29 Burst results for "Office Manager"
"office manager" Discussed on Dentistry Uncensored with Howard Farran
"Very <SpeakerChange> important. <Speech_Male> <Advertisement> And <Speech_Male> so you <Speech_Male> reduce turnover <Speech_Male> and make a relationship. <Speech_Male> If every time they <Speech_Music_Male> come in, it's a new <Speech_Music_Male> phase, you might as <Speech_Music_Male> well go to a mid dentals. <Speech_Music_Male> <Speech_Music_Male> But if you want someone <Speech_Music_Male> if you want to go where everybody <Speech_Music_Male> knows your name, <Speech_Male> I have to go to the bar. <Speech_Female> The air <Speech_Female> patients. You know what? <Speech_Female> <Advertisement> All it <Speech_Female> <Advertisement> is is communication. <Speech_Female> And you let the patient <Speech_Female> know it's okay <Speech_Music_Female> if you don't want to come and <Speech_Female> <Advertisement> see us. We'd love <Speech_Female> <Advertisement> to have you. And <Speech_Female> <Advertisement> we want to see you, <Speech_Female> <Advertisement> but it does <Speech_Music_Female> <Advertisement> take patient participation. <Speech_Music_Female> <Advertisement> And if you're not willing to <Speech_Music_Female> <Advertisement> do that, then it's <Speech_Music_Female> <Advertisement> okay. <Speech_Music_Female> <Advertisement> But <Speech_Music_Female> <Advertisement> it doesn't happen. They <Speech_Music_Female> <Advertisement> all want to come <SpeakerChange> back. <Speech_Male> <Advertisement> Well, thank you for your <Speech_Male> time. You're welcome. <Speech_Male> And last <Speech_Male> but not least, <Speech_Music_Male> we always tell you, you <Speech_Music_Male> gotta know your numbers. <Speech_Male> I can go into any <Speech_Music_Male> <Advertisement> dental office <Speech_Music_Male> <Advertisement> and <Speech_Music_Male> <Advertisement> you can <Speech_Music_Male> watch a hygiene check, <Speech_Music_Male> I'll say, okay, dog, your <Speech_Music_Male> eyes when they're 5 years, <Speech_Music_Male> <SpeakerChange> is it cleaning <Speech_Music_Male> exam by wings? <Speech_Music_Male> Did you make <Speech_Music_Male> $9, 18 <Speech_Male> cents after taxes <Speech_Music_Male> or do you lose 5 bucks? <Speech_Male> They never <Speech_Male> know. <Speech_Male> They <SpeakerChange> never know. <Speech_Male> And when <Speech_Music_Male> you have, <Speech_Male> when you have <Speech_Male> inflation <Speech_Music_Male> coming up <Speech_Male> and your costs <Speech_Music_Male> going up, more than <Speech_Male> more than ever, <Speech_Male> you have to know <Speech_Male> your numbers. <Speech_Male> You have to know your numbers. <Speech_Female> <Advertisement> When you have a stable <Speech_Male> <Advertisement> price currency, <Speech_Male> <Advertisement> you <Speech_Male> get a feel for thing over <Speech_Male> the years and decades, <Speech_Music_Male> but man, when inflation <Speech_Male> is going up, <Speech_Male> my first job <Speech_Music_Male> <Advertisement> was at sonic <Speech_Music_Male> <Advertisement> drive then every <Speech_Music_Male> <Advertisement> Sunday, with <Speech_Music_Male> John lease in the 7th <Speech_Music_Male> grade, who's now an ended <Speech_Music_Male> on a LA <Speech_Music_Male> and our <Speech_Music_Male> job as sonic every <Speech_Music_Male> <Advertisement> Sunday was to go scrape <Speech_Music_Male> off all the prices <Speech_Music_Male> <Advertisement> and raise <Speech_Male> them because <Speech_Music_Male> everything went up every <Speech_Music_Male> week, at least a nickel. <Speech_Music_Male> I mean, <Speech_Music_Male> at least a nickel a <Speech_Music_Male> week on a hamburger <Speech_Music_Male> bride code, going <Speech_Music_Male> <Advertisement> into chili cheese dogs, <Speech_Music_Male> <Advertisement> so this is very <Speech_Music_Male> serious times <Speech_Music_Male> and you need to know <Speech_Male> your numbers. So <Speech_Male> just just know your numbers. <Speech_Music_Male> Thank you very much.
"office manager" Discussed on Dentistry Uncensored with Howard Farran
"You <Speech_Male> <Advertisement> <Speech_Music_Male> <SpeakerChange> <Speech_Music_Female> <Speech_Female> think they'll differentiate <Speech_Male> <Advertisement> in the market? One <Speech_Male> <Advertisement> being more vault, <Speech_Male> <Advertisement> low fee, <Speech_Music_Male> <Advertisement> high volume, <Speech_Music_Male> and then the solar dentist <Speech_Music_Male> being more <SpeakerChange> higher fee <Speech_Music_Female> lower volume. I <Speech_Female> think <Speech_Female> that as the <Speech_Music_Female> <Advertisement> patient as the <Speech_Music_Female> <Advertisement> doctor <Speech_Music_Female> <Advertisement> has been <Speech_Music_Female> <Advertisement> a doctor <Speech_Music_Female> <Advertisement> for longer <Speech_Music_Female> <Advertisement> period of time, the more <Speech_Music_Female> <Advertisement> years experience that <Speech_Music_Female> <Advertisement> they have, the <Speech_Music_Female> <Advertisement> more selective they can be. <Speech_Music_Female> <Advertisement> <Speech_Female> <Advertisement> Our office <Speech_Female> <Advertisement> has an in-house plan, <Speech_Music_Female> <Advertisement> which I find <Speech_Music_Female> <Advertisement> more offices <Speech_Music_Female> <Advertisement> or joining. <Speech_Music_Female> <Advertisement> And <Speech_Music_Female> <Advertisement> it's very <Speech_Music_Female> <Advertisement> for <Speech_Music_Female> <Advertisement> patients that are looking, <Speech_Female> let's say a <Speech_Music_Female> patient comes in and they're losing <Speech_Music_Female> <Advertisement> their insurance and they're like, hey <Speech_Music_Female> <Advertisement> Maria, I'm losing <Speech_Music_Female> my assurance, like what <Speech_Music_Female> <Advertisement> are my options? <Speech_Music_Female> <Advertisement> These individual plans. <Speech_Music_Female> <Advertisement> They're awful. <Speech_Music_Female> <Advertisement> They're <Speech_Music_Female> <Advertisement> charging you an arm and a <Speech_Music_Female> <Advertisement> leg to get just an <Speech_Music_Female> individual plan. <Speech_Music_Female> And what <Speech_Female> <Advertisement> we have here is <Speech_Female> <Advertisement> very compatible <Speech_Music_Female> <Advertisement> with, <Speech_Music_Female> you know, very, <Speech_Music_Female> <Advertisement> <Speech_Music_Female> <Speech_Music_Female> <Advertisement> it's better than <Speech_Music_Female> what they're finding out <Speech_Music_Female> <Advertisement> there. So we <Speech_Music_Female> <Advertisement> have a lot of patients <Speech_Music_Female> <Advertisement> on that plan here <Speech_Music_Female> <Advertisement> as well. <Speech_Female> <Advertisement> But if I get one <Speech_Female> patient and their insurance <Speech_Female> is really awful <Speech_Female> <Advertisement> and they're going to pay, <Speech_Music_Female> <Advertisement> we're still going to take <Speech_Music_Female> <Advertisement> them. We're going to do <Speech_Music_Female> <Advertisement> but we <Speech_Music_Female> <Advertisement> are more selective <Speech_Music_Female> <Advertisement> as <Speech_Music_Female> <Advertisement> far as, you know, <Speech_Music_Female> we already know which <Speech_Female> <Advertisement> plans are <Speech_Music_Female> painless <Speech_Music_Female> for the same amount of <Speech_Music_Female> <Advertisement> time that they're spending here <Speech_Music_Female> <Advertisement> with the doctors. So <Speech_Music_Female> <Advertisement> I feel <Speech_Music_Female> <Advertisement> that <Speech_Music_Female> there's <Speech_Music_Female> more offices that are going <Speech_Music_Female> to go this way. <Speech_Music_Female> <Advertisement> And <Speech_Music_Female> <Advertisement> like I said, as long as <Speech_Music_Female> <Advertisement> they have a good support <Speech_Music_Female> <Advertisement> system, a <Speech_Music_Female> <Advertisement> good system with their <Speech_Music_Female> <Advertisement> employees that are following <Speech_Music_Female> <Advertisement> up. And <Speech_Music_Female> <Advertisement> checking all those <Speech_Music_Female> <Advertisement> claims and <SpeakerChange> checking all those <Speech_Music_Male> <Advertisement> payments, then <Speech_Music_Male> <Advertisement> was it <Speech_Music_Male> <Advertisement> scary for you to <Speech_Male> <Advertisement> make this <SpeakerChange> big move? <Speech_Music_Female> It was. It was <Speech_Music_Female> because we didn't know what we <Speech_Music_Female> were going into. <Speech_Music_Female> But I think <Speech_Music_Female> <Advertisement> that, you know, I've worked <Speech_Music_Female> <Advertisement> for doctor Korra for <Speech_Music_Female> almost 9 years. <Speech_Music_Female> <Advertisement> And I think <Speech_Music_Female> <Advertisement> that the whole 9 years <Speech_Music_Female> <Advertisement> that I've known him, <Speech_Music_Female> that's all he would talk <Speech_Music_Female> about, how <Speech_Music_Female> Delta was really bad <Speech_Music_Female> and how, <Speech_Music_Female> you know, the more <Speech_Female> <Advertisement> delta patients we <Speech_Music_Female> <Advertisement> have <Speech_Music_Female> <Advertisement> how many more delta <Speech_Female> <Advertisement> patients we have to see <Speech_Female> <Advertisement> compared <Speech_Music_Female> <Advertisement> to one, you <Speech_Music_Female> <Advertisement> know, blue cross <Speech_Music_Female> <Advertisement> blue shield to get the <Speech_Music_Female> <Advertisement> exact same thing. <Speech_Female> And one <Speech_Music_Female> <Advertisement> day he just <Speech_Music_Female> <Advertisement> the trigger and he said, we're <Speech_Music_Female> leaving delta and I <Speech_Female> said, okay, but we didn't <Speech_Music_Female> know. We didn't know how <Speech_Music_Male> we were going to get here. How long ago <Speech_Music_Male> <Advertisement> was this? <Speech_Female> <Advertisement> We're talking January <Speech_Music_Male> <Advertisement> 2020. So this <Speech_Music_Male> <Advertisement> year. So <Speech_Music_Male> we're on our second <Speech_Music_Female> <Advertisement> round of patience. <Speech_Music_Female> <Advertisement> So they're coming <Speech_Music_Female> <Advertisement> back for <Speech_Music_Female> the second time, <Speech_Music_Female> and they already know. <Speech_Music_Female> They're like, okay, Maria, as soon as <Speech_Music_Female> I get my check, I'll <Speech_Male> call you. So what percent <Speech_Male> of your practice did you <Speech_Music_Female> lose? <SpeakerChange> <Speech_Music_Female> I'm gonna say <Speech_Music_Female> <Speech_Music_Female> <Advertisement> we have <Speech_Music_Female> <Advertisement> <Speech_Music_Female> <Advertisement> a Delta dental. <Speech_Music_Female> <Advertisement> I think we calculated <Speech_Music_Female> <Advertisement> about 35% <Speech_Female> <Advertisement> of our <Speech_Music_Female> <Advertisement> patients to 40% <Speech_Music_Female> <Advertisement> that we <Speech_Music_Female> <Advertisement> had existing. <Speech_Music_Female> And we lost <Speech_Music_Female> <Advertisement> about maybe <Speech_Music_Male> <Advertisement> 10%. <Speech_Music_Male> That's <Speech_Music_Male> all because <SpeakerChange> of you, the <Speech_Music_Male> <Advertisement> relationship seriously. <Speech_Music_Male> Relationships is <Speech_Male> <Advertisement>
"office manager" Discussed on Dentistry Uncensored with Howard Farran
"Know, there's a 50 50 chance those fees are not going to be going anywhere. We're going to be like that for many years until you have to make what's the word I'm looking for. Negotiate. Negotiate, right? You have to negotiate with the insurance. And then delta is probably like the only one that's like, no, we're not negotiating. So if I'm in that work and a PPO and preferred provider organization like delta demo, which I hear like 95% of all Dennis in America participate through delta. Right. So it sounds like they're giving me a volume discount. Like, okay, we'll give you a dollar for this procedure, but we're going to give you a hundred patients or so if you're not going to do that and you go out of network, does the patient command is pretty much the same as usual or do they send the money to the patient instead of you? So it's a lot of changes. But the biggest thing that you have to focus on when you go out of network, like we did with Delta, is patient participation. That's your number one thing. If the patient is willing to we, so we did a trial run to see how it was going to go. We didn't know. We didn't know if we were getting paid, if they were getting paid if we're going to get paid less or more. So you have these different types of plans with Delta. You've got delta of California, delta, Washington, New Jersey, so on and so forth. And it just depends on the plan, not delta itself. There's certain deltas that pay us directly, very small percentage. But I'm going to say about 80% of the delta checks because we're out of network are going to the patient.
Biden Mobilizes Federal Agencies to Expand Election Participation
"Something that Tracy my phone screener and office manager in Tampa noticed saw this in The Wall Street Journal. President Biden is ordering all agencies in the federal bureaucracy to quote expand citizens opportunities to register to vote and to obtain information about and participate in the electoral process, it may sound benign, it isn't. And it may conceal an abuse of power.
"office manager" Discussed on The Dentalpreneur Podcast with Dr. Mark Costes
"Sitting on a powderkeg. You don't even know it now. Here's the thing with ben right. So ben's awesome. I don't always understand the words she says. Because i if that's me or ben louisiana thing but understood the idea right and so i i i give back. I'm like okay. Maybe i just need to take a step back and see what other people are seeing. And i've learned that. I need to listen to these people right. I mean one paying them. Then why don't i listen to them right and these guys are awesome. They know what they want to do. And it's and it's all to to help me out right and except for march right. I think i tried his whole no taking a hot shower thing you know martin is cold showers his nuts. I'm melanie take a hot shower. I'm actually. I don't think mark and i'm a hot shower but move onto the next thing so all right january twenty two twenty one. This is actually this year so this year. we're sitting in mark. Had this awesome exercise where we talked about. Rewriting your future and he talked about how we have these preconceived ideas about ourselves and where they come from in the past. I don't know where they come from. But i saw the realizing what i wrote right here is not really important but this is the exercise when it came down to is. I'm sitting here and realizing that somehow in my mind. I have this idea that failure is a given and success is the outlier and i'm in this room with all these people that are just blown it out of the water and i'm sitting here thinking like for years. I'm always thinking. Yeah well but they don't have six kids. They don't have the church. Commandments i do. They don't have this. they don't do that. There's always a reason why i couldn't be doing it right. And and i take a step back. And i realized that you know what maybe they're not the outliers or maybe if they are. I'm one of them right. I'm sitting here in the room with them. I'm talking with them. And like ben said how am i not seeing. What's what's right in front of me. And it was a big wakeup call to to realize like you know what maybe success is a given in failures the outlier. you know. I'm with this group. That i have the support. I'm not standing alone vast abyss of like fear and and lack of knowledge. And and maybe this is not maybe but actually you know that's how it is is maybe i will be successful moving forward and so that was a huge wakeup call for me and then i sat back. But what does success mean right. What is all of this. And it's taken me years to figure out for myself what it is and it's different for everybody right so i don't wanna get preach about what what it is for me but the thing is is like you know this pulls us into the whole four futures thing you know and and talking about personal life work life your your health your fitness and everything and realizing that success in is in all of these different areas and for years just like when you know you go to dental. I went to dental school afterwards. We'll get. I guess i'd on my own practice. You know. we're sitting in school and people were talking about you. Be my own boss. I was like oh really. That sounds good now. Four days a week and my work four days a week really no. I had no idea about the profession so get out of school. My boy i guess all on my own practice because that's what people do. I guess i'll do this. Like i had no direction at all as far as where i wanted to go or what i wanted to do and so i took this thing what is success for me and as i started success accessory. I realized that you guys are so many lessons. I'm trying to condense out here but this thing of like i was chasing the wrong thing right. I met jason at this course surgery. Course come up. i'll show you my practice. I'll teach all the surgery stuff. Don't waste money on all this stuff you can come out of me. I go up. I start doing that because well. I guess that's what you do and the more i got into it the more i realized i love surgery. It's okay i'll do some of it but all this stuff. I just don't like it and i don't like post ops and and i realized that you know maybe i'm chasing the wrong idea of success for myself and it took me a while to define again to a little bit of what i've kind of defined for me that is but this comes from the compound effect by darren hardy and this is what we've kind of adopted as our management philosophy is the biggest difference between successful people. Don't successful people is this accessible. People are willing to do what unsuccessful people are not and and i think that applies to both your personal life your family life scheduling time making it a priority work life profession. Money just about everything. That's what the biggest difference between successful people and unsuccessful. People kind of going along those lines. One of the greatest exercises we've done mark brought this up the personal ethos right. I've spent hours and hours after our masterminding going home and thinking over a lot of this stuff and developed my own personal personal ethos and what it means to me. What my priorities are how. I'm gonna live my life. And i've adopted that into our management team and we have right here this iraq's identity management ethos and really what it is. It's me and my my office manager crystal and kind of getting back about you know doing being successful in doing things with other people. Don't you know. I also realize it as i go to. Somebody's mastermind meetings. I'd come home and i'd back. Yeah they said to do this. But i can't do it because of x. y. and z. And now instead of saying. I can't do it. I'm like you know. I'm going to do what they said. But let me tweak it just a little bit to fit my streamlined practice. In what i'm doing because you know you get all these different philosophies and ideas from different people which are awesome. And they're just got tweeted a little bit well so crystal is a total resolve that she she's my office manager. She came to me three and a half years ago and right when we were moving into our new new office us came right out of assisting school. She knew nothing. It was as we're moving everything into our office to know the difference between an endo explore and extraction forceps. I mean it was a mess. And she's now running the whole show and do an awesome and most people don't have a dental assistant office manager. She says side by side with me every day she she knows how i think she knows what. I want frustrates me. What doesn't she is three half days a week to go. Take care of everything and it's worked out awesome. She's a total rockstar. The biggest issue is. I'm her biggest weakness probably because he only knows what i've taught her and we've got this whole group that can help me in that in that aspect but one thing that we do here is we take this our management ethos and in our management meetings. We sit down and we talk about this stuff. We talk about personal development enlightenment family and professional success in growth in the whole idea of like you know what for us. Success is a whole lot more than just the bottom line just overhead. Just the numbers just the money in the bank account. Talk about being a successful mother father. I talk about my frustrations that you know. I'm with my kids. But i'm not. I'm not with my kids. I'm somewhere else. I'm just like you know the idea of making eye contact with one talking to him and you know we go over those kind of things and set priorities. And i'm also very aware we've talked yesterday and mark brought up about how you know the issues in dentistry in the amount of depression and anxiety and that kind of stuff because of all the weight on her shoulders. Yes so it's easy. Hired office manager and dump it all on her right have her take care of all that stuff. You know the same thing that she understands and people in my office understand that the priority is is family and professional ford. And so what we did then. Almost you what we did so what i did is i ended up making a developing a retreat for the office and we flew to park city. Took all the ladies in my my associates and his wife and we went there and there we didn't focus on hygiene scheduling any of that stuff and said we wrote down. Our roles.
"office manager" Discussed on The Dentalpreneur Podcast with Dr. Mark Costes
"I was writing about last night. Most of the mistakes made were selections locations and I selected the wrong location a few times. But i learned a lot of that but also you were talking you ask about You know the staff and so the the people around you my wife line office manager every everybody's well you're really up towards. Why do we want to do more. What is why. And it's still the data. I really can't say why is that. This what i do you know. I like i like being. I like. that's part of the journey. This kind of entrepreneurial thing i could sit still and probably you know right now are riddick sold. uso and. i had the money to retire. And i thought i was not going to get back into it but i caught myself sitting around all day watching news. Cnn and like. I've got to do something here. So i wanted to get back in the game. Plus you know at certain point you know so much. The didn't know when you went the first time. Now all these things and you're like wow. I can do this now if i could do it like that because what i know over the years but i think the main thing is is pushing and continuing. I've had a lot of setbacks and some of them to the point where as it hit me so hard financially that i had to sell off some of my prime offices so when i exited fourteen but before exit i had like real four. That were really nice. I got caught in in some financial situations that i have to sell. You know like fire sale. And but you aren't along the way and i think most people will learn from that but i think the big thing now is is these things like you're doing to bring your people can learn from that and hopefully award some of the pitfalls that i had when i went through. Yeah that's amazing. What geez You're talking about writing some stuff down do you. Have you penned a book or are the it is your yes is is called a the entrepreneur. Dentist exit the business. Rich and is is really about the private practice a like. I said i'm trying to encourage them to do private practice. Because i really can't see shit is good. You get paid but you can't. You can't realize the amount of money that you should be getting as a tint is for the amount of time you spent to get the education and all of that that you went through there until you can realize it by ownership and to me ownership is more than just owning one. Well no. I'm not gonna say that because i was gonna say the time to practice that i typically own our as specific model and but i the Goto or remind hygiene and you know small operative things. She has a three tories. And i think two girls in office no computer last she and does really well hold. Oh is she from the former soviet union yet what country over but she has the referral base. They you know they call and his beer and every time i go there. She has patients but i. I haven't seen offers 'cause i think. My first computer was attending computer. Back in eighty seven and i had to madonna. Office says i was like. How does she do it but she is business. I'm not gonna knock it and so there's so many different models out here that you know you could do a private practice and by dentistry. Being one of the number one professionals is really hard. May to see me personally being an. I've never good but then again i didn't like working when i first came out of high school working. You know for someone else. Just a regular nine to five. So i've never been that mind if i've got share shirt so jerry. You listed a few of people that i consider my mentors. Even though i've only met two of them. I've met michael gerber and i've met You know tony robbins Never had the pleasure of meeting. Jim rome before his passing. But clearly if you were attracted to coaches like that and mentors like that you understand the or you embrace the importance of mindset and personal development. So tell me how much of a role that played in you being able to scale up operation the size that that you are able to scale you know. I think that is the number one thing and i was. I was trying to get one of my classmates. And you know just we were very tight louisville. One of my best friends. I was trying to get him to go to some of them and he just started laughing amongst there. Yeah and he thought that they that they were bamboozling. Mean but i'll tell you the truth this is this is an an. I didn't think about it. Until after i closed the deal on my cell i actually spent a week in a fiji with tony. Robbins owns a enclave. Down near flew to fiji. On those years ago i think i pay like six thousand dollars. People will spend that kind of money and fly take time off to go but he had during that week he had a. You know really getting hyped up many have the sing. He wanted us to come up with a figure of what the amount you wanted to make. You know when you sell your business or whatever set five years i'll what is. What is that goal. And i set a goal and when i decided to sell my business for some reason i grow up to that goal. I think my office manager in her husband's dentist and they were talking to me and they were saying well you. You do a lot of medicaid as well. So you're not gonna get good the and you. You're shooting too high so i came down to half of what that number was aunt sold. I hit exactly the number. Tony robbins..
Land of the Giants: The Google Empire
"In nineteen nine hundred. Nine marissa mayer was sitting in the most important interview of her life. It was at a startup called google. That needing was at their conference table in the main conference room at one six five university which also happened to be a ping pong table. Meyer would go on to become one of the most prominent executives and silicon valley from two thousand twelve to two thousand seventeen. she was. ceo of yahoo. The back in the late nineties. She was still a student at stanford about to graduate with a master's in computer science and google's cofounders. Sergei brin was not going easy on her sergei did all the talking and quiz mutants. We allow different computer. Science topics had me draw out. Like the graphing of k means clustering and and centuries and how to find the differences in the centers. And things like that. Meyer was a star student so she answered those questions problem. But there was another interviewer in the room and she noticed something was a little off with him. Larry seemed quiet and truthfully obviously somewhat distracted. Larry page the other founder of google. The pair wrapped the interview utterly. They had something else on their minds and the the door opens like you kind of hear. What's going on her side. Then i heard the call and say okay like who's going with us for the kleiner. Pitch kleiner is kleiner perkins the legendary venture capital firm. And i heard a lot of foot traffic heading out the door and then heather horns. The office manager reappeared and said i'm sorry. Larry and sergei had an important venture capitalist pitch this afternoon and they have taken the the majority of the company with thumb. So i think you're going to have to come back tomorrow.
"office manager" Discussed on KFI AM 640
"So eventually in the story. It looks like some of the blame. Oh, it's another acronym. I guess I can't use it. It's a program designed by a company named Delight. That's like a big counting consulting company. We're familiar with them because I think they sold the city of l A. Some Somebody bad software. Yeah, this one's called Vaccine Access management system vans. Yeah. According to this report in the National Review, everyone that's trying to use this software hates it. Apparently it's it's really just made things difficult. Crappy software might be preventing shots from getting into arms because it's making a botch of tracking all the vaccine doses. Yeah, they talked to a, uh In Saluda. What town is a South Carolina. They've got a clinic office, managing they Deborah Cleveland. Her office got 400 doses. In the last three weeks. And they've only administered one dose. Uh, it's hard to believe Cleveland got it herself. So the only person to get a dose is the office manager. But there were no takers. Well, she says, the vans program has crippled our community's ability to get vaccinated. Are a lot of people who do not know how to read or how to write. Where people have other languages. A lot of the people 70 and above. They have no computers that ever worked on a computer in their life. They have no idea what to do. I guess you have to go online and access the vamps program to schedule your vaccine. And you got to put in all your personal information to see if you qualify. Yes. So now it's just going to do this by making people come in and schedule appointments and they're gonna use the paper based model. And then she'll fill the data into vans later. This is what's amazing. Nobody in that town was able to do it. Nobody registered because nobody could figure out the system, so she only gave a vaccine to herself. She's got the other 399 sitting on the shelf, and it's about to expire in 30 days. 30. The expiration is about to head so they're all gonna go bad. And And she says, she says, we have the vaccine. We can't give the vaccine and there's like, but you've got it. And she goes well. That's the way it's been written up. That's the way the rules are. You have to go by the rules. All right. So this is one of these bureaucrats. She's yelling that the software screwed up and the old ignorant people in her town don't know how to access the computer. But on top of it, she's not improvising because she's a bureaucrat. She's going well, I guess all the vaccines were just gonna go bad because that's the roles. We have to go by the rules. You have to go on the system and make a reservation and then Rob, Rob, Rob, Rob, Rob brah. Don't do that. Yeah. Go out there and find people on a street corner. There. There is the hideous frustration of government workers, okay? They design and approve systems that don't work. They bought a lot of our tax money. And then on the front lines. You have this dim bulb going Well, you know, they didn't side up so I can't give it to them. I guess the vaccines we have to go bad. Just go do it. It are all right. We got bored. Coming up. John and Ken Ko Phi and Little Muhammed..
"office manager" Discussed on KFI AM 640
"Fork reporter and itself Foods for the Super Bowl tomorrow. Are you doing anything special at home, and you're socially distance and all that jazz? Uh, just watching the ball game. You know, I'm just sitting around watching. What's your What's your snack of choice? All of them? Oh, yummy. Yeah. I tend to put on about £30. Anything is processed. You know, I go not only to Costco but also to smarten final Just in case I've missed some kind of Ah, completely process, You know, toxic order of Right or whatever snack anyway. How about you? What do you doing? I'll be at home alone on board. But you know what? I watch the show and the big game and I will probably have some mozzarella sticks. I'll pick a day that I You know, I usually don't like to have a lot of dairy. But I'll have some mozzarella sticks that maybe Some vegan pizza or something? I don't know. Boy. Does that sound good? Extra extra town's like a great time, right? Or some buffalo cauliflower wings, the fake wings even better 805 to 01534. And that's the number to call and let's get into it. This is handle on the law. Marginal legal advice, right Tell you have absolutely no case. Do you remember? The story of Joe Montana and his wife and they were at home. He and his wife for home and his dog, his granddaughter was there. And this crazy woman Sod Sai does. L actually broke into their house and went up and grabbed the granddaughter nine months old, and they ran up Joe Montana's wife, Rand up. And there she is, this woman holding this nine month old granddaughter And both them being pretty smart People try to calm down, confronted the woman and attempted to de escalate the situation, however. No de escalation. S O A fight ensues. Montana's wife is able to pry the kid out of this woman's arms and she ran away and she was later caught in the area. And was arrested. And she pled guilty to one count of attempted kidnapping, but child under 14 and first degree residential burglary with a person present. The charges were dropped. And nobody knows why they're not telling us. I have to guess. That the Montana's simply don't want to press charges. And they are telling the authorities well, We don't want to deal with this. Or we feel sorry for the lady or it's over. The kid is fine, and we don't want to go beyond this. We don't know. Don't know why, but just an interesting into this story. I never thought it would go in that direction. Paul. Hello, Paul. Welcome. Hey, Bill. Yes? So I've got a small contract IQ practice. And my office manager has been out with coded now for about three weeks. Her MD tells me she is not able to get a her first dose of the vaccine for 90 days, post infection. And all of our employees are required, and we're going to the vaccination process to protect our patients. So Given the 90 days. Um yeah, You know, it's it's a real drain on the business, and I'm gonna have to hire a new manager. Yeah. However, she is a minority female. And I'm worried about if I'm opening myself up for liability for a lawyer. Well, of course you are. Of course you're going to be sued for discrimination s O. Is there much of a case? No. Does that stop her from doing it? No. So there is an easy one on this one, hire a minority female to replace her. It's easy to do. I don't know most of Yeah, I have no idea. But that's where I go. And then she can, bitch and moan all day long discrimination discrimination. You're firing me because I'm whatever Latina African American in you it I don't care whatever the minority is, and you will find you right boy. Do I discriminate? Would you like to talk to my minority female employees that replaced you? Now, are you going to win? Of course, you're going to win under any circumstances because she has to prove discrimination. Do you happen to have any other minority employees? Everybody's minority. Your home. Yeah, You're Yeah. You're home free. I wouldn't worry about that. And I think you're allowed to hire somebody. And if your practice is at risk, because there's going to be too long a wait. Why can't she get when she just refuses to get one? And why is there doctor saying 90 days? Yeah, they say after you've been exposed, you gotta wait 90 days before the vaccine could be affected together. Look, I'm not sure why you're sitting and she has been exposed. Yeah, She's been proven to be positive, okay? And I I don't know it Now. She has a medical. Um, yeah, She's got a medical reason for doing it. So it's not gonna be a discrimination because she's a minority. That's off the table, especially since you have other minorities working there. It's going to be do you have The ability to hire someone new under the circumstances, and she's saying, you know, it's not my fault. The same thing would happen if she broke her leg. What if she needed surgery? Or what if she was into rehab for 90 days, or do you have to keep the job open? I don't think so. I don't think so. I think you're gonna be okay being especially a small business. What do they want you to do shut, get hire. Someone trained them in and fire. That person. When your manager comes comes back. I don't think so. My God. Kaya, Do I have that right? Hey, Kaya. Yes. Uh, my mom has commissioner property. And the tenant declined to renew the lease. So she pay month by month and then, uh, cover night in heat. Then they refused to pay and we go. We go toe her store. She still open 24 7 and she still refused to pay for almost a year Now, Okay, question is did it know least And we bake under the eviction moratorium wrong. I think so. A commercial I think is different and they're not paying you any rent at all Refuses to pay correct. Yes. Yeah, they open the built in 24 7. I understand they're open and doing business. What kind of business is it? Bakery. It's a bakery. I, uh are they willing to pay you inbred? Wow. I can't wait can eat that much. That's probably true. Yeah, yeah. How much is the rent? Uh, about 6000. Yeah, There's a lot of red. Okay, You can't be expected to eat $6000 worth of bread every month. Uh, the answer is I don't You know, I don't know the answer to that. Whether, uh, I know in the residential you have to pay 25% of the rent. Also, uh, I you have to sign a declaration that there is a hardship there. And for them to somehow be exempt from paying the rent. Even if they claim there's a hardship and money has decreased, and they're going full blast and still making money. I think you convict, and what you have to do is talk to an eviction attorney and we have those on handle on the law dot com So go ahead and check out our website and talk to one of our attorneys. I think you're gonna be okay. This is handle on the law. All right. Leyla Mohammed.
"office manager" Discussed on KLBJ 590AM
"Your host here is always with my incredible office manager and co host Donald. Oh, that's so nice of you being nice today. Thank you. I'm Donnelly got the board certified co host. It's my It's my New Year's resolution. No. Is it kind of this? No. And flattery. Okay, Well, thank you. I'll take it. I'm a board. Certified urologist is a men's health show. This show is brought to you by any U urology specialists. It is the urology practice started in 2007 in round Rock, Texas. We're now all over town, and this show is known worldwide. That's right. I heard there was a round rock like that's why it's called Round rock. That's correct, and you are no longer permitted with these counties and previously know that Google that there's a big all round rock somewhere. Yeah, that's right. There is, we'll talk about a number of Men's health issues. We treat general urology in the office, but I like to think of us having a whole body approach. Very holistic around there. We have functional medicine physicians. We do supplements. We do nutrition. We really try to get to the root of your problems, including finding doctors around that can help take care of you. If we can't. That's right, and we have physical therapy. We have some patients coming this week. There were not our patients to begin with, but they needed some pelvic floor, physical therapy and some integrated wellness. That's also met a few of a sex therapy issue. We also have sex there. Because you know, we've had sex service in our clinic. Since we started in 2000 and seven you're a pioneer has been an integral part of what we're doing here is sex pioneer. Sometimes the problem is above the chin. Oh, you think in the brother men in the brain and the women below the and the woman that's right in our practice. We deal with a lot of cancer and cancer is a scary term. You play a lot of times, people. In my opinion, kind of they worry about the cancer. They don't worry as much about what life is going to be like after we take care. Your cancer, right? They're scared. I want to get handled immediately. That's right. And so our guest today, Dr John Eggleston with breast Reconstruction associates is going to help me kind of talk about life after cancer and expectations and making the most out of your life. Thank you so much for joining us today, John. It's my pleasure. So when it comes to prostate cancer, men know that they have a high likelihood of becoming impotent and having incontinence. These types of expectations of the future kind of really flavor their mind on what their life's going to be like and even have them choose one type of treatment or the other. When it comes to breast cancer. I feel like the cancer diagnosis. Sometimes overshadows kind of what they're going to look and feel like afterwards. What's your sense and your experience with that? Sure, I think I think the breast is such a sexual organ, even though It's part of the body that can be de sexualized. I think it it tends to be so sexualized that I can only imagine that many if not all of my patients are very concerned about that. And it's a big part of how they pick what kind of reconstruction they want. You know, there are surgeries that can often save the nipple. Save the nipple sensation. Mastectomies don't save nipple sensation. And so that also is a part. That's very important to some of my patients and other patients that you don't really care about that. So I think one thing I've learned is that we're not all the same. Not all Many of the same. Not all women are the same and sort of their their expectations for getting through. Cancer surgery are not the same. So when you know you have a great philosophy when it comes to how do you set expectations in regards to what you're gonna look and feel like after something as Kind of potentially physically changing as a breast removal on I totally picked up on this and I didn't you when we were talking, I didn't really like It's really a very powerful message. You can either look to see. Well, what am I not going to have later? And you're you're thinking is we want encourage people think what can they have? What are they going to have in a positive way? Maybe you could talk about this. Sure. Obviously, when somebody gets a diagnosis, like breast cancer, the number one really important thing is to treat the breast cancer. But right behind that is sort of what comes next. You know, after you finish your cancer treatment than you're introduced to the rest of your life after your treatment, and hopefully after your reconstruction, I think there is a sense of loss because a part of you is lost. But there's often with reconstruction on dime. I'm biased, of course, being a breast reconstruction surgeon. There's often you know, a pretty wonderful rebuilding of what was lost. And maybe in some senses. It's even an improvement from where someone was before. 20 Year olds don't usually get breast cancer. But 60 Year olds 50 year olds who've had two or three Children do get breast cancer. They're sort of that big part of the bell shaped curve, and those patients have gone through. The change is that we all good, you know, see and go through over the decades and you know, there's often some Improvement, You know, cosmetic sense with going through reconstruction. We try to emphasize not the loss as much as the gain or the change, if not, for the better, sort of possibly in some ways for the better and look to those positive benefits. A sweet talk about reconstruction. I think that's great. And so we have so many different options and to the listeners out there. This is this is not just some random guy right off the street. I mean, I send I send everyone to you, John. I mean, whenever, what's a friend or family, at least both of them and you know everyone that I can when it comes to getting like a very natural looking reconstruction. Somebody who I trust is going to go over above to make sure they get a great job done. So I trust you immensely. And so when, when a woman's gonna choose to go through kind of a bigger operation to reconstruct her breasts maybe you could go into like, what do you get the sense of some of the thoughts that go in her mind of why she's going to go through a reconstruction of the first So first thank you very much for what you said. I would say What I see is when a patient comes in, and she needs a mastectomy. And she either does or doesn't need chemotherapy or radiation. I kind of get a sense of kind of what her uncle logic needs air gonna be. And then we do an exam of her, and obviously not everyone has built the same way. So some options are better for some women than they are for others. And then we talk to her addressing kind of all of those things brought together and say, OK, your options for you there either. All equally good. Or maybe this one would be better for you because of you know, your body type for your cancer needs or this other style would be better for you, and then we paint a picture for what she can expect both from, you know, size or volume. Or lift or a nipple or no nipple or, you know scars on my belly or no scars on my belly scars on my breast, no scars or where the scars are guess There's always some scar on the breast on DSA. We try to paint that picture and help them understand what the impact of their choice is gonna be after they're finished reconstructing, and after they're moving past their cancer diagnosis into sort of their recovery that recovery and survival failure in life, they're sort of life in a bathing suit there. If you know, stepping out of the shower and kind of those things so far, men listener, you know when their wife is confronted with a cancer diagnosis. I mean, you and I both have wives. If our far wives were confronted with something that was Life threatening. You know, In some ways, it would be very natural for us to say. Just take the cancer out. Take the other one off to I don't even care what it looks like, Just, you know, just bring back my wife, You know, so I don't have to live my life without her. And so when I could think that that would be a very natural response, because in some ways the men might feel like any effort to salvage the breast is somewhat selfish and just kind of sexual izing of her, But I think that's a real limited view. I mean, You know, trying T O restore a more natural appearance. Many if it's a very natural thing for a woman to want to, right? Sure, you know, I think I think you hit the nail on the head when when?.
"office manager" Discussed on KLBJ 590AM
"Host here is always with my wonderfully sculpted office manager and co host Donnelly. That's right. You know, I did get some cool sculpting once. Is that why you said that you could tell you can't be. Oh, busy avoiding me. That's right. That's right. This is a men's health show. I'm a board certified urologist, and this show is brought to you by N. Au urology specialists. We are a group that specialized in urologic care. I've been giving that great care since 2000 and seven we were recently given to awesome award. I think costumes and only gave us one of the top urology awards. And then we got an award from the Austin American statements for best men's health. And then we got an award for Dr Ong for one of the best female providers, and then I think that are the recognition for what we're doing is a practice is getting better and better. That's right, and we are the best men's wellness show in the entire world in the universe, and it's so hard to disprove that You know it's legitimate. It's already been stated. You can't unproven. So that's correct. I think I'm gonna post it on Facebook. That'll make it true pressure. So we see all sorts of patients were open to see patients. We really pride ourselves on the three A's of a great practice the availability, affordability, no availability. Ability, ability, affordability. No, we've got it again. Affability ability and a billet A billet. You said that already availability. We want to make sure that we can see you were not very good with our letters were very good with your, you know, Yemen's and giggling. That's right. We're gonna flatten those young arms and dangling right. And so what's interesting about men's health is really increasing interest in aesthetics on so we've seen ads for all sorts of funny things out there. Grow talks way Have you know we ourselves do quite a bit of male Pino enlargement with the fillers and with Dr Gallinger. We have that on the show, and I thought that I would bring in someone to talk about a really cool technology that more and more men are getting done That's called cool sculpting. You've probably seen the commercial or a billboard and so one of our really close partners Victory Medical, their primary care facility that does so much more. 15 service lines. One of them is the med spa. And they said us A tremendous number of patients were there great partners with us and care on. We have Kristen from victory Medical joining us today. Thank you so much, Kristen for joining us. Well, thank you for having me. So you're a cool sculpting expert. I think that might be true s so when it comes to aesthetics and reduction, or changing the way that our body appears, most people would be pretty familiar with using a knife. Cut that stuff out and knives leave scars and they cost a lot of money, and people don't want to go through it, but less invasive ways of modifying the body or getting rid of problem areas. There's something I think a lot more people would be open to It's true, but thing about cool sculpting, which is absolutely most important is there's no downtime whatsoever. Typically, even someone's sculpted in the very same day after working with me can't go to the gym. It's not invasive. It's works. It's just an absolutely beautiful, beautiful way to remove sub containers, which is on the surface fact and sculpt What You know what you want to be there, not having pockets of fat on the surface, so was really important with aesthetics. Is that very few things or set it and forget it. You really need to go somewhere that has experience or you could end up not looking like you want to look Well, this is true, because even with cool sculpting, there's a thing called Shark bite. I can't give you back what I take. It doesn't come back. We do not regenerate fat, so I better be really good at what I do. I'm sure you don't regenerate that because around the holidays I seem to do My regenerative way can shrink that by dieting. But you do not lose fat cells. Cool sculpting with an applicator will sub continuously with cry policies freeze the fact that a negative 11 or 13, depending on what applicator amusing and that fat has killed and disseminated through the lymphatic gone forever. So when you're using this on a problem, fatty area does the actual probe get to negative 11 and how does it How do you stop it from causing frostbite? Absolutely. Let's suggest that I'm working on a stomach and it's a very fit person. I do a lot of people that are very fit. But, of course between the ABS on a male, sometimes even dieting down or squatting or all the you know work you could do. You can't get rid of it. So I have what's called a soon with pro plate that is Put on the abdomen. It is a negative 13. I have to cover the area with a gel after treating it cleanly and that I put another film over. So we have three. Ways of protecting that patient and that sits on the apt in them for now and 15 minutes and freezes everything in its line and everything will die. It's called continuous fat treatment. Is there a limit on how many areas or how big of an area you could do are only limitations of what the FDA doesn't approve, which is glutes and breasts. So you cannot do breast reduction organic amassed you with it, and you cannot do anything on the buttocks. Now what area of the body do you see, most commonly may And getting cool. Sculpted most common is sub mental chin, entire jaw line. Very, very popular. I'm excellent at this. It literally We call it our many facelift. So sub mental means underneath the chin and along the jawline so so so to get that real fine job. What is it called chisel chiseled. Old boy. She's options. I guess I don't know about that. So they get that chiseled chin is where you do the cool sculpting below the mandible and the chin. That's correct. And then what are some other common area often the stomach in flanks, and then the flanks. You mentioned some interesting things. You know, guys who are used to either being very aesthetically, like put together already or physically fit. Sometimes if they have a change in job or or lifestyle that that might change and that they may seek you out. It's true because 17 promotions are great, but if you're not doing the same type of activity, if anything's removed from your daily lifestyle, your body will show a result of that. So you mentioned an example of somebody getting promoted at work and then no longer having do all the heavy lifting and sitting on the time And then all of a sudden they started getting that pockets in ways they didn't know my excuse. It's true driving, driving in the car or what we call grown up jobs. All the sudden our bodies are not our number one priority. I'm just saying a lot of men, you said. It's unbelievable. I would say that we're almost 50% in our practice male. I wouldn't think that that's also you would think it's mostly like 90% women. But for the guys listening, there is some options. It's wonderful because I've even had. Oddly enough people come from a far San Antonio military a lot of military men very surprising, but of course we do have her military here but as they get More mature in their professions there so fit and so active within duty once they go into their military career life that changes But they still want their bodies to look the way they did before us. But you're making hot guys like hotter, perfect example of why we mean we live this way. But then again, you're growing up a little, and you realize you can't This isn't your job. Just your body all those areas similarly treated in women. For the most part, that's some ink and flanks. Yes, we have genetic changes for portions. As all of us seem to feel there's a change in the forties. For sure women it's always hard. Model, but Menas well, certainly giving birth and having Children, medical conditions, medications if you will. It's the same for men. We always say, Well, you haven't had a baby men actually do go through their own. Sit down an emotional baby when they get to their midlife crisis, hoagie.
"office manager" Discussed on KLBJ 590AM
"Your home here is always with my incredible office manager and co hosts Donnelly. Oh, that's so nice of you being 90 today. Thank you. I'm Donnelly got the board certified co host. It's my It's my New Year's resolution. No. Is it kind of no And flattery. Okay, Well, thank you. I'll take it. I'm a board. Certified urologist is a men's health show. This show is brought to you by any U urology specialists. It is the urology practice started in 2007 in round Rock, Texas. You're now all over town, and this show is known worldwide. That's right. I heard there was a round rock like that's why it's called Round rock. That's correct, and you are no longer permitted with these counties. And you just know that I Googled it. There's a big all round rock somewhere. Yeah, that's right. There is, we'll talk about a number of That's health issues. We treat general urology in the office. But I like to think of us having a whole body approach. Very holistic around there. We have functional medicine physicians. We do supplements. We do nutrition. We really try to get to the root of your problems, including finding doctors around that can help take care of you. If we can't. That's right, and we have physical therapy. We have some patients coming this week that were not our patients to begin with, but they needed some pelvic floor. Physical therapy is an integrated wellness. That's also man. If you have a sex therapy issue, we also have sex there. But you know, we've had sex service in our clinic Since we started in 2000 and seven you're a pioneer has been an integral part of what we're doing here is sex pioneer. Sometimes the problem is above the chin. Oh, you think in the brain and men in the brain and the women below the end of women, That's right. In our practice. We deal with a lot of cancer and cancer is a scary term. A lot of times, people. In my opinion, kind of they worry about the cancer. They don't worry as much about what life is going to be like after we take care. Cancer, right? They're scared. You want to get handled immediately? That's right. And so our guest today, Dr John Eggleston with breast Reconstruction associates is going to help me kind of talk about life after cancer and expectations and making the most out of your life. Thank you so much for joining us today, John. It's my pleasure. So when it comes to prostate cancer, men know that they have a high likelihood of becoming impotent and having incontinence. These types of expectations in the future kind of really flavor their mind on what their life's going to be like and even have them choose one type of treatment or the other. When it comes to breast cancer. I feel like the cancer diagnosis. Sometimes overshadows kind of what they're going to look and feel like afterwards. What's your sense and your experience with that? Sure, I think I think the breast is such a sexual organ, even though It's part of the body that can be de sexualized. I think it it tends to be so sexualized that I can only imagine that many if not all of my patients are very concerned about that. And it's a big part of how they pick what kind of reconstruction they want. You know, there are surgeries that can often save the nipple. Save the nipple sensation. Mastectomies don't save nipple sensation. And so that also is a part. That's very important to some of my patients and other patients that you don't really care about that. So I think one thing I've learned is that we're not all the same knot. Many of the same. Not all women are the same and sort of their their expectations for getting through. Cancer surgery are not the same. So when you know you have a great philosophy when it comes to how do you set expectations in regards to what you're gonna look and feel like after something as kind of potentially physically changing as a breast removal on I totally picked up on this and I didn't When we were talking I didn't really like It's really a very powerful message You can either look to see. Well, what am I not going to have later? And you're you're thinking is we want encourage people think. What can they have? What are they gonna have in a positive way? Maybe you could talk about the shirt. Obviously, when somebody gets a diagnosis, like breast cancer, the number one really important thing is to treat the breast cancer. But right behind that is sort of what comes next. You know, after you finish your cancer treatment, then you're introduced to the rest of your life. After your treatment and hopefully after your reconstruction. I think there is a sense of loss because a part of you is lost. But there's often with reconstruction on dime. I'm biased, of course, being a breast reconstruction surgeon. There's often you know, a pretty wonderful rebuilding of what was lost. And maybe in some senses. It's even an improvement from where someone was before. 20 Year olds don't usually get breast cancer. But 60 Year olds 50 year olds who've had two or three Children do get breast cancer. They're sort of that big part of the bell shaped curve, and those patients have gone through. The change is that we all good, you know, see and go through over the decades and you know, there's often some Improvement in a cosmetic sense with going through reconstruction. We tried to emphasize not the loss as much as the gain or the change, if not, for the better, sort of possibly in some ways for the better and look to those positive benefits. A sweet talk about reconstruction. I think that's great. And so we have so many different options and to the listeners out there. This is this is not just some random guy right off the street. I mean, I send I send everyone to you, John. I mean, whenever, what's a friend or family, at least both of them and you know everyone that I can when it comes to getting like a very natural looking reconstruction. Somebody who I trust is going to go over above to make sure they get a great job done. So I trust you immensely. And so when, when a woman's gonna choose to go through kind of a bigger operation to reconstruct her breasts maybe you could go into like, what do you get the sense of some of the thoughts that go in her mind of why she's going to go through a reconstruction of the first So first thank you very much for what you said. I would say What I see is when a patient comes in, and she needs a mastectomy. And she either does or doesn't need chemotherapy or radiation. I kind of get a sense of kind of what her uncle logic needs air gonna be. And then we do an exam of her, and obviously not everyone has built the same way. So some options are better for some women than they are for others. And then we talk to her addressing kind of all of those things brought together and say, OK, your options for you there either. All equally good. Or maybe this one would be better for you because of you know, your body type for your cancer needs or this other style would be better for you, and then we paint a picture for what she can expect both from, you know, size or volume. Or lift or a nipple or no nipple or, you know scars on my belly or no scars on my belly scars on my breast, no scars or where the scars are guess There's always some scar on the breast on DSA. We try to paint that picture and help them understand what the impact of their choice is gonna be after they're finished reconstructing, and after they're moving past their cancer diagnosis into sort of their recovery, their recovery and survival failure in life they're sort of life in a bathing suit there. If you know, stepping out of the shower and kind of those things so far, men listener, you know when their wife is confronted with a cancer diagnosis. I mean, you and I both have wives. If our far wives were confronted with something that was Life threatening. You know, In some ways, it would be very natural for us to say. Just take the cancer out. Take the other one off to I don't even care what it looks like, Just, you know, just bring back my wife, You know, so I don't have to live my life without her. And so I could think that that would be a very natural response because in some ways the men might feel like any effort to salvage the breast is somewhat selfish and just kind of sexual izing of her, But I think that's a real limited view. I mean, You know, trying T O restore a more natural appearance. Many if it's a very natural thing for a woman to want to, right? Sure, you know, I think I think you hit the nail on the head. When when?.
"office manager" Discussed on KLBJ 590AM
"With my wonderfully helped it. Mm. Office manager and co host Donnelly. That's right. You know, I did get some cool sculpting once. Is that why you said that you can tell? Yes, you can't be. Oh, you're busy avoiding me, And that's right. That's right. This is a men's help show I'm a board certified urologist, and this show is brought to you by N. Au urology specialists. We are a group that specialized in urologic care. We've been giving that great care since 2000 and seven we were recently given to awesome award. I think costume and My only gave us one of the top urology awards. And then we got an award from the Austin American statements for best men's health. And then we got an award for Dr Ong for one of the best female providers, and then I think that are the recognition for what we're doing is a practice is getting better and better. That's right, and we are the best men's wellness show in the entire world and the universe, and it's so hard to disprove that that's right. It's you know, it's legitimate. It's already been stated. You can't unproven, So that's correct. I think I'm gonna post it on Facebook that will make it through. Sure. So we see all sorts of patients were open to see patients. We really pride ourselves on the three A's of a great practice the availability, affordability, no availability, ability, ability. Affordability. No, he said it again. Affability ability. And a billet a billet. You said that already availability. We want to make sure that we can see you were not very good with our letters were very good with your you know, your mom's and giggling. That's right. We're gonna flatten those young arms and dangling right. And so what's interesting about men's health is really increasing interest in aesthetics on so we've seen ads for all sorts of funny things out there Scrotal Oaks Way have You know, we ourselves do quite a bit of male Pino enlargement with the fillers and with Dr Gallinger. We have that on the show, and I thought that I would bring in someone to talk about a really cool technology that more and more men are getting done That's called cool sculpting. So you've probably seen the commercial or a billboard. That's right. And so what? One of our really close partners Victory Medical, their primary care facility that does so much more 15 service lines. One of them is the med spa. And they said us A tremendous number of patients were there great partners with us and care on we have Kristen from victory Medical joining us today. Thank you so much, Kristen for joining us. Thank you for having me. So you're a cool sculpting expert. I think that might be true s so when it comes to aesthetics and reduction, or changing the way that our body appears, most people would be pretty familiar with using a knife. Cut that stuff out and knives leave scars and they cost a lot of money, and people don't want to go through it, but less invasive ways of modifying the body or getting rid of problem areas. There's something I think a lot more people would be open to It's true, but thing about cool sculpting, which is absolutely most important is there's no downtime whatsoever. Typically, even someone's sculpted in the very same day after working with me can't go to the gym. It's not invasive. It's works. It's just an absolutely beautiful, beautiful way to remove sub containers, which is on the surface fat and sculpt. What You know what you want to be there, not having pockets of fat on the surface, So was really important with aesthetics. Is that very few things or set it and forget it. You really need to go somewhere that has experience or you could end up not looking like you want to look Well, this is true, because even with cool sculpting, there's a thing called Shark bite. I can't give you back what I take. It doesn't come back. We do not regenerate fat, so I better be really good at what I do. Are you sure you don't regenerate fat Because I run the holidays I seem to do A very general way can shrink that by dieting. But you do not lose fat cells. Cool sculpting with an applicator will sub continuously with cry policies freeze the fact that a negative 11 or 13, depending on what applicator amusing and that fat is killed and disseminated through the lymphatic gone forever. So when you're using this on a problem, fatty area does the actual probe get to negative 11 and how does it How do you stop it from causing frostbite? Absolutely. Let's suggest that I'm working on a stomach and it's a very fit person. I do a lot of people that are very fit. But, of course between the ABS on a male, sometimes even dieting down or squatting or all the you know work you could do. You can't get rid of it. So I have what's called a smooth pro plate. That is Put on the abdomen. That is a negative 13. I have to cover the area with a gel after treating it cleanly and that I put another film over. So we have three. Ways of protecting that patient and that sits on the apt in them for now and 15 minutes and freezes everything in its line and everything will die. It's called continuous fat treatment. Is there a limit on how many areas or how big of an area you could do are only limitations of what the FDA doesn't approve, which is glutes and breasts so you cannot do breast reduction. Organic amassed deal with it, And you cannot do anything on the buttocks. Now what area of the body do you see?.
"office manager" Discussed on Talk 1260 KTRC
"Obviously, you know, these organizations don't want all these nonperforming assets being held by them. They'd prefer that they figure out a way to get through it. All right. So we just recorded right as we're going to you, Joe Biden. President Biden now giving his covered 19 plan out a comprehensive plan. A lot more will be coming down the down the pike and we're seeing that Not a lot that the shell shells were fairly bear what was left to the incoming administration. So with all of that the commercial real estate industry forecast is Um, you know, it's yet to be determined. I think I think kind of the key word for the industry is is flexibility right now, Um, you know, you have to be willing to look at things in a different way. Um, you have to be willing to kind of re allocate assets. You know whether it's Moving from office type property and converting that into residential. Or, um, you know, moving a retail type location into more of like a warehouse distribution. Um, last mile distribution. It's kind of become one of those keywords with e commerce and so forth. So I think it is really being flexible is probably the biggest thing that landlords and commercial real estate professionals need to be doing right now. All right, explain because I'm an idiot. What is the last mile commerce? So you know, it's kind of like with with Amazon and all of these companies, actually that have moved more to the e commerce. Um, you know, trying to get products to consumers faster. Andre as a result of doing that, you know, you're starting to see Amazon pop up with same day deliveries and things like that. And in order Tioga complice that for the consumer consumer they need, um you know, distribution centers that air within basically a mile of their delivery places, so No longer like, you know, it's it's tough for stuff to go timely When you know, maybe, um, somebody's having to run stuff through the post office down in Albuquerque, and then it comes up here and that sort of thing and so more of a direct to consumers and getting them their products faster with a big company do sing. We'll go ahead with the company like Amazon. Yep, Exactly. Companies like Amazon. There's a number of other companies that have moved in that kind of direction as well. Bed bath and beyond. You know, you can act as a go between between those companies and somebody was some empty space in Santa Fe. Potentially yes. Mm. That's cool. Um All right. So the forecast you say people have to have to remain flexible. Maybe go from commercial to residential so you will step in and make sure they get it re zoned, you know, Unfortunately, that's not dealing with the city. And all of them here in Santa Fe, is that Not quite what we do, unfortunately, but we certainly provide the consulting Did you know provide the right direction for Ah client to go in to accomplish that, And then once they have that done You know, our construction side can help with the conversion on that portion of it, and obviously the management in the least thing we can do that. But as far as dealing with the government, um hoops that you have to jump through, that's definitely not are our specialty yourself, Counselor. Our guest is Branko Goodman. He is the CEO of Land, Sea or management. All right. So you do not handle buying and selling a property, though, like if there's somebody that's like, you know, I'm tapped out. I've tried to hang on here through the code, but I can't do it. I gotta move on. Want to get rid of my property? You don't handle that. You. We don't specialize on the sales side. We do partner with the number of the brokers in town that kind of specialized more on the commercial side of things, though, on dure, typically on rental properties on especially on the commercial side. Don't be seen side and what we do on ends up being, um, important on the sales side as well. So we'll work closely with those brokers in accomplishing those sales, helping people find financing. We definitely have referral sources for that. Both local and national. Um, but, yeah, we're not something that we do in. Okay. All right, so the forecast right now remain flexible Wall feet. That's kind of the what about building. What about the construction of it? Do you guys also do construction? We don't do a lot of ground up construction. Primarily what we do is more remodel, maintenance and repairs that kind of work. All right. Well, you guys are a growing company. You provide tons of services on even if somebody's wants to move in or move out, you have self story, So you kind of got all the angles covered. Right, as well as that, actually a moving company as well. That's somewhat separate, but under the same kind of ownership umbrella, it's been ah, great little synergistic blend of of a couple little businesses between the Moving the self storage and then the rentals and leasing management so forth. All right. So if your property owner rather earth I should say whether it is commercial or residential contact Landseer management who would people who you like people to contact Sure they can color mainline. Certainly on the residential side, the person you want to ask for it would be Tanya kill. She's our office manager and oversees our long term residential leasing department on Ben. If you're looking for commercial, then that would be myself. Bring Goodman. Okay. Oh, How's the residential?.
"office manager" Discussed on The Bone 102.5
"The heck is that? Frasier, the theme song A song by Baby She is a show, but I got Who's worse. Kelsey Grammer. Alec Baldwin, who's a bigger Duchin person. Oh, never all. I never met either one. But I would imagine Alec Baldwin. He looks like such a pretentious piece of garbage. I was trying. I was trying to talk to Jim this morning on the whole a provisional. I just stopped because he was not going where I was going with this, but I like Ted Danson. I've always been a fan of his and his shows and the shows that he's been on. I love them and cheers. Obviously. So I tried watching that Mr Mayor show that it is horrible Show socks. Yeah. Walked right over there. Yeah, he said I like it. I like fantastic. We're gonna stop talking about cheers. I tell you get through it in 10 minutes, and it was so Contrived and just so like, OK, this is what's gonna happen next. And then I'm guessing it predictable. Yeah, like, okay. I'm done with us. Dude, There's some jokes and cheers that you could not do in 2021 Man. There's a lot of things on a lot of shows that you can. Yeah, like they would have like a woman come in. She's got a big chest and like the bartender of the places like Ah, This is going to be a good conversation. I'm like Jesus Christ in nowadays that enought well, well, we weren't off says you cannot comment. On anything personal about anyone's appearance anymore. But there is like a whole episode of Sam should date this what they thought was a dumb person because of her looks. And I've always you know, you can't tell a girl that all that sweater looks good on you. That dress looks good on you because that's borderline sexual harassment. There's times when I'm in the office here. Normally, my office attire is jeans and a T shirt and whatever. They're sneakers that are in my closet. But then if I ever get dressed up and wear slacks or a jacket or a tie for a meeting, we're like Oh, dressed up like Yeah, That's me. Rabble rouser over here. I just get arrested, Left and right, have to go to court. Involved in so many high flying things making so much money that I'm always in court. Just like I have a presentation I gotta make. I gotta look at least decent. And that's that, Denise, what do you got in pieces? Uh, I don't know. You don't know? All right, E So I stood up. We're going to talk about a new Florida man, which isn't really floor man. He was in New York man. Harder, man. Overdone. Don't you know? Don't you think there's they're idiots in each of the other 49 states? Yeah, I hate even hearing the term, but it Z good pun for this one and new ice cream flavor. Is a is a pizza and meatball. Nope. No, it's a lot more infectious on And have you ever lost your password to your computer all the time to the computer? Yeah, I know where you go with that story, okay? That's my password. 123 always works. No. Now. Aiken happened all of your accounts, Mike. No, I had Tonto reset all my passwords last week, and it's painstaking because I emptied my cachet on Google. Oh, my God. Go back like we need your password. So then I forget what user name of using it. That what password? I got locked out of three accounts, but none of them that could cost me a few $100 million, like talk about next. Happier. You're gonna do a happy hour. Today course are you are okay. All right. What do you do with Bo? What are you going to contribute today? I've got some news stories plan. Well, we got the nieces piece where you call Spencer's pence. Sixpence ASSESS Spence Spence. But the phone lines are blowing up about my segment. Wait, what? We have one negative call about Happy hour. Who was it? It was some guy that, like claimed he worked in radio. But then when I looked up the guy who worked at 94 1 or 98 7, he worked at 98 7. I looked him up and he's an office manager of Ah call center after radio. There is life like if I lose this job tomorrow, I mean, there's gonna be a job where I could be like, Yeah, I used to be in radio. This job too. I'm not gonna be a radio it then I'll hire you as my co host for my show. Oh, God, no. I'm gonna be on agent. I think you could be my agent Dunn. I'll be an agent for my agent because I know exactly how to negotiate with you during my agent. Oh, sure. I'll be all your agent three, Chi said. It's right there. I said it. First Asian is usually for multiple people, right? I know I'm a nurse where you guys going to find out the battle royal toe for me to be their agent. We shouldn't kill to punch out. I don't think there's any money in agent work anymore, though, because it's pretty much with so much some of these radio stations going and voice tracking and doing stuff like that, and some of the other. Cos the power of an agent to get talent. Money is just pretty much, not the way it used to be. You could do an agent for different kinds, like doing voice work voice acting. You could do appearances and stuff like that. So where there is a market there is a market in reading for a lot of the audible, but yeah, so if you have a good voice I would miss the whole damn thing up. I could never do that. I don't think I could do it either. I don't have the patience because what the book really sucks. And you really gotta sell it. Yeah, I don't think I can maintain the same tone for that long. No, And there's have been a couple of so I made a thing to where I want to listen to at least two audio books a year, And I'm on my third one for this because I know once February had something to do one and then March ahead, I'm gonna do zero. S so I I know that gonna stick with this long, but there's a couple of audio books I listened to, and I'm gonna like, how did these people Get the job because they're absolutely a business. I've gotten some before without doing the preview and was sorely disappointed. Sometimes it's just I couldn't listen to it because there's so many books that need audio books. Sometimes they're your Auditions are spread so thin you just take her you can get so I like when it's read by the actual author. Yeah. So have you read our Listen tol David Goggins can't hurt me. Not as of yet David Goggins, former Navy seal. He's a He's not a triathlete. They call one of those runners that run like 100 miles out of time to Katherine. More than athlete. He's more than that. He like he's just like Hill. Run, 100, Miles from Marathon for marathon. Thank you. But he's done triathlons and he went through seal training three different occasions. One time he got injured the second time he completed it, but got out of seal training, but then hurt his knee. After Seal training is part of boot camp and then went through it a third time, so he went through three different hell weeks, and he talks about the mind and his upbringing and how his father just treated him like dirt. Abused him and how he was just a skinny little kid who did nothing and one of being this guy who just doesn't insane amount of chin ups and push ups and he talks about mental mindset on how your mind Just works against you so many ways, and he does..
"office manager" Discussed on 860AM The Answer
"Thanks so much for joining us making us part of your weekend here, this cut my I don't share this with you. Passing through the hospital corridors, a doctor noticed a strong smell of marijuana. Asked one of the nurses on duty about the odor. Good thing there's said, is that everybody's glaucoma has cleared up. The bad thing is that now everyone wants a Twinkie and my next guest. I think one of his favorite foods is a Twinkie. If I'm not mistaken, Dr Roman villas with us He's the author of the Vitamin Bible and more than 50 other books on health, nutrition and medicine, and we welcome him. Back to the doctor. Health radio microphones this morning. Good morning, Dr Mental Health Health, are you I'm terrific. And I do recommend Twinkies are recommend eating the wrapper. It has more fiber fiber. I mean, you're going to say that I know that that's one of your Your pet. Craddick's my class? Yeah. Hey, since you're in the know you live in Beverly Hills, and so that's part of l. A the L A Basin. What happens when the smug lifts over Los Angeles do you know? Yes, we see all the bounds. We see all the buildings but small. No, no, the that's not the right answer. U C L A You see, I get it. Well, actually, it's a lot better than it used to be That kind of an old cliche. Take, uh the, uh, The pollution level is better when it comes to visualization, But unfortunately, the ozone layer is the problem anyway, That's the news. Big news. The new dietary guidelines came after Whoa, big, all right, and what a joke. They they wanted to drop the Sugar content of the American died from 10% to 6%. And guess what? No, they didn't allow it. Businesses wouldn't have it. The the lobbyists right right. They wanted to drop the alcohol content of also and no that didn't go through either. So, instead of saying that the average American male should have two drinks a day, they wanted to have one drink. I love love with people say a drink. I had a AH office manager That was an ex alcoholic, and she told me that she says she only had 11 drink of alcohol is a but it was two leaders. Oh, thank God. She never every feel they're right. So it's amazing that after all these years, uh, the so called dietary experts A couple things. And, of course, nothing happens. But the big problem really here and if I had it to do with this is to get people that start taking vitamin these three. We invited these three. The natural want. The research is unbelievable. I mean way could probably decrease the amount of, uh, viruses that central and especially the elderly. It's such a great mystery Vitamin D three. And the only It's frightening. So what they tell them is well, yeah, it's not bad idea. Taking 600 days. 100 units. We need 4000 to 5000 units. See, that's the problem that when they come out with these so called studies is and new Ah, uh, recommendations. Right? Never enough or that's right. The lobbyist shoot it down, or they use a synthetic form of the vitamin C. Say like the vitamin A studies from the seventies instead of using, you know, an isolated ice synthetic instead of using the natural Family of nutrients and that particular vitamin or nutrient category. Let's talk about I just came across this doctor Mandel. This is from Dr Anthony Fauci. The nation's top infectious disease expert where you probably saw this where he you know he takes personally, he takes vitamin D himself, and he says that that low levels of the vitamin can affect your susceptibility to infection. But then, by the same token, he says, I take Thea's. You should take the Not. It's not how it goes. If you are deficient indeed than taking the settlement is important. If you have normal levels, it doesn't make any difference, he says. And you wouldn't have been Well, you've got to have a dog a dark, the blood test. But the problem is normal levels. We know you know, the actually ever American is to like 22. It should be 50 or over and they're like 80 is kind of ideal 70 or 80. But what's what you come in on this because my comment is Aziz bin for the many years. Why wait to your deficient? All right. It's like saying, Well, wait a minute. I'm gonna wait until it run up a gas and then I'll fill up. That's a good analogy. Well, absolutely. I mean, it's so ridiculous and ludicrous that we as a nation One of the ones that when the richest nations in the world are when it comes to as I've heard the statistics that 85 95% of Americans are are not getting enough vitamin D and that's we're talking about 600. Units are youse a day, which is not ideal. Yeah, that's not. That's just to prevent a deficiency. Another problem to David is that when you start taking a supplement like Vitamin D Eve, people say, Well, I guess it'll two weeks. No, it could be up to a year. Right. It takes a long time before you get the blood level upto word should be and that there is a difference that really bothers me about this whole field. That people are getting partial truth. They're getting a special recommendation, but they're not getting the real thing. But the real story is you have the more the longer you take a supplement. The better The results not exactly exactly opposite of drugs. You know, I'm a pharmacist, a swell and the girl that every drug has a side effect. And the longer you take a drug, the more chance you have of having side effects contraindications or toxicities. Well, when it comes to supplements is exactly opposite. Exactly offset Yeah, You know, I opened the show Dr Mandell with it was a cartoon that it showed where the pharmacist is talking to the patient or the customer and the customer is floating in the air. And he says, I said there are no side effects. I didn't say anything about special effects. So so I think special effect on supplement effects. The special effects are beneficial and not exactly not military issue help. Exactly. They're not side effects. They are benefit effects. Anyway, I finished my update on the new to be called 40th Edition, Vitamin Bible yah well beyond August of this year. On and I brought in, uh, you know, it's been a while since the older one has been updated and is amazing how much new information is available. That really blows me, too, that the average person gets almost no information about the benefits of these suffered all the used to get is the negatives. That's right. He wants any of the so called television channels from the major networks. They're always negative, because guess who pays their bills? The drug companies? I mean, you don't have to be an expert to watch television on..
"office manager" Discussed on Biz Talk Radio
"This is a segment one outward number two Facebook life doesn't matter. We just keep on rolling along. Way. Thank you for being there. We appreciate your your patients. And, of course, your commitment to guard in America and your support this morning. Very happy to have by Sean Freeman on from the seeds Dead live from South Africa, Tiger and, Ah, lot of great information we could keep going on and on, But we will come back with Shawn Questions. Comments. Let us know. And we'll wrap things up, Tiger. Yeah, way haven't hit one thing. I wanted to ask you for our listeners being involved with the seed industry. Um Going into this year. What do you recommend for people to do if they're going to be buying seeds? If they're planning on starting a garden from seed, um buy seeds now how how Our inventory is out there across the across the world for people to go buy seeds. It's a very good question I don't need were very concerned when the whole covert lockdown and we were experiencing. Between 407 100% increase in sales. And we anticipated that what we were experiencing was being replicated globally. So how are thinking was that the global seed market head not prepared. Who a they say 400% increase in seed purchases, and it's a logical thing to actually have a look at it and say all of a sudden you've got 400. It's a 400% increase in vegetable gardens. A lot of them are not clued up on a lot of them will be Wasting feed for want of a better word on We were concerned about an increase in prices on it was it was a real concern for us way had a look at our seed stocks likely basically being decimated. We've had a look at global seed stocks and we haven't seen the price increases that we expected. So we expected to see a 51 100% price increase across the board, and what we've seen is that they have bean uncertain alliances, actually decreasing prices and on other lines that has bean a market increase, and where you see the market increase would be On varieties that are infected a month, for example, that to martial process of growing up carrot passes of Ghana. There's a variety of certain varieties with the process of gonna other varieties with the prices have come down. So do I think there's going to be no see supply or a Russians on C supply. There was a rush, The seed companies were able to maintain the wholesalers are able to maintain, and I really don't think there's going to be a major problem. If we have covert vision to the zero on in some form, maybe thing but at this point right now I can see it being an issue. And I think that I think that you're right. And some things that people don't think about is that when they buy that package of seeds, and it has, you know 30 40 seeds in it, and you plant Eat. You still have 20 left over that you know in next year will be fine and six months will we find the kind of plant so they got their inventory. They have it at home, and you know this upcoming spring. It's not like you have to buy a whole nother bunch of packets of tomato seeds or carrot seeds as you mentioned or pepper seeds, because you know it's not too many people are planting full packages of seeds in one time. Right, Sean and absolutely correct. So what you'll find is that most seed purchases have a couple of boxes or or or containers tech full have seed that they bought 56 17 15 years ago. Yeah, And he said if I properly stored some of the vast majority of the seats are actually going to survive. Yeah, and then you know, not any credit to your business. But this is what you guys Kind of implement in your own business. I mean, the heirloom ex beau. The seeds dead is you guys share seeds, and I think most people that have seen love to share them too. So, you know, I mean, if you know you always have your neighbor that had grew that tomato and then you say, Well, that's a good tomato. I like it. Which one is in this? Oh, I have seen still. Do you want to have him You like okay? You know, they just so it is that community of sharing seeds as well. So I'm sure I'm sure we're gonna be okay when it comes down, But what keeps seats sales up is that a very Large percentage of all seeds. Purchase. Just go in a drawer at home. Oh, we all have. Ah, we all have a hey soon. Abduct God sees that our boat before my first daughter was born. I'm guilty. Absolutely. I'll raise my hands. So shun the seeds dead dot com. For more information. Um, you guys selling in shipping seeds currently Absolutely. So We have an office manager, very capable office manager based out of Colorado companies based out of out of Out of Colorado and way are we being shipping seat all the way through various forms and in situations of lockdown? We are bullshitting way, took British ship on a Monday and Thursday, But it's the volume does increase will actually shift more often? Yes, we have been shipping and way. Don't foresee a break in shipping. Awesome. All right. Well, thank you very much for joining us this weekend and have a good rest of your evening. I'm good. Rest your weekend. Thank you very much, John. Lots of great information again. The seeds dead dot com for more information. Gentlemen. Thank you very much. I really appreciate you Come. Have a good night. You bet. Thank you, Shawn all the way from South Africa and this is life unless you're tuned in on biz talk radio pre recorded from last week. But we do appreciate that. And that's interesting to get that perspective from South Africa and the seeds and how they operate. And again, he mentioned tomatoes is big. And what was the other one that first two and peppers, tomatoes and peppers. Hot peppers, specifically which You know, in the pepper world, there's a big spectrum of people that grow peppers, whether they're sweet or bell or hot peppers. Hot peppers have been taken off people. I just don't get it. I mean, I think one of the best peppers is that, however nada Pepper that we used to push a while back because you got the flavor. But you just didn't have this intense heat, which for me, makes it until a stubble. I think the independence too. If there's any flavor to the seed, you concentrate solely on the heat. The taste kind of goes away. So it's nice to have kind of an even keel. But there's a lot of really good hot peppers that are not necessarily hot, too hot to eat, but have really good spice. And speaking of that, if if you've had them before. Or have any experience. What do you consider some of the best tasting peppers but just for the taste, So I like a lot of the whole opinions. There's a lot of varieties of jalapeno people think, Oh, jalapeno. It's 11 Pepper, and it's only one never know there's a lot. There's there's ones that have a smoky flavor there. Some that have more heat some that have less heat, and I think it's a good pepper that you can control..
"office manager" Discussed on Newsradio 700 WLW
"What's the best way to approach this? I realized that different people, different ways. We talked about the abuse of substances and so on. And you talked about getting out nature, you know, and all those other things I'm what Is there a simple way? What is the first thing where you go? Okay, listen, Breathe that. I mean, what do we do? I think that we close our eyes and hope and pray that January 25th 20th 12 01 comes this fast responsible and that there's no chaos in the New York right now, And there's no chaos between now and then. I think that we have to also, you know, we're all gonna be focused on this. Clearly everybody has talked with this week. You know, Since what happened on the six has been glued to their television. Everybody on Thursday morning was exhausted him early appointments because they were up most of the night watching what was going on or Tuesday night, they were waiting up late wondering what was gonna happen in Georgia. You know, no matter what side of the spectrum that they were wrong, I think what we need to do is we need to really look at what's happened during these last couple of years, and hopefully we come together. Whether you're on the same side are opposite sides and make this world and make this country Better than it was before. How are you feeling? Dr Lowenstein? You know I am Nam in a lot of weight. I mean, I can't believe what's happened. A nervous about the fact that more and more people are dying from this. I now know people who have died from this people that I've seen in treatment or friends and things like that. It's getting closer to home. I'm worried about that. And I'm worried about all you know my safety to a certain extent because of I don't know what's gonna happen tomorrow. I'm hearing people say that they want to go on by a gun to protect themselves. You know, that doesn't feel good to me right now. No oil, but I mean, it's not a bad thing necessarily need to be prepared, whether it's to go hunt for food or to defend yourself as long as you're not wanting to go out and strike out against someone, But you're talking about people where it's completely out of character for them, or because they're afraid that things air. You're right. Look like thinking that what? We're doomed. Right. They're concerned about what will happen and they're getting a guns so that they can feel protected in case somebody tries to break into their house because they know where their standings are, or that there's gonna be some insurrection. I mean, that's not. I mean, these were people who were non gun owners who never thought about it and got myself included in that. Well, it's good to be able to protect yourself, but not good. If you're thinking that the insurrection will make it to your house that that's you know how many people are you talking to percentage wise that have the view that they feel unsafe? Be not because of like crime necessarily, but because of political turmoil or unrest. This week. Probably about 90% really? Yep. It's been a major focus of conversation. Normal. You make me feel better. You're not helping right now. I mean, I appreciate your candor, but you're really just giving us ah, snapshot of what's going on. And this is comin from your colleagues that you talked to elsewhere because you're not the only one out there you you need help to do you guys counsel with each other or just sit around? Drink? What do you do? Smoke cigarettes and bitch and moan and whine and cry. What do you do? Drink bourbon? Oh, All of the above, you know? Yeah, we do. Talk with one another and see how we're doing in our handling it, But everybody in my office is saying them seeing people and, you know, I mean, I've been the office manager in the Secretary's couldn't get away. I mean, We're all under a lot of pressure right now, besides just the pandemic, and then what happened this week? That's a lot and I just want to be able to go out. You know how much I miss being able to just go out and get a hamburger or someplace and chicken wings to drink some beers and not have to worry about anything and not have to worry about standing close to somebody and wondering, Is this the day that I get coronavirus? What about this? I'm going, man, my chest kind of burns. I've been walking the dog for four miles and it's cold out. I'm breathing a little weirdo. I feel a little dizzy. I don't know. I can't remember. Is a brain fault. Is that reasonable thoughts to our people? Um, I the only one I'm waking up every morning and opening up like a jar of garlic and see if I can still smell it. Not not not because of vampires, but because it just smell all right. We're going to Russia. Immediate assistance to you otherwise, I mean, I think vampires vampires are not real, right? Perhaps some people think. Well, once you invited any house, you can't get him the hell out into some people feel that way about the president. Now, That's just me making an observation. That's all that's all. Well, I hope you're OK. I appreciate what you do right. You got a new website. It's not up yet, but it's coming. Is that correct? Sure. What is coming, hopefully a soft parts of it. Today's open next 23 would still be up. But the old website still there, which is good. It is good. The information. Good bit of help available to you and resource is d r Lowenstein dot com You can find out more on Twitter..
"office manager" Discussed on WBSM 1420
"Would you? Senator how we card shows? Breaking news? Joe Mansion, the senator from West Virginia. He's always there when you don't need him. He has calls called on Twitter to suspend the Trump. And quote in the interest of our national security and public safety. Oh, my goodness. Morva raking those Lehigh University in Pennsylvania rescinds Donald Trump's honorary degree. It's also it's also you know, it's so much virtue, signaling like a lamb Gonna, I'm going to condemn Donald Trump the most congratulations. 238 lawmakers call to impeach President Trump All Democrats, except for one. His name has been mentioned A last hour. By Corey Lewis. TAOS SKI Kinzinger From Illinois. Lord, Officer Mark says My Connecticut law enforcement officer, colleagues are merely perfecting their pat down search techniques. Alright how you ready for the winners. Yeah, let's do the winners Have police blotter, fax fried Brought to you by pan to Josie baking company celebrating over 100 Years of baking excellence since 1916 Mexico Tunnel affair. Man builds a secret underground pathway to lover's house. Get. That's what that Pierre epidemiologist in the UK should have done. You know, that was staying there with their millions of people were gonna die from Cove it? Yeah. And then he invited his girlfriend over to his his married girlfriend over to his house. What was his name? He had an interesting name. Dr. Niall Ferguson. Wasn't a guy yell, Max something I don't know. It was. The first thing was Niall. Man in Mexico constructed a tunnel that was joined to his lover's home. Specifically, it was underneath her couch. So when the when the husband that the two lovers their names or Pamela and Alberto and this was in Mexico, but when the husband came home Um, He knew that the guy was there. So he started checking underneath the bed. And then he finally saw the guy and the guy ran behind the couch and then imagine how wild that must be. You see the guy room behind the couch, and then he disappears into like a rabbit hole. And then he figured out that the man had built an underground tunnel. Come a little bit closer. You're my Canada. It's like the old song from Jay and the Americans all he didn't He didn't run out the front door. He went down the hole in the in the You're right. But how this is my favorite police blotter of the week office manager allegedly stole $2.3 million to buy a horse farm. Former office manager stole them $2.3 million from her Illinois employer to finance a private horse farm. Mildred Crowley was charged last week in federal Mildred Mildred. That's a name you don't hear much anymore the way gas prices they're going to go. That's probably pretty good investment. This is what's crazy. Crowley wrote on Facebook that her dream is coming true with the horse farm called Bit O Luck in Southwest, but it wasn't such a bit of luck for her, Was it? No. It featured heated Barnes for saddle breads and Hackney ponies as well as training lessons and sales, according to a brochure. She also wrote in on her Facebook. Facebook is going to be You know the real problem here with people in these crimes, she wrote. Thanks, everyone. We're still doing work on the house and middle barn When I pull into the driveway. I can't believe I have been blessed to call this beautiful property home. She's an embezzler. Crowley is also accused of using the ill gotten funds on travel throughout the country, restaurant meals and shopping sprees at department stores. Oh, Mildred, I told you not to steal all that money. She has only will ever told you not to steal it all over. Um she is also own at least 11 horses, including a stallion named Fly the W, an apparent reference.
Dr. Fata: King Midas
"Four months later in september of two thousand eleven. Dr fatah's practice hired a new office manager. George karachay. i was born in detroit Living near Actually motown on west grand boulevard. George was in his early fifties tall with dark hair and glasses. He had worked in healthcare for more than thirty years and from an early age health. Care was very important to him. He used to play on this on the lawn of henry ford hospital when i was a kid and i often wondered what was inside. What did they do their before. He's interview hit. Never heard of doctor fata but of course he knew all about crittenden hospital. Where dr fata sent his patients. It had a reputation for serving posh clientele. George was honored to accept. Dr fatah's offer. The scale of the office was bigger than anything managed before he knew that a lot was expected of him but he was excited to be part of it. All the position was a rare. Find a six figure salary which is a lot for an office manager great healthcare coverage a twenty minute commute for his first day at his new job. He left his house early enough to leave. Plenty of time to get settled. My best sudan and is dr fodder said you know. We're very formal here. And so i. I remember driving to the clinic and i saw it for the first time on the outside nasa site to see it was grand on the outside with its covered. Porch and windows on the outside michigan. Hematology oncology didn't look much like a healthcare center it look like some sort of ski lodge some some resort. You see on side of a mountain where the rich and famous went to doing their winters. So i like this is incredible. The parking lot was already packed with cars when he made his way to the front of the building. I opened the door. And i was just in. Awe was on in so many different levels. The opulence of the center fifty foot ceilings grand piano artwork on the walls. Something that you would normally see at the detroit institute of arts. The soft lighting. The waiting rooms at were filled with fine furniture. It all looked more like the lobby of a swanky hotel. It was supposed to be the jewel of crittenden hospitals outpatient center and it really was. He looked around at the staff doctors nurses from other hospitals and universities all and crisply iron uniforms for marketable. George thought to see so many people from different disciplines all there to care for patients. Though george was new to the field of oncology. he wasn't a stranger to cancer. My own mother was diagnosed with pancreatic cancer. And i was taking care of her. While i was working for dr fata so i know what it's like to be given that news in a patient's room and to go through the caretaking of a patient and i really believed in the field of oncology and hematology as he was looking around taking it all in jordan started to feel a bit nervous. I day jitters. But he realized that he too got to be part of this impressive operation working alongside folks that were saving lives. I closed my eyes. And i said to myself remember this day. Remember this day right away. He was put to work meeting. The staff getting to know the equipment around dr fatah's four clinics the infusion room where patients received chemotherapy was a sight to see. It was like a parking lot for chemo. Chairs kema chairs and rooms cumin chairs in the you had single a chairs you had once in a group with four and time. It was far as the eye could see. Saw the sea of chemo chairs. The waiting room stayed filled with at least thirty patients at a time. Busy was an understatement. Barber shop where one person is in a chair and then sweep off. The air and the next person would get in a chair. There was never a moment where that chair wasn't being used and running and humming and the equipment and spies all had to be there or else machine. I called it would start to break down.
Should You Switch to Fish Oil with PRMs?
"So the question is, is fish oil with PRM's more effective than fish oil without it. Including, PRM's and a fish oil supplement may be awaited, distinguish your product in a very crowded marketplace, and then to sell it at a premium price. But there doesn't appear to be any published research in humans showing that taking a supplement containing PRM's would accomplish anything more than supplementing with fish oil. Get this. I even stumbled across a couple of supplements where P. R. M. stood for pre resolving. Instead of crow resolving mediators and the marketing material explains that pre resolving mediators are the precursors that the body needs to make pro resolving mediators in other words plain old fish oil. As for the actual crow resolving mediators, there's actually very little research of any kind to speak of remember it's only been a few years since we discovered them since then a few studies have looked at the effects of individual cell types in petri dishes but look what happens to a cell in a petri dish and what happens to cells, tissues, and organs, and a living organism is a very different thing. There are also some rodent studies that at least look at the effects of PRM's in Vivo, but these are simply looking for mechanisms of action. They don't compare the relative effectiveness of PRM's to other anti inflammatory agents such as fish oil. Now, I expect that more research will follow, but it'll be a while before we get to the level of research that would test the safety and effectiveness of Pierra supplements. Symptoms or on risk factors in human beings. In the meantime I don't think there's any reason to shell out more for fish oil with PRM's. But that also begs and interesting question and that is should healthcare providers even be selling supplements. Now many healthcare practitioners recommend nutritional supplements to their patients into their clients, and some of them also sell these products. Often, this is seen as a convenience to the. Instead of having to hunt for specific product or research the differences between various brands you can simply walk out the door with your practitioners preferred brand in your hand and sometimes healthcare practitioners have access to brands and products that are not readily available through direct to consumer channels. However, it does introduce thorny issue. We WanNa Trust that are practitioners advice and recommendations are based solely on our needs. But when part of their income stream comes from supplements or other products that they sell, it does introduce a conflict of interest. A more expensive product usually brings in more revenue and so does a more aggressive supplementation regime. I think it's hard for even the most ethical and well intentioned practitioner to be one hundred percent objective in this scenario. A busy practitioner may not have time to thoroughly research and follow the science behind various nutrients. So they rely pretty heavily on the information provided by the sales representative who's going to present their product in the best possible light, exaggerating the positive effects and the positive cash flow and minimizing any gaps in the research or information about alternatives. Sometimes it's not even the practitioner who's choosing these products but an office manager who may not have any training in nutrition, but whose job it is to run a profitable or at least a solvent practice. Now, if all of the sounds kinda familiar, it's because it's very similar to the model by which pharmaceuticals are sold to healthcare professionals most physician education on the effectiveness of drugs and medical devices is provided by the companies that sell them, and as a result, the drugs most frequently prescribed are not necessarily the most effective or the most cost effective choices, and the same is true for nutritional supplements that are sold by healthcare practitioners even the really well meaning ones.
Starting Zocdoc with Oliver Kharraz
"Oliver Karaz was born and raised in Germany mostly in rural parts of the country his mother was German and his father was from Iran in came from a long line of doctors. For me, it really starts in some ways with my dad and. The timing rapidly had every reason to become a social activist and and so he came to Germany from the Middle East when he was very young around twenty with no money in his pocket no language skills. And you personally then worked on of odd jobs, but he eventually became a psychiatrist but what has really shaped me much more than being born in Berlin is. Social. Active. Isn't that I that I saw him live and that he really made our family mattress we always talked about talent responsibility and the need to use. Whatever telling behind to help those. Around us that we can make a difference. Given that your father was Iranian and your mother was was sort of. German. An Uber even though you were born in Germany, did you feel did you feel as Germany everybody else? So I didn't have a second identity. We only used spoke German at home and yet. As you say I was also a not always fully accepted. So if I give you an example, my school twelve hundred students and you could pick out to the didn't look like everyone else and I was one of them right and even an enlightened country like Germany. That is notable. So I had what I call a visual accent would people would see me on the street and they would ask me how to speak German. So well and But they also school the skipped my name when reading out scores because they weren't sure how to pronounce my last name and opportunities taken away and even at was physically threatened so i. I think that really shaping in many ways because I realized. Very early that in order to be as successful as everyone around me I would have to be dramatically better in really work much much harder than anyone else and so that used to be strong work ethic in me. For the record Oliver is somewhat down playing his work ethic. Because just out of high school, he actually started his first successful company. It was the early clunky days of the Internet, and he designed a way to help people send emails more easily and he wound up selling that business not for a ton of money, but enough to get him through medical school. But. After practicing medicine for a couple years Oliver realized he couldn't stop thinking about that first business he'd started and how he wanted to start another. So he quit his job in medicine and consulting job with Mackenzie and eventually moved to New York. That was my goal was actually to start another company that that's A. Healthcare, but I I'd also realized at the time that I sold my first company and far too cheaply in that I should learn more about business I and at McKinsey God exposure to balance sheets and panels and hit a lot of very practical experience and what it means to manage business. And I think they fondly of my time at McKinsey was one of my better decisions. McKinsey GonNa Mackenzie is a little bit like going to business school. A lot of people at McKinsey have come from business, schools. In that. Many people go to business school thinking they will find a co-founder. Did you were you actively looking around at your colleagues to think maybe I can do something with him or her you know maybe that person. Absolutely and were you just thinking about different business ideas all the time? Well, it is actually very hard to find good ideas and my definition of a good idea was that it needed to have a great mission I. wanted to make sure that we actually do something good in that. We stayed true to sort of talent breaks responsibility, but also wanted to be a large market and to have a great motor rounded and also I wanted to be based on contrarian inside. Because I thought that all of the best companies have that at its core. While she wanted mission, you wanted a company that could kind of dominate its field by building a motor around it, but was also contrary and that's that's that's those are some interesting. Criteria. And that's why I screen for several years rejected pretty much every idea that that I came across And meanwhile. While you're going through all that I guess you meet this guy Cyrus Masumi. WHO's another McKenzie consultant and and just you just. Become friends like he's like somebody like in and you guys start hanging out. While we got put on study together that required us to travel globally and you've ever done that it meant frost were sixteen eighteen hour days together for three four, five months on end and we really. Got To become great partners in that and and what we realized that we had some. Very complementary skills. Cyrus is one of the most charismatic and gregarious individuals. You'd ever meet his very passionate. He could be more forceful, which sometimes was needed to be effective with clients. And you've talked to me now for a little bit as you can probably tell. More dispassionate and logical and more measuring. German? More, German in many ways, right. also was effective with clients by by. and Cyrus is American right? He's American this but that That close listened and how we work together that really started friendship and we stayed close for the study and be caught up over lunch pretty regularly denounce different business ideas off one another and. I think we connected because we had similar interests because. On. Some levels We were equally passionate about what we're doing higher says, passion was more visible to others than mine but we. Were close enough together that we both accepted. The other as. individual that that we could learn a lot from. Was it was it clear pretty soon after you start hanging out, Sarah's that this was the guy because you were. You're on the lookout for a partner. They I think it was was absolutely an option I know reality is that. With. Both founded companies before Mckinsey and we both knew that we wanna do it again and as I. was always great about being. Very honest. Rather than just nice and and I value that a lot. Yeah. All, right. So So this guy, Cyrus Super Charismatic, really smart clearly, the two of you start to to work together. And what what kind of business ideas are are you coming up with? While we kind of fell in love with a new idea that came about a one of these launches were Cyrus. Told me about how he recently ruptured his eardrum by flying with a cold and then found it very difficult to actually find a doctor and he had asked for recommendations and called down his insurance directory listing started with the as. Doctors weren't accepting new patients some no longer accepted two centurions one provider Pasta Way and so he said, well, why does it take four days to the doctor when I'm in pain right? And why can't this much easier? And we. Both very quickly. realized the potential of this idea from. Working at project be new helps us the for actually spending millions of dollars for marketing to grow their patient base because they had wasted inventory, right they had something that I like to call hidden supply, which is these last minute cancellations no-shows reschedules. That the that go to waste, and then on the other, there are the patients who had a hard time accessing this. You thought it immediately clicked with these my God. Yes. Doctor's appointments connect patients to doctors. Yeah. Well, look if you go through the forfeiture that I had read, it's a great mission right? We're making one of the most personal needs more accessible for for patients we can help patients to get in fast we can help the doctors become more efficient. We can make the entire health care system more cost effective people out of the emergency room things like that, and it's a marketplace. So there is a strong mode and clearly anything in healthcare is a large market and I think the contrary and inside that we had. was. The fact that. Most people thought it's normal that people have to wait twenty four days to a doctor because there's a doctor shortage in read our inside was really no doctors have asthma debate ability because of these last minute cancellations, no-shows reschedules and so I felt very about this idea. So. So you member like how long between the time that the you had that first conversation To the time were both you said, let's start this business was like monster or weeks or days. was was weeks. We what we what we started doing is actually. Mocking up the side in how imagine back then in powerpoint pointing just the wire. Website. Yeah. Wire frame. Exactly. We would. We'd go into starbucks and we'll chat up strangers and say, Hey, here's a five dollar gift card. Give me your thoughts. Sorry I'm GonNa. Go back. You just go to people in starbucks Gift Card and say, can you give me your thoughts? Random Person? The absolutely that's that was sort of our market testing. They wouldn't. They would be like excuse me this is a little weird. You're my space. Might also happen from time to time but you know there's lots of people on starbucks is very in German of you. That's debris because usually he would be to report tentative about doing that. Well, you know I think there was a lot less rejection than you think people actually quite open I. Suggest you try this out but if you If you're unthreatening in Luke harmless as we probably dead and then they'll be pretty open. You went up to and starbucks and you'd say, Hey, we're thinking about a company here. Can you just look at his powerpoint give you five dollars Gift Card and what was in the powerpoint, the popcorn and was just what we thought. This website would look like and we would ask them is the set service that resonates with you would you use it and and we got an incredibly valuable feedback here and really set us in many ways on the on the right track right? So and what pointed to the two of you decide let's quit McKinsey. Let's. Let's pursue this. Probably a month or two after we initially discussed idea did anybody say you were crazy for quitting? Everyone. Everyone told us. Crazy and got a lot of negative feedback on the idea to write people would say this is Bloomberg out I would never pick my doctor on the internet or I already have a doctor or you know doctors wouldn't accept patients that that are looking on the Internet of all kinds of protections that people had when they were thinking about their own situation by. When when you talk to people and starbucks, they actually thought about it much more positively. So we were encouraged enough to say, well, this is going to work as long as we get out of our circle and don't ask McKinsey consultants doctors. The responsible be better. All right. So you are in your thirties at this point. And presumably were making pretty good cash at McKinsey because you were probably you'd know expenses you're on the road all the time so. When you quit, I'm assuming you had some money to launch the business and probably live off for a while. Yeah. So I very deliberately had never raised my living standard to the money that the paying McKinsey and I had saved every dime so that I could. No be in a position where can fund this embraced can afford not to take a salary for a couple of years. Wow. So so a couple of hundred thousand and you saved. You know. Maybe. I'm to Germany to discuss personal finances but. I had. Built this. Radio, you can tell the. Story Yeah I I had I had enough money to live off for for several years but I also Saturday night both finance the company early out of our own savings so that clearly diminish We had leftover after that. So now, you both decided to quit. and. You have some technical expertise because you had. You had done some coding but this is next level stuff. Were you able to be that technology founder and Cyrus was going to be the the sort of the business founder? Absolutely not as I add coated but at that point, I had not touched a computer for a long time We knew we need to have a technical co founder and so Sarah's knew a guy named Nick Guanzhou from the time together, trophy software, and this is another company that they would both worked at the that's the company that they're both previously worked together and Nick just brought a totally different perspective and really educated Addison me on a lot of things and and he was really the one who understood a building a seamless experience for the consumer and ends May. Zach Docs. Early Genius, did you did you have the name dock from the beginning? Not, not initially we we went to several phases on on what the right name could be for for while we wanted to have a descriptive name. So we looked at physicians, dot Com Doctors Dot Com, and we actually tracked down the owners of one of these domains and they wanted several million dollars for the domain name. And and we were finding the company ourselves. So that was out of the question. So then we just sat in a room and we brainstorm a list of fifty or one hundred names, and then started eliminating names until we arrived at Dr. What does it mean? or it doesn't mean anything which was the WTO bit we could. There were zero search results. Okay. There's no meaning behind his ACH. There's no meaning behind and and in hindsight it was precisely the right thing to do because it really was a blank slate for us to fill with with meaning and really build a brand around. Zero such as October we started. It address nate the right lake once you know that it takes more than three weeks from picking up the phone and dialing for doctors till you actually see someone you realize Oh, this really not much else that we have to wait so long for to get. And this is more important than most of these other things you already have. Fantastic access View Magin. If air travel way that healthcare workers that wouldn't be an expedia that wouldn't even be Delta Dot Com that would be individual phone numbers for every plane. Imagine. If that happened, you know a half the planes would fly empty it would be a massive pain and that was actually the state of health care before sock. Is Amazing that that the nothing like this was out there in two thousand seven. I look at I. Think. In many ways you couldn't build it a much earlier. In the early days. When we went out there, we were the ones installing Internet of the doctor's offices. We. They they were a many times just migrating from a paper books to scheduling systems. We were at the cusp of digitisation for healthcare. We were just lucky in our timing to get this right in and start offering the service when that also happened. All right. So you decide to pursue Zach dock and it's the three of you. I'm assuming really just at the beginning and were you working out of out of one of your apartments? Did you guys rent space? No, we worked out of respect for. Many. Times we came to make yet the nicest apartment and and we could bring breakfast Burrito and bake him up and you know the the reality is that we originally had a pretty ambitious launch plan right so we got together around July. We wanted to launch by December of two, thousand seven. Something interesting happened were nick send an email suggesting to look at what was then called techcrunch forty. Take is is now a household name but the draw for us back then was there was a fifty thousand dollar prize now it's called tech crunch disrupt think. So it's a major a startup competition. It's a startup competition and we were the first class of this was much less known be budgeted two hours to fill in the application in really which will send it off. He didn't think about it anymore that there was an early July and early August we've heard that we had been accepted, but there was a complication we'd have to be ready by September eighteenth or. That was three months sooner than we had originally planned to launch. So you'd have a live website by September that is right that is right with doctors with doctors, right So we actually debated for a few hours whether we should even tried to go for that but we ultimately said, yes, we can get the website working and we wanted to have enough doctors just a bars wouldn't look pathetic. Brayden. Coded Night Neither Day and nick really busted his but he did the patient facing side of the website and that was the programs. What was potentially even harder because we're tried to launch a marketplace was to actually get the initial supply on there and remember the website wasn't there yet so. Tires ended up going door to door for doctors offices. Excuse telling them a powerpoint page, and this is really a testament to cyrus sheer willing determination if you think about what it means to really start a company early on, there's nothing to show right you may be a powerpoint but there's no website there's no patience. There's no other doctors no social proof and it has to run on passion and very clear that that is Cyrus superpower. He just went to random doctors offices or he had like a list of doctors offices and he started kind of walking block by block. Well, there's a lot of walking involved a we launched in Manhattan so you can literally go down the street and you see. The signs and you walk in. And he was basically saying look, it's a way to connect you to patients. How was how many by the way? What was your objective? How many doctors do you need to sign up to have this website look okay by September Between six and ten was our goal. Okay. So just doable it is a was extremely hard really. Is telling doctors is one of the hardest things to do why were they saying? Well, first of all, it is baby very hard to even speak to a doctor they are being shielded. Their time is very valuable. Office managers are trained not to let anyone talk to them to protect the doctor from people walking in selling them stuff shirt them. Secondly, they many didn't want to give up control over their calendar which has to write. We ask them to post times that a patient could book into it and it was just a far fetched idea for many of them the patients would actually do this. So he got a lot of knows he got a lot of knows. He'd go there and he just simply not leave until he got a chance to speak to the doctor and a few times. It was even escorted out by security. I really think one in a million could have put this off. I mean was he going to particular kinds of doctors or was he generally focused on an Internet general? Practitioners Ob sobe began with dentists Okay. Because our thinking was that. People go to dentists most often, and we wanted to make sure that we have an offering that is relevant for patients as often as possible. I. Got you so so eventually unassuming, you do get what six to ten or how many did you get by September of two thousand seven Eight. In the meantime, you inequity doing the back end stuff you were doing the coding and building the website does right and as you were building it. How did it look? So. The bit that Nick Build looked awesome for the time I think. It was impressive. We were. Very. Satisfied that we had a scroll bar that we had a map that we had back then already the insurance selector and a lot of feature that. Weren't to be found really anywhere else. All right. So September two, thousand, seven, you are ready to reveal. This service at. Tech. Crunch. And Doth Review present or did did Cyrus kind of wishy the spokesperson? Cyrus. I presented Nick stayed behind in New York to make sure that the less the website was actually up and running This is in San Francisco that you went to the we flew out to San Francisco and So we lost sock talk in front of Eight, nine, hundred people. A lot of them were journalists when the judges opened up with feedback guy covers ocoee who we newnan in valued. As embezzles forever apple he came out to said he he didn't get it. He would never use this in front of everyone right and. His direct load something like honestly Oh, it just never occurred to me to go to any doctor that's really burned in in my brain and what was worse is that he seemed to be right we didn't get a single booking. We were hoping that this PR would get us out of our initial batch of users, right because your other. So many tech journalists there. So you know the publicity may be would would would lead to bookings and that was the hope but. It actually took three days before regard our first legitimate a patient, and and in the entire first month, we only got five bookings. You come back from San Francisco and. You know you had Guy Kawasaki. Say I don't I would never use this service? I'm sure he feels differently today but man maybe then Ezio said that but did did you come back feeling like like dejected like losers or or were you excited like how did you feel coming back? While you know I think we obviously hoping we would eventually get more bookings and In the beginning you probably refreshed. The Bookings Report Hundred Times a day by as we were thinking through what we realized. It was really a typical two sided marketplace challenge It's just a classic chicken and egg problem. You need the supply to get the demand and you need the demand to entice them supply and for dark was even trickier. Right when you think about it, healthcare is hyper local. Very complicated. So you have to match. Supply and demand on a Zip code specialty level, and then we have thousands of insurances take. Until we realized that our odds of actually finding a patient that wanted. An offer there. Quite low, and so the best path forward was to methodically build up supply, and so we just kept going put up a huge map of Manhattan on the wall, and then a sleep put little flags on of where the doctor's brother we're on the website in which insurance is accepted and we just we knew the perseverance. Is the name of the game. Back in just a moment how oliver and Cyrus Begin to drum up interest in stock and how they even start to raise some money at figure out how to dress differently, stay with us guy rows and you're listening to how I built this from NPR. Hey everyone. Just a quick thanks to our sponsors who helped make this podcast possible I to epic provision maker of epic bar beef was nature's idea the epic bar was. 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The deal with our personal finance tuneup series will help you feel more confident and get you on the right track listen and subscribe to NPR's Life Kit. And just a reminder, you can preorder the how I built this book right now, and if you do I'll send you a free signed book plate to go inside the book. The book is a collection of insights and wisdom from some of the most incredible and inspiring makers, inventors, builders, and dreamers on earth to preorder and to get your free signed book plate while supplies. Last, please go to Guira DOT COM or how I built this dot. com. Hey welcome back to how I built this from NPR Cairo's. So it's two, thousand, seven and Oliver. Cyrus. Nick are basically powering through with Zach dock going door to door trying to convince doctors. It's a valuable service and the thing about doctors even though they're really smart and capable and we depend on them. A lot of their offices especially back in two, thousand, seven or sort of technologically in the Stone Age. There was incredibly complicated to sink the doctors calendars with ours. Because none of the software was actually made to sink. Were even in the places where we had syncs up and running, we would frequently get. Feedback while the punishment didn't happen because the doctor wasn't available and we really couldn't figure out why this was the case because when we did screen chairs with the office to their calendar and and our calendar, it was identical right and couldn't figure out why that's happening. So I decided to sit next to the office manager I went there and got to know him and his family photos of his dog. I fixed the printer taught a better strategies to play minesweeper still couldn't figure it out. Until one day, the doctor would come out and she'd say, Hey David I'm out next Friday. And then what does David do does he go into the calendar and block out next Friday or does he take a post? It note On a doctor out next Friday and sticks this too is monitor. In the real world. These post it notes, of course happen and but once you know that Matthew Friend, you can start filtering this out and that's one example they were literally a thousand point, one percent solutions that we had to figure out to make this work. Wow. That sounds I'm getting exhausted. Just hearing about that because this is like even like Google calendars, right? Yeah. Yeah. That was that was early days and what we were extremely focused around were making show the experience was fantastic. If something went wrong, we fix it. Right. So I was our customer service I personally would call the doctor and and confirmed the appointment was all said if it wasn't I, personally contact the patient to let them know and then I would offer them. Amazon Gift Card alongside with an apology those actually one case where it didn't catch a patient in time. and. The were in the subway to the doctor, and so I raised them to the doctor's office and picked up a bouquet of flowers on the way there and met them in person to apologize. And that was really a turning point burs. The service has to work and we need to be have this patients I attitude in in terms of how it works completely ingrained in the company. All right. So you clearly need to kind of grow this Were you offering this service doctors for free at the time? Initially. We for free by we eventually started charging fifty dollars per month. But Sam doctor you come into my office and you say, Hey, if you pay me I can bring you more customers. I would be skeptical I would've said to you you who whose, who even knows about you. You'RE GONNA you're asking me to pay you money for Phantom bookings for maybe no customers I mean did some of the doctors say Many. The US summarize our sales challenge. Right? It was very hard because even if you wanted to, we couldn't easily share how many patients their competitors are down the road God like that was something that was confidential. All right. So you are you got this chicken and egg problem. Not, enough people signing up and he gets skeptical doctors but you know that the service could really benefit the doctors, but you also need them to pay for because otherwise you know but business. Meantime at a certain point I'm assuming you guys start to think we'd better go out and look for money if we're going to really make this thing work. Yeah. Yeah. That that happened in the spring of two, thousand, eight we decided we raise series. And we we make the rounds we get in front of a number of the big name, BC New York the also go to Sandhill road in impel. Toho Santo Road we leads and road initially were very successful at all we got Polite knows. and. Ray No feedback control someone took us as I told us you know what the idea seems. Good. But you're consultants I'd and the perspective of its consultants can't get anything done and what realized is that even though we had both founded companies before our Mackenzie Pedigree in our keys and button down shirts, they were really hurting us, and so we wait rank Khakis and button down shirts. It sounds crazy. Were they pleaded pants or were they at least nine pleaded please. Yeah Yeah. Yeah we after hearing that feedback We very quickly just went to the next gap and bought jeans and t-shirts and from that on the combos with VC's when but a lot better. So you went from McKinsey consultant look to this are the tech casual uniform of jeans and t-shirts that that's exactly right and we introduced ourselves not as NBA's and McKinsey Consultants but we introduce ourselves previous entrepreneurs that are starting their next company. was was anyone biting? Were there people who were like? Yeah there's a great idea I'm in. So interesting enough we had raised some money from. Friends and colleagues, and many of those they invested in US business plan unseen just based on the fact that we. Were giving up our careers at McKinsey to pursue talks. So that felt really a great. and. As we started changing how we appeared in how we introduced ourselves to venture capitalists L., we started to get offers and so in August of two thousand eight, we ended up raising five million from KHOSLA ventures expeditions mark. Wow Mark Banya Jeff bezos, and Venus is. All their. Funds are in which sounds like a lot before you WanNa do it's actually. Kinda limited because you still it seems to me in two thousand eight even though you have five million dollars a lot of money you still have this problem which is you've gotta get. Customers, and then to get customers, you need lots of doctors had lots of options but to get doctors, you need lots of customers booking through the site to you do that precisely D- These five million dollars per lily earmarked for making New, York, work, right, Miguel, I market work but. immediately after raising the money the financial crisis hit. And You may remember there was rest in peace a memo that went around about startups, right? Yes. About start ups, never being able to raise money arrested in peace good times. So we got this job is to make the money stretch in. We probably learn not during this time This was really our first go round making hard choices and what I want to be frugal and not to do things we can't afford and We learned to not let money replace critical, thinking and creativity. But now we continued to grind away at New York and at some point felt while if you want to get. To the next level we have to prove. Dr Isn't just a New York City phenomenon. Right? We had to prove that it would work in a second city But at that point, we didn't have the money to do this anymore, and by the way you're still your approach was still the same. It was door to door. That's right door to door and how how you building awareness about the about the fact Zach existed with customers with potential customers. So we it was day very difficult to get someone. To the website. Yeah but when they did. They loved it because it was such a step change from how healthcare used to work for him. Right they used to have to pick up the phone and wait on hold and then plays scheduling. tetris. With the office manager, can you do Wednesday morning about Thursday noon? Friday afternoon, and now they could do the same thing in a minute and have complete overview about the ability patients loved it and they told their friends. So we we started to get word of mouth. Going, and so we saw New York really taking up and we felt like, okay, this does this go into work in New York. At a minimum rate, but we also realized that it took us a fair bit of time. And money to get it going. In New, York and do we couldn't with the money we had left from the five million easily expanded into a new city at the same time. Raising money was going to be difficult because the next generation of investors wanted to see that it works and other cities as Walter. So we were a little bit in this catch twenty, two we ended up. Applying to. Force boost Your Business Competition Four. Forbes has his competition as sell to where they give away money right to they were promising a hundred thousand dollar prize. And at this time. We won. And Yeah what did is they gave us one of these large publishers. Clearinghouse is sex and very useful actually used to cover a hole in one in our only conference room. There was a hole in the wall and we covered it with that. At, this point you are, you are working out of an office, not not an apartment at this point we were working out of A. Shared Office space we work. Yeah. So they had given us publisher clearing house is is check but they fail to give us the small check for three months and we were getting really nervous, but it would still get it but. But ultimately, we got that one hundred thousand dollars and that's what we used to launch and our second market in DC in Washington DC and would did it require you guys to move down there or were you did you hire because I'm assuming you had to? A lot of your early capital was going into sales. Business Development hiring sales reps, is that right? Right, we had a couple of sales reps at the time. A. Very first employee ever was a sales rep is still with the company today and He was great. He figured out how to. Really charm his way. To the doctor. So there were no more security guards escorting anyone out. When did you? I'm assuming that even in two, thousand, nine, two, thousand, ten, and beyond we're not yet profitable. Far From It? Yeah. Far from it right because it's a capital intensive business. Yes. We obviously invested heavily in customer service wanted patients to have a great experience. And we had a quite sizable engineering team because that was actually a major engineering effort. So what started to happen when did you start to kind of see? A real turning point. Yeah. So we we we had launched New, York successfully with. Years. Of hardwork, we've gotten it off the ground is transported that to DC at work well, in DC, and now he said, well, why are we not in more cities and so we actually we raised serious be with fouled respond and We used to expand off the East Coast Francisco then Chicago and we just got better better at it. So we then ended up raising serious and two thousand eleven from Goldman NTSC, and we primarily use this to grow our sales team and sign up more more doctors in from two thousand eleven till two thousand, thirteen, we launched roughly thirty new cities I read that by by two thousand, fourteen would covered. Like forty percent of markets in the US, which is huge I mean that's right I mean that's a huge number of cities. And in that year evaluation. Of tzakda. Past Billion Dollars I mean that's That's pretty remarkable i. mean you were kind of on this like really rapid trajectory and you a pretty straightforward model right and you were charging doctors a flat fee every year and then. They could take all the bookings they wanted and I think that by that point like by two thousand, fourteen knew it was not cheap. It was expensive viewed really raised the price it was like three thousand dollars a year, right? Something like that. Yes recharged Dr Three thousand dollars a year and and there was a flat fee. No matter. How many bookings Actually facilitated for them and and the reality was for some doctors that got a lot of bookings that was a great deal. Yeah. But but there were also doctors that God a lot fewer bookings and for them that fixed cost was actually too expensive and some of them were starting to leave the service, and so we got into a situation that required us to invest a lot to stay where we are and then invest even more to continually grow our overall provider base, which means we had to build out a massive sales team to always sign up more doctors right and. Some point during this time L. Nick actually ran an analysis showed that it would take several years if ever fries to make our money back on on many of the doctors we signed up because you would have to sign up. X number of hundreds of thousands of doctors paying that amount every year. To make your money back to to make sort of our the cost of the sales team back. Wow and L. it. This was pure that would make us dependent on external capital for our very long time, and now it's a clearly there are many companies that have taken. Grow fast at all costs approach. And They Held onto this forty extended period of time by L., it clearly puts talking to a dependency to. Investors in their mind says, yeah. So. Meantime. You know I I from what I understand. There's disagreements I mean there there are you know the leadership team including Cyrus he he's I. Think he's he's sort of his position as the flat fee model is actually the best way to go is that a fair assessment of of his position? Yeah. I think that's right. I. Mean there were two fundamentally divergent ways held the business could go forward right. One way was to continue to work on optimizing the unit economics of our subscription model and the other way was to think about how to make it more transformative leap and then find a new more profitable. And more sustainable model and. Their. Look I can certainly understand The reluctance and taking this leap if companies rechange their underlying business model once they have a certain scale and then live to tell about it, right. We know the names of the companies that have done this net flicks, but from DVD's to streaming adobe. From box software to the cloud, but there's not a lot of companies that do that. and. Needed to make a choice which which direction I wanted to go. And and I should say over that. Became intensely personal for you because hugh and Cyrus really disagreed on on on the direction of the company should take. Steps down he he left the company and you moved into the role of CEO. Those right and what ask you about this neo. Beauty's in the flies of this show is its simplicity and we talked to one person or sometimes too. It's a single narrative, and so we don't have cyrus with us to tell us what happened but I wanna ask you about this time because. This was your co founder. This was your partner This is your friend and he was leaving the company. How did you feel at that time? I all I can say was a very hard and very emotional period for everyone involved and It was certainly a departure But how was through that given these two divergent choices you you couldn't. note, both of us could be useful to talk and. I have to imagine that for for period. China. was sort of the friendship. Look been we were very close we. Were not only friends we had worked for eight years believe together fourteen hours a day, and we probably talked more to each other than to anyone else in our lives but you know. Still touch from time to time and. I think he's joining us on from sideline. He still at prison million owner of the company Yeah, he's still. Here's the thing I mean we've we've told stories about breakups we've had we've had episodes were there were married couples who split divorced but continued the business e O products. Susan Griffin Black and an her husband Brad They continued the business stacy's pita chips continue the business after the divorce sold it for a quarter billion dollars. You guys were worth value to one point eight billion dollars at this point. was was ever party that just thought you know, God look at what we're doing on the core we're going and. I mean did you in service it down and say you know this thing is just growing and? Let's just figure this out. I think the challenge is that it's not as if there was an article way to decide what the right path forward is. As long as investors wanted to give us money growing all costs was yeah. Fine Strategy. The question was just how dependent you wanted to be on the continued goodwill of investors. It sounds like you were tired of going out raising money. You didn't want to do that anymore. Oh, not at all but I think you want to raise money from a position where you know what your turn to is and and. It wasn't clear that the business model would work in in a way that that we could just flip a switch and be profitable. Yeah. So. That was a tough year for you. Two, thousand fifteen. There was an article in business I think business insider, and it was about the sales team. It's October that year and it was. It was some allegations that you know Pete member sales team using adderall even cocaine they were under immense pressure. They were working all the time when you saw that article. And I'm not saying you even aware of any of this. You may not even aware of it but I. have to think that that article really alarmed you and and maybe even embarrassed you. Look A. There were a number of articles in two thousand fourteen fifteen. Didn't absolutely get everything, right but Budweiser I can say is that At. The time doctor had their sales team and we're. Getting very quickly and Your maybe maybe. Too focused on. L. Hitting targets and. Not. Focus enough on creating a strong culture the I hear these stories from six years ago from from time to time and from from now from candidates and and really every time. This happens like a Gut Punch. Because, this we know we're completely different company now. On on so many levels, but clearly, you saw that in new that you had to change something. While yes, I look I l there's a there's a couple of things about this. Right? We are a technology company, but we had said ourselves up too much about. Instead of writing wins and really too little about being adaptable and darning and and building the trust required to try things that now pet the risk of failure. and. So one of the first things I did is to change core values. You know to emphasize those behaviors each one of our values adaptable, not comfortable and other one is progress before perfection learners before masters right and. We only kept really one DIA CONSTANT DEL patients I. Personally that. That was more of the culture that I thought was right for Doc to succeed on many dimensions. So, you take over the company it's got high valuation, but you're still not making money and you know that you've gotta change the underlying business model you're never gonNA make money. And from what I understand this is the beginning of what you have internally described as the second founding of the company. That is right. That is right and that basically happens in in two thousand, eighteen you you launch this new business model where instead of the the dollar membership fee. Basically, you would charge doctors a lot less like two hundred or three hundred bucks, but then every booking you, you would take a cut from that booking. So like a travel agency. A little bit charge for new patient booking. So the existing patients to practice we made free but yes, there was the fundamental idea and. It sounds like such an obvious thing to do but but here's the problem with it and why why are we thought it was incredibly risky to try this. Our best customers that had been on for a long time. They got lots of pockets right and if we start charging them per bookings, their prices go up very significantly in some cases ten times more and that seemed. Competing, insane to us. In. Particular because when we talked to other companies that were at gone through similar changes and even pricing experts, they're number one advisor was make sure whatever you do never charged your best customers more and frost would be precisely. The opposite. In the thing that was counter-balancing this in our mind was well, maybe we'd be able to bring on a lot more doctors because the barrier to entry is now much lower that was there was the back and forth in the team to figure out whether that's the path we want to want to go. So, this is still a risky strategy because you're depending really on new bookings because the two hundred dollar annual fees dramatically lower and I have to imagine in year one, you actually saw drop in your revenue in the year one of of this curve. Second founding. Right. Well, it's from a risk profile worth at that. Right the warriors that you lose all your best customers in with it, all the bookings day used to be getting. and. So we needed to be ready for a very significant drop in bookings and revenue and the second Challenge was here that. The beauty of this approach modest and we got all this money upfront right and Sharon. Now to bond, we're getting paid after the booking with with a thirty day payment periods, we had a huge working capital requirement to make that happen. So did you see a drop and revenue in two thousand eighteen when you rolled this out? No we didn't because we actually didn't see the doctors leave the way that we hit on -ticipant did in fact, you know while we had very much worried that they would be upset and some of them certainly were upset. We were providing so much value to them that. You know what? What took you. So long I knew as getting a great deal all along. So that worked really well, and we had piloted in Georgia initially in April. Two thousand eighteen and then that had worked. So we we then all allowed in Colorado a few weeks later that work to, and from there we went to Washington state and again, very positive results and after these three days. Okay Great. We know this works does it out in our largest most important market? Let's go to New York and that and terribly horribly wrong. They the doctors in New York. Not only were so pissed off they actually I read. mounted a change dot org. Petition I. Don't know what to to to end this practice or something. They were really mad. They were really really mad and I guess you guys responded you said, are we won't we won't roll this out in New York for a while. Yeah look in New York. We. Facilitate Roughly, one in five new patient doctor relationship in the entire city on dock and so. The economic impact for the providers in. was much greater than for the providers in Georgia Colorado Washington. So yes, to give you one example, there's a dermatologist and so and he paid under the ultimate model ten doctor say paid thirty thousand dollars and under the new pricing model, his cost was going to go up from thirty thousand dollars to roughly three hundred, forty, thousand dollars. Wow. So what was your response to that? I? Mean it seems like a pretty reasonable. Concern. Yeah. So look after the conversation with the Dermatologists I. Actually. Put down the phone and I thought you know what? He's right. And so I pause and we regrouped and. We did a couple. Of things during this time, like the first one is we just went on a listening tour. You know we talked to provide their feedback and we just adjusted our this plan to give providers a much longer grace period to decide whether the wants to addition to the new model or not, and then. So then we read on New York six months later and and when dramatically better. So the strategy works and you see results from the strategy pretty quickly like within a year. Within a year, we had we finally at some incredible momentum was really going better than we had expected in our wildest dreams. Our existing client went down to essentially zero. I mean people still retire and and move jobs by no one really left the service and we were adding more and more providers because the barrier to entry was low and So in two thousand, nineteen we began growing profitably. It sounds like two thousand and nineteen was really the banner year. Two thousand nine hundred was a was a fantastic year and honestly we had so much momentum coming into twenty twenty and feel like, Hey, we worked really hard for three years and profitable and now the sky was the limit until. Tells Sam until March of two thousand twenty. Two Marjo twenty twenty and that's. That's really maybe the third founding DOC right? Well, I want to ask you about March twenty twenty because. Your Business is based on people booking with doctors and going to the doctor I have to imagine your revenues must have plummeted like every other industry like I mean doctors offices are still in most of the country. Slow or are trickle of patients coming in. With the lockdown started happening we saw impersonal bookings declining anywhere between fifty to ninety percent by the end of March I'm not surprised and lot of that buys I was getting was to. Lay off people and make sure that we hunker down to weather the storm but I saw an opportunity to build windmills, right so I thought well, we need to be there for our patients. We should be expanding into telehealth and I need every team member to help me do that and so we. Really went all important and supporting video visits and I'll probably June eighteen began redesigning the tire marketplace support virtual care, and so we actually released. Doctor Video Service and we made this available to. Any. Physician whether they are on soccer. for free. And by the way head, you plan to do this. How long would would I mean I'm imagining if you said in in February district I really want to focus on telehealth Would you have expected that by May would have been ready to go. Absolutely. Not I think what has been really fantastic to see is how? We really finished two years of roadmap in two months. Wow, and it's great because it's just gives us a window on what the next phase of doctor will be and really looking forward to that in my mind were the point were Amazon started from going. Books to also adding CDs. We have just gone from doing only in person to also A. Doing telehealth and I can't wait to see how this unfolds. It sounds like you. Might be reading between the lines but. You. Really, admire and respect your co-founders particularly. Cyrus and the work that he did to to build this company but I wonder if do you think that you will a I dunno, rekindle your friendship i. Is it something that is in the cards because a break is? Is Emotionally, it's hard Mesa really hard. Yeah, look I Do I think we'll work fourteen hours together again maybe not but you know I I've gotten through tougher breakups and reconciled in my past, and so I think we are we're in good shape and honestly know we are meeting were talking from time to time Yeah. We both have things to do and places to be so we're. Not, hanging out all the time. But it's now also five years ago So We are we're merch focused on making our join the baby successful. When you think about your journey and All Its happen to you how much do you think this has to do with? with luck and how much do you think it has to do with with the hard work you put in your your skills. Well I'm going look I I believe that there's really three ingredients to success. In order importance there are lock the talent, then hard work and. The only one. That's comedian. You control his how hard you work right and Now working hard to gives you more shots on goal It helps his day on the top of what you your talent allows and absolutely restarted at the right time the right place. So What what I'm proud of an all that journey has only that yet when we were wrong and when be had to revise and. When we needed the grit to actually make it work. I L we lived up to that and and that's really The all that anyone can ask themselves to. Oliver Karaz co-founder of Zach Braff by the way, remember how they originally wanted to call it physicians dot com or doctors dot. com. COULDN'T AFFORD THE MILLION DOLLAR PRICE TAG to buy the domain name. DOC DOT COM wasn't only available the price they paid for that domain name. Six Bucks. and. Thanks so much for listening to this show this week, you can subscribe wherever you get your podcasts. You could also write to us at H. I. T. at NPR DOT Org. If you want to send a tweet, it's at how I felt this or at Cairo's can also follow me on instagram that's at Guy Dot Roz. Our show was produced this week by Jet Anderson with music composed by Tina. Bluey. Thanks also to Julia Carney Candice Limb Neva grant and Jeff Rodgers I'm guy. Roz even listening to how I built this. This is NPR. Black voters play a crucial role for any Democrat who seeks to win the White House but some big devise amongst that block and some serious influence
Retail Bankruptcy Filings Keep Coming
"These interviews as news is happening and crossing the Bloomberg terminal kind of fast and furiously. And that was true for the retail industry, Brooks brothers, and so the tabla filing bankruptcy bed Bath and beyond announcing plans to cut about 20% of its stores, So it's been very tough on the retail front just this week alone. Alan Ehlinger is someone who has worked with in the retail industry for some 40 years. He is co founder, senior managing partner of the investment bank MMG Advisors, and he says this time is unlike any other. As a firm. We've been working remotely, um, office closed on March 12th on and on in our office manager. Nobody's been back. We've managed to be in touch with every one of our clients. Right now We're handling three bankruptcies. In a matter of fact, we're missing three bankruptcies. So our world continues, but just continued remotely. I'm quite busy. I might have. Yeah, and so so busy. It sounds like on sort of bankruptcy restructuring side. But presumably and you know, this is what I hear. And I'm sure Carol here is from Investors that we know. I mean, these are the times when maybe there's some values to be had from a partnering up perspective from an acquisition perspective. What are you seeing, or is it too early to tell? But it's very It's a really good question. What we're seeing what we're experiencing. Or in an enormous amount of inbound phone calls. From opportunistic buyers. People who know that there's going to be bargains out there and they're just they've got a lot of dry powder. These are both both strategic as well as private equity. Who are sitting there sitting on the sidelines right now, just waiting to pounce on the right opportunities. I just wantto do a commercial banker this morning and the word that they used was the other shoe hasn't dropped yet. What was I saying? What? While there are a lot of bankruptcies in process at the moment, There are a lot of companies who really haven't um Acknowledge the fact that they're gonna have to make some pretty hard decision in the next couple of months. The PPP money has enabled companies to last a little longer. People wanted to see company owners who want to see what would happen when retail. We opened it. It would be a positive impact on this or not, but you know, we're living through a period of time at the moment where for the first time ever Both the supply side and the demand side have been impacted simultaneously. We've never seen him like that before. Part of which On top of which, when this happened, it happened suddenly. All of a sudden doors were locked and people could not shop in stores and consequent cash flow just dried up. We've never experienced that. You know, in the past when companies Skating, I use the word are skating on thin ice. And they're considering bankruptcy. You planet plant up sometimes weeks, sometimes months in advance, and you're able to come up with a plan of volume and because you kind of know what you're What you're proud of your sales were in the similar dates and you could come up with the financial plan all that fall apart. Because there's been there's been no traffic. So you don't know Del. Filed for Chapter 11 in March, I think was March 11th right? They couldn't. They couldn't even run and going out of business sale because the startled look They're just now reopening, so would be different. We've never experienced anything like this. We also experienced the volume of bankruptcy each that were that were living through right now. And I gotta tell you, I think it's just beginning. No, we're going to see a lot more bankruptcy his time that during the balance of this year, maybe early next year. I will also tell you that we're over stored the country. Yeah, we're over in wine also over inventoried as a country. So the fact that Retail organizations as an example, are using I'm using the term the cover of Cove. It They're using their using this period of time to clean up their balance sheets to get out of unproductive leases. You look like companies like J. C Penny or who had More stores across America. And, you know, a lot of those stores are unproductive. They're in C A D malls. So you know, they don't those air, not money making stores. This gives him an opportunity to clean up their balance sheet. Get up, get out of unproductive leases. And because it's under the under the cover of Kobe, they won't have the stigma. Once they come out of it, they were able to rebuild their
Senate report raises ‘significant concerns’ about FAA oversight in Hawaii in wake of chopper crashes
"The FAA once again in the cross hairs for apparently being too cozy with companies it regulates and a key Senate committee wants it investigated this time the issue surrounds the Hawaii field office manager he's accused of having a tight relationship with the helicopter company involved in three crashes over two years one of them killed three people last April well now Senate committee is asking the transportation department inspector general to investigate the committee says its own probe isn't finished yet but it already raises significant concerns about FAA oversight in
Jason Fried on Treating Workers Like Adults
"Jason. I am so glad expected. Likewise basecamp formerly known as thirty seven signals has been so many ways and inspiration for automatic over the years and I'm sure countless ever distributed companies. So thank you for that I of course and I would say likewise I mean you guys are even more distributed than us so oh I feel like we're year the ideal situation where we're getting there because we're we still have about fifteen people in Chicago and we have an office there were maybe are you getting rid of so. We're GONNA be following your footsteps so we we had zero office but then with the acquisition of Tumbler. We've now got a space in New York again. So we've got the direction Right it's funny how we keep trading. Yeah we're not sure we're GONNA do but our lease ends in August so we're thinking about moving on as as in moving on to nothing and then trying to do that for a while and see what happens in if that works out. We'll do that if not will We can always go back to getting off again but we'll see just for our listeners. Who might not be as familiar with base camp? What you kinda publicly share about the scale of the company customers number of employees that sort of thing? Well we've about fifty-six people who work at base camp and we have close to one hundred thousand paying customers all in across all of our different products Although basecamp is the primary product but we have basecamp way of high-rise. We have a few others but basically it's base camp in all three generations. We have classic base camp tune based Cam three. This is a specific as we'll be but we generate tens of millions and annual revenues annual prophets. And we've been around for twenty years to Sir Twenty th year in business and we've been profitable since the start kind of a big thing for us is to always be profitable so that's that's Kinda only KPI. We don't really use those terms but that's the only one we have. Which is let's make sure we make more money than we spend every year in in other than that whatever happens happens? How do you think about investing more or not? We don't have a investment shortfall. Kind of thing. It's not like if we only had an extra. I'm just making up rough numbers here. Next million bucks we would do I do x or y like we. We have everything that we need to do. And we don't want more people because we want to keep the company's small we possibly can so we we have a bit of A. It's on a dilemma really. But it kind of is in a sense because I feel like we're doing everything we could do and having more wouldn't help us In fact I think in in some ways it would probably hurt us. We'd be a little bit slower. We be probably doing too much work at the same time which I think can often dilute what you're really trying ado. We might take on more stuff than we really want to. We might just find work invent worked. Keep people busy. There's always of course more work to do but we kind of believe in doing it at a certain pace and I think having more people or fewer people would at this point would can mess up that pace when you say a smallest possible. Do you mean by customers or by colleagues and employees. I mean employees. I mean The number of people who work here. We've always wanted to stay at fifty or less but we're about fifty six right now and that feels like a really good place to be so. We're very comfortable with that. The thing is is that we could have considerably more people but again we're just not really. Maybe maybe we're just not good at it. I mean I'll just take the blame for that like I. I'm not probably good at running a much larger company than this and I don't think David is either. I don't think we want to. I think it also keeps Edward honest in terms of the experiments ruling to do which I didn't some places more and more and more experiments is a good thing. I think a few or thing but I think too many people people get stuck doing things that never ship over and over and over and over and over and I think that can be a bit demoralizing. So we think we've got kind of good enough feeling here right now at least but then again we're the largest we've ever been and I'm sure when we were thirty people. We said You know thirties enough. So you know we're here fifty six at feels like enough right now. We'll see how it shakes. A louder probably has to do with with the success of this other product. WE'RE GONNA launch next year because the one part of a company that that does have to continue to grow is customer service so product development doesn't have to grow. We have enough people there but as we have more and more and more customers of course we have to make sure we support them at the highest level. So that's that's one place where growth does continue. You need to happen even if we don't want it to offer automatic that's been pretty larch it's been appointed half of our company was a customer service just because we wanted to maintain a certain level there and as the customers went up. You just got kind of goes literally one of those things yes. Of course you want to invest in making the product easier documentations self help and everything like that. But at some unlevel he wanted a person talking to a person. You need some more of them. You know you WANNA do documentation and make things easier to everything. But I've also I've been sort of changed my mind and a little bit on on it. I think earlier on when we just had fewer people we are really focused on. You know like on the self help side of things and you know making ensure documentation was really good and answer great online and people could find their own answers and we WANNA make sure that's true too but actually see customer service interactions as a competitive advantage manage. Most companies are pretty terrible at it and the larger the company is it seems like the worst they get try to email. You know Google get help and say forget it or Amazon sometimes times but not always that great although quite good sometimes also it's one of these things are the larger you get the more customers you have just the hardest to maintain that level standard. Have you tried to live chat for customer support yet. Yeah we do that sometimes and it sort of depends on availability and then we also use twitter as well for that those those things all work out really well as well it just depends we wanna meet people essentially where they are with the exception of we don't have a published phone number but if you want us to call you we will live. Chat was a big step function for us. Just both young terms of agent and customer happiness. Because you cannot resolve things on the spot actually know we do support rotation where everyone the company goes into us. Customer service at least one week here is actually coming up and I think a couple of weeks. You're journeyman. Yeah so if you contact us and I think it's the third week of December you might get me. We do the same thing we call it. Everyone on support One day every like roughly six weeks or eight weeks or however like the the company you know the the number of people are you know as we rotate through. So we'll each do support for a few days a year throughout the year. It's great. I'm glad you guys do that too. I think it's one of the most valuable things you can do for reasons come rotary hearing from customers and understand the language. They're using syncing their frustrations or their happiness or their whatever it might be the and then also just having a lot of respect for customer service as a as a job in as a career in a lot of places. Customer Service is sort of treated as a almost as a part time. Job as a stepping-stone somewhere else but I think it can be a wonderful career and it's just really nice to see the people who've dedicated their time here in this my only experience of course to work in customer service for five six seven eight plus years and really see the work that they do and support it is and and it's our it's our doors are frontline. It's really important experienced. What is your company breakdown right now in terms of roles in the fiftyish? I'll give you some rough numbers because some people are sort of multiple things so he can't. It's like if I give you the counselors might not add up to fifty six so we have about Currently a belief sixteen people on customers support and that also includes. I believe. You've this might make it seventeen or still sixteen. The team lead so all of our managers or team leads are are working managers and that they do the work too so sixteen ish On customer service we have seven ish on technical operations all the server work that kind of stuff all the level infrastructure work then we have four people people on what we call the SIP team which is security infrastructure and performance. We have about seven fulltime designers. We have around fifteen. Gene developers actually fewer than that because some of them are now on SIP on the team around that number. We have two people who do our podcast work. We have One data analyst. We have an office manager slash keeper. We have a head of people ops than we have David who's CTO Oh and museum CEO. We have a head of strategy and ahead of marketing.
Scary Stories From The Eek-conomy
"We are exploring some of our darkest economic fears and our slightly worried about aliens from outer space in Nineteen fifty four in December nineteen fifty four there are a whole bunch of people in Chicago the Planet Clarion so this group called the seekers and they got a ton of media attention is looks like you know looks like Iran is in fact what they did was doubt that we people convince themselves of something the facts proved them you see right now in a political discourse is is a lot of people. I'm really afraid that the cognitive distances kicking in and we've splintered US oh that's poetic next up jared Europe some of the big important economies Germany in particular seems to be slowing down and markets will take care of themselves yeah there stoically very worried about over-heating about inflation Connie's is a way to really entrench these downturns or slow growth it's a prevention is happening exactly not only do you need an ounce of prevention space aliens too big economic fears because if you and I bought our own economic fears in fact this shirt and it's a picture of an inverted yield curve people make you healed off recessions to come right but also upside down words saying because the inverted yield curve does have a good track record of because it has such a strong track record it is a monster to me it is something that makes me worried with black pants and kind of green ish jacket I don't okay spirits is a term invented by the economist John Maynard Keynes to explain the role of emotions Jim shop because they're always like a billion costume places in New York that go into like any empty and you know this is New York Halloween subway in New York is always kind of a spectacle right everybody nobody was dressed up in the opposite I thought like what is going on so two years ago we spent almost ninety dollars per household on Halloween the sheer it's about spend extra money on a costume and then of course if people are pulling back on their Halloween spending maybe means they're the National Retail Federation reported that fewer people are celebrating Halloween at all dressed up and I found the Devin Miller you know our office manager like the sweetest the things in fact so I thought I would like bring him into into the studio and ask him like into work dressed up and then you like became discouraged and like just took off the costume that and then what happens okay so this morning I dressed up as a lumberjack my normal routine given the place ready for the day but it just I don't know I just wasn't feeling can't muster halloween spirit like that's a bad sign like I feel like Devon's always modesto all week like Jack Lynch and ready to go devon will you be our indicator lean close is our indicator for this Halloween. I think it's I think it speaks in
Thailand's new visa troubles
"Now unless you're an expat living in Thailand or a regular business traveler to that country perhaps you've probably never heard of the TM thirty visa tobacco tobacco in recent months though it's been causing outrage among the Southeast Asian nations one million strong expert community it stems from a forty year old law that has never have been enforced until now with Thai chilies determined to crack down on international criminals hiding out in the country South East Asia correspondent Catherine. This has the story I finally landed my dream job. I was now a foreign correspondent but little did I know just how long it would take to get my visa or all that I was flying into the middle of visa crackdown controversy facing foreigners the topic of conversation tonight as you can see is Thailand's controversial immigration Russian laws and the consequences will come back to that but first we need to go through a little history it all comes down to a low written almost forty a US ago after the fall of the Kamei Rouge regime in Cambodia in nineteen seventy nine. There was a major influx of refugees across the border. People people were also coming in via boat from Vietnam so as a security measure tile authorities put reporting requirements in place to monitor the movement amount of foreigners but as with much in Southeast Asia it was never publicly enforced until now under the system all non immigrant visa holders that is any expat living in the country is now required along with their landlord to report win they leave their home province and upon their overturn within twenty four hours every single time so for example if you live in Bangkok and traveled to poo kit for the Kent you're required to report and of course the system used to enforce it doesn't work so smoothly as you can imagine being a foreign foreign correspondent. I travel a lot for this job like many other experts so Wanda standardly it's causing furor among the Expat community immunity and has become such a hot topic of discussion over drinks at Thailand's foreign correspondent club. The board invited immigration officials to explain blind why it was needed. Dominic folder chaired the discussion. This law is from forty years ago from the Cold War period and the bureaucracy that is being applied to administer it is from the same era. How can you justify this. They they onerous for seizure this procedure that causes a lot of difficulty an inconvenience to people. I can absolutely understand that skip your heart Tom doing that but understand us. You're going to know that you start that hot. We've tried to make things easy. System is erratic non-functioning so basically a system has been launched which people like this are expected to deal with the does not work is is that a good way of doing things is about telling your wife that you're already at home. Trust me is went back and forward like these four hours with the immigration officials giving away little to satisfy the frustrations expressed by the crowd and insisting the changes are needed to catch foreign criminals both just going back to this idea of why why this suddenly became because nobody has noticed a particular deterioration and in the security situation in Thailand. It's not apparent on the outside surface things. It's been changing in the country Thailand in all over the world. The the criminal amid is getting stronger. The requirements are so onerous landlords some apartment complexes are erecting signs saying no oy foreigners while others jokingly say the new tourism slogan in Thailand is travel less. A group of experts have launched a petition against it and perhaps even more concerning is the impact on investment with some investors weighing up whether it's just too hard to do business here. Luckily Luckily I have a local office manager. Who's able to help me out with the paperwork but this was just one of the many steps required of me as I madly sought about getting Ching my visa. We started the process even before left Australia bought. It still took three months to gain approval. When I got an interview with the immigration in department fairly soon after my arrival I thought it would sail through but no it dragged on and on and because of the time it took I had to travel in and out of the country a few times to renew my tourist visa and then my husband and I were required to travel to the Thai Embassy in another country to register for a journalist visa. We thought we could go in and out in one day but as we eagerly lined up in a long line of other expensive tie embassy input on pen. We were told it would take three days to process. That's only gave us a three-month visa from there. We had to apply to extend it for for a year. I had started to wonder if I can get my visa before my year-long posting was over then a week later back in Bangkok and after hours of waiting in the immigration office we had good news. We finally gained approval a few days later. I found out I was being posted to our Washington Washington bureau so the process dance all over again. Let's hope this time it doesn't take quite so long. Catherine this with final report out of Bangkok.
Graphic Design Startup Canva Hits $2.5 Billion Valuation
"Business wards daily is brought to you by Dell. Don't miss out on Dell small business month celebration. Get up to forty five percent off select computers with Intel core processors, call eight seven seven by Dell to speak with a small business technology advisor today. That's eight seven seven b u y de l l for tech advice and one on one partnership. From wondering, I'm David Brown. And this is business wars daily on this Tuesday may twenty eight. These days, practically every entrepreneur marketer, and even office manager needs to be a graphic designer as well. Instagram's wild growth alone has created an explosion of demand for visual, content and the skills to build it, our insatiable craving for all things visual has been a boon to Melanie Perkins. The Australian co-founder of Canada Canada is a web based design platform intended to feel intuitive for the average user if you haven't heard of canvas, yet, you probably will soon Perkins. Thirty two years old started the company from her mother's living room back in twenty twelve sensing a need in the market for an easier. More cohesive way for non designers to produce things like high school. Yearbooks, six years later that homegrown company has more than fifteen million users, designing everything from logos to social media posts, too. Resignations is just been valued at two and a half billion dollars. Double its previous valuation in mid may famed venture capitalist. Mary meeker chose Canada as the first investment from her new fund called bond can be received seventy million dollars in that round from meeker and partner investors the investment at that sky high valuation was notable. But arguably, it was even more notable coming from meeker who grew her fortune by helping to spot growth companies. We all know today companies like Dell Google Amazon, EBay and into it just a name few that she chose Canada as her first investment says a lot about the growing design space and about Canada itself can book is a broad platform encompassing design tools photography, and presentation software, it competes across the spectrum with several bigger names from adobe to shudder stock to Google, but one enormous company in particular should now sit up and take notice. We're talking about, you Microsoft. Perkins loves to gleefully chat, about the dreaded death by PowerPoint is a way to point out that Campbell offers competitive presumably, sexier presentation tools with the new funding Campbell plans to go after big customers, those enterprise businesses for whom PowerPoint has been standard for far too long. If you believe Perkins it remains to be seen whether this little Australian company can compete at the level of a Microsoft, but if it could outgrow Perkins mothers living room, this fast, all bets are off. I'm wondering this is business worse daily. If you like our show gives a five star rating in a review on apple podcasts, would you. We sure appreciate it. I'm David Brown will be back with you tomorrow. Business worse. Daily is brought to you by Dell. The clock is ticking on Dell small business month celebration. Enjoy up to forty five percent off select computers with Intel core processors, plus a free external hard drive with select computer purchases before it's too late. Call eight seven seven by Dell to speak with a small business technology advisor today. That's eight seven seven. B. U. Y. D E L L for tech advice and one on one partnership, eight seven seven by Dow.