Episode Transcript
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Speaker 1 (00:01):
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Speaker 2 (00:24):
Auto Parts.
Speaker 3 (00:31):
Eight, eight, thirteen, ten, WIBA and Full Scope with Wisconsin's
direct care doctor, doctor Nicole Hemkiss. Doctor Hemkiss comes to
us from Advocate MD, a direct primary care practice for
locations of Advocate MD. The original West Side in Middleton
East Side and Madison on South Fair Oaks have Janesville
(00:51):
at ten twenty one Mineral Point Avenue and right at
the Madison Fitchburg line at thirty two to twenty sign Road.
Six doctors at and soon to be seven. Am I
get my numbers right there?
Speaker 4 (01:03):
Doctor?
Speaker 3 (01:03):
It seems like I almost have to verify each week
to see where that.
Speaker 5 (01:07):
No.
Speaker 3 (01:08):
Are we at six or seven doctors at Advocate MD
right now?
Speaker 4 (01:11):
Well, actually, just in the past week we've hired another doctor,
so we will be at eight. So I don't think
I even told you this, but doctor Gina di Giovanni,
we just hired her this past week, so she comes
to us. She lives in Prairie du Sac and she
has worked at UP in Reedsburg and also she has
(01:33):
worked as part of UW in the past. But we're
very excited to have her.
Speaker 3 (01:37):
That is fantastic. No, I did not know. Now, just
thank goodness. This is why I write in pencil so
I can change the number eight physicians at Advocate MD
and obviously showing with more doctors which means more patients,
which means more folks are loving what you're doing. And
real quick, before we get to this week's conversation about
a very interesting thing to startup in healthcare, we'll get
(01:59):
to at this moment, but we talk about adding physicians
and more patients. One of the great things about Advocate
MD and how you structure things at the practices. You
keep those panels small so as you get more patients,
as more people enroll, you add more doctors to really
make it so folks can actually see a real live
human being doctor their doctor when they need to.
Speaker 4 (02:24):
And it's funny that you say that because I was
doing some open enrollment meetings earlier this week and that
somebody you know, after we do the presentation, we take questions,
and someone raised their hands. So this is a person
that's a current patient and one of our practices through
one of our employer groups. And you know, he said, oh,
I saw you're opening another clinic and you're getting more businesses.
(02:46):
You know, how, am am, I still going to be
able to see my doctor? Is it going to get
harder to make an appointment as your clinics get busier
and you know, and I said, no, that's why we
add physicians when we need to, because you know, our
model is different than you know, what we've talked about
in the current big health systems, where basically doctors are
pushed to see more and more patients and have panels
(03:08):
of two thousand to three thousand patients you know, in
our panel. In our model, the panel might be four
hundred to five hundred patients on average for our docs.
So that means that it's much easier to get an appointment.
They're going to spend longer with you. You know, you
can usually get an appointment in a few days, maybe
a week. If you need something urgently, we get you
in the same day. So that's one of the big
(03:28):
differences is that access.
Speaker 3 (03:30):
And as we talk about that access and people then think, well,
if I'm able to see my doctor and my doctor
is able to spend time with me and you know,
get in, get in in a short, short window, it's
got to cost more. And that's the other great thing
about direct primary Care and Advocate MD. If you head
on over to the website ADVOCATESDPC dot com. That's Advocates
DPC dot com, you can learn more about Advocate MD.
(03:52):
You can also learn about membership transparent pricing. When it
comes to membership, you will be amazed at how affordable
direct primary care is. Definitely check that out this morning.
Advocates DPC dot com. That's Advocates DPC dot com. And Doctor.
Along those same lines, I think the frustration a lot
of folks feel nowadays in medicine is it's impersonal is
(04:13):
is if they go to the doctor like they're not
feeling well and they've got to get in, they're not
going to see their own doctor. They're going to kind
of go through an assembly line and see a doctor
who's who's probably a very fine person, but they don't
you don't know that doctor. They don't know you. They
look at your chart, they do what they're supposed to
do and get you on your way. That's that's rough
for a lot of folks, and it sounds like there's
(04:35):
an upstart that's going to be moving even further in
I would call it the wrong direction. Let's talk about
about this, this healthcare startup and what they're what they're
looking to do.
Speaker 4 (04:49):
Yes, and so this is a startup that actually it's
kind of peak and now it's honestly down that in
the news recently. So the company is called Forward. I
keep wanting to call it Forward Health, but that's actually
a different thing. That's actually an insurance here locally. But
Forward they started up in California, like many of these
(05:09):
tech or healthcare startups do, and they kind of took
a different approach in terms of they wanted to solve
the problem of access and in some ways costs. But
the way that they wanted to approach it is by
basically transforming the model of you have to go into
a doctor's office to get your care. So instead they
(05:29):
use these I think they called them pods, or some
people said doctor in a box, but they actually did
not have a doctor. And then they called them care pods,
so people could go into these pods. It almost looks like,
I don't know, how would you describe the song, like
a modular thing, you know, like almost like a not
like a large corta toilet, but it kind of looks
like this this plastic box that you're walking into. And
(05:52):
so it would be kind of self automated where the person.
Speaker 5 (05:56):
Could get blood drawn.
Speaker 4 (05:58):
There in some sort of a knowledge where it would
draw the person's blood and then they would have some
sort of AI like a computer where it would they'd
probably go through the computer through maybe a list of.
Speaker 5 (06:08):
Symptoms and things like that.
Speaker 4 (06:10):
So people were paying looks like, from what I could see,
anywhere from one hundred dollars to one hundred and fifty dollars.
They also had some sort of a body scanning technology
where it would take your vitals and temperature and things
like that, and some sort of body scanner you walk into.
So this was on the very far end of you know,
trying to be more technological to do a lot of
(06:31):
these things. And obviously if they're replacing people with technology, right,
because you don't have an MA or an RN or
someone that's taking your vitals, and then you don't have
a doctor, right because the computer is going to replace
the doctor, and then you don't have a pubotomis that
the technologies draw on your blood. And it's an interesting theory.
(06:51):
You know, It's an interesting experiment because, like I said,
I think it does solve some of the issues in
terms of access and maybe cost if it can be
less cost, but it does not solve the issue which
I think really is the basis of all healthcare is
the doctor patient relationship.
Speaker 5 (07:08):
Right, So when it comes to certain things like maybe
when you go to the grocery store, if you're.
Speaker 4 (07:12):
Okay with doing the health check out, you know, you're
okay with go into all these and you know, doing
your own grocery bagging and getting your cart, you.
Speaker 5 (07:20):
Know, all that stuff.
Speaker 4 (07:22):
But I think healthcare is different. I feel like there
is a different not only expectations are different, you know,
the needs of kind of needing a human being to
walk you through some of these things. There's a not
only like a medical component, there's like a personal component
to I mean, this is very personal to that person
(07:43):
that's experiencing whatever it might be, even if you're a
relatively healthy person. You know, I think having a human
a human being that's you know, talking you through things.
Is very different than reading off of a computer screen,
right or going into this kind of sterile box. And
then other funny thing about the article of the people
actually would get trapped in these bottles, these.
Speaker 5 (08:04):
Care pods, so there was a lot of it.
Speaker 4 (08:06):
It reminded me in a way of now I'm forgetting
the name of it, the company out of California that
the woman got, you know, just now in prison because
she had that blood technology.
Speaker 5 (08:15):
It was all fake, you know, so Elizabeth Elizabeth.
Speaker 3 (08:20):
Yeah, I can't think of the name of the company either.
Speaker 5 (08:22):
I can't think of the name of the company. Oh uh,
I can't think of it.
Speaker 4 (08:25):
But anyways, it reminded me of of her a little
bit because some of the stuff that they were touting
that was going to be you know, revolutionary, and the
technology was going to do all this stuff, it didn't
actually work, you know. So so like many things in technology,
like maybe the model that's in the lab.
Speaker 5 (08:44):
Function, but when you get it out.
Speaker 4 (08:45):
Into real the real world, it doesn't work or it's
not you know, user friendly, so people can't use it.
So again, I think it's it's fascinating to kind of
watch this, but I am a firm believer that AI
is not going to replace doctor. I think it will
replace certain aspects of healthcare. But I think that especially
(09:05):
you know, I feel like in the primary care environment,
there's so many facets of what we do. And like
I said, it's it's partially medical, it's partially you know,
mental health, it's as part of it is you know,
stress and talking to people about you know, family dynamics
at work, and you know, exercise and diet and all
of these things and kind of you know, we don't
(09:27):
approach it as a one size fits all, right, because
everybody's different, right. They come to us from different backgrounds,
in different places medically, and their motivations might be different.
So I think that it would be very difficult for
a computer program to be able to.
Speaker 5 (09:42):
Replicate all of that.
Speaker 3 (09:43):
And you think too, as we talked with doctor Nicole
Hemkiss of Advocate, MD, the website advocates DPC dot com.
That's Advocates DPC dot com. You think about some of
these some of these tests for example, like you know,
let's say they cholesterol for as an example, and interpreting
an un understanding hdl LDL, triglysrides whatever, all you guys,
(10:04):
what all you doctors looked at in those It's one
thing for a person to see those numbers, but then
to have some the the actual human being that that
knows you, that can talk to you about these things
and apply these things, say well, this is your good cholesterol,
this is your bad cholesterol, this is you're eating too
much sugar? Are are you consuming too much alcohol? Those
(10:24):
type of things like having that that trust and that communication,
that opportunity to not just get the data and say, okay,
you may have or you have a you know, your
your borderline diabetic or something like that with your blood sugar.
Whatever it is. Having like an actual human that actually
knows you to actually talk to you about that stuff
is a I don't know, And I love technology. I
(10:48):
don't mind. Like when I go to like the taco joint,
the one with the bell in it, some of them
have little touch screens. They have those little touch screens.
Speaker 1 (10:57):
I don't mind.
Speaker 3 (10:58):
The actually kind of like those. It seems to be
very convenient, But we're ordering a taco. We're not talking
about my you know, about my things literally that have
to do with quality of life and longevity. I really
want a human being explaining that stuff to me.
Speaker 4 (11:13):
Yes, see, I disagree about the taco thing because I
also sometimes solicit that place that you're talking about.
Speaker 5 (11:19):
And I want if you make any.
Speaker 4 (11:21):
Sort of if you want to make any sort of
changes in what they're the normal, you know, stuff that
comes on the taco, like I get mine without cheese,
and so like if I if I try to make
any sort of changes, it takes me twenty minutes to
figure out how to put that into the computer. And
then I see a person sitting behind the counter that
doesn't seem to be doing anything at that moment, and
I'm thinking, well, can I just go up there?
Speaker 5 (11:41):
And can't this person call me? But I get so.
Speaker 4 (11:46):
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Speaker 4 (12:54):
Not only will you be directed to a computer monitor
if you walk through a bunch of things to confirm
your name in your demographics and did your insurance information change?
And now in many cases that computer you know, will
tell you if you owe money to them, and they'll
ask you to prepay for that visit and all these
different things. But there's something about it that just from
(13:15):
the get go, it just is a big turn off
to me. When the very first interaction I have as
a computer, right, so, like there's nobody that you don't
walk in somebody greets you, Hello, how are you?
Speaker 5 (13:27):
You know? Welcome? You know, we've lost that piece, right.
Speaker 4 (13:32):
And again, like we've talked about Sean, I think that
people's expectations in general.
Speaker 5 (13:38):
I think, you know, our.
Speaker 4 (13:39):
Expectations are different when we go into a retail place,
when we go into a restaurant. Customer service is very
different today than it was like twenty thirty forty years ago. Right.
But I think healthcare again, I think we have to
judge it by a different set of expectations. And I
don't think we should just accept these things as the norm.
I think we should demand a higher level of care
(14:00):
or a higher level of patient experience. And I think
there should be somebody sitting there that's greeting you when
you walk in and welcoming you and making you feel comfortable.
And I don't think that that should be a computer screen.
And again I get the part of it that's you know,
I guess the argument could be made that that's more
economical that they're you know, they don't have to have
(14:21):
another person sitting there that's getting all that information from you.
But I again, I just I disagree with that model
where a person has to interact with a computer screen,
especially their very first interaction. And again, if it requires
a person to put that information into the computer, at
least they have that human interaction, that human touch. And
(14:43):
because I mean, you could take that, you could extrapolate
that out to many things.
Speaker 5 (14:46):
Right.
Speaker 4 (14:46):
We can have a patient comes into the office, they
sit down, we put them into a room, and you know,
we have instead of asking them a bunch of questions,
like like I walk into the room and say like,
you know, how are you sleeping?
Speaker 5 (14:56):
How many hours are you get to go?
Speaker 4 (14:58):
I can have somebody fill all that out on a uters,
you know, on a tablet, right, and then I could
just review it all and then I could send them
a message back saying okay, do this, this and this,
or send them additional questions. But again, and that is
happening I think in certain realms of the healthcare world.
You know, we see that with things like my chart,
where people just kind of message back and forth with
(15:19):
each other. But again, I think that there is something
that is missed when you don't have that kind of
face to face interaction. And of course you don't have
the ability to examine the patient. You don't have that
ability to really develop that doctor patient relationship, which really
involves you know, there's a two way street of trust
and feeling comfort with that person. And obviously, in the
(15:41):
healthcare environment, you know, our patients are talking to us
about very personal things, you know, things that they probably
don't even tell their closest friends or family members. So
I think that that is something that is really kind
of special and unique about healthcare. And that's why I'm
a big proponent of having in person visits in the
office and allowing patients to do that.
Speaker 3 (16:01):
Somebody was talking to me, this is maybe a week
ago about about one of those apps. It might have
been that one that you had mentioned about where they
communicate with a doctor, and they what they had said
to me was literally as soon as they signed in,
the first thing it asked is if they wanted to
prepay for their next appointment. Before asking them anything else,
I just want to know if you want to give
(16:21):
them some money, And it was I'm like, that's not
surprising at all. And you know, as we talk about
the doctor patient relationship and we talk about how important
that is, and for folks who have been listening to
this program over the years, you know, doctor Hempkiss is
very passionate about what she does. She really does care
about the people that she treats, and it's something that
most doctors really really want to do. Unfortunately, there are
(16:43):
systems in place that prevent them from really spending time
with their patients, getting to know their patients. It's a
two way street. It's so beneficial for everybody. That's a
great thing about Direct Primary Care and Advocate MD. It's personalized.
You get to spend forty five minutes to an hour
with your actual doctor for your checkups and appointments. You
get on in. It's a really, really amazing opportunity to
(17:06):
look for something for yourself, your family. Talking earlier about
businesses as well, Advocate MD has something for you. You
can learn more online the website Advocates DPC dot com.
That's Advocates DPC dot com. To make an appointmentcome a member.
All I gotta do is pick up a phone this morning,
give them a call six oh eight two six eight
sixty two eleven. That's six oh eight to two six
(17:27):
eight sixty two eleven. We'll continue our conversation with doctor
Nicole Hemkiss up Advocate MD. We'll do that next as
Full Scope continues right here on thirteen ten WIB eight
thirteen ten WIBA and Full Scope with Wisconsin's directcare doctor,
doctor Nicole Hemkiss. Of course, doctor Hemkiss joins us and
comes to us from Advocate MD, a direct primary care
(17:49):
practice with four locations and eight physicians for you. You can
learn more online the website Advocates DPC dot com. That's
Advocates DPC dot com, telph whatever. Making a point and
become a member at Advocate MD. Six eight two six
eight sixty two eleven. That's six oh eight two six
eight sixty two eleven. Talking about the role of technology
(18:10):
and healthcare, the good and the bad and some some
there have been some not so great ideas. We're talking
about some of the technology that has come out and
uh and just really hasn't hasn't worked. It's funny you
were your doctor when you were asking me about the
uh that story about that that care pod or whatever
they were calling it.
Speaker 4 (18:28):
It.
Speaker 3 (18:28):
Actually I thought when I first saw that picture, I
thought that was just like a like a computer. And
then that, oh wait, no, there's like a door like
people expected to like walk into this thing, you know,
And and and not all technology is bad. Obviously, you
use technology when it comes to diagnosing patients, and there
have been some amazing advancements when it comes to to
(18:50):
that type of thing. But and I don't and you
get to experiences day in and day out. I think
of just just people in general. You know, you talk
about the doctor patient relationship, and from your perspective, what
a what a great benefit it is to actually know
your patience and it really allows them to feel comfortable
and open up. Is you know, it's weird things can
(19:12):
happen to be mon mean as human being, sometimes uncomfortable
things can occur, or have questions about them having that
that trusted person that you know, no matter what you're
wondering about, is there to talk with you and help you.
I just I don't know how that gets replaced by
by a machine, or how that gets gets handled by
a by a checklist on a computer screen. It's just
(19:36):
to me, that's really when it comes to your relationship
with your doctor, it's their knowledge is obviously vital, but
their personality is vital as well. And I know with
the doctors at Advocate m D, really getting to know
them and having opportunities to get to know your doctor
is a is a pretty big thing for for folks
that that are members, isn't it.
Speaker 4 (19:57):
Yes, you know, And like you said, Seanna Furs that
the design of this this whole model that centers around
this pod, and the the CEO, the founder of this
company Forward, said that his goal was to replace doctor's offices,
Like he didn't think doctor's offices should exist, So these
pods were supposed to replace the doctor's office.
Speaker 5 (20:15):
Obviously there's multiple issues with that.
Speaker 4 (20:18):
But it's funny because in the article it says many
of these pods were inside like mal atriums, like in
the big open area inside malls, and so like one
that it's like between the foot locker and the pretzel place.
And I just think this is one of the problems
too with retail medical models. So we've seen this with
things like you know, CBS and Walgreens, where they try
(20:40):
to set up a small medical clinic, which usually is
like a one room inside of a pharmacy. And again
the intention is that this is going to provide a
lot of convenience and again potentially lower cost, potentially better access.
We've seen Walmart try to do this. Walmart has since
shuttered all of its health clinics that you know, it
was this model. Especially in the Orlando area where I
(21:02):
grew up, they had a few of these where in
these huge Walmart superstores, at the front of the Walmart
they would have a doctor's office, sometimes a dentist office,
you know, optometry, they'd have in.
Speaker 5 (21:13):
Some cases like a place where you could get X rays.
Speaker 4 (21:16):
And again, I think that this in some ways it
simplifies medical care. It simplifies how we deliver medical care
to patients, and it kind of breaks it down into
this thing of like again that you can deliver medical
care in the same way that you do you know,
retail groceries or you know, pharmacies, and it is different.
Speaker 5 (21:36):
And I think for.
Speaker 4 (21:37):
Most people the convenience of like having a this pod
inside of a mall versus having to drive ten to
fifteen minutes to go to your doctor's office where that's
all they do there, right, Like it's a family medicine office.
They're not selling you a pretzel or you know, you know,
you're not buying your motor oil there, and like you know,
getting your eyes checked or you know, it's there's something
(21:59):
about that kind of experience that in some ways, again
maybe there's a different level of comfort. As you said, Sean,
you know, if you can have a physician that you
have a good relationship with and you develop that that
you build that trusting relationship between the two of you.
I think most people are more than willing to drive
(22:19):
to a medical clinic as long as it's not, you know,
more than you know, thirty forty minutes away, if it's
fifteen or twenty minutes away. I have never heard of
a patient where they're like, I'm not going to drive
fifteen minutes to see my doctor, you know. So I
think that that's something else that they kind of miss
the mark on and just kind of putting a little
like walk in closet into a retail establishment where they
think that that's going to replace like everything that a
(22:42):
doctor's office can do. And what we're seeing in those
type of retail models aside from I do agree with
the cost savings part of it, in the low overhead
part and the transparency piece is really good. But we're
seeing that all of those models tend to fail again
because they've missed that that human component and just the
fact that healthcare has to be delivered in a different
(23:03):
way than other.
Speaker 3 (23:04):
Industries and there's really an option for the best to
boast both worlds where you get that efficiency, you get
that you know those savings, and of course you get
that relationship with a doctor and direct primary carry is
an absolutely amazing model. You can learn more about doctor
hempkiss all eight doctors at Advocate MD, learn about the
four clinics. You can learn about pricing, transparent pricing, and
everything all online the website ADVOCATEDPC dot com. That's ADVOCATESDPC
(23:29):
dot com. Today is a great day to make that
appointment to become a member at Advocate MD. All I
got to just pick up phone, gave a call six
SOH eight two six eight sixty two eleven. That's six
SOH eight two six eight sixty two eleven. Doctor Hempkis,
it's always fantastic chatting with you.
Speaker 5 (23:42):
You have a great day you too, Sean, thank you.
Speaker 3 (23:45):
News comes your way next right here on thirteen ten.
Speaker 1 (23:47):
Will you ib
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Eight, eight, thirteen, ten, WIBA and Full Scope with Wisconsin's
direct care doctor, doctor Nicole Hemkiss. Doctor Hemkiss comes to
us from Advocate MD, a direct primary care practice for
locations of Advocate MD. The original West Side in Middleton
East Side and Madison on South Fair Oaks have Janesville
(00:51):
at ten twenty one Mineral Point Avenue and right at
the Madison Fitchburg line at thirty two to twenty sign Road.
Six doctors at and soon to be seven. Am I
get my numbers right there?
Speaker 4 (01:03):
Doctor?
Speaker 3 (01:03):
It seems like I almost have to verify each week
to see where that.
Speaker 5 (01:07):
No.
Speaker 3 (01:08):
Are we at six or seven doctors at Advocate MD
right now?
Speaker 4 (01:11):
Well, actually, just in the past week we've hired another doctor,
so we will be at eight. So I don't think
I even told you this, but doctor Gina di Giovanni,
we just hired her this past week, so she comes
to us. She lives in Prairie du Sac and she
has worked at UP in Reedsburg and also she has
(01:33):
worked as part of UW in the past. But we're
very excited to have her.
Speaker 3 (01:37):
That is fantastic. No, I did not know. Now, just
thank goodness. This is why I write in pencil so
I can change the number eight physicians at Advocate MD
and obviously showing with more doctors which means more patients,
which means more folks are loving what you're doing. And
real quick, before we get to this week's conversation about
a very interesting thing to startup in healthcare, we'll get
(01:59):
to at this moment, but we talk about adding physicians
and more patients. One of the great things about Advocate
MD and how you structure things at the practices. You
keep those panels small so as you get more patients,
as more people enroll, you add more doctors to really
make it so folks can actually see a real live
human being doctor their doctor when they need to.
Speaker 4 (02:24):
And it's funny that you say that because I was
doing some open enrollment meetings earlier this week and that
somebody you know, after we do the presentation, we take questions,
and someone raised their hands. So this is a person
that's a current patient and one of our practices through
one of our employer groups. And you know, he said, oh,
I saw you're opening another clinic and you're getting more businesses.
(02:46):
You know, how, am am, I still going to be
able to see my doctor? Is it going to get
harder to make an appointment as your clinics get busier
and you know, and I said, no, that's why we
add physicians when we need to, because you know, our
model is different than you know, what we've talked about
in the current big health systems, where basically doctors are
pushed to see more and more patients and have panels
(03:08):
of two thousand to three thousand patients you know, in
our panel. In our model, the panel might be four
hundred to five hundred patients on average for our docs.
So that means that it's much easier to get an appointment.
They're going to spend longer with you. You know, you
can usually get an appointment in a few days, maybe
a week. If you need something urgently, we get you
in the same day. So that's one of the big
(03:28):
differences is that access.
Speaker 3 (03:30):
And as we talk about that access and people then think, well,
if I'm able to see my doctor and my doctor
is able to spend time with me and you know,
get in, get in in a short, short window, it's
got to cost more. And that's the other great thing
about direct primary Care and Advocate MD. If you head
on over to the website ADVOCATESDPC dot com. That's Advocates
DPC dot com, you can learn more about Advocate MD.
(03:52):
You can also learn about membership transparent pricing. When it
comes to membership, you will be amazed at how affordable
direct primary care is. Definitely check that out this morning.
Advocates DPC dot com. That's Advocates DPC dot com. And Doctor.
Along those same lines, I think the frustration a lot
of folks feel nowadays in medicine is it's impersonal is
(04:13):
is if they go to the doctor like they're not
feeling well and they've got to get in, they're not
going to see their own doctor. They're going to kind
of go through an assembly line and see a doctor
who's who's probably a very fine person, but they don't
you don't know that doctor. They don't know you. They
look at your chart, they do what they're supposed to
do and get you on your way. That's that's rough
for a lot of folks, and it sounds like there's
(04:35):
an upstart that's going to be moving even further in
I would call it the wrong direction. Let's talk about
about this, this healthcare startup and what they're what they're
looking to do.
Speaker 4 (04:49):
Yes, and so this is a startup that actually it's
kind of peak and now it's honestly down that in
the news recently. So the company is called Forward. I
keep wanting to call it Forward Health, but that's actually
a different thing. That's actually an insurance here locally. But
Forward they started up in California, like many of these
(05:09):
tech or healthcare startups do, and they kind of took
a different approach in terms of they wanted to solve
the problem of access and in some ways costs. But
the way that they wanted to approach it is by
basically transforming the model of you have to go into
a doctor's office to get your care. So instead they
(05:29):
use these I think they called them pods, or some
people said doctor in a box, but they actually did
not have a doctor. And then they called them care pods,
so people could go into these pods. It almost looks like,
I don't know, how would you describe the song, like
a modular thing, you know, like almost like a not
like a large corta toilet, but it kind of looks
like this this plastic box that you're walking into. And
(05:52):
so it would be kind of self automated where the person.
Speaker 5 (05:56):
Could get blood drawn.
Speaker 4 (05:58):
There in some sort of a knowledge where it would
draw the person's blood and then they would have some
sort of AI like a computer where it would they'd
probably go through the computer through maybe a list of.
Speaker 5 (06:08):
Symptoms and things like that.
Speaker 4 (06:10):
So people were paying looks like, from what I could see,
anywhere from one hundred dollars to one hundred and fifty dollars.
They also had some sort of a body scanning technology
where it would take your vitals and temperature and things
like that, and some sort of body scanner you walk into.
So this was on the very far end of you know,
trying to be more technological to do a lot of
(06:31):
these things. And obviously if they're replacing people with technology, right,
because you don't have an MA or an RN or
someone that's taking your vitals, and then you don't have
a doctor, right because the computer is going to replace
the doctor, and then you don't have a pubotomis that
the technologies draw on your blood. And it's an interesting theory.
(06:51):
You know, It's an interesting experiment because, like I said,
I think it does solve some of the issues in
terms of access and maybe cost if it can be
less cost, but it does not solve the issue which
I think really is the basis of all healthcare is
the doctor patient relationship.
Speaker 5 (07:08):
Right, So when it comes to certain things like maybe
when you go to the grocery store, if you're.
Speaker 4 (07:12):
Okay with doing the health check out, you know, you're
okay with go into all these and you know, doing
your own grocery bagging and getting your cart, you.
Speaker 5 (07:20):
Know, all that stuff.
Speaker 4 (07:22):
But I think healthcare is different. I feel like there
is a different not only expectations are different, you know,
the needs of kind of needing a human being to
walk you through some of these things. There's a not
only like a medical component, there's like a personal component
to I mean, this is very personal to that person
(07:43):
that's experiencing whatever it might be, even if you're a
relatively healthy person. You know, I think having a human
a human being that's you know, talking you through things.
Is very different than reading off of a computer screen,
right or going into this kind of sterile box. And
then other funny thing about the article of the people
actually would get trapped in these bottles, these.
Speaker 5 (08:04):
Care pods, so there was a lot of it.
Speaker 4 (08:06):
It reminded me in a way of now I'm forgetting
the name of it, the company out of California that
the woman got, you know, just now in prison because
she had that blood technology.
Speaker 5 (08:15):
It was all fake, you know, so Elizabeth Elizabeth.
Speaker 3 (08:20):
Yeah, I can't think of the name of the company either.
Speaker 5 (08:22):
I can't think of the name of the company. Oh uh,
I can't think of it.
Speaker 4 (08:25):
But anyways, it reminded me of of her a little
bit because some of the stuff that they were touting
that was going to be you know, revolutionary, and the
technology was going to do all this stuff, it didn't
actually work, you know. So so like many things in technology,
like maybe the model that's in the lab.
Speaker 5 (08:44):
Function, but when you get it out.
Speaker 4 (08:45):
Into real the real world, it doesn't work or it's
not you know, user friendly, so people can't use it.
So again, I think it's it's fascinating to kind of
watch this, but I am a firm believer that AI
is not going to replace doctor. I think it will
replace certain aspects of healthcare. But I think that especially
(09:05):
you know, I feel like in the primary care environment,
there's so many facets of what we do. And like
I said, it's it's partially medical, it's partially you know,
mental health, it's as part of it is you know,
stress and talking to people about you know, family dynamics
at work, and you know, exercise and diet and all
of these things and kind of you know, we don't
(09:27):
approach it as a one size fits all, right, because
everybody's different, right. They come to us from different backgrounds,
in different places medically, and their motivations might be different.
So I think that it would be very difficult for
a computer program to be able to.
Speaker 5 (09:42):
Replicate all of that.
Speaker 3 (09:43):
And you think too, as we talked with doctor Nicole
Hemkiss of Advocate, MD, the website advocates DPC dot com.
That's Advocates DPC dot com. You think about some of
these some of these tests for example, like you know,
let's say they cholesterol for as an example, and interpreting
an un understanding hdl LDL, triglysrides whatever, all you guys,
(10:04):
what all you doctors looked at in those It's one
thing for a person to see those numbers, but then
to have some the the actual human being that that
knows you, that can talk to you about these things
and apply these things, say well, this is your good cholesterol,
this is your bad cholesterol, this is you're eating too
much sugar? Are are you consuming too much alcohol? Those
(10:24):
type of things like having that that trust and that communication,
that opportunity to not just get the data and say, okay,
you may have or you have a you know, your
your borderline diabetic or something like that with your blood sugar.
Whatever it is. Having like an actual human that actually
knows you to actually talk to you about that stuff
is a I don't know, And I love technology. I
(10:48):
don't mind. Like when I go to like the taco joint,
the one with the bell in it, some of them
have little touch screens. They have those little touch screens.
Speaker 1 (10:57):
I don't mind.
Speaker 3 (10:58):
The actually kind of like those. It seems to be
very convenient, But we're ordering a taco. We're not talking
about my you know, about my things literally that have
to do with quality of life and longevity. I really
want a human being explaining that stuff to me.
Speaker 4 (11:13):
Yes, see, I disagree about the taco thing because I
also sometimes solicit that place that you're talking about.
Speaker 5 (11:19):
And I want if you make any.
Speaker 4 (11:21):
Sort of if you want to make any sort of
changes in what they're the normal, you know, stuff that
comes on the taco, like I get mine without cheese,
and so like if I if I try to make
any sort of changes, it takes me twenty minutes to
figure out how to put that into the computer. And
then I see a person sitting behind the counter that
doesn't seem to be doing anything at that moment, and
I'm thinking, well, can I just go up there?
Speaker 5 (11:41):
And can't this person call me? But I get so.
Speaker 4 (11:46):
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Speaker 4 (12:54):
Not only will you be directed to a computer monitor
if you walk through a bunch of things to confirm
your name in your demographics and did your insurance information change?
And now in many cases that computer you know, will
tell you if you owe money to them, and they'll
ask you to prepay for that visit and all these
different things. But there's something about it that just from
(13:15):
the get go, it just is a big turn off
to me. When the very first interaction I have as
a computer, right, so, like there's nobody that you don't
walk in somebody greets you, Hello, how are you?
Speaker 5 (13:27):
You know? Welcome? You know, we've lost that piece, right.
Speaker 4 (13:32):
And again, like we've talked about Sean, I think that
people's expectations in general.
Speaker 5 (13:38):
I think, you know, our.
Speaker 4 (13:39):
Expectations are different when we go into a retail place,
when we go into a restaurant. Customer service is very
different today than it was like twenty thirty forty years ago. Right.
But I think healthcare again, I think we have to
judge it by a different set of expectations. And I
don't think we should just accept these things as the norm.
I think we should demand a higher level of care
(14:00):
or a higher level of patient experience. And I think
there should be somebody sitting there that's greeting you when
you walk in and welcoming you and making you feel comfortable.
And I don't think that that should be a computer screen.
And again I get the part of it that's you know,
I guess the argument could be made that that's more
economical that they're you know, they don't have to have
(14:21):
another person sitting there that's getting all that information from you.
But I again, I just I disagree with that model
where a person has to interact with a computer screen,
especially their very first interaction. And again, if it requires
a person to put that information into the computer, at
least they have that human interaction, that human touch. And
(14:43):
because I mean, you could take that, you could extrapolate
that out to many things.
Speaker 5 (14:46):
Right.
Speaker 4 (14:46):
We can have a patient comes into the office, they
sit down, we put them into a room, and you know,
we have instead of asking them a bunch of questions,
like like I walk into the room and say like,
you know, how are you sleeping?
Speaker 5 (14:56):
How many hours are you get to go?
Speaker 4 (14:58):
I can have somebody fill all that out on a uters,
you know, on a tablet, right, and then I could
just review it all and then I could send them
a message back saying okay, do this, this and this,
or send them additional questions. But again, and that is
happening I think in certain realms of the healthcare world.
You know, we see that with things like my chart,
where people just kind of message back and forth with
(15:19):
each other. But again, I think that there is something
that is missed when you don't have that kind of
face to face interaction. And of course you don't have
the ability to examine the patient. You don't have that
ability to really develop that doctor patient relationship, which really
involves you know, there's a two way street of trust
and feeling comfort with that person. And obviously, in the
(15:41):
healthcare environment, you know, our patients are talking to us
about very personal things, you know, things that they probably
don't even tell their closest friends or family members. So
I think that that is something that is really kind
of special and unique about healthcare. And that's why I'm
a big proponent of having in person visits in the
office and allowing patients to do that.
Speaker 3 (16:01):
Somebody was talking to me, this is maybe a week
ago about about one of those apps. It might have
been that one that you had mentioned about where they
communicate with a doctor, and they what they had said
to me was literally as soon as they signed in,
the first thing it asked is if they wanted to
prepay for their next appointment. Before asking them anything else,
I just want to know if you want to give
(16:21):
them some money, And it was I'm like, that's not
surprising at all. And you know, as we talk about
the doctor patient relationship and we talk about how important
that is, and for folks who have been listening to
this program over the years, you know, doctor Hempkiss is
very passionate about what she does. She really does care
about the people that she treats, and it's something that
most doctors really really want to do. Unfortunately, there are
(16:43):
systems in place that prevent them from really spending time
with their patients, getting to know their patients. It's a
two way street. It's so beneficial for everybody. That's a
great thing about Direct Primary Care and Advocate MD. It's personalized.
You get to spend forty five minutes to an hour
with your actual doctor for your checkups and appointments. You
get on in. It's a really, really amazing opportunity to
(17:06):
look for something for yourself, your family. Talking earlier about
businesses as well, Advocate MD has something for you. You
can learn more online the website Advocates DPC dot com.
That's Advocates DPC dot com. To make an appointmentcome a member.
All I gotta do is pick up a phone this morning,
give them a call six oh eight two six eight
sixty two eleven. That's six oh eight to two six
(17:27):
eight sixty two eleven. We'll continue our conversation with doctor
Nicole Hemkiss up Advocate MD. We'll do that next as
Full Scope continues right here on thirteen ten WIB eight
thirteen ten WIBA and Full Scope with Wisconsin's directcare doctor,
doctor Nicole Hemkiss. Of course, doctor Hemkiss joins us and
comes to us from Advocate MD, a direct primary care
(17:49):
practice with four locations and eight physicians for you. You can
learn more online the website Advocates DPC dot com. That's
Advocates DPC dot com, telph whatever. Making a point and
become a member at Advocate MD. Six eight two six
eight sixty two eleven. That's six oh eight two six
eight sixty two eleven. Talking about the role of technology
(18:10):
and healthcare, the good and the bad and some some
there have been some not so great ideas. We're talking
about some of the technology that has come out and
uh and just really hasn't hasn't worked. It's funny you
were your doctor when you were asking me about the
uh that story about that that care pod or whatever
they were calling it.
Speaker 4 (18:28):
It.
Speaker 3 (18:28):
Actually I thought when I first saw that picture, I
thought that was just like a like a computer. And
then that, oh wait, no, there's like a door like
people expected to like walk into this thing, you know,
And and and not all technology is bad. Obviously, you
use technology when it comes to diagnosing patients, and there
have been some amazing advancements when it comes to to
(18:50):
that type of thing. But and I don't and you
get to experiences day in and day out. I think
of just just people in general. You know, you talk
about the doctor patient relationship, and from your perspective, what
a what a great benefit it is to actually know
your patience and it really allows them to feel comfortable
and open up. Is you know, it's weird things can
(19:12):
happen to be mon mean as human being, sometimes uncomfortable
things can occur, or have questions about them having that
that trusted person that you know, no matter what you're
wondering about, is there to talk with you and help you.
I just I don't know how that gets replaced by
by a machine, or how that gets gets handled by
a by a checklist on a computer screen. It's just
(19:36):
to me, that's really when it comes to your relationship
with your doctor, it's their knowledge is obviously vital, but
their personality is vital as well. And I know with
the doctors at Advocate m D, really getting to know
them and having opportunities to get to know your doctor
is a is a pretty big thing for for folks
that that are members, isn't it.
Speaker 4 (19:57):
Yes, you know, And like you said, Seanna Furs that
the design of this this whole model that centers around
this pod, and the the CEO, the founder of this
company Forward, said that his goal was to replace doctor's offices,
Like he didn't think doctor's offices should exist, So these
pods were supposed to replace the doctor's office.
Speaker 5 (20:15):
Obviously there's multiple issues with that.
Speaker 4 (20:18):
But it's funny because in the article it says many
of these pods were inside like mal atriums, like in
the big open area inside malls, and so like one
that it's like between the foot locker and the pretzel place.
And I just think this is one of the problems
too with retail medical models. So we've seen this with
things like you know, CBS and Walgreens, where they try
(20:40):
to set up a small medical clinic, which usually is
like a one room inside of a pharmacy. And again
the intention is that this is going to provide a
lot of convenience and again potentially lower cost, potentially better access.
We've seen Walmart try to do this. Walmart has since
shuttered all of its health clinics that you know, it
was this model. Especially in the Orlando area where I
(21:02):
grew up, they had a few of these where in
these huge Walmart superstores, at the front of the Walmart
they would have a doctor's office, sometimes a dentist office,
you know, optometry, they'd have in.
Speaker 5 (21:13):
Some cases like a place where you could get X rays.
Speaker 4 (21:16):
And again, I think that this in some ways it
simplifies medical care. It simplifies how we deliver medical care
to patients, and it kind of breaks it down into
this thing of like again that you can deliver medical
care in the same way that you do you know,
retail groceries or you know, pharmacies, and it is different.
Speaker 5 (21:36):
And I think for.
Speaker 4 (21:37):
Most people the convenience of like having a this pod
inside of a mall versus having to drive ten to
fifteen minutes to go to your doctor's office where that's
all they do there, right, Like it's a family medicine office.
They're not selling you a pretzel or you know, you know,
you're not buying your motor oil there, and like you know,
getting your eyes checked or you know, it's there's something
(21:59):
about that kind of experience that in some ways, again
maybe there's a different level of comfort. As you said, Sean,
you know, if you can have a physician that you
have a good relationship with and you develop that that
you build that trusting relationship between the two of you.
I think most people are more than willing to drive
(22:19):
to a medical clinic as long as it's not, you know,
more than you know, thirty forty minutes away, if it's
fifteen or twenty minutes away. I have never heard of
a patient where they're like, I'm not going to drive
fifteen minutes to see my doctor, you know. So I
think that that's something else that they kind of miss
the mark on and just kind of putting a little
like walk in closet into a retail establishment where they
think that that's going to replace like everything that a
(22:42):
doctor's office can do. And what we're seeing in those
type of retail models aside from I do agree with
the cost savings part of it, in the low overhead
part and the transparency piece is really good. But we're
seeing that all of those models tend to fail again
because they've missed that that human component and just the
fact that healthcare has to be delivered in a different
(23:03):
way than other.
Speaker 3 (23:04):
Industries and there's really an option for the best to
boast both worlds where you get that efficiency, you get
that you know those savings, and of course you get
that relationship with a doctor and direct primary carry is
an absolutely amazing model. You can learn more about doctor
hempkiss all eight doctors at Advocate MD, learn about the
four clinics. You can learn about pricing, transparent pricing, and
everything all online the website ADVOCATEDPC dot com. That's ADVOCATESDPC
(23:29):
dot com. Today is a great day to make that
appointment to become a member at Advocate MD. All I
got to just pick up phone, gave a call six
SOH eight two six eight sixty two eleven. That's six
SOH eight two six eight sixty two eleven. Doctor Hempkis,
it's always fantastic chatting with you.
Speaker 5 (23:42):
You have a great day you too, Sean, thank you.
Speaker 3 (23:45):
News comes your way next right here on thirteen ten.
Speaker 1 (23:47):
Will you ib
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