The Thought Leader: Jonathan Baktari, MD, FCCP

Transcript

[0:00] Right so it because the money is a good incentive unfortunately we’re getting the money from not the person when were sitting across in the exam room from.

[0:15] Paging dr. cook paging dr. cook dr. cook you’re wanted in the o.r. dr. KO you’re wanted in the.

[0:23] Music.

[0:44] Hello everyone and welcome to prescription for Success I’m dr. Randy cook your host for the podcast which is a production of MD coaches.
Providing leadership and Executive coaching for Physicians by physicians.
To overcome burnout transition your career develop as a leader or whatever your goal might be.
Visit MD coaches on the web at my MD coaches.com because you’re not in this alone.
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[1:22] My guest today is a very successful pulmonary and critical care physician for more than two decades.
Before making the pivot to healthcare technology and Entrepreneurship.

[1:34] I think he’s unique in that regard by continuing to focus on things that are important to healthcare consumers.

[1:41] So let’s hear my conversation with dr. Jonathan baktari.

[1:50] I’m really excited today to be speaking with dr. Jonathan baktari.

[1:56] Out in the Las Vegas area is that right Jonathan yeah must Vegas Southern Nevada.
Really looking forward to this conversation what an interesting story that you have and I’m really looking forward to sharing it with our audience as is always the case we like to.
Begin with your beginnings and that takes us to where your interest in medicine came from and at what point in your life can you tell us about that.
You know my dad was a doctor so I actually don’t remember exactly when my interest began but obviously.
You know as all children you know we see our parents what they’re doing and I don’t know when that actually seeped into my brain.

[2:40] But Ashley was he and by the way you know his family practice so just
you know that the routine Family Practice left but hanging around him and his friends and
it kind of made an impression so by the time I started college it I don’t know if I ever likes at one day is okay I’m gonna do it but it just
okay well you know let’s start college just take biology courses list major in biology next thing you know you’re pre-med and.

[3:10] And it was very slow I don’t recall ever having an app you know aha moment that’s interesting
yeah so you never had any temptation to to go off in a different direction back in those days right you know I’m honestly back then.

[3:26] You know you really hate to say it I don’t want to give away you know that I’m a little older but you know it just you know you didn’t have the internet you didn’t have a unless you got
lucky to meet some other mentors or now you can watch YouTube and figure out oh investment bankers and
we are Venture Capital people and or just you know media people so it probably you know I think,
you know kids today have a much broader perspective inside selecting feel although I have no regrets I’m just I just feel like now there’s a lot more information that people have when they choose a career so that’s which is only good.
You know that’s a very good point and something that I had never really thought about.
And and and along those same lines once you got into the official training process.
Medical school and residency did you.
Did it always feel right to you or were there every day were there ever any moments when you thought gee what have I gotten myself into I’m no never I mean it just felt very natural it felt like,
you know that’s that’s what I should be doing and for whatever was worth I kind of felt like I had a knack for it and.
You know I think part of what I what attracted me medicine.
You know I was always like just tell me the facts you know I even as a child I didn’t like people like.

[4:55] You know saying you know who I don’t want to make up you know make fun of people who believe in astrology or whatever anything that didn’t seem like it was rooted in hard science seemed.
It seemed to me as a child or as an adolescent as something that I didn’t want to gravitate towards although little did I know that truthfully medicine.
Is almost as much as an art as it is a science but back then I was attracted to you know I want to see the numbers I want to Crunch the numbers.
You know you know I don’t want to guess you know like a psychologist you know like.
They don’t get back numbers and other people don’t get back they have to make assessments without getting data back and I was always like no we need to get you know labs and tests and and just you know
validate you know our thinking and you know so many people have.

[5:51] Careers where they don’t get the kind of data especially some of the Specialties in medicine where we get a lot of data back potentially but ironically what I learned.

[6:01] Much later my career is you know equally as important is the art of Medicine,
and you know what patients are really looking for Beyond you getting them better
is there looking for someone who cares I looking for someone who’s their Advocate they’re looking for someone to share their issues with in a way that they feel they’ve connected to
and I try to teach that to medical students and residents you know it’s the art of Medicine.
That is the thing that people really need to Mentor be mentored and learn because,
the other stuff you can learn how to book or whatever but that part and and you know that’s really I would say a lot of residency and fellowship and and have to do with the mentoring and the rap.
In addition to learning.

[6:56] You know the facts of whatever specialty you’re in its you know how to talk to patients how to talk the staff you know how to understand the mode is behind different questions and different.
Wyatt why patients are doing things and are you know why patients are taking their medication why the why they’re struggling with things and you know.
You almost can’t have the same if you’re seeing 10 patients in one day or
yeah they always have to have 10 completely different approaches if you know your patients well enough so I think initially it was all the science
ironically later on in a good way I found out that it was also the art of Medicine.

[7:40] I think you are so right about that and as I think back on my formative years I was getting that message from some people who really understood it,
the great Tinsley Harrison himself was one of my teachers and yet at that age it just didn’t sink in and I think you make a good point you almost have to you almost.
Or required
to stand in the shoes before you can truly understand where the Artistry is it sounds like that made a big impression on you and Dad might be on later on I realized you know I think
ice I see it now I mean I think if I would if I tell and I did a podcast on this is for medical student you know what I think what they need to understand is your you’ll be shocked.

[8:32] How patients hang on to every single word you say sometimes like literally you could say the same thing two different ways.

[8:41] And just randomly pick different words that could have a different impact that they’re just you know especially if they have a relationship with you especially if the topic is serious
there’s just hanging on to every word and we can think of examples you know we Cecilia many studies that say you for example
if a doctor just says the word stop smoking that’s it nothing else that a certain percentage of people stop smoking because their doctor said it and if you didn’t say it
you know they’re in for a migraine and he said by the way you know I see you smoke stop stop that.
You know whatever that number is 10 20 30 % will stop just because they heard a doctor say it and of course the flip side is if you don’t say it
Blackwell your bill why are you still smoking like I don’t know you know I see my doctor never says anything and so.

[9:29] So and you could talk about weight loss or whatever I mean it’s just so you realize the power you have oh my gosh I mean
you know nobody ever says you know my mechanic never said
you know you should rotate your tires more so I’m not doing I mean nobody hangs onto the mechanics every word nobody hangs on to the even their CPAs every word,
but but you have to know that some patients hold you in such high esteem and if you’re not cogs and cognizant of that it’s going to be a loss because you can really help people that way.
Continuing the conversation about personal development you and I faced.

[10:09] Some decisions that were not so important to your dad.
In another era and that is that when you and I trained it was almost a given that you would have to do postgraduate training and some specialty,
and you picked pulmonary medicine and critical care what do you think LED you in that direction yeah I’m gonna have to go back to my previous answer because you know
especially Critical Care is rich rich rich in data in a ventilator gives you data the you know the the.
The dialysis machine gives you data people on life support there’s just you really like in and data with data and I think you know what I did my first I see rotation.
Again it was just me it just is I could sink my teeth into that because
I like okay you know you put a swan in you get data you got an echo you got data I think initially I wanted medicine to be.

[11:05] Not subjective and very objective and so you can make the right decision to help as many people as possible of course even in a nice you medicine you later on find out though yeah there’s an art to even that
but initially I think that was the lure for me I wanted something there I.
I’ve talked to many Physicians and I doubt maybe there is now but I doubt there’s.
Any specialty other than critical care that literally is so rich in data about the patient status.

[11:38] I would go along with that in fact it seems to me that.
You find that thirst for data and a lot of.

[11:49] Other Specialties Beyond pulmonary medicine you can get critical care certification in surgery for example.
And in some other Specialties as well it really has become.

[12:04] Very much at the heart of modern day hospital care for sure.
And certainly brings along its challenges.

[12:19] But I want to move you along a little bit more now so you get yourself.
Board certified in three different boards Internal Medicine pulmonary medicine and critical care and actually.
Started your non training career in the state of Hawaii how did that come about and why did you ever leave,
well you know I have just finishing my pulmonary Critical Care fellowship at UCLA and actually I got recruited.

[12:48] Directly out of UCLA there you know though to Queens Medical Center and University of Hawaii they had can obviously need for Critical Care Specialists and
I think you know the fact that they could attract a fresh graduate out of a program like UCLA I’m sure appeal to them and.
So so they recruited me and I went there had an amazing time for about you know sir one two three years I mean and then kind of eventually.
Decided to move back
and be near California where my family was but you know stay within that vicinity and so I chose Las Vegas.
Tell us more about that what was what was the practice like when you began to settle into Las Vegas you know I joined the traditional pulmonary Critical Care Group I think it was like a 10-12 Man Group
we covered all dicey use or must lice use in town and I think we grew beyond that and eventually became a senior partner in that group
and then eventually you know branched out to administrative medicine and other things but yeah initially it was just coming in as a junior
guy in the group and you know just kind of you know making yourself established and you know.
Being part of the group and contributing and then we have growing in the group and.

[14:16] Becoming a partner so I mean that was sort of the standard thing that you know most people did when they joined a bigger group is just work their way up in the group and I think guests for much what happened.
And did you not also serve as clinical faculty for teaching of at least
residence yeah well I didn’t Hawaii two sons clinical faculty University Ohio and then I was clinical faculty at University of Nevada and then also
later on I was clinical faculty in Department medicine and all three but then at Touro University I taught in the med school there too.
Did you like that a lot yeah I loved it I loved it you know because we were rounding and I see use and dealing with interns and residents and fellows anyway and so becoming clinical staff it was amazing.

[15:11] I had you know I had gone to really high highly academic places for my training and I trained in
you know Ohio State Northwestern UCLA so that was the environment I grew up in any way just for my training just a lot Academia lot of teaching so it just was a natural extension of
my own training because when I was a you know when I was a fellow I was.
Basically training the residents and Med students and when I was a resident I was training training the interns and Med students and so training it was just a part of what we did.
As we were getting trained so it just felt natural did you have the feeling that the.

[15:55] State of Mind of the house staff in particular and maybe even the medical students as well did you have the feeling that.
The State of Mind had changed compared to what existed when you were in that position,
as you’re asking me that question is so interesting because I let’s kind of a loaded question because I think you probably know the answer to this as well as I do I I feel I’m being set up but it’s okay because I think
I could probably ask you the same question we both give the same answer you know what yes it’s obviously evolved I mean when yes was there some abuse of you know medical students and residents in terms of the Mach number of hours and the workload of course you know whatever
and is it a little more light now where
so there’s regulations and they can’t you know like after you’re on call you get to go home the next day and you could only see certain number of patients and you know I think there was less of that now I’m not I’m not saying that was good all I can say is.
There was a little bit.

[17:04] Of positivity that came with that but there were some negativity obviously lifestyle blah blah blah but you know it’s sort of like you know seeing a great trauma surgeon.
You know who served in a mash unit you know where they were getting.
Just you know just tons of trauma and fresh and everything you could imagine it was you know a lot of those internships and residencies
that were pretty intense you know prepared you for everything and anything nothing you know wasn’t like you were going to be done,
doing a residency or even med school
and say well you know I’m going to be intimidated walking into a hospital or seeing a patient in e or you kind of seen it and done it
all for the most part not to say you know you didn’t have more to learn but I think
yeah I think the level of preparedness is more pathetic than the flip side of his I don’t know if their current
crop of medical professionals need to because now we have hospitalists and you know we you know
and we have people who just do our patient so if you’re going to be doing outpatient medicine do you really need to know do you know do you really need to do 10 admissions in the middle of the night.
I mean so.

[18:21] Here I am maybe maybe it’s not needed anymore just because things are more compartmentalized but no doubt there’s a difference no doubt that and a lot of it’s good you know a lot of it you know people
have a better lifestyle in a lot of residents are married and have kids and it allows for more balance.
Yeah I appreciate your thoughts on that and believe it or not I was not
I promise I was not trying to beat you into something and but my the entirety of my private practice was completely separated from any connection.
With academic medicine so I never really had never had house staff available.

[19:06] To me to look after people when I was not there so for for me private practice was not profoundly.
From being a resident but as you say the entire landscape of medicine in terms of.
The different styles of practice that are available is profoundly different there are lots of other opportunities
opportunities and and there seems hardly any reason to ask somebody who really is a dedicated healer to punish themselves with the sorts of,
unbelievable workloads that we.

[19:47] Faced when we were being trained so I think you’ve made a very good point there yeah I think there’s obviously some pros and cons but yeah if the landscape is going to change this might be much better suited for the current landscape.
Indeed let’s come to the next shift you had a very successful career in clinical medicine and I’m sure it was,
quite rewarding for you but at some point you begin to look around for other opportunities and I’m very interested to know what what put that in your head.

[20:22] You know I don’t know if I can give you a clear answer I think part of it was.
This wanting to have a next chapter and next step and looking around for that next chapter.
I think you know once you know scientific important you know go to residency be board certified in double words where the trouble you know at a certain point like what’s next what’s next and so I think.
This kind of void to find what was next must have been present because I was really searching well maybe I should do
you know how I was doing the teaching I thought well maybe I should be doing some more administrative medicine and then some opportunities opened up to be me and medical director of insurance companies and different opportunities may not as I see you medical director I was chief of Medicine
and you know it was like one door would open another
tell you just do one thing and something else would come out of that so it was an evolution I don’t think I woke up one day and said oh you know I need to do this but
yeah at a certain point that I just realized you know what it’s.
It’s not that I didn’t enjoy what I was doing but you know I mean you could love pizza but you don’t want it every night I mean right me,
it doesn’t mean you have to do it forever and ever what I’m doing now for example has.

[21:48] You know skill sets that I never had before I had to acquire a new skill sets
to do what I’m doing now and that presented fresh new challenges to to get good at something else doctors always think they’re so smart but
you know I always I always kid my friends my doctor friends say.
Your doctors think generally is a lot they think they’re so yeah they have these undergraduates degree and they got you know 4.0 GPA is.
They you know they think they’re so smart and maybe they are but you know I say well you know if you’re so smart how come you only have one way to make a living how smart can you be
you can you keep it you can’t be that smart right have you seen a lot like a house Mark and I gotta settle myself okay how smart am I I don’t think I’m so smart I mean I can only think of one way to make a living
and well I have to tell you that looking at it from the other end of the spectrum and now that.
Fully retired from medicine when I look at the landscape I can see where you can actually.
Work your way into.

[23:03] A situation of near obsolescence because the the fields changes the science well the science doesn’t change but the.
The science that’s available changes and you can you can become Antiquated and.
To move into something else where you’re motivated to do a lot of learning rather than to say hey.
I don’t have to learn any more because I’ve already done it all I think this is a good thing.

[23:34] Do you ever feel that way you don’t care for me it’s been such a slow Evolution that.
Here on RX for Success we interview a lot of great medical professionals on how they grew their careers how they overcame challenges.
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[24:52] We’ll get back to our interview in just a moment but right now I want to tell you a little bit about physician Outlook
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That’s a really great deal on this stunning publication and now let’s get back to today’s interview well let’s with that.
Segway let’s let’s hear a little bit about the beginnings of E7 help.

[26:08] Yeah so we started at least seven Health in 2009 as we actually called the vaccine Center Route so we subsequently had to Rebrand because people thought that’s all we did but the gist of it was you know
there was a lot of people in the United States who are you know having who are
even dying up to 50,000 vaccine preventable deaths a year in the United States alone and so we thought hey nobody’s really focusing on adult vaccinations it was always like a side gig from for
urgent cares and Walgreens I mean well you know Walgreens is busy
you know selling Kit Kats and diapers and now they’re also want to sell you a vaccine so it just seemed like I.
Right answer.

[26:58] So it just seemed like you know Kit Kats and vaccines you know why are they in the same store and so we just figured hey is there anyone that can just look at a dolt vaccinations.
And make it their primary focus and right technology and software to support that.
And nobody else was doing it and you know is definitely for people who.
Read this kind of blue ocean strategies and business it was really a blue ocean nobody nobody was really looking at that and we didn’t do it because it was necessarily a good business or not but it was more like
there’s all these all these vaccine preventable death and adult vaccination is just didn’t show up on anybody’s radar although they’re critically important whether it’s travel vaccinations and you are actually you’re actually talking about this before
Heidi I joke that we were covid company
before covid hit that I always I talk to so many people like oh we pivoted to covid we are we started doing covid testing and we’ve got we’re doing covid this and cope with that we pivoted Vivid everyone’s pivoting to covid now
where we were our technology with you know feel like well we do testing now Fork over one testing for measles mumps rubella hepatitis A Hepatitis B chickenpox you know,
Ben from 2009 on.

[28:22] And we were giving you a you know every adult vaccine available in United States you know whether it’s Japanese Encephalitis vaccine yellow fever typhoid with access to anthrax vaccine we were giving
every vaccine available for adults not children and you know the shingles and ammonia flu
and typhoid vaccine and.
Um you know it’s just now you know a lot of people are now more sensitive to adult vaccinations but back where we started yeah it was it was not many people were doing and actually not many people are still doing and they’re always doing it as a.

[29:04] As a side thing to whatever urgent care they’re running or.

[29:09] Whatever other thing they’re doing I’m very unclear on how the customer how the recipient.

[29:19] Finds what you have to deliver I have to admit you know when I when it’s time to get my flu shot.
Go to Walgreens right don’t feel bad because before I got into it I didn’t I had no idea what it was either you know there’s a
there’s multiple books of business should we call them that adult vaccinations are involved whatever example is employee health services and I’m not talking about
about talking about like wildness or whatever and for example if you’re if let’s take the medical world if you want to,
get a job in it
Nursing Home Hospital you want to get a job and doctor’s office dentist’s office you need to get a certain vaccines TB skin test flu shot before you start and then you may need to manually those are OSHA required and there’s Jayco required stuff and that’s just in the medical field those are mandated yet and people have to get them but then there’s other Specialties even some security guards need to have
B vaccine case they arrest someone there’s blood involved and
and not only that but there are government agencies policemen firemen you know we have the water department contract here and so part of it is B2B you know companies and
government agencies that need vaccines TB skin testing Laboratory Testing titers annual physicals.

[30:45] But it’s all wrapped around the vaccine and then we provide every service around the so that’s for corporate Health we do student health so where the outsourced Student Health Department for many Allied Health Schools that can’t afford to have their own student health department and,
for everyone school that can afford their own student health nurse and
Department there’s 1015 but I can’t so we service them we do travel medicines if you’re traveling to anywhere in the developing nations
you’re going to South America Africa Asia the CDC says you need to come see us or someone like us
and we give you a whole host of counseling I prescriptions for malaria travelers diarrhea high altitude as well as
the tell you what vaccines the CDC recommends for your itinerary so and that’s just a another
bucket of people who need adult vaccination and then there’s STDs then we have their STD vaccines so
we provide STD vaccines as well as STD testing and some treatment of just because we provide the vaccine so if we provide the vaccines we will do the whole.

[31:49] Thing in that in that sector,
so you have you don’t have to go to multiple places and yes and you say how do people find us I’ll tell you one thing
a lot has one company certainly find us rarely do they ever leave because
you know there’s no natural competition to go to you know often they fire the five companies
that they were using before they met us they fire their flu shot company their drug testing company they are place they were getting their vaccines there’s another place they were getting their physicals and another place you know they were getting their truck testing so.

[32:26] It’s really been.
And evolution of taking care of companies and people where they were running around getting that you know like you said you got your flu shot at Walgreens but what happens if you’re you know traveling or what happens if you needed a,
get a job you know in a healthcare environment where would you go to get the prerequisite stuff
hi if you’re starting nursing school tomorrow you know where would you go to get everything before you go to apply or get into nursing school or pharmacy school or respiratory therapy or so all of these people need to be taken care of.

[33:05] And are you available across the entire nation so we’ve we’ve launched E7 National which we’re using other
other Laboratories but the full range of service isn’t so we will be done is writing
we’re writing technology we have our own electronic health records our appointment software and practice management software so we can scale this regionally and then eventually nationally.
Well that sounds
like a bad is brilliant and idea is I have heard of in quite a long time and I’m really glad to hear that it has turned out to be a success for you it sounds like there’s a good chance that I might
have an opportunity to take advantage of it at some time before we move along to other things one thing I would like.
To mention and to compliment you on is your YouTube channel.
I have to say for Physicians particularly there is some really.
Profound and worthwhile conversation going on there and I want to congratulate you on a great
production I really enjoyed the few episodes that I’ve watched and I’m just going to pick one to ask you to expound on it because it’s such a.

[34:22] Such a area of profound misery for a lot of people you had one where you discussed the electronic health care record the EHR and I’m wondering.
Do you think.
That we missed a great opportunity with the HR way back at the very beginning or was this something that we were just going to have to live through and get through it and finally get it right sooner or later where do you stand on that.
What do you want me to give you the controversial answer or the non-controversial answer which one would you like.
Let’s go with controversial that usually gets lots of listeners so you know the controversial answer is that.
Most a lot of healthcare technology is written.

[35:12] With multiple goals simultaneously when when I say multiple goals multiple Masters they would of course they want to make the healthcare provider happy they want to make the patient happy but they really also want to make the.
Insurance company happy they want to make Medicare Medicaid happy and they want to comply with regulatory stuff and so really the prime directive is not too.

[35:40] Focus on user experience and necessarily quality although quality is important but.
And when I say not focused doesn’t mean they don’t address it it just means you know if you’re writing a software you’re writing it
usually for two parties right the person on one end of the transaction other end of the transaction but you know.

[36:06] Electronic health records and a lot of medical technology
is written to make multiple people happy I give this analogy all the time but it’s like going on a first date to a fancy restaurant and having the chef sit at your table throughout your whole dinner.
Somehow that’s going and be part of the conversation somehow that’s going to make whatever interaction you were going to have on that date not the same as if,
you are alone and I don’t know if that translates into electronic health records clearly for other people but just for me so when you look at what’s out there the electronic health records and the technology is really not.
Thought you know medical provider doctor patient and how do we maximize that experience it has multiple Masters and.
You know what happens is you know site trying to bake a cake and,
trying to make five people the table Happy Well I like mine extra sweet and I like my extra crispy and I like you know you’re going to get something to nobody’s happy with
and I think that’s where we are with Healthcare technology in general I mean yes there are breakthroughs whatever but it’s really not meant to focus on the patient.
For the healthcare provider at the exclusion of other people so let me see if I can take you a little deeper into.

[37:28] That question and at this point it’ll be tainted by my own attitudes of course but it’s interesting to me that.
We really turned up the throttle on the electronic health record,
in 2009 with legislation that was put forth in the Obama Administration and.

[37:52] To his credit I think he was trying to do the right thing he gave us a deadline and he said everybody is going to.
Beyond any HR or you’re not going to get paid by CMS and to me that.
Put the manufacturers of thr in the driver’s seat because they could give us anything they wanted to.

[38:16] And it didn’t really have to serve us and I and to me it seems like that’s where a lot of the heartburn came from and it in the in the heartburn is severe in my experience do you am I am I near the truth,
yeah I mean I think it’s multifactorial and you know I did a podcast son.
I just didn’t know the amount of time a doctor spends looking at a computer screen during a patient interaction and the numbers were staggering 7080 percent of their time but you are but at the end of the day though.

[38:48] Let’s say Randy let’s say you and I were we hire a whole technology team okay
and we write an electronic health records you know as Physicians you know we want to make it easier for us we want to make it easier for the patient okay and let’s say we
come up with a brilliant electronic health records amazing the best that anyone has ever seen right the patients love it it at gives them access to everything at their fingertips
get out the providers and the doctors love it because everything Auto populates the you know they can spend 90% of their interaction talking with the patient okay let’s say you and I develop that right
right now let’s say we develop it okay
and we go two major groups and say listen you use Randy’s and Jonathan’s soft electronic health records your patients will love you
you know it’s going to allow the doctor to spend you know,
300% more time talking with the patient and not typing into computer what do you think.

[39:48] And they would say that’s all wonderful Randy that’s all great what will it do to our Medicare reimbursements well it’ll go down 20% really nice wow are we selling that electronic health records,
okay I think that example says it all well I think we’re saying exactly the same thing at all ultimately it does always get down to the money yeah but if the money was the only being exchanged between.

[40:15] The patient and the doctor and not a third-party if you made the patient happy.

[40:23] They’d be happy to hand you the money right but the person handing you the money is not the same person.

[40:31] That’s you’re trying to make happy at least you know.
Putco pea-sized and deductibles but so you’re really trying to make someone who’s not the one that’s really paying you happy.

[40:44] Right so it because the money is a good incentive unfortunately.

[40:49] We’re getting the money from not the person when were sitting across in the exam room from it seems like we’re saying much the same thing and that is the economic pressure will.
Many times give us something that’s not quite sir food and we sooner or later we just kind of have to buckle under and deal with that.
It is very much worked out that way for us.
Well Jonathan I’ve really enjoyed this part of the conversation but what I want to do at this point is.
Really bring you to what we invited you here for when that is to give us some advice so audience I’m going to close my mic for a few minutes and dr. Jonathan baktari is going to give us his personal prescriptions for success.
Oh you know I think the.

[41:39] Personal prescription for Success that has worked for me is you know especially in the healthcare business is try to focus on what.
Is going to help you know others including patients staff and what I realized even in,
in every aspect of medicine I’ve been involved in when you practice great medicine quality medicine when you look out for patients you know at the end of the day that is the best business that is the best way to go in that often
you know provides the best solution for everybody is always just keep in mind the goal is to provide great quality care and,
and have the patient first their family also and everything else will settle in if you’re just simply focused on that and I think that’s something I try to teach
medical students and residents and new people getting in the field you know focus on them their needs
and everything else will fall into place and that’s my prescription well that is a lot of wisdom Jonathan and I really appreciate you being here too
share that with us I’ve really enjoyed the conversation and I hope you have as well.

[42:55] Before we go I want to give you an opportunity to tell our audience where they can find you and the YouTube channel and the podcast and
all that stuff yeah you can they can find us on YouTube at youtube.com forward slash baktari MD that’s be a KTAR IMD we also have a website bacterium d.com where you can see some of the podcast we’ve done some that we’ve been featured in as well as some of our interviews
and lastly you can go to E7 health.com and see our operations that are technology
that we’ve been rolling out at E7 health
and those are the great places you can find me on LinkedIn also at baktari Jonathan baktari those are all great ways to connect with us and we’re on all the social media
as well as your Twitter and the rest I will underscore one more time the YouTube channel is just.
Really engaging and I have enjoyed every minute that I’ve spent there and we’ll probably be there good more so with that
dr. Jonathan baktari thank you so much for being with us today it has been a pleasure thanks for having me Randy who is an honor.

[44:07] Thank you so much for joining us today we really appreciate a review from you and a five-star rating helps give our podcast much more visibility.
And that helps us reach more listeners.

[44:20] You can find exclusive content on our patreon page including membership only material like personal rapid fire Q & A sessions with our guests.
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[44:44] Special thanks to Ryan Jones who created and performs our theme music and remember.
Be sure to fill your prescription for success with my next episode.