Revolutionizing Healthcare: Personalized Medicine with Dr. Jobby John of Nimbus Healthcare

[00:00:00] Hello and welcome to The Uprising Show, and today I have a very special guest with me, Dr. Jobby John, and Dr. John, I would like you to introduce yourself briefly in your own words.

[00:00:31] Sure. Hi, Vivek. Thank you for having me. My name is Jobby John. I'm the founder and CEO of Nimbus Healthcare. Pharmacists by trade owned a few pharmacies based in Texas over the last 10 years.

[00:00:47] I'm very ingrained in the pharmacy world, and that's really my background. So much so that the incoming president elect for the Texas Pharmacy Association is our trade organization. So pharmacies by passion, that's what I do.

[00:01:01] And I'm very passionate about personalized medicine and getting it more accessible to the Americans all over the country. So yeah, that's a little bit of a brown me. Well, welcome again and also congratulations for being the president. I'll be back next pharmacy association.

[00:01:18] Not quite. First of all, you know, take office in July, so then whether or not like right now. Ready to go. Ready to go. All right, cool. So, you know, I heard in one of your interviews, I think that your grandfather worked as a pharmacist in India.

[00:01:37] So I guess I'm first of all very curious how people end up where they are. Did he inspire you to pursue your career path?

[00:01:46] Yeah, yeah. So he did indirectly like tell me to go into pharmacy or pharmacy should be what I do, but he was definitely an influential force in why I picked pharmacy as a profession.

[00:01:59] So my grandfather on my dad's side, he was a pharmacist using the British Army as a pharmacist. So and you know, India was under British colonial control for a long time. So he was in the British Army.

[00:02:11] And once he came back home, I'm from Carela originally. He started pharmacy in his rural area as independent shop.

[00:02:21] And I spent some time there with him. And I thought it was a cool thing because it's an independent shop and he kind of gave care the way he wanted to give care like it's very loose, right?

[00:02:32] Like the healthcare system is very different. Kind of walk up to a pharmacy and ask for the drug and you kind of get what you want, right?

[00:02:39] So there were certain instances where like he would help out people that couldn't afford their meds and just seeing the gratitude that they had towards him.

[00:02:48] Like it's like saving medications, they couldn't afford it. He just gave it to them. I don't know that just really deeply sunk into me. I guess at that point it's like just a power and the control and the ability to influence people's lives was so cool.

[00:03:02] So yeah, I decided to pursue a profession of pharmacy and I would say he had a big part of it. Interesting. And was your, was your parent any of your parents was also in the pharmacy?

[00:03:17] No, no, no, no, no. My parents were in full color workers. They didn't get into any kind of healthcare related fields.

[00:03:27] Yeah, to this day by the way for this for the listeners, to this day my family still in India and the pharmacists still have the same kind of how they function you can go ask for any prescription.

[00:03:42] To that level that sometimes my uncle will go to the pharmacists and ask them, hey I'm not feeling well. Can I have something? And the pharmacists will provide them with the medicine and it's so much trust. It's almost like

[00:03:55] To that level that it's almost like close to a doctor how they're treated, which is which I don't see it here this world that much you have to really do that very different systems, right?

[00:04:06] It's completely different healthcare systems and all the countries are very good for in America. Unfortunately, spend the most amount of money in our healthcare system and has the worst outcomes.

[00:04:16] Right, just been billions of dollars on our healthcare system and we have the worst outcomes and there's countries who spend a fraction of that

[00:04:23] And have weight better patient outcomes than we do. So something needs to change I like to call it the sick care system because not really healthcare system. We break to some who get sick to take care of them. So I'm a big believer in proactive care and prevent an in medicine so like I think that's the direction we need to go into and the worst are to see that.

[00:04:41] And you know, your work and you have been deeply into personalized medicine and you're pioneering this work. So and this is just for very basic for everyone who's listening could you explain what personalized medicine means and why it is crucial in today's landscape.

[00:05:02] Sure. Yeah, personalized medicine is basically a healthcare approach that Taylor's medical treatments to the individual characteristics of the patient. So we look at genetics lifestyle lab work environment and Taylor prescription plant specific for that patient based on that individual. So it's like away from a one size fits all of the process which is what how medicines practice today.

[00:05:26] Like if you have a cholesterol issue and you go see a doctor like they have a rubric or a guideline they have to follow on this is how we start to meds for this patient like a patient and that's any patient across the board.

[00:05:38] There's few instances where that might vary based on ethnicity, but not but like it's pretty standardized. They don't look at the genetics.

[00:05:46] They don't look to see if this person metabolizes this drug A that we were going to give them faster or slower or any of that. So that drug may not be the right fit for that person at that time. So personalized medicine would take that into account.

[00:06:00] So if you have an issue and we look at your genetics and see that you metabolize drug is rate and drug me might be a better fit for you because drug A just doesn't do it for you.

[00:06:13] We would go with drug me right so it's this really tailoring treatment plan and protocol prescription plan around an individual for who they are opposed to just demographics like across the board. That's really personalized medicine is getting down to the nitty-grating.

[00:06:31] So the question is it's not more it is more of a preventative and proactive approach where it says afterwards when you get sick and you're trying to figure it out when does it start to rate?

[00:06:46] Yeah, so it could be done in both sectors right it could be done both ways. So ideally on the preventative side if you kind of know what you're predisposed to having like if your genetics is already on file and somebody's looked at it and there they see that you have markers that show that you are at a high risk for hyperlipidemia which is high cholesterol or cardiac issues.

[00:07:07] Then we can treat you ahead of time give your diet plan give you like an exercise plan and you're at a really high risk so you got to follow these metrics.

[00:07:15] You can go on this preventative meds to make sure you don't get to this state where it's really bad right so you could do that which would be the ideal thing to do.

[00:07:24] We're very far away from that but you could also do it on the cured of side two like the example I gave you earlier with the drug selection process right like there's a guideline and formula that people follow.

[00:07:36] But everybody's starting at the same spot right like nobody's skipping over to another drug because we like healthcare providers just don't have enough data to make those decisions.

[00:07:47] So if we hydrogen that exploit like other pertinent factors on hand we could see okay you metabolize drug be better than drug A so let's go with drug B right so it can be done on both sides.

[00:08:00] The preventative side obviously there's a lot more research and outcomes stuff we need to measure and get implemented first but on the cured of side two you can do it. Okay and now about you know about your company numbers healthcare so.

[00:08:17] What led to the creation of the company what was the. What actually happened in your life that led you to start this company and then also give us a little bit specifics about what problem does number solve and how's this approach. Different from existing solutions. Sure.

[00:08:38] So the creation of Nimbus really stem from the desire to press gaps in personalized medicine and patient care. We notice that many patients were not receiving treatment cell to their unique needs and which elect to sub-balk to the outcomes right.

[00:08:51] So Nimbus healthcare really aims to solve those issues and we're leveraging technology to really get those personalized approaches and customer treatment plants out to patients.

[00:09:01] I can point this down that question down to two areas really what was the cost barrier that we saw so typically to get any sort of personalized prescription plan you have to go see a doctor that's well versed in their area to right for the prescription right so.

[00:09:19] That in itself poses a problem there's not a lot of doctors to start off with in the United States right there's a big shortage of medical providers primary care providers so.

[00:09:31] Going to somebody who understands for more optimization or a genetic space here restoration or weight loss to the level that we're doing it is not always easy and typically comes with a high price tag on an average is like 1200 dollars a console.

[00:09:47] So like not a lot of Americans can afford to do that. Usually like your alis Hollywood celebrities your professional athletes that have access and can afford that kind of care where everything's being tailored to their genetics, their biochemistry and whatnot right so.

[00:10:03] When I saw personally being independent pharmacy owner compounding pharmacists was that I could care of these people I took care of the alis celebrities and we were getting prescriptions from doctors like very high profile doctors right that you see all the way to me.

[00:10:18] That I'm pretty sure these people were paying thousands of dollars to go see but then the day what they got that cure them and made them better was a personalized treatment plan that we distanced.

[00:10:28] Which was only a fraction that costs just a couple hundred bucks for under a hundred dollars a month right so I started thinking like how can I get this level of care out to people in America without them having to go see.

[00:10:41] A specialist in a great in medicine guru and spend ten thousand dollars for lab work up and a consult how can we leverage technology to do this and that's what we've done. Interesting and.

[00:10:55] Is there or I don't even know if there are any competitors to them with the companies were doing this. There's there's nobody doing what we do the way we're doing it. There are people who do hormone optimization online.

[00:11:11] They don't really take an account plan work they just go answer some questions and like yeah here your home owns right like we have our own unique testing kits right like this is whatever testing kits for females that measures progesterone estrogen testosterone cortisol teacetion so on so like we have our own.

[00:11:29] proprietary test kits we have our own way of tracking the data and giving our providers.

[00:11:37] Soled treatment protocols to follow based on the symptomology and labs and we use AI on the back and for a lot of this I hate using the word AI now but as we were using machine learning before it became the buzzword right and that's how we tailor a lot of our patient protocols.

[00:11:53] So I don't know if anybody's really doing that to that extent or that granular organic but there are people who offer these services. Very interesting so.

[00:12:03] Just to like rephrase it I think I always find this like you know in health care we always talk about two things what they can access and affordability that's kind of the core problem and it's very clear that. Nimbus is trying to bring this. These personalized medicine.

[00:12:24] What others are what celebrities we're doing it and now it's making a far-dible for everyone who can take up our up to day across the country that's one thousand person that's exactly what it is that's that's our goal that's my personal goal.

[00:12:39] Is that I want more people to have access to this kind of medicine right it's not that the medicine itself is so much more expensive right like it's just that getting it to what works for the day or worse for jobie that's the hard part but what the way to knowledge is growing we can do that now right so we can we can use technology to really diagnose patients and.

[00:13:04] Create treatment plans for them so that's what we're trying to do and that's what we've accomplished to a certain degree and which is health care growth.

[00:13:12] Wonderful so as a company how how big are you as a company what's your operations like is it where just where about Texas. All people in the home many people. States died and we have about a 10% element team overseas so we're about 20 to 25 people. Got it okay and.

[00:13:33] About your customer based like how have you been getting your customers.

[00:13:40] Today and could you also maybe elaborate in terms of growing the business things that have worked and things that have not worked for you sure yeah well we currently acquire customers from multiple channels right digital marketing is obviously a biggest channel being a direct to consumer business.

[00:13:59] And then we have partnerships with other strategic partners like pharmacies that sell our test keys right so you can walk into an independent that cares or test kids buy the test kit get your labs tested and have your pharmacists move into the care.

[00:14:14] Protocol that the person you see every day or every month whenever you go to pick up prescription so we have strategic partnerships like that.

[00:14:23] We also have a B to B model we're building out with gyms and spas and so on where they can sell our test kids and their patients can get access to this level of care.

[00:14:34] Buy our black work so those are our main areas of focus right now and those areas we've seen growth in the company as we we tried that haven't worked or like the traditional media like radio we tried radio for a while didn't really work.

[00:14:51] It worked and it makes sense right like we're tech heavy platform so if the listening basis not really somebody who would use our product so it didn't really work.

[00:15:01] Yeah that's pretty much the only avenue that hasn't worked well for us but all our digital and outreach efforts have been pretty well perceived and have come. And what about traditional trade shows and stuff.

[00:15:17] Yeah yeah we've done trade shows we actually launched our woman's line and sought by Southwest here in Austin which was well perceived.

[00:15:24] But trade shows come with a huge cost right like you have to pay for the setup the just the sweat equity that goes into going there getting set up.

[00:15:35] It's good way to get the brand out there but from a pure ROI or customer conversion as big it's not that quite that good for us.

[00:15:44] Because the whole point of our our platform is that you can access and gain health care on a granular level from the comfort of your home so you don't need to be out walking a trade show booths to like find our test kids.

[00:15:58] You can order it online and get your unique. Yeah I think I guess more of from partnership perspective probably just there are different partners there.

[00:16:07] Yeah yeah absolutely that there are partners and based on which strategic ones you go to you can form some alliances we primarily been focusing on the direct customer site as we built that our base.

[00:16:19] That's where we've seen most of the growth so the B2B side we're planning on really building out after a series of things.

[00:16:26] And and when you obviously the business partnership site so how does that work is it like they will just sell the kids to their patients or people who will be there.

[00:16:39] And for them the incentive of the the value is like they are able to see their you know genetics charts and what works kind of like a profile for them or how does it that work.

[00:16:51] Yeah exactly so our partners will have access to our technology basically that allows them to keep track of the patient get the information they need whether it's genetics or blood biomarkers.

[00:17:03] And then we have physicians licensed in all 50 states that can review these charts and give the patients treatment protocols.

[00:17:10] So then they're a part of the care paradigm right like whether they're a personist or whatever consulting service they're doing but they also get are able to treat these patients with prescriptions which is usually limited to just a provider's office, but we have our providers were able to write these scripts right.

[00:17:29] So now you can provide your services and get pharmaceutical care on a personalized level without having to be a licensed professional.

[00:17:38] Got it. And is it so in the beginning more or less the bull is for for I guess the way it works is you kind of like it's a land of expand kind of business model you want to give the kid you want to give them the you know insights on what works.

[00:17:58] And what works for them and from there on there is an opportunity to be like hey even if either you can write the scripts through your providers or I would believe that maybe even if they're going to get scripts.

[00:18:10] Your providers can review it and provide do you do that second part too or is it just. Yeah, yes we have providers internally and you can see the patients or you can choose if you're a doctor's office you can see the data and right for your own prescription.

[00:18:24] And we actually show on our portal what are suggested treatment protocol is based off of historical use. What are AI tells us should work and we can track that and every month we follow up with the patient for some terminology update to see how they're doing.

[00:18:43] And it's not a human being doing, right. These are all auto generated ways of us keeping track of patients we're getting ready to launch wearables where we're tracking patients on how they're on the weight loss side.

[00:18:57] We launched the LP one drugs compounded on our site. So now I mean everybody anyway, I was in big with one jar of like very hot topics right now, right so some of the little tent and precipitated we can actually compound.

[00:19:10] And provide patients because of their on the t-shirts of life list. So a lot of people are getting it from wherever, but nobody's really got a good plan on how to keep these patients like safe and healthy right.

[00:19:23] So we're creating protocols using technology like we can measure your blood pressure levels like see how you're sleeping how much calories you're burning and all this data can be used to help patients stay on track because you need to have a high protein intake.

[00:19:38] You need to be working out and doing strength training while you're on a GOP one to actually get good outcomes and kind of slowly we know the drug otherwise you'll probably be on the drug for a very long time which is very cost pretty

[00:19:50] prohibitive and like just typical in general right so what we're looking at ways of leveraging technology to them. That's interesting because most the incentive for the farmer world is to keep them on the drug and and it's refreshing to hear from.

[00:20:07] So we're trying to make it so that way that they don't go that path of having that medicine for life and just trying to do it in a way which actually will make you know just like the right medication adherence what's needed optimal.

[00:20:26] And I'm a old saying my all my employees know this like my stores here we have about 30 to 40 employees within our pharmacy system and I tell them like if you take care of the patient the patient will take care of you.

[00:20:38] And what I mean is that if you give good care and they get good outcomes they will come back and take care of the business in general like it could be a referral it could be them continuing their business what the business itself.

[00:20:51] So like I'm a big believer in that and that's where this all kind of stems from and there's enough people out there to treat man you don't need to keep one person on the same drug forever to like how a profitable business right you cure them you make them feel better and.

[00:21:06] We're a travel fast. Got it and what about. The influence of marketing I mean there's a whole whole whole thing in going especially in D to see world about you know longevity and harmon and weight loss and companies are really good to.

[00:21:27] I'm a lot of people here about this so. Yes, there's so many influencers in the healthcare provider realm providing health data and just gibberish out there who have never actually treated a patient right whoever actually like.

[00:21:45] Ben in the healthcare sector and that's a big big pet even mine actually just wrote an article on this regarding the the arrest of the CEO of done on LinkedIn.

[00:21:55] Yeah, you know they just got they just got in guy $100 million at our all scheme right like they they disrupted market that they saw and took an opportunity.

[00:22:05] And you know if you don't know about the done model like people were able to get I roll and all the.

[00:22:11] Yeah, like without even ever having proper diagnosis through like telehealth providers which is absolutely just terrible medicine right like your creating addiction issues you're creating a huge problem.

[00:22:23] And that's a non healthcare provider who started the company and saw it and people jumped on board with them and I have a big issue with that right so there's a lot of influencers out there who just put out just not good information.

[00:22:37] There's a guy called Dr. Idz I don't know if you know he's on Instagram he's an employee's an influencer himself and this whole thing is about debunking other like influencers data right he uses actual data deep up what they're saying.

[00:22:50] So, you know people are very vulnerable in certain states and especially what they see on social media and if they.

[00:22:58] If they kind of like you they'll buy into this stuff that you're saying but it's not responsible to be putting out bad information without so I have a problem with that.

[00:23:11] I don't like it like so like I haven't had the time to actually become an influencer put out hard data itself. I don't know why was I did so I could like debunk stuff like Dr. Idz does but I'm glad that there's people out there doing it.

[00:23:25] What we have used on the digital marketing side are ambassadors like for a weight loss program we provide the meds to patients and we monitor them and we we what their permission share their stories and those are just real life stories that are tangible that people can.

[00:23:40] So those kind of influencers are okay with those that's actual like to be like seeing other doing but people who are giving just putting out rubbish man it's just not cool.

[00:23:49] Yeah, it's a lot it's a lot of noise right so it's a lot of noise and there's everybody saying just about anything and and the story from done that this morning only I read from one of the new sliders and it was like.

[00:24:06] So it could be avoided and the number one thing was like more clinical voices in the process and it was missing and that's your point of like you know especially people who are not clinical.

[00:24:18] They only looking at cash flow at that point and they just thought this was a loophole let's just make as much cash out of that right and that's the.

[00:24:28] I guess there is a fine balance right so I also saw this chart not too long ago a couple of weeks ago or so that in last 20 years in the US. The administrator roles and expenditure is 20x grown versus the provider is only 4x so.

[00:24:52] So now the reason is we are also getting regulated and that's why you need more people to regulate it and that's why they are more administrators from everywhere.

[00:25:01] But I guess there is still that fine balance when you use time with that how do you feel about that like you know balance between. Regulations but also having the freedom of making the healthcare accessible and affordable.

[00:25:14] And I years speaking my language now so I mentioned earlier that I'm the incoming president of like for the Texas Pharmacy Association. So one of the biggest problems in the pharmacy pharmacy dispensing industry retail pharmacy community pharmacy whatever the is pbms you familiar with pharmacy managers.

[00:25:32] That's the 20x administrative cost.

[00:25:35] Yeah, there's there are pharmacies going out of business every day in this country because of how terrible the system is and how it's been built where like I'm buying drug A for X like say a hundred bucks right and by the time it gets dispensed to you.

[00:25:53] And my overhead all included when somebody is just reimbursing me $80 for it. How does that make any sense right that's what's happening today like and for as far as patients concerned they got the met and pharmacists unfortunately are the most soft hard people right like they all they went into the business take care of people right.

[00:26:13] They're not going to say oh I can't give you your men because I'm losing money on the back end they'll take care of the patient but it gets to the point where it's not a viable business model and that's what we're seeing now.

[00:26:24] And it's because of these administrative burdens put on by the healthcare system was a care system to call it where it's it's not a driving business like primary cares going through the same thing like primary care providers are not being reimbursed to even cover their overhead.

[00:26:41] So what's happening is there's this conglomeration coming in and buying up all these small practices and putting them together and having this like model where okay hey physician you got to see this patient in 15 minutes and that's all you got because that's how we make model work right where they can't give the care the way they want to provide care and they have to follow somebody's rubric and this is all because.

[00:27:02] The actual providers not making enough money and somebody up top is making all the money right like the healthcare system I mentioned this earlier we spend the most money on healthcare in the world.

[00:27:14] And have the worst outcomes right like not not even closely proportional so who's making all this money.

[00:27:22] Right like where is all this money being spent and like when I go electric UT so I'm a big hardcore longer graduated from UT and they have me over there you talk from time to time I always ask the students.

[00:27:33] If you look like these pbms like you express grants you're and now like your cds healthcare mark. They're all public and training companies right and they're so job their sole existence is to manage pharmacy benefits for insurance companies right that's their entire. Like reason for existing.

[00:27:55] So if you're trying to save money for your insurance provider how does your bottom line keep getting bigger and bigger every year because you published this data you're a publicly traded company right how do you keep getting richer and richer while everything around you's breaking apart like it doesn't make any sense.

[00:28:11] Like so it's it's an absolute shit show to be honest with you and luckily more and more people are catching on to this it's it's it's about the need for transparency in this market mark humans one of them.

[00:28:26] I've got a lot of them now sky as you know portion of the man's last night but. Really good dude and he's got his own business now cost plus drug where you're trying to disrupt the market was just cash payment right so.

[00:28:39] Long story short what I think is going to happen over the next five to 10 years is people are getting smarter they're going to realize oh shoot we're just feeding all these pigs out there these middleman these leeches that are just like sucking us dry.

[00:28:53] We're just going to go direct to the provider right we're going to straight through the doctor I'm going to pay him X amount of dollars and he's going to take care of me.

[00:29:00] Hasn't it making more sense for the doctor to do that too and that's why we see this resurgence in direct primary care happening now because.

[00:29:07] Doctors are like I just want to take care of my patients I want to take care of three to 400 patients they pay me a hundred bucks a month I'm good right that's a model.

[00:29:16] That's what we see grow same things are happening with pharmacy to once we figure out how to get these brand name drugs a little bit under control. So that's probably a longer with the question by answer than you wanted.

[00:29:28] Yeah, it's like you know the it's like the direct primary care model maybe coming into pharmacy world and. You know the primary care physicians also got that's the only way they could figure it out to cut the insurance is like all that we go into subscription.

[00:29:45] Free directly patient take money from them that's how it's going to work and it's a it's a pity that that. It's so much middleman in health care world that the cost is.

[00:29:58] The worst thing is neither the caregivers making money providers and caregivers they don't make money in health care and that causes shortage because it's not attractive enough. And then once that's the case you're in this unending cycle of how do you ever will have that like.

[00:30:14] You know full access or affordability and that's the big problem. Yeah, sad but I hope. But actually what's happening like now pharmacy for it. I mean, I farce is my profession so I just know enough is that we have lowest enrollment rates of all time.

[00:30:31] Like I was at a meeting an ass-bemeding Colorado where all the association heads get together from all the different states and we had the president of a C.P. which is the Academy of. College of pharmacy.

[00:30:44] And he was saying that enrollment across the board's down because people don't see pharmacy as driving business nor is it cool enough. Right? Like these businesses are going out of business every day. Pharmacists are thinking like walking out of their jobs because they're overworked right?

[00:31:01] Because the bottom line so it's squeezed you have to do so much more like just cranking out pills that they just don't see it as a good profession anymore. So walking out you probably saw like CVS pharmacists were walking out in Kansas.

[00:31:15] Like so that's a big issue now and it's like you hit the nail in the head. It's like this vicious cycle like okay, so we don't have enough people in this profession now whether it's a pharmacist or healthcare provider or doctor or nurse.

[00:31:29] And like what happens five years from now? But there's not enough people to do that. Yeah. I guess about your company. So what are you currently fundraising and what your current traction looks like? Yeah, we were about to start fundraising again.

[00:31:50] We had some milestones we wanted to hit. We did a small seed round last year which has got to this point. We've been luckily.

[00:32:01] We're growing 30% month over months since last August which has got us to where we want to go and now to build out some of the other components like the VDB side, etc. We're looking to raise some capital when our series A.

[00:32:13] So we'll probably start that effort in July. And we already have people interested in coming on board. We just got to find the right part for us. Yeah. It's like a marriage. Like you got to run the right part. Yeah. Yeah. Right. Otherwise it just worked out.

[00:32:28] Yeah, I was going to ask that, you know, it's like your act like that sweet spot. There's an overlap between director consumer, DDC model and then there is tech involved. So there's both side.

[00:32:42] It's, I guess how are you sharp listing kind of your venture capital or P partner in this case? Is it like, you know, you certainly don't want to just focus on DDC model. And you also don't want just to be like tech because kind of like in between.

[00:32:59] So is there anything special that you look for the or how are you educating the venture capital on your business? Yeah. Yeah.

[00:33:07] So like one of the key things I look for on the venture side is do you have portfolio companies that are in this space or is numerous space that we could ask strategic alliances with right? So are one thing we're really, really good at is prescription products.

[00:33:22] Personalized medicine compounded prescriptions personalized right from every level you could possibly imagine from the quality to the the formulations and whatnot right?

[00:33:33] So who could benefit from us being in the mix and how can you help us grow and get into other businesses is usually what we look for when we're looking at these easers or other strategic partners. Guys like as you saw people the done a steam model right?

[00:33:50] We got to know what you're doing otherwise there's issues there. Yeah, yeah I feel like it last few years that I've been several cases where we since just poured money and they had no idea like how this thing works.

[00:34:02] And then there is some oversight and they didn't do not quite they were taking or getting money right.

[00:34:07] I think you need to question both giving and out and getting money both that you should question and why are getting money and I think most people don't question like greasy's also like, Oh, we're making money that's fine for this company is making money.

[00:34:18] So and then we run into this turn on saying all that and now that's and this all this is going on right? So it's crazy.

[00:34:28] Well about your company so looking ahead, where do you see the investment next five years and also give me a little bit your vision for the long term for the company? I see numbers being the premier go to destination for personalized medicine.

[00:34:49] That's the vision I have it's the ability for the average American to come online get lab results back and get a treatment plan associated with it. That's our goal.

[00:35:02] There are a lot of companies out there that do point at care testing right like that send test kids how you get your last back but nobody really sends like connect that with the provider and then get some of personalized treatment plan as a result.

[00:35:16] And then you monitor them which is the hardest part getting in the prescription the first time the easy part to be honest like for example when the woman's hormone optimization space.

[00:35:26] Like this is how difficult it is if you have a minute pause of women and you start 10 people right on the same drug all 10 of them are going to react differently.

[00:35:38] Yeah, that's just what happens in medicine right all 10 of them are going to react differently so how do you scale that month.

[00:35:47] How do you scale that economically while you're trying to keep the cost down to make it affordable for everybody to get it and make an accessible how do you scale that model to where you're serving hundreds of millions of patients who want to get this right so.

[00:36:02] That is the difficult part and that's where technology's really helped us get to that point or we're getting to that point. So I think that's going to help us become a premier go to destination for people who want to get that love for care.

[00:36:17] Interesting yeah okay basically you see tech as the. Leave her here to help you. A team that scalability through standardization of some sort. 1000 percent this is what it is like expecting a physician like. to give good care to what we're doing now if you got your labs back

[00:36:45] and if you are a good provider of any caliber it would take you like a good 30 minutes to an hour just to figure out what's going on with this patient right what is 30 minutes to an hour of a physician's time work

[00:37:01] like in your words what would you think it's worse like if you had to pay them you're in the healthcare field so you kind of go yeah I mean you know I've hired this number say 15 minutes is what you got to do it because the party with rights

[00:37:15] it's a I don't know the exact number but you know I have some ideas like that's how you do it yes it's higher right like yeah on average it's probably anywhere between 75 bucks to 150 bucks like for that on sale so like right off the bat like

[00:37:33] that's not affordable for most Americans right what if the doctor had like a cliff note synopsis of what's going on with this patient the critical parts and you see his lab work and he has a recommendation plan that's very

[00:37:48] conservative right next to it that he could look at him like oh that makes it let me talk to this patient and make sure that all my questions are answered and then within five minutes

[00:37:57] he can give the care that he could have given in an hour and a half right that's where we're leveraging technology and it's there I mean everybody started using jack tbt now they're seeing it like the processing power of these computers

[00:38:10] uh isn't saying yeah and are you also just for I know that this is more on testing and then building that profile kind of is it also inclusive of looking at the old medical records for the person throughout they can subbeding it

[00:38:29] and that's how you're compiling it together with it exactly that's the stuff that takes a long time right like the stuff that takes a long time is the due diligence on what's this patient's background yeah what kind of medical history do they have their parents have cancer like

[00:38:43] what runs in their family and if I put them on this drug or they're going to have cancer or are they going to have these adverse effects right so a lot of our um like even questionnaires are built

[00:38:53] to where you're excluding patients as you go through the funnel to where we're only treating who we can possibly treat like if you're not a candidate for a digit not everybody's a candidate for digital

[00:39:04] health care right like there like there is a need for in-person visits there's no doubt about it so like but there's three hundred something million people in America right and if you look at a bell car I always tell people like if you

[00:39:16] get a look at a bell car we're not for the people on this 20 percent of the side of this 20 percent of the side where you need so much care that you don't need any care right we're in for the people in the middle

[00:39:25] and that's a lot of people who want access to this kind of care so that's our target market and that's what we're focusing on wow any investors listening to this you know this is the light you know

[00:39:40] this is the bell car right in the middle that's very one of putting your money interesting okay and so looking forward looking towards the future so what are the emerging trends especially in healthcare tech that excites you the most

[00:39:58] AI right like everybody's talking about AI we talked about it a little bit there's so much that's being done in the world of pharmaceuticals and in medicine in general because of AI it's very exciting to see where it goes the ability to like get

[00:40:17] treatment plans more precise and accessible and efficient using technologies a big passion in mind obviously we were doing this before it became a big buzzword so I don't even use AI anymore just use machine learning what we say

[00:40:29] because I just it's just I know there's companies I've seen out there who don't know anything about AI who say they're AI but like for example like on our back end right we have data

[00:40:43] lakes that are built like every patient's apart like a data set and in five years I'm going to be able to get outcomes data on people who live in the certain zip homes right it's very

[00:40:56] granular data the ability to process that kind of information and actually moderate patients and see what their outcomes were so it was like a long-term clinical state right like like you're collecting but getting that data accessible and to the format you need to use it in

[00:41:13] from a technical perspective that's where AI is going to thrive and even in a health medicine like significantly I I'm very excited about that and especially in the areas you know mix

[00:41:22] like for a long time we all know when you treat like a patient who they are using to know mix but it's so cumbersome like to look at your data again understand the lios in like look at

[00:41:33] the like the factors that affect XYZ right with AI you could easily do that right because it's all that data crunching so those are two areas I'm most excited about and that I see our emerging

[00:41:46] trends in health care yeah I think like the biggest plus with all this machine learning is the core power is data processing right because human cannot do it or computers were able to do

[00:42:00] it but now you can do it at a different X level right and and that's a big big plus for everyone right like even it just for even for people who are using chat GP like you can literally copy a

[00:42:13] whole bunch of data sets and put it in and just tell me like what does it really mean it will give you all those stuff you can make sense of data and I think that's the super power and I

[00:42:22] think that's is a super important in where we have you know technology the media you have so much data set information just to make sense of that and this is where this is where it gets really

[00:42:36] exciting with so much possibilities of many things that's possible so we spot on with that okay so I mean you did mention that you lecture in UT every year or so so what advice are you

[00:42:50] giving to young professionals especially students who are looking to make you know some impact in health care and particularly in the underserved communities sure my advice to young professionals or students is to stay curious and passionate about making a difference right health care is a

[00:43:13] field where you can have like a profound impact on a patient's life especially under served communities focus on understanding unique needs of these communities and how you can bring something extra to the table whether it's leveraging technology to make their lives easier or it's using XYZ tools

[00:43:33] to get better patient outcomes that's what I would advise young people to do and also like analyze it with an ethical perspective right like we talked about the done or Neil like know what the what the what the guardrail is are for medicine yeah we all wanted

[00:43:52] this ruptus or industries and health care is right for it but stay with an ethical boundaries and do what's best for the patient like it goes back to what I told you earlier you take care of

[00:44:01] the patient the patient will take care of you as a business right so that's probably my two cents for students is to stay curious and be passionate about what you're doing and do good things

[00:44:13] will happen good things will happen nice and so this has been wonderful and I have one last question which is more of a personal take I take you and ask you is tell us about a personal thing that you

[00:44:29] have told no one in your professional circles but this is your chance to share it with the word so what would be that thing okay I guess thinking about me that most people don't know

[00:44:44] in my professional circle is probably my love for motorcyclists I'm an avid motorcycle enthusiast I used to raise competitively back in the day on tracks and now it's just limited to track days

[00:44:58] so good of the Americas if you know if you follow F1 it's in my backyard it's an all-in a big track rider love motorcycles love going fast so a lot of people know that about

[00:45:08] me from professional circles and then also a huge marine enthusiast I love salt waterfish in quarrels and just marine life in general so that's probably another tip that the most people don't know I love the chemistry behind it it's really nerdy but like really awesome

[00:45:28] alright having a slice of the ocean in your living room right so I've got a 200 gallon tank salt water mixed reef tank and then I've got a small 30 gallon nano that's an actually my office

[00:45:38] like you can see it here it's nice yeah yeah no those are all everything in there's a line right like keep sustaining a life in a small cube is not easy to do especially when it's from the ocean

[00:45:52] love doing that great thanks for sharing it and you know it's one of those things when I ask the people for this question and it's always very interesting to learn because it's like a

[00:46:05] free range for people and what they want to share so I get really excited about this question and it also gives me a great insights into you know just for how how how how you are how

[00:46:16] certain things outside of the professional wood so that's great well thanks for coming on the show and rare can people find you weekend they connect with you I think most people can connect

[00:46:29] with me a LinkedIn so we join Instagram also a lot of people have me up on Instagram so those are probably the two most public facing platforms I use alright so you can find Dr. John

[00:46:42] LinkedIn and also you should check out their website numbers held care dot com and this is the end of the show thank you for your time much much appreciated and thank you for everyone who will be listening to this show thank you