"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 Breshelle, a family nurse practitioner who’s turning years of clinical experience and hard-earned lessons into a focused vision for her next practice. After a previous business venture didn’t go as planned, she’s taking a new approach, building a practice centered on diabetes and metabolic health while leveraging the relationships and expertise she’s developed throughout her career.
Together, they explore what it really takes to build a niche practice, from identifying the right patient population and creating meaningful referral partnerships to developing a marketing strategy that doesn’t rely solely on social media. Justin also shares practical advice on networking, overcoming rejection, and finding opportunities that may already exist within your professional circle.
This conversation is also a reminder that success in practice ownership is rarely a straight line. Whether you’re launching your first business or starting over with a new idea, this episode offers practical insights on building a practice that’s focused, sustainable, and uniquely your own.
J (00:00.782)
Look it up, we are recording. Hello everyone, today we’ll be talking to Bree, who is a family nurse practitioner. Currently she is working at a home care practice and she also rounds and assists living facilities. She’s wanting to start her own practice where she will focus on metabolic care and diabetes management. She’s needing help with marketing, which services to implement first, and which patients to target. Hey Bree, how are you? I’m good. Thanks for helping on here. all right, so tell us about yourself. You kind of are
Breshelle (00:22.394)
Hey, Jess, and how are you?
J (00:27.372)
Tell me a really interesting story before we hopped on how to cut you off. So yeah, tell us about yourself and kinda you know what you’ve been up to.
Breshelle (00:30.411)
Yes. Cool. All right. So I’m in New Jersey. I’ve been a nurse since 2012, became a family nurse practitioner in 2018. I kinda was kinda navigating, trying to figure out exactly what I wanted to do. So I initially started out in pain management. I did a little bit of internal medicine and then my main focus has been in nursing homes, assisted living facilities and some SNFs.
So currently I work for a primary care practice where I do some telehealth, I round in assisted living facilities, and we also do in-home visits. So I’m trying to figure out exactly, I know I definitely always wanted to do my own thing, but trying to figure out what type of practice I wanted to open. So that’s kind of where I’m at. So I kinda need some assistance with trying to figure out
what services to implement, how to market, and what patient population should I target first.
J (01:35.074)
Gotcha. Okay. So, have you pretty much just only done this home care, sis living facility stuff as an NP?
Breshelle (01:43.946)
Besides working, I did vascular, mobile vascular for a little bit. I wanted to try them out because I did not want to stick with primary care because it’s just a beast. I wanted to navigate into some type of specialty. So that’s why I started with pain management and then I did a little bit of internal medicine. Then I did vascular and then now I’m doing primary care. So working as a nurse practitioner, those kind of the fields that I worked in.
J (02:08.15)
Gotcha. Okay. so before we hopped on, you were kinda going into a story about how you started a men’s health clinic or something, it was an utter disaster. So tell us about that.
Breshelle (02:16.329)
so I took your men’s health and the telehealth courses, I want to say maybe like three years ago. So I was like, okay, what type of service can I do to where it’s not really saturated and it can be well needed? So I was like, okay, how about men’s health? Women, have OBGYN, so we have like that special place that we can go to. A lot of men don’t have anything. So I was like, okay, let’s do men’s health. So I did, I want to say.
I did your courses and then I kinda was playing around with it a little bit and then I ended up losing to my dad suddenly. He was sick, he had heart failure, COPD and nobody knew how sick he was because he really wasn’t going to the doctors until it was too late. So then once he passed, I was like, okay, this is my cue to just go full force. So I started it, right? So I started the market and stuff like that and then I got hacked.
So I got hacked on social media. They hacked my Facebook account. They was running ads on my account. It was just like a whole disaster. I could not get back in. I was fucking mortified. Sorry, the curse. But it’s like I was trying to contact Metta. Nobody would respond. It was like a complete disaster. So I kind of felt defeated because I’m like, okay, I put all of this money into marketing, trying to get the patients to schedule appointments. I didn’t get not one appointment.
It was just a mess. I was just throwing out money nonstop, nonstop. So I was like, okay, let me sit back and see what I’m doing wrong. And then to make matters worse, they opened up three men’s practices, like within a 10 minute radius from where I’m at. So I was like, it’s over. It’s over. I’m really fighting and going up against the big guys. So it’s over. So I was like, okay, let me just pause just to figure out if I really want to do men’s health. So I kind of took a break for like the last two years or so.
And I’m like, okay, I need something else to where I can involve men and women. Something that’s going to be needed, that’s always going to be around some type of specialty. So that’s when I came up with doing diabetes. And rounding in the facilities, you got podiatry coming in, you got vascular that come, wound care that come, but you don’t have anybody that come to do diabetes in the facilities. So I was like, okay, maybe that could be a niche that I can focus on.
Breshelle (04:42.348)
And then I was like, okay, how about busy professionals and entrepreneurs and providers who don’t really have time to go to doctors’ offices, but they also need diabetes care as well. So I’m kind of in between those two populations with providing facility-focused primary care, as well as primary care to the busy professionals, the entrepreneurs, the truck drivers.
and stuff like that who has a busy schedule. Some own businesses, don’t have insurance, but still need healthcare. So that’s where I’m at.
J (05:15.65)
Got. Yeah, okay, gotcha. All right. Yeah, the men’s health thing. Yeah, it was a disaster. Sounded like a disaster. Yeah. Yeah. Yeah, and if someone hacks your account with Meta or LinkedIn or any of these social media platforms and they get into your business profile, your ad account or you know, whatever, good fucking luck getting any kind of technical support.
Breshelle (05:23.013)
It was a bless.
Breshelle (05:35.364)
Mm-hmm.
Breshelle (05:39.772)
They took over my ad account and I saw them posting ads with like a skull. It was like around Halloween. So they was posting like skull and Halloween costumes under my business profile, my name. It was a mess. I had to cancel like all my credit cards, close that account out. It was like a whole mess. Meta, I couldn’t get no assistance. It was a disaster. I was like, okay, I’m already not social media savvy. I never had a social media before, never.
Never had MySpace, Facebook, nothing. I was so brand new to social media when I first opened up literally first social media account ever, 2024. So going into it as an infant and then getting hacked on top of that, it’s just, I was like, I’m done. I can’t do it. I can’t do it though. I’m done. So yeah, so that’s kinda where I was. And another reason why I wanted to focus on like more in the facility type of patients, because I know they don’t have anything to do with social media.
J (06:18.678)
Yeah.
Breshelle (06:37.835)
because I’m already in these facilities. I have good relationships with vascular wound care and I know a lot of diabetic patients eventually see vascular for PVD, wound care for diabetic ulcers, podiatry and stuff like that. So I’m good with getting referrals that way, but when it comes to doing the telehealth portion, I gotta go back to social media, which I’m kinda afraid. So that’s kinda where I need your guidance to see should I…
go forward with that, just targeting the busy entrepreneurs and the professionals with doing cash-based telehealth diabetes? Or should I just focus on doing and implementing a diabetic program in the facilities?
J (07:24.866)
Yeah. well don’t let that one experience be a bad taste. I mean, it’s obviously a bad taste in your mouth, but don’t let it don’t let it completely shut you down in terms of like I’m never gonna get on you know, I’ll never advertise on social media again. You know, what what happened to you is very rare. That doesn’t happen very often. I mean that’s you know, that’s never happened to me.
Breshelle (07:47.22)
Just that.
J (07:48.119)
It just hasn’t. I don’t know anyone who I mean, I know people whose accounts have been hacked, but I don’t but I’ve never heard of anyone’s ad account being used essentially. So so just you know, just be aware that that’s pretty rare what happened. because I mean social media is pretty powerful in terms of advertising goes.
Breshelle (07:52.053)
Mm-hmm.
Breshelle (07:57.025)
Mm-hmm.
J (08:08.696)
For the business that you’re wanting to do, probably doesn’t really matter that much right now. But I’m just saying, I mean, you’re still pretty young. So, like, you know, 10 years down the road or something, you might start another business where you’re gonna, you know, where you’re gonna need to advertise on social media as an example. So, so anyway, just be aware of that, okay? But but yeah, getting technical support f for any of these social media platforms is it’s practically impossible. now, let’s talk about your business ideas. So
Breshelle (08:21.841)
Okay.
Breshelle (08:31.082)
Okay.
J (08:38.464)
Okay, diabetes management.
is going to require you to probably take insurance. It’s just it’s just going to yeah. I don’t I just don’t think a lot of people are gonna pay cash for that.
Breshelle (08:55.38)
Yeah, I started that process. I’ve been kind of going through a lot of companies where I’ve been interviewing credentialing and billing companies, just kind of seeing what services they offer. So I was doing that whole process all last week. So I kind of have a few companies in mind. I’m just waiting to finalize my malpractice insurance, which that’s another thing that I was looking into as well. So that’s kind of the hold up with credentialing. It’s the last piece I have to do.
is get my malpractice insurance and then I’ll pick the credential and company and then start getting credentialed. So, yeah.
J (09:27.682)
Yeah. Okay. Right. one tip for you to malpractice, don’t waste your money on it until two weeks before you go live, okay.
Breshelle (09:37.951)
So the thing of it is with the credentialing companies, they require for you to have your malpractice policy already before they can start credentialing. I don’t know why, because I’m not seeing patients yet, but that’s one of their requirements on the checklist is for you to provide like the declaration page for the practice to let them know that you are real practice and you’re covered before they even start it, especially Medicare. Medicare and Medicaid requires the malpractice policy. So I have to get it no matter what.
before I even start the process.
J (10:09.676)
Yeah. All right, well, it’s what it is. yeah. If you were just have if you had a cash based practice, just only a cash based practice, just do the malpractice literally a week or two before you open up, you know what I mean? But in this case, yeah, if the insurance companies require it, then I mean shit, what do you do?
Breshelle (10:11.934)
Is it?
Breshelle (10:24.84)
Mm-hmm.
J (10:25.92)
Now, okay, so go ahead and get you know go ahead and start the credentialing process. That’s your number one task here, okay? If you you know, you’re gonna need to accept insurance. There’s just you just you just have to in the with something like this. And if you’re gonna be going rounding in assisted living facilities, you definitely need to be accepting insurance, no question about it, right? So you’re already in the assisted living facilities, you already understand the process, you know, you can get in there, you should be able to talk to people that you know, begin getting referrals.
Breshelle (10:37.148)
Yes.
Breshelle (10:44.295)
We do.
Breshelle (10:54.941)
Mm-hmm.
J (10:55.946)
For diabetes treatment or even some primary care or whatever in here. That should be pretty easy for you to do to leverage the connections and the networks that you’ve already developed. So I would say you know, leverage that as much as you possibly can. in terms of the cash base aspect of it, I want to talk about that real quick. Now, I don’t know how many people would actually
Breshelle (11:09.671)
Okay.
Breshelle (11:17.309)
Okay.
J (11:23.288)
pay cash for like a concierge or diabetes thing. Even even wealthy business owners and stuff. I just I don’t know how many of them would be willing to pay for that. So yeah.
Breshelle (11:33.756)
Okay.
Breshelle (11:37.319)
How about thyroid optimization? Because I did see, I do some thyroid management as well. Like I’m very, very, very comfortable with diabetes, thyroid, all of that, because I do that on everyday basis. So do you think that would be a program that I can implement? And do you think it would be cash based or insurance as well?
J (11:58.095)
Well I mean you c I could specialize in thyroid care, yeah, and you could probably charge cash for that, but you gotta get I mean, you gotta be really good. I mean, I’m talking about you live yeah, you’re seeing these patients thinking way outside the box here. you know.
Breshelle (12:12.219)
Yeah. I was going to take your thyroid course as well. That took like five of your courses already.
J (12:16.748)
Yeah. Yeah. I mean that would definitely help. Yeah, yeah. Yeah, like subclinical hypothyroidism, using thyroid hormone to treat depression, anxiety. I mean, there’s a bunch of different things that thyroid’s good for. So if you wanted to open up like a thyroid only kind of thing, then yeah, that might work a little bit better, but I just don’t know how well I just don’t know how well it’s gonna do. The you want to do this telemed.
Breshelle (12:29.435)
Mm-hmm.
Breshelle (12:43.672)
was going to do both. So I was going to do a mixture of telemedicine to kind of capture like the entrepreneurs, the busy professionals who don’t have time to go into a doctor’s office. And then I also was going to go into the facility. So it was going to make it more like a hybrid telehealth in-person facilities kind of business.
J (13:04.056)
So I think I think this is the way I would structure this. I would go ahead, build your business, get a credential, do the insurance thing, okay? Mostly for the assisted living facility stuff, nursing homes, whatever. Okay. You know that stuff, leverage what you know. Don’t reinvent the wheel here. Go in there, offer primary care, diabetes management, whatever it is that you feel comfortable doing, and whatever you think is needed, okay, whatever you think it’s gonna be in demand.
Breshelle (13:07.396)
Okay.
Breshelle (13:12.537)
Okay.
Mm-hmm.
Breshelle (13:32.3)
Okay.
J (13:33.56)
Just do that. You know that stuff. I don’t really want to talk much about that because you seem to know like you’re in there already. Like you talk to managers, you talk to doctors in there, you talk to I mean, you should be able to get a pretty decent patient base fairly quickly, I would imagine, right? Yeah.
Breshelle (13:50.229)
Mm-hmm. Yeah. I already have a, and I have good relationships with like the director of nurses and I already have one assistant director of nursing like, Bri, when are you starting your practice so I can bring you in? So I already have like a facility on standby. I just know the insurance part is going to take a while. So I didn’t know whether if I should either waste my time and money with marketing for cash based prices via telehealth or just wait.
J (14:06.2)
Okay.
J (14:17.58)
I don’t think I would. now, but okay, well let’s talk about the cash let’s talk about the cash practice here. The insurance practice, you talk to the directors of nursing, you talk to these people the managers, you know who to talk to, you understand that. Do you have any questions about that part of the business before we move on to the cash? I want to try to keep this segmented. Okay. All right.
Breshelle (14:35.916)
Nope.
Nope, I’m good with that part.
J (14:41.1)
Okay. All right. Good. You got that going. You’re doing it. Fantastic. I will leave you with this. In terms of that goes, I think it will probably do well. I think you’ll make some decent money doing it. I think you’ll be able to replace your salary fairly quickly. you know, you do have to deal with all the insurance headaches. You have to deal with charting, you have to deal with billing. You do I you gotta I mean, it’s it’s not a free lunch by any stretch of the imagination, right? But I mean, I think you’ll probably make a decent living doing that alone, probably.
Breshelle (14:44.194)
Mm-hmm.
Breshelle (15:04.427)
Mm-hmm.
Breshelle (15:09.111)
Okay.
J (15:09.934)
Especially as you get more contracts with more assisted living facilities, you begin reaching out to more, expanding your territory. You know, you get good at this. You get contracts, you get more contracts with more facilities, expand out and
I’d say fairly quickly if you know if you’re good at if you’re good at outreach and selling yourself to these facilities, then you will get contracts fairly quickly. And I think that in a very short amount of time, you’re probably gonna need to hire maybe another like a part-time NP or something to begin seeing patients for you as you expand. So this business, okay, just if if you wanted to just leave it at the
Insurance, assisted living facility, primary care, diabetes care. If you want to leave it at just that, that’s a very scalable business. Okay. So just gonna leave you with that in terms of that goes. Okay. Now, you know, we can do another, like let’s say a year from now, it’s doing very, very well. We can do another episode and talk to you and talk about the scaling component of it then. Okay. You gotta just you gotta get this shit started. It’s no point talking about all that right now. Like,
Breshelle (16:02.878)
Okay.
J (16:18.646)
Okay, the cash base aspect of it. So let’s talk about this, because it sounds like you’re interested in doing it. Now, you can do this out of this practice. I don’t see a problem with that. All right. Because well, the the one issue is gonna be being being credentialed, right? The business that you’re gonna be operating the assisted living facility clinic out of is gonna be credentialed with Medicare, Medicaid, maybe some private insurance, right? Anna, United Health, blah blah blah. so
Breshelle (16:43.957)
Mm-hmm.
J (16:48.78)
The issue is is that if you begin seeing cash patients and they have that insurance, if what you’re doing is considered a covered service, you’re supposed to charge insurance for that. Okay. So you will need to see patients who do not have that insurance. More than likely, if you’re seeing cash-based practice or or or cash-based patients.
Breshelle (16:59.154)
you
J (17:09.83)
probably they’re not gonna have Medicare or Medicaid. So you don’t really have to worry about it that much. All right. Even if they have private insurance, you’re credentialed with them, I wouldn’t really worry too much about it. so anyways just kind of keep that in mind. So most of the patients in the cash-based arm of your practice will probably be, you know, I will probably have you know really need to be under the age of 65 without Medicare Medicaid. But that shouldn’t be much of a problem for you. Now
Breshelle (17:33.16)
Yeah.
J (17:38.553)
Who are you gonna see and who are you gonna target and what service you’re gonna offer? I mean, basically, we’re starting this from scratch. What’s in demand, what’s needed, what can do well in your area? Doing it telemed only is difficult unless you have a lot of money to spend on advertising and you happen to be in an area that is
Breshelle (17:45.745)
Mm-hmm.
J (18:07.028)
in need of whatever service that you’re providing and you’re easily found. Okay. The thing about a practice, no matter what kind of practice it is, all right, and most businesses in general, not all businesses, but most, is that you always need to extract the warm lead as efficiently as possible.
Breshelle (18:30.561)
Okay.
J (18:30.69)
You got cold leads, you got warm leads, you got hot leads. The hot lead is ready to book, they’re ready to schedule the appointment, they’re ready to ready to hand you money for whatever it is that you’re giving them. Okay, they’ve already made up their mind. A warm lead is interested in the idea, they’re looking out, they’re pricing stuff, they’re kind of they’re you know, they’re they’re gonna buy, but they’re making the best decision. It might not necessarily be with you. Cold lead has absolutely no clue what it is that you do. They’ve never thought about doing what you’re you know, what it is that you’re offering or buying what it is.
you’re offering. Never even considered it. Okay. Completely cold lead, right? So the job with a practice is to extract the warm and hot leads. Okay. And the way you do that is just to be easily found. That’s it. All right. Those warm and hot leads are looking for this service, this product. They’re looking for it. So make sure that when they’re looking for it, they find you. All right.
Breshelle (19:03.91)
Mm-hmm.
J (19:29.25)
With a telemed practice that can be difficult because there is a lot of competition in the telemed space. There has to be tens of thousands of telemedicine practices. Okay. Maybe even more than that. I really don’t know, but there’s a shit ton of them. Okay. So how do they find you? I mean, you they’re not gonna go to Google and type in telemedicine thyroid clinic.
Breshelle (19:42.737)
Mm-hmm.
J (19:56.353)
If they do that, are you even gonna come up? Probably not. There’s probably a lot of other people that are doing the exact same thing. Okay. Like you are not unique. This is not a unique idea. There’s probably a lot of people that are doing it. There are sh there are so many different kinds of telemedicine practices out there that
Breshelle (20:15.152)
Mm-hmm.
J (20:15.88)
It’s pretty difficult nowadays to come up with a actually a truly unique idea. It’s still possible. I’ve I mean I’ve talked to people on this podcast who come up with some pretty damn unique ideas with telemed. I’m like, go for it. so you need to keep that in mind because it’s just very hard for a warm or hot lead to find you if you’re telemedicine only. If you have a physical location, okay, then it’s much easier for people in that area to find you, okay.
Breshelle (20:38.198)
Okay.
Breshelle (20:43.765)
Mm-hmm.
J (20:44.844)
You can you can have a million dollar practice easily and just be in one area. Okay. I mean, the majority of people I know who do a million dollars plus a year are a brick and mortar hybrid practice. They see patients telemed, they see patients in person, they have a they have a they have a local establishment somewhere, okay? So just keep that in mind, all right. So with this idea for the cash based practice, I think
That you’re gonna really need to think outside the box here. Now, I think that in general your foundational idea is solid. Concier care, concierge kind of care for wealthier people, entrepreneurs, business owners, et cetera, people who are busy, right? So there’s always gonna be a market for that. Okay.
Breshelle (21:24.495)
Thank
Breshelle (21:31.683)
Mm-hmm.
J (21:36.161)
Always. I mean I’m even a patient at a concierge kind of thing because I don’t want to fucking dick around with going to a doctor’s office. I’m not gonna do it. It’s a waste of my time. You know what I mean? Like I go to the ophthalmologist a few weeks ago because I always have this elevated intraocular pressure thing and I’m a glycoma suspect or whatever. So I gotta go see an ophthalmologist once a year. They tell me the same thing every year. It’s fine, don’t worry about it.
Breshelle (21:47.228)
Thank you.
J (22:02.828)
But like even just sitting in that office piss me off. I hate sitting here. This is so so outdated. But an ophthalmist actually has to use tools and stuff, right? So like ophthalmologists will always have a physical practice. They just will. It’s the kind of practice it is, right? Just like a vascular surgeon, you know. so anyways, just be you know, that kind of model does work. A concierge practice for wealthier individuals. Now that will work. Now
Breshelle (22:12.669)
No.
J (22:32.002)
question is, what do you offer though? Okay. Concier clinic for wealthy people can be anything, right? So I think that if you want to do it, you’re skilled in primary care, you’re skilled with diabetes management. You’re gonna, you know, it sounds like you’re very comfortable with thyroid health already. You’re gonna, you know, take some courses and learn more about that.
Breshelle (22:50.124)
Mm-hmm.
J (22:53.696)
I think if you can become a very well-rounded provider and offer some services that these concierge people are looking for, they’re not just looking for just basic primary care. Okay. Most of these people are also looking to be optimized. All right. A wealthy person, a busy entrepreneur, business owner kind of person, most of those people are. I’m not going to say they’re all healthy because they’re they’re not, but
A lo a most of them though are wanting to gain an edge. They’re wanting to be optimized. So instead of just doing basic primary care. Yeah, Joe, your blood pressure’s elevated. Here’s amlodipine, five milligrams, follow-up in four weeks, right? You need to do more than that. you need to do much more than that. So you need to be looking at patients from a more holistic standpoint and be treating the whole person for a lot of different things.
Breshelle (23:50.325)
Okay.
J (23:50.403)
comprehensive lab work to identify any kind of hormone deficiencies, nutritional vitamin deficiencies, you know, treating some basic mental health stuff, like doing a very holistic kind of thing. And the more integrative it is, the better, right? Integrating more alternative medicine stuff into a traditional model. That works well. Okay. There’s always gonna be a market for that. And you don’t need a lot of patience because you can charge
Breshelle (24:06.571)
.
J (24:20.768)
a little bit more money for something like that. Okay. Those people would be willing to spend 250 bucks a month or more potentially. Okay, depending on what is it you offer. So if you want to do that, then I’d say that’s going to be the smarter move. Concier diabetes care, throw it out the window. I don’t I I I think it’ll flop. All right. concierge thyroid health
i it might do well, but it’s a real roll of the dice, okay? Like you’re gonna need to be a real thyroid expert and you’re gonna have to prove it to people
Breshelle (25:00.784)
And
J (25:00.898)
by having lots of videos and stuff on your website, have a YouTube channel where you talk about this stuff in depth, you know, that kind of thing. So, so anyways, I think more of a generalized thing might be a better move. I’m, you know, I’m usually a very niche kind of, you know, business, you know, mentor basically. Like, you know, the more niche it is, the better. But in this case, I don’t think so. I think that you know, unless you develop something really unique,
Breshelle (25:21.768)
Mm-hmm.
J (25:30.016)
it’s gonna be difficult. So I would say that if you’re gonna have a physical location in your area, then have a concierge high ticket you know, practice basically for primary care or whatever, more holistic kind of wellness sort of a thing. Have it integrated into your business because really at the end of the day, all right, the model that you’re gonna the model that you’re gonna follow is that you’re gonna have an insurance based practice over here that’s going and assist living facilities, nursing homes, whatever.
Breshelle (25:59.56)
We’re
J (25:59.787)
And it will probably do okay because there’s always demand for that. People are always getting older. There’s no shortage of patience, nor will there ever be a shortage of patience. Right. So that model is scalable and it is durable. Like it is a long-term play and it should do well. So you have this business model. And then you’re gonna be integrating whatever it is that you want into it, which ultimately doesn’t really cost you.
Anything to really do, right? Like you already have the main business created. Now, if you want to just integrate something else into it, it’s as simple as just doing it. You know, create a new website, have a new Google business listing. Otherwise, it’s all the same infrastructure, same bank accounts, EMRs, payment processors, it’s all the same shit, right?
Breshelle (26:49.511)
Mm hmm.
J (26:55.426)
just offering a different service under a DBA underneath your business. So yeah, that’s kind of w I think that’s the way I would approach it. So what are your
Breshelle (27:00.26)
Mm-hmm.
Breshelle (27:05.511)
Okay. No, I think that’s a good idea. I did have another idea for a cash base. So it’s weird. So I was going to do weight loss two years ago, or whatever. was going to do included in my men’s health practice. But lately I just been, you know how everybody see how weight loss is just so saturating. You see the commercials and stuff like that. So I was in a nail salon getting my nails done. And my nail tech.
basically is on GLP-1, goes to this local clinic and just get an injection. I think he’s on Tert’s Appetite, 55 bucks, every injection, no labs, no nothing. So I asked him, said, are you getting blood work? Nobody’s monitoring like your labs just to make sure checking your A1C, nothing. He was like, no. So I was like, okay, well maybe that’s an idea. So what do you think about maybe doing like a cash-based GLP-1 monitoring?
for like anybody not providing the GLP1 medications, but just doing the monitoring. Because there’s so many weight loss clinics in the area that just give out the injections and they don’t do no type of blood work, no nothing. So what do you think about that?
J (28:16.908)
I think there’s definitely a need for it. I think there’s a need for it from a medical provider standpoint, from a healthcare standpoint, there’s a need for it. But from a real person standpoint, is there a need for it? Probably not. These people don’t give two flying shits. They just don’t. They’re
Breshelle (28:29.529)
Mm-hmm.
Breshelle (28:36.132)
Thank
J (28:43.756)
They don’t. They just they want to lose weight. They don’t care. Most I mean, I hate to say this, but most people are fucking idiots. You know, they just are they just go in, pay fifty bucks, get a GLP one shot, woo-hoo, I’m losing weight. Don’t care. Okay. Most people. This is something that I learned as I started getting older, you know. Most people.
Breshelle (29:05.367)
Mm-hmm.
J (29:09.466)
Literally lack the ability. They literally lack the ability to see more than one to two weeks in the fucking future. They just lack the ability. They’re idiots. Okay. 50% of the population are idiots. Okay. So just keep that in mind. Like they cannot see more than two weeks in the future. They just can’t. It’s the reason why 60% of Americans
Breshelle (29:20.152)
Mm-hmm.
J (29:36.918)
Could not cover a $1,000 emergency. To me, that that blows my mind. That absolutely just blows my mind. Okay. Do you think those 60% of people that can’t even cover a thousand dollar emergency, do you think they care what their A1C is?
Breshelle (29:48.579)
Mm-hmm.
J (29:59.651)
But do you? I I don’t. I don’t think they do.
Breshelle (30:01.081)
It’s sad, it’s really, really sad.
J (30:04.43)
It’s it is sad, like, but you or me cannot change it. And we will ne and we never will. The only way you change that is nuking people’s fertility. That’s the only way you change that. And that’s not gonna happen. So we just have to deal with idiots. That’s just that’s just that that just is what it is. Okay. So I agree with you. And I honestly think it’s actually a pretty good idea. I really I’ve never heard anyone say that before.
Breshelle (30:21.807)
my God.
Breshelle (30:27.39)
Hehehe.
J (30:34.264)
I’ve never heard anyone even bring that up. I think it’s a good idea. I just don’t think that those people are just, I just I don’t think they’re gonna pay for it. And if they are gonna pay for it, you better just be giving them their GLP one as well. Right. So now I will say this. You can pr if if you want to do that, this is the way you’d have to do it. Okay. There is probably a percentage of people, okay, that are going to clinics like that or going to the barber shop.
Breshelle (30:43.882)
And now.
Breshelle (30:48.245)
Guess.
Breshelle (30:53.769)
Okay.
J (31:03.828)
Or whatever and get their GLP one shot. Okay. There’s probably a percentage of those people who if they knew that this was not the way it’s supposed to be done, they would look elsewhere. Okay. So could just be a complete lack of knowledge, information, and awareness, right? They just might not be aware this is how it’s supposed to be done, right? Any kind of intelligent, informed individual would know after doing a quick Google search, just
Breshelle (31:04.961)
Mm-hmm.
Breshelle (31:13.951)
Yeah.
Breshelle (31:26.101)
Mm-hmm.
J (31:34.435)
that lab work and some follow up is probably a good idea, right? That’s the thirty or forty percent of people who have an IQ over, you know, a hundred and five. Okay. So, so anyways though, there’s probably a small percentage of those people though that just happen to be going to a clinic like that aren’t and aren’t aware. But if they’ve gained the awareness, then they would go somewhere else. Now, if you want and you know, and actually do it the right way. If you want to do this the right way.
Breshelle (31:38.145)
Mm-hmm.
J (32:04.398)
If you actually if you if you want to do this, this is how you would do it. You would create content online talking about, you know, if you are on a GLP one and you are doing it this way, you’re a fool, basically. Okay. Talk about the dangers, talk about the risks, et cetera. This is it. You actually make like an actual content channel talking about the dangers of GLP ones when you’re not getting it done the right way. Okay. You basically are putting the awareness out in the public.
Breshelle (32:22.121)
Thank you.
Breshelle (32:34.036)
Mm-hmm.
J (32:34.21)
And then you turn around and say, if you want it done the right way, holler at me, right? And you know, and we’ll do it the right way. That’s probably gonna be the only way you’re gonna do it. Okay. It’s I mean, it’s just it just is. I mean, I think that any of those people can go to so many other places and get it done the right way. I mean, most clinics, most clinics are doing it the right way. I mean most providers that are I mean most providers are getting blood work and doing it the right way. Most
Breshelle (33:02.568)
But then you got some that just order it online. It’s the rogue commercials and him’s probably, hers probably gonna have it if they don’t already. So it’s like, there’s no consistency when it comes to lab work. You can just go online and add me to ship right to your door. You look up a YouTube video on how to inject it, boom, it’s over. So a lot of people do get it online. They pay for it and it gets shipped to their house.
J (33:21.558)
Right. Correct.
J (33:27.436)
Yeah, I’m I’m fully aware. Yeah. I mean, you can if y and it don’t take a whole lot of searching to find it. You know what I mean? That is those people’s business. Okay. It is not it’s not my concern. It shouldn’t be your concern. That is if those people want to take that kind of risk. And I don’t even know if even a medical provider is even involved with those kind of businesses. It’s probably some bro somewhere.
Breshelle (33:29.585)
Yeah
Breshelle (33:36.446)
Mm-hmm. Mm-hmm.
Breshelle (33:41.576)
Mm-hmm.
J (33:56.143)
Who’s getting this shit from China and repackaging it up and throwing another new label on it and selling it? That’s probably what’s going on. Okay. You can do nothing about it, and nor nor can I. It will continue to happen. Okay. It is a straight up money grab from people who are, like I said, they’re not medically trained. Very f I I I have per I have personally never talked to a nurse practitioner, anyways, that is just handing out GLP ones without doing anything. Okay. I have never talked to one.
Breshelle (34:03.474)
Mm-hmm.
Breshelle (34:08.19)
Mm-mm.
J (34:26.062)
Okay. but then again, most people that I talk to are, you know, are through elite NP and I don’t think idiots find elite MP. I think it’s mostly fairly informed intelligent NPs, you know. So I’m sure there’s people doing it. I’m sure there’s MDs and DOs that are just handing that shit out like candy. Sure there is, right? But those people, if something happens, they are screwed. There’s no talking your way out of that one. Okay. None. You will be sued.
Breshelle (34:37.939)
And.
Breshelle (34:42.106)
I’m sorry.
J (34:55.416)
They will win and who knows, you might be criminally charged because that shit’s happening now in some pl in you know, in some cases. Some providers are getting criminally charged. Yeah.
Breshelle (35:01.34)
Yeah, there’s so many side effects. Patients are having a lot of side effects from these medications. They are.
J (35:09.026)
Yeah, they are. They are. But like I said, I just don’t know what you could do about it really. I mean, if you wanted to go out there and do a public campaign through YouTube and Instagram and YouTube and make videos and stuff like that, you certainly could and you probably would gain a following and you might actually get some business from it. But it’s a roll of the dice. You have no clue if that’s gonna work or not. And it’s gonna take a lot of work. Okay. Building a business based off of content like that is a it’s a long
tedious game that takes a lot of work and consistency and it pays off. I mean it can pay off big time but it takes a lot of work to get there in most cases unless you just go viral. Okay. Which does happen to some people. But so anyways I’m just gonna let you know I I I I I think it’s a good idea. I just I just don’t know if it would actually in reality work. I just I just people are dumb. I just don’t think they’re gonna pay for it. You know I mean
Breshelle (35:52.825)
Mm-hmm.
J (36:07.266)
I think I I say this in another podcast, like my barber. I love the guy. He cuts a great haircut. He he he cuts a great haircut. He just does. All right. He’s a great guy to talk to. I bullshit with him for an hour and a half while he’s cutting my hair and trimming my beard when I had one. but like he sells peptides out of his fucking barber shop. You can get re Reditrue Tide from him. You can get GOP1s.
Breshelle (36:34.916)
Jesus.
J (36:35.078)
You can get Tessamorlin, BPC. I’m like, dude, where are you getting this stuff, man? He’s like, I got a great connection in China, man. It’s it’s all lab tested, third party tested. It’s the real stuff. I’m like, yeah, bro, is it really? Yeah. Okay, man. Like Yeah. Yeah. It’s craziness. Right.
Breshelle (36:37.807)
Mm.
Breshelle (36:51.257)
Yeah, that is hard. Yeah, no, it’s insane.
J (36:59.734)
It’s crazy. Yeah. So anyways, all right, I’d say leverage your license, leverage your skills, leverage your knowledge the right way, and do this the right way. And I think that a concierge kind of thing would require very little extra work on your end to do. Okay. I think you could do it very easily by just integrating it into this art you know, to the assist living f practice basically.
Breshelle (37:21.441)
Okay.
Breshelle (37:29.848)
Okay.
J (37:29.974)
it doesn’t take anything extra from you. You just you create a new website, another Google business listing under the same address. That’s and maybe you know a a and an and and a different phone number, basically. Just get another phone app specifically just for that business. So that way if someone calls that, you know, to answer it that way. You know, this is a concierge patient, this is an assistant living facility business, right? Just kind of separate it out. But it’s all under legally though, it’s still under the same, still under the same entity.
Breshelle (37:51.543)
Okay.
J (37:57.271)
I don’t think mixing those liabilities is anything to worry about. Okay? I just don’t. I mean, medical practice is a medical practice. I don’t think it’s necessary to split your liabilities out there, right? So, it like I mean, for example, like I wouldn’t have a continued education course business operating through my men’s health clinic. That’d be fucking dumb, right? But this, what you’re doing, it’s completely fine to have it under s under one entity. So you don’t have to do anything like that, right? It’s just
Breshelle (38:00.6)
Mm-hmm.
Okay.
Breshelle (38:24.086)
Okay.
J (38:26.552)
A website, create the protocols, create what you’re gonna do, the workflows for it and stuff. It’s just a time investment really, not really much of a money investment. So any questions with that?
Breshelle (38:38.038)
No, not in particular that one, but I do have a question. So when I’m going into the facilities, how should I position myself? Should I position myself that I’m just a FNP specializing in diabetes or metabolic health? Because you already have primary providers that have established relationships in these facilities. So it’s like, it might be a little bit difficult for me to go in trying to offer primary care services as well. So that’s kind of why I wanted to come in on a…
specialty type of
do it that way. Because I don’t want them to think, I’m just going to come in. they want another nurse practitioner to come in. It’s going to be another primary provider. I don’t want to come in as a primary provider. I want to come in more as a specialist. I specialize in diabetes. So I can work. It’ll be easier for me to gain patients that way, because the family nurse practitioners that’s already in there.
They already have their patients and they know that I’m just coming in here to assist with diabetes, not to kind of overstep and steal their patients.
J (39:47.254)
Yeah. No, okay. I I mean, yeah, I I I think it’s a valid concern.
Breshelle (39:54.325)
So I didn’t know if I should position myself like, yeah, I’m a primary provider, or I just, no, I specialize in diabetes. And this is what I specialize in. You don’t have to worry about me coming in here trying to provide primary services. I have a specialized diabetic program. So should I just position myself as I specialize in diabetes, or no, I’m primary care who have a diabetic program? Just kind of have to the word and have to be.
on point when it comes to that, because they already have providers in their primary services.
J (40:29.184)
Right. I mean if they’re already I yeah, exact I mean if they have if they already have people coming in providing primary care services, the last thing you wanna do is walk in there and step on people’s toes and you know, that’s just gonna cause problems. Now
Breshelle (40:35.474)
Mm-hmm.
Breshelle (40:39.284)
Mm-hmm.
Mm-hmm.
J (40:43.586)
I think the appropriate way to do this would be is w would be to walk into it and say, listen, I specialize in geriatric assisted living facility and nursing home, diabetes and metabolic care. My goal is to manage people’s diabetes and manage their metabolic health, including weight loss
Breshelle (40:58.087)
Okay.
J (41:04.458)
including hyperlipidemia or you know, whatever if you want to time if you if you if you want to go that far, you certainly can. And I think I would just leave it at that. I think the diabetes care and the weight loss, et cetera, just say, you know, I have, you know, years, you know, I I got f seven, eight years of experience doing this. This is what I this is what I’m passionate about. I would love to come in and be able to provide these services.
Breshelle (41:10.931)
Mm-hmm.
Breshelle (41:26.857)
Mm-hmm.
J (41:27.062)
to your residence. I can see any of them for anything. I can help them with weight loss, becoming metabolically healthy, optimizing their health sort of a thing. I think if you approached it that way, then you should be okay because I mean really what do you have to lose? If you go in there and you say I provide primary care. we well we already have primary care providers. okay, well, thanks. And they just and then you leave, you know
Breshelle (41:52.668)
Yeah, that’s what I don’t want to do.
J (41:54.507)
Yeah, and that’s probably what would happen unless that you just happen to go somewhere and they just say, yeah, actually we would love for you to come in here because the primary care provider over here that we have in here is retiring, right? Like you know what, and I’m sure that probably would happen every once in a while. You know what I mean? but but yeah, I’d say that it’s you would have a higher chance of success by going in there and saying
Breshelle (41:57.33)
Good.
Breshelle (42:13.362)
Thank you.
J (42:22.284)
the the you know, the diabetes metabolic weight loss kind of spill. and I believe Medicare is covering semaglutide and stuff now. I think I just read that somewhere. Yeah.
Breshelle (42:31.602)
Yeah. Yeah. No, a lot of our patients, and it’s crazy because we prescribe it in our practice and it’s more for, not for weight loss, but we have a lot of obese patients who are diabetic. So it’s kind of like a win-win for them. So we kind of target more on a diabetic side, but they look at it like, it’s to help lose weight, but we kind of just build it on the diabetes and stuff like that. So they are approving it. They are approving it.
J (42:58.914)
Yeah. Yeah. Okay. So approach it that way. That’s the way I would do it. Alright. and you know, I think that develop an iron skin with this. Alright. You’re going to you’re going to have some people who will tell you no. Okay. You just will. and you’ll have some people that’ll say yes, all right.
Breshelle (43:04.252)
Okay, perfect.
J (43:27.884)
The aggregate of the people who will say yes, okay, will be smaller than the people who say no, probably. Okay? So you will need to make sure you develop a very solid, thick skin here. What happens with these sorts of things, with this kind of business where it’s really dependent on developing a relationship with someone and getting them to give you business is
Breshelle (43:34.383)
Okay.
Breshelle (43:54.381)
Mm-hmm.
J (43:54.831)
Think I mean think to yourself that th this is sales at the end of the day. I mean, this is practically sales, right? You gotta sell yourself and your services to the director of nursing, whoever it is that you need to talk to, right? I would imagine the probably the biggest point of contact with with most of these facilities would be the director of nursing, I imagine, right? So
Breshelle (44:00.643)
Mm-hmm.
Breshelle (44:13.508)
Mm-hmm.
J (44:16.47)
You’re selling yourself, so you need to you you just gotta develop a thick skin, okay? People are probably gonna say no. Some people will. Some will say yes. Okay. The thing is, you only need a couple people to say yes. And you’re gonna have a pretty profitable probably you know, pretty profitable little practice. All right. so so yeah.
Breshelle (44:38.969)
Okay.
J (44:44.012)
i and really really be willing to expand out. Really be willing to drive two, three hours if you got to, okay? Like, really, really expand out. Get another license in another state if you have to, ’cause I know New Jersey’s pretty small. I mean, there’s a lot of people there. I’m sure there’s a lot of assisted living facilities and stuff. I’m sure you could probably take you a while to just even exhaust just New Jersey alone.
Breshelle (45:06.475)
Mm-hmm.
J (45:07.924)
So, you know, start there obviously, and I would hit every single assisted living and nursing home facility in New Jersey. Every single time. I would make a huge list and I would mark them on a map, okay? And I would just I would draw little territories around it, name them whatever you want, and be like, okay, I’m I’m I’m I’m I’m I’m gonna try, you know, I’m gonna I’m gonna hit territory number one right now.
Breshelle (45:15.573)
Okay. Okay. Okay.
J (45:34.349)
And I’m gonna hit territory one and I’m gonna exhaust territory one before I move to territory two, three, four, five, six, whatever it is. Okay? So do this strategically. Like get a map. Even get a physical one if you got to. And just draw lines on it or whatever.
Just, you know, use Google Maps or whatever. Have AI help you create one, all right? And then list out every single nursing and pin it on that map and then just create routes. Be like, okay, every single Monday. Cause I’m I’m assuming you’re still gonna be working while you’re getting this up and running, right? Okay. Whatever day that you have off, what day do you typically have off?
Breshelle (46:12.129)
I work Monday through Friday, but my schedule, we do, it’s like a self scheduling. So how it is is that I go into the facilities round and then I’m done and I chart on my own time. So some facilities, like when I go into facilities, I might be in the facilities for like two hours in the morning and then it’s like, I’m done. Yeah.
J (46:31.628)
Right. So someday you’re done before lunch. Yeah. Okay. Okay, so then what I would do then is be strateg you know, be strategic here and be like, okay, twice a week I’m gonna start knocking out territory number one. You know, based on where I’m at. I’m gonna go in there, I’m gonna make sure I’m dressed up, I’m looking good, I’m gonna make sure I have, you know, so some information, you know, get a little pamphlet or a brochure made, something like that. talk about the benefits of what it is that you do, all right.
you need to talk about the benefits too for the facility itself. All right. You gotta sell this to the facility. They’re the gatekeepers, right? It’s not the patients in there. It’s whoever who w whoever the director of nursing is or whatever. They’re the gatekeeper. So make it make it appealing to them. Right? What’s the benefit of this? Li you know, less hospitalizations, less
Breshelle (47:10.027)
Okay. Yeah.
Breshelle (47:27.424)
Mm-hmm.
J (47:28.43)
ambulance calls, improved diet, less food they’re eating, you know, so improves their, you know, their budget on the on the dietary panel or whatever. Like however you want to frame it. Really, really be really think about how this benefits them. That’s what you sell on. Of course there’s a patient benefit of it, and you should mention that. I mean, no question about it, but also ensure that you’re talking about the benefits to the facility itself as as a business. This is the business owner to business owner thing, right?
Breshelle (47:31.487)
Mm-hmm.
J (47:58.115)
So do it that way. Do it strategically. And it might take you a while to hit every single facility. And you know what? You might not even need to. You could maybe just write out territory one or whatever. And you could get through halfway through territory one and be like, I’m I’m too busy right now. I mean, I’ve already got, I mean, I got four or five assisted living facilities that said yes. Like, I’m I’m too busy to reach out the other ones right now.
I’m just I just can’t do it. That’s a good problem to have. All right. Like if that’s a problem that actually happens, fantastic. Okay. That means you can be in hiring people and really start scaling this damn thing. Okay. So now when to start it? When to start doing this? Get credentialed. Okay. You just started this three to six months. Okay.
Breshelle (48:40.647)
Yes.
J (48:51.98)
Medicare and Medicaid and some of these, you know, Humanas and stuff, it might it might not take that long. All right. So just make sure you’re credentialed with w what ninety percent of these people have, and most of it’s gonna be Medicare, I’m assuming, and then you know, these secondary insurances like Humana or whatever. Get credentialed with the majority of these. Once you are Medicare, Medicaid credentialed and maybe like two or three commercial, Humana and United and Blue Cross or whatever.
Breshelle (49:03.784)
Mm-hmm.
J (49:17.676)
begin reaching out, okay. I don’t think I would spend a whole lot of time doing it before. Because these people that you’re talking with, you need to sell them on the idea then and there. And then you need to be able to to deliver on that sooner than later. Not three months from now. Okay. Then they change their mind. Someone else comes in, who knows, right?
Breshelle (49:24.424)
Okay.
Breshelle (49:45.543)
Okay. What’s a good price for like the concierge, the package? Do you do more like a membership?
J (49:46.551)
needs to be I can start a week from now. I can come in a week from now if you want. Okay? So that’s what I would do if I was you. Yeah. Now the cash based thing. Concierge thing. Pfft start that tomorrow if you want. Okay. Are you gonna have an office for this?
Breshelle (50:15.418)
like a monthly membership or would you do like FIFA service? Like instead of tying them into something monthly, would you? Cause a lot of patients, some of my diabetic patients when we see them, we try to see them on a monthly basis, but some be like, I’m okay. Can I do every two months or can I just do every three months? So we do have some patients that want to be seen every three months when they know they got to have blood work done. So would you still continue to charge them on a monthly basis or would it just be per visit?
J (50:20.344)
All right.
Breshelle (50:45.36)
How would that go?
J (50:47.094)
You definitely want to do it monthly.
Breshelle (50:48.783)
monthly.
J (50:51.126)
What price you charge, I can’t tell you that because I have no clue what you’re gonna be offering. Okay. It really depends on what it is that you’re offering. That is what determines your pricing. All right. If it’s just primary care, I’m available whenever you want. You can call or text me whenever you want for whatever need that you got. Okay, you know, $100, $150, $200 a month.
Breshelle (51:18.659)
Okay. I was thinking that, but I was like, is that too low or am I really going to charge them too much? It’s like, I always don’t know whether if it’s too low or too much. I don’t want to sell myself short now because if you give them that leverage, it’s like, yeah, you know, I was wondering if my son, my son has strep throat and you know, a lot of that going on. I get that now.
J (51:20.194)
Big.
J (51:43.969)
Yeah. I mean you can have family packages and stuff, yeah, but just general on call services. You never have to worry about a refill. You can collar at me anytime that you want for any needs that you got, okay? That’s just basic direct primary care is what that is. Right? Most people charge seventy five to a hundred and twenty bucks a month for that. Okay. Now you can make it a little bit more
executive high level and not cap the amount of visits. A lot of D P C models will cap the amount of visits you have in a month, two or something like that, or, you know
Two calls a month or whatever. Like they they cap it out a little bit. Most most of those practices do. Some not all, but you know, most of them do. So you could have an unlimited thing. You can see me as many times as you want, call me whenever you want, text me whenever you want. I am here to serve you, basically. All right. Something like that, you’re looking at higher end 250 bucks a month, probably. Okay. Now, how do you get that up? You just gotta increase the value of it, right?
Breshelle (52:27.097)
Okay.
Breshelle (52:40.323)
Mm-hmm.
Breshelle (52:45.325)
Okay.
J (52:53.63)
Me personally, I would not spend two hundred fifty dollars a month on that. I just wouldn’t. I I personally wouldn’t. I don’t see the value in that. I just don’t.
Breshelle (53:03.338)
What’s the most you’ll spend?
J (53:06.04)
For something like that, I’d spend probably about a hundred bucks a month. Okay. That’s what I would do. All right. But I’m healthy. I don’t really have a lot of problems. I would never fucking call you. I would very rarely ever text you. Okay. and I’m also coming in this a little bit biased. I’m a provider. If I want something, I just prescribe it. Like I mean, you know what I mean? Like, yeah.
Breshelle (53:08.942)
Okay.
Breshelle (53:32.221)
Yeah.
J (53:33.656)
Well, I mean most f you know, not all pharmacies, but a lot of pharmacies lets you prescribe stuff for for yourself if you want, you know. Like y I mean, I just so I’m coming in this little bit biased, okay? So just yeah, just FYI, right? But
Breshelle (53:39.169)
Mm-hmm.
Breshelle (53:43.745)
Yeah. And then you got a lot of patients, not to cut you off, a lot of patients who are sick, who have multiple chronic illnesses. And you say to yourself, it’s $100 even enough?
J (53:51.395)
Yes.
J (53:55.673)
Correct. there are some people that even a thousand dollars isn’t enough. Get this person out of here.
Breshelle (54:03.157)
the ones that have 13 allergies. How you have allergies, I’m allergic to Protonix and Tylenol and Ivory Blazes.
J (54:06.596)
Right.
J (54:13.666)
No no. Nah. I’m allergic to potassium. Okay. You are not gonna be a patient of mine because you’re fucking crazy. No, you’re not. If you’re allergic to potassium, you’d be dead. Like, get out of here. You know? You see you see stuff like that on Alge list. Those people are crazy. I would never accept them into my practice. I just simply would not. You know what I mean? I’m allergic to water. yeah, are ya? Okay. Yeah. I’ve seen that before, the ER. Like, what the f
Breshelle (54:27.69)
Yes.
Breshelle (54:33.043)
my… Yeah.
J (54:42.304)
Okay, yeah. Yeah. All right. So anyways, ultimately what this comes down to is two things. What it is that you’re willing to tolerate for what price? And number two is what’s the value tied to it. So if you do it, so if you do this concierge based model, you have let’s just say this is j just this general direct primary care that we were talking about, okay? Just this direct D PC stuff, all right.
Breshelle (54:43.369)
my gosh.
J (55:14.646)
Most people charge seventy five to a hundred twenty dollars a month for that. Okay. Most people do. If you want to bump it up and give it and it’s unlimited, cool. Two hundred, two hundred and fifty. You want your entire family, a family of four with it involved, your kids, whatever, five hundred bucks a month. Okay. I take it, talk you can call me, text me, whatever you want. Okay. You can do it that way. All right. Now, what it is that you’re what is it are you what are you willing to tolerate?
Is something that I think that you’re gonna have to really think about that. Me personally, I mean, if I had 10 or 15 patients who were blowing up my phone all the time for 250 bucks a month, like that would just drive me insane. It just wouldn’t be worth it to me, right? So if you stick to that, figure out what it’s worth to you and what it’s gonna potentially be worth to the patient, all right? Now, let’s think beyond.
Just direct primary care, just direct, you know, just beyond just this primary care, right? Let’s let’s think about it beyond this. The second point here is can you beef it up by offering some additional things? Right? Can you do a high-end longevity executive physical kind of thing? Can you integrate that into it? Can you can you do HRT into it? Can you do thyroids? Can you do vitamin injections? Can you like can you
Be fit up with other things. Right? So I have a few executive type patients. All right. Just do. And I do like a very high end executive physical on them. All right. Full body MRIs, the whole shebang. Like, after I’m done working them up, they have a completely c clean bill of health. Or they don’t, or we find something. Okay. Like, shit, man. You gotta
Breshelle (56:47.034)
Mm-hmm.
Breshelle (57:09.34)
Mm.
J (57:12.524)
80% occlusion in one of your coronaries. You probably need to go get that figured out. Like I’m not responsible for that. All right. Go see a cardiologist. So, anyways, though, like, so I have a few a few of these clients and they pay me a lot of money a month and pretty much wherever they want. You know, like, I mean, within reason, obviously, I’m not gonna just give someone whatever they want, but like there needs to be some kind of justification for it, right?
Breshelle (57:39.825)
Mm-hmm.
J (57:40.185)
But like some of these guys that I have are on, you know, they’re on testosterone replacement therapy, that’s included. You know, I had one guy who was getting ready to have surgery who was in this program of mine. And he was getting ready to have surgery. He was like, I want to recover fast. Can you help me? Yeah. You know, let’s do some growth hormone optimization. Started him on that a month before. And then within and then two months after them two months post op. The guy recovered so fast, his surgeon was like
I’ve never seen someone recover from a cervical fusion that fast before. Like, but guess what? He paid me f like he paid for it. To him it was worth the thousands of dollars. I don’t blame him. I would do the same thing. If I was g if I was gonna have back surgery or something, y yeah, I would be bumping my growth hormone levels up and stuff beforehand. I just would, you know. This is how wealthy people cheat. Well boo hoo. That’s just life, right? You don’t think Peyton Manning
Breshelle (58:15.254)
wow.
Breshelle (58:36.975)
Mm-hmm.
J (58:39.594)
used growth hormone when he had his neck worked on. Bullshit. Yes he did. You know what I mean? These guys like, yeah. So anyways, this is just how the world works. All right. If you got the resources for it, you should get it if you want. All right. So be the vessel to provide that to this group of people. There is a group of people like that. Talking to an NP at our conference in San Diego back in October.
Breshelle (58:50.266)
Mm-hmm.
J (59:09.302)
last year 2025. and she has a like a high end concierge practice out of like Reno or Vegas or something like that. She and it’s like $2,500 a month is what these patients pay her. She basically was just like I just kissed their ass. Like whatever they want. You know what I mean? Within reason, obviously. Right. Like yeah you want some oxycodone sure. I mean you’re not gonna do that.
Breshelle (59:26.879)
my God. Sheesh. Jesus. That’s a lot.
J (59:39.151)
I mean, you know, within reason, you give them kind of what they want, right? Within reason. Make sure there’s a necessity to for it. Make sure you do blood work, make sure you do an assessment, etc. But you just lower the barrier for these people. So think about that. So you want to do it. Think about what is it you want to offer these people to beef it up. You want to do if you want to do just basic concierge care, primary care, I think you could probably get away with.
Breshelle (59:43.45)
Mm-hmm.
J (01:00:08.302)
Two hundred bucks a month, two hundred and fifty. If you wanted to. So really think about it. All right. Any other questions?
Breshelle (01:00:10.648)
Okay. Okay. Got it.
J (01:00:20.982)
All right. Do you are you more lost now or are you Okay.
Breshelle (01:00:21.722)
Breshelle (01:00:25.48)
No, I got some direction on which way to go. really kind of, because I have so many different ideas and it’s like every idea that pop up in my head, I think I could do it. Like, let’s just do it, let’s just implement it. And like you said, some people, it’s just, they can’t see far. So sometimes it might just be a waste. It’s just an idea. And some ideas just need to be there, just an idea.
J (01:00:49.814)
It’s yeah, it’s an idea and you just keep it an idea, right? I mean, it’s just like the crazy thoughts that go through everyone’s heads, they just need to stay a thought. You know what I mean? Like they just need to stay a thought. Like, yeah. It’s just and it it just it’s just like your ideas and they just need to stay an idea. Like it’s just not gonna work in real life, right? So so yeah, and I think it’s hard, you know, as a higher functioning individual.
Breshelle (01:00:53.537)
Yeah
Breshelle (01:00:57.845)
Mm-hmm.
Breshelle (01:01:02.338)
Thank you.
Breshelle (01:01:11.863)
Yeah.
Breshelle (01:01:19.168)
Okay.
J (01:01:19.282)
I mean, you know, obviously you’re a higher functioning individual. You’re an NP, you’re working, you’re starting a business. Like, most people don’t do that, you know? And it’s hard to separate yourself from that and put yours and put yourself into the shoes of your average person who’s kind of an idiot who’s just kind of floating through life, can’t really see two weeks ahead. You know, it’s it it it’s it’s hard to put yourself in those shoes ’cause you’re not in those shoes, right? So
Breshelle (01:01:42.528)
We do.
J (01:01:47.753)
so yeah, so just you know, just keep that in mind. And one thing too, I’ll you I’ll leave you with this is that don’t get you know, don’t get headlight syndrome, don’t get squirrel syndrome as an entrepreneur. I mean, it will really deviate and take away your focus. It just it just will. I mean, if you start focusing on a bunch of random different things, you’re just you’re never gonna complete anything. Or if you do, it’s never gonna be to the full potential that you were capable of doing, right?
Breshelle (01:01:58.197)
Okay.
Breshelle (01:02:16.213)
Mm-hmm.
J (01:02:18.062)
I heard this from someone, I forgot who it was. But like if you went to a white if like if you went into a a room, a white room, solid white room, nothing but just white. You walked in. There was one black dot on the wall. What’s the most interesting thing in that room?
J (01:02:38.86)
The black dot. Right? Okay. That’s the most interesting thing in the room. So you keep your mind like that when it comes to a business. Everything else is noise. Everything else is whited out. Nothing matters except for that black dot. It’s the most interesting thing. This one business idea that I have. I’m putting all my effort into this idea, focusing on this thing. All my energy is in this one thing. If you do that.
Breshelle (01:02:39.85)
Black dot,
J (01:03:07.928)
The business will be launched to its full potential and it will dramatically increase the chances of success, all right? If it fails. That’s just part of life. That’s part of having a business. You’ve already you’ve experienced that once before. I’ve experienced it multiple times. Okay. You just never know, but you learn from the failure. Failure is just part of it. You have to lose. Being, you know, losing is not a bad thing.
Breshelle (01:03:15.584)
Mm-hmm.
Breshelle (01:03:29.383)
Mm-hmm.
J (01:03:35.907)
Winning or losing is not a bad thing or a good thing. All right. Sometimes you win and you don’t even have to try. What do you win from that? I mean, I mean, or what do you learn from that? Nothing. We’ve all done that before. Like so you just win something, you win at something, and you barely had to try. Do you really put much value into that? Not really, you know. But when you lose, it’s sometimes it’s a good thing because you learn from it. You’re like,
God, I really fucked this up. I did this wrong. I did that wrong. I did this wrong. Like, you know, maybe maybe I should learn from this. You know, you can’t you can’t get refunds on some of the stuff that you do in the past, right? So you just learn from it and you move on. And then when you try again and you’ve learned you know, all those failures that you’ve had, everything that you’ve that you failed at, the the the mistakes that you made, all of those things, once you do and then and then
Breshelle (01:04:18.397)
Mm-hmm.
J (01:04:33.312)
Once you learn from that, you start again and you win, how much more valuable now is that win? Tremendously, right? Yeah. Right. So something to keep in mind. Any other questions?
Breshelle (01:04:41.703)
Yeah, absolutely.
Breshelle (01:04:49.092)
Yeah, so, okay, so what mistakes do new practice owners make often? Like the most? Something that I need to try to avoid. Like what’s the most mistakes like you’ll see like a new practice owner make?
J (01:05:08.898)
I would say
J (01:05:15.52)
It’s probably what I was talking about earlier. I would say that it’s not making yourself findable. Like making yourself findable. I think that’s probably one of the biggest mistakes I see people make. It is one of the most common things, one of the most common mistakes, the problems that are in these podcasts. I mean, for people who’ve been listening to this podcast for a while, you’re probably gonna agree with me. How often do I say
how important your Google business listing and stuff is in reviews. Like it’s so important. So I would say that mo that’s what most people really make a bad mistake on. And that can fall into marketing, you know, really. I don’t I just I don’t think people take marketing very seriously when they really should. And it doesn’t necessarily mean paid advertising on on social media. It’s marketing falls in it’s in a complete umbrella. Even you
Breshelle (01:06:08.635)
And then.
J (01:06:12.14)
Your Google business listing and reviews, that is a marketing activity, right? So you’re r like it is. That’s why I always say marketing’s the number one function of your business. It just is. Like delivering your service is a very important thing, but if you can’t deliver your service to someone, then does it even matter? It doesn’t. Right? So that’s why you need to market. That’s why it’s the number one function of your business. So I’d say that’s probably
Breshelle (01:06:16.379)
Mm-hmm.
J (01:06:41.036)
The biggest mistake. Yeah.
Breshelle (01:06:42.478)
Okay. I was going to do maybe like some direct male marketing to like provide like a podiatry, the vascular doctors, wound cares, because you know, a lot of those specialties work with a lot of diabetic patients. And then you have a lot of patients who struggle, like even when we refer out, you got some patients who just be too complicated and you’d be like, okay, let somebody else at least help with something. And he’s like, okay, go see endocrine. And then it takes for them months to get to see endocrine.
So it’s like, have that.
J (01:07:13.858)
No.
It’s good idea, but don’t waste your money on the direct marketing or the direct email or the direct mar mail. Shit, sorry, brain fart. Direct mail. Don’t waste your money on that. Instead, save yourself the money, be high and be a lot more efficient, and just take a brochure and walk in.
Breshelle (01:07:25.858)
Okay.
J (01:07:37.302)
It’s cheaper. You’ll be able to talk to someone if they’re interested. All right. That’s it’s so much most direct mail, that you’re gonna see they’re gonna throw in the trash.
Breshelle (01:07:37.614)
Got it. Got it.
J (01:07:51.065)
Okay. So just you can make that part of your strategic community outreach strategy. Going out to assist facilities and stuff, you can make that part of it. Like, okay, I’m gonna hit every podiatrist office on the way to the next assisted living facility. Right. This is just hustle work. This is hustling. It’s just part of it. You just you just gotta hustle. Just hustle it. Throw it out there, get out there.
Breshelle (01:08:18.733)
Okay?
J (01:08:20.312)
Get dressed up, get dolled up, go out there and just hustle it. That’s just most business owners don’t This is another big mistake I see. Is they don’t hustle. They just don’t. They expect it to magically just work. And it doesn’t magically just work. It just doesn’t. Every business I started, even the elite NP, every single business I started, successful business, I hustled.
Breshelle (01:08:34.252)
Hmm.
J (01:08:50.892)
At first, I just did. Businesses that I’ve started where I didn’t hustle either didn’t succeed or were super slow. So that’s just part of it. And most people are not willing to do that. They think that just because they created the business, just because they created this LLC and they got an EMR, they got nice office, they went and decorated, blah blah blah, right? That’s gonna magically just work now because you put all this work into it. No one gives a shit about how much work you put into it. No one cares. No one cares.
And so they don’t hustle. They don’t think they need to. So hustle. If you’re willing to hustle, you’re you’re going to get business. But you guys gotta develop a thick skin. Because a lot of people are gonna say no. Most people will say no. Yeah. So I think I’ve said this example on another podcast. I don’t remember how long ago it was. It’s probably a while back. So I’ll remind maybe new listeners. So when I started my first, so when I started my medical cannabis clinic, okay, which I don’t have anymore, I don’t do medical cannabis anymore.
Breshelle (01:09:31.296)
Yeah.
J (01:09:51.895)
It’s not worth it anymore because it’s recreational now and no one really cares. but when I started my medical cannabis clinic back in 2018, I believe it was, I started it, I had a Google business listing. I got some phone calls and stuff. I was making a few bucks, right? I was like, man, I I know there’s I know there’s potential here to make a lot more money. I just know there is. And so I was like, I’m gonna call.
Every single dispensary in the area, okay. Every medical cannabis dispensary. I would call every single one. I started calling them and saying, hey, my name’s Justin. I’m doing medical cannabis evaluations. I’d love to do medical cannabis canvas evaluations for your customers. I only charge $100 for a new evaluation, $50 for a follow-up, which was half the price anyone else was charging. Okay. Hustle. All right. And
Breshelle (01:10:26.762)
.
J (01:10:47.768)
places I would call. we already have a doctor that comes in. Thanks. Hang up. Like they wouldn’t even they like it wouldn’t listen to me. All right. And so whatever, fuck I just kept calling. I didn’t care. Just kept calling. And then called someone, all right. And it just happened to be that this was this was the largest dispensary in the state. Okay. They had like twenty locations or something like that. And I called one
And I called one in another city. And it just happened to be that the regional director was visiting that dispensary that day. Just happened to be. And and and the girl on the phone was like, Hey, Joe, or whatever his name was, there’s this doctor on the phone who’s doing medical cannabis cannabis evaluations. Can he come? And he was like, Hey, give me that phone. I started talking to him. And he was like, Yeah, I would love for you to come do evaluations here. And
Breshelle (01:11:28.671)
Mm.
J (01:11:46.169)
couple of the other locations. I was like, okay, he’s like, you want to grab a beer tomorrow night? I was like, yeah, sure. So I met the guy at this bar. Like this guy’s regional director of this dispensary, right? He’s already doing shady shit. So we go to this bar, have a couple beers with this guy. And he’s like, I like you man. You’re cool. You can start whenever you want. I was like, okay, cool. How about Thursday? He’s like, Yep, sounds good. Just show up. We’ll have patients, you know, we’ll have patients waiting for you. I was like, okay, cool. So
I did that, all right. I would go to three of their locations essentially, all right. One of them was like two hours away, but it was worth it. And I literally I would make two, three, four, five thousand dollars in one day seeing patients. I would just saw a shit, shit ton of money. I mean, I just a lot. And that one phone call, that one phone call changed the entire trajectory of my.
Breshelle (01:12:22.408)
Mm.
J (01:12:45.518)
life. Really did. When I think it back on it. If I wouldn’t have if I wouldn’t have done that phone call, if I wouldn’t have met that guy, if I wouldn’t have got that business, there was no contract. It was just a handshake. This is medical cannabis. There’s no contracts. You don’t sue each other in this industry. There’s you just don’t handshake deals. All right. If you break the handshake, maybe they’ll kick your ass. I don’t know. It’s just like that kind of world. All right. So like handshake deal. And if I wouldn’t have done that, then
I would not have had the capital to start my men’s health clinic. I wouldn’t have had the capital to start the elite nurse practitioner. I wouldn’t have had the capital to pay off my student loans. Like it literally changed the entire trajectory of my life. If I wouldn’t have made that phone call, chances are probably ninety-five percent I would not be on this phone call with you right now. Because I probably never would have started the elite MP. Or if I would have, it wouldn’t have been as successful as it would have been.
Breshelle (01:13:20.163)
Hmm.
J (01:13:43.075)
Because I spent a shit ton of money marketing it. And the money I was making and the money I spent on it was through med the money I making through medical cannabis. I didn’t s I didn’t pay myself a dollar from medical cannabis. Not one dollar. I never, I never wrote myself a check from medical cannabis business. I never had money left over at the end of the year to pay myself a distribution. Never. Every dollar I made for my medical cannabis clinic, I reinvested it into other businesses. So you could say.
Breshelle (01:13:45.509)
Wow.
Breshelle (01:13:58.393)
Thank
J (01:14:12.044)
My entire business empire was built off of weed. It’s not inaccurate, but whatever. It was legal. Right? So the story the but the the the whole point of this is is that that one phone call literally changed my life and changed the lives of tens of thousands of other people. Of all the MPs I’ve helped, everyone that I’ve helped. That one phone call did. 15 minute phone call. So
Breshelle (01:14:33.78)
Mm.
Breshelle (01:14:41.253)
Hustle. As part of that was a part of your hustle. Just keep calling. Yeah. All part of the hustle.
J (01:14:45.986)
That’s right. It’s part of the hustle. So yeah. Get out there and just do it. You never know who you’re gonna talk to. And you never know what they need. You might be able to deliver exactly what they need at the exact right moment in time. You just don’t know. And you never will know unless you actually get yourself out there and do it. It’s just like dating, right? It’s the exact same thing. So, all right. Any other questions?
Breshelle (01:15:12.215)
Yeah. No, no.
J (01:15:17.851)
I like the end of the episode with you asking me a question. You have a personal question or curiosity for me?
Breshelle (01:15:22.563)
actually have two questions if you don’t mind. So the first question, what mindset shifts helped you become successful? That’s the first one.
J (01:15:24.813)
Okay.
J (01:15:36.823)
I would say biggest mindset shift that helped me become successful was probably realizing that I was in complete control of really the trajectory of my life. Like realizing that no one was gonna help me, realizing that no one owed me anything.
Breshelle (01:16:05.56)
Mm.
J (01:16:06.21)
Realizing that this was not gonna be given to me at all. Realizing that I had to take action to do it myself because no one was gonna do it. Before that, I always thought that for some reason I would just become rich. You know. I would work for urgent cares and ERs and I’d get raises and bonuses and the business owner would treat me right, blah blah blah. You know, this is just delusional shit.
Basically. Yeah, that’s probably one of the biggest mindset shifts. Like I am in control of my life and it is a waste of my time to think otherwise. So at this point in my life, I’m only forty two years old. I whatever I can’t control, I don’t let it bother me. I don’t think about the world really at all. I’m completely content in my little bubble. That’s fine. That’s completely follow me. So
Breshelle (01:16:36.789)
Thank you.
Breshelle (01:17:04.563)
Yeah, I hear that.
J (01:17:07.278)
Politics, what’s going on, Minneapolis, ICE, all this sh I don’t fucking care. It’s n I I can’t I can’t change it, nor can I control it. I just whatever. I’m gonna I’m gonna focus on what I can control. And I think that’s a healthy way to live.
Breshelle (01:17:14.144)
Mm.
Breshelle (01:17:24.5)
Yeah, absolutely. Okay. All right, my last question. Okay. What weakness in yourself did you have to overcome to become successful? Like what was your weakness that you had to like, okay, I gotta get over it. I gotta just, Something that you dealt with that you had to just.
J (01:17:26.222)
Yeah. All right, second question.
J (01:17:47.959)
Let’s say one of the biggest weaknesses I had starting, this isn’t a weakness now, but say one of the biggest weaknesses that I had was I had this fear of I had this fear of rejection. I had this fear of failure. I had this fear that I was never good enough. Like I had this fear that if I was to try and fail, it’d be the end of the world.
Like if I didn’t ask that girl out over there, it’d be the end of the world. If I didn’t start this business over here, or if I started this business and it failed, I’d go bankrupt. Or if I did this and that over there, I’d get sued and lose my license. Like just this fear of of utter despair, I guess. I don’t really any know any other way to really define it. You know, it was just this fear of just of catastrophe, I suppose. It was catastrophizing.
Breshelle (01:18:40.822)
Mm.
J (01:18:48.376)
I guess th that that’s what you want to call it. That was that that that was a great weakness of mine. I would catastrophize everything in my life. Everything. Like, I mean literally everything. It was a catastrophe. It was always worst case scenario. It was always, you know, there was just this anxiety behind it all. And
I just got over it. I mean, I don’t really know how I did, I just did. I think that once I started getting out more, you know, out of my shell, you know, throughout my thirties. Like I said, I’m forty two now. I’d say I started really getting out of my shell when I was about thirty-two. Before that I was pretty I wouldn’t say I was an anxious person, but I was there was definitely some anxiety there and I was catastrophizing and I never really came out of my shell. I was always more concerned about what people thought of me.
Breshelle (01:19:18.386)
Mm-hmm.
J (01:19:39.404)
than I was of actually me. Right? And so at thirty two I finally came I was start I started coming out of my show. I stopped I stopped catastrophizing. I stopped living for others and living for me instead. And it was the best fucking thing I ever did. I mean so yeah.
Breshelle (01:19:41.446)
and
Breshelle (01:19:52.925)
I think that’s a weakness that I have. I’m more of an introvert. So that’s why I just always been private, personal. That’s why I never had social media. I just, I don’t know. I felt like I had my group of friends. That’s how we were. I don’t need to be on social media talking to people who I went to school with. We wasn’t friends in school. So it’s like no need for us to talk on social media. So it’s like, I never was that person. So that’s kind of what my weakness is and my fear of.
not being as successful in this business because I’m not that kind of person. I’m not that social media type of person where I can just get on and have these conversations and just talk to people and stuff like that. That’s my major, biggest weakness and my fear of why I’m hoping that would not be the reason why I don’t be successful at this. That’s my one thing that I’m fighting.
J (01:20:49.23)
Well, one piece of advice for you then would be
J (01:20:55.722)
Realize that there are very, very successful people out there that are very introverted people. People you’ve never heard of, never know of, all right? Driving around in some Toyota Camry, and they’re worth a hundred million dollars, and they’re dressed up, they’re wearing fucking jeans and a t-shirt, you know. You’d have no idea. they’re very, very introverted people, and there’s nothing wrong with that. I’m fairly introverted. It might not sound like it, but
Breshelle (01:21:16.102)
Mm-hmm.
J (01:21:25.492)
I am. I’m usually by myself most of the time. I just didn’t. I don’t have a lot of friends in real life. You know, I just don’t. Never really have. and and yeah. And so, you can be extra you are probably extroverted with things that matter to you. You will speak up, right? When you’re with your patients talking with them, you’re not gonna be sitting there all quiet. Right. Right.
Breshelle (01:21:28.838)
Mm-hmm.
Breshelle (01:21:36.337)
Mm-hmm.
Breshelle (01:21:46.413)
Yeah. Mm-hmm. Mm-hmm. Absolutely. Yeah. That’s the only time I’m like that. But other than that, I’m just, I’m laid back, I’m chill.
J (01:21:58.371)
Then there’s nothing wrong with that. So I’d say my piece of advice for you is is that be introverted when you need to to reserve your energy. Because most intro introverted people need to reserve their energy for when they do the extroversion, right? So get your rest and reserve it. And the extroversion component of it should only be you should only expend that energy when it actually really matters.
And for you, this is gonna be something that’s gonna be a little challenging, I think, is this hustle component of this might be a little challenging. Now, you do not have to put yourself out there online, you know, to potentially millions of people. All right, you don’t have to do that. but you know, you are gonna have to be just you’re gonna have to just kind of really force yourself out of that shell and let your personality shine and let you know
Breshelle (01:22:32.333)
Mm-hmm.
Breshelle (01:22:39.673)
Okay.
J (01:22:56.236)
the value that you’re trying to propose, like let that let that come out when you you know, when you’re speaking to this director of nursing or whatever. Like the more you do it, the easier it becomes. It is it’s it’s it’s like a muscle. It’s like your brain, you know, if you work out a lot, the muscle grows, the muscle memory develops. If you read books on a regular basis and test your mind, it you know, it you maintain your intellect, you maintain your wit.
When you stop reading, your brain atrophies, right? And it’s just like this. This is just this is a skill that requires you to practice. And so the first dozen places you go to might be utter failures. You might be stuttering. You might be nervous. And that’s fine. It will get better as long as you don’t quit. Okay? Like
Breshelle (01:23:42.967)
you
J (01:23:52.757)
I would say that was one way I was able to kind of come out of my shell was just do it. Right? Now at this point in my life, I don’t care. I will go talk to anyone. I don’t care what you think of me. I I don’t. And that took a long time for me to to get to. So for you, it probably will take a little while. How old are you? 39. Okay, so you’re a couple yeah, so you’re about three younger. Yeah, a couple years younger than me. Okay, so
Breshelle (01:23:57.751)
Mm-hmm.
Breshelle (01:24:13.667)
39.
J (01:24:20.994)
You know, I would say that I would just say that the you’re at a very critical part in your life now where you’re at a very critical place where you either start making some changes now and become the person you want to be, all right, now is the time to do it because once you start getting into your forties and as you get
in your fifties, it’s almost impossible at that point. Okay. So now would be the time too, if you want to try to get out of that and try to work on that some, now’s the time to do it. Like maybe you starting this business and going out there and hustling a little bit and stuff will help you come out of that shell to where you know, where it matters for you. Not entertaining people on an Instagram reel, you know, but like where where it matters. Developing those skills now will serve you for the rest of your life. It just will. But it’s hard. Taking that first step is the hardest
Breshelle (01:24:53.687)
Mm-hmm.
Breshelle (01:25:10.037)
No, that was, that was what I needed. I needed that. I definitely needed that.
J (01:25:19.96)
part. So yeah, I don’t thought it was helpful.
J (01:25:28.638)
Okay. right. Good. Well, this was a super super long episode and full of bunch of good stuff. So thank you for hopping on here. yeah, I wish you the best of luck and if you ever want to do a follow up, by all means you have my email, let me
Breshelle (01:25:38.131)
Yeah, absolutely.
Thank you.
Thank you so much, I appreciate it. Okay, bye.
J (01:25:48.281)
Right. Take care.
