Episode Transcript
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Dr. Tiffany Montgomery (00:05):
P23
Knowledge, access, power.
P23 Wellness and Understandingat your fingertips.
P23, and that's no cap.
Welcome back to DemystifyingDNA, today's episode In Home
(00:27):
Genetics a new era ofpersonalized healthcare.
I'm your host, researchscientist and epidemiologist, Dr
.
Tiffany Montgomery, and joiningme today is my co-host, Mr.
Nick Cuevas.
Welcome, Nick.
How are you Doctor?
How's it going, Doctor
(00:48):
I'm
doing well, it's going good.
How about yourself, Nick?
Nick Cuevas (00:51):
I'm doing good.
I can't wait for this episode.
I love this whole thing, sothis is going to be a great
episode about in-home genetictesting and all that good stuff.
So I can't wait for you toeducate me and all the listeners
.
Dr. Tiffany Montgomery (01:05):
So, Nick
, I know that I want to be
really clear with our listeners.
Nick does not pre-plan or giveme the questions.
We just kind of talk to you alland we let it flow.
If you all have questions, sendthem to us, drop it on our
social media, email us.
Nick, I want you to just tellour audience a little bit about
(01:25):
yourself.
Nick Cuevas (01:27):
Okay, I've been a
marketer for a few years.
Now.
I'm the marketing manager ofP23 Labs, Health, and Pier23.
I've been working here forquite a bit and I love it.
This is a great company.
I get to do things like this,which a lot of other companies
you won't even have the chanceto do.
(01:48):
Something so fun like this.
So right now I'm loving life.
A little bit about myself is Iused to be a personal trainer
and I had a lot of health issuesand so I lost a lot of weight,
got healthy, started eatingbetter, working out and so on,
(02:08):
and now I work at a companywhere we embody that and I feel
privileged and so happy to workfor a company like this.
That's actually preaching whatI believe in.
So, without getting too muchinto it, that's a little bit
about myself, but I'm just veryhappy to be doing what I'm doing
(02:31):
right now.
To be honest with you, Doctor,.
Dr. Tiffany Montgomery (02:33):
Oh Nick,
thank you, and, like I said,
that wasn't scripted so you tookme by surprise, but I want to
say we're honored to be workingwith you as well, .
Nick Cuevas (02:41):
Thank you.
Dr. Tiffany Montgomery (02:42):
Today
we're going to delve into the
world of direct to consumergenetic testing.
These at home tests open doorsto personal health insights, but
they also bring questions aboutaccuracy and impact on health
decisions.
Join us as we explore theintersection of genetics and
(03:03):
personal care in this new era ofhealth empowerment.
this is great.
I have a couple of questionsright off the back.
I want to hear your questions.
Let's go.
Nick Cuevas (03:14):
All right.
Well, just as far as at-hometesting goes, can you give me
just a brief history of that,because I know us growing up?
I'm in my mid 40s and thiswasn't around at all, it was
just go to the Doctor.
So can you just give me a briefhistory of how it all came
(03:36):
about and how you incorporatedit into P23?
Dr. Tiffany Montgomery (03:41):
I think
that's a great question and I
think words matter.
There are two separate thingsgoing on here.
There's at home testing, likeyour rapid COVID tests or your
rapid RSV tests or checking yourblood sugar right, getting
those finger pricks and thingslike that at home.
(04:03):
Those will be considered athome tests.
A lot of companies, such as P23and others, have at home test
collection kits and what thatmeans is that test kit is sent
to your home or you can obtainit at a store maybe a Walmart, a
CVS or Walgreens and you canbring that sample kit home,
(04:30):
provide the sample most samplesare blood cards, saliva, urine,
fecal swab or vaginal swab andthen you take that sample
following the instructionsprovided and mail that sample
back to the lab for testing andanalysis.
(04:52):
Your report is then sent to youin some type of agreed upon
time later, so it may say within72 hours, it may say within
four to five weeks, it justdepends on how the company
processes their tests and thoseare considered at home test
collection kits.
(05:13):
So you've got at home testingwhere you get that result and
the whole thing end to end isdone right there at home, and
then you have the kits where youcan collect in the comfort of
your home, in the privacy ofyour home, and send that back to
the lab.
Right?
Both are very useful, but what'shappened is we've reached the
(05:35):
enlightenment age with the AI,and you know all of the things
going within the heat of the ageof information, and through
information you breathe thathealth empowerment, which is the
process of really enablingpeople to have more control over
their health and well being.
(05:56):
It involves increasing theirknowledge, their skills, their
confidence and their resourcesto make informed decisions and
take actions that affect theirhealth.
This can be done on anindividual level, a community
level or a system level, and itwill have positive impacts on
health outcomes, quality of lifeand health equity.
(06:20):
So, coming from a public health, epidemiologist perspective,
public policy perspective,health empowerment and removing
these barriers is somethingthat's just naturally passionate
for me.
We have to make sure it's donein a responsible fashion, though
, and that's why we want to notshy away from those questions
(06:44):
about accuracy and how theaccuracy plays on your decision
and what impact it has on you,right?
So, Nick, I know you had somequestions and I want to give you
time, so I'm going to give itback to you to ask the questions
and then we'll kind of get intosome of the main things.
Nick Cuevas (07:06):
Okay.
Well, how accurate are thesetests?
At home tests.
Dr. Tiffany Montgomery (07:11):
It
depends on Nick.
How so many factors?
I would love to give you just aquick, down and dirty answer.
Right, but the first thing isyou've got to follow the
instructions on the test.
The accuracy starts off in yourhands.
So if the instructions say washyour hands, collect the sample
(07:35):
without eating, or collect itafter you ate or first thing in
the morning, whatever thoseinstructions are, they've got to
be followed.
If you've got a question aboutthose instructions, you need to
be calling, getting service,dialing the telephone number,
sending a message through asecure and private manner.
(07:55):
You've got to be really on topof making sure those
instructions are followed.
From that point you're going toassuming you follow the
directions and instructions.
Remember, no test is 100%accurate, but we try, we strive,
we hit the mark as many timesas we can.
(08:17):
Most labs receiving the samplehas different levels of
accreditation, different typesof accreditation.
Those accreditation ensure thatgood laboratory practices are
followed, so that labs receivingthese samples have a standard
SOP, a number of steps thatthey're going to follow, and
(08:38):
they're going to follow themexactly every single time.
Quality, quality assurance andquality control are all things
that we're required to have andwe're committed to having.
Once you establish those things, you'll have results that you
can trust and that are accurate.
(08:58):
Every person involved in thisprocess has to take the accuracy
and the ability to followinstructions very seriously, and
that's going to really help youget accurate results that you
can trust.
Nick Cuevas (09:13):
So what do you
think is the future of at-home
testing In 10, 20, 30 years fromnow?
Do you think that's going to bemore of the norm?
That's going to be the easierroute to go?
If you could predict the future, how would you see it and what
do you think it should be?
Dr. Tiffany Montgomery (09:27):
as to
what it might be, so I think
this is a good one.
You'd be surprised how manypeople have asked me to predict
the future, and I don't have acrystal ball.
But, I could see this definitelybeing the norm.
I could see us transitioningand increasing more of and
converting more of our at-hometesting kits to actually at-home
(09:52):
testing processes or cycles,such as your pregnancy tests or
your ovulation tests.
We are growing as a community,as a society, as a culture, and
we are having more of a need anda desire to understand and
responsibly handle and processthis information.
(10:13):
So I can definitely see at-hometesting becoming a way of life
and the number of things beingpermitted or understood on how
to test at home, even withinfectious disease, to hormone
control.
Every year we're growing closerand closer in a number of
(10:37):
assays that are available andassays are just tests, but we
call them assays in the clinicalworld.
We're growing with the numberof these things that are
available in our home and Ican't see that changing at all.
Nick Cuevas (10:49):
Yeah, it seems like
it's going to get easier
through time to access all thisinformation.
Have it more of a workflow,like a stream flow of that,
compared to like you have to goto the doctor, you have to wait,
you have to go to the waitingroom, hang out there, get
pricked, get blood drawn and yougo through the whole nine.
(11:12):
Then you have to wait a week,two weeks, sometimes even longer
, to get your results.
I'm assuming through time it'sgoing to be a lot quicker and at
home just seems like the moreconvenient thing to do.
I mean, we got busy lives, wegot kids, we got families, we
got soccer and baseball games togo to with the kids and dance
practice and homework andcooking.
(11:33):
I believe these at home testsis the future.
I mean, it's just like you know, nobody predicted that there
would be a cell phone and lookat us now.
Dr. Tiffany Montgomery (11:43):
And
we're.
Nick Cuevas (11:44):
You know we're
walking around with computers in
our pocket.
You know as to when I was a kid, we had those Apple Macintosh
computers that we had to wait inline for at school to use right
At-home testing to me is what'sgoing to be the future.
So my next question is ifsomebody did get an at-home test
(12:05):
, how would it work as findingout the with P23 in particular,
how would it work with findingout the results, and what would
you do next after you find outthe results?
Dr. Tiffany Montgomery (12:16):
So I'm
glad you narrowed it down,
because every lab is going to becompletely different.
Every solution, every workflowis different, and that's the
uniqueness of where we are now.
But since you askedspecifically about P23, it would
look a little something likeyou would talk to one of our
(12:38):
health counselors and you woulddetermine which type of test you
need.
Or maybe you already know.
You've done an onlinequestionnaire.
You know I've got itching,burning whatever, coughing,
whatever it is that you haveusing some type of resource
we've selected, or we've helpedyou select, the best test for
you.
You're going to order that test.
(12:58):
The test is going to be mailedto your home discreetly.
You'll have instructions on howto collect that test.
We offer supervised andunsupervised collection of tests
.
So if you want somebody towatch you, to kind of make sure
you're doing this correctly, wehave that service for you
(13:18):
securely.
Nick Cuevas (13:20):
It's encrypted.
Dr. Tiffany Montgomery (13:21):
We're
able to help guide you through
that.
Let's say you are a pro.
You read these instructions,you got it down pat.
You want to do it by yourself.
You don't want anybody talkingyou through it or invading your
personal space.
You have the luxury of doingthat in the privacy of your own
home.
After that sample is collected,you're going to send it back to
(13:43):
us overnight using the securepackaging for healthcare samples
that we've sent you.
That sample will be received inthe laboratory.
It will be a session, orprocessed, or inventory these
are all words that you mightrecognize and once that happened
, it's verified that theintegrity of the sample is
(14:04):
intact.
It hasn't spilled, it hasn'tleaked, it was collected in the
appropriate timeframe.
We have the necessaryinformation to run the test.
It's registered.
We are authorized to run thetest.
You've agreed to allow us torun this test for you.
You know specifically whatwe're testing you for and we
proceed and move it to testing,depending on the type of test
(14:27):
you had from P23, it may be oneday, it may be 10 days, but
whatever it is that we've agreedto, you will have that to you
by.
You will have it.
We meet our turnaround time99.3% of the time.
And that's just looking at our60 day average.
So, whatever the committednumber is that we say we're
(14:50):
going to do, we do.
We really strongly believe thatthe trust relationship starts
there.
You can trust us and rely on usto do what we said we're going
to do.
So it's a two way street and wewant to make sure we earn your
trust.
From that point you'll receivethe result through your secure
(15:10):
portal.
Our client services team willreach out to you.
Make sure you receive thatresult.
If you didn't, you will get itthrough a secure HIPAA and
creative process.
Make sure HIPAA encrypted email.
We will be there to talk withyou to provide follow up.
If you need a meeting with oneof our telemedicine docs, we'll
do that and arrange that for you.
(15:33):
If your results call for a planof action or some type of
medication to support your test,you'll be offered that, or our
clinical team can consult withyour regular physician if you
already have someone else thatyou would like to see.
So we're here as much or aslittle as you'd like us to be,
(15:56):
and that is kind of how it worksat P23.
Now we don't only do infectiousdisease right, so everything is
not.
Let me give you an antibiotic.
We also focus on nutritiontesting at home, nutrition and
education, exercise, fitnessguidance, sleep and stress
management, where we help youencode you towards a
(16:20):
personalized genetic approach tojust optimizing your life with
P23 Optimum.
So, depending on your goalswhether it's prevention or
screening or making sure thatyou don't have some type of
infectious disease like you,Nick, taking charge of your
health and really optimizingwhere you are in life and where
(16:42):
you wanna go, we're here for it.
And so that's the range and thediversity of kind of what that
looks like at P23.
Nick Cuevas (16:50):
That's great.
That's really great information.
I had a couple of questionsfrom the listeners, but you just
answered all of them rightthere, which is incredible.
I don't know if you could seethe future, but you said earlier
you can't, but I think you justdid it.
You literally just checked offlike three questions that I had
Something going back.
Do you think the medicalcommunity, the average primary
(17:15):
doctor, has something to sayabout this?
Do you believe that there'spushback at at-home testing?
Do you think that there shouldbe pushback or do you believe
that the health and wellness orjust a doctor's community is all
for this?
Like?
What are your sentiments onthat?
Dr. Tiffany Montgomery (17:33):
You know
, for the physicians and I have
a couple of physician friendsI'm not a physician, I'm a
research scientist, but I haveheard some of the objections
because you've got all kinds ofpeople coming with labs, tests
that you may have never heard of, and so, just like I said, P23
(17:54):
wants to earn your trust andbuild your trust.
Physicians like trust it.
If it's a lab that they haven'theard of or that they don't
know much about, they're leerybecause there's so many labs.
You have to be able to trustthe process, the integrity and
the professionalism of the labthat the person went to or used
(18:15):
right.
So at P23, we really focus onbrand awareness and being a part
of that medical community andmaking sure that they're
learning and that they know usand that they're beginning their
trust relationship with us.
Okay, but any lab would havethat same issue.
The physicians just want toknow that their patients are
(18:38):
being taken care of.
You would be surprised to learnhow protective they are of each
of you and they really justwant the best.
So you end up having almostlike that and that's just the
healthiest way I can think of itthat parent-child relationship.
It's like you're trying to tellyour child don't do something,
you're gonna get hurt and thechild just wants to do what they
(19:01):
wanna do and you just wannaprotect them, protect them,
protect them.
It's the same way with thatprovider-patient relationship.
I would say listen to yourprovider, answer their questions
.
It's nothing hurtful or morerewarding than to take a second
(19:21):
test if they want you to.
At least now you know what tolook for and maybe it confirms
what you had, maybe you'vecleared the infection.
We don't know.
But what we will say is itbuilds that relationship and
either way, it makes the two ofyou stronger.
I think that the physicians aremixed feelings about it.
I think that as time grows andthe industry for at-home testing
(19:47):
becomes more regulated, theycan trust the process, they can
trust the lab.
You'll see a difference intheir reaction or how they feel
about it.
But in the meantime, partnerwith your provider and listen to
whatever they're telling you.
Stay with them every step ofthe way, because they honestly
just want the best for you.
Nick Cuevas (20:08):
That's true.
Dr. Tiffany Montgomery (20:09):
So, as
we conclude today's episode of
demystifying DNA, I want toextend a heartfelt thank you for
joining us and exploring theexciting world of in-home
genetic testing.
At P23 Health, we're dedicatedto bringing this innovative
(20:29):
technology to you, offering arange of at-home test collection
kits and at-home tests thatprovide valuable insights into
various aspects of your health.
Our goal is to empower you withthe knowledge you need for
informed health decisions rightfrom the comfort of your home.
(20:54):
From understanding your genetichealth risks to managing health
and wellness proactively, p23Health is your partner in
personalized health care.
Remember, being informed is thekey to taking control of your
health.
We encourage you to staycurious and proactive in your
(21:17):
health journey.
To discover more about how P23Health can support you, visit
our website, P23health.
com, for detailed information onour testing options.
Thank you again for listening.
I'm Dr.
Tiffany Montgomery, along withNick Cuevas, signing off from
(21:39):
Demystifying DNA.
Keep exploring, stay informedand take charge of your health
journey, one gene at a time, andremember we're with you every
step of the way.