0:03

Welcome to Wealth for Generations , the podcast

0:06

where you learn to grow , protect and preserve your

0:08

wealth for generations . Our

0:10

hosts on today's show are Todd Whatley

0:13

, a certified elder law attorney , and

0:15

Ian Weiner , a certified financial

0:17

planner . Join us and our expert

0:19

guests as we uncover the mindsets , tools

0:21

and strategies to help you maximize your

0:24

wealth and impact . Let's embark

0:26

on this journey to secure your legacy . Please

0:33

note this podcast is for informational purposes

0:35

only and is not intended as financial or

0:37

legal advice . Always consult with a

0:39

professional regarding your specific situation

0:41

.

0:42

That's right . This is Todd Whatley , and

0:45

I am always thankful that you

0:47

are listening to us and thank

0:49

you so much for everyone who downloads

0:51

and then , particularly if you subscribe . I

0:53

appreciate you subscribing

0:56

to the podcast . That always

0:58

lets us know who else is listening and

1:01

make sure that you get every new episode

1:03

that comes up . So today

1:05

we have a guest and I'm super excited

1:07

. I've had him on the radio

1:10

show before and

1:12

it's always a great

1:14

show . But first let me get Ian on

1:17

.

1:17

Hey , ian , how are you doing , Todd ? I'm doing well

1:19

. I'm excited about this . I'm looking forward to this episode

1:21

, so I'm glad we're going to do it .

1:22

This is going to be fun . So our

1:25

guest today is Dr Lozarte , and

1:27

he is a physician . You're like , okay

1:30

, well , that's a big deal , he's a physician

1:32

, but he does a really cool practice

1:35

that is fantastic

1:37

for , particularly , the older people

1:39

. And so , dr Lozarte , thank

1:41

you for being with us today .

1:42

Thank you so much .

1:43

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

1:45

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

1:46

So tell us about your business and the

1:48

very unique practice that you have .

1:51

Yeah , so it's very interesting . So

1:53

we are the only house

1:55

calls program in northwest Arkansas . We

1:58

actually do the same thing that we

2:00

used to do back in the 1800s , where

2:03

the doctor actually went to the patient's home and

2:06

took care of the patient . So there's a lot of benefits of

2:08

it , and we stopped

2:10

doing that many years ago , but that

2:13

type of practice is starting to happen

2:15

again in America . So

2:17

I'm not the only one . There's a lot more doctors

2:19

who are actually practicing this way and

2:21

there's many benefits out of it . You

2:23

get to be right where the patient needs you

2:26

the most , which is at home , and

2:28

because of the fact that you're going to

2:30

patient's home , you're able to provide better

2:32

care because you get to see the context

2:34

of their health , meaning where

2:37

they live and what

2:39

kind of pets they have and all those things which ultimately

2:42

determine the kind of health you have . So

2:44

as physicians , we get to observe better and

2:48

obviously it's a much more convenient

2:51

service for patients . So , yeah

2:53

, so we provide that kind of house calls

2:55

care that we used

2:57

to do back in the 1800s now again

2:59

, and we get to go to patients' homes wherever

3:01

home it means for the patients . You know it could be an

3:04

independent facilityytic , an assisted lymphocytic or

3:06

home ? Yeah , interesting .

3:08

I love it so much .

3:09

I'm excited about this and I

3:12

like that you said you can give better

3:14

care . Yes , and people think

3:16

, okay , hospitals , fancy , all

3:19

the equipment's right there , but

3:21

a lot of people don't like hospitals

3:23

.

3:23

Yeah .

3:24

And there's diseases in hospitals

3:26

. Sometimes people go to the hospital

3:28

and they get sick , sicker

3:30

. So yeah , expand on that just

3:32

a little bit .

3:33

Yeah , so it's very so

3:35

. The opportunity that we have to be able to be a patient's

3:38

home one . It increases the satisfaction

3:40

of the patient , Sure , and as

3:43

you know , if you are happy

3:45

about something , you'll do better about it

3:47

. So when

3:49

we are at a patient's home , the patients

3:51

are happy . They don't have to go anywhere , they

3:54

get to spend more time with us as we talk to

3:56

. You know whatever problems they're having , so the

3:59

patient feels happy . So just by that

4:01

, the fact that they don't have to go , there's

4:03

less stress . The patient benefits out of that

4:05

, and as

4:07

they benefit , ultimately it's better quality

4:09

of care for these patients . But

4:12

you're right , patients at that age , most

4:14

of our patients are over 85 years old . So

4:17

we practice with this kind of limited

4:19

kind of population

4:21

of patients . These are

4:24

my 85-year-old elderly patients

4:26

with multiple chronic conditions

4:28

. Those are the ones that we focus

4:31

our practice with . So , and

4:34

as such , we're able to provide

4:36

a care where we're able to observe better where

4:39

the patients live and you know

4:41

what kind of environment they're in , and

4:44

then , as such , we can actually formulate

4:46

better care for these patients . And the other

4:48

thing that's important is the fact that they have

4:50

, you know , as we age , all

4:52

our organ systems age , including our

4:54

immune system . So our patients

4:57

, elderly patients , they have a

4:59

kind of deficient immune system . So the

5:01

less exposure you have to clinics

5:04

or hospitals is better for them , because

5:06

then they're not exposed to

5:08

organisms that otherwise will make

5:10

them sick . So by us being

5:12

at home we prevent that

5:15

type of problems for our patients .

5:17

It makes such good sense

5:19

. You know , I think there was a period of time when

5:21

this is somewhat my perception , but

5:23

the idea of the hospital being

5:25

fancy and fresh and new and so therefore better . I think there was a period of time

5:27

when this is somewhat my perception , but the idea of the hospital being fancy and fresh and new

5:29

and so therefore better . I think some of that facade is starting to fall away and

5:32

people are going . You know , if I can avoid it , I don't

5:34

want to go to the hospital and you'll get better

5:36

attention , more personalized attention

5:38

at home . I'm curious

5:41

how long is an average visit for you guys

5:43

?

5:44

Yeah , so the mechanics of the visit

5:46

. There is a little bit . It's a different practice

5:49

. So you know , we usually

5:51

let between . I would say between 30

5:53

minutes to an hour is when we are with the patient

5:56

and

5:59

we're able to do a lot more

6:01

than you would do in a normal visit

6:03

in a clinic or in the hospital , but

6:07

we're , overall , able to provide better

6:09

care and we have been extremely

6:11

successful in the type of metrics

6:13

that we put ourselves to be measured

6:15

for , and one of the metrics that

6:18

we measure for ourselves is the fact that we

6:20

wanted to know whether we're making a difference with this

6:22

type of care for our patient population , and

6:24

one of the things that we're trying to prevent is escalation

6:27

in care for these patients , meaning that

6:29

care that they need beyond the

6:32

environment that we're providing the care for . So

6:35

we have had incredible

6:37

success so far . We

6:40

just did a retrospective study for the last

6:42

couple years of practice we've done and we've discovered

6:45

which is surprising to me . I know we were doing a good

6:47

job . I didn't know how good of a job we were doing

6:49

and we actually decreased admission

6:51

profile visits to the

6:53

ER by 50% for our patient population

6:55

. So it's kind of hard to understand that

6:58

in the sense that you

7:00

know 50% . What does that mean ? Right

7:02

, but

7:07

like if you go to a big know uh health care system and they're all , we're all doing

7:09

the same . We're all trying to prevent this escalation care

7:11

, trying to keep them where they are . Uh , you

7:13

know , a decrease in two

7:15

to three percent in admission profiles

7:18

is considered to be a huge

7:20

win , but we've , you know

7:22

, we've done , uh , you know , 20

7:25

times that on the kind of practice

7:27

we're doing . So we're very successful

7:29

in the fact that we're trying to prevent this escalation

7:31

in care for our patient population . So

7:34

, yeah , so we spend more time , and

7:37

the fact that we spend more time , we get to know

7:39

the patients better and we get to provide

7:41

better care for them .

7:43

I think that's so important . The average

7:45

time that people see

7:47

the physician is about seven minutes nationwide

7:50

.

7:52

There was another study about seven

7:55

years ago . They actually counted the amount

7:57

of time for a patient it takes to get

7:59

ready , get transportation , get

8:02

to the doctor's office , and it was actually

8:04

four hours for a 15-minute visit

8:06

. Wow so imagine four hours . And now for you and me , for

8:08

the three of us , four hours for a 15-minute visit for the doctor . So

8:10

imagine four hours . And now for you and me , for the three of us , four hours

8:12

is , I mean , it's no big deal to get ready and go to the doctor's

8:14

office . But for an 85-year-old

8:17

who has diabetes and congestive heart failure

8:19

, who has COPD , you

8:21

know , walking and moving and trying

8:23

to get transportation is difficult . So

8:26

that's where it becomes a task

8:29

for them to go to the hospital . And that is

8:31

the reason why a lot of times the primary

8:33

care service is lacking in this population , so they

8:35

don't go to the hospital , they don't go to the

8:37

doctor's office because it's too difficult

8:40

. So ultimately what happens

8:42

is we're not doing preventive care , we're doing reactive

8:44

care because we're not providing the care

8:46

that they need at that time . So

8:49

that is a problem also for these populations

8:51

.

8:52

Talk about how quickly an

8:55

85-year-old person

8:57

can go from okay

8:59

to not okay yeah . It's not weeks

9:02

, but it's surprisingly

9:04

fast .

9:05

It is pretty amazing , and thanks for saying that , Todd

9:07

. So yeah

9:09

, so we actually counted , we

9:12

decided . So let's figure out how

9:14

long does it take for a patient from

9:16

the first symptom to where they actually

9:18

need to see someone and do something for these patients

9:21

? And so the way that

9:23

the regular practice are set up , the

9:25

health care system is set up now , is

9:27

if you feel sick , you call the doctor's

9:29

office . The doctor's office will call them back

9:31

and say we'll make an appointment , and it could then become

9:34

. The fastest appointment would be maybe

9:36

within 24 hours , Most of the times

9:38

two , three days maybe even a week . So

9:41

we counted the amount of time when our patient

9:43

has a first symptom to where they actually need

9:45

to be seen , and then we actually were surprised to

9:47

know that it's about 12 hours from

9:50

the first symptom to the time where actually they

9:52

have to do something . You know . So imagine

9:54

how quick this patient population gets

9:56

sick , and then you have this

9:59

system where they actually have to wait

10:01

for at least a day to be able to see a doctor

10:03

At least .

10:04

At least .

10:04

So that is , the best practices , the ones that actually

10:06

are very proactive , but most of the time

10:08

it's two to three days . So two to three

10:10

days means that the patient didn't get to see the

10:13

doctor . It means that he went to the ER

10:15

because that's the easiest way of access

10:17

care and then possibly going

10:19

in the hospital . So ultimately it's not

10:21

a good thing for the patient , but that's

10:23

how it goes . So it's really quick . So

10:26

how do you prevent that ? It's impossible . You know

10:28

the way the health care system is set up now . It's impossible

10:31

for doctors and clinics to

10:33

try to make a difference in this patient population . So

10:35

I'm not talking about , you know , the 50-year-old

10:37

. That doesn't make sense . I mean , that makes perfect

10:39

sense to have a clinic , for the patient to go

10:42

there , but for an 85-year-old

10:44

it's just not a good thing .

10:46

The last time we spoke , you had talked

10:49

about some technology things

10:51

, a watch type thing , Did that

10:53

ever come to fruition ?

10:54

Yes , we finally did it . So it's been

10:57

a labor of love and

10:59

it's been a lot of headaches

11:01

and pain to get

11:03

there .

11:04

The FDA is really fun

11:07

to work with , aren't they

11:09

?

11:09

So technology ? So I had this

11:11

idea many years ago . So I

11:14

was thinking how can we provide

11:16

better care for our patients ? So one of

11:18

the problems that we have with this patient population is one

11:20

they're elderly and a

11:22

lot of them lived back in the 50s

11:25

and 60s I mean 40s and

11:27

so they are pretty strong physically

11:29

and they don't complain . So they're not going to say

11:32

, hey , I have a fever , so

11:34

they have a fever . They're not going to say this

11:37

to anyone , so they'll just keep it to themselves . Or

11:40

you know , I fell and

11:42

I'm just going to sit down on the couch and not do anything

11:44

, you know . So the other thing that problems with the

11:46

population is like they

11:52

may not feel well or whatever , but

11:55

their fever centers , their

11:57

pain centers , are not the same as they used to be . They're

11:59

older , so they're not going to know when

12:01

they're getting sick a lot of times . So

12:03

it's very difficult . So they're old , they're

12:06

strong physically , and

12:09

the other one is , because they're old , their

12:11

organ systems don't work as well , so a lot

12:13

of times they don't know they're getting sick . So we

12:16

were thinking about how can we find

12:18

these patients , even if they

12:20

don't know they're getting sick , and so we decided

12:22

to possibly use technology to get to that

12:24

point . So we were thinking about a

12:26

device that will give us biometrics

12:29

data 24-7

12:31

so that we can actually see . So if we , for

12:33

example , if we check

12:35

temperature , if

12:37

we notice that the temperature went up and

12:39

we have some algorithms that we've created , then

12:41

we can actually be preventative right

12:43

, so we can say this patient's actually having

12:45

a fever , without even the patient

12:47

knowing that he's having a fever , so we can actually do something

12:50

for this patient . So if we know that it's within eight

12:52

hours the patient's going to get sick , then

12:54

maybe we can do something at that point . So if

12:56

I find out that the patient's having a fever , then maybe

12:58

I can do something at that point

13:01

. And for that reason , what

13:04

we noticed in our practice that despite the fact that we

13:06

were super aggressive with our primary care services

13:08

available to the nurses and trying

13:10

to be there when they need us , we still were

13:12

missing some of these patients . Some

13:14

of these patients were still going to the hospital . So we thought , if we can find something

13:16

independent of the patient that we can actually

13:18

measure , some type of biometric data that

13:21

give us enough information to do something for the patient

13:23

. So that's what we thought and

13:25

this idea was many years ago

13:27

, but technology has been difficult to get there

13:29

yet . So we finally

13:32

we just did about a week ago

13:34

we put several of our patients on this machine . We're

13:36

actually getting raw data . We

13:39

have our software engineers working on all of that

13:41

, which is super exciting . I

13:43

just did about a week or so

13:46

of monitoring and we just found

13:48

one of our patients that actually had low

13:50

O2 sats the amount of oxygen

13:52

you have in your blood , know

13:55

her heart rate was a little high

13:57

. So we figured out that she was actually getting sicker

13:59

and we actually went and I saw her and

14:01

we did something for her . So that was kind of like a small

14:03

example of what we can do . She didn't

14:05

even know she was getting sick , but now we

14:07

know and we actually did something for the patient

14:09

, so it's a pretty exciting time . So

14:12

that technology gets better . You know what

14:19

is this thing ? So it's kind of like an iWatch . Basically it's a wrist device

14:21

that has the

14:23

ability to check some biometric data

14:25

parameters , such as , you know

14:27

, o2 size , heart rate , temperature

14:29

, movement and stuff . So

14:32

those are the things that we use in order to

14:34

, you know , we run those through algorithms

14:36

that we've created and we actually get

14:38

to see whether a patient is actually getting

14:40

sick sooner than we would otherwise

14:42

. So , you know

14:45

, and , like I said , this example was a perfect example

14:47

. You know , this lady was getting sick and

14:49

we didn't know . I wouldn't have known otherwise

14:51

, you know , but we were able to

14:53

see her and do something for her . So it was

14:56

pretty amazing . So I think

14:58

the future , what's going to be , is the future . I think eventually

15:00

, all of us , 20 years from now , all

15:03

of us , including

15:07

the younger people , will be wearing some type of biometric data monitor

15:09

device and then you will be able to be proactive on the health that you have . You'll be able

15:12

to do something ahead of the game

15:14

so that , before you actually get sick

15:16

, you'll be able to do something ahead of the game , so that , before you actually

15:18

get sick , you'll be able to do something about it .

15:19

Interesting , I think it's amazing . It's

15:21

exciting and we talk about this

15:23

a ton Todd in different areas , where

15:25

proactive planning

15:27

or engagement is always better

15:30

than reactive planning or

15:32

engagement Always . And this is just

15:34

another situation like

15:36

that and you

15:38

talk about preventative versus reactionary

15:41

. And it's the same in our world . But

15:44

I just see this beautiful

15:46

theme of you get to see

15:49

patients more frequently , you get to see them for a little

15:51

bit longer and you get to be

15:53

ahead of stuff and roughly

15:55

the amount of time that you see them translates

15:57

to the the um reduction

16:00

and how many times they have to get escalated

16:02

care .

16:03

I think that's just really interesting yeah , I

16:06

have some friends that are physicians

16:08

and and they fuss about clients

16:12

. Aren't always honest with you , are they ?

16:14

no , no , they're not .

16:15

It's like you know , and if

16:17

the patient would just be honest

16:20

with you , you could help figure out their

16:22

situation . You know , one of the

16:24

biggest things is it's like Ms Jones , are

16:27

you taking your so-and-so ?

16:28

medicine yes .

16:29

Every day . Well , you're like okay

16:32

, well , if she's taking it and she's still having this

16:34

problem , then there's something else where

16:36

if you knew , she just didn't take her medicine

16:38

you could easily fix that problem . Yeah

16:40

, so being in their home

16:43

it cuts down on patient

16:45

dishonesty . Yeah , yeah , you

16:48

are taking your medicine . Well , here it is

16:50

and it's still full . Ok , so that tells

16:53

you . That helps you with

16:55

the treatment , with the diagnosis , and just

16:57

no , I don't smoke . But there's

17:00

an option . I

17:02

can just imagine being in their home . And

17:04

I did home health physical therapy

17:06

for quite a few years and I

17:08

love being in their home so that you can really

17:11

see how they live . I

17:13

can imagine just going to their place

17:15

. Like you said you do a better job

17:17

yeah .

17:18

So a lot of times they lie . So

17:20

you know I don't know if you guys remember that program

17:22

, dr House on TV he

17:24

always said that all patients lie , which

17:27

is you know . It's true , sometimes they do . They're embarrassed

17:29

to say you know , I'm not taking my medication

17:32

, no , I smoke , even though

17:34

. But when you're at home , at their home , they

17:36

can't say those things because they know you're there

17:38

and you're able to . So sometimes

17:41

we're able to go through their medications and

17:43

then figure out oh , you're taking your medication

17:45

, but you have enough for three months

17:47

in here , in this valve , so it means that you haven't

17:49

been taking your medication . So let's fix it , let's figure

17:51

out a way to be able to make sure you get the

17:54

medication that you need . So yeah , so

17:56

those are kind of interesting things and you

17:58

know the fact that you're at home is kind of interesting . We

18:00

had another patient that the family

18:02

told us hey , this patient is , you know

18:05

, maybe developing dementia . I'm worried

18:07

about my mom . Can you come and see this patient

18:09

? So

18:14

I went to see the patient and I noticed that in her coffee table she had

18:16

a book of veganism . You know she was a vegan and I said are you a strict

18:18

vegan . Yes , I've been a vegan for the last six months

18:20

and I said , okay , so do you replace your B12

18:23

? So you have to replace B12 . The only way

18:25

to get B12 in our diets as a human

18:27

being is to be able to get it through meat

18:30

, but B12 is essential

18:32

for our health . So

18:35

she didn't know that . She was just eating all vegetables , you know

18:37

, and I said , oh my gosh , so you're not taking

18:39

B12 . So we checked her B12 level

18:41

. It was really low . We replaced it

18:43

, and low B12 levels

18:45

is a reversible cause of cognitive

18:48

disorders or dementia .

18:49

So we're able to fix that .

18:50

you know , just by the fact that I was there I was

18:53

able to see the book and make all of this together

18:55

. But those are kind of the benefits that

18:57

you get by being at home to provide the care

18:59

.

19:00

So how does someone or what

19:02

is the ideal client for you ? The

19:04

ideal patient ?

19:05

Yeah , so we are

19:07

so as a house calls program

19:09

. We don't have a lot of younger patients

19:11

. We have some , but the

19:14

majority of our patients are . We have some , but the majority of our

19:16

patients are . So , basically , if you are having

19:18

difficulty going to see the doctor because

19:21

you have difficulty walking or you're dizzy

19:23

, or you're a little old , or you don't have

19:25

transportation or any of those things , if

19:27

you have a difficulty going , so

19:32

those are the kind of population that we want to manage . So

19:34

most of our patients , like I said to you , are in our Medicare age over

19:36

65 , and most of

19:38

them have chronic medical conditions . So

19:40

, basically , this population is the most

19:42

difficult to manage . So that's what

19:44

we specialize on . So

19:47

that includes patients in facilities such

19:49

as memory care units , people that already have dementia

19:51

, people that are on assisted living

19:53

facilities and independent living facilities , or even

19:55

at home . So all of those patients are out

19:57

. So we just kind of focus

20:00

our practice to this particular population

20:02

that is called in Medicare

20:04

terms , it's called a high-cost , high-need

20:06

population . So what does that

20:08

mean ? This high-cost , high-need population

20:10

is a population that is the most expensive

20:12

population in this country . So let me just

20:15

give you some numbers . So , back in

20:17

2020 , we

20:19

spent over $3 trillion of

20:21

money from our GDP , so

20:23

17% of our GDP went to health care

20:26

expenditures . So out

20:28

of that $3 trillion and this is

20:30

a little bit more , but just for

20:32

the sake of numbers and easy numbers so

20:34

one of the $3 trillion was spent on

20:36

hospital and ER care and

20:39

out of that , between 20%

20:41

and 30% of those admissions were inappropriate

20:44

admissions , meaning these patients shouldn't

20:46

stay at home , be in taking care of home

20:48

or provide care in some way

20:50

that they didn't have to go in the hospital . So imagine

20:53

we're talking about $200 billion to $300

20:55

billion a year that we're spending

20:57

unnecessarily . And this is not even counting

20:59

the other $700

21:01

billion where people are actually going to the hospital

21:04

, where , if you have a good preventative

21:06

way of managing the space , they may not need to go to the

21:08

hospital at all . So

21:10

ultimately , the amount of money that we're

21:12

spending is huge . So what is the matter

21:14

? The point is , right now is 17% of the GDP we're using is huge . So what is the matter

21:16

? The point is , right now , 17% of the GDP we're using

21:19

in this particular population , and this

21:21

is the population spending all this money . So there is no

21:23

other population Younger populations

21:25

are not spending any money . So insurance

21:27

companies love people like us , right ? We rarely see

21:30

the patient Ian more so

21:32

than us , because Ian is much younger

21:34

. But you know , you get to pay insurance fees and

21:36

you , but you know you get to pay insurance fees

21:39

and you barely see , you rarely

21:41

use the insurance money that you're paying

21:43

. So you become 85

21:46

. You have three medical conditions . All of a sudden

21:48

you become the most expensive population for

21:50

an insurance company for Medicare . So

21:52

this population is the one that's spending the most

21:54

money . So out of that third of

21:56

the GDP I mean out of the 17% of GDP out

21:59

of that $3 trillion , the majority of

22:01

those dollars , 70% of those dollars

22:03

, are spent on this population . So you

22:05

would think we need to do something to help

22:07

this population to get better care . And

22:09

you know it is a

22:11

problem that we all in the medical

22:14

field , people that specialize in

22:16

population health which I like to say that I am

22:18

an expert on that we're

22:20

all trying to figure out a way to solve this problem

22:22

. So we know this population is the most

22:24

expensive population , but how do we

22:26

deliver care in a way that is

22:28

feasible and is cost-effective

22:31

and we can actually scale it ? And

22:34

we haven't been able to find a solution for that For

22:36

the last 30 years . There have been several programs

22:38

that the government has funded and

22:41

organizations have funded to try to provide a

22:43

feasible solution for this population and nothing

22:45

has worked because many

22:47

, many reasons why . But

22:49

so our solution is , in

22:51

my opinion , the best solution . Because why

22:53

? We provide care at their home

22:55

in a very , very cheap way . So we actually

22:58

use , you know , the insurance

23:01

billing codes that we use , and

23:03

so , within the constraints of the billing

23:06

services that insurance companies provide for us

23:08

, we're able to provide much better care

23:10

at a lower cost . So

23:13

my question is why does it matter now if

23:15

we're using 17% of our GDP

23:18

in health care ? What matters

23:20

is because in 50 years , we'll be at 50%

23:22

, the way it's growing , and , in

23:24

effect , in 50 years , the

23:27

country will be bankrupt . And

23:29

I'm an immigrant of this country . I

23:31

want this country to continue to be the great

23:33

country that it is for my children , so

23:35

I want the country to

23:37

stay the way it is . So we

23:40

have to do something for health care . We

23:42

have to find a solution for that , and

23:44

so far , nobody's found one except us

23:46

. I think we found a solution and

23:48

we're providing that , and we have data

23:51

now that we can show that we are , in fact , being

23:53

very , very , very successful . So

23:56

that is I think that is the reason

23:58

why this type of care is not

24:01

just important , it's critical

24:03

for us . I think we need

24:05

to change the way health care is practiced in this country

24:08

. If not , we're going to bankrupt the country

24:10

. So it's difficult to make

24:12

those changes . There is a lot of people are making

24:14

a lot of money because of of the way the healthcare

24:16

is established , I mean it's organized , I know

24:18

currently , but I

24:22

like to think that before I die , I

24:24

would like to make a difference , and I would like to make a

24:26

difference in this area because I think we can . I

24:28

think , you are , and why not do it out of northwest

24:31

Arkansas ? It's

24:33

a great town for business , and

24:35

I think there's a lot of people that are very smart and

24:38

desire to do something better , and

24:40

I think we can , so that's why

24:42

we are like passionate about providing care for

24:44

this population .

24:45

Are you the only physician doing that in

24:47

northwest ?

24:48

Arkansas . Yeah , so

24:51

there is a couple of nurses that do this in

24:54

a smaller scale . There

24:56

might be another doctor Actually , I don't think he does that a smaller scale . There might be another doctor . Actually

24:59

, I don't think he does that a lot anymore , but

25:02

we are the biggest company

25:04

and the biggest program in Northwest

25:06

Arkansas .

25:07

So how does someone ? If

25:10

they think that they need your services , how would

25:12

they get in touch with you ?

25:14

Yeah , so I have a number and I was kind of embarrassed to

25:16

say I didn't even know the number . But

25:21

you just call this number and just

25:23

call and say you're interested in being

25:27

part of our practice and we'll be happy to talk to you

25:29

. Like I said to you , it will not cost

25:31

you any money . So if you have insurance most people

25:34

have secondary insurance all the programs

25:36

that we have are funded through the insurance company , so

25:39

it will be just like regular billing code

25:41

, so

25:43

we will provide this care . So I like

25:45

to say that we provide concierge level

25:47

of care for our patients . So there are some

25:49

doctors that have these different

25:51

type of programs , program

25:55

or practice where they actually it's

25:58

kind of like a subscription program where you

26:00

actually pay some money cash

26:02

money to be able to have better

26:04

care from your physicians . It's called concierge services

26:07

. So there's many physicians that do that in this area . But

26:09

we like to say that we provide concierge

26:11

services type of service for a patient

26:13

population without actually charging money

26:15

for it . And one of the reasons why we want

26:17

to not charge money , not to do that

26:19

kind of care , is because we want to increase the access

26:22

of care for this population rather than decrease it

26:24

and I think asking for a

26:26

couple hundred dollars or a hundred , whatever it is , it

26:29

becomes a deterrent for access

26:31

of care for this patient population . So we're very

26:33

much hands-on , we're

26:35

constantly being available for families and

26:38

facilities or

26:40

whoever is a player in the healthcare and , you

26:42

know , in trying to make the patient better

26:44

. So that's the kind of care . So

26:46

anyway , so the number that we have for

26:48

our office is 479-250-4849

26:52

. And anybody that's

26:54

interested can call that number and

26:56

they will , you know , they will be able to talk

26:58

to our office and be able to figure

27:00

out . Certainly we'll

27:02

just get some data from

27:05

you and then be able to come and visit you eventually

27:07

.

27:07

That's incredible . There's so

27:09

much to unpack there . I mean we need

27:11

so much more time . The

27:15

data shows that the care

27:17

is more effective , it's less

27:20

expensive , it saves . It saves

27:22

everyone money . I

27:24

don't know what else you want . This

27:28

is as close to too good to be true as there

27:30

is .

27:30

So talk about your staff just a little

27:33

bit . I think that's changed quite a bit

27:35

since we last spoke , yeah .

27:37

So , yeah , we're hiring . Currently . We've grown a

27:39

lot since when I talked to you in the beginning

27:41

, I was the only I was by myself with my son trying

27:43

to do this and we were like

27:46

it was a lot of work but we're still working

27:48

hard . But we've added a lot more people

27:50

. We have several people in our team now

27:53

. We have , you know , a

27:56

business developer and we have

27:58

a software engineer that's helping us with our AI

28:00

and our machine

28:03

learning and all the other things , and

28:05

we have a nurse practitioner that we're

28:08

not . She's actually doing wound care

28:10

for us also . That's another thing

28:12

that's exciting to us . We're

28:14

able to do so really complicated

28:17

wound care at patients' homes . So most of the time whenever you have a complicated

28:19

wound care at patients home , so most most of the time whenever you have a complicated wound , they

28:21

have to go to the , to the hospital or to the clinic

28:23

to get this wound care , but we're actually able

28:25

to do that at home . So we're excited

28:28

about we've actually been , uh , you know

28:30

we're pretty busy doing that , but that's pretty exciting

28:32

. And we're hiring other nurses . We're currently

28:34

talking to someone else to get that to join us . So

28:36

, um , and we've hired several nurses

28:38

. So nurses . So we have about four

28:41

nurses now that we're working with us .

28:42

Four nurses yeah .

28:44

And they help us a lot with like

28:46

coordination of care . So

28:50

that's been amazing . So , yeah , we've

28:52

grown a lot . The population that we serve is a lot

28:54

bigger now , but

28:56

you know , we're still providing the care that

28:58

we did two years ago in a very personal

29:01

way .

29:01

Well , I'm glad you're growing

29:04

and providing . You know seeing a need

29:06

and meeting a need .

29:08

Cool Is there anything else ?

29:10

Did we miss anything that you typically

29:12

want to talk about ?

29:13

No , so I want . So my desire

29:15

to tell people about this there's one that we want

29:18

to make sure they know about this . But the

29:20

other thing I have is for whoever is listening

29:22

to this you know , we

29:24

want to find these

29:27

persons that are , you

29:29

know , that are willing to make

29:32

a change in this life . You know , for health care

29:34

. So I always try to find this maverick

29:37

person that will listen to us and

29:39

try to help us to get to bigger things

29:41

. We would love to have a contract with insurance companies

29:43

. We would like to spread the data that we have

29:45

for other people and stuff so they can understand what we're

29:48

doing , but it's hard . So when we're small , we

29:50

want to tell people hey , look , we're providing

29:52

a much better care . Give

29:54

us a chance to provide care for bigger , bigger

29:57

populations . Ultimately , that's what we want , no-transcript

30:03

. So we're always asking people

30:05

like if you're excited about this , if you

30:07

think you have the power or the means to be able to help

30:09

us , give us a call . We'll be happy to talk to you

30:12

. We need those people that say you

30:14

know what this is an important project

30:16

, what this is an important project , it's great for the country . Why don't we

30:19

take a chance , so

30:28

any chance in this country that really makes a difference takes someone with revolutionary ideas

30:30

that's willing to take those steps to be able to get there , and that's what we need . Right

30:33

now . The way health care is established

30:35

is there's a lot of players , but

30:37

all these players are interested in keeping healthcare

30:40

established school , and that is not what

30:42

we want . We need , you know , we need

30:44

to change it and we

30:47

need people that will help us with that .

30:48

Maybe if we hire a few more consultants they could

30:50

figure it out . I'm sorry , I'm

30:53

just kidding .

30:54

Do you have a website people can go

30:56

look at ?

30:57

Yep , it's basishealthorg , so

30:59

it's B-A-S-I-S-H-E-A-L-T-Horg

31:03

. That's our website and

31:05

our number is listed there , and

31:10

we don't have a clinic where you can actually go and see us . We have a

31:12

business office at the Ledger , but we don't have one . It's just

31:14

all mobile , so we don't need one

31:17

. So , obviously , if you

31:19

call our office , we'll talk to you and

31:21

then we'll come to your place and

31:23

we'll start care for you .

31:24

Yay , okay , all right , thank

31:27

you all very much for listening . Thank you , dr Lozarte , for being with

31:29

us today .

31:29

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

31:32

I'm anxious to hear some reports

31:34

from this and I am so glad you're growing

31:37

. That's a great service and , having

31:40

done a little bit of that myself as a PT

31:42

, I sure do appreciate

31:44

it . So thanks everyone for listening and

31:46

again , subscribe so

31:49

that you'll get noticed of every

31:51

new episode and if you have questions

31:53

or concerns , please give us a call

31:55

. Ian , do you know the phone number ?

31:57

The phone number is 479-601-4119

32:01

.

32:02

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

32:04

time .

32:09

Thank you for joining us on Wealth for Generations

32:12

. We hope today's insights inspire

32:14

and guide you in your financial journey . Remember

32:16

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32:19

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32:24

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32:47

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