Health Innovators
Health Innovators

Episode · 3 years ago

Physician Turned Entrepreneur: A Formula for Innovation Success w/Dr. Tal Rapke

ABOUT THIS EPISODE

Physician turned entrepreneur. Working within the healthcare ecosystem can definitely be an advantage. It's important to understand how healthcare thinks and being a physician-entrepreneur can offer credibility for knowing what it's like to be on the frontline. On the flip side, doctors are trained to think about problems in a linear way, which can sometimes get in the way of innovation. 

 

Just because you've identified a real problem in healthcare and developed an innovation that is superior to competing solutions on the market, doesn't guarantee commercial success. How can we make healthcare innovation easier? How can we become more focused on outputs instead of inputs? How can taking a sabbatical help entrepreneurs come back to the game with new clarity, energy, and passion?

 

On this episode, I’m joined by global health innovator and ScalaMed CEO, Dr. Tal Rapke, MD, who shares his formula for healthcare innovation success.

 

3 Things You'll Learn

  • Four questions to use as a lens for creating value
  • The difference between having a solution that solves a healthcare problem and having rigorous evidence to support your claims
  • The power of curiosity: Why it's important to stay curious enough to keep asking "why"

 

In order to create an innovation that truly solves a problem on a large scale, we need to think of how we can reduce the workload and friction for patients and clinicians. We need to bring patients on the journey, think more about outcomes than inputs, and consider the entire flow of the whole system.

 

Welcome to CIQ, at first of its kind video program about health innovators, earlier doctors and influencers and their stories about writing the roller coaster of healthcare innovation. I'm your host, Dr Roxy, founder of Legacy DNA marketing group, and it's time to raise our COIQ. Welcome back, cliq listeners. On today show we're speaking with Dr Tao Racki, who is the he was a medical doctor. He also was a chief innovation officer at Sonofie and Moss. Currently he is the founder of scalamed. Welcome to the show. Thank you so much for having ROK say it's great to be here and talk awesome. So I thought maybe we just kind of kick off by you kind of telling us a little bit about your background and what you're doing these days, and that might give the audience listeners an opportunity to kind of just know you a little bit more. Yeah, I totally. I'm so, yes, so I'm I am. I guess I've been on quite an interesting journey of trying to, you know, I sort of describe it as a bit of a bit of an approach to understand the true consumer journey when it comes to health care. I think you know, I've spent many years as a physician. I've spent years on the on the on the digital side, where I saw patients trying to search and understand the conditions. I spend using pharmaceudic calls where we were trying to innovate and understand how people actually take the medications and wine. How do we give people the same feeling of, you know, great health outcomes, but also support them in their journey through through ill health and throughout that, I guess, entire experience in healthcare, I've been really focused on the fact that we have a healthcare system that was created or set up in an age where consumers or patients were were didn't have the knowledge, didn't have access to information and a people. For the most part, we're kind of like the what we call patients, right. You have to be patients, you've got to sit there and ways and and and I've been over the last sort of years, been thinking really about how do we start creating a much more intuitive, impowering system that really ultimately helps people live healthier and more fulfilling lives. And so, yeah, I guess you know my background has been varied and not been very lucky and that's really cool. Opportunities in entrepreneurship, in large healthcare businesses and digital health. But when it comes down to I think my real passion is to try and make a dent in healthcare and help people to live, to help people make make healthcare a little bit easier. So so what is it like for you writing this this roller coaster of healthcare invasion? Yeah, look, it's a great question and I think I definitely some days I find myself screaming kind of you know muffles, so frustrating. I'm not that as I'm really inspired and I think it's interesting even even...

I've seen, you know, I've seen changes even over the last and three to six months, where previously, when when I used to speak about the consumer experience of healthcare or the fact that, you know, managing one's health is hard, people are as like yeah, it's not really interested. But I think there's been a real shift. As you know, we see a few things coming to the four. I think, as we start seeing value based healthcare, so moving away from volume and moving towards value in the US healthcare system, I think people are really starting out to realize that that we need to start bringing patients along the journey and we need to start thinking more about outcomes rather than just about inputs. I think innovations. Innovation is definitely a buzzword in healthcare, but I actually think there is a true appetite to change it. We can't keep increasing the cost of healthcare. I think we're seeing, you know, large out of pocket deductible plans. So consumers and people who are living with healthcare and now realizing the actual cost of their healthcare in our becoming more savvy as to what they're receiving in the value that they're getting out of healthcare. So I think there's been a real change, has been a real appetite for innovation. But at the end of the day, I guess I've I, like many others in healthcare, apply very easy formula to innovation and that formulation, formula, is the group lame or, as some called now, the quadruplame of healthcare. And if familiar Realis, I'm sure your listens are probably very familiar with you is. But I would feel like innovation is if you're driving down the cost of healthcare, if you're pretty experience of health care and if you're delivery outcomes in healthcare. You're on you're on the right trajectory, and the more quite as if you can actually help doctors out and you can actually help the system out by reducing some of the friction and the workloading, need administration burden, then really what you have is a is a truly scalable innovation health can so for me, I think innovations kind of easy and that if you apply that that filter to anything that we do in healthcare, I think we're I think that's the filter that I was encourage innovators to apply to anything that they're thinking about. MMM, yeah, well, I will definitely agree with you. I mean, we are closer today to adoption of innovation more so than we ever have been. You know, I think the last few years there's been a lot of talk about innovation and and so we're just seeing kind of an uptick and it seems like we're getting closer and closer to that time we're more transformation and adoption is really going to take place. So, you know, I'm interested from your perspective. There's a lot of physicians that have turned entrepreneur. You know, what are the advantages are disadvantages of that? Idea may yeah, look, I mean I think at the end of day, healthcare is complex. Right there are it's a it's one of the only it's runny. It's a profession. That's...

...that's that we're trained as kind of apprentices in healthcare. It's under standard, course, that you go to university. It's really this idea that you're spending time in hospital, you're engage with patients, you're watching very in your observing. I'm so there is a there is a language. We speak in Latin, a lot of our language. We we need to think. There's there's complexity around financials and other bits and pieces. I think having that being able to be on the front line and speak to a clinical speak to a physician or speak to a speak to a hospital group and even a payer, and have some credibility as someone who's been through the system and seeing what it's like to be a to be to be on the front line, I think I think it's helpful. I don't, I wouldn't just sway people who don't have that experience to not jump in, but I do think it's it's important to understand how how healthcare thinks and I think having that physician training even advantage. That's it. I also think that that the healthcare system and my training, and I going to speak to my training healthcare. We're also trained quite algorithmically. So healthcare, you know, as an apprenticeship, as a training course, we taught to think about problems in a very linear and and and method has set of method to the madness of met us. And Hmm. Sometimes connectionally get in the way of true innovation because, you know, it's you know, sometimes anything creatively in some ways. There other there are other approaches, and so I think trying to you know, as a doctor who's being trained, you know, classically, I think trying to apply innovation can sometimes be hot for some people. That said, I think, I think it's a great profession. I think, I think taking a medical degree and applying it innovatively to solve some of the big intractable health kid problems is a really satisfying and rewarding career. And and it means that, rather than having an impact on a patient by patient basis, you can have a greater impact on a much lage as population. And that's for me. He is a real driver. Yep, absolutely so. You know, as a physician. You know, I imagine that you're just completely immersed in the healthcare system, right, and so you're identifying problems just in your day to day practice and as you identify those, you know it's real. It seems like it. You know, it's common for physician to decide that I've got an idea for a solution to solve that problem and then, you know, turn into an entrepreneur, decide to launch this innovation and, you know, help us, help our audience understand what or maybe some of the misnomers of okay, I'm a physician, I understand the problem, I've got out a really good solution. I'm very familiar with this dynamics. I feel like I'm really comfortable with problem, solution fit or product market fit. And now I'm going to go to market and I'm going to be successful and then and then reality hits, you know. So kind of just talk about that a little bit of what's the...

...reality of going to market and trying to commercialize and innovation, even if you have something that is superior to what's being done currently in the marketplace? Yeah, that's that's a great question. So I think I'm healthcare is a very evidence driven profession. Right. So they've been many promises of amazing technologies, amazing, you know, pharmaceuticals, amazing devices that have a great promise and that sound really good, and then when you actually put them into clinical, proper clinical research, double blinded, randomized, controlled, Gold Standard Studies, we actually find they don't perform as well as they as well as they they is one as we thought they would. So there is something about healthcare at you know, the stakes are high. You screw up the end of the day, you're impacting someone's life. And so so I guess is a physician, it's a really you know, it's part of our it's part of the philosophies. We are overly cautious group because, like I said, there are high stakes. I think one of the things that we've been focused on a Scarlett has been, when it comes back to sort of problems, solution is really trying to think about the entire flow of that system. How we how we impacting the workflow of the clinician. What is the coindicition need to change in order to apply this particular solution? What are the risks that they're PUTT into a patient? What are they? What are we taking them away from that could potentially be be have a great impact. So if you're saying would doctor listen, you've got, you know, certain number of hours in a day that you can perform activity in care activities. Firstly, you know we need to make sure that you're getting paid appropriately for those activities. But secondly, should I be calling a patient or should I be working on this tool? Should be typing something into a computer or should I be running this particular diagnostic test? And every decision point we need to make sure that people are focusing on the most impactful things to drive and deliver good healthcare. And so I think as we thought about our solution, we wanted to find a solution with scarlamit. They would ultimately deliver great outcomes to patient. Let get along the true lame of healthcare that wouldn't interfere with the workflow of the doctor, would actually make it improve the efficiency of the workflow and that and credible of automation behind behind the doors to actually make sure that we can deliver it in an execute against our vision. And so I think encourage people when they think about a great solution is if that solution just helps one individual within the healthcare system. So just helps the doctor with their efficiency. You've always got to think about is someone willing to pay for the due to patient health? What does it do the experience of healthcare? Does it reduce, you know, administration burden? And I think we know, when we've looked back at all of the Lidany of digital health failures or innovate innovations, that you know on paper we're amazing and amazing technology and brilliant ideas. A lot of them relied on changing workflow and the value that it brought to the system just wasn't there.

And so we are creatures of habit physicians. We know workflow is important. You know when you've when you're seeing in front of a patient, you've got an EMR system that's throwing up a thousand pieces of content and information that you you've got a patient with, you know, print outs from Google and and lid in the of problems. You've got you near phone buzzing and ringing and you kind of got a break through that clutter to really have something that's truly impactful and solved, solves solves those those those moments of care, and so I think, I guess yeah, I don't know if that I have a formula for for how to take a problem and solve it, but I by doing. There are a lot of things that we need to think about and I think the more that we thought that, you know, innovators think about all the elements of the system, I think they're more likely to be successful in solving those problems. Absolutely so. So you kind of touched on this a little bit. What drove you to build scale then? YEA, so, so, I guess I you know, being on the front line in hospital and seeing patients come into hospital for preventable health issues. So I took too much medicine or I missed my dose of medicine yesterday because the pharmacy was closed at, you know, six PM at night and I couldn't get my new pills, or my prescription was stuck in a pharmacy that's you know, I don't yeah, it's no longer near me or, you know, I don't know, like I lost my prescription or, you know, I'd see patients coming to emergency department all the time with side effects from medicines that they should never have been prescribed in the first place, or with interactions or medications that they were allergic to. That just weren't the right questions weren't asked. I saw that on the front line. I thought, Oh my God, this is this is awful and and and and, shamefully, was completely preventable. And then I'd see it. We know as if in the pharmaceutical industry we had amazing products that that have amazing impact on people's lives and people just didn't take them. We saw thirty percent of patients not picking up their first prescription. We saw fifty percent of patients stopped taking chronic medications for high blood pressure, to prevent strokes, to prevent heart attacks. They would stop taking those by six months and we would see this. And then financially that was a huge impact. But just the ability to be able to help patients, we just know it was there but it was untapped. And so I think seeing things from those different perspectives and then so seeing how patients behaved online, searching for content and trying to understand the pills that they were prescribed by a doctor in it in a very limited amount of time. It is not understanding why it was so important to remain on therapy. I realized is actually a better way to help support patients with medication management. And I think you know, when you know and having stuff they have, having, you know, chronic disease myself and having family members who have suffered with illnesses and seeing it also from perspective of the patient, I've just always known there's a much...

...better way and so this has been a bit of a passion project coming from various parts of my my my professional career, coming together to say we can do better when it comes to medication management. It's a over a three hundred billion dollar problem annually. It individually affects people's lives. It disrupts their their ability to be parents and grandparents and and leaf lead fulfilling lives and and I think that's where it really came about. It we would we can actually do a lot better when it comes to medication management. And so yeah, I you know, we spend a lot of time understand the problem, spend a lot of time trying to work out what is the system currently doing, and we went back to the drawing board of thought. Actually there is a much smarter way to think about prescriptions that is engaging, that is empowering and that ultimately prevents hospitalizations and prevents the Morbidity and mortality associated with with with medical miss move. So one of the things that I think is most fascinating when I hear you speak is you first and foremost are talking about the problems that you solve, the jobs that people are wanting to get done and what they were doing previously to get that job done and what they could possibly do with your solution. And I think that, although it's really semantics, it's the complete game changer in the commercialization process because most people, most innovators, when they're asked to describe what drove them to create their innovation, they start talking about the features and functionality of the product. They really focus on what it is that they're bringing to market and they think about it from the product Lens as opposed to the Problem Solution Lens, the job that they are higher, you know, the job that people are hiring their product to do, and I just think that that makes a world of difference. You know, I hope our listeners take note to that, because that is fundamental to being able to achieve commercial success. So, yeah, so, so one of the things that I think is really interesting is I was doing a little bit of research about you. I noticed that you did as you took a sabbatical for almost a year and and I think that that's kind of interesting and the entrepreneur old journey. So how did that, how did the Sabbatical influence where you are today? Yeah, I mean, look, it's so I sort of I like the analogy of the snow cone, you know, the little sort of glass, you know, touristy things that you pick up when you go to New York or when you're traveling around the world, and you sort of shake the snow cone. And so in my life I quite like this idea of, you know, I'm on a track. You know, I was a position for a bunch of years and sort of, you know, then I moved into, you know, digital health, that I was in farmer and...

I did all those probably fruit similar amount of time. I so like these it is seventy each and every every every seven years or so, I just like to sort of stand back from our life and shake that proverbial snow cone and see where it all falls because at the end of the day, you know, life short and and we've got to be waking up every morning and making sure that we we're focus on the things that are important to us. And so for me was a really awesome opportunity first to show and spend real quality time with my family. Now we get up in the morning without the distraction of technology, you know, look at my kids in the eye and be able to just, you know, spend quality time with them and let them direct the day and and and the play. I feel like we know, we live our lives in this sort of six minute increments of right running from one thing to the next thing, and so to me was opportunity just to stand back and and think what was important to me. And I think during that time as well in the spaces, he gave me opportunity to start thinking about Scarlett as well and I started really researching and understanding the problem and speaking to people. And so it was a sabbatical, but it was a really chance to clean my mind and hopefully see see things a little bit differently than others do. And I think when, when we know, when we're in the detail, it's very hard to sort of pull ourselves out and see a much bigger picture and see other opportunities. And so for me the sabbatical was it was rejuvenating. I came back with an incredible amount of energy and passion to make a difference. But they're also allowed nothing to see things that I may not have been able to see without having taken that break. And you know, I think I own the fear of taking time off and I had the same fear. So I acknowledge it was Oh my God, people are getting ahead or people moving ahead in life and I'm, you know, stagnating and I'm I'm taking a step backwards. And you know, I'd watch friends and people you know move up in their careers or take additional steps or buy their next holiday home or do things that to me are not really important when it comes down to the things that are important in life. But but it is. There is this feeling that you're standing back, people are going to forget me and my my linkedin's going to go dry. Am I going to be relevant? I'm going to be relevant and O my goody. And firstly, the nice thing about health care is it just doesn't move that fast. But I think, I think, you know, coming back with with with a rejuvenation to me is incrediblie valuable. So yeah, I'm a big, firm believer in in you know, taking a break, you know, relooking at life importantly and and doing so consciously, I think, the moment, conscious of what we do and what we want to do in this world. I think we're, I would have the greater impact. That's awesome and, you know, I think that that point can't be communicated often enough. In Kudos to you for, you know, having the the mindset to see the value in that and then having the courage to actually take it, you know, invest in your family and invest in yourself. So, yeah, I talked about this a lot in some of my blog content around, you...

...know, innovators encountering this trough of sorrow or the Valley of death, you know, all these doom and gloom things, just the reality of entrepreneurship, because it's so difficult and so many innovators, I think, think that they need to work sixty or eighty hours a week in order to be successful right and never take a day off and kind of where that as a badge of honor and really proud and in quite honestly, you know, over the years, as I've worked with health innovators, those that do, you know, not necessarily a year sabbatical, but those that do those types of things, you know, eating healthy, going to the gym, you know, this idea of self care and taking time for themselves. Really, they're the ones that are more successful. They are the ones that are having a lot more success than the ones that are kind of just grinding day and night. Yeah, look about I always like that. I like this idea that, you know, if you want something, if you want something done, you give it to someone who's busy. Right. So, when, when, when your life's fall with family and know, many things going on, is entrepreneur it is a full time you know, it's sort of you know, it's a two full time jobs. Right, you're right. Look, you know we spend, I spend a lot of time also, you know, wasting time. It's being my wheels and and doing things that probably aren't the most important thing, and I think they're just being able to stadmake every day. Is Entrepreneur and but what's the most important thing I can, I can do today to have an impact? I think is is valuable. Look, there's no escaping it. It is it is hard work. I think it's also a roller coaster. Right. So I sort of joke that. You know, some days I'm like you know, screaming, you know ecstasy, like yeah, and then the next minute it's like wow. So you know, it's is roller coast and I think for me at least, it was part of you know, it's taking that time off and doing a lot of Yoga and meditation and getting mentally really clear. I think is in they would me to be a lot more quantumous with the journey and and no enjoy the peaks and the troughs, but but just observed a lot more not get as frustrated or is, you know, is broken about it, because it that that is really stressful, and so I'm I think, yeah, look, it's a long game. I think some of game is some really good advice when I started on this entrepreneurship journey, because I think when initially I started I was like one of those eighty hour or more awake people and kind of by God and those just like tally, it's a marathon, it's not a sprint, and I think they're definitely moments where we sprint. But I think sure kind of embracing that idea that yeah, there's this is this is for the long term and to get through this you need to be healthy and spirit of mind and and it's important to look after what's important because at the end of the day, right, you know, the people. I think Steve Jobs said it right when he was on his death bed. He was like it is most expensive, you know, hospital bed in the world and really the things that are most important to people standing around me. So you know that said, I'm it also feels really good if you can get to the end...

...of our days and look back and feel like you've made a dent in health care, and that's something that I just I'd love to be able to achieve just a little bit of a dent, just making it just a little bit easier for people, making it just just knowing that you've touched a few people's lives and made their experience of healthcare just that much better. That would be an achievement. That's wonderful and I know you will. I have every bit of confidence. So a couple of the questions that I have for you that I wanted to kind of talk about that I think our listeners would be interested in. So I've heard you make this comment of, you know, kind of launching scale amed and three hours, and but then the idea of that the amount. You know, what is it going to take to be successful was very, very different. So we kind of just speak to that a little bit. Yeah, so I'm American talking about what we're doing at Scarlett and then and then to that, I guess, our pathway to how having an impact. And Yeah, hopefully that would give you yea as to some of that. So so we know we're one of the big changes that's happening in the American healthcare space and really globally, is a movement, like I said, towards value. And in the past, you know, you know we had a FEEFA service model right where you know you could go to a doctor and you know if your blood pressure is managed well afterwards or wasn't managed well, you got the same fee. As a route to a system where we're we're are, we're payers, where our hospitals, that clinics, are ultimately taking on responsibility for our patients health. They're being driven to ensure that patients stay out of hospital and remain healthy. And one of the large causes of hospitalizations, one of the large, huge burdens and healthcare cost is is is medication mismanagement, and some actually quote and say that that if it was a disease, it would be the third biggest or third third most most expensive disease that we have, after heart attacks and cancer, hard dias and counter so medication, mis manager of medication issues and sideffects is a huge is a huge burden M and so now we've got clinics. You know, you using the tools of the trade, like medications, and give them to patients and let them go back into the community. But what we realize is that as patients we're on our own ninety nine point eight percent of the year right we and we're taking our meds, we often not exactly sure what we should be doing and how to take the correctly. We're often the average citizen is seeing three different doctors across three different health care systems and and a system today doesn't really support patients once they leave the clinic to the same extent. And so we thought, what if your credit system that clinics could could use that actually helps them be doctors and helps them support their patients when they're not there, and so it scarlet's kind of evolved into this virtual care coordination for medications we have as system today that that, you know, we ask patients to be responsible for their medications, but we don't have a system that equips them to...

...take on that responsibility effectively. And that's all scarlement does. It's something that the clinics prescribe. It's a new way for patients to manage the prescriptions on their phone. Now I kind of joke that, you know it's health care is one of the only example, or medication manager is one of the only examples today with electronic prescribing, where you go to a clinic, the doctor says to you roxy, which is your pharmacy, and you're like ours. The war goings across the road. For me, and before you know that you're going to need a pill, before you know what the pharmacy at opening hours are, before you know what the medication is that you're going to be prescribed, before you know what the cost of it's going to be, you've agreed that that's where you're going to go and buy all medicine. That, to me is just the craziest thing in a generation of Amazon and so and and not just that, the second you've seen your pill that you sometimes don't even know the name of what it is that you're going to pick up and so we say, well, why are we ignoring the most important person in the Healthcarese in in this healthcare journey? Let's give those prescriptions, like we used to do with paper, to the patient and rather than giving them paid paper, which know we lose and and and and bad characters can can change or can defraud in some way, what if we give you a true, unique digital prescription, that's it's on your phone, that is smart, that tells you why you should be taking it, that educates you, that reminds you, that warns you, that gives you price comparison and that essentially makes the management of feel prescriptions completely seamless, like everything else we do in our technology world. And that those scarlement, doesn't we do this with a really smart back end that makes that we understand your challenges, we understand your unique issues with medication management and when you're struggling or when you need help, we fit, we help link you back into care so that you're clinic in your clinicians help support you with your medication needs, and so that sort of holistic system is what we've been doing. We know, I guess, with scarlemed and we're starting to see impacting, prevating hospitalizations in making sure of patients how prescribed medicines that they shouldn't be prescribed, giving people visibility on what maybe some other options on that that could be taking instead of this one. If it's expensive, values an issue. So it's starting to really change the dialog and trying to increase the empowerment that patients have in their own health. KIDJOURN MMM MMM, yeah, I'm a class I could play lost track of the question that you are so engrossed in my own telling the story, but I love it. I love it, though, I mean there's I'm really excited about what you all are doing. I think it's very unique and different. There's a lot of tools and technologies that are out there to kind of that are trying to solve the medication adherents problem and medication management problem, but I think that the way you all do it is is so unique and it's really putting...

...that patient at the center, and so it's really powerful. So the last question I have for you, and I know all of our listeners has absolutely heard your accent and and so one of the things that I think is interesting about your story is that you know you're from Australia and you're launching your innovation in the US market. So you know, most of the innovators that I'm talking to and working with. You know, when we're talking about global strategies, we're talking about how are we going to penetrate markets outside of the US, and and you've kind of take that and flipped it down and flipped it upside down and and you're like, okay, how are we going to go global and how are we going to penetrate the US market? So talk about that a little bit. What is it like, you know, coming in and looking at the US as a global market and trying to expand? Yeah, look, it's a great question. So are firstly, I mean I've spent I've lived in this, the US, for the five or six years of my life. It's a place I absolutely love. It's a place it's very dear to me. I think it's a country that's built on that's built on innovation, it's built on it's built on, you know, belief in oneself and belief that we can all have an impact and and and they could change in this world. And for me, that idea of you know, those ideas just resonate with me beautifully and so I think, you know, it's always a great place to do business, but it's a great place to be able to have an impact and finds a real appetite for innovation here that may not it doesn't always exist in every part of the world. So I'm I guess the reason we're doing work in the US is because it really is a big problem here and and and the end the ability to have an impact is absolutely massive. So so, you know, yeah, coming into the US market, like I said, it's a place. It's very familiar to me. I know I speak with you know a little bit of a funny accent and they're definitely words that I use that I still even when I go to a bar and ask for a beer, people look at me and they're like who like what? I'm like beer anyway. So cultural there are cultural differences, but by the end of the day, you know, the experience of being a consumer of healthcare, the experience of being a patient, it's me as having a doctor, a very similar globally. And and I think the system here is really open to the innovation that we're presenting here. And and I think us is actually taking some really forward, some large forward steps towards value, which is what we really believe in, and so it's just it's a natural extension of for us and and you know, we're just excited to be to be in this market. It's great. So, so the last question that I have for you is there are fellow entrepreneurs that are listening, healthcare innovators in the trenches right now. What is what is the advice that you have for them? Grew great questions. Look, I'm not sure...

...that I'm you know, I can give. I'm sure the people have given better advice than this, but I think my advice is general. Is, you know, one of our we know we have one of our really important values that we have a scarlim it is curiosity and I think, you know, being really curious in healthcare, asking lots of questions. I'm not going in with any assumptions on to your earlier points. Solving a problem or trying to understand really being curious about what is the actual problem and keep on asking that question. But why? But why? But why? And I think when we keep doing that, I think, I think curiosity is just an invaluable tool for entrepreneurship. And so the innovators. Yeah, I asked lots of questions. I would say, you know, it's the US, is a is a big market. You're going to get twenty knows, you're going to get fifty knows and you just going to keep on iterating on your problem, on the solution. And I think if you really truly are solving a problem, if you're lining yourself to the triple and quadruple aims of healthcare, I would say, you know, keep persevering because you know, if, again, like I said, if you focused on the right things, then then you will succeed. That's awesome. Thank you so much for your time today and for sharing your wisdom with our audience. I really appreciate it. So how can folks who are listening get Ahold of you? Maybe if they have some questions about you, about your journey, about your scalimet solution, how would they get in contact with you? Perfect well, first I'd encourage anybody WHO's managing prescriptions, anybody's about a prescription sent to a pharmacy that's closed or out of stock or the price is wrong, or just wants to feel a little bit more in control of their meds, to go and download the SCARLAMD APP that's s s Ala meed the SCARLAMET APP and in the next few months you'll be able to ask any doctor in the states feel prescriptions to be sent to Scald and you be able to receive them directly to your phone. So that would be the group, the best way you could. You can get involved and experience it for yourself, but if you want to in touch with me, linkedin's probably the best tool you can find me the plays. Reach out. I love to hear from you. I'd love to hear feedback. I'd love to answer and support anywhere when their journey as well. So that's probably the best tool. Wonderful. Thank you so much. I appreciate you and have a great week. Awesome. Thank you so much for the opportunity to share roxy. Bye, bye, bye. What's the difference between launching and commercializing a healthcare in avation? Many people will watch a new product, few will commercialize it. To learn the difference between launch and commercialization and to watch past episodes of the show, head to our video show page at Dr Roxycom. Thanks so much for watching and listening to the show. You can subscribe to the latest episodes on your favorite podcast APP like apple podcasts and spotify, or subscribe to the video episodes on our youtube channel. No matter...

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