Hey guys, this week on the podcast.
I have dr. Ephraim.
Andre, she also goes by Dr. E, she is the owner and operator of
a medical practice called EG health care, which provides
pediatric adult and geriatric care to over 20,000 patients.
In addition to her primary care practice.
She also has taken a conventional medicine approach
to the next level. By her signature process.
The new method she helps patients take control of their
health and Destiny use. NG a functional medicine
approach that empowers them to realize that their symptoms are
not in their head. And as a result, she helps
people optimize their health prevent illness reduced
medications and feel great. She really breaks down how she's
built all of her businesses. She's a total of four and she's
such a great public speaker and she offers a ton of nuggets for
nurse practitioners and nurses that they can definitely glean
from today's episode. I hope you guys enjoy the pod.
Cast. Thanks for listening, as always
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company and be sure to sign up, Dr. E, welcome to the podcast.
Today, I'm so happy to have you on.
Welcome. Thank you.
It's an honor to be on. I really appreciate it.
Yeah. So let's Dive Right In to kind
of tell my guests. Exactly what it is that you do
what your job title and kind of. How do you see your role day to
day? I do nothing.
Now I'm just kidding. I just wanted to make sure Is
awake. So I would at this point, call
myself so I'm a family nurse practitioner with a PhD in
Integrative Medicine, which is why I'm called doctory because
my full name is a Phat Le Monde re and really no one can
pronounce that. So I guess at this point I would
call myself a medical entrepreneur.
I have four different businesses which we'll get into.
So at this point in order to Encompass all of it I would have
to say my medical entrepreneur. We'll start there.
Yeah that's good. I like that title.
That's like the first time I think I've ever had in years.
Petitioner call themselves that. So that's really, really cool.
And I definitely different like mindset change.
So I guess I kind of want to hear what all your business are
just take us through like the Litany of things in the
different hats. You're wearing these days, okay?
So to tell you like what they are, I'll just walk you through
the Journey because each one came out of a problem, then I
wanted to solve and then I decided to make a business out
of it. So basically that's the
trajectory. So I started as mostly listeners
have as a nurse med-surg Then, ER, Trauma and all that good
stuff and then I became an MP and I worked for two places like
Community Health. Center that specialized for in
the underserved population, which was amazing because
clinically you have to really be on point because you can't just
order 50 thousand laps, right? Doesn't exist.
And I also worked in a like an ortho pain practice.
And what I was really quickly is that I don't do well working for
other people. If you're asking why I started
all of it is because I just don't do well working for other
people. I don't like being told what to
do and I didn't realize at that point that that meant I have an
entrepreneurial spirit. I just realized that it just I
found it really restricting the like punch in and punch out.
I think you alluded to that earlier and that whole
requesting time off and all of it, it just didn't resonate.
So I was beginning to get in trouble a lot, but I didn't
realize that that just meant I wasn't supposed to be somewhere
else. So I so that community-based
Center. I said to my wife, I said, you
know, we could do this. I feel like we could do this in
New York because this was a New Jersey.
Let's just open up a practice and it happened to be that
everything is divine intervention.
I got a phone call from my kids old pediatrician and she said,
hey, I heard your nurse practitioner and I love nurse
practitioners and I'm retiring. What do you think about buying
my practice and I was like, as luck would have it.
I was just wanted to open up my own practice so yeah, let's do
it. Yeah, what's crazy.
She is, I decided to do it without looking into it at all.
Not realizing that I need a collaborating physician and I
was like, yeah, sure, let's have this transaction of which I have
no idea what I'm doing. Let me sign this paper.
Let me, let me, let me get your office and rent it, even though
it has like wallpaper and like disgusting Carpeting.
And I have no idea what I'm doing, Charlotte is a great
idea. I know how I feel like, okay, so
what you need is faith in God and a really good partner, this
is all you need? Yes.
So anyway, so I I opened those practice and quickly got a
collaborating physician and six months later the law changed and
we no longer needed them. So on that still.
Yeah. And when I opened up, I went to
The Physician down the street and I said, hey just letting you
know, I'm opening up here taking over for this doctor and by the
way, I don't mean to step on any toes, you know, it's all good
and he said, oh No. In fact, I plan to retire next
year and I would like you to buy me out.
Let's wait. So now we've got two practices
that I bought 2 packs. I moved the first practice
instead. I bought the building of the
second one and I and I move the first practice into the second
one. Okay, wait a minute.
I was like stop you really quick.
God, how did you afford the building?
Did you just talk again? Okay, you took out a second
mortgage? Yeah, of course.
So the first one, the first one was like, a rental agreements.
I was able to manage it and I paid for the equipment, by the
way. For those of you who are
wondering, what it looks like to buy a practice, you can't really
buy a practice because you can't really buy patients, that's
illegal. So you make a transaction over a
good to know, right? Yeah.
So you make the transaction either over a building or over
equipment because patients can go wherever they want to go,
right? So you are hoping that what the
practice, that you purchase, that people will stay with you,
but there's no guarantee, okay? Little Pearl, their clinical
care. That is a little Pearl.
For those of you thinking of buying someone out, they will
the seller will often tell you. Hey, this is what my practice is
worth. And that's meaningless.
That's not the Price. You pay because that is were
that out. I don't know.
Blind luck. Okay, we said that we were,
right? It was more from a space of, it
was more from a space of like well I don't have what you're
offering at the time. I wasn't Savvy.
Like right now I know because I've bought more practices since
then, but that time I was like, well, that's a great number.
I don't have it goodbye. Like truly innocent and then
they came back and were like well how about this?
And I was like oh yeah, that that works that network but
i-i've later come to discover that someone will say, hey I
make a million dollars. A year my practice is worth a
million dollars. No, it's not.
Your practice is worth a million dollars with you in it, with you
generating it, but there's no guarantee you can't you're not
selling me that. Okay, so there's no guarantee.
So, that's that's not what it's worth at all.
So, it's actually a made up number.
You can make up any number you want.
Yeah, yeah. It's like, and it's just a girl.
It's a girl. Exactly.
Right. It was, that's a great analogy.
Like, yeah, it was worth 200 for you to buy that guitar, but
right now it's worth $5 to me. You want it great.
That's exactly. Have to approach.
Yeah, seller could take her leave.
It also, but there really is. No, there's people who calculate
formulas, it's not real interested.
So, yeah. So then I bought the second
times. I just, we had the transaction
over the building, okay? The rental for the equipment and
now, the mortgage for the now and purchased the building,
right? And then there is an, you know,
there is this habit, right? People go to the same place and
usually, if just because there's a new provider in town, they'll
usually give it a try and as long as you're good, they'll
stay more or less. Some Leave them or less people.
Go to the same place of gone for the past 20 years, right?
So yeah, so when you're buying a building with a packet unless
you're horrible, you're going to keep most of those patients and
both of them were pediatric practices and I turned them into
families. So now I was able to turn to the
parents and say, Hey, you know, I can see you also which is the
advantage nurse practitioners have because we are certified in
family. I can see the whole fam.
Yeah right. Where's the Taylor was a
pediatrician, he couldn't see the adults, but now I can.
So we were quickly, able to grow the practice and then another
provider reach, Out to me. She said she wants to retire and
this point now Mogul. So, my two practices glad you
realize that was a joke. So I'm a balmy.
So I'm glad you recognize. I've just entered the room,
thank you. So again, with her, she had this
crazy number, and I was like, great, good luck.
That's not going to work out for me.
And not from a space of being like a negotiator just almost
face of. I don't have that kind of money
and year later, she came back to me because no one had what she
asked for and Like how about this number now?
The perfect. Let's go.
So I brought her practice into the building that I'm in, okay.
So did you buy her building or by her right now?
A today, he had also a like over her equipment.
We came to number for equipment. I talk, I took a lot of liquor
out of Scopes a lot of things that are rather expensive to get
and didn't, you know? So I took a lot of her equipment
and she sent a letter to her patients saying hey I'm
retiring. This is who I'm recommending,
right? So it's a recommendation and if
you need Need, for those of you staying great.
This is her new address. For those of you don't want, she
will be the one managing the charts and people who wanted
their records, whatever Mighty manage that.
And that was kind of that how she transition.
Most patients stayed, some ask for the records.
We give it to them, you know? Because you can't write its and
that's and you shouldn't be able to write.
You would never want. It's not a good idea.
But for just that letter of hey, this is who I recommend.
Here's her address was worth the entire transaction, because most
people go where the doctor They trust recommends.
So the moral of the story is one, you can't buy practice to
don't be scared. When they give you a big price
just walk away and don't be scared.
That you can't fill a doctor's shoes because you can, because
you're awesome. Yeah, you're going to do
everything, right? For your patience.
So don't be scared. You know what?
I love those little pearls because again, there are nurse
practitioners listening that are thinking trying to process
through. Like, what does that look like?
How do I get started? And I think, I think a lot of, a
lot of nurse practitioners are really taught.
It's kind of crazy. How to practice autonomously in
school. Yeah, like, it's not brought up,
it's not kind of like, all right, so all your clinicals
will be with a doctor or nurse practitioner working in the
hospital will only kind of show you this really myopic View and
you'll only walk away with this understanding of user my options
and so by hearing you say like no I just believe that myself.
I believed I could do it. I you know, just kind of came up
with this plan and I love Pieces fall, where they may and I
figured out as I went along, these are all things that nurse
practitioners need to hear to kind of get there.
You know, guts going. Then I can do this, I can open
up a practice because there is so much solutely.
That's, that's what it is. There's if you are thinking all
the docs, no more business, they don't, they also didn't learn
business. So if you have, so I teach at
the local College here and I one of the classes, I teach Health
Care policy and finance but I always Dedicate one class to
opening up your practice and this is what I say.
If I describe what it's like to open up your practice and now,
if after all of this that I say, you are still salivating to open
up a practice, then do it. And if, after everything I
described, you're scared to open a practice, then don't do it.
But either way, like, just be one without decision, like, like
my wife, my wife's a pi, she does not have the entrepreneur
Spirit at all. She does not want to own her
business, in any capacity and that works for her.
So, you know, if you're in this like I'm not Or if I want to or
not when you listen to this podcast but who wants, who has
that Spirit every time the hero story they're going to say, oh
my God, I wish that was and other people are going to listen
to it and say holy I don't know if I could curse on this.
Holy sugar on this bike. Holy shit.
This is the most terrifying ish. I've ever heard of this is
bananas, how did you do it then walk away from that conversation
of being an entrepreneur? Because it's not for you because
it's Terrifying every day, all day, and you have to want that.
And yeah, and and, and just be one with it, like just be like,
okay, if this is Ty, like this is your litmus test.
If this is terrifying to the point of like, I don't think I
could do it, then you probably can't.
And then just stop wishing it and do amazing stuff in your
thing. Go go, the highest peak in the
hospital, do the highest that you can in your practice.
But if every time you hear a story, there's this thing inside
you, that's like, man, like this people who hear it right now,
they're feeling it as I'm saying it.
Yeah, yeah. Yeah.
Then just Finn do it. I curse a lot so this is hard to
me then just S-Pen. Do it jump it'll work itself
out. I promise you it'll work itself
out. That is such a great like like a
total great pitch for that because it is true.
Like if you are afraid it's just going to get scarier.
So yeah, don't do it. Never gets easier.
It never gets easier. But if you're like no, that
sounds amazing. Like, how do I how do I take a
fat on me? How what is it?
Look, I see that she just jumped.
I want a job like dad's where you are.
You've got to feed that Beast because it's just going to do
what you got to find it and if it's not what you are, then feed
the other beasts and let this like like just be done with this
conversation and that's okay. That's totally okay.
And just be like amazing or what you're doing and there's enough
nurse practitioners on my podcast that have shown how to
do that. Other part to be super
successful to find other side hustles.
While they're doing the one job at the hospital because you
don't have Just stay in that one lane of, I'm just going to go
work. My, you know, Monday through
Friday and know. Learn how to precepts.
Yes, learn how to open up a little a little side thing.
You don't have to do it where it's your full income, but you
can do little side hustles and gigs that you're like, all
right? Yeah, I'm cool.
I do this Sunday's. I do that and you've got
variety. So that if, if you want to see
like a my Diversified, if the the job is just like, listen,
you got to go then you're like, oh gosh, I've got nothing.
NG else ready? So that's what I really advocate
for on here as well. But know that 100%.
No, I 100% understand. Correct.
You know, I was just going to say this brings me, you just
mentioned something a pre, something brings me to the next
business which is well actually when we skip first as a business
got bigger, I promise you, I'll show you the problems and how
its out as a business going to print bigger.
I realized in order to continue to provide amazing care.
I need a scribe in the room because you don't want to do
this. Yeah.
What were you saying, right? You don't want to type.
Those of you listening in out here and you don't want to type
and not look at your those, you listening and not watching them
inside. You don't want to type while
you're talking to your Peak, but the amount of volume that we got
in my practice, we're seeing 70 to 80 patients a day per
provider. Yes.
And nobody feels Ross, if you look at our reviews, there's not
a single person. If it's rushed, we have our
workflow down to a science. But one of it is that you need a
medical scribe is because the medical scribes.
Yeah, I know, we're legit, so you're crazy.
Don't have to do 70. We're crazy.
Okay so wow, / / provider. Yeah, we have active patient
roster of 20,000 patients at this point and EG Healthcare and
by the way, if you don't already follow us on Instagram, you
should because we're so funny. It's just funny, your eat.
This is crazy, by the way, I didn't even get to the big part
yet. Okay.
Keep going. So we get this.
So, I had a scribe in the office yet, at the time, it was great,
but when she left, I was like, wow, I can't really be dependent
on this one person, if she's on vacation or whatever and it's
it's really For the provider experience, not to chart all
day, but super important for the patient experience that they get
my full attention. I'm looking in their eyes I'm
here and I'm not on the computer somebody else's typing, right?
So it's super important. So I reached out to a virtual
company and, you know, they're based out of India and we
started, it was a virtual described as in India and they
are listening in and then they do the charts for you.
And then I realized I could probably run this company
myself. So I opened up my own skirt.
Rap company. I'm going to skip some parts.
Open up my own scrap company. In India, my scribes aren't
India, and here's the cool thing about it.
It is run by women who really are not allowed to leave their
house to work, right? Especially at nighttime because
there's a time difference. So they are allowed to work from
home and their families are happy.
So they're able to put food on their table while their families
are able to observe them because there's women are not allowed to
go out at night and there's just cultural issues there, right?
So you were empowering this whole group of women in India to
be able to work and provide income, while meeting their
cultural norms. So it's just been like this
crazy win-win initially. I was using scraps, just for my
company but then my colleagues find out about it.
And so now my colleagues are using my scrap.
So it became its own entity class that's this is number two,
wait, okay, you've okay, yes, business every to because you've
acquired two other businesses, well if that's all raptors in
the 1 is 1. Yes.
Hi babe. Okay, describe.
And then number three, is you prep a comedy, by the way, G is
my wife, so that's why everything's okay.
I was mentoring a lot of NPS and you just said it, the education
is good, but the clinical I feel like I could be better.
Yeah. You know, this is something that
can be listened to, in other places, so, really careful my
language. Yeah, and so it's amazing and we
are prepared, but there is a bit of a lie.
Once you graduate to really feel comfortable in the exam room,
where what we don't have is residency right?
Where you get that comfortability and yes there's a
comfort as a nurse but it's a little bit different
comfortability and peace. So EG prep is designed, it's a
it's an education company. It's like a two-day workshop
where we were launching it officially January 2021 if you
want to it's in Staten Island Hilton.
It's a two-day workshop with really specific module 2023.
I'm sorry. 21st and 22nd okay. Yeah yeah yeah.
And it's a two-day we hope to run it two or three times a
year. Two day workshop with vika
modules, not academic clinical like approach.
That's going to be approach to the patient with headache.
So we're going to wash you exactly what the pitfalls for
headache approach to the patient with back pain, because you
already have all the information you already past it, you
already, but we're going to help you assimilate it into what you
need in the And room. So we're super excited about
that. So that's what number three.
So, that's number three. Okay guys, I hope you're
enjoying the episode. I wanted to take a second and
tell you what. I've got cooking at the doctor's
podcast, my business partner and I Jackie Cain created an Etsy
shop called success and P. The goal of our Etsy Shop is for
NPS @np moms to work smart, cherish the moments of life and
live beautifully. We created adorable digital
downloads for new moms, moms that need to get organized and
we Also just launched a brand new digital planner, it's a
nurse practitioner themed planner with stickers to help
you customize and keep your life organized.
It has inspirational quotes for different nurse Specialties as
well as facts related to our job as a nurse practitioners.
So for my listeners, if you go check out my Etsy Shop which I
have Linked In the show notes and number phone.
Number four is the biggest okay, number four is not called EG
something is called the new method.
Newest spelled with a K because you always knew there was a
better way and that came from the fact that my wife was sick,
a few years ago, she has an autoimmune issue and
conventional medicine, really failed her and we turn to
something called functional medicine and it really changed
our lives. Wow.
And so I realized I have to bring it back to my patients.
So I started slowly and that's why I eventually got my PhD.
Integrative Medicine, integrated medicine.
Yeah. Yeah.
And then I got and so we invented the new method so I Oh
it's like a specific application of my knowledge and we're
National we're National. So we have clients because
they're not we can't call it patients and not patients
because we can't practice medicine out of the seat.
But we have clients all over the country who functional medicine
support. So those are for businesses, how
did you keep up with the volume? My goodness.
I mean, I hear the Scribe, okay. And then somehow to survive, is
it turning into your business, but okay.
And then so that helps you keep up with your clinical work to a
certain Stack because there's still, you still have to manage
the practice which is, you know, as the show.
I have a big team at this point. Yeah, you've got you've got
managing people which is a ton of work and now you.
Yeah. This is, how are you doing?
Although he's Healthcare as a grew, I hired other NPS.
So, the my NPS I only practice Primary Care once a week at this
point because the restaurant time isn't functional.
I have a team of about 20 locally, I have two people in
the Philippines. I have a If you people in India,
so it's thing. Hopefully, why do you people in
Philippines? Is that for the Scribe business
as well? No one is for my billing.
And one is to help us with writing articles for our blocks.
So we just the team is just okay.
Like it's never ending, right? Because we have, if you want.
If you so EG Healthcare and then the new method of the new
spelled with a K, I was like to say, it's people are listening.
If you look at our social media, it's intense its own machine
which produce content, you know, I spent all of Tuesday.
Is producing content for the week.
So we produce content all the time.
There's nothing haphazard about it.
So we need a team. So we need to team, does the
team for everything. So part of that also is creating
a lot of content blogs. So we have some in the
Philippines that helps us with that.
Yeah. And that helps with like SEO is
that what you're trying to kind of help the right?
So that was the SEO and every there's a, there's a method to
the madness. So I have a whole team that
manages EG and then I have a new method team and Yeah, so it's a
lot. Yes that are like wait.
So you're just said SEO, what is that?
So that's search engine optimization.
So it's to get her company name out there.
So when you type in the healthcare, she's the first one
that pops up. The more content you put out
like Evergreen content, right? That ends up driving people to
you, from what I'm understanding.
I'm still new at this whole thing.
I know it's good. It's not like terms but like I'm
like No, it's I'm glad you said that because a lot of times I've
found myself in places where people are saying acronyms and I
had no idea what they were and I'd have to Google them.
So let's not be those people, right?
I really love that you brought that.
So if an SEO for any of you up-and-coming entrepreneurs, it
is not enough to just have a website.
Great, I paid somebody a thousand dollars into my
website. That is worthless that's like
just having a piece of paper like a flyer hanging up in your
wall and no one sees the flyer. You have people have to come to
your website, just owning one. Is meaningless.
So there's a few ways you could bring people to your website.
One is paying like you pay Google ads.
So like everyone every time somebody says knee pain.
If you're an ortho, it'll come to you, but for those who don't
have Deep Pockets, SEO is another way to do it.
So it's more organic and so you have to your web guide.
This is not something that is within shouldn't be in your
purview of your clinical. I mean, if your NP that's also
web awesome but you need to have a web person who understands
They need to build a whole bunch of stuff and your website that
you might not even see with your eyes to help Drive the Google
robot to your site. So if someone says, I'm looking
for a doctor in my area, doctors near me, there's a whole bunch
of stuff that happens in the background that will bring them
to your site. That's SEO.
And there's a talent. There's a skill for it and you
have to make sure you're hiring somebody that helps you with it.
So what I was talking about now is that the more content you
have on your website, whether people read it or not?
Not, it's really about the Google robots.
So we create blogs every week about various topics.
So if somebody searches, I don't know headaches and they see my
article it will lead them to the website.
So there's just a whole world around it and so it's part of a
strategy. Do you need to do it right away?
No, if you just opening up your business this is not your top
priority. Should it be on your list of
things to do? Yes.
Yeah. So what else do you feel like
has contributed besides acquiring other businesses?
To your growth as a practice? What would you say?
If you had to kind of go and pinpoint?
And take a needle. And just go, this thing, right
here has been a game-changer, what would you say the team,
100% the team? Yeah, you can philosophy.
You have to be about your team. If you're going to be a business
owner, you have to be about your team.
The patient have to say is important, but if your team is
not a point, I cannot tell you how many people have come to me,
because they said, I love dr. Smith, but I can't stand their
front desk. So I've I've left dr.
Smith because your team is so nice.
The only reason my team is so nice is because they're my
priority and they know it. Which means I try to pay them as
best as possible. I if somebody's rude to them, I
will I will never take the patient side.
My patients know this, you route to Mighty to my team, you're
getting discharged. So my team knows I have their
back, you write a review about my so sometimes you write a
review. Most are almost.
There are like four point eight, which is a lot considering our
volume. Yeah.
But if you write a negative review and say the fun, girls
don't know what they're talking about my butt.
We'll be riding back and say if you mean screaming at my staff
is you saying that they don't know what they're talking about.
But like I am going at you because I treat my team like my
family and that doesn't mean they're all with me for years.
I have a core team that's been with me for years and some come
and go. That's the nature of the job.
Not everyone isn't front office person forever, but when you're
a part of EG, you're behind the line and I got your back.
And that also means if we structure things like, if you
need a microloan, we're going to give you micro loan to help you
out. If you have a situation at home
and you need we have your back in a lot of places when you work
at eating. And we've had some weird
situations and we were like, what do we need to do to get
you, where you need to be? If that means we've had, we've
had people who even had issues with drugs and we they were
willing to do the work. We were willing to keep them on,
you know. So there's things that you can
do for your team. If your team knows you have
their back, they will have your back at the front on the phone
everywhere with the patient's, they're going to Also the
patients who can be counted as patients.
So it's it's it's all about the team, always all the time.
So what you're what you're talking about is remind me of
this book. That's why I said built to last.
Good to great. I can't remember the author's
name but he wrote a book on getting the right people on the
bus that was his whole concept and another book that I love
Dave Ramsey, he growth you wrote a book on the entrepreneur.
He also describes his team and the way that you just talked
about your team is the exact way that he Talked about them in his
book. It's like this guy, his wife
had, his wife had passed away in a car accident, he was away on a
trip for the company, so he described in the book that he
flew a private jet out, to get this guy from wherever he was
and flew him back home, so that he didn't have to drive back
from this event. He flew a private jet out to go
get him. And when I heard that, I just
thought my heart. Just like broke.
I was like, how much does he care about these?
Like the little people in his company that he was like, Dave
Ramsey was like I'm getting your private jet charter to go get
this guy because he's going to find out and he needs to be able
to get home and 40 minutes not 7 hours, you know?
And so just that whole mindset and then in the good to Great
Book, he talks about getting the right people on the bus.
And that whole concept is just this idea that one has a spot
that they could be in. In and you got to get them to
their right seeds because once you get the right people on the
bus, almost doesn't matter what the mission is.
You ain't gonna like because you got the right people in the
right spots and then the leadership aspect that you're
talking about, that servant leader, that heart of like my
job is to just take care of these people because it is they
take care of me and we're able to keep this system going and
and they know the girls have been with me from the beginning.
They know I never got a fancier car.
I didn't get It's your house. Every time there's more, we get
more benefits. We give my benefits.
So at first, we had no benefits. Now we do and, you know, every
like we're like We Grew From nothing.
Just hey, this is all I got. Just like we have a package now
that we can give you, right? We didn't have and it didn't
have to be that way. I see my colleagues, I could, I
could just like great more for me and that's just never going
to work out, that type of mentality.
That's just not long-term mentality.
It's old-school. But yeah, no, that's what can we
as well? The give him before that much as
possible. I mean, we can never be work
from home, right? Because we provide direct
patient care, but we could really be cognizant of work-life
balance. So that means we take turns
staying late because there's in medicine, you tend to stay late.
So we try to make it, we're not the whole team.
Stays late Tuesday's your day to stay late so you can plan your
life. You know, Tuesday is not a good
day to plan an event, but you know that the rest of the week
you are out on time so that you can plan your life and that's
really important. So this is small things we put
into place to You know, the team used to work there every weekend
and then one of my one of my really good team.
Member said, I really can't do this every weekend thing and I
said, you know what, we could split the team in half but
you'll be a skeleton team, but as long as everyone's down,
would like, stretching themselves on the weekend, then
we'll alternate weekends. And we did it.
And everyone so much happier because now it's alternate
weekends. So it's harder, but they were
down for it, right? So there's so many things that
you can do creatively that don't that doesn't cost the business
more money to give to do that. Making sure that everyone It's
out on time and only one person stays late.
That doesn't cost you more money.
There's so many things that you can do.
We close down for lunch every day between 130 and two phones,
go for lunch, no conversation, you have to eat.
There's no, and I get agitated, like, let's go, go downstairs.
Will go like go eat. You can either break?
No, no, I'll work. No.
No, you got you have to do a burnout.
We close Fridays because it's really critical, especially with
direct care because, you know, people are people.
It's a lot. It's a lot and you need to take
those moments to yourself. And so it's It's really all
about team, so that is the pivotal thing.
Which then translates in my opinion, to Superior patient
care because the team's invested and so Superior, patient care.
It keeps them coming back, obviously, right?
And and so that those are the two things.
So, on this way, have you had any mentors?
Has anybody like mentored you through your process?
Yes. Yes.
Been a single Lone Wolf. No, no, no one does this alone.
No. And that's really important.
Because then when you're on top, you have to pull others up.
Because you did not get here by myself, I don't care what
rhetoric, I don't care what politician, nobody got to where
they are by themselves. That's a bunch of BS.
And so, when you're on top, you make sure you bring everybody up
with you first and foremost. My wife, no joke.
She is like she is the moral compass in my life.
So if there's something I'm not sure like am I in a gray area
Gina thinks? This is no good, it's no good.
We just walk away. So that's first and foremost and
then mentors along the way, always always always.
And I pay a lot of money at this point for my men.
It's because at first, its colleagues, but then if it's
coaches and mental health, coaches, and people have done a
better View and you pay for their time because you cannot,
especially when you run your own business, it's just you.
And the walls do you asking right and everyone who works for
you works for you. So you're the one with supposed
to have the answers, pay money for your mentors.
Make sure you get mentors. Put your ego aside because you
don't know and you don't even know what you don't know.
Yeah. So and and I forgot the most
important thing, you know, God in the universe Verse, you know,
there are moments where you're just like there are times in
your plan things and gods. Like I'm gonna let you know,
that's not actually the plan and you just have to be like, okay,
my man my bad. I got you.
So a lot of faith, a lot of faith, lot of people but
mentors. Yes, you need mentors all the
way. Yeah, it sounds like you're in
for mentorship at this point Aviva mentorship.
But, you know, I'll tell you a small story of some when I first
started at EG Healthcare it was tiny little blip and I turned to
I'm going to mention his name. Dr. Frank's Caffery because I
can never forget Kindness and he's big-time on the island and
Staten Island and I turned to him as like, hey, you know, kind
of scared of him and he's like, there are there are enough
patience for me. There are enough patience for
you whatever help you need. He did not know me.
Rolen will ever help you need? You're not competition.
They'll come to me, they'll come to you, whatever you need and
that was such a turning moment for me because he did not have
to do any of that. And he helped me along the way
for nothing for no reason. Other than that he's kind.
And so I try to mention his name all the time.
Time I've ever thanked him in my book because I would really
impactful because he could have totally been like, why are you
wasting my time? My be going to meet with you met
with me? He was kind to me, he's gotten
me out of a lot of situations. I didn't know what to do next
until this day. I call him and ask him.
Frank are you closing for the snowstorm?
And if he says yes then I'm closing until this day.
So so you know as you were describing him, you know, one of
the things that I think a lot of nurses and I don't know if it's
just the mentality that are our group has but We tend to think
we're in competition with one another and I think it's because
we're a woman dominated field. I think it's just a woman thing,
I don't really know. I've tried to look at it from
different angles and try to figure out why, but that is an
abundance mindset, which when you have an abundance mindset
and you're thinking that there is plenty to go around, there
are not problems, you only see Solutions or at least
opportunities to grow Solutions, you know, these different things
were like, you describe business that you were talking about.
Like, that was a problem. Like, you were just kind of like
this. So an issue, but you looked at
it as an opportunity and then you ended up turning it into a
business. And so it's like if you keep
that mindset of abundance, when you attract good things to you,
and to as you operate out of that abundance mindset, you
begin to make more money, you're able to generate more Revenue.
You're able to come up with new things instead of thinking?
I'm in competition with everybody, we're playing a game,
you know, the game Spoon, 100% spoon, you know, we're all going
to end up some is going to end up without if you I think that
way and you change the way environment I'm going to add to
that. The abundance mindset for me is
also and you must give and you must give because to me, I feel
like he only gives me as long as I give to others if at any point
I start to like fill my coffers, I know the faucet will stop.
This is just I just know this. I don't know how I know that
just know this. So you must give you must help
others because if you do, it'll just keep blowing your way.
Guess, we'll just keep category. That doesn't mean you can't use
it. Of course, I'm not saying, You
have to, you know, live in misery but you must give.
Yeah. If you give you all you will
just have more. You aren't, you are the first
guests to say that and I think it is a it's a huge point to sit
on for a second because again, I don't think that we realize and
I talk about this all the time that there are laws that govern
the universe, it just means what it is.
And so I think that when you have a baby, do you expect the
baby to come in three days? No, you know that you hope it?
Coming through these, but you get my Posse not yet.
Okay. That's when the baby is born.
You plant a pretty call those big trees live up Live Oak Tree.
You plant a seed in the ground. You don't expect to have a live
oak, that's able to provide shade that rival got there after
100 Years of sitting there during the storms and enjoying
the storms of life that have come through that area.
That's what made that tree strong and it's the same with
the concept of giving that if you give it always comes.
Comes back. There's a law that governs the
world is it just is what it is is kept it.
So just give it away and want. Yes.
If you give it away, come my phone, my sisters like you are
bananas. You just I'm like, no, I just
have to give it a person. Comes my way.
I have to give it my wife, rescues animals, and she's and I
rescue humans. That's what she tells me, but
that might just give it it's fine.
It's got its fine. Sometimes people take advantage
of me, I'm not going to like sometimes you will take imagine
you might. Sometimes the staff is like
you're never seeing that money again.
I'm like that's okay. That's on them.
Yes Gary view talks about that
all the time as well. Another guy follow, he's
everything just oh my gosh he just completely puts his mindset
and like I just I know I'm going to get taken advantage of, it's
okay. Yeah.
When you have that, resiliency of like, if I get taken
advantage of, I know that there's something else or for me
someone else looking out for me, that's not gonna let me fall you
move that such confidence and you just let it go.
You're like, yeah, and it's on them.
That's like their karma. That's a total and did.
In Stand by their word, whatever their word is.
That's that's for them to figure out those.
I don't have to worry about it. Totally agree, man.
Well said, so if you could go back to dr.
E as a med-surg nurse and give her a little piece of advice.
Oh my God. Something that you would tell
her that you wish you would have known earlier.
What would you tell? I wouldn't tell her anything
really? Yeah, because you have first
ones. No, you have to go through the
trials. Tribulations likes people say if
I could go back and fix it. No, You Must Fall.
You must fail. You must be embarrassed.
And God I As I was messed up publicly, many times, you have
to go through that, to become the person you are today.
And if I was to change any of that, I wouldn't be who I am
today. Like the woman that stands
before you now full of Integrity is woman that failed and
integrity, you know, in the past and have to see the
circumstances of failing and hurting others.
And what? That, and if I learned that
lesson so that can become the person of integrity.
And if I didn't do that back, then I wouldn't be the person I
am now. So, so nothing.
I would just watch her and be like, Like this.
Let's watch this. Love that answer.
And you're the first one to give it fantastic.
I love that one. Thank you.
And for the rapid fire portion, this is the flow of your pants.
You got to get ready. It's over fire, you ready?
Here we go. Right.
What type what time of day are you?
Most inspired morning horny? Okay, you're an early riser.
Get it. Yeah, get in there.
Yes. Okay.
Oh, how do you get to the phone? I don't, I don't you better text
me. I'm at this point.
It was that was really and I'll tell you, how is the phone?
What's wrong? Did you call him?
Why is this an emergency? Why don't you take?
That is very funny. And what subjects in school?
Did you find Most Fascinating growing up?
Oh my God, Most Fascinating is what I did.
My first degree in English literature.
I love literature English lit. My first degree English Lit.
How did English literature? Then I went back to nursing my
decision and my yeah, sorry, it wasn't my dissertation.
And I did on the effect of what we call it orthomolecular
decision but anti-inflammatory Neutron tinnitus, which everyone
in Tick Tock says is pronounced tinnitus.
So I don't care how you pronounce it but I'm tired of
climate or E diet effect on ringing in the ears, pronounce
it any way you want? Because what I discovered with
my patients, incidentally I discovered that when I cleaned
up there down the ringing in the ears went away.
Tonight is tinnitus and so I did a kind of retroactive because I
already had the data. Like, how the heck is this
happening? And then Ian covered that.
In fact, for certain a huge population tinnitus is a sign of
inflammation, right? Not the trauma, or that, you
know, the cop's of the soldiers, those are trauma and hearing
loss. But to a lot of people, it's
actually sign of inflammation. And when we take away the
anti-inflammatory foods, the ringing in the ears goes away.
It's, it's been fascinating. I have patients were like, I've
suffered, that's my dissertation was on.
Yes, and then that do you, you, I'm sure you probably use this
in your To say I'm going to say, no.
No. With the, can you the new
method? The Newman.
Implementing that practice. Okay, that's cool.
Yeah, we have a software that we use, and that question was
always in there and I was like, what the heck's this question
about ringing in the ears? I ignored it.
Ben, I would keep seeing like, it was going from like a level
10 to level 2 and I start ask my patients.
I'm like, and I'm like, oh yeah, the ringing in my ears are gone.
Like they came in for joint pain or brain fog or their Autumn you
and the ringing in the ears would go away.
And it was, it was during the time that I was in school and I
was like, this is what I ran my dissertation.
So we see God took care of me again.
I didn't have the time, so cool. Well, thank you for coming on to
the podcast. Thank you so much, I guess your
journey. It's incredible.
Thank you so much. Thank you so much.
So that's a wrap. Be sure to subscribe to the show
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Jim.