Wealth For Generations

Revolutionizing Senior Healthcare: In-Home Medical Advancements and Financial Health for a Lasting Legacy

March 30, 2024 Todd Whatley
Revolutionizing Senior Healthcare: In-Home Medical Advancements and Financial Health for a Lasting Legacy
Wealth For Generations
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Wealth For Generations
Revolutionizing Senior Healthcare: In-Home Medical Advancements and Financial Health for a Lasting Legacy
Mar 30, 2024
Todd Whatley

Discover the transformative impact of in-home medical care for the elderly with Dr. Lazarte, a trailblazer in this revived practice. Experience a captivating conversation that uncovers the profound benefits personalized healthcare brings to those over 85 with chronic conditions. With Dr. Lazarte's insights, we delve into how this approach not only enhances patient well-being but also allows for a deeper understanding of their daily lives. By providing care in the patient's own home, we see a decrease in hospital-acquired infections and enjoy the luxury of extended visits that ensure no aspect of the patient's health is overlooked.

The role of technology in elder care is nothing short of revolutionary, and this episode isn't shy about showcasing it. Wearable biometric devices are now at the forefront, offering continuous monitoring of vital signs that can signal caregivers to changes before symptoms become apparent. Through real-world examples, Dr. Lazarte demonstrates the potential for these advancements to change lives. Additionally, we address the crucial need for clear communication within the home setting, revealing the true picture of medication adherence and lifestyle, which in turn informs better diagnoses and more effective treatments.

Wrapping up, we tackle the weighty issue of caring for high-need, high-cost patients in the U.S. healthcare system. I share my practice's innovative strategies for home-based care, emphasizing the urgency for healthcare reform to protect our nation's financial health. As we conclude, we pivot towards your financial well-being, offering guidance for achieving prosperity and building a lasting legacy. For more resources and insights into safeguarding your future, remember to visit our website and subscribe.

Show Notes Transcript Chapter Markers

Discover the transformative impact of in-home medical care for the elderly with Dr. Lazarte, a trailblazer in this revived practice. Experience a captivating conversation that uncovers the profound benefits personalized healthcare brings to those over 85 with chronic conditions. With Dr. Lazarte's insights, we delve into how this approach not only enhances patient well-being but also allows for a deeper understanding of their daily lives. By providing care in the patient's own home, we see a decrease in hospital-acquired infections and enjoy the luxury of extended visits that ensure no aspect of the patient's health is overlooked.

The role of technology in elder care is nothing short of revolutionary, and this episode isn't shy about showcasing it. Wearable biometric devices are now at the forefront, offering continuous monitoring of vital signs that can signal caregivers to changes before symptoms become apparent. Through real-world examples, Dr. Lazarte demonstrates the potential for these advancements to change lives. Additionally, we address the crucial need for clear communication within the home setting, revealing the true picture of medication adherence and lifestyle, which in turn informs better diagnoses and more effective treatments.

Wrapping up, we tackle the weighty issue of caring for high-need, high-cost patients in the U.S. healthcare system. I share my practice's innovative strategies for home-based care, emphasizing the urgency for healthcare reform to protect our nation's financial health. As we conclude, we pivot towards your financial well-being, offering guidance for achieving prosperity and building a lasting legacy. For more resources and insights into safeguarding your future, remember to visit our website and subscribe.

Speaker 1:

Welcome to Wealth for Generations, the podcast where you learn to grow, protect and preserve your wealth for generations. Our hosts on today's show are Todd Whatley, a certified elder law attorney, and Ian Weiner, a certified financial planner. Join us and our expert guests as we uncover the mindsets, tools and strategies to help you maximize your wealth and impact. Let's embark on this journey to secure your legacy. Please note this podcast is for informational purposes only and is not intended as financial or legal advice. Always consult with a professional regarding your specific situation.

Speaker 2:

That's right. This is Todd Whatley, and I am always thankful that you are listening to us and thank you so much for everyone who downloads and then, particularly if you subscribe. I appreciate you subscribing to the podcast. That always lets us know who else is listening and make sure that you get every new episode that comes up. So today we have a guest and I'm super excited. I've had him on the radio show before and it's always a great show. But first let me get Ian on.

Speaker 3:

Hey, ian, how are you doing, Todd? I'm doing well. I'm excited about this. I'm looking forward to this episode, so I'm glad we're going to do it.

Speaker 2:

This is going to be fun. So our guest today is Dr Lozarte, and he is a physician. You're like, okay, well, that's a big deal, he's a physician, but he does a really cool practice that is fantastic for, particularly, the older people. And so, dr Lozarte, thank you for being with us today.

Speaker 4:

Thank you so much.

Speaker 2:

I appreciate that talk Thank you for being with us today.

Speaker 4:

Thank you so much, I appreciate that, todd, thank you for having me here.

Speaker 2:

So tell us about your business and the very unique practice that you have.

Speaker 4:

Yeah, so it's very interesting. So we are the only house calls program in northwest Arkansas. We actually do the same thing that we used to do back in the 1800s, where the doctor actually went to the patient's home and took care of the patient. So there's a lot of benefits of it, and we stopped doing that many years ago, but that type of practice is starting to happen again in America. So I'm not the only one.

Speaker 4:

There's a lot more doctors who are actually practicing this way and there's many benefits out of it. You get to be right where the patient needs you the most, which is at home, and because of the fact that you're going to patient's home, you're able to provide better care because you get to see the context of their health, meaning where they live and what kind of pets they have and all those things which ultimately determine the kind of health you have. So as physicians, we get to observe better and obviously it's a much more convenient service for patients. So, yeah, so we provide that kind of house calls care that we used to do back in the 1800s now again, and we get to go to patients' homes wherever home it means for the patients. You know it could be an independent facilityytic, an assisted lymphocytic or home? Yeah, interesting.

Speaker 3:

I love it so much.

Speaker 2:

I'm excited about this and I like that you said you can give better care. Yes, and people think, okay, hospitals, fancy, all the equipment's right there, but a lot of people don't like hospitals.

Speaker 4:

Yeah.

Speaker 2:

And there's diseases in hospitals. Sometimes people go to the hospital and they get sick, sicker. So yeah, expand on that just a little bit.

Speaker 4:

Yeah, so it's very so. The opportunity that we have to be able to be a patient's home one. It increases the satisfaction of the patient, Sure, and as you know, if you are happy about something, you'll do better about it. So when we are at a patient's home, the patients are happy. They don't have to go anywhere, they get to spend more time with us as we talk to. You know whatever problems they're having, so the patient feels happy. So just by that, the fact that they don't have to go, there's less stress. The patient benefits out of that, and as they benefit, ultimately it's better quality of care for these patients.

Speaker 4:

But you're right, patients at that age, most of our patients are over 85 years old. So we practice with this kind of limited kind of population of patients. These are my 85-year-old elderly patients with multiple chronic conditions. Those are the ones that we focus our practice with. So, and as such, we're able to provide a care where we're able to observe better where the patients live and you know what kind of environment they're in, and then, as such, we can actually formulate better care for these patients. And the other thing that's important is the fact that they have, you know, as we age, all our organ systems age, including our immune system. So our patients, elderly patients, they have a kind of deficient immune system. So the less exposure you have to clinics or hospitals is better for them, because then they're not exposed to organisms that otherwise will make them sick. So by us being at home we prevent that type of problems for our patients.

Speaker 3:

It makes such good sense. You know, I think there was a period of time when this is somewhat my perception, but the idea of the hospital being fancy and fresh and new and so therefore better.

Speaker 3:

I think there was a period of time when this is somewhat my perception, but the idea of the hospital being fancy and fresh and new and so therefore better. I think some of that facade is starting to fall away and people are going. You know, if I can avoid it, I don't want to go to the hospital and you'll get better attention, more personalized attention at home. I'm curious how long is an average visit for you guys?

Speaker 4:

Yeah, so the mechanics of the visit. There is a little bit. It's a different practice. So you know, we usually let between.

Speaker 4:

I would say between 30 minutes to an hour is when we are with the patient and we're able to do a lot more than you would do in a normal visit in a clinic or in the hospital, but we're, overall, able to provide better care and we have been extremely successful in the type of metrics that we put ourselves to be measured for, and one of the metrics that we measure for ourselves is the fact that we wanted to know whether we're making a difference with this type of care for our patient population, and one of the things that we're trying to prevent is escalation in care for these patients, meaning that care that they need beyond the environment that we're providing the care for. So we have had incredible success so far. We just did a retrospective study for the last couple years of practice we've done and we've discovered which is surprising to me. I know we were doing a good job. I didn't know how good of a job we were doing and we actually decreased admission profile visits to the ER by 50% for our patient population.

Speaker 4:

So it's kind of hard to understand that in the sense that you know 50%. What does that mean? Right, but like if you go to a big know uh health care system and they're all, we're all doing the same. We're all trying to prevent this escalation care, trying to keep them where they are. Uh, you know, a decrease in two to three percent in admission profiles is considered to be a huge win, but we've, you know, we've done, uh, you know, 20 times that on the kind of practice we're doing. So we're very successful in the fact that we're trying to prevent this escalation in care for our patient population. So, yeah, so we spend more time, and the fact that we spend more time, we get to know the patients better and we get to provide better care for them.

Speaker 3:

I think that's so important. The average time that people see the physician is about seven minutes nationwide.

Speaker 4:

There was another study about seven years ago. They actually counted the amount of time for a patient it takes to get ready, get transportation, get to the doctor's office, and it was actually four hours for a 15-minute visit. Wow so imagine four hours.

Speaker 4:

And now for you and me, for the three of us, four hours for a 15-minute visit for the doctor. So imagine four hours. And now for you and me, for the three of us, four hours is, I mean, it's no big deal to get ready and go to the doctor's office. But for an 85-year-old who has diabetes and congestive heart failure, who has COPD, you know, walking and moving and trying to get transportation is difficult. So that's where it becomes a task for them to go to the hospital.

Speaker 4:

And that is the reason why a lot of times the primary care service is lacking in this population, so they don't go to the hospital, they don't go to the doctor's office because it's too difficult. So ultimately what happens is we're not doing preventive care, we're doing reactive care because we're not providing the care that they need at that time. So that is a problem also for these populations.

Speaker 2:

Talk about how quickly an 85-year-old person can go from okay to not okay yeah. It's not weeks, but it's surprisingly fast.

Speaker 4:

It is pretty amazing, and thanks for saying that, Todd. So yeah, so we actually counted, we decided. So let's figure out how long does it take for a patient from the first symptom to where they actually need to see someone and do something for these patients? And so the way that the regular practice are set up, the health care system is set up now, is if you feel sick, you call the doctor's office. The doctor's office will call them back and say we'll make an appointment, and it could then become. The fastest appointment would be maybe within 24 hours, Most of the times two, three days maybe even a week.

Speaker 4:

So we counted the amount of time when our patient has a first symptom to where they actually need to be seen, and then we actually were surprised to know that it's about 12 hours from the first symptom to the time where actually they have to do something. You know. So imagine how quick this patient population gets sick, and then you have this system where they actually have to wait for at least a day to be able to see a doctor At least.

Speaker 1:

At least.

Speaker 4:

So that is, the best practices, the ones that actually are very proactive, but most of the time it's two to three days. So two to three days means that the patient didn't get to see the doctor. It means that he went to the ER because that's the easiest way of access care and then possibly going in the hospital. So ultimately it's not a good thing for the patient, but that's how it goes. So it's really quick. So how do you prevent that? It's impossible. You know the way the health care system is set up now. It's impossible for doctors and clinics to try to make a difference in this patient population. So I'm not talking about, you know, the 50-year-old. That doesn't make sense. I mean, that makes perfect sense to have a clinic, for the patient to go there, but for an 85-year-old it's just not a good thing.

Speaker 2:

The last time we spoke, you had talked about some technology things, a watch type thing, Did that ever come to fruition?

Speaker 4:

Yes, we finally did it. So it's been a labor of love and it's been a lot of headaches and pain to get there.

Speaker 2:

The FDA is really fun to work with, aren't they?

Speaker 4:

So technology? So I had this idea many years ago. So I was thinking how can we provide better care for our patients? So one of the problems that we have with this patient population is one they're elderly and a lot of them lived back in the 50s and 60s I mean 40s and so they are pretty strong physically and they don't complain. So they're not going to say, hey, I have a fever, so they have a fever. They're not going to say this to anyone, so they'll just keep it to themselves. Or you know, I fell and I'm just going to sit down on the couch and not do anything, you know. So the other thing that problems with the population is like they may not feel well or whatever, but their fever centers, their pain centers, are not the same as they used to be. They're older, so they're not going to know when they're getting sick a lot of times. So it's very difficult. So they're old, they're strong physically, and the other one is, because they're old, their organ systems don't work as well, so a lot of times they don't know they're getting sick.

Speaker 4:

So we were thinking about how can we find these patients, even if they don't know they're getting sick, and so we decided to possibly use technology to get to that point. So we were thinking about a device that will give us biometrics data 24-7 so that we can actually see. So if we, for example, if we check temperature, if we notice that the temperature went up and we have some algorithms that we've created, then we can actually be preventative right, so we can say this patient's actually having a fever, without even the patient knowing that he's having a fever, so we can actually do something for this patient. So if we know that it's within eight hours the patient's going to get sick, then maybe we can do something at that point. So if I find out that the patient's having a fever, then maybe I can do something at that point. And for that reason, what we noticed in our practice that despite the fact that we were super aggressive with our primary care services available to the nurses and trying to be there when they need us, we still were missing some of these patients. Some of these patients were still going to the hospital.

Speaker 4:

So we thought, if we can find something independent of the patient that we can actually measure, some type of biometric data that give us enough information to do something for the patient. So that's what we thought and this idea was many years ago, but technology has been difficult to get there yet. So we finally we just did about a week ago we put several of our patients on this machine. We're actually getting raw data. We have our software engineers working on all of that, which is super exciting. I just did about a week or so of monitoring and we just found one of our patients that actually had low O2 sats the amount of oxygen you have in your blood, know her heart rate was a little high. So we figured out that she was actually getting sicker and we actually went and I saw her and we did something for her. So that was kind of like a small example of what we can do. She didn't even know she was getting sick, but now we know and we actually did something for the patient, so it's a pretty exciting time.

Speaker 4:

So that technology gets better. You know what is this thing? So it's kind of like an iWatch. Basically it's a wrist device that has the ability to check some biometric data parameters, such as, you know, o2 size, heart rate, temperature, movement and stuff. So those are the things that we use in order to, you know, we run those through algorithms that we've created and we actually get to see whether a patient is actually getting sick sooner than we would otherwise.

Speaker 4:

So, you know, and, like I said, this example was a perfect example. You know, this lady was getting sick and we didn't know. I wouldn't have known otherwise, you know, but we were able to see her and do something for her. So it was pretty amazing. So I think the future, what's going to be, is the future. I think eventually, all of us, 20 years from now, all of us, including the younger people, will be wearing some type of biometric data monitor device and then you will be able to be proactive on the health that you have. You'll be able to do something ahead of the game so that, before you actually get sick, you'll be able to do something ahead of the game, so that, before you actually get sick, you'll be able to do something about it.

Speaker 3:

Interesting, I think it's amazing. It's exciting and we talk about this a ton Todd in different areas, where proactive planning or engagement is always better than reactive planning or engagement Always. And this is just another situation like that and you talk about preventative versus reactionary.

Speaker 3:

And it's the same in our world. But I just see this beautiful theme of you get to see patients more frequently, you get to see them for a little bit longer and you get to be ahead of stuff and roughly the amount of time that you see them translates to the the um reduction and how many times they have to get escalated care.

Speaker 2:

I think that's just really interesting yeah, I have some friends that are physicians and and they fuss about clients. Aren't always honest with you, are they?

Speaker 4:

no, no, they're not.

Speaker 2:

It's like you know, and if the patient would just be honest with you, you could help figure out their situation. You know, one of the biggest things is it's like Ms Jones, are you taking your so-and-so?

Speaker 3:

medicine yes.

Speaker 2:

Every day. Well, you're like okay, well, if she's taking it and she's still having this problem, then there's something else where if you knew, she just didn't take her medicine you could easily fix that problem. Yeah, so being in their home it cuts down on patient dishonesty. Yeah, yeah, you are taking your medicine. Well, here it is and it's still full. Ok, so that tells you. That helps you with the treatment, with the diagnosis, and just no, I don't smoke. But there's an option. I can just imagine being in their home.

Speaker 2:

And I did home health physical therapy for quite a few years and I love being in their home so that you can really see how they live. I can imagine just going to their place. Like you said you do a better job yeah.

Speaker 4:

So a lot of times they lie. So you know I don't know if you guys remember that program, dr House on TV he always said that all patients lie, which is you know. It's true, sometimes they do. They're embarrassed to say you know, I'm not taking my medication, no, I smoke, even though. But when you're at home, at their home, they can't say those things because they know you're there and you're able to. So sometimes we're able to go through their medications and then figure out oh, you're taking your medication, but you have enough for three months in here, in this valve, so it means that you haven't been taking your medication. So let's fix it, let's figure out a way to be able to make sure you get the medication that you need. So yeah, so those are kind of interesting things and you know the fact that you're at home is kind of interesting.

Speaker 4:

We had another patient that the family told us hey, this patient is, you know, maybe developing dementia. I'm worried about my mom. Can you come and see this patient? So I went to see the patient and I noticed that in her coffee table she had a book of veganism. You know she was a vegan and I said are you a strict vegan. Yes, I've been a vegan for the last six months and I said, okay, so do you replace your B12? So you have to replace B12. The only way to get B12 in our diets as a human being is to be able to get it through meat, but B12 is essential for our health. So she didn't know that. She was just eating all vegetables, you know, and I said, oh my gosh, so you're not taking B12. So we checked her B12 level. It was really low. We replaced it, and low B12 levels is a reversible cause of cognitive disorders or dementia.

Speaker 1:

So we're able to fix that.

Speaker 4:

you know, just by the fact that I was there I was able to see the book and make all of this together. But those are kind of the benefits that you get by being at home to provide the care.

Speaker 2:

So how does someone or what is the ideal client for you? The ideal patient?

Speaker 4:

Yeah, so we are so as a house calls program. We don't have a lot of younger patients. We have some, but the majority of our patients are. We have some, but the majority of our patients are. So, basically, if you are having difficulty going to see the doctor because you have difficulty walking or you're dizzy, or you're a little old, or you don't have transportation or any of those things, if you have a difficulty going, so those are the kind of population that we want to manage. So most of our patients, like I said to you, are in our Medicare age over 65, and most of them have chronic medical conditions. So, basically, this population is the most difficult to manage. So that's what we specialize on. So that includes patients in facilities such as memory care units, people that already have dementia, people that are on assisted living facilities and independent living facilities, or even at home. So all of those patients are out. So we just kind of focus our practice to this particular population that is called in Medicare terms, it's called a high-cost, high-need population. So what does that mean? This high-cost, high-need population is a population that is the most expensive population in this country.

Speaker 4:

So let me just give you some numbers. So, back in 2020, we spent over $3 trillion of money from our GDP, so 17% of our GDP went to health care expenditures. So out of that $3 trillion and this is a little bit more, but just for the sake of numbers and easy numbers so one of the $3 trillion was spent on hospital and ER care and out of that, between 20% and 30% of those admissions were inappropriate admissions, meaning these patients shouldn't stay at home, be in taking care of home or provide care in some way that they didn't have to go in the hospital. So imagine we're talking about $200 billion to $300 billion a year that we're spending unnecessarily. And this is not even counting the other $700 billion where people are actually going to the hospital, where, if you have a good preventative way of managing the space, they may not need to go to the hospital at all. So ultimately, the amount of money that we're spending is huge.

Speaker 4:

So what is the matter? The point is, right now is 17% of the GDP we're using is huge. So what is the matter? The point is, right now, 17% of the GDP we're using in this particular population, and this is the population spending all this money. So there is no other population Younger populations are not spending any money. So insurance companies love people like us, right? We rarely see the patient Ian more so than us, because Ian is much younger.

Speaker 4:

But you know, you get to pay insurance fees and you, but you know you get to pay insurance fees and you barely see, you rarely use the insurance money that you're paying. So you become 85. You have three medical conditions. All of a sudden you become the most expensive population for an insurance company for Medicare. So this population is the one that's spending the most money. So out of that third of the GDP I mean out of the 17% of GDP out of that $3 trillion, the majority of those dollars, 70% of those dollars, are spent on this population. So you would think we need to do something to help this population to get better care. And you know it is a problem that we all in the medical field, people that specialize in population health which I like to say that I am an expert on that we're all trying to figure out a way to solve this problem. So we know this population is the most expensive population, but how do we deliver care in a way that is feasible and is cost-effective and we can actually scale it? And we haven't been able to find a solution for that For the last 30 years. There have been several programs that the government has funded and organizations have funded to try to provide a feasible solution for this population and nothing has worked because many, many reasons why. But so our solution is, in my opinion, the best solution. Because why? We provide care at their home in a very, very cheap way. So we actually use, you know, the insurance billing codes that we use, and so, within the constraints of the billing services that insurance companies provide for us, we're able to provide much better care at a lower cost. So my question is why does it matter now if we're using 17% of our GDP in health care? What matters is because in 50 years, we'll be at 50%, the way it's growing, and, in effect, in 50 years, the country will be bankrupt.

Speaker 4:

And I'm an immigrant of this country. I want this country to continue to be the great country that it is for my children, so I want the country to stay the way it is. So we have to do something for health care. We have to find a solution for that, and so far, nobody's found one except us.

Speaker 4:

I think we found a solution and we're providing that, and we have data now that we can show that we are, in fact, being very, very, very successful. So that is I think that is the reason why this type of care is not just important, it's critical for us. I think we need to change the way health care is practiced in this country. If not, we're going to bankrupt the country. So it's difficult to make those changes. There is a lot of people are making a lot of money because of of the way the healthcare is established, I mean it's organized, I know currently, but I like to think that before I die, I would like to make a difference, and I would like to make a difference in this area because I think we can.

Speaker 4:

I think, you are, and why not do it out of northwest Arkansas? It's a great town for business, and I think there's a lot of people that are very smart and desire to do something better, and I think we can, so that's why we are like passionate about providing care for this population.

Speaker 2:

Are you the only physician doing that in northwest?

Speaker 4:

Arkansas. Yeah, so there is a couple of nurses that do this in a smaller scale. There might be another doctor Actually, I don't think he does that a smaller scale. There might be another doctor. Actually, I don't think he does that a lot anymore, but we are the biggest company and the biggest program in Northwest Arkansas.

Speaker 2:

So how does someone? If they think that they need your services, how would they get in touch with you?

Speaker 4:

Yeah, so I have a number and I was kind of embarrassed to say I didn't even know the number. But you just call this number and just call and say you're interested in being part of our practice and we'll be happy to talk to you. Like I said to you, it will not cost you any money. So if you have insurance most people have secondary insurance all the programs that we have are funded through the insurance company, so it will be just like regular billing code, so we will provide this care. So I like to say that we provide concierge level of care for our patients.

Speaker 4:

So there are some doctors that have these different type of programs, program or practice where they actually it's kind of like a subscription program where you actually pay some money cash money to be able to have better care from your physicians. It's called concierge services. So there's many physicians that do that in this area. But we like to say that we provide concierge services type of service for a patient population without actually charging money for it. And one of the reasons why we want to not charge money, not to do that kind of care, is because we want to increase the access of care for this population rather than decrease it and I think asking for a couple hundred dollars or a hundred, whatever it is, it becomes a deterrent for access of care for this patient population.

Speaker 4:

So we're very much hands-on, we're constantly being available for families and facilities or whoever is a player in the healthcare and, you know, in trying to make the patient better. So that's the kind of care. So anyway, so the number that we have for our office is 479-250-4849. And anybody that's interested can call that number and they will, you know, they will be able to talk to our office and be able to figure out. Certainly we'll just get some data from you and then be able to come and visit you eventually.

Speaker 3:

That's incredible. There's so much to unpack there. I mean we need so much more time. The data shows that the care is more effective, it's less expensive, it saves. It saves everyone money. I don't know what else you want. This is as close to too good to be true as there is.

Speaker 2:

So talk about your staff just a little bit. I think that's changed quite a bit since we last spoke, yeah.

Speaker 4:

So, yeah, we're hiring. Currently. We've grown a lot since when I talked to you in the beginning, I was the only I was by myself with my son trying to do this and we were like it was a lot of work but we're still working hard. But we've added a lot more people. We have several people in our team now.

Speaker 4:

We have, you know, a business developer and we have a software engineer that's helping us with our AI and our machine learning and all the other things, and we have a nurse practitioner that we're not. She's actually doing wound care for us also. That's another thing that's exciting to us. We're able to do so really complicated wound care at patients' homes. So most of the time whenever you have a complicated wound care at patients home, so most most of the time whenever you have a complicated wound, they have to go to the, to the hospital or to the clinic to get this wound care, but we're actually able to do that at home. So we're excited about we've actually been, uh, you know we're pretty busy doing that, but that's pretty exciting. And we're hiring other nurses. We're currently talking to someone else to get that to join us. So, um, and we've hired several nurses. So nurses. So we have about four nurses now that we're working with us.

Speaker 1:

Four nurses yeah.

Speaker 4:

And they help us a lot with like coordination of care. So that's been amazing. So, yeah, we've grown a lot. The population that we serve is a lot bigger now, but you know, we're still providing the care that we did two years ago in a very personal way.

Speaker 2:

Well, I'm glad you're growing and providing. You know seeing a need and meeting a need.

Speaker 1:

Cool Is there anything else?

Speaker 2:

Did we miss anything that you typically want to talk about?

Speaker 4:

No, so I want. So my desire to tell people about this there's one that we want to make sure they know about this. But the other thing I have is for whoever is listening to this you know, we want to find these persons that are, you know, that are willing to make a change in this life. You know, for health care. So I always try to find this maverick person that will listen to us and try to help us to get to bigger things. We would love to have a contract with insurance companies. We would like to spread the data that we have for other people and stuff so they can understand what we're doing, but it's hard.

Speaker 4:

So when we're small, we want to tell people hey, look, we're providing a much better care. Give us a chance to provide care for bigger, bigger populations. Ultimately, that's what we want, no-transcript. So we're always asking people like if you're excited about this, if you think you have the power or the means to be able to help us, give us a call. We'll be happy to talk to you. We need those people that say you know what this is an important project, what this is an important project, it's great for the country. Why don't we take a chance, so any chance in this country that really makes a difference takes someone with revolutionary ideas that's willing to take those steps to be able to get there, and that's what we need. Right now. The way health care is established is there's a lot of players, but all these players are interested in keeping healthcare established school, and that is not what we want. We need, you know, we need to change it and we need people that will help us with that.

Speaker 3:

Maybe if we hire a few more consultants they could figure it out. I'm sorry, I'm just kidding.

Speaker 2:

Do you have a website people can go look at?

Speaker 4:

Yep, it's basishealthorg, so it's B-A-S-I-S-H-E-A-L-T-Horg. That's our website and our number is listed there, and we don't have a clinic where you can actually go and see us. We have a business office at the Ledger, but we don't have one. It's just all mobile, so we don't need one. So, obviously, if you call our office, we'll talk to you and then we'll come to your place and we'll start care for you.

Speaker 2:

Yay, okay, all right, thank you all very much for listening. Thank you, dr Lozarte, for being with us today.

Speaker 4:

Thank you so much. Thank you, thanks, todd.

Speaker 2:

I'm anxious to hear some reports from this and I am so glad you're growing. That's a great service and, having done a little bit of that myself as a PT, I sure do appreciate it. So thanks everyone for listening and again, subscribe so that you'll get noticed of every new episode and if you have questions or concerns, please give us a call. Ian, do you know the phone number?

Speaker 3:

The phone number is 479-601-4119.

Speaker 2:

Okay, all right, thank you very much and we will see you next time.

Speaker 1:

Thank you for joining us on Wealth for Generations. We hope today's insights inspire and guide you in your financial journey. Remember, the path to wealth and legacy is unique for each of us and we're here to help illuminate your way. Before we part, a quick reminder this podcast does not provide financial or legal advice. The content discussed is for informational purposes only. Please consult a financial planner or legal advisor for advice specific to your situation. Visit us at wwwwealth4generationscom for more resources and don't forget to subscribe to Wealth for Generations. Until next time, keep building your legacy, one decision at a time.

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