"You can get past the dead end. You can break through the ceiling. I did and so have countless others."
In this episode, Justin sits down with Kara, a nurse practitioner with more than two decades of experience caring for patients with neurological conditions. As she prepares to launch her own business, they explore how years of specialized knowledge can become the foundation for something that reaches far beyond a traditional local practice.
Together, they discuss the opportunities and limitations of building a highly specialized practice, the role of telemedicine, coaching, and educational content, and why consistency can be one of the most valuable marketing tools a provider has. They also talk about creating multiple revenue streams, building a business that isn’t tied to every hour worked, and using today’s success to invest in tomorrow’s growth.
If you’ve spent years developing expertise in a specific area of medicine, this episode offers an encouraging perspective on how that experience can become the foundation for a business that’s both impactful and built for the long term.
00;00;02;17 – 00;00;24;10
Unknown
Greetings. This is just an hour for nurse practitioner. Welcome to the Elite Nurse Practitioner Show podcast dedicated to nurse practitioner entrepreneurism and achieving financial freedom, where I talk directly with nurse practitioners who need help. Listen up. Our market is saturated. Jobs can be scarce. We are underpaid. We are undervalued. We are taken advantage of by the sharks within the healthcare system.
00;00;24;10 – 00;00;47;18
Unknown
And frankly, screw that. Sick of it. It’s time for a change. And listen, I’m here to help make that happen. We are powerful. We can forge a path. We are in control of our career and ultimately our financial and personal well-being. You do not need to submit to healthcare ministry and your doctor. You do not have to take a measly salary.
00;00;47;20 – 00;01;08;29
Unknown
You do not have to work 50 to 60 hours a week. There is a different way. And I’m here to show you that path. This podcast is what I do. I have not talked to the nurse practitioners of this podcast prior to the call, outside of an email exchange to schedule the episode. What you’re about to listen to is a consultation session between a nurse practitioner and myself.
00;01;09;06 – 00;01;31;01
Unknown
It is real. Is it scripted? It is unplanned. I have no idea what we’re going to talk about. Anything and everything can happen. During our conversation, the nurse practitioner. These episodes are struggling with an issue in their professional or financial life. They have reached out to me for help. My goal is to help the nurse practitioner with actionable advice that will enhance their professional business and financial life.
00;01;31;03 – 00;01;53;01
Unknown
My other goal is to hopefully help my nurse practitioner, sisters and brothers build a more productive, powerful and free life. So I hope the content information within these podcast episodes does just that. All right. On to the episode. Everyone. Today we will be talking to Kara, who is a family nurse practitioner. Currently, she is working at a neurology practice 30 hours a week.
00;01;53;03 – 00;02;13;05
Unknown
She started her own niche neurology practice, focusing on more alternative treatment approaches such as GLP one and medical cannabis. She’s needing assistance with pricing and packaging her services, developing optimal workflows, and getting over some analysis paralysis. Hey, care, how are you? Hey. I’m well. How are you? I’m good. Thanks for being on here. So tell us about yourself.
00;02;13;05 – 00;02;40;22
Unknown
How long you been nurse practitioner for? And I guess I’m curious how you got into neurology as a family and be. Yeah, yeah. I’ve been a nurse practitioner almost 26 years. So I’ve been doing it a while and all of that. But three months have been in neurology. So when I, got out of school the year 2000, the olden days, there, I thought I would do family practice, and I just wasn’t able to find a job.
00;02;40;24 – 00;03;06;23
Unknown
In family practice at that point and had some connections with someone in neurology. Ended up getting a general neurology job. And then that practice opened a specialty Ms. clinic, which I moved into. Ended up loving that and then have some personal connection to Ms. as well. And really, I’ve been specializing in Ms. with a smattering of general neurology for this whole time.
00;03;06;25 – 00;03;32;17
Unknown
I took about six years, and I was a medical science liaison for a pharmaceutical company. Also in Ms.. In their neuro immunology division. And then came back to practice just, gosh, almost a year and a half ago. All right. Interesting. So I’m assuming you like neurology, then? I do, yeah. Especially. Ms.. Yeah. Yeah.
00;03;32;18 – 00;03;54;16
Unknown
Yeah. Okay. I mean, chances are, and the chances are probably pretty high that you are potentially one of the most knowledgeable NPS in the country with Ms.. It’s definitely a possibility. So congratulations. Thank you. Yeah, I know a lot of smart, smart cookies doing this stuff, so I don’t know, but thanks. I’ve done it a long time. Yeah.
00;03;54;16 – 00;04;08;26
Unknown
Yeah. Well, I don’t think a whole lot of, you know, a whole lot of not a whole lot of employees have, you know, about that kind of experience with Ms.. So it’s pretty cool. Yeah. Okay. So you are wanting to start your own practice or you’re kind of in the, in, you know, in the midst of doing so.
00;04;08;26 – 00;04;30;23
Unknown
So I guess what provoked that decision to kind of move away from being employed? Maybe eventually, you know, do your own practice. Yeah. Yeah. And I don’t totally know. I mean, I don’t know if that’s completely my dream to move away from my, my day job, so to speak, in total or not. But, yeah.
00;04;30;23 – 00;04;58;09
Unknown
So I, I love working in clinic and I actually have a pretty good situation as far as I’m not, you know, having to grind it out, like seeing a million patients a day and just I’ve got I’ve got a good situation there. But in particular, my time as a medical science liaison, I was able to, you know, see a whole bunch of different neurology practices all around the really the whole west, southwest and the big northwest.
00;04;58;12 – 00;05;22;10
Unknown
And, and realize that some of the things that are sort of part of my routine practice with patients aren’t necessarily part of everybody’s routine practice. Not I’m not saying that as a fatigue. There’s just not the time or, you know, the expertise or, you know, whatever. So included in that. Cannabis has been such a game changer for some of my patients.
00;05;22;10 – 00;05;46;08
Unknown
And, the state that I’m in, it’s, you can only use it medically. So it’s not recreationally legal. But during that time, I was away from practice. It, I was I’m now able to do medical cards, and I was never before that. So coming back to practice a year and a half ago and seeing some of those patients I’ve known for 25 years getting off opioids or, you know, some some things like that.
00;05;46;08 – 00;06;25;14
Unknown
Pretty dramatic. I just I feel really strongly about that as an option for patients. So that as an example, you know, there’s some, some practices that just don’t want to mess with that. You know, they don’t want to, maybe be the one to sign off on the medical card. And also, have a worry about, you know, someone going down the street to someone else who’s going to give a medical card because miss or whatever is a qualifying condition, but without maybe as much education or looking at, you know, their different medications they’re on, you know, different things like that.
00;06;25;14 – 00;06;52;25
Unknown
So kind of seeing a little niche for that. And then on the GLP one side, I’m, I’m really just fascinated with the, the science and how it’s, it’s really moving towards, I think, being utilized in not just mass but, many inflammatory conditions and, yeah, again, just build strong. I’ve just seen patients, you know, lives really change and improve for the better.
00;06;52;28 – 00;07;18;08
Unknown
Not only I think because of weight loss, they think there’s just there’s more to it. And so just, just for sort of trying to get up to speed on that and be a place where, practices and providers could refer their patients because I know other people are thinking this way too. But again, they don’t have the bandwidth to really take that on.
00;07;18;10 – 00;07;42;24
Unknown
And so I would love to be that person and, and hope to do just give those two things as an example, hope to do those two things without being a threat to these referring providers that I’m going to take their patient from them because I want to just do the specific thing. Yeah. So there’s there’s other barriers to that to you in practices, but I don’t want to keep going on and on.
00;07;42;24 – 00;08;04;29
Unknown
That’s sort of the that’s sort of where I started. Okay. Interesting. So, so you see that there’s a need I’m assuming this is going to be cash. Cash. Yes. Yeah. Okay. Yeah. I mean, what you do in cash, you can do a lot of stuff. Right. But an insurance based practice just simply cannot, you know, like, is prescribing a GLP one off label for something?
00;08;04;29 – 00;08;32;02
Unknown
I mean, is that going to be covered and probably not. Right. Cannabis sure as hell ain’t going to be covered, right? Yeah. So, so yeah, yeah. The medical cannabis aspect of it, you know, you were talking about and I had a few thoughts kind of creep up. Yeah. And, you know, I did medical cannabis for, for years, from 2018 all the way to 2023 or something like that.
00;08;32;03 – 00;08;52;13
Unknown
I mean, I did it for almost 5 or 6 years ish. And, you know, I probably gave I hate to say this, but I probably is one of the the top medical cannabis producers of the state, for the cards, like I probably was. Yeah. Like the medical director, like, knew my name and he would text me and stuff, you know, for the medical cannabis program at the state level.
00;08;52;13 – 00;09;17;26
Unknown
Yeah. And so, you know, the fear surrounding it that some people have is complete nonsense. It’s no one gives a no one cares. DEA doesn’t care. It’s boards don’t care. Nobody gives a shit. No one does. You know, the fear around it is dumb. It’s it’s it’s complete nonsense. There’s nothing to worry about. The liability associated with it is practically zero.
00;09;17;27 – 00;09;37;02
Unknown
I mean, what’s the worst? It’s going to happen. I mean, honestly, it’s cannabis. It’s it’s weed. Like, what’s the course? It’s going to happen, right? Like it’s very little, you know, so if you were like, well, what if they smoked some and then got into a car wreck and would you be like, oh, come on, you’re not gonna be liable for that.
00;09;37;02 – 00;10;01;00
Unknown
That’s a complete nonsense. That’s just like prescribing someone some some pills and they take more and it’s just complete nonsense. Right. And I don’t know if anyone has ever crashed because they’re smoking weed and driving. They usually drive better. So. Right. Yeah. So anyways. So. Yeah. So, I applaud you for doing it. It’s, it’s it’s it’s a very interesting thing to do.
00;10;01;03 – 00;10;21;13
Unknown
And, Yeah. So I guess so. Here you go. Cash. You provide a variety of different these, these, these alternative kind of services and stuff. So you mention that you were, I guess you were thinking about you might be worried that people might not refer patients to you because they think that you might take them from them.
00;10;21;15 – 00;10;41;11
Unknown
I don’t they’re not. That’s going to be much of a concern, to be honest with you, because yeah, I just but anyways, I’m curious here your thoughts. Yeah. My I think my only thing there is just only because I’ve been doing this for so long that some people know my name and, you know, the practice I’m associated with.
00;10;41;14 – 00;11;12;00
Unknown
And they’re just maybe if they’re there, even though this is a totally separate thing, I think maybe I’ll have to be very direct about being able to communicate that it’s my own thing, not associated with my practice in the city. You know. Yeah, I, I don’t think it’s a huge, a huge thing, but it is as I’m just trying to think of, like, what are what are all the barriers or what, you know, if I was a provider on the other side, like, what would my know be?
00;11;12;02 – 00;11;35;23
Unknown
You know, I don’t think there’s gonna be a whole lot of them. And honestly, I don’t know if there’s going to be a lot of referral business for you. I mean, I’m sure there’s going to be some. But I would say the majority, your patients probably just could be coming to you because they’re you know, they’ve they’ve researched this themselves and they find you, you know, right, that a lot of patients are probably coming from that aspect of it too.
00;11;35;23 – 00;11;52;21
Unknown
But for the referral source of it, you know, if you’re cash only and they most these practices are going to be insurance accepting practices. I mean, they should pretty much mitigate any kind of fear, you know, take the patient you’re just treating and very specific thing. Well, yeah. I don’t think they’ll worry. I’ll take the patient to that practice.
00;11;52;21 – 00;12;10;24
Unknown
I think they’ll worry, they’ll follow me or I’ll take them to my. I got you insurance based practice. Yeah, yeah, yeah. Yeah. I mean, that could be a I mean, that could be a concern for some of them, but, I don’t really know how you can mitigate that other than just telling them straight up you’re not going to.
00;12;10;24 – 00;12;33;29
Unknown
So I honestly, I wouldn’t worry about it now. What I would worry about is, and this will happen is that people will call the practice that you work for maybe asking about these services over here, this other practice. So yeah, there could be some backlash or, may suggest some backlash or, some difficulties with the front office staff.
00;12;33;29 – 00;12;56;15
Unknown
They’re talking to these people and referring them over to your other business, potentially, and then having to answer calls because people are confused. Right. And that’s happened to me before with a lot of different businesses. I’ve had. Okay. I’m dealing with it right now. Like right now I’m dealing with something like that. So, so yeah.
00;12;56;17 – 00;13;17;25
Unknown
So I guess my, my, my question is, is the business that you’re working for right now, they don’t care. You’re doing this and I’m doing it. They’ve they’ve been really good. We we had some back and forth about sort of what felt okay to them. And you know I have some have had some other ideas that I’m not pursuing right now just because it’s not the right time and whatnot.
00;13;17;25 – 00;13;48;21
Unknown
But yeah, they, I can’t refer to myself, of course, you know, from my practice to myself, but they put in writing, that my colleagues in my practice can refer to me outside, so it does. That makes sense what I’m saying. So, like, I work with three other NPS and, you know, three neurologists, if they want to send someone to me for help, one at my other practice, that’s totally fine.
00;13;48;23 – 00;14;33;01
Unknown
And in my, my current practice, my insurance based practice, I mean, we’re doing medical cards. We’re doing, like I prescribe branded GLP one. I just from an, company level cannot prescribe compounded medication. So it’s, it’s filling that need to for, you know, my own practices patients. So maybe that’s a question to you. I’m, I’m sort of trying to navigate that one with, you know, patients that I see and know very well at my day job practice that I want to let that know, you know, like I can prescribe compounded GLP one over here but still keep that, you know, on the up and up.
00;14;33;03 – 00;14;53;21
Unknown
Yeah. I think just telling them is okay. You’re not referring them to you. You know what I mean? The yeah, I do this over here is an option for you. You can go elsewhere long as you’re not actively referring people. Like where people get in trouble is, is that they make the patient go over to this outpatient imaging center that they own.
00;14;53;22 – 00;15;17;10
Unknown
Yeah, they make them go over there. That’s where you get. Yeah. Right. Yeah, yeah, yeah. So I wouldn’t worry too much about just phrasing. That’s true. At the end of the day. Come on. Like who’s who’s going to even you you, you think someone from Medicare is going to come in posing as a patient, a secret agent fucking recording you like this isn’t going to happen.
00;15;17;10 – 00;15;38;05
Unknown
Don’t worry about it. I don’t I don’t worry about that level. I worry just about my, like, local, you know, medical director like that, that type of thing. And then. Yeah, right. Like it’s I mean, this is my, my work professional family too. So it’s it’s. Yeah. I’m just trying to navigate it. Okay. Right. Everyone feels alright about being.
00;15;38;06 – 00;15;53;06
Unknown
Yeah, yeah, yeah I think I said I would, I think I would just pose it that way. I think I would just say something like, if you’re interested in that, I do do it over here. Just FYI, if you know me well Sean, welcome to yeah. He’s like, you’re not you know, I mean that’s it. Yeah. Yeah.
00;15;53;08 – 00;16;13;29
Unknown
Okay. Yeah I just again I wouldn’t, I wouldn’t worry about it. I wouldn’t lose sleep over it cause I’m probably overthinking it. I know I probably overthinking that one. And I just think that. Yeah. Say something like, I’m working a day a week over here, and that’s part of what I do. Yeah. The end. That’s right. It causes no harm to anybody at all.
00;16;14;02 – 00;16;38;16
Unknown
You know what I mean? So as long as you’re not causing harm, then. No, I wouldn’t worry about it. Right? What are you not committing? Fraud? Stealing money from someone, stealing business? Then who cares? It doesn’t matter. So. Yeah. One thing that I am concerned about, though, is with this business. One thing that I do think that you really need to think about is that this is a very, very niched thing.
00;16;38;19 – 00;17;00;25
Unknown
Okay? And I’m all about niche businesses. I think the more just you are, the higher the chances of success that you have. But there comes to a point where you will plateau and you will not be able to grow. Staying within a specific niche unless you branch out and go to other places, other regions, go tell them, add whatever.
00;17;00;25 – 00;17;23;10
Unknown
It’s only way you can be able to grow this thing past a certain level. So this business is going to be capped fairly quickly, just based off the amount of people or just within your region. Right. Yeah. So so yeah. So it really depends on what your goals are long term here. I mean if you want something that just pumps out an extra 5000 bucks a month for you, then I wouldn’t worry about it.
00;17;23;10 – 00;17;42;06
Unknown
But if you’re looking for something that’s going to scale and grow, something that you know could potentially generate something more like, you know, replace your salary or even more, right? Yeah. If you’re looking for something like that, then we need then we need a party to drop some other stuff that you might want to think about. Yeah.
00;17;42;07 – 00;18;02;02
Unknown
Know what? Your goal. Yeah. No, I I’d love to think that through. I mean, I think I have a decent amount of imposter syndrome, you know, like, probably a lot of us do, thinking through what the possibilities could be. And so just in that I’m like, well, like, why am I even worrying about that? Like, this is just some extra cash coming in.
00;18;02;02 – 00;18;19;25
Unknown
But but the reality is, I mean, I’m 51 years old, right? So I’m looking at the next ten, 15 years of like, what do I want my retirement to look like? And yeah, that would be great if I had that more money going into that. Yeah, yeah, yeah. Yeah. I would love to brainstorm. You know any. Okay.
00;18;19;27 – 00;18;42;13
Unknown
Yeah. That. Yeah. I think this is probably one of those important parts of this episode, to be honest with you. Is this that, this aspect of it. So, you know, again, there’s only be so many people in your area that are going to need this. And the thing with medical cannabis cards, it’s very treat and street kind of thing for the most part.
00;18;42;13 – 00;19;05;12
Unknown
Yeah. I don’t know the exact rules in your state, but most of the only takes earlier requires a yearly renewal. Yeah. Yeah. Okay. So you’re going to see this patient once a year, right? Maybe see them occasionally if you need a dose them or, you know, recommend specific stuff. But let’s get real here. Cannabis hits everyone differently, right.
00;19;05;14 – 00;19;37;14
Unknown
You cannot view everyone like people’s tolerances are so widely different with cannabis. I mean it varies significantly. I’m 187 pounds okay, mostly muscle. And I’m not joking. You like one milligram of THC me up. Okay. Like, yeah, I get stoned on it. I live in Colorado to recreational cannabis street and buy it. Okay. I don’t use it very often.
00;19;37;16 – 00;19;58;17
Unknown
Every once in a while I might use a little cannabis, you know what I mean? And it’s mostly just like, you know, right before bed or something, you know? And so one milligram, like I said, makes me stoned. My sister, on the other hand, will take 50mg at one time, and she feels normal and she drives around and just works.
00;19;58;23 – 00;20;25;07
Unknown
Yeah. If I took 50mg, I would be out for days. You know, I probably have a panic attack I by going to psychosis, to be honest with you. Right. So yeah. Right. So during the initial visit you tell them kind of these are the recommended start low, go slow, blah blah blah blah blah. Right. So people probably are going to be coming you very regularly for, for assistance because it’s people just figure out what works, you know.
00;20;25;07 – 00;20;47;03
Unknown
And chances are a lot of people actually might be using it already. You know. Yeah. So so that is one thing that’s going to be a very it’s going to be a barrier to the growth of this business. Okay. Medical cannabis cards is something that is a I call it a fly by night kind of business. It will go recreational eventually in your state.
00;20;47;03 – 00;21;09;05
Unknown
It always does. It never stays medical. Okay. It probably will go recreational at some point, might be ten years from now, but it will. All right. So I mean I’ve seen pretty conservative states go recreational like it can happen I mean Oklahoma with recreational it’s pretty conservative state. Right. So yeah. So you know it can happen. So so that’s one thing you got to think about.
00;21;09;05 – 00;21;28;26
Unknown
So the medical cannabis thing, when you go into this business, I want you to go into it knowing that the medical cannabis component of this business is simply easy money, and it’s going to be a fly by night thing, and it’s probably not gonna be something you gonna be able to scale long term. Okay. Yeah, it’s there it is.
00;21;28;26 – 00;21;51;26
Unknown
What it is it some people in the door and knowing they exist and you know. Yeah, exactly. And try to sell them on something else, dragging them on something, something else. Right. Get them there so they know. They know who you are. Right. That’s that’s basically it. But don’t rely on the cannabis to be anything long term. Like I knew when I first got into medical medical cannabis, after about 2 or 3 years, I was like, I saw what, I saw what it was.
00;21;51;29 – 00;22;15;05
Unknown
It was simply easy money, giving people cards. That was it. I knew I couldn’t scale or grill that thing. You need anything significant. That’s why I started my mental clinics when I started leading other businesses that were scalable. Right? Yeah. Things could grow long term. And I’m glad I did so because the medical cannabis in my state went recreational and I think 2022, 2023 and then my business just went boom, I closed it down is a waste of my time anymore.
00;22;15;05 – 00;22;37;09
Unknown
It’s totally okay. Yeah. So anyways, just keep that in mind. Now the other things, obviously that stuff is scalable GLP ones and whatever else that you’re going to do. Okay, so I think that if you only do this, if you position yourself from a neurology standpoint, only then it’s significantly, significantly narrows down who you’re going to see.
00;22;37;11 – 00;22;54;21
Unknown
And it’s it’s it’s going to impact your revenue. At the end of the day, it’s just it’s just the pain. So you will cap and you will plateau fairly quickly. Right. So you have two options. Basically, if you want to grow this thing into something, you’re 51 years old, you want to build a little bit more retirement savings.
00;22;54;22 – 00;23;16;24
Unknown
You can go into retirement with, you know, decent, you know, a decent nest egg, not having to rely on Social Security for one guy, you know. Yeah. You know, pay your house off, pay some debt off and just, you know, like, all that kind of fun stuff. So. Yeah. You have two options. Option number one, if you want to stay within this niche with neurology, fine.
00;23;16;26 – 00;23;38;25
Unknown
But you will need to expand out of your area. Okay. You probably need to go tell them Ed, and you will probably need to go definitely to the state level at your at an entire state, but you probably will need to branch out to some other states. Okay. Yep. That that business model is completely different than a local business model.
00;23;39;02 – 00;24;05;24
Unknown
Okay. Option number two is you stay local. Regional. All right. Neurology is is it is your focus. But you’re more of an integrative clinic that does a variety different things okay. Neurology is your specialty. But you can also do some other integrative functional medicine kind of stuff for people who might have some other issues. Right.
00;24;05;27 – 00;24;26;14
Unknown
You know maybe you can manage peoples. Oh I don’t know. You know, I mean their blood pressure or whatever with some different integrative kind of methods. Maybe see some cancer patients for certain things, more of an integrative kind of clinic where you do a variety of different things off a lot of off label stuff, alternative stuff, hormone replacement therapy, etc..
00;24;26;14 – 00;25;01;22
Unknown
Okay. I think that’s the way that you would be able to go local, stay local, and actually grow it to something outside of just being in that real narrow niche of neurology. Yeah. I could be completely wrong. And this practice with only doing neurology okay. Could do very very well. It could. All right. But from people that I’ve talked to over the last seven years of doing this, you know the lead me, I have only met a handful of people who have done something very specific like this and done well in just one area.
00;25;01;22 – 00;25;23;05
Unknown
They had to branch out. All right. So, yeah. So with that said, what are your thoughts? Yeah. No, that makes total sense to me. Let me. Yeah. Catch you with some other maybe details that could be pertinent. So in my MSL job, you know, I was going out to all these different practices, around the West.
00;25;23;07 – 00;25;44;02
Unknown
And just because I’ve been doing this a long time in such a subspecialty of Ms.. I, I know a lot of people. It’s a small community. Right. If those of us treating Ms. as our focus. So I have, you know, throughout the West, I know providers that I could get in touch with to let them know I’m doing this.
00;25;44;02 – 00;26;05;01
Unknown
If, you know, to refer patients. Hearing what you said, though, about the referral, I don’t know, I go back and forth on it only because of the the providers that I know and have known for a long time. You know, I, I don’t know, I don’t I don’t know, I think I just need to see as far as referrals, you know, how much would come from that.
00;26;05;04 – 00;26;32;14
Unknown
But my, my point being, I have local referrals and maybe honestly, almost even more outside of the state. So I was already thinking, you know, do telehealth, start here and offer telehealth? And then would love to branch out and kind of already in my mind have like, which neurologist and which practices I would get in touch with in some other states that I know who I think would be very in favor of this.
00;26;32;16 – 00;26;51;09
Unknown
So you were kind of thinking about that anyways. Good. All right. So yeah. Okay. So if you want to do this, I’m gonna give you just a very brief rundown on how to do this. Okay? I’m ready. Right way. All right. This is basically this is really no different than starting really any kind of digital business. All right.
00;26;51;12 – 00;27;08;21
Unknown
Okay. So, you know, I had something else on the side called pro course out. Right. Teach you how to start businesses. Okay. What I’m I to talk about with you right now, it’s kind of similar to that. It’s kind of similar to someone who’s starting a who wants to be an influencer or something. Okay. A lot of this is going to be the same sort of thing, right?
00;27;08;21 – 00;27;29;00
Unknown
This general general principles are the same. Now you want to do this the right way. Number one, obviously get some licenses in some different states. Right. That’s a no brainer. You know independent states right. Like don’t deal with the ball a you know a doctor collaborate and all that nonsense, you know. Yeah. Yeah. Don’t deal with it. Right.
00;27;29;00 – 00;27;47;17
Unknown
The only the the only state that it’s worth dealing with that headache is Texas. There’s a lot of people in Texas. Yeah. California is an utter pain. And they do business in don’t do it in California. Don’t you know, maybe you maybe you can. I have heard that. I think so, but no, I’m not in California. Okay. Yeah.
00;27;47;23 – 00;28;08;22
Unknown
California is a pain in the ass to do business in. I don’t understand how that state has the fourth best, greatest GDP in the world. I don’t understand who does business there. It’s a pain in the ass. So, anyways, Texas, Florida are the two states, in my opinion, that are worth doing it with a collaborator because they’re highly populated states.
00;28;08;23 – 00;28;30;03
Unknown
There’s a lot of people there that are willing to pay. Cash is a lot of money in those states. Okay. So during this Texas and Florida, in my opinion, it’s worth dealing with the headache of a collaborator. Okay, okay. If you got some business there to make it worth your while. All right. So anyways, other outside of that, do your research, get licenses to whatever state that you want.
00;28;30;06 – 00;28;52;17
Unknown
30 some states that are independent at this point. You know, whatever you want to do, go with more than you know. Go with the ones that have a little bit more of a population to it. You know, some states like, you know, that are independent, like, oh, I don’t know, like South Dakota or North Dakota. You know, there’s a lot of people there, right?
00;28;52;18 – 00;29;11;21
Unknown
You know. Yeah. Is it worth Wyoming is one zero. It’s not a lot of people there, you know. So you might even be a Wyoming. But anyways though. So like it’s just those states are you know just do some research. Be smart about it. Right. All right. So yeah. Yeah okay. So number one get your licenses or whatever.
00;29;11;24 – 00;29;37;13
Unknown
Number two, set this up in a way that you can do state to state business. Right. You know, operate on the LLC that you have already. That’s fine. Okay. If you do a Wyoming LLC it’s a little bit easier to do more state to state kind of stuff. There’s no income tax associated with a Wyoming LLC. Your privacy’s protected, but privacy doesn’t matter with this kind of business, because you’re gonna be the face of their would.
00;29;37;14 – 00;30;01;27
Unknown
Everyone knows you. Yeah. We matter. Okay. So anyways, so you’re gonna do that? The, the way you’re going to get patients is you’ll get some firm referrals from people like, you know. Sure. Okay. That’s not where most of your business is going to come from, though. Most of your business is going to come from people who find your content online, okay?
00;30;02;00 – 00;30;29;06
Unknown
And they resonate with it and they want to see you because you are talking to them. You’re causing an emotional response with them. You’re giving them hope, right? They’ll schedule an appointment with you. Now, there’s a group of NPS out there, for them, the exact name of the business, they do PCOS stuff. All they do PCOS, literally nothing else think is like foreign piece that that started this, right?
00;30;29;09 – 00;30;54;12
Unknown
It’s $1 million business. Honestly. Yeah. From what I looked at, the following and stuff, all I do is PCOS and nothing else, and they have thousands of patients and clients because this is what they do. They have a YouTube channel, a TikTok and Instagram, a Facebook page. They publish content on a regular basis. Okay, talking about nothing but PCOS.
00;30;54;12 – 00;31;21;11
Unknown
So for you, it’d be nothing but a couple conditions that you work that you are the expert in. And this obviously is one of them. They’d be a couple of migraines or whatever. Okay. And you just focus on those right. And you talk about in these videos how you treat patients with it, how it affects them, what the benefits are, what you see, you go through, you know, you do case study videos, blah, blah, blah.
00;31;21;12 – 00;31;39;14
Unknown
All right. You make these videos interesting. You make them entertaining, you make them you make them hopeful, right? People who are watching this, you give them some hope, right? That’s kind of what you’re doing. You will if you do that. Okay. It will take some time. It takes about 6 to 12 months for that to really start gaining traction.
00;31;39;17 – 00;32;01;03
Unknown
And that’s where most people quit. That’s why everyone doesn’t do this. Okay. Yeah. It’s the people who stay consistent with it who are persistent with it and give it 6 to 12 months. Okay. If I would have if I would have gave up with cleaning up after three months. Okay. I was publishing articles and doing stuff. I wasn’t really getting all that much traction in how to quit in three months.
00;32;01;05 – 00;32;20;11
Unknown
None of this would have ever happened. Okay, but I stuck with it and the people I know have done well. But I want to stick with it. Okay, so for six months, do not expect a whole lot, right? You might have a video here or there. Kind of go viral within that little community. Okay. People with Mis or whatever, you guys are getting a lot of comments and stuff.
00;32;20;19 – 00;32;39;20
Unknown
All right. So if you do that, you will get lots of people who will try, who will want to make an appointment with you. Right? You’ll all be telemedicine. You could prescribe them whatever you want. Medical cannabis yet throw that one out the door because you’re not gonna be able to do that, you know, versus yeah, or whatever, right?
00;32;39;21 – 00;32;54;14
Unknown
I won’t even bother with that. You just mention it, you know. Yeah. You know, give you. Yeah. If you if it’s recreational in your state, this is what I would recommend you do make a video about it. Whatever. You don’t make any money from it. But whatever you’re going to gain people’s trust. Right. You establish yourself as the authority.
00;32;54;16 – 00;33;20;26
Unknown
So you create videos and you prescribe them whatever. If people reach out to you from different states that you’re not licensed in, which will happen, okay, because this is going out to the world, right? Let’s say that you get someone who’s from, oh, I don’t know, Tennessee or something. All right. And they reach out to you. This is where you have a coaching program where you coach them and tell them this is what you can do better than the other.
00;33;20;29 – 00;33;35;15
Unknown
Yeah, you can go to other clinics and get the stuff prescribed to you. And I can recommend dosages for you and I can do that, but I will not prescribe. I will not treat you, I will not diagnose you. You basically will not you will not use your license. You are a coach, right? Yeah. You do that, right.
00;33;35;17 – 00;33;57;00
Unknown
You do that. If you just do that right there, you will be quitting your full time job in 1 to 2 years. You will be so busy you probably either another NP or 2 or 3, and you will train them on the protocol that you that you’ve developed. And this will be a business that could literally scale into a seven figure business.
00;33;57;02 – 00;34;20;25
Unknown
Scaling a local clinic to seven figures is very, very difficult. Scaling it something like that to seven figures is a hell of a lot easier, because now you’re throwing in net across the entire country versus one city, right? Yep. Yeah, that’s that’s how you do it the right way. Yeah. I’m glad you mentioned coaching because I was thinking about that too.
00;34;20;25 – 00;34;48;13
Unknown
As far as you know. Crossing state lines does it make sense to to start with coaching, like while I’m getting, you know, licenses in other states? Tip I don’t know, I think I get again, analysis paralysis. Like, is that too confusing if I, you know, offer coaching outside of my state and then switch like I don’t know know or do one thing in my state and you know something else elsewhere.
00;34;48;15 – 00;35;07;05
Unknown
No. So basically on your website you say, you know, you have a link that says book A, you know, book an appointment with Cara. That’s it. Right? Book a visit with Cara. You know, at the end of every video that you have, you can mention something like this if you’re interested in, you know, if you’re needing one on one help, go the link below.
00;35;07;05 – 00;35;23;11
Unknown
Click on it. I’d be happy to have it, you know, and I you know, I’d be happy to have a visit with you or whatever. I treat patients all across the country and that’s just that’s just, you know what you say, okay, okay. Don’t try and sell people on it. You just mention it. They go to your website, they click book an appointment with Cara or whatever.
00;35;23;16 – 00;35;42;05
Unknown
Right. And they’ll be two options on there. Two buttons. One, if you are in these states, I can see you as a patient and diagnose and prescribe medications to you. Click here. If you’re in one of these states, if you are not one of these states, I have a coaching program, one little paragraph that briefly describes that book, an appointment now.
00;35;42;07 – 00;36;01;27
Unknown
And that way you have two schedulers, basically in two different calendars, essentially one for coaching and one for actual medical visits. Write the consent forms for each ones are different, right? Coaching consent is a lot different than the consent you’re going to do for treating a patient. Right. So that’s kind of that’s kind of what you do with it.
00;36;02;03 – 00;36;27;25
Unknown
And that’s how you do it. Right. And this is the thing too though I doubt that you will be getting a lot of business for the first few months. Okay. It typically takes a little while for these things to gain traction. All right. The first video you post on YouTube might have five views. Don’t get discouraged, right? Expect it.
00;36;27;28 – 00;36;57;01
Unknown
Expect that. All right. The first real you. You know, you post on your Instagram page, make it two two likes expected and expect that to be the norm for the first six months. All right. But but this is what will happen every once in a while. One of your videos will get 100,000 views. Every once in a while, one of your reels will get 1500 likes every once in a while.
00;36;57;04 – 00;37;18;20
Unknown
Okay, that’s how this goes. Do you go to any person’s Instagram page and anyone who has like a lot of followers and stuff go their Instagram page and just go through the reels. Thousand views, 2000 views, 5000 views, 1 million views, but the majority of them are like 5000 views or whatever, right? Yeah, right. Okay. So just have a realistic expectation of that.
00;37;18;20 – 00;37;40;26
Unknown
Don’t get discouraged because a lot of people get discouraged when they don’t, you know, hit gold in the first month or two. That’s just yeah, part of it. Yeah. Yeah. So yeah. Yeah. So if you do that, you will not have to spend any money marketing this thing at all. Okay. Because of the telemedicine practice, marketing is the biggest the biggest expense.
00;37;40;26 – 00;38;01;22
Unknown
Right. Because you’re very niched and because you’re only going to be talking about maybe miss migraines or something, right? Because you’re only gonna be talking about 2 or 3 different things. That’s it. People will find you. People will find your videos on YouTube. The second biggest search engine in the world. Okay. Well, yeah. So you create a video.
00;38;01;24 – 00;38;22;27
Unknown
Yep. How to treat your miss with GLP one. And it’s a 30 minute video and you’re talking about it I guarantee you I, I guarantee you that gets views. How to use medical cannabis for migraines or whatever, you know, whatever the video is. Right? Yeah, yeah, yeah. So every week you publish one big video just once a week, it’s all you gotta do.
00;38;22;27 – 00;38;52;29
Unknown
Okay? Once a week you publish one video, a 30 minute video, a good video with lots of value, lots of information in it can be about anything that you want, as long as it falls within this kind of, you know, within this niche, so long as it’s complimentary. Right. That’s it. 30 minutes. And then with that 30 minute video that you have from that 30 minute video, you can get six reels out of it that you publish for the rest of the week.
00;38;53;02 – 00;39;15;24
Unknown
All right. Well, content strategy is done and all it takes you is a 30 minute video once a week and then taking a little bit of time to make six reels with AI is easy to do. Okay, okay. And then you just have a nice website, okay. A nice website that has some articles on it too. Okay. You’ll need to have some articles on your website and then hyperlinks to your YouTube channel as well.
00;39;15;24 – 00;39;35;03
Unknown
So people, if they land on your website, they can see the videos, they can see the articles that you write, okay. So you can use them or, you know, you can have articles, that helps with your SEO and people just finding you and stuff. Right. I see what you offer. They watch your videos, you’re like care knows what the hell she’s talking about I am, I’m starting to trust her.
00;39;35;03 – 00;39;57;02
Unknown
I’m gonna actually you know I’m not going to point with her 200 bucks. Yeah okay. Sounds good. I’ll give it a try. Right. You would be surprised how quick that can grow. And that turned into a seven figure business okay. Stick local I highly doubt I would ever turn to a seven figure business. Yeah. Yep. There’s what can I ask about a little bit of a pivot.
00;39;57;02 – 00;40;24;19
Unknown
Can I ask you about one other thing. Yeah. So so to me this still makes sense and falls under the same umbrella, but I don’t know that it would necessarily do other people. So I think I mentioned initially, some cognitive testing that, that I was hoping to offer. And, and to me, this honestly feels like the kind of, sort of like medical cannabis, but but even easier to, to do it.
00;40;24;19 – 00;40;51;06
Unknown
So, there’s a computerized cognitive test that takes a patient, you know, 45 minutes to an hour. It’s actually really good, really valuable. In my world, the kind of ideal is you’re doing baseline cognitive testing, and then you’re repeating it. You know, annually or whatever to follow that along. And so, so that as one service which really takes me nothing because it’s computerized.
00;40;51;09 – 00;41;24;27
Unknown
So in that way, I’m sort of just like the conduit, I guess. Secondly, I have this thought of if I could partner with like, disability attorneys or, you know, somewhere that kid could be me. Some patients that need that objective time stamped, you know, cognitive evaluation. In my mind, I see that being, you know, something that could be really good and scalable to.
00;41;25;00 – 00;42;00;19
Unknown
Yeah, I think, honestly, I think I could all tie into the same thing. The same. Right. You could have a you could have a evergreen kind of product on your website that doesn’t even require your input. Okay. So that does not require your time. You can have a self-study guide or course, you can have a the cognitive test if it’s all like computerized or whatever, you can be a cognitive test 50 bucks, your results will come out nice PDF with recommendations and blah blah, blah, blah blah, right?
00;42;00;22 – 00;42;24;23
Unknown
You do something like that as well that you can integrate into your site. So you definitely do that. Now in terms of disability stuff goes disability lawyers, you know, workman’s comp and Social security and all that kind of stuff. I think that is actually probably not a bad idea, but realize that it might either it’s going to work or it’s not.
00;42;24;25 – 00;42;52;27
Unknown
Okay. So what you’re gonna do that’s that’s easy. That’s that’s a direct mail campaign. Okay, okay. You basically get a list of 10,000 disability lawyers all across the country, right? You go to an email marketing campaign company. There’s lots of them out there. Okay. Just go to Google email or or a direct mail marketing guy. Lots of them are out there.
00;42;52;27 – 00;43;13;01
Unknown
Go to a direct mail marketing company. You give them the copy, you give them the image. You give them the list of addresses, and they do the rest for you. It’s like 5000 bucks something worth. And then 10,000 letters go out to all these disability lawyers with what you’re offering.
00;43;13;03 – 00;43;44;21
Unknown
See what happens. Yeah. Either you get some business from it or you don’t, you know. Yeah, yeah, I had not thought about casting quite that wide of a net, but I like it. Got, you know, I guess I, I think in my world, you know, and. Yeah, but in my world I do have, you know, like I know disability attorneys also and you know, and mass cognitive trouble is probably the number two reason people go on disability and, you know, like there’s there truly is a need for it.
00;43;44;21 – 00;44;12;22
Unknown
And the gap I see this particular thing filling is that we’ve got like either in practice the Moca isn’t like the screening, you know, paper thing, or a formal neuro cog eval, which is hours long. Insurance doesn’t pay for it. You know, it’s thousands of dollars and there’s nothing in that middle range. And I think this particular test has the ability to do that.
00;44;12;24 – 00;44;37;17
Unknown
Yeah. Anyway, like, I’m excited about it for my patients, you know? So then I see that it could be broader. Give it a try, see what happens. I mean, yeah, worst case is that you spend 5000 bucks on if if you want to go down that route. Okay. Yeah. $5,000 or whatever. Nothing happens. Well, at least you tried it, right?
00;44;37;17 – 00;45;04;25
Unknown
Yeah, yeah. Thing about business is that you never really know until you try it, you know, and you got to waste some money. Unfortunately, she just got to spend some money, like, learn some lessons. Right. And that’s you learn, you earn some lesson, you learn what works and you learn what does it? You know, with my men’s health practice, a direct mail campaign in the city that I was in, I got like four patients from it.
00;45;04;27 – 00;45;28;14
Unknown
You know, it didn’t work that well. But this is business. The business. So actually might work a little bit better. So. So anyways that is definitely another revenue stream that you can you know that you can tackle. So I would say give it a try now with those things said. Right. Where are you leaning right now in terms of what direction you want to go.
00;45;28;14 – 00;45;58;04
Unknown
Yeah I know you wanted to, you know, talk about pricing and packaging stuff. Yeah. Yeah. Okay. So I think I would love to talk about. Yeah. Subscription model specifically with a GOP one. And I thought about, like, doing, like a psychic scan. So looking at, you know, body mass and all of that. As part of that, I’ve thought about adding in, like a virtual support group kind of thing as part.
00;45;58;04 – 00;46;18;12
Unknown
So I have a little like, things kind of swirling around in my mind of things that can add value. But I’d love your input on that. Well, ultimately, what it comes down to, I’m not going to give you a specific price, okay? So you need something to figure out because it really depends on what direction you go here.
00;46;18;17 – 00;46;44;23
Unknown
Okay, okay. General pricing when it comes to coaching and a consulting call or something. Okay. You know, how much are you worth? Basically, how much do you make? You’re right. That determines how much you’re worth an hour and how much you value your time. So quick math on how to figure out what it is that you’re worth.
00;46;44;23 – 00;47;13;05
Unknown
An hour is that you basically divide what you make in a year by half and subtract, the zeros from essentially three zeros. Right? So yeah, so if you want to make $100,000 a year, right, you need to charge 50 bucks an hour. And that’s the math game. Yep. So if you make $200,000 a year right now, then you’re you’re worth $100 an hour.
00;47;13;05 – 00;47;32;18
Unknown
That’s what you want. Yeah. 40 hours a week for like 50 hours or for like 50 weeks out of year. That’s kind of that’s just the general math. Right. So how much are you worth. So for me all right I do not consult or coach or anything for less than $500 an hour. That’s what I charge you.
00;47;32;20 – 00;47;53;24
Unknown
That’s because that’s what’s worth it to me. If you don’t have been funded dollars an hour, it’s not worth it to me to waste my time. It’s just not worth it to me. I really go, yep. Right? Yep. So with you, you need to figure out what is it that you’re worth. All right. So that will determine how much you charge for coaching calls and initial visit whatever okay.
00;47;53;24 – 00;48;16;05
Unknown
That’s what’s going to determine that. All right. So what is it that you want to make. And I can determine it as well okay. So you want to make $500,000 a year. Then you should be charging at least $250 an hour. Okay. So someone with mSRP books a call, a coaching call with you and the coaching call. Last one hour.
00;48;16;08 – 00;48;43;23
Unknown
The price is 250 bucks. Okay. So that’s what you charge. Now, if you want to even break that down even further, you can go with even a little bit more to cover your expenses. All right. So a business like this is pretty cheap to run because if you’re going to go for the online route, that’s, you know, the route that I was telling you about, you don’t really have that much expense, your margins 80, 90%.
00;48;43;26 – 00;49;03;10
Unknown
And now. But I really like that. Yep. Yeah. You do it right there from your office. You know what I mean? Yeah. Right there from the home office. So, so I would personally, I would tag on another 50 or 100 bucks to that to cover your expenses. So if you charge 250 called 300, that $50 covers all your expenses.
00;49;03;10 – 00;49;28;12
Unknown
Return your 50 bucks is all in your pocket profit. Okay. So that’s just a general rule of thumb and just a general recommendation. Now moving past that okay. You do not want to be locked in to nothing but exchanging your hour of time for money. You do not want to build a business that requires every single ounce of your time to generate money.
00;49;28;13 – 00;49;47;21
Unknown
You do not want to be the business scale, okay? It’s a business that will drive you mad. It turns you into a slave to your own business. You’re self-employed and not an entrepreneur, right? You don’t want to do that. So you don’t. You know, you don’t want to be employed to a business that you own. That’s what that’s what it is.
00;49;47;21 – 00;50;06;29
Unknown
It requires all of your time. So yeah, waiting around that with this kind of business. Okay. You charge an initial fee for the consultation. All right. That covers your time because you don’t know if they’ll turn into a patient or not. You just don’t know. They got to pay upfront. None of this, I believe. Later. No. You pay at time.
00;50;06;29 – 00;50;36;28
Unknown
Scheduling the appointment. Just how we go. Okay. Don’t. But no. Yeah. People will take you over. They will. Okay. So they pay you first. So, so anyways, the consultation gets covered by the 250 bucks. Okay, 300 bucks, whatever it is. And then, then from there, to make this scalable, you create packages. All right. So for any I’m just throwing out pure just pure examples here okay.
00;50;37;00 – 00;50;53;26
Unknown
For let’s say you call it the EMS boot camp or something like that okay. So you know for the three month mSRP, you know, mSRP boot camp, I’m going to talk to you about nutrition and blah blah, blah, blah, blah blah blah. Supplements. All is going to start. Let’s say this for your coaching okay. This is for three months.
00;50;53;28 – 00;51;13;13
Unknown
You get access to me through a message board, something like that. All right. For three months it’s let’s call it 15, 5000 bucks, $2,000, something like that. Okay. They pay it all to you upfront, and there’s self-study stuff on the back end. That cognitive tool you’re talking about a little message board or a private Facebook group. They can ask you questions too.
00;51;13;13 – 00;51;34;02
Unknown
And you get in there once a day and answer people’s questions. That’s it. There you go. Right. You just you generate 1500 bucks. It doesn’t require barely any of your time, right? Yeah. Then you create other packages that are bigger than that, right. Like a six month, 12 month kind of programs. Okay. Now, should be talking about the Coaching Pro program right now okay.
00;51;34;07 – 00;51;58;20
Unknown
Yeah. You want to make it as passive as possible. You want to make it as passive as possible. Self-Study material courses, videos that are on a back end course hosting platform or something like that. Okay. And the patients pay and they get into this and you are just making money that doesn’t require much you time. You get in there, answer people’s questions and stuff, and you do it when you call or something.
00;51;58;20 – 00;52;24;11
Unknown
You know what I mean? Like that. That’s the coaching. Yeah. Now okay. Practice side of it okay. This is where I would probably more or less charge either monthly or charge in like 3 to 6 month installments, kind of a thing. Okay. And included is the visits when whatever is wherever that is to you you you fully you need to see them every two weeks and you see him every two months.
00;52;24;14 – 00;52;44;22
Unknown
I don’t know what your protocols are. So you determine that, okay. Sure. Yep. Based off of your hourly rate, 250 bucks. All right. So if I’m going to be seeing the patient, let’s say that they want to buy a three month package. And I see them once a month $750 to cover your time. Okay. And then you’re going include a GLP one in it.
00;52;44;22 – 00;53;05;07
Unknown
You get the pricing of the GLP one from the compounding pharmacy. And then you 2 or 3 exit. All right. For the profit. So you charge 750 bucks. Let’s just say you’re charging, you know the is your monthly and go to the GLP one or whatever dose it is. Let’s just for easy math here, let’s say that the GLP one cost you $100 for three months.
00;53;05;09 – 00;53;27;10
Unknown
You charge a patient $300 or 250 or 300. Okay. And you know, it’s $1,000. So they say it’s $1,000 for the three months. This that also include the GOP one. Oh, well, I can’t afford that. Okay. That’s no problem. We have there’s a monthly option that’s $400 a month. Oh, well, that’s more than the three months. Well, yeah, I’ll give you a discount.
00;53;27;10 – 00;53;50;12
Unknown
You paid all all all upfront, right. Yeah. So the monthly is always going to be a little bit more expensive than the packages okay. That is generally how you do it. That’s that’s basically developing the packages all of that stuff. That’s where that’s where this is fun. That’s the creative component of the business. This is where you can create the stuff and figure out what works and what doesn’t.
00;53;50;14 – 00;54;15;22
Unknown
The beautiful thing about this, though, Keras, is that it doesn’t need to be perfect at launch. You can kind of figure it out as you go. Yeah, because you’ll figure out what the objections are from patients and from clients. Okay. You’ll figure that out. You’ll figure out what they’re asking for, what they need. And so this is a very dynamic thing not a static thing okay.
00;54;15;22 – 00;54;34;14
Unknown
So when you create be aware chances are very, very high that in three to 6 to 12 months those programs that you initially created are going to completely change. Okay. Yeah. So just kind of keep that in mind. Now if you want to go into this, simply okay. To get rid of the analysis paralysis that you have, right?
00;54;34;16 – 00;55;06;23
Unknown
Yes, please. Okay. Simple. You can go into this and just charge hourly and leave it at that. And just leave it at that and see what happens. Okay. And then from there figure it out as you, as you go. Because once you begin talking to these people and you start doing more of these telemedicine visits, these coaching calls and stuff, yeah, you will begin to know what it is that they need and what it is that you need to do to solve their problem and their issues and things like that.
00;55;06;25 – 00;55;42;00
Unknown
So then, like I said, over 6 to 12 months, that’s when you can build out more of those packages and stuff. And plus it’s going to take 6 to 12 months to gain any real traction. A lot of clientele. But but by the time you hit the 12 month mark or the two year mark and you continuously create these videos and stuff, you are going to have a lot of people following you and asking you questions and stuff, and at that point, you’re going to need to have some passive packages, some back in course kind of self-study sort of things for these patients and those coaching packages.
00;55;42;00 – 00;55;49;05
Unknown
You will want to have that stuff set up by them because that is where you’ll make the majority your money.
00;55;49;07 – 00;56;11;14
Unknown
So yeah, I mean, yeah, I love that. I think I sometimes also think it is I going to make, you know, me and my ex, it’s irrelevant for all of us. Right. Like, yeah, sometimes I can feel like, you know, people aren’t going to need or care about my 25 years experience because they’ve got everything at their fingertips.
00;56;11;14 – 00;56;36;20
Unknown
Right. So very valid concern and is something that I worry about too, with some of the stuff that I’m on the side businesses and stuff that I got, it’s a valid concern. But at the end of the day, I think people want to talk to other people. Yeah. You know, I can it’s I simply cannot replace the human connection component.
00;56;36;25 – 00;57;00;25
Unknown
Again. It can’t. Right. You know, someone who has M.S. who’s going through a flare up or something, and they’re a patient of yours, you know, and let’s just say they went to ChatGPT or Claude or whatever. And, you know, Claude tells them about their GLP one, they or the GLP one from someplace in China or something, and they’re doing it themselves.
00;57;00;25 – 00;57;25;14
Unknown
Right? Sure. That happens. This happens all the time, right? Yeah, yeah. When they go through a flare is I going to be there to listen to them, to console them, to actually be there for them? Like you’re going to. Yeah. No, they’re just not yet. Not yet. Right. But yeah. Yeah. But I mean at the end of the day, I mean, how can a robot console you, you know, like.
00;57;25;15 – 00;57;46;13
Unknown
Yeah. So I think that there’s always going to be a set of people and I think most people will be happy to pay a little bit of a premium to talk to you. So I don’t think I’d worry too much about it. And plus, I don’t know about you, but this point, it’s been a couple years since AI is really going mainstream.
00;57;46;16 – 00;58;13;00
Unknown
I am so sick and tired of reading AI slop and garbage. Yeah, I’m sick and tired of these videos on YouTube. I can tell as of AI avatar they look soulless. Yeah. I’m tired. I want to watch and listen to real people talking. I want to read an article that was written by someone you know that the and you create content, YouTube videos and stuff like that.
00;58;13;00 – 00;58;36;23
Unknown
Trust me, that’s going to go a long way. I think what will happen in the next 5 to 10 years, maybe even sooner, is I think that the people, that people who truly focus on that human connection, human content, I think those are going to be the people who are going to be the celebrities. Yeah, he’s the people who go viral in communities.
00;58;36;24 – 00;59;02;29
Unknown
I think I just do, but it’ll be more rare, I guess. Right? Like, yeah, yeah, yeah, it’s going to be authentic. It’s going to be genuine, you know. Yeah. And I think that’s going to be something very important to people I know is gonna be important to me. Yeah. But yeah there’s a reason that I wanted to, you know, talk to you as a person versus consuming all the content that you know, is not coming from you as a person.
00;59;02;29 – 00;59;31;27
Unknown
To me. Right. Like right. Yeah. To your point. To your point. Yeah. Yeah. You could have looked all up on Claude. I didn’t tell you anything groundbreaking, you know, but I did give you some ideas, I guarantee you. Yeah, I would have come up with, you know, because I’m presenting to you, you know. Right. Yeah. Yeah. So, so anyways, though any other questions in terms of the business goes with any other concerns or anything.
00;59;32;00 – 00;59;52;26
Unknown
Yeah. I mean yeah I’ve got a million things but I, I probably need to sort out more how to phrase some of my questions, but yeah, I’m just excited and I really appreciate your input on others. Yeah. For sure. Well, do you have any high, high, high risk questions, like high alert questions in your mind that you would really like to ask me?
00;59;52;26 – 01;00;15;19
Unknown
Well, why you got me on here? Yeah. Well, I think, again, maybe I’m too concerned, but, you know, I, I do think about liability. I think about, you know, like, as you’re talking about creating content and so forth. I yeah, I do, I do this every day, you know, my job I have for many years and I’m very confident, you know, in a patient room.
01;00;15;22 – 01;00;38;22
Unknown
But then I think of, like you said, it goes out to the world of that. I think, oh my gosh. Okay. And then, yeah, you know what, if I misspeak on something or I don’t know, say something. You know, people won’t agree with everything. And correct. Yeah. So you know, I put myself out there a lot of the last seven years, especially of the last like four.
01;00;38;25 – 01;01;09;18
Unknown
Yeah. And one thing you got to realize is that there’s going to be three groups of people, people who love you, people who are just passive and kind of like whatever and people who hate you. That’s just the reality of it. Okay. Yeah. You simply just do not allow the negativity and the haters and the naysayers. You simply do not allow them to get to you because that’s what they’re trying to do.
01;01;09;20 – 01;01;29;10
Unknown
They’re losers who have nothing else to do with their time but troll people online. Okay, I pity these people. I do. You know, you went out of your way to comment that that’s pathetic. Get a life. Get laid, my lord. You know, like, it’s just it’s it’s pathetic. So I see, that’s the kind of stuff. You know what I do?
01;01;29;10 – 01;01;50;00
Unknown
I just delete the comment, I delete it, it’s not even worth my time. And it literally in and out. Right? So when you put yourself out there, yes, you are going to get some people who do not like what you’re saying. Maybe another neurologists in another state who thinks you’re. Whatever. Delete, doctor. Goodbye. I don’t care what you think, dude.
01;01;50;00 – 01;02;05;29
Unknown
I’m making more money than you are. You know, that’s how I feel about it. Anyways. I make more money than most doctors in this country. At this point, I’m just a nurse practitioner. Boo hoo. Yeah, right. Yeah. No care anymore. I don’t give a shit so that you just had to go into it with that kind of attitude.
01;02;06;02 – 01;02;22;27
Unknown
All right? So you just cannot let it get to you. And it will at first. It will. It got to me and everyone that I know who’s done stuff like this, it gets to you a little bit, all right. Yeah, but you got to just brush it off and push this. It’s someone online who has no life, who whatever.
01;02;22;27 – 01;02;47;02
Unknown
Who cares? You delete. Okay? So don’t worry about that. The people who love you will outweigh the people who hate you, right? And when you start seeing that, you’re making a positive impact in even just a handful of people’s lives, that’s all that matters. You know, that’s what matters, right? Yeah, yeah. Some negative comments. Someone said, because I don’t know, maybe you had a booger hanging from your nose on that video.
01;02;47;06 – 01;03;09;00
Unknown
Okay. Sorry. I’m a human, like, you know, like sorry. Not. Yeah. Right. Right. So whatever. You know, but I would recommend least look in a mirror before you record just to be on the safe side. Yeah, but anyway, just don’t worry too much about that. Now, the liability goes okay. There is no liability with this. Okay? You creating some videos.
01;03;09;00 – 01;03;27;07
Unknown
There’s no liability associated with that. Right? Okay. You always have it. And you you have a disclaimer. This is for informational purposes only. Always consult with your primary care doctor blah blah blah blah blah. Right. So, you put at the very, very end of the videos and you always have it at the very, very end of the videos, just like this podcast.
01;03;27;07 – 01;03;43;28
Unknown
There’s a little disclaimer at the very, very end. Right? And you look at most medical kind of videos, there’s always like a disclaimer at the end, just put the disclaimer in, all right. Just copy someone else’s. If their lawyer reviewed it, it’s good enough for them. It’s good enough for you okay. So yeah. So anyways just do that.
01;03;44;05 – 01;04;04;28
Unknown
All right? Okay. And there’s really nothing to worry about. It’s you’re getting information out. All right. Now the coaching, the coach okay. Well obviously the medical visits there’s liability always liability. So check that. Yeah. Malpractice right. Yeah I have that. Yep yep yep. Malpractice covers telemedicine multi-state. You don’t want to put your practice in and you’re covered right in.
01;04;04;29 – 01;04;34;05
Unknown
What you’re doing is probably pretty low liability anyways. So the coaching aspect of it is there liability associated with that? Yes there is, but as long as you don’t cross that bridge of going from of going from coach to provider, okay, you don’t cross that bridge, you’re fine. Okay. So just as a coach, you, sign a consent form, I am coaching, I’m giving you recommendations only, and I’m giving you advice only.
01;04;34;07 – 01;04;56;19
Unknown
You always run this by your PCP, your neurologist, etc. before implementing any advice or recommendations that I give you, you just you can use you can use AI to help you with these consent forms. Okay, okay. You do those things, you don’t really gotta worry about it. And then, you know, you can always have an admissions and errors policy as well.
01;04;56;22 – 01;05;03;14
Unknown
It basically it basically covers you for.
01;05;03;17 – 01;05;25;10
Unknown
Greetings. This is just an hour for nurse practitioner. Welcome to the Elite Nurse Practitioner Show podcast dedicated to nurse practitioner entrepreneurism and achieving financial freedom, where I talk directly with nurse practitioners who need help. Listen up. Are market saturated. Jobs can be scarce. We are underpaid. We are undervalued. We are taken advantage of by the sharks within the health care system.
01;05;25;10 – 01;05;48;17
Unknown
And frankly, screw that. Sick of it? It’s time for a change. And listen, I’m here to help make that happen. We are powerful. We can forge a path. We are in control of our career and ultimately our financial and personal well-being. You do not need to submit to health care ministry and your doctor. You do not have to take a measly salary.
01;05;48;19 – 01;06;09;29
Unknown
You do not have to work 50 to 60 hours a week. There is a different way, and I’m here to show you that path. This podcast is water and food. I have not talked to the nurse practitioners in this podcast prior to the call, outside of an email exchange to schedule the episode, what you’re about to listen to is a consultation session between the nurse practitioner and myself.
01;06;10;05 – 01;06;32;00
Unknown
It is real, isn’t scripted. It is unplanned. I have no idea what we’re going to talk about. Anything and everything can happen during our conversation. The nurse practitioner. These episodes are struggling with an issue in their professional or financial life. They have reached out to me for help. My goal is to help the nurse practitioner with actionable advice that will enhance their professional, business and financial life.
01;06;32;03 – 01;06;54;00
Unknown
My other goal is to hopefully help my nurse practitioner, sisters and brothers build a more productive, powerful and free life. So I hope the content information in these podcast episodes does just that. All right unto the episode. Everyone today will be talking to Cara, who is a family nurse practitioner. Currently, she is working at a neurology practice 30 hours a week.
01;06;54;03 – 01;07;14;04
Unknown
She started her own niche neurology practice focusing on more alternative treatment approaches such as dope ones and medical cannabis. She’s needing assistance with pricing and packaging her services, developing optimal workflows and getting over some analysis paralysis. Hey, care, how are you? Hey, I’m well, how are you? I’m good. Thanks for hopping on here. So tell us about yourself.
01;07;14;04 – 01;07;55;17
Unknown
I am a nurse practitioner for. And I guess I’m curious how you got into neurology as a family and be. Yeah. Yeah. I’ve been a nurse practitioner almost 26 years. So I’ve been doing it a while and all of that. But three months have been in neurology. So when I, got out of school the year 2000, in the olden days, there, I thought I would do family practice, and I just wasn’t able to find a job, in family practice at that point and had some connections with someone in neurology, ended up getting a general neurology job, and then that practice opened a special teams clinic, which I moved into, ended
01;07;55;17 – 01;08;24;12
Unknown
up loving that and then have some personal connection to Ms. as well. And really I’ve been specializing in Ms.. But a smattering of general neurology for this whole time. I took about six years, and I was a medical science liaison for a pharmaceutical company, also in Ms.. In their neuro immunology division. And then came back to practice just, gosh, almost a year and a half ago.
01;08;24;15 – 01;08;51;18
Unknown
All right. Interesting. So I’m assuming you like neurology, then? I do, yeah. Especially Ms.. Yeah, yeah, yeah. Okay. I mean, chances are and the chances are probably pretty high that you are potentially one of the most knowledgeable NPS in the country. With Ms.. It’s definitely a possibility. So congratulations. You think yeah, I know a lot of smart smart cookies doing this stuff.
01;08;51;18 – 01;09;09;25
Unknown
So I don’t know. But thanks I’ve done it a long time. Yeah yeah I don’t think a whole lot of, you know, a whole lot of not a whole lot of MPs have, you know, about that kind of experience with Ms.. So it’s pretty cool. Yeah. Okay. So you are wanting to start your own practice. You’re kind of in the, in, you know, in the midst of doing so.
01;09;09;25 – 01;09;31;23
Unknown
So I guess what provoked that decision to kind of move away from being employed? Maybe eventually, you know, do your own practice. Yeah, yeah. And I don’t totally know. I mean, I don’t know if that’s completely my dream to move away from my, my day job, so to speak, in total or not. But, yeah.
01;09;31;23 – 01;10;10;16
Unknown
So I, I love working in clinic and I actually have a pretty good situation as far as I’m not, you know, having to grind it out like seeing a million patients a day and just I’ve got I’ve got a good situation there. But in particular, my time as a medical science liaison, I was able to, you know, see a whole bunch of different neurology practices all around the really the whole west, southwest and the northwest, and, and realize that some of the things that are sort of part of my routine practice with patients aren’t necessarily part of everybody’s routine practice.
01;10;10;18 – 01;10;34;09
Unknown
Not I’m not saying that as a critique. There’s just not the time or, you know, the expertise or, you know, whatever. So included in that, cannabis has been such a game changer for some of my patients. And, the state that I’m in, it’s, you can only use it medically, so it’s not recreationally legal. But during that time, I was away from practice.
01;10;34;12 – 01;10;54;04
Unknown
It, I was I’m now able to do medical arts, and I was never before that. So coming back to practice a year and a half ago and seeing some of those patients I’ve known for 25 years getting off opioids or, you know, some some things like that. Pretty dramatic. I just I feel really strongly about that as an option for patients.
01;10;54;06 – 01;11;26;12
Unknown
So that as an example, you know, there’s some, some practices that just don’t want to mess with that. You know, they don’t want to, maybe be the one to sign off on the medical card. And also, have a worry about, you know, someone going down the street to someone else who’s going to give a medical card because Ms. or whatever is a qualifying condition, but without maybe as much education or looking at, you know, their different medications, they’re on, you know, different things like that.
01;11;26;12 – 01;11;53;23
Unknown
So kind of seeing a little niche for that. And then on the GLP one side, I’m, I’m really just fascinated with the, the science and how it’s, it’s really moving towards, I think, being utilized in not just mass but, many inflammatory conditions and, yeah, again, just built strong. I’ve just seen patients, you know, lives really change and improve for the better.
01;11;53;26 – 01;12;19;06
Unknown
Not only I think because of weight loss, they think there’s just there’s more to it. And so just, just sort of trying to get up to speed on that and be a place where, practices and providers could refer their patients because I know other people are thinking this way too. But again, they don’t have the bandwidth to really take that on.
01;12;19;08 – 01;12;42;01
Unknown
And so I would love to be that person and, and hope to do just give those two things as an example, hope to do those two things without being a threat to these referring providers. But I’m going to take their patient from them because I want to just do this specific thing. Yeah. So there’s there’s other barriers to that to and practices.
01;12;42;01 – 01;13;05;27
Unknown
But I don’t want to keep going on and on. That’s sort of the that’s sort of where I started. Okay. Interesting. So so you see that there’s a need I’m assuming this is going to be cash. Cash. Yes. Yeah. Okay. Yeah. I mean, what you do in cash, you can do a lot of stuff. Right. An insurance based practice just simply cannot, you know, like, is prescribing a GLP one off label for something?
01;13;05;27 – 01;13;33;00
Unknown
I mean, is that going to be covered and probably not. Right? Cannabis sure as hell ain’t going to be covered, right? Yeah. So, so yeah. Yeah. The medical cannabis aspect of it, you know, you were talking about and I had a few thoughts kind of creep up. Yeah. And, you know, I did medical cannabis for, for years, from 2018, all the way to 2023 or something like that.
01;13;33;00 – 01;13;53;11
Unknown
I mean, I did it for almost 5 or 6 years ish. And, you know, I probably gave I hate to say this, but I probably is one of them. The top medical cannabis producers of the state, for the cards, like I probably was. Yeah. Like the medical director, like, knew my name and he would text me and stuff, you know, for the medical cannabis program at the state level.
01;13;53;11 – 01;14;18;22
Unknown
Yeah. And so, you know, the fear surrounding it that some people have is complete nonsense. It’s no one gives. No one cares. DEA doesn’t care. It’s boards don’t care. Nobody gives a shit. No one does. You know, the fear around it is dumb. It’s it’s it’s complete nonsense. There’s nothing to worry about. The liability associated with it is practically zero.
01;14;18;25 – 01;14;38;00
Unknown
I mean, what’s the worst? It’s going to happen. I mean, honestly, it’s cannabis. It’s it’s weed. Like, what’s the course? It’s going to happen, right? Like it very little, you know, so if you were like, well, what if they smoked some and then got do a car wreck and would you be like, oh, come on, you’re not gonna be liable for that.
01;14;38;00 – 01;15;02;00
Unknown
That’s a complete nonsense. That’s just like prescribing someone some, some pills may take more and it’s just complete nonsense. Right. And I don’t know if anyone has ever crashed because they’re smoking weed and driving. They usually drive better. So, but. Yeah. So anyways. So. Yeah. So, I applaud you for doing it. It’s, it’s it’s it’s a very interesting thing to do.
01;15;02;03 – 01;15;22;13
Unknown
And, Yeah. So I guess so. Here you go. Cash. You provide a variety of different these, these, these alternative kind of services and stuff. So you mentioned that you were, I guess you were thinking about you might be worried that people might not refer patients to you because they think that you might take them from them.
01;15;22;15 – 01;15;42;11
Unknown
I don’t they’re not. That’s going to be much of a concern, to be honest with you, because yeah, I just but many of them cursory thoughts. Yeah. My I think my only thing there is just only because I’ve been doing this for so long that some people know my name and, you know, the practice. I’m associated with.
01;15;42;14 – 01;16;10;04
Unknown
And they’re just maybe if you’re there, even though this is a totally separate thing, I think maybe I’ll have to be very direct about being able to communicate that it’s my own thing, not associated with my practice in the city. You know. Yeah, I, I don’t think it’s a huge, a huge thing, but it is as I’m just trying to think of, like, what are what are all the barriers or what, you know, if I was a provider on the other side, like what?
01;16;10;05 – 01;16;11;00
Unknown
What would my.
