today I want to speak to you about the credit cycle the citric acid cycle
credit cycle the citric acid cycle
credit cycle the citric acid cycle more specifically the critical third
more specifically the critical third
more specifically the critical third step in this cycle no I’m joking I don’t
step in this cycle no I’m joking I don’t
step in this cycle no I’m joking I don’t want to talk about that at all I don’t
want to talk about that at all I don’t
want to talk about that at all I don’t even remotely want to talk about that in
even remotely want to talk about that in
even remotely want to talk about that in fact I was on campus yesterday they were
fact I was on campus yesterday they were
fact I was on campus yesterday they were touring me around and I passed by the
touring me around and I passed by the
touring me around and I passed by the Science Building started to get the
Science Building started to get the
Science Building started to get the willies just thinking about this uni
willies just thinking about this uni
willies just thinking about this uni biology majors out here pre-med majors
biology majors out here pre-med majors
biology majors out here pre-med majors you know what I’m talking about you guys
you know what I’m talking about you guys
you know what I’m talking about you guys should be out there studying this right
should be out there studying this right
should be out there studying this right now so there’s no pre-med degree right
now so there’s no pre-med degree right
now so there’s no pre-med degree right no biology degree tough to get in med
no biology degree tough to get in med
no biology degree tough to get in med school without spending a lot of
school without spending a lot of
school without spending a lot of sleepless nights studying this little
sleepless nights studying this little
sleepless nights studying this little gem right what about the incredible
gem right what about the incredible
gem right what about the incredible story of Inez Ramirez a 40 year old lady
story of Inez Ramirez a 40 year old lady
story of Inez Ramirez a 40 year old lady living in a small village in Mexico in a
living in a small village in Mexico in a
living in a small village in Mexico in a March of 2000 she was pregnant with her
March of 2000 she was pregnant with her
March of 2000 she was pregnant with her seventh child went into labor alone at
seventh child went into labor alone at
seventh child went into labor alone at home 12 hours into labor she realized
home 12 hours into labor she realized
home 12 hours into labor she realized this is not working out too well she
this is not working out too well she
this is not working out too well she feared for her life and the life of her
feared for her life and the life of her
feared for her life and the life of her child
child
child so she did something miraculous
so she did something miraculous
so she did something miraculous she took a kitchen knife and perform a
she took a kitchen knife and perform a
she took a kitchen knife and perform a c-section on herself
c-section on herself
c-section on herself removing the infant from her womb alone
removing the infant from her womb alone
removing the infant from her womb alone and without anesthesia amazingly as you
and without anesthesia amazingly as you
and without anesthesia amazingly as you can see in the picture most she and her
can see in the picture most she and her
can see in the picture most she and her infant survived and I was a second-year
infant survived and I was a second-year
infant survived and I was a second-year resident with this occurred and we were
resident with this occurred and we were
resident with this occurred and we were talking about this just amazed one of
talking about this just amazed one of
talking about this just amazed one of the older residents stood up said you
the older residents stood up said you
the older residents stood up said you know something really terrible about
know something really terrible about
know something really terrible about this story this woman never spent one
this story this woman never spent one
this story this woman never spent one day
day
day in the Krebs cycle and he was right 17
in the Krebs cycle and he was right 17
in the Krebs cycle and he was right 17 years of practicing medicine not one day
years of practicing medicine not one day
years of practicing medicine not one day of I used the kreb cycle get to help a
of I used the kreb cycle get to help a
of I used the kreb cycle get to help a patient so often things are more
patient so often things are more
patient so often things are more complicated than we want it to be health
complicated than we want it to be health
complicated than we want it to be health care is the same way today I want to
care is the same way today I want to
care is the same way today I want to share a little bit about how we got this
share a little bit about how we got this
share a little bit about how we got this complicated why it’s so expensive and
complicated why it’s so expensive and
complicated why it’s so expensive and some simple things that we’re doing to
some simple things that we’re doing to
some simple things that we’re doing to change that let’s start right here you
change that let’s start right here you
change that let’s start right here you might have seen this is slide before
might have seen this is slide before
might have seen this is slide before this is a representation of our awesome
this is a representation of our awesome
this is a representation of our awesome health care system pretty incredible
health care system pretty incredible
health care system pretty incredible looks like a nightmare to me is worse
looks like a nightmare to me is worse
looks like a nightmare to me is worse than the Krebs cycle so because of this
than the Krebs cycle so because of this
than the Krebs cycle so because of this bureaucratic nightmare of regulations
bureaucratic nightmare of regulations
bureaucratic nightmare of regulations red tape and rules we’ve turned our
red tape and rules we’ve turned our
red tape and rules we’ve turned our health care system into something that
health care system into something that
health care system into something that separates the physician and patient
separates the physician and patient
separates the physician and patient relationship now a physician gets about
relationship now a physician gets about
relationship now a physician gets about eight minutes to spend with a patient
eight minutes to spend with a patient
eight minutes to spend with a patient and you can waive as as long as four to
and you can waive as as long as four to
and you can waive as as long as four to six minutes in my community just to get
six minutes in my community just to get
six minutes in my community just to get a visit to see your physician and for
a visit to see your physician and for
a visit to see your physician and for every hour I spend seeing patients I
every hour I spend seeing patients I
every hour I spend seeing patients I spend another two hours doing paperwork
spend another two hours doing paperwork
spend another two hours doing paperwork computer work or some kind of desk work
computer work or some kind of desk work
computer work or some kind of desk work it really has nothing to do with patient
it really has nothing to do with patient
it really has nothing to do with patient care so how do we build relationships
care so how do we build relationships
care so how do we build relationships how we get to know our patients how we
how we get to know our patients how we
how we get to know our patients how we get to help them if we don’t have the
get to help them if we don’t have the
get to help them if we don’t have the time to spend with them in the last 50
time to spend with them in the last 50
time to spend with them in the last 50 years we see that the foundation of
years we see that the foundation of
years we see that the foundation of health care is the patient-physician
health care is the patient-physician
health care is the patient-physician relationship since the time of
relationship since the time of
relationship since the time of Hippocrates but somewhere in the last 50
Hippocrates but somewhere in the last 50
Hippocrates but somewhere in the last 50 years we’ve lost that we’ve forgotten it
years we’ve lost that we’ve forgotten it
years we’ve lost that we’ve forgotten it or even worse it’s been corrupted I’ve
or even worse it’s been corrupted I’ve
or even worse it’s been corrupted I’ve got some shocking news for you our
got some shocking news for you our
got some shocking news for you our health care system is not broken and we
health care system is not broken and we
health care system is not broken and we may not be working for me and you but
may not be working for me and you but
may not be working for me and you but it’s working exactly the way those in
it’s working exactly the way those in
it’s working exactly the way those in power want it to work
power want it to work
power want it to work for decades now our government insurance
for decades now our government insurance
for decades now our government insurance companies hospital systems
companies hospital systems
companies hospital systems pharmaceutical industries they ama and
pharmaceutical industries they ama and
pharmaceutical industries they ama and other organizations have spent a lot of
other organizations have spent a lot of
other organizations have spent a lot of time and energy into building up our
time and energy into building up our
time and energy into building up our health care system into a three point
health care system into a three point
health care system into a three point three trillion dollar industry that’s
three trillion dollar industry that’s
three trillion dollar industry that’s over ten thousand dollars for every
over ten thousand dollars for every
over ten thousand dollars for every person in America these corrupters that
person in America these corrupters that
person in America these corrupters that I call middlemen stand in between what
I call middlemen stand in between what
I call middlemen stand in between what we do as physicians and and how we help
we do as physicians and and how we help
we do as physicians and and how we help patients they create rules regulations
patients they create rules regulations
patients they create rules regulations bureaucratic red tape to keep us
bureaucratic red tape to keep us
bureaucratic red tape to keep us separated from our patients and they’re
separated from our patients and they’re
separated from our patients and they’re really good at it too they make billions
really good at it too they make billions
really good at it too they make billions of dollars doing it and they’re so good
of dollars doing it and they’re so good
of dollars doing it and they’re so good at it then in 2016 these groups
at it then in 2016 these groups
at it then in 2016 these groups collectively spent five hundred and nine
collectively spent five hundred and nine
collectively spent five hundred and nine million dollars lobbying Congress just
million dollars lobbying Congress just
million dollars lobbying Congress just themselves more than any other lobbying
themselves more than any other lobbying
themselves more than any other lobbying group in America that’s one dollar out
group in America that’s one dollar out
group in America that’s one dollar out of every six spent lobbying done by
of every six spent lobbying done by
of every six spent lobbying done by healthcare organizations so let me ask
healthcare organizations so let me ask
healthcare organizations so let me ask you this but all that power and all that
you this but all that power and all that
you this but all that power and all that money flying around you really think
money flying around you really think
money flying around you really think those organizations really want to
those organizations really want to
those organizations really want to change our health care system no they
change our health care system no they
change our health care system no they would desire the status quo the good
would desire the status quo the good
would desire the status quo the good news is we don’t have to change our
news is we don’t have to change our
news is we don’t have to change our system because like Bucky fuller said to
system because like Bucky fuller said to
system because like Bucky fuller said to change something we built a new model to
change something we built a new model to
change something we built a new model to make the old model obsolete and across
make the old model obsolete and across
make the old model obsolete and across America physicians like me and others
America physicians like me and others
America physicians like me and others are building a new model for primary
are building a new model for primary
are building a new model for primary care called direct primary care drip
care called direct primary care drip
care called direct primary care drip primary cares a way to simplify health
primary cares a way to simplify health
primary cares a way to simplify health care and return it back to a patient
care and return it back to a patient
care and return it back to a patient physician relationship between a trusted
physician relationship between a trusted
physician relationship between a trusted physician and open patient we do that by
physician and open patient we do that by
physician and open patient we do that by removing barriers we break down those
removing barriers we break down those
removing barriers we break down those red tape all the complexities that
red tape all the complexities that
red tape all the complexities that separate the physician and patient
separate the physician and patient
separate the physician and patient relationship
relationship
relationship and when we do that we go from something
and when we do that we go from something
and when we do that we go from something really complex like this to something
really complex like this to something
really complex like this to something simple like this and that’s how we get
simple like this and that’s how we get
simple like this and that’s how we get direct primary care so how does direct
direct primary care so how does direct
direct primary care so how does direct primary care work you have a patient who
primary care work you have a patient who
primary care work you have a patient who pays a physician directly for to access
pays a physician directly for to access
pays a physician directly for to access unlimited services those services
unlimited services those services
unlimited services those services include office visits phone visits
include office visits phone visits
include office visits phone visits telephone visits video visits and also
telephone visits video visits and also
telephone visits video visits and also access to C to text them or even send
access to C to text them or even send
access to C to text them or even send them an email message and those things
them an email message and those things
them an email message and those things come in handy especially on the weekends
come in handy especially on the weekends
come in handy especially on the weekends or after hours it’s paid out by a
or after hours it’s paid out by a
or after hours it’s paid out by a monthly membership fee that can range
monthly membership fee that can range
monthly membership fee that can range from anywhere from $10 to $100 and that
from anywhere from $10 to $100 and that
from anywhere from $10 to $100 and that fee includes everything we do in our
fee includes everything we do in our
fee includes everything we do in our clinic so EKGs strep tests urine tests
clinic so EKGs strep tests urine tests
clinic so EKGs strep tests urine tests your pregnancy tests skin biopsies
your pregnancy tests skin biopsies
your pregnancy tests skin biopsies suturing anything we can do in our
suturing anything we can do in our
suturing anything we can do in our office and include it in that monthly
office and include it in that monthly
office and include it in that monthly fee no extra costs no co-pays everything
fee no extra costs no co-pays everything
fee no extra costs no co-pays everything is done right in our clinic we also
is done right in our clinic we also
is done right in our clinic we also provide labs and generic medications in
provide labs and generic medications in
provide labs and generic medications in our office at about 90% of the discount
our office at about 90% of the discount
our office at about 90% of the discount price so a lab test like a thyroid test
price so a lab test like a thyroid test
price so a lab test like a thyroid test will cost you two dollars a cholesterol
will cost you two dollars a cholesterol
will cost you two dollars a cholesterol panel will cost you four dollars some
panel will cost you four dollars some
panel will cost you four dollars some clinics in town you can spend anywhere
clinics in town you can spend anywhere
clinics in town you can spend anywhere from fifty to two hundred dollars for
from fifty to two hundred dollars for
from fifty to two hundred dollars for one of those tests we also discount our
one of those tests we also discount our
one of those tests we also discount our medications given right to our patients
medications given right to our patients
medications given right to our patients in the office so blood pressure medicine
in the office so blood pressure medicine
in the office so blood pressure medicine like lisinopril would be three dollars
like lisinopril would be three dollars
like lisinopril would be three dollars for a 90 day supply or an antibiotic
for a 90 day supply or an antibiotic
for a 90 day supply or an antibiotic like augmentin for six dollars and you
like augmentin for six dollars and you
like augmentin for six dollars and you don’t have to go to the pharmacy and
don’t have to go to the pharmacy and
don’t have to go to the pharmacy and wait hours to pick up your medicine
wait hours to pick up your medicine
wait hours to pick up your medicine you’re leaving right from our office
you’re leaving right from our office
you’re leaving right from our office with your medication we also have access
with your medication we also have access
with your medication we also have access to discounted imaging my cat scans MRIs
to discounted imaging my cat scans MRIs
to discounted imaging my cat scans MRIs ultrasounds and x-rays all at discounted
ultrasounds and x-rays all at discounted
ultrasounds and x-rays all at discounted prices so you could say threat primary
prices so you could say threat primary
prices so you could say threat primary care is like the Netflix of health care
care is like the Netflix of health care
care is like the Netflix of health care and it’s totally done outside of
and it’s totally done outside of
and it’s totally done outside of insurance we don’t accept any insurance
insurance we don’t accept any insurance
insurance we don’t accept any insurance whatsoever so we we cut out the
whatsoever so we we cut out the
whatsoever so we we cut out the middleman and when we cut out the
middleman and when we cut out the
middleman and when we cut out the middleman it allows us to lower our
middleman it allows us to lower our
middleman it allows us to lower our price and increase the amount of time we
price and increase the amount of time we
price and increase the amount of time we spend with patients they get more access
spend with patients they get more access
spend with patients they get more access to care instead of eight minute visits
to care instead of eight minute visits
to care instead of eight minute visits they get 30 minute visits or 45 minute
they get 30 minute visits or 45 minute
they get 30 minute visits or 45 minute visits whatever they need patients like
visits whatever they need patients like
visits whatever they need patients like my friend mark
my friend mark
my friend mark he’s a 58 year old construction worker
he’s a 58 year old construction worker
he’s a 58 year old construction worker no insurance and some serious medical
no insurance and some serious medical
no insurance and some serious medical conditions he was paying over nine
conditions he was paying over nine
conditions he was paying over nine hundred dollars for one of his generic
hundred dollars for one of his generic
hundred dollars for one of his generic medications nine hundred dollars a year
medications nine hundred dollars a year
medications nine hundred dollars a year we had the same exact medication in our
we had the same exact medication in our
we had the same exact medication in our office for $48 a year saving him enough
office for $48 a year saving him enough
office for $48 a year saving him enough money to pay for his entire year of his
money to pay for his entire year of his
money to pay for his entire year of his membership he was pretty happy the King
membership he was pretty happy the King
membership he was pretty happy the King family they have great insurance they
family they have great insurance they
family they have great insurance they had poor access to care they wanted to
had poor access to care they wanted to
had poor access to care they wanted to be able to see a physician on their
be able to see a physician on their
be able to see a physician on their schedule when they wanted to see them
schedule when they wanted to see them
schedule when they wanted to see them next a same-day visits and they wanted
next a same-day visits and they wanted
next a same-day visits and they wanted to be able to access us through the
to be able to access us through the
to be able to access us through the internet or email or video visits
internet or email or video visits
internet or email or video visits because they like to travel a lot so
because they like to travel a lot so
because they like to travel a lot so direct primary care is about making
direct primary care is about making
direct primary care is about making health care simple again somehow in the
health care simple again somehow in the
health care simple again somehow in the last 3040 years we turned RIT routine
last 3040 years we turned RIT routine
last 3040 years we turned RIT routine health care your family medicine we turn
health care your family medicine we turn
health care your family medicine we turn it in some kind of crazy contraption
it in some kind of crazy contraption
it in some kind of crazy contraption it’s complex and it costs a lot of money
it’s complex and it costs a lot of money
it’s complex and it costs a lot of money and I don’t know why that is but truly
and I don’t know why that is but truly
and I don’t know why that is but truly health care routine health care like we
health care routine health care like we
health care routine health care like we all use is not expensive it’s not
all use is not expensive it’s not
all use is not expensive it’s not complex as physicians our oath is to
complex as physicians our oath is to
complex as physicians our oath is to patients not the insurance companies not
patients not the insurance companies not
patients not the insurance companies not to the government and not to
to the government and not to
to the government and not to administrators so what we’ve done in
administrators so what we’ve done in
administrators so what we’ve done in direct primary care is we’ve told those
direct primary care is we’ve told those
direct primary care is we’ve told those third party middleman well you know the
third party middleman well you know the
third party middleman well you know the guys you know the saying around this
guys you know the saying around this
guys you know the saying around this campus right
so as I wrap it up I want to ask you
so as I wrap it up I want to ask you this who does your physician work for do
this who does your physician work for do
this who does your physician work for do they really work for you or the
they really work for you or the
they really work for you or the insurance company or the government at
insurance company or the government at
insurance company or the government at our office we work for patients our
our office we work for patients our
our office we work for patients our focus is on patients and the nightmare
focus is on patients and the nightmare
focus is on patients and the nightmare is over look around you might find a
is over look around you might find a
is over look around you might find a direct primary care clinic around you
direct primary care clinic around you
direct primary care clinic around you and help us create a new health care
and help us create a new health care
and help us create a new health care model from the ground up thank you
model from the ground up thank you
model from the ground up thank you [Applause]
[Applause]
[Applause] [Music]
”
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