use 24:42 muscularkeeletal care. So we use we use hormones and gut health and diagnostics, 24:45 hormones and gut health and diagnostics, 24:45 hormones and gut health and diagnostics, lab testing and lifestyle change, 24:48 lab testing and lifestyle change, 24:48 lab testing and lifestyle change, movement, strengthening combined with 24:50 movement, strengthening combined with 24:50 movement, strengthening combined with regenerative medicine like stem cell and 24:52 regenerative medicine like stem cell and 24:52 regenerative medicine like stem cell and PRP to heal people's joint pain. 24:54 PRP to heal people's joint pain. 24:54 PRP to heal people's joint pain. >> And our goal is really to prevent 24:57 >> And our goal is really to prevent 24:57 >> And our goal is really to prevent surgeries, particularly joint 24:59 surgeries, particularly joint 24:59 surgeries, particularly joint replacement surgeries because these can 25:00 replacement surgeries because these can 25:00 replacement surgeries because these can be so damaging. So that's that's how we 25:02 be so damaging. So that's that's how we 25:02 be so damaging. So that's that's how we make money. 25:03 make money. 25:03 make money. >> Yeah. 25:04 >> Yeah. 25:04 >> Yeah. >> So So how are you doing this in a 25:05 >> So So how are you doing this in a 25:05 >> So So how are you doing this in a community that it's not it's not a 25:08 community that it's not it's not a 25:08 community that it's not it's not a wealthy community, right? It's like, 25:10 wealthy community, right? It's like, 25:10 wealthy community, right? It's like, let's be honest, right? It's a it's a 25:12 let's be honest, right? It's a it's a 25:12 let's be honest, right? It's a it's a community that is a very bluecollar, 25:14 community that is a very bluecollar, 25:14 community that is a very bluecollar, >> smaller town, North Texas, very 25:17 >> smaller town, North Texas, very 25:17 >> smaller town, North Texas, very conservative. It's not like we're in 25:18 conservative. It's not like we're in 25:18 conservative. It's not like we're in California and there's a bunch of people 25:20 California and there's a bunch of people 25:20 California and there's a bunch of people interested in in alternative medicine. 25:22 interested in in alternative medicine. 25:22 interested in in alternative medicine. Right. 25:22 Right. 25:22 Right. >> Right. 25:23 >> Right. 25:23 >> Right. >> But what I can tell you is that being an 25:25 >> But what I can tell you is that being an 25:25 >> But what I can tell you is that being an excellent trusted surgeon, 25:27 excellent trusted surgeon, 25:27 excellent trusted surgeon, >> his patients know that in spending that 25:30 >> his patients know that in spending that 25:30 >> his patients know that in spending that time with them that he cares. And also 25:33 time with them that he cares. And also 25:33 time with them that he cares. And also we have we have treated I guess we're on 25:36 we have we have treated I guess we're on 25:36 we have we have treated I guess we're on like 500 patients now in what we call 25:38 like 500 patients now in what we call 25:38 like 500 patients now in what we call the pinnacle method. So we have proven 25:41 the pinnacle method. So we have proven 25:41 the pinnacle method. So we have proven that we can heal your joint pain without 25:44 that we can heal your joint pain without 25:44 that we can heal your joint pain without steroids, without narcotics and without 25:48 steroids, without narcotics and without 25:48 steroids, without narcotics and without surgery. And so we have patients who are 25:51 surgery. And so we have patients who are 25:51 surgery. And so we have patients who are years after the treatment doing better 25:53 years after the treatment doing better 25:53 years after the treatment doing better than they've ever done because the 25:55 than they've ever done because the 25:55 than they've ever done because the system like you were saying Josh is it 25:58 system like you were saying Josh is it 25:58 system like you were saying Josh is it it really looks at if we can get why why 26:02 it really looks at if we can get why why 26:02 it really looks at if we can get why why do you have that inflammation in your 26:03 do you have that inflammation in your 26:03 do you have that inflammation in your knee? Where is that pain coming from? If 26:06 knee? Where is that pain coming from? If 26:06 knee? Where is that pain coming from? If it's not a an injury from a tear, if 26:08 it's not a an injury from a tear, if 26:08 it's not a an injury from a tear, if this is just if this is arthritis or 26:11 this is just if this is arthritis or 26:11 this is just if this is arthritis or inflammation that's causing the pain 26:12 inflammation that's causing the pain 26:12 inflammation that's causing the pain which is very painful and real and is 26:14 which is very painful and real and is 26:14 which is very painful and real and is going to continue to get worse, what do 26:16 going to continue to get worse, what do 26:16 going to continue to get worse, what do we do about it? And of course we he 26:18 we do about it? And of course we he 26:18 we do about it? And of course we he treats the joint itself, but he creates 26:20 treats the joint itself, but he creates 26:20 treats the joint itself, but he creates an environment in the joint that becomes 26:24 an environment in the joint that becomes 26:24 an environment in the joint that becomes healthier and turns your body's own 26:26 healthier and turns your body's own 26:26 healthier and turns your body's own natural ability to heal itself back on. 26:29 natural ability to heal itself back on. 26:29 natural ability to heal itself back on. >> And so that method that proprietary 26:31 >> And so that method that proprietary 26:31 >> And so that method that proprietary method that Josh has developed over the 26:33 method that Josh has developed over the 26:33 method that Josh has developed over the last 3 years, that's he doesn't have to 26:35 last 3 years, that's he doesn't have to 26:35 last 3 years, that's he doesn't have to do surgery because guess what? His 26:37 do surgery because guess what? His 26:37 do surgery because guess what? His patients get better without it. 26:40 patients get better without it. 26:40 patients get better without it. >> There's always going to be a percent of 26:43 >> There's always going to be a percent of 26:43 >> There's always going to be a percent of people who are going to benefit from an 26:44 people who are going to benefit from an 26:44 people who are going to benefit from an orthopedic surgery. 26:46 orthopedic surgery. 26:46 orthopedic surgery. But but if you look at the surgeries 26:49 But but if you look at the surgeries 26:49 But but if you look at the surgeries that we do now for a lot of different 26:52 that we do now for a lot of different 26:52 that we do now for a lot of different reasons, 26:53 reasons, 26:53 reasons, a good percent of them, maybe even 30 26:56 a good percent of them, maybe even 30 26:56 a good percent of them, maybe even 30 and 40% are not necessary. Either not 26:59 and 40% are not necessary. Either not 26:59 and 40% are not necessary. Either not necessary at all or not necessary now. 27:01 necessary at all or not necessary now. 27:01 necessary at all or not necessary now. Uh as of 2018, about 33 to 36% of knee 27:05 Uh as of 2018, about 33 to 36% of knee 27:05 Uh as of 2018, about 33 to 36% of knee replacements in particular were done 27:08 replacements in particular were done 27:08 replacements in particular were done unnecessarily, which means the joint 27:10 unnecessarily, which means the joint 27:10 unnecessarily, which means the joint wasn't ready for surgery. And this leads 27:12 wasn't ready for surgery. And this leads 27:12 wasn't ready for surgery. And this leads to younger and younger people getting 27:14 to younger and younger people getting 27:14 to younger and younger people getting surgery which leads to more and more 27:17 surgery which leads to more and more 27:17 surgery which leads to more and more downstream problems with health, need 27:19 downstream problems with health, need 27:19 downstream problems with health, need for additional surgeries or revisions. 27:22 for additional surgeries or revisions. 27:22 for additional surgeries or revisions. Risks of complications are actually 27:23 Risks of complications are actually 27:24 Risks of complications are actually higher in young patients especially with 27:26 higher in young patients especially with 27:26 higher in young patients especially with joint replacement. And so that's a 27:27 joint replacement. And so that's a 27:27 joint replacement. And so that's a really concerning that's a really 27:29 really concerning that's a really 27:29 really concerning that's a really concerning trend in the United States 27:31 concerning trend in the United States 27:32 concerning trend in the United States that we you know you your orthopedic 27:36 that we you know you your orthopedic 27:36 that we you know you your orthopedic surgeon has a a hammer and everything 27:38 surgeon has a a hammer and everything 27:38 surgeon has a a hammer and everything looks like a nail, right? That's not the 27:40 looks like a nail, right? That's not the 27:40 looks like a nail, right? That's not the way we do. I watch I saw a sign on the 27:42 way we do. I watch I saw a sign on the 27:42 way we do. I watch I saw a sign on the way here that's it that was for a health 27:45 way here that's it that was for a health 27:45 way here that's it that was for a health care system and it said 27:46 care system and it said 27:46 care system and it said >> your treatment is our priority. And I 27:49 >> your treatment is our priority. And I 27:49 >> your treatment is our priority. And I thought to myself, well, shouldn't that 27:52 thought to myself, well, shouldn't that 27:52 thought to myself, well, shouldn't that be your health is our priority? Your 27:54 be your health is our priority? Your 27:54 be your health is our priority? Your wellness is our priority. But I think it 27:56 wellness is our priority. But I think it 27:56 wellness is our priority. But I think it speaks to the the entire idea of the 27:59 speaks to the the entire idea of the 27:59 speaks to the the entire idea of the traditional system is guess what? Your 28:01 traditional system is guess what? Your 28:01 traditional system is guess what? Your procedure really is their priority 28:03 procedure really is their priority 28:03 procedure really is their priority >> with with Yeah. Your treatment is great 28:05 >> with with Yeah. Your treatment is great 28:05 >> with with Yeah. Your treatment is great for our bottom line. 28:06 for our bottom line. 28:06 for our bottom line. >> Yeah. So, and so for us, [laughter] 28:08 >> Yeah. So, and so for us, [laughter] 28:08 >> Yeah. So, and so for us, [laughter] >> yeah, your treatment is not our 28:10 >> yeah, your treatment is not our 28:10 >> yeah, your treatment is not our priority. Your health and wellness, your 28:12 priority. Your health and wellness, your 28:12 priority. Your health and wellness, your overall well-being, your ability to to 28:14 overall well-being, your ability to to 28:14 overall well-being, your ability to to >> Yeah. 28:14 >> Yeah. 28:14 >> Yeah. >> to play with your grandkids and to and 28:17 >> to play with your grandkids and to and 28:17 >> to play with your grandkids and to and to lose that weight and to and to not 28:20 to lose that weight and to and to not 28:20 to lose that weight and to and to not suffer from type 2 diabetes. That's our 28:22 suffer from type 2 diabetes. That's our 28:22 suffer from type 2 diabetes. That's our priority. 28:22 priority. 28:22 priority. >> Right. And also, you came out of the 28:24 >> Right. And also, you came out of the 28:24 >> Right. And also, you came out of the airport scanners as well, right? They 28:25 airport scanners as well, right? They 28:25 airport scanners as well, right? They can walk through and they can about 28:28 can walk through and they can about 28:28 can walk through and they can about metal detectors, none of that stuff. I 28:30 metal detectors, none of that stuff. I 28:30 metal detectors, none of that stuff. I mean, 28:31 mean, 28:31 mean, >> yeah. None of that stuff. 28:33 >> yeah. None of that stuff. 28:33 >> yeah. None of that stuff. >> It's pretty incredible. It's incredible 28:35 >> It's pretty incredible. It's incredible 28:35 >> It's pretty incredible. It's incredible to see the change, not only in you, 28:39 to see the change, not only in you, 28:39 to see the change, not only in you, Josh, but in our patients, 28:41 Josh, but in our patients, 28:41 Josh, but in our patients, >> how just people who couldn't walk 28:44 >> how just people who couldn't walk 28:44 >> how just people who couldn't walk without walkers now are I'll run into 28:48 without walkers now are I'll run into 28:48 without walkers now are I'll run into them at the grocery store cuz we are in 28:49 them at the grocery store cuz we are in 28:49 them at the grocery store cuz we are in a small town. They're showing me how 28:51 a small town. They're showing me how 28:51 a small town. They're showing me how they can squat. 28:52 they can squat. 28:52 they can squat. >> Oh, wow. Picking up their legs and I was 28:54 >> Oh, wow. Picking up their legs and I was 28:54 >> Oh, wow. Picking up their legs and I was like, "Oh, Betty, honey, we're at the 28:55 like, "Oh, Betty, honey, we're at the 28:56 like, "Oh, Betty, honey, we're at the grocery store." [laughter] 28:57 grocery store." [laughter] 28:57 grocery store." [laughter] >> Wow. That must be like boom. Like that 29:00 >> Wow. That must be like boom. Like that 29:00 >> Wow. That must be like boom. Like that mark just like 29:00 mark just like 29:00 mark just like >> it's it's feels so good. I imagine 29:03 >> it's it's feels so good. I imagine 29:03 >> it's it's feels so good. I imagine >> and being being a doctor in a small town 29:05 >> and being being a doctor in a small town 29:05 >> and being being a doctor in a small town I think is a is a classic way to do it. 29:07 I think is a is a classic way to do it. 29:07 I think is a is a classic way to do it. You you there's nowhere to hide. You get 29:09 You you there's nowhere to hide. You get 29:09 You you there's nowhere to hide. You get to see your patients under there. 29:10 to see your patients under there. 29:10 to see your patients under there. [laughter] 29:11 [laughter] 29:11 [laughter] >> The good and the bad, right? It's like 29:12 >> The good and the bad, right? It's like 29:12 >> The good and the bad, right? It's like that thing didn't work that you put in 29:14 that thing didn't work that you put in 29:14 that thing didn't work that you put in me, 29:14 me, 29:14 me, >> right? And luckily luckily I haven't had 29:16 >> right? And luckily luckily I haven't had 29:16 >> right? And luckily luckily I haven't had very you know I had a very low 29:18 very you know I had a very low 29:18 very you know I had a very low complication rate. It's not like I 29:19 complication rate. It's not like I 29:20 complication rate. It's not like I stopped doing surgery because I wasn't 29:21 stopped doing surgery because I wasn't 29:21 stopped doing surgery because I wasn't good at it. 29:22 good at it. 29:22 good at it. >> I was tremendously 29:23 >> I was tremendously 29:23 >> I was tremendously >> very good at it. 29:24 >> very good at it. 29:24 >> very good at it. >> Yeah. Yeah. And but but this is a better 29:27 >> Yeah. Yeah. And but but this is a better 29:27 >> Yeah. Yeah. And but but this is a better way to do it and this is a better way to 29:29 way to do it and this is a better way to 29:29 way to do it and this is a better way to do medicine. 29:30 do medicine. 29:30 do medicine. >> Yeah. Yeah. So, how is the how's the 29:34 >> Yeah. Yeah. So, how is the how's the 29:34 >> Yeah. Yeah. So, how is the how's the system reacting to what you're doing? I 29:35 system reacting to what you're doing? I 29:35 system reacting to what you're doing? I imagine there's not a whole lot of you 29:37 imagine there's not a whole lot of you 29:37 imagine there's not a whole lot of you in the community that's doing what
Why the Traditional System Fails Patients 29:39 in the community that's doing what 29:39 in the community that's doing what you're doing that's kind of broken free. 29:41 you're doing that's kind of broken free. 29:41 you're doing that's kind of broken free. I don't know if there's other if there's 29:42 I don't know if there's other if there's 29:42 I don't know if there's other if there's functional medicine docs in your 29:43 functional medicine docs in your 29:43 functional medicine docs in your community and they're starting to see 29:45 community and they're starting to see 29:45 community and they're starting to see your model and starting to duplicate it. 29:47 your model and starting to duplicate it. 29:47 your model and starting to duplicate it. Like what has this created in your in 29:49 Like what has this created in your in 29:49 Like what has this created in your in your community? 29:50 your community? 29:50 your community? >> Well, first there's a lot of resistance 29:52 >> Well, first there's a lot of resistance 29:52 >> Well, first there's a lot of resistance both in ourselves for leaving the 29:54 both in ourselves for leaving the 29:54 both in ourselves for leaving the traditional system. We also have this 29:55 traditional system. We also have this 29:55 traditional system. We also have this idea that our colleagues are going to, 29:57 idea that our colleagues are going to, 29:57 idea that our colleagues are going to, you know, are going to see that think 29:59 you know, are going to see that think 29:59 you know, are going to see that think that we're crazy or quacks or that we're 30:00 that we're crazy or quacks or that we're 30:00 that we're crazy or quacks or that we're doing stuff that's, you know, not 30:02 doing stuff that's, you know, not 30:02 doing stuff that's, you know, not approved. And and to some extent that's 30:05 approved. And and to some extent that's 30:05 approved. And and to some extent that's true. I I did suffer that from from my 30:08 true. I I did suffer that from from my 30:08 true. I I did suffer that from from my colleagues, you know, referring doctors 30:10 colleagues, you know, referring doctors 30:10 colleagues, you know, referring doctors who'd send people to be, you know, sent 30:13 who'd send people to be, you know, sent 30:13 who'd send people to be, you know, sent people to me for years or telling their 30:15 people to me for years or telling their 30:15 people to me for years or telling their patients, don't go see him. He doesn't 30:16 patients, don't go see him. He doesn't 30:16 patients, don't go see him. He doesn't take insurance. Like it's not a it's not 30:19 take insurance. Like it's not a it's not 30:19 take insurance. Like it's not a it's not a don't go see him, he's a quack 30:22 a don't go see him, he's a quack 30:22 a don't go see him, he's a quack doctor. He's going to take your money. 30:24 doctor. He's going to take your money. 30:24 doctor. He's going to take your money. Don't go see him. He doesn't take 30:26 Don't go see him. He doesn't take 30:26 Don't go see him. He doesn't take insurance. 30:27 insurance. 30:27 insurance. >> What a That's so ridiculous. 30:30 >> What a That's so ridiculous. 30:30 >> What a That's so ridiculous. >> Let's just analyze that statement here 30:31 >> Let's just analyze that statement here 30:31 >> Let's just analyze that statement here again. Like because he doesn't take 30:34 again. Like because he doesn't take 30:34 again. Like because he doesn't take insurance. Like 30:35 insurance. Like 30:35 insurance. Like >> like that dictates like the brain is 30:37 >> like that dictates like the brain is 30:37 >> like that dictates like the brain is like I can't like you said Amber 30:39 like I can't like you said Amber 30:39 like I can't like you said Amber earlier. It's like if it doesn't take 30:41 earlier. It's like if it doesn't take 30:41 earlier. It's like if it doesn't take any insurance is not a real medicine. 30:42 any insurance is not a real medicine. 30:42 any insurance is not a real medicine. Right. 30:43 Right. 30:43 Right. >> That's right. So we've we've fooled 30:45 >> That's right. So we've we've fooled 30:45 >> That's right. So we've we've fooled ourselves and our patients into thinking 30:46 ourselves and our patients into thinking 30:46 ourselves and our patients into thinking that that their health and their 30:49 that that their health and their 30:49 that that their health and their well-being and their wellness is worth a 30:50 well-being and their wellness is worth a 30:50 well-being and their wellness is worth a $20 co-ay. 30:51 $20 co-ay. 30:51 $20 co-ay. >> Yeah. And when you ask people like 30:53 >> Yeah. And when you ask people like 30:53 >> Yeah. And when you ask people like what's the value of your health? It's 30:55 what's the value of your health? It's 30:55 what's the value of your health? It's infinite, right? Like it's at least more 30:57 infinite, right? Like it's at least more 30:57 infinite, right? Like it's at least more than a cybert truck, which is a $100,000 30:59 than a cybert truck, which is a $100,000 30:59 than a cybert truck, which is a $100,000 truck that's not actually bulletproof, 31:01 truck that's not actually bulletproof, 31:01 truck that's not actually bulletproof, right? 31:03 right? 31:03 right? >> But but what I mean is is like people 31:07 >> But but what I mean is is like people 31:07 >> But but what I mean is is like people are willing and in most cases able to 31:10 are willing and in most cases able to 31:10 are willing and in most cases able to invest in their health, especially if 31:12 invest in their health, especially if 31:12 invest in their health, especially if it's something reasonable that creates 31:14 it's something reasonable that creates 31:14 it's something reasonable that creates real transformation in them. And so the 31:16 real transformation in them. And so the 31:16 real transformation in them. And so the whole he doesn't take insurance thing 31:18 whole he doesn't take insurance thing 31:18 whole he doesn't take insurance thing was really you know that that's just 31:20 was really you know that that's just 31:20 was really you know that that's just super super ridiculous. 31:23 super super ridiculous. 31:23 super super ridiculous. There is a reaction from the traditional 31:25 There is a reaction from the traditional 31:25 There is a reaction from the traditional system when you leave it and it is it 31:27 system when you leave it and it is it 31:27 system when you leave it and it is it but it is not one it's totally one that 31:30 but it is not one it's totally one that 31:30 but it is not one it's totally one that can be overcome with emission. 31:32 can be overcome with emission. 31:32 can be overcome with emission. Our patients come to us outside of 31:35 Our patients come to us outside of 31:35 Our patients come to us outside of referrals. They come to us of their own 31:37 referrals. They come to us of their own 31:37 referrals. They come to us of their own valition. Right. And and so when we have 31:39 valition. Right. And and so when we have 31:39 valition. Right. And and so when we have interactions with we consistently hear 31:42 interactions with we consistently hear 31:42 interactions with we consistently hear every day how much we change people's 31:44 every day how much we change people's 31:44 every day how much we change people's lives and how they've never experienced 31:46 lives and how they've never experienced 31:46 lives and how they've never experienced an a a doctor's office like ours and how 31:50 an a a doctor's office like ours and how 31:50 an a a doctor's office like ours and how they're so grateful that somebody does 31:53 they're so grateful that somebody does 31:53 they're so grateful that somebody does this for them. So to the last part of 31:55 this for them. So to the last part of 31:55 this for them. So to the last part of your question, are other providers in 31:57 your question, are other providers in 31:57 your question, are other providers in Witchto Falls starting to offer? Since 31:59 Witchto Falls starting to offer? Since 31:59 Witchto Falls starting to offer? Since we started our practice, 32:00 we started our practice, 32:00 we started our practice, >> we've had people start to, you know, a 32:03 >> we've had people start to, you know, a 32:03 >> we've had people start to, you know, a lot of my colleagues are now offering 32:05 lot of my colleagues are now offering 32:05 lot of my colleagues are now offering very basic regenerative medicine. 32:09 very basic regenerative medicine. 32:09 very basic regenerative medicine. Yeah, it seems to be one trick pony in 32:10 Yeah, it seems to be one trick pony in 32:10 Yeah, it seems to be one trick pony in the systems, right? It's like PRP. Like 32:12 the systems, right? It's like PRP. Like 32:12 the systems, right? It's like PRP. Like it's like it's like the hammer and the 32:13 it's like it's like the hammer and the 32:14 it's like it's like the hammer and the nail, right? It's like PRP, PRP, PRP. 32:15 nail, right? It's like PRP, PRP, PRP. 32:16 nail, right? It's like PRP, PRP, PRP. Like it's 32:16 Like it's 32:16 Like it's >> and people wonder why it doesn't work. 32:18 >> and people wonder why it doesn't work. 32:18 >> and people wonder why it doesn't work. you you use PRP, but don't you you don't 32:20 you you use PRP, but don't you you don't 32:20 you you use PRP, but don't you you don't optimize the body to use its ability to 32:22 optimize the body to use its ability to 32:22 optimize the body to use its ability to heal to the maximum effect and it and 32:24 heal to the maximum effect and it and 32:24 heal to the maximum effect and it and nothing works. So, they're they're doing 32:27 nothing works. So, they're they're doing 32:27 nothing works. So, they're they're doing it. They're coming along. We are seeing 32:29 it. They're coming along. We are seeing 32:29 it. They're coming along. We are seeing more kind of sort of functional 32:31 more kind of sort of functional 32:31 more kind of sort of functional providers out there, which I think is 32:32 providers out there, which I think is 32:32 providers out there, which I think is encouraging. It's 32:34 encouraging. It's 32:34 encouraging. It's >> I don't see it as a source of 32:35 >> I don't see it as a source of 32:35 >> I don't see it as a source of competition. I see it as a wonderful 32:37 competition. I see it as a wonderful 32:37 competition. I see it as a wonderful resource for the community. 32:38 resource for the community. 32:38 resource for the community. >> Yeah. Yeah. It's a plus one to 32:39 >> Yeah. Yeah. It's a plus one to 32:39 >> Yeah. Yeah. It's a plus one to everything that's going on. It's 32:40 everything that's going on. It's 32:40 everything that's going on. It's starting to it's starting to lighten the 32:42 starting to it's starting to lighten the 32:42 starting to it's starting to lighten the community that there is a different way 32:44 community that there is a different way 32:44 community that there is a different way >> Yeah. 32:45 >> Yeah. 32:45 >> Yeah. >> of of of improving your health, right? 32:46 >> of of of improving your health, right? 32:46 >> of of of improving your health, right? And it and it starts with lifestyle, 32:49 And it and it starts with lifestyle, 32:49 And it and it starts with lifestyle, >> right? 32:49 >> right? 32:49 >> right? >> That's the most important part. 32:51 >> That's the most important part. 32:51 >> That's the most important part. >> The most important and something that 32:53 >> The most important and something that 32:53 >> The most important and something that doctors aren't even educated about on 32:55 doctors aren't even educated about on 32:55 doctors aren't even educated about on medical school. 32:56 medical school. 32:56 medical school. >> Yeah. 32:57 >> Yeah. 32:57 >> Yeah. >> When I went to medical school, I had a 32:59 >> When I went to medical school, I had a 32:59 >> When I went to medical school, I had a cardiologist tell me that that statins 33:01 cardiologist tell me that that statins 33:01 cardiologist tell me that that statins should be in the water 33:02 should be in the water 33:02 should be in the water >> in a lecture. 33:03 >> in a lecture. 33:03 >> in a lecture. >> Oh, it works. [laughter] 33:05 >> Oh, it works. [laughter] 33:05 >> Oh, it works. [laughter] >> There's enough stuff in the water. You 33:07 >> There's enough stuff in the water. You 33:07 >> There's enough stuff in the water. You should not be drinking stuff in the 33:08 should not be drinking stuff in the 33:08 should not be drinking stuff in the water. We don't need a stat in the 33:09 water. We don't need a stat in the 33:09 water. We don't need a stat in the water. 33:11 water. 33:11 water. And then the second thing that I had was 33:12 And then the second thing that I had was 33:12 And then the second thing that I had was a lecture from some consultant that that 33:15 a lecture from some consultant that that 33:15 a lecture from some consultant that that doctors had an obligation to take care 33:17 doctors had an obligation to take care 33:17 doctors had an obligation to take care of patients and not worry about 33:19 of patients and not worry about 33:19 of patients and not worry about business, right? Like we, you know, we 33:20 business, right? Like we, you know, we 33:20 business, right? Like we, you know, we shouldn't we shouldn't worry about how 33:22 shouldn't we shouldn't worry about how 33:22 shouldn't we shouldn't worry about how much it costs. We should be just be able 33:24 much it costs. We should be just be able 33:24 much it costs. We should be just be able to to give this service and it's our 33:26 to to give this service and it's our 33:26 to to give this service and it's our calling. It turns out that guy worked 33:28 calling. It turns out that guy worked 33:28 calling. It turns out that guy worked for an insurance company. So it's like 33:30 for an insurance company. So it's like 33:30 for an insurance company. So it's like >> well I I think that's something that we 33:33 >> well I I think that's something that we 33:33 >> well I I think that's something that we as people who care about our health and 33:36 as people who care about our health and 33:36 as people who care about our health and not just providers of medical care it's 33:39 not just providers of medical care it's 33:39 not just providers of medical care it's important for us to I have this 33:42 important for us to I have this 33:42 important for us to I have this conversation quite often with some of 33:44 conversation quite often with some of 33:44 conversation quite often with some of our colleagues to look at the true cost. 33:47 our colleagues to look at the true cost. 33:47 our colleagues to look at the true cost. So we think with insurance that my 33:49 So we think with insurance that my 33:49 So we think with insurance that my insurance is going to cover it that but 33:52 insurance is going to cover it that but 33:52 insurance is going to cover it that but in the true if you were to look at 33:54 in the true if you were to look at 33:54 in the true if you were to look at dollars and cents on what you're going 33:55 dollars and cents on what you're going 33:55 dollars and cents on what you're going to spend on co-ay on downtime on 33:59 to spend on co-ay on downtime on 33:59 to spend on co-ay on downtime on whatever your max amount you know that's 34:01 whatever your max amount you know that's 34:02 whatever your max amount you know that's covered and and all of the loopholes and 34:03 covered and and all of the loopholes and 34:03 covered and and all of the loopholes and then these bills that you're going to 34:05 then these bills that you're going to 34:05 then these bills that you're going to get surprise bills at the end of every 34:07 get surprise bills at the end of every 34:07 get surprise bills at the end of every procedure 34:08 procedure 34:08 procedure >> every every 34:10 >> every every 34:10 >> every every from every different one and and what's 34:12 from every different one and and what's 34:12 from every different one and and what's going to be denied and how how much time 34:14 going to be denied and how how much time 34:14 going to be denied and how how much time and energy are you going to have to and 34:15 and energy are you going to have to and 34:15 and energy are you going to have to and and our time does cost something. 34:18 and our time does cost something. 34:18 and our time does cost something. >> Sure. 34:18 >> Sure. 34:18 >> Sure. >> If we look at that versus you've come 34:21 >> If we look at that versus you've come 34:21 >> If we look at that versus you've come into our office, we're going to give you 34:23 into our office, we're going to give you 34:23 into our office, we're going to give you the actual price which is reasonable. 34:26 the actual price which is reasonable. 34:26 the actual price which is reasonable. You are going to buy. You are going to 34:28 You are going to buy. You are going to 34:28 You are going to buy. You are going to know exactly what you're getting. You 34:30 know exactly what you're getting. You 34:30 know exactly what you're getting. You are going to have an outcome that you're 34:33 are going to have an outcome that you're 34:33 are going to have an outcome that you're choosing on the care that you have 34:35 choosing on the care that you have 34:36 choosing on the care that you have chosen. And yes, it costs money, but in 34:39 chosen. And yes, it costs money, but in 34:39 chosen. And yes, it costs money, but in the long run and dollars and cents, we 34:42 the long run and dollars and cents, we 34:42 the long run and dollars and cents, we actually are much less expensive than 34:44 actually are much less expensive than 34:44 actually are much less expensive than going to get the knee replacement. 34:45 going to get the knee replacement. 34:45 going to get the knee replacement. >> Yeah. then missing how much work, then 34:48 >> Yeah. then missing how much work, then 34:48 >> Yeah. then missing how much work, then losing the strength in your calf, then 34:49 losing the strength in your calf, then 34:49 losing the strength in your calf, then and we're not even talking about 34:51 and we're not even talking about 34:51 and we're not even talking about downstream problems from that. And so 34:53 downstream problems from that. And so 34:53 downstream problems from that. And so when for me being the business person, 34:55 when for me being the business person, 34:55 when for me being the business person, the dollars and cents of it, we are 34:58 the dollars and cents of it, we are 34:58 the dollars and cents of it, we are really being sold a bunch of nonsense 35:01 really being sold a bunch of nonsense 35:01 really being sold a bunch of nonsense when we think that it's cheaper to use 35:03 when we think that it's cheaper to use 35:03 when we think that it's cheaper to use your insurance. It isn't. It isn't 35:06 your insurance. It isn't. It isn't 35:06 your insurance. It isn't. It isn't cheaper. 35:06 cheaper. 35:06 cheaper. >> But the cost of carrying insurance is 35:08 >> But the cost of carrying insurance is 35:08 >> But the cost of carrying insurance is wickedly expensive. Exactly. Right. It 35:10 wickedly expensive. Exactly. Right. It 35:10 wickedly expensive. Exactly. Right. It keeps going up. Like getting more 35:13 keeps going up. Like getting more 35:13 keeps going up. Like getting more 30% 35:14 30% 35:14 30% >> every year 20% higher. 20% higher and at 35:16 >> every year 20% higher. 20% higher and at 35:16 >> every year 20% higher. 20% higher and at some point we're getting diminishing 35:18 some point we're getting diminishing 35:18 some point we're getting diminishing returns. 35:18 returns. 35:18 returns. >> Yeah, the cost is going up. The 35:20 >> Yeah, the cost is going up. The 35:20 >> Yeah, the cost is going up. The reimbursements are going down, 35:22 reimbursements are going down, 35:22 reimbursements are going down, >> right? The spread is is is killing a lot 35:25 >> right? The spread is is is killing a lot 35:25 >> right? The spread is is is killing a lot of families. Like, and I'm not meaning 35:27 of families. Like, and I'm not meaning 35:27 of families. Like, and I'm not meaning killing them. It is 35:28 killing them. It is 35:28 killing them. It is >> financially 35:28 >> financially 35:28 >> financially >> financially it is devastating, right? 35:30 >> financially it is devastating, right? 35:30 >> financially it is devastating, right? It's a it's a 35:31 It's a it's a 35:31 It's a it's a >> you know, 35:32 >> you know, 35:32 >> you know, >> they're they're caught in a vacuum 35:33 >> they're they're caught in a vacuum 35:33 >> they're they're caught in a vacuum basically. They don't know how to they 35:34 basically. They don't know how to they 35:34 basically. They don't know how to they don't know how to get out. 35:35 don't know how to get out. 35:35 don't know how to get out. >> And a great way is that the more and 35:37 >> And a great way is that the more and 35:37 >> And a great way is that the more and more doctors that can exit the system, 35:39 more doctors that can exit the system, 35:39 more doctors that can exit the system, it gives these people an opportunity for 35:41 it gives these people an opportunity for 35:41 it gives these people an opportunity for them to exit insurance as well. You 35:44 them to exit insurance as well. You 35:44 them to exit insurance as well. You don't have to. We could get a 35:45 don't have to. We could get a 35:45 don't have to. We could get a catastrophic care policy if you're 35:47 catastrophic care policy if you're 35:47 catastrophic care policy if you're really interested in that and then go 35:48 really interested in that and then go 35:48 really interested in that and then go find a primary care provider that you 35:51 find a primary care provider that you 35:51 find a primary care provider that you can be fee for service or join their 35:52 can be fee for service or join their 35:52 can be fee for service or join their practice or like us join our practice 35:56 practice or like us join our practice 35:56 practice or like us join our practice >> and come and we can give you that 35:58 >> and come and we can give you that 35:58 >> and come and we can give you that muscularkeeletal care 36:00 muscularkeeletal care 36:00 muscularkeeletal care >> at a reasonable rate and you're going to 36:02 >> at a reasonable rate and you're going to 36:02 >> at a reasonable rate and you're going to get the outcome that you deserve.
Community Impact and How to Learn More 36:04 get the outcome that you deserve. 36:04 get the outcome that you deserve. >> Yeah. At the end of the day, I mean, 36:05 >> Yeah. At the end of the day, I mean, 36:05 >> Yeah. At the end of the day, I mean, it's, you know, insurance has taken away 36:07 it's, you know, insurance has taken away 36:07 it's, you know, insurance has taken away competition. Let's let's just be honest, 36:09 competition. Let's let's just be honest, 36:09 competition. Let's let's just be honest, right? and having having doctors like 36:11 right? and having having doctors like 36:11 right? and having having doctors like yourself and businesses like yours that 36:13 yourself and businesses like yours that 36:13 yourself and businesses like yours that are that are coming to communities and 36:16 are that are coming to communities and 36:16 are that are coming to communities and providing excellent care and they are 36:19 providing excellent care and they are 36:19 providing excellent care and they are truly taking care of the patient, right? 36:21 truly taking care of the patient, right? 36:21 truly taking care of the patient, right? It should make these other doctors in 36:22 It should make these other doctors in 36:22 It should make these other doctors in the system say, you know what, I can do 36:25 the system say, you know what, I can do 36:25 the system say, you know what, I can do that too and let me learn from them and 36:27 that too and let me learn from them and 36:27 that too and let me learn from them and let me, you know, let's not call it 36:29 let me, you know, let's not call it 36:29 let me, you know, let's not call it competition, but let's let's figure out 36:31 competition, but let's let's figure out 36:31 competition, but let's let's figure out how we can start to uplift these 36:33 how we can start to uplift these 36:33 how we can start to uplift these communities. 36:34 communities. 36:34 communities. >> Exactly. 36:34 >> Exactly. 36:34 >> Exactly. >> Right. Because that's the most important 36:36 >> Right. Because that's the most important 36:36 >> Right. Because that's the most important thing. It's we have to remember that 36:38 thing. It's we have to remember that 36:38 thing. It's we have to remember that we're taking care of individuals. We're 36:39 we're taking care of individuals. We're 36:39 we're taking care of individuals. We're taking care of mothers and fathers and 36:42 taking care of mothers and fathers and 36:42 taking care of mothers and fathers and grandparents and children and the only 36:45 grandparents and children and the only 36:45 grandparents and children and the only thing we should be doing is really 36:46 thing we should be doing is really 36:46 thing we should be doing is really focusing on them. Yes. 36:47 focusing on them. Yes. 36:47 focusing on them. Yes. >> Right. And and making sure they're 36:49 >> Right. And and making sure they're 36:49 >> Right. And and making sure they're getting the best care and that they're 36:51 getting the best care and that they're 36:51 getting the best care and that they're being seen like they're truly being seen 36:53 being seen like they're truly being seen 36:53 being seen like they're truly being seen and not the five to seven minutes that 36:55 and not the five to seven minutes that 36:55 and not the five to seven minutes that they're being seen. Right. Then they're 36:57 they're being seen. Right. Then they're 36:57 they're being seen. Right. Then they're just being that here's your here's your 36:59 just being that here's your here's your 36:59 just being that here's your here's your medication, here's your you know here's 37:01 medication, here's your you know here's 37:01 medication, here's your you know here's your joint replacement. You know, it 37:03 your joint replacement. You know, it 37:03 your joint replacement. You know, it it's it's becoming a point where these 37:06 it's it's becoming a point where these 37:06 it's it's becoming a point where these things are not actually getting to the 37:08 things are not actually getting to the 37:08 things are not actually getting to the root cause. They're just kicking the can 37:10 root cause. They're just kicking the can 37:10 root cause. They're just kicking the can down the road. They're making them more 37:11 down the road. They're making them more 37:11 down the road. They're making them more sick. 37:12 sick. 37:12 sick. >> Exactly. 37:12 >> Exactly. 37:12 >> Exactly. >> Right. And they're making them have more 37:13 >> Right. And they're making them have more 37:14 >> Right. And they're making them have more problems like you made mention Josh that 37:16 problems like you made mention Josh that 37:16 problems like you made mention Josh that you know when these kids are doing these 37:17 you know when these kids are doing these 37:17 you know when these kids are doing these things earlier, it's causing like Oh, 37:19 things earlier, it's causing like Oh, 37:19 things earlier, it's causing like Oh, yeah. problems way down the line. And 37:21 yeah. problems way down the line. And 37:21 yeah. problems way down the line. And that is not good. 37:23 that is not good. 37:23 that is not good. >> Over 20% of our children now have 37:27 >> Over 20% of our children now have 37:27 >> Over 20% of our children now have chronic disease diagnoses. 37:29 chronic disease diagnoses. 37:30 chronic disease diagnoses. That's a staggering amount of children. 37:31 That's a staggering amount of children. 37:31 That's a staggering amount of children. And it's probably actually higher than 37:33 And it's probably actually higher than 37:33 And it's probably actually higher than that. 37:33 that. 37:33 that. >> Mhm. 37:34 >> Mhm. 37:34 >> Mhm. >> And I think it's I think it's really 37:36 >> And I think it's I think it's really 37:36 >> And I think it's I think it's really important here for physicians and in 37:39 important here for physicians and in 37:39 important here for physicians and in practices who are interested in going in 37:41 practices who are interested in going in 37:41 practices who are interested in going in taking this path to understand that your 37:44 taking this path to understand that your 37:44 taking this path to understand that your impact is so much greater than just the 37:46 impact is so much greater than just the 37:46 impact is so much greater than just the patient in front of you. You know, I 37:48 patient in front of you. You know, I 37:48 patient in front of you. You know, I have a I have a a wonderful patient stab 37:50 have a I have a a wonderful patient stab 37:50 have a I have a a wonderful patient stab buddy and he came to us with knee 37:52 buddy and he came to us with knee 37:52 buddy and he came to us with knee arthritis and this this was in 23 when 37:54 arthritis and this this was in 23 when 37:54 arthritis and this this was in 23 when we did just sort of started our program. 37:56 we did just sort of started our program. 37:56 we did just sort of started our program. So the wonderful thing is we've been 37:57 So the wonderful thing is we've been 37:57 So the wonderful thing is we've been able to watch his whole course. It's 37:59 able to watch his whole course. It's 37:59 able to watch his whole course. It's really exciting. So we treated his 38:00 really exciting. So we treated his 38:00 really exciting. So we treated his knees, but he also joined our metabolic 38:02 knees, but he also joined our metabolic 38:02 knees, but he also joined our metabolic program. So we did a whole pinnacle 38:03 program. So we did a whole pinnacle 38:03 program. So we did a whole pinnacle method on him. We helped him lose a 100 38:05 method on him. We helped him lose a 100 38:05 method on him. We helped him lose a 100 pounds and like almost we did it 38:08 pounds and like almost we did it 38:08 pounds and like almost we did it gradually. So it's about 18 months. He 38:12 gradually. So it's about 18 months. He 38:12 gradually. So it's about 18 months. He every time he comes in, he's so 38:14 every time he comes in, he's so 38:14 every time he comes in, he's so grateful. He comes in, he he's feeling 38:16 grateful. He comes in, he he's feeling 38:16 grateful. He comes in, he he's feeling better. He's fishing. He's riding his 38:17 better. He's fishing. He's riding his 38:17 better. He's fishing. He's riding his horse. He's spending more time with his 38:18 horse. He's spending more time with his 38:18 horse. He's spending more time with his wife. He's able to to climb the 38:20 wife. He's able to to climb the 38:20 wife. He's able to to climb the bleachers and watch his grandkids play 38:22 bleachers and watch his grandkids play 38:22 bleachers and watch his grandkids play soccer. And at his last visit, we're 38:25 soccer. And at his last visit, we're 38:25 soccer. And at his last visit, we're sitting down and I'm talking to him and 38:27 sitting down and I'm talking to him and 38:27 sitting down and I'm talking to him and he's like, "I just got to tell you, I'm 38:28 he's like, "I just got to tell you, I'm 38:28 he's like, "I just got to tell you, I'm so grateful." And he broke down. He was 38:30 so grateful." And he broke down. He was 38:30 so grateful." And he broke down. He was crying. And he's like, "When when I was 38:33 crying. And he's like, "When when I was 38:33 crying. And he's like, "When when I was first talking to you about this program, 38:35 first talking to you about this program, 38:35 first talking to you about this program, I felt like it was so expensive." And I 38:38 I felt like it was so expensive." And I 38:38 I felt like it was so expensive." And I went home and I talked to to my 38:39 went home and I talked to to my 38:39 went home and I talked to to my daughters and and they said, "Daddy, 38:44 daughters and and they said, "Daddy, 38:44 daughters and and they said, "Daddy, this is an investment in you, but not 38:46 this is an investment in you, but not 38:46 this is an investment in you, but not just you. We want you here to watch 38:49 just you. We want you here to watch 38:50 just you. We want you here to watch these children of ours grow, to be able 38:52 these children of ours grow, to be able 38:52 these children of ours grow, to be able to be engaged and intent and and not 38:56 to be engaged and intent and and not 38:56 to be engaged and intent and and not distracted by your pain or your illness. 38:59 distracted by your pain or your illness. 38:59 distracted by your pain or your illness. And that money is well spent, right? We 39:02 And that money is well spent, right? We 39:02 And that money is well spent, right? We are impacting so much more than just the 39:05 are impacting so much more than just the 39:05 are impacting so much more than just the person who sits in front of us. We're 39:06 person who sits in front of us. We're 39:06 person who sits in front of us. We're impacting their whole family and by 39:08 impacting their whole family and by 39:08 impacting their whole family and by extension their entire community. And so 39:11 extension their entire community. And so 39:11 extension their entire community. And so when we do these practices, it's 39:12 when we do these practices, it's 39:12 when we do these practices, it's tremendously important. you you might 39:15 tremendously important. you you might 39:15 tremendously important. you you might think that you're only affecting that 39:16 think that you're only affecting that 39:16 think that you're only affecting that one person you get to spend an extra 39:18 one person you get to spend an extra 39:18 one person you get to spend an extra hour with, but really you're affecting 39:20 hour with, but really you're affecting 39:20 hour with, but really you're affecting your entire community. You're raising 39:22 your entire community. You're raising 39:22 your entire community. You're raising the bar for health overall and it's 39:24 the bar for health overall and it's 39:24 the bar for health overall and it's going to bleed over into the traditional 39:26 going to bleed over into the traditional 39:26 going to bleed over into the traditional system a bit, 39:27 system a bit, 39:27 system a bit, >> right? That's what's most about 39:29 >> right? That's what's most about 39:29 >> right? That's what's most about >> that. Such a great story. Um, thank you 39:32 >> that. Such a great story. Um, thank you 39:32 >> that. Such a great story. Um, thank you so much. How can the audience learn more 39:34 so much. How can the audience learn more 39:34 so much. How can the audience learn more about who you are, what you do, where 39:36 about who you are, what you do, where 39:36 about who you are, what you do, where you are, like learn more about your 39:38 you are, like learn more about your 39:38 you are, like learn more about your method? 39:39 method? 39:39 method? >> So, if you look pinnacle 39:41 >> So, if you look pinnacle 39:41 >> So, if you look pinnacle integrative.com, 39:43 integrative.com, 39:43 integrative.com, you'll find us. You'll also find 39:44 you'll find us. You'll also find 39:44 you'll find us. You'll also find Pinnacle on Instagram and Facebook, but 39:47 Pinnacle on Instagram and Facebook, but 39:47 Pinnacle on Instagram and Facebook, but Pinnacle Integrative Orthopedics is what 39:49 Pinnacle Integrative Orthopedics is what 39:49 Pinnacle Integrative Orthopedics is what you want to search for. Or search for 39:51 you want to search for. Or search for 39:51 you want to search for. Or search for Dr. Shar, Joshua Shakar. 39:53 Dr. Shar, Joshua Shakar. 39:53 Dr. Shar, Joshua Shakar. >> Dr. Joshua Shar Instagram and Facebook. 39:55 >> Dr. Joshua Shar Instagram and Facebook. 39:55 >> Dr. Joshua Shar Instagram and Facebook. Also Tik Tok. 39:56 Also Tik Tok. 39:56 Also Tik Tok. >> We've got some great video. If you want 39:58 >> We've got some great video. If you want 39:58 >> We've got some great video. If you want to learn more about integrative 39:59 to learn more about integrative 39:59 to learn more about integrative orthopedics and maybe how it can help 40:01 orthopedics and maybe how it can help 40:01 orthopedics and maybe how it can help you or somebody that you really care 40:02 you or somebody that you really care 40:02 you or somebody that you really care about, go to YouTube. Dr. Shakra has 40:05 about, go to YouTube. Dr. Shakra has 40:05 about, go to YouTube. Dr. Shakra has some great lectures there, some 40:07 some great lectures there, some 40:07 some great lectures there, some wonderful opportunities to educate 40:08 wonderful opportunities to educate 40:08 wonderful opportunities to educate yourself. But but really, you know, 40:12 yourself. But but really, you know, 40:12 yourself. But but really, you know, we're out there everywhere. Come, come 40:14 we're out there everywhere. Come, come 40:14 we're out there everywhere. Come, come check us out. Stalk us. 40:15 check us out. Stalk us. 40:15 check us out. Stalk us. >> Wonderful. Thank you so much for your 40:17 >> Wonderful. Thank you so much for your 40:17 >> Wonderful. Thank you so much for your time, Dr. Josh Amber. Thank you. Thanks, 40:19 time, Dr. Josh Amber. Thank you. Thanks, 40:19 time, Dr. Josh Amber. Thank you. Thanks, Tim. Yeah.
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