House Calls: Bringing Healthcare to Your Doorstep

House Calls: Bringing Healthcare to Your Doorstep

Are you tired of battling traffic to see the doctor or waiting in crowded waiting rooms? Dr. Candice Adams, a nurse practitioner with over 25 years of experience in the industry, shares insights on the benefits of house calls and the personalized care they offer.

Tips:

1.    Convenience at Your Doorstep: Discover the ease and comfort of having healthcare providers come to you, eliminating the hassle of traveling to appointments.

2.    Personalized Care: Learn how house calls allow for a deeper connection between patients and providers, leading to more comprehensive and tailored healthcare.

3.    Medication Management: Explore the benefits of in-home medication reviews and compliance checks, ensuring optimal health outcomes.

4.    Family Involvement: Understand the importance of involving family members in the care process, fostering a supportive and collaborative healthcare environment.

5.    Planning for the Future: Consider the transition to a house call provider when mobility issues arise, ensuring continued access to quality healthcare without the stress of transportation.

Transcript

John: 0:10

This is almost too good to be true. House calls. Health care that comes to you. That's right. No more battling traffic to see the doctor or sitting in waiting rooms that feel like time capsules. We'll talk about how they're changing the game for us and our parents, share some fantastic tips on getting the best out of their services, and maybe crack a few jokes about our own not so young anymore moments. Whether you're exploring options for yourself or thinking about mom and dad, We're just curious about the convenient twists in health care. You're in the right place. I'm John.

Erin: 0:53

I'm Erin, and you're listening to Connect and Power, the podcast that proves age is no barrier to growth and enlightenment.

John: 1:00

Tune in each week as we break down complex subjects into bite sized, enjoyable episodes that will leave you feeling informed, entertained, and ready to conquer the world.

Erin: 1:15

My family and I have a personal experience with our guests today, helping my dad and all of us in our time of need. I'm really excited to talk with her today as she shares with us what house calls are. who they serve and the benefits and what type of medical services can be provided and how to choose a house call provider. She's a nurse practitioner and board certified adult geriatric specialist who has been in the industry for over 25 years. She started out as a caregiver and worked in a variety of different healthcare settings including home health, hospice, assisted livings, rehab and orthopedics, and just to name a few. She lights up a room when she enters and has such compassion for all her patients.

John: 2:01

Get ready to unlock the door to personalized care, convenience, and well being as we warmly welcome our esteemed house call provider, Dr. Candice Adams. Thank you so much for being here, Candice.

Candice Adams: 2:15

Thank you so much for having me. That was such a warm welcome. I really appreciate all the kind words. everything you said, yes, I've had a long history in the healthcare field, but my heart was definitely touched by healthcare and the idea of caring for other people at a very young age. like you mentioned, I did start out here locally as a CNA, that's a certified nursing assistant, and provided really just hands on personal care for the geriatric population. I then moved to California where I attended a vocational school and became an LVN and worked there as a traveler in many of those settings that you mentioned. when I moved back here to Boise, though, there weren't a lot of opportunities for LVNs at that time. So that's when I decided to go back to school.

John: 3:09

What is a LVN? I'm not, is that a licensed vocational nurse?

Candice Adams: 3:15

Yes, so that's a licensed vocational nurse. And then at the issue, I was able to obtain my, which is a registered nurse.

Erin: 3:24

Have they gotten rid of those? Because I thought somewhere along the line, they're going to slowly start phasing those The LVNs.

Candice Adams: 3:32

There are still quite a few LVNs practicing in different settings, but I was a perpetual student. I decided to, after the RN, go back and get my DNP.

Erin: 3:45

Oh my gosh. That's a lot of school. Good for you. Oh my gosh. Yeah. I thought about I don't know if I ever shared with you my own nursing. I went and sat at Oh, what's the college on California now? It doesn't matter. It was UCLA. I ran into there and sat in and thought about getting my master's in nursing and they went through everything. And I remember my younger two kids, they were in their junior and senior year of high school and they're like, you will never see anybody. You will be here literally for two years. So that kind of turned me away for a second. Part of the time I was like, Oh, I should have done it.

Candice Adams: 4:23

Yeah, definitely a lot of schooling. My kids and my husband were definitely happy when it was all over.

Erin: 4:29

Oh, I bet. How did you get in the industry? What was like your full circle or story? Was it from taking care of a parent, a grandparent, a family member, or you've just always had this desire to serve?

Candice Adams: 4:42

Probably just always the desire to serve as a child. I remember telling my mom I wanted to be a teacher, a veterinarian or a nurse, and I definitely went the medical route. But, after working in the health care industry as a CNA, I met so many families and patients that really touched my heart and made me want to keep going.

John: 5:05

That's awesome.

Erin: 5:06

Yeah. That, I feel that way when I got into caregiving too, I knew what it was, but I wasn't really sure. And then when you have conversations with family members and you see how rewarding it is and they just, their stories and what they share, it just calls to your heart. It's hard to walk away.

Candice Adams: 5:24

Definitely.

John: 5:26

how does the practice of a house call physician differ? Yeah. From a physician and say a doctor's office.

Candice Adams: 5:32

it's actually not a new type of service. Back in the day, I'm sure our older population will remember when the doctor used to come to their home with their little black bag. So It, it's more like we're bringing back the house call and we may have different colored bags now, but we still come to you and it's not lucrative as, as it is as seeing a large quantity of patients in a clinic setting on a daily basis. it's definitely a rewarding experience. And it's also, like you said, very beneficial for the patient. We also are able to really focus on the patient in their own environment. We see so much more than you would possibly see in those 15 minutes that you are with them in a clinic setting. So house calls providers, it's either doctors or nurse practitioners and They just really focus on it, enabling that, access to care. So for me, it's primary care, preventative maintenance and management of chronic conditions. it's just really nice to be able to provide that service for people who need it.

Erin: 6:46

And I'll attest to that too. It was nice. I remember when my dad was going through something, it was nice to call him big. Okay. I don't know what to do versus going to the ER room, sitting there waiting four or five hours, maybe for them to get ahold of his primary care doctor or to figure out something that was wrong. we were able to get immediate help, within your timeframe and help him help relieve some of that pain that he happened to be going through at the time. So definitely I and my family know the benefits for sure.

John: 7:17

Yeah, I can attest to that as well. I think that, so many times we get into a cycle of, this, the situation of where we go to the physician's office and we have to sit in the waiting room until our dedicated time. And hopefully, the doctor has made it through his patients and is able to see us. close to the time of our appointment, a lot of times that doesn't happen, but one, one thing that, that I know is for me, it's okay. I am younger and I don't need as much care because I don't have as many issues as, as some people do, but it's hard to really look at all the needs of the patient if you only have 15 minutes to see him, because you're cycling them through an office where with a practice such as yours, You can really get there inside their environment, have a deeper conversation, and really adhere to a plan or an approach that will really satisfy their needs.

Erin: 8:10

I was going to say, that is what she was saying too, right? We see them in their environment. We see more than if you're showing up and they're struggling. We don't see more of the picture to help. Yeah,

Candice Adams: 8:21

we definitely just try to meet people like you were saying, where they are, and work together with their families and their specialists just to take really good care of people. And for me, it's more about helping them to reach their own personal healthcare goals.

John: 8:36

is,

Erin: 8:37

Have you, through the many patients that you see, what are some of the other benefits besides some of the ones that maybe we've mentioned that you've noticed?

Candice Adams: 8:46

A big benefit that I've seen is, has a lot to do with medication compliance. I've had so many times where we go in and see a patient who's having difficulty taking their medications correctly or as prescribed, but if they were to just go into the doctor's office, they would say, yes, I'm taking my medications as they're prescribed. When you go into their home, you take a look at all their medications. You have them, get them out. You look at them all and oh, you're missing your blood pressure medication, and maybe they haven't been taking it for quite some time.

John: 9:23

Yeah,

Erin: 9:23

That's

John: 9:24

That makes sense. And I've, and I've heard of people going into homes to, even home health companies that aren't, using a house call provider for the patient, but they'll go in there and they'll see a lot of medications too that have been expired or, cause a lot of times those patients have those medications out on a shelf. where they can see them because they feel comfortable. if I need that medication again, I can see it. But you have a, as a house call provider or somebody that's very aware of that can look at those medications and say, you shouldn't be on these. they're past their date. you're no longer in need of that type of medication or it conflicts with this type. And so I think it's, it's huge. It's huge to be in their environment and to give them that support.

Candice Adams: 10:08

we also see a lot of care deficits if someone's not taking care of themselves or has a lack of food or is having falls, just living in an unsafe environment, and we're able to match them up with the resources that would help them.

Erin: 10:25

also helps too, if they don't, if the mobility, if they're having a harder time getting out of their home to go see a doctor, I feel like that prevents some people sometimes, maybe they don't have a way of transportation or, wheelchair, whatever their needs are. It's just easier to be at home. And some people have anxiety. It's I don't want to leave my home. I'd rather sit here and be sick and be miserable than leave when they don't have to be.

John: 10:51

Yeah. Yeah. For sure. Candace, now, when it comes to people that want to use a house call service such as yours, is there a specific age that they can qualify for that benefit or do, can anybody qualify? Like for instance, Aaron and I, if we said, you know what, we want you as our primary physician, we have insurance. Can we contact you and use that service or do you have to be of a certain age? to get those services.

Candice Adams: 11:19

You don't have to be of a certain age. I am an adult geriatric practitioner, so I see patients, that are 18 and up, or actually I could see 14 and up, but I typically tend to look for patients or prefer to focus on patients who need, need me most. if there's a deficit or difficulty for them, or they find it challenging, like you said, to get out of the home.

John: 11:44

Okay, great. That's good to know.

Erin: 11:47

If I wanted to have a house call provider, how would I go about finding one and what are the kind of questions I should ask to make sure, that I'm finding someone that's appropriate for what my needs may be?

Candice Adams: 11:58

the process is. Pretty simple. You should interview, I think, anybody who's going to be taking care of you long term, but it typically starts with a call or a referral from somebody in the community who notices a need or that an individual would benefit from having their PCP visit them in their own home. Sometimes it's a call from the patient themselves that we received, a family member, a friend, a nurse. Or like you mentioned a home health agency working with them on physical therapy or other disciplines, it might be a hospital or rehab discharge planner that notices that they would benefit from that or maybe somebody who just hasn't seen. A PCP for many years because they've been healthy or just have put it off.

Erin: 12:49

Can I Google online to search or is that not a preferred method?

Candice Adams: 12:55

you can doctor Google anything really, but yes, there are there are several house calls providers in this area.

John: 13:05

So usually it's best though, as a referral, because as you said, there are a lot to choose from, but there are a lot that are better than others. And, I know you personally, and I've worked with you personally, and I highly recommend you whenever anybody's looking for a house call provider. So as far as scheduling goes, a lot of times we'll make like Aaron and I'll make a doctor's appointment, but it's a ways out before we can get seen when it comes to scheduling and the availability for appointments with a house call physician such as yourself or somebody on your team. how long does the whole process take from the phone call to saying, okay, this is the insurance I have to scheduling, plan, having you come in and, and provide those services or somebody in your team, how long does that whole process take?

Candice Adams: 13:54

The process can take anywhere from a few days to a few weeks, depending on what's going on with the patient. If they are just getting out of the hospital and they need a follow up within two weeks, we can make that happen. If there's something acute going on with the patient, I will try to get them in within a few days. And my team's pretty good about making sure we get people seen in a timely manner.

John: 14:20

That's great.

Erin: 14:22

I was going to say, can I go back to my question before? When I'm interviewing for a house call provider, what are specific questions you feel are some of the better ones to ask? would it be like credentials? Would it be how many patients

Candice Adams: 14:36

Yeah, I think asking, what their specific licensure is, and if you're looking at taking care of a geriatric patient, it's probably best to go with a geriatric provider. And we, another question we don't really ask often, like you mentioned, is how many. patients do you have or do you see in a day? Because you really want a provider that's going to be able to spend the quality time with you to go over all of your health care concerns.

John: 15:07

Oh, for sure. I totally agree. Now, is this service or is your service covered by insurance, Medicare, Medicaid, some of these supplementals? How does that all work?

Candice Adams: 15:17

Yes, we accept many different insurances. both private pay and Medicare and Medicaid and our visits are typically covered by your insurance just like they would in a clinic visit.

Erin: 15:32

And if someone's not sure they just need to call their insurance provider and say, Hey, this is what we're looking at doing. Do you guys cover? Is that correct?

John: 15:42

Candice's team can do that, I think. Correct, Candice? They can just give you their insurance information and then you can check authorization to see if you can provide those services. Correct?

Candice Adams: 15:53

Yes, we definitely do a verification of insurance prior to coming out and seeing the patient so that we make sure that there is coverage, but ultimately you could always call the back of your card and ask your insurance if they were if I'm in network or our providers are in network.

Erin: 16:11

What, what kind of medical services do you guys provide, or is a typical service from like routine checkups, chronic, acute, what, and is there any limitation to a situation where a house call might not be suitable for somebody?

Candice Adams: 16:28

I'm glad you asked that question because, yes, if a patient is having a really acute issue, having trouble breathing, chest pain, those kind of things, they should go to the ER to be evaluated, right? But house calls can do so many things in the home. We provide primary care that's very similar to going into a clinic. We focus, though, a lot on Health maintenance and prevention. So you get a full exam. We discuss all of your health care concerns and goals. We can order tests in the home that need to be done, like x rays, ultrasounds. Order lab work, everything in the comfort of your own home and we can make referrals. we talked about before here with, specialists, if we deem that that's necessary or home health, physical therapy, if someone's having. falls or issues with mobility,

Erin: 17:27

I was going to say for the x rays, do they come to their home and for labs, do they come to their home? Is that also a referral? Like they would go to a different place to have that done.

Candice Adams: 17:37

it's patient preference if you prefer to go into a lab, we can send orders there, but we also have in home labs and x rays.

Erin: 17:46

Wow. That's cool.

John: 17:48

Yeah, that's, that's super, super great.

Erin: 17:51

I could have used that when I hurt my pinkie. That would have been nice. Can you come and help my pinkie? Just kidding.

John: 17:59

when it comes to house calls, Aaron and I and, and our company, Connect Empower, is really trying to empower people to become more proactive than reactive. So when they're starting to look at, investigating your services or the services of a house call physician. What are the things that they can gather together so that they can expedite things, information that you're going to be looking for when they call you up and they say, okay, we need this, this, this. I know it's probably not just insurance information, but what are some other documentation that it would be good to have on hand to give to you to. to accept them.

Candice Adams: 18:44

Yeah, definitely. We like to see if you have access to your last primary care visit, so that we get an idea of the patient, what's going on with them, what, what has been going on with them. We like all of the medications. We like to make sure your insurance matches up with what we accept, and I will email or have my team email or just have someone give them a new patient packet. And. It allows the patient to put down everything about their history or any questions or concerns that they have on, on health care. And then we can answer those when we get a chance to go out and see them. Finally.

Erin: 19:29

I'm not very stable or my mind is not very clear and I don't have someone to help me get my past medical records from my previous doctor, do you guys help with that? if I know the name and can get that, can you get that from that provider?

Candice Adams: 19:46

Yes, we just have them sign a release of record, but we also work a lot. As we have talked about with the elderly population, and sometimes they are having difficulties with memory and they might have a power of attorney. in place that can help collect those records and sign any needed patient consents.

John: 20:08

That's super great. I think it's such an amazing service. you and I have talked before and I've always been such a huge proponent of house calls, especially in busy areas like Idaho. it's become so busy and to, to move here and then try to set up your visits with a primary care physician or somebody to take over those needs. sometimes there's a huge delay in that. And, Me being younger, Erin being younger, we can really advocate and we can hold out, but sometimes these people can't or they shouldn't, but they almost are forced to because they aren't aware of what's out there anymore. They're not aware that there's house call providers locally that can accept you as a patient and respond so much faster. So I think it's great.

Candice Adams: 20:55

yeah. that's exactly correct. They come here and they don't know what's available, but once we see them and we get an idea of what they're looking for, what their needs are, we're able to facilitate those references or medication management or whatever needs to happen to help that person to remain safe and independent in their own home, age safely in place, right?

Erin: 21:20

Yeah. When I owned a caregiving company, I remember one of my biggest concerns was making sure, the client was safe when the caregiver came over. And so we try to do a pre introduction with family or at least I could have a contact or some way so when we came to the door, they felt safe letting that person in the home. So I didn't know if there was any procedures or different ways to make the client feel safe like this is who is coming over, right? the code word to get in the door

John: 21:51

a badge, badge

Erin: 21:53

or yeah.

Candice Adams: 21:55

I've never had a code word, but

Erin: 21:57

butter. Peanut

John: 22:00

Peanut butter. Peanut butter. Yeah.

Erin: 22:02

what is the protocol or do you feel that there's any safety measures that are taking place when people come to the home just so they feel safe if there's a stranger?

Candice Adams: 22:11

we always call first and if it's a patient that's going to have a possible issue with dementia or feeling a little anxiety over that initial visit, we'll ask for a, POA or a family member to be present and make sure that they can help that person to answer all the questions that we need to ask in order to take great care of them. And as an adult geriatric specialist, I'm used to dealing with, and I help people with dementia and with those related problems.

John: 22:44

Do you have situations where, you'll take on a new account, not realizing or a new patient not realizing that they have some dogs in the house that maybe aren't used to, socialization so it can create a little bit of conflict with your team?

Candice Adams: 23:00

We're all dog people around here. We love dogs. So I have two beautiful golden retrievers and I think other dogs smell other dogs, so they, they usually let us in without a problem, but we always, we, we do ask people to, if they do have aggressive dogs or dogs that might be come frightened by a new visitor to put them away during our visit, that way everyone's safe.

Erin: 23:27

dogs are, I think are a little bit more friendlier than cats. I'm just kidding. I'm going to get myself in trouble with

John: 23:32

one. Dogs are usually a lot friendlier than people too sometimes.

Erin: 23:36

so true. If there happens to be an emergency, say in the evening or the weekends, how does someone get ahold of you? Because we know where there's normal business hours when you go to the doctors, but when you provide that home care, is that the same thing? Is that nine to five, eight to five or weekend and evening hours and emergencies?

Candice Adams: 23:58

So great question. Our typical visits are Monday through Friday during business hours, but we also offer urgent care visits for acute care conditions like urinary tract infections, respiratory or ear or sinus infections. And if somebody is having an exacerbation of their chronic illnesses. We can treat that as well over the phone or, but we have a provider, an actual nurse practitioner that you can talk to 24

Erin: 24:33

That's cool.

John: 24:34

Now, with your team and other house call providers that you might be aware of, what is the typical, like, when you're getting up there and you're maybe 60, 70 years old or something like that? Is there a rotation where you see them or check in on them? Or is there some follow up where? where you're going through and there's a plan of care that develops, okay, I'm going to call you in two weeks or I'm going to call you once a month. Then we're going to check in on you. I know sometimes it's like a routine. yeah. Routine. is there some sort of thing that you guys do like that? Or is that just based on the need and then they just call and set up the appointment?

Candice Adams: 25:07

It's basically a patient driven schedule. So depending on the acuity of the patient, we see them every one to six months. So some patients I see monthly. Some patients I see every three to six months, and some people we just see once a year for an annual, but typically, for older patients, it's good to see them between one and three months, so you can keep a good eye on what's going on.

John: 25:34

That's great.

Erin: 25:35

know. I love that.

John: 25:37

Yeah. And then you'll help people if maybe they don't have a POA set up. And maybe their family lives out of state, you will help that communication, right? So you're updating the family on their loved one, or somebody of your team is updating. of attorney. Yeah, the power of attorney. so for instance, my parents live in California, they have a ranch there. And so if they have a house call provider or a team they're working with, we would love updates just to make sure we know what's going on. If there's anything they need, we can be part of that process. Does your team do that as well? Yeah.

Candice Adams: 26:58

Yes, we actually love family involvement and support, and so we'll keep in touch with family as long as the patient has said that's okay, or there's a power of attorney in place, like you said, and we'll talk to those family members periodically based on whatever's going on with the patient and provide updates as requested.

John: 27:20

Perfect. Now our company is nationwide. Do you know of, or are you aware of house call, house calls being provided throughout the U. S. or is it just on the West Coast or do you, do you have any idea how, how it's doing?

Candice Adams: 27:40

I think it's doing fairly well. It's becoming more the norm for older people to age in place safely to have a primary care provider. I think that visits them in their own home. I, I think it's more and more popular as the years go by.

John: 27:57

Perfect.

Erin: 27:58

I love the idea, cause I figured by the time I drive to the doctor's and you sit there and you wait and it's man, I'd rather be in my home and not driving the crazy roads,

John: 28:07

you

Erin: 28:08

know, and weather and dealing with parking and getting all that done when I know, okay. I can sit here. I know they're going to come to my door. They're going to have great service. I'm going to get seen for what I need. I'm going to get that quality time.

John: 28:22

Yeah. I also know that as the population grows and the density grows in some areas. I, my primary physician, I used to see him and he would take time with me. It wasn't 15 minutes. He would sit down and we'd have a discussion and we'd talk about a lot of different things and he would come up with solutions that I needed. But as time has gone on and the Treasure Valley has become bigger, busier and busier, he has less and less time. And I know for. certain populations, it's better to still be able to have that time. So I love what you do. I love, I'm a huge advocate of house calls and we, we want to ask you, Candace, you know, your business better than anyone, including us. And we're so excited to share this information, to the people that are. podcast, but is there information that you'd like to share that maybe we haven't asked and maybe that we're unaware of? Because I know as a practitioner, you face all sorts of different situations.

Candice Adams: 29:23

Well, everything that I do, I really love what I do, and it really doesn't seem like it's hard work, even though we do work very hard for our patients every day, but we really have fun doing it. an example of, you mentioned spending extra time with patients and especially with the elderly population. one thing that we've implemented this year is a care manager. And so we will actually have that care manager call most of our patients every month just to check in and see how they're doing emotionally and physically. And another thing we have our people do is we always make sure we ask them one interesting fact about their life. So we like to find out something interesting or something they're proud of. And I think it's, it's really important to, show that we respect and appreciate our patients, our community partners and everything and spend that extra time just getting to know one another.

John: 30:25

No, it's huge. Aaron and I are always talking about the importance of community and connection. And how do you do that? you have to be willing to go past the minutiae and, and ask deeper questions, personal questions about each other so that it becomes a conversation. that deeper connection, that sense of community. So I love that you guys do that. we're trying to really make a movement and to get more people that are willing to do that too. So that's just a personal touch that I think sometimes gets lost with certain companies, and I love that your company does that, yeah. That's awesome.

Erin: 31:03

I know I was waiting to see if you were going to jump in on my party over

John: 31:06

I, I'm not, but, you know, she, one before Aaron asks, she asks, us,

Erin: 31:12

going

John: 31:14

Hold on. Aaron's going to ask a question that is more for us than anybody else, because we love this question, but a lot of people have enjoyed listening to it too, but one of the things that, that I'm looking on that I haven't asked in and I I'm just curious about, because I'm getting older and, and is there any tips or advice that you can share that, is it better to get with a house call provider sooner than later or what are some tips and tricks that you think people should really consider? and at what time should they start making those decisions?

Candice Adams: 31:50

I think anytime that it is a challenge or a difficult, a difficulty to get out of your home that you should look into a house calls provider and. I think people will know and families will know when that time comes. People get really close to their primary care providers a lot, so I try not to rush that transition. I do as well. I get close to my patients, so I understand that relationship and I encourage people to do it when they're ready.

John: 32:23

Perfect.

Erin: 32:24

Well, you've said something and you get really close to him. as you get close to them and you see the challenges, they become like family members. So how do you keep that emotion sometimes out of it? Does that make sense?

Candice Adams: 32:36

It can be hard sometimes. we're in the people business. We, we believe in treating people well, and I think, I firmly really just believe if you're involved in healthcare in any capacity for the right reasons, everything will work itself out. So treat people right, and things will happen, good things.

Erin: 32:55

Very true.

John: 32:56

love that. Alright, you got the floor.

Erin: 32:59

All right. you love this one. It's my time. We love to travel. If our listeners didn't know that by now, we love to travel. What is your favorite place that you have traveled to or that's on your adventure list of places you want to go and do that you can share with our listeners?

Candice Adams: 33:19

I love this question. I love to travel also, and I actually got the opportunity to do one of my bucket list adventures recently. we went backpacking and hiked a lot of miles down into the Grand Canyon and just camped alongside this beautiful lake. It was just the most beautiful turquoise blue water and waterfalls, so it was definitely a once in a lifetime experience. It's on a lottery, so it doesn't happen for everybody. It was definitely something that you feel blessed to even be there.

John: 33:54

Yeah.

Erin: 33:55

How many days was it?

Candice Adams: 33:57

We were there for three nights and we backpacked everything in and everything out. So we were in tents and, swimming in the water and it was a great time.

Erin: 34:08

That sounds like fun. That's We'll have to get that information from you, because that would be

John: 34:13

I know you'd like to do. Yeah, Yeah, I would definitely love to do. There's a, there's another place that has a similar thing, a lottery, that we've been trying to do. It's called The Wave. I think it's in Arizona, correct? Aaron, you've been signing up for, yeah, for many years and we haven't been able to hit that lotto yet, but I'm so glad you did. And I'm so glad you were, you were able to hit that, that on your bucket list. Yeah. thank you so much. we've loved having you and, and we appreciate everything that you do. I can, I can highly advise people, to follow your tips and tricks. And really when you start having some mobility issues, really look at that service that you provide because, it can create a lot of complications with families and stuff when you start becoming reliant on your children to transport you to all these medical appointments when you can have your provider come right to you. So thank you for all you do and thank you for your time today.

Candice Adams: 35:11

Thank you so much for having me. It was great talking to both of you.

John: 35:16

Thank you for tuning in to another episode of Connect Empower. We want to express our gratitude to you for being part of our community, and we hope today's episode has provided you with valuable insights and inspiration to enhance your life and that of a loved one.

Erin: 35:30

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John: 35:51

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Erin: 36:06

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John: 36:26

I'm John.

Erin: 36:27

I'm Erin. Until next Wednesday.