Bridging the Gap: Inside The Fight for Healthcare Equity

22:57And then what are other things that we can do along that continuum, that pathway to get people care while they're waiting to get into the broader system? And that's where things like telemedicine, e-consults, which are kind of our ability to asynchronously dialogue with one's primary care physician as a specialist. That's where those tools, I think, are super helpful. And so that's where we set out the build. And I think that that's how you kind of get to a point where you put that, you know, you hopefully try to prevent the fragmentation from affecting someone's life in the first place. But even if they find themselves in one of those ERs or in the wrong physician's office or the wrong specialist, you can navigate them back into the right place using those same tools.

23:39So that's how I've thought about the problem and how we've tried to work on it.

23:43Dr. Jesse Mills:Tell me some good news. Tell me how you've been successful with this effort and just talk a little bit about your work in the entrepreneurial space and maybe talk about some of your investors and sort of the buy-in that you're getting from not only the community, but government sources and the community writ large. Yeah, it's been pretty amazing. So we started about eight years ago and me and my business partner, Sajid Ahmed, we started with a single client, a single health plan, an empire health plan, trying to solve a problem, their access to specialty care problem. So no investment, all bootstrapped, been profitable since year one and been able to grow that to a company that's 35 employees.

24:26We've been able to build our own tech, like a communications platform or referral platform that allows folks to be able to navigate and communicate easily throughout that continuum care from being seen in their primary care doctor to ultimately see a specialist. We serve the entire state prison system exclusively in terms of the 25 prisons throughout the state of California. We serve most of the large managed Medi-Cal health plans in the state, serve indigenous populations throughout the state of California. We serve now a number of jails. We partnered with a national health care provider for jail systems in other states and now work in Maryland and Minnesota and a few other states.

25:06And so, you know, in that time frame, just for sheer numbers sake, I mean, we've done over 500 ,000 encounters in that time frame. We serve now tens of thousands of patients. We partner with thousands of primary care physicians. and we're headquartered in Redlands, California. I mean, the connections that I try to build, so my grandfather was a Baptist minister. And so when we were looking to figure out where we're gonna headquarter our business, we found a small church in Redlands, California, which is east of Pasadena where I live in Altadena. And so it's out in the Ulland Empire because we serve a lot of folks in that area.

25:46So we decided to set up shop there in a revitalization area in Redlands. It has a long history, but this church, we gutted it. We kept the look and feel of the chapel and brought in lots of things to make it look like a modern digital health company facility on the inside. But it speaks to kind of like the connectivity. When we even came up with the name Hub MD, the idea was that the important part of the work we were doing was trying to fill gaps by connecting folks. Like there's my grandfather used to say as a minister, there are hubs and spokes out there. And like, and some people are spokes, some people are hubs.

26:20I raised you to be a hub and I can, you're a connector. And so, you know, the goal has been really to connect folks. So we call it HubMD and, you know, I've gotten a chance to now kind of appreciate the fact that I can get to house the whole thing in a church. So I think that, yeah, I think everything about it for me is about passion and about what we're doing. And we partner with a lot of different organizations, like the health plans. But we haven't had to take on any funding, fortunately. And I think at this point that we've been able to grow organically through the work and partnerships we've been able to build with other tech organizations, like other groups now in the rural health space, in some of the domestic violence space, interestingly enough, some spaces around immigration health now.

27:05And so I think that they're essentially wherever there's opportunities to work with people who are often left behind or most vulnerable. You know, that's where we look to work with.

27:43Dr. Jesse Mills:We'll see you next time.

28:13Dr. Jesse Mills:We'll be right back.

28:41Dr. Jesse Mills:Thank you. Bonus when you transfer your portfolio. That's public.com slash podcast. Paid for by Public Investing. Brokered services by Open to the Public Investing, Inc., member FINRA, and SIPC. Advisory services by Public Advisors, LLC, SEC Registered Advisor. Generated assets is an interactive analysis tool. Output is for informational purposes only and is not an investment recommendation or advice. Complete disclosures available at public.com slash disclosures. Who doesn't love warm, carby comfort? Satisfying sandwiches, loaded bagels, rich mac and cheese. Crave-worthy and smart, Hero Bread's loaves, bagels, and noodles have just zero to five gram snack carbs, zero gram sugar and up to 19 grams of protein and 32 grams of fiber per serving hero bread bakes with heart healthy olive oil and delivers a soft fluffy flavorful experience you love shop now on hero.co use code iheart for 10 off that's hero.co per serving not a low calorie food some products contain allulose see nutrition info on hero.co for sodium and sugar content every small business starts with a dream and the courage to chase it but even the strongest dreams need protection.

29:39Dr. Jesse Mills:That's why the Hartford has been a trusted partner for more than 1 million small business owners across America. From retail shops to financial professionals, the Hartford understands that every business is unique. Their customized coverage options help protect what matters most, your work, your people, and your future. Because when life throws the unexpected your way, you deserve a partner that helps you stand strong. Help protect your dream. Visit thehartford.com slash small business for a quote today. Tyler Reddick here from 2311 Racing. Another checkered flag for the books. Time to celebrate with Chumba.

30:20Dr. Jesse Mills:Jump in at chumbacasino.com. Let's Chumba. No purchase necessary. BTW Group. Void where prohibited by law. CT &C 21 Plus. Sponsored by Chumba Casino.

30:41Dr. Jesse Mills:Given the political environment we're all living under and there's this false dichotomy of rural versus urban and red versus blue, but in some ways, I mean, you're a company that started with urban roots addressing the access to care issues, and now you're expanding out into some of the most vulnerable in rural areas of this country too. It's almost using healthcare, or at least access to healthcare as something that will serve as the glue that keeps this beautiful country together. So that's pretty impressive. Yeah, I'll speak to you specifically. So literally two weeks ago, we were presenting at, we had won a competition locally here that was sponsored by Scale Health, which is a great organization that tries to bring together a lot of early startups in the digital health space.

31:29And so we won that competition and we're presenting at the American Hospital Association's Rural Health Conference in Texas. And to your point, I mean, the solution for access in urban areas is identical to the solution that we're offering in rural communities. And so because the problem is the same. If you look at South L.A., when we started, there was two urologists for one billion people. Right. And like in Spa 6 in that South L.A. area and you go to rural communities, maybe they got one urologist for half a million people. Right. And so in order to solve those problems, it's quite similar.

32:10You have to partner locally. You have to provide access that goes beyond the local available resources using virtual and telemedicine. And you have to help people navigate between those. And so it's the same. And I think that if people could see themselves as having more in common than they do differently, because in both communities, it is the limited resources. We may quibble about why there's limited resources in those communities or why folks are left behind in those areas. But we share the fact that we don't have everything that others have in those areas. and how do we bridge that gap? And I think some of the solutions are gonna be very similar.

32:51Dr. Jesse Mills:Right, yeah, I mean, and rural hospitals are closing at an alarmingly high rate as federal funding continues to get withdrawn. So people are having to drive farther and farther to get healthcare. That's where I see what you're doing with HubMD as bridging a little bit of that gap through your telehealth access. So talk to me through this. Is this one of these things where the idea has been there all along, but you're able, because of your mind for tech, your mind for business, and obviously your mind and your hands as a surgeon has all come together to say, no, I mean, we actually have a solution hiding in plain sight with the ability to see people.

33:29Dr. Jesse Mills:We bring this up on the show a few times, but the fact that I can have a video visit with somebody up in North, North, North California, 14 hour drive away, and they can still have a UCLA doctor if they want one, that's kind of what you're saying. But how does that work? You know, how is that going to work for you moving forward? Yeah, I think fundamentally, that's that's the hallmark of entrepreneurship. Right. I don't I don't think I've I haven't created anything anew, but creativity, which I think is all that entrepreneurship is, is like business plus creativity is just it's kind of thinking of things differently that already exists, to your point.

34:06Right. And so so putting it all together has been the key. It's not tech alone. That's the solution. Like it's not doctors and physicians alone. That solution. It's it's a combination of those things. And the glue that we put in the middle of that is is really a really intense focus on people supporting the tech and the dots. So we have a whole host of what we call concierge support team that help folks navigate both sides of that equation. And so as we move forward, I think it's going to be a combination of evolving our tech. We've already been able to start to integrate AI tools into our technology to make it more efficient, better at predicting who we need to help most.

34:48We've expanded the types of expertise we have on our ECM team to include behavioral therapists and folks who have addiction medicine. like understanding to support the community health workers, we're kind of the frontline people who do the boots on the ground work, and then continue to expand the group of physicians and the types of physicians that we're leveraging virtually and to evolve the types of conditions that we can help to support in that model. I think the other next step is partnering with the right local resources and organizations, like, so that like, we don't have to do all of them, right?

35:24I don't think we want to or plan to build all of them. But I think now that we have what a lot of organizations need, someone who has a really great tech platform, doesn't typically have the people, folks who have really good local resources, don't have that tech expertise. And we have enough of both of those to partner well with all of those groups. And so really most of my conversations these days, the four or five I had before we started talking today, are right. These types of organizations who have that need, who have figured out a solution for domestic violence folks and making sure that they have access to the services they need with, you know, in a, you know, in a way that doesn't expose them, like to some of the dangers of leaving that situation.

36:07but they don't have necessarily the clinical side figured out or the services side figured out. So we're able to partner with them or another group who, you know, has a specialized service that they want to provide, but doesn't really have the tech understanding. We're able to partner with them. So I think for us, that's really how we've thought about continuing to expand this work. And, you know, and it's just I continue to have fun with it. I think that the people I work with is what brings me joy these days. The solving big problems, I think, is important, but I think I've gotten a lot better about trying to find the people who I want to do it with, like Dr.

36:42Nino and yourself. I mean, that's part of the joy at this point.

36:47Dr. Jesse Mills:So where are we going a year from now? Where are we going five years from now? Yeah, yeah. You know, I think a year from now, you know, I think everybody's weathering this certain, this short-term austerity problem within health care where, you know, a lot of Medicaid is pulling back. a lot of people are becoming undocumented, like, or the undocumented are becoming uncovered, I should say, in terms of insurance status. I think over the next year, I think we're going to try to figure out creative solutions to those problems. Like, and I hope to be telling you a year from now that, you know, despite the fact that hundreds of thousands of people may not be insured in the next year because of changes to legislation, that we figured out a creative way to still provide them care.

37:30Like, I think that's a big problem that we're trying to focus on and to help solve. I think that five years from now, you know, I hope to see that the work that we do is more closely knitted to the traditional healthcare system, right? So we work with county facilities in the MN Empire, like Riverside University Health Systems or Our Head Regional Medical Center and Loma Linda. And so we've been able to work and collaborate with those groups. I think academic medical centers have to do a better job of providing their expertise, to your point, outside of just the confines of their local campuses.

38:08My brother happens to also be a physician, an interventional radiologist at the University of Michigan, and he's worked extremely hard to try to expand access to care for patients who have liver failure, for example, through providing telemedicine visits to people in the UP, they can come down and get his services. I think there's lots more opportunities that maybe academic medical centers, because it's not a very huge profit margin in this work, it's not necessarily highly sexy. I don't think it's something that's been focused on, but I think that the expertise lives there. And I think that we've been able to recruit really great board certified physicians.

38:47I think it would be amazing in five years if academic medical centers and centers of excellence are really exporting their expertise beyond like their local catchment rather than waiting for wealthy people to fly into their facilities. I'll just drop that.

39:04Dr. Jesse Mills:I know. I love that. I mean, I think about that a lot with physicians, you know, attorneys do pro bono work and, and, you know, sometimes I think if, if we had a, a really, not an indemnified, but at least some kind of system where, right, where we could figure out how to give back a lot easier and have a system other than, I mean, in academic centers, it's easy. We volunteer for this or that, or we see a certain number of underinsured or uninsured patients. And we can because we're in a system that can absorb that. But there's thousands upon, I mean, if you ask almost any physician in this country, we all go into this because we love it and we love taking care of people.

39:44Dr. Jesse Mills:And there are very few of us that don't have that altruism, but it's not always harnessed well because we don't have those systems. So I love the way you're thinking. No, and that's where I'm landing. It's like, I don't think it should be volunteerism. I think we do our patients a disservice. So for example, I completely admire and love the work of FQHCs and the work of some of our partners who get specialists to near retirement, volunteer to see patients. That's right. That is amazing. Right. It's not a system. I mean, the reason we have to build businesses around this work is we have to build sustainable models that don't rely on philanthropy and generosity to drive the quality of the care being rendered.

40:32And so the only way to do that is to make sure that there's a sustainable business model to make it happen. And part of that is figuring out ways to more effectively and efficiently deliver those services so we don't need to see everybody in person. People don't need every test. But if we can start to do some of that through asynchronous dialogues with patients, like not have them come in and see us in person, leverage physician's times more efficiently so they don't have to be live and talking to every person, like either through a video or in person, but rather can just text the information back and forth.

41:03Like if we can get patients to trust that kind of process, if we can move and push diagnostic modalities into their community so that they can get the testing done there and only come to see us when they need something physically done to them, I think there's a way for us to actually deliver those services more cheaply and effectively so that it doesn't hit the bottom line of academic medical centers.

41:23Dr. Jesse Mills:I know there is. I know. And also what it does is it opens up the ability for mentorship. You know, my, you know, as you know, my son is in the throes of applying for medical school and he's down in Houston at Rice and, and he works in a predominantly Spanish speaking community volunteering in a health system where, where a lot of the physicians are either retired or semi-retired and providing access to those marginalized care at an incredibly cheap rate. And so not only did the physician give patient care, but he's mentoring younger people that are the future. You and I have spent a lot of our time figuring out how to establish a pipeline so that we do get more people interested in being on the boots on the ground.

42:04Dr. Jesse Mills:And it's one of the most gratifying things I certainly do as an academic urologist is trying to get into the community to encourage people. But the way to do it is not to give a lecture. the way to do it is to put them in a health center and see how you can impact lives. I mean, there's nowhere more gratifying feeling. Jordan always talks about this. He's like, geez, Mills, you're running late because you have a surgery. I mean, I guess you probably ought to stick to the end of that surgery. I'm running late because the PowerPoint crashed. But there is something to that where we have this solemn oath that we give to patients.

42:34Dr. Jesse Mills:And I think a lot of younger people see that and they see the passion in people like you. And they're just like, put me in, coach. That's what Dr. Andino always says, right? Put me in, coach. I'm ready to play. And I think, you know, with your mentorship, your leadership, but again, the thing that makes you so different is you have this amazing entrepreneurial mind. You understand the finances of what this is. This isn't really altruism. It's actually health systems building and taking a traditionally difficult to sustain model and turning it into a sustainable model. That's the joy part of it.

43:06I feel like, and to your point, like you alluded to earlier, I think that's just in the DNA. It's like my grandfather, he started a construction company like here in Flint, Michigan, you know, where we're growing up. And, you know, my other grandfather started, you know, a series of restaurants after working for as a mail carrier for 20 years and saving up his money and opened up, you know, four or five restaurants in the city of Detroit. And in each of those examples growing up, I saw two men, two black men, like who were committed to their communities and building businesses that would support their family and support the community.

43:38and the people they hired were often not people who would get hired by others. And I think that's the other side of it, right? I mean, you and I both are trying to build something that folks who look like us and who believe in the things that we're interested in want to come and work in those environments. And they want to do so without having to sacrifice all the other things that they need to do in terms of supporting their family. And I think that's the other side of this, which is that I don't think physicians should have to necessarily take huge sacrifices to come and work with me in South LA.

44:11So we have to work better about making sure those systems can self-fund and support themselves so that they can support physicians appropriately who want to come and work there. Because again, I think that all of us would sacrifice, would take less money to serve those who need it most, but that shouldn't be the sacrifice that they have to make in my opinion.

44:32Dr. Jesse Mills:And again, I would even push back and say it's not even a sacrifice, but it's a fulfillment. And it is that gratitude of knowing that you have this special skill set that people need and the gratitude that you receive for doing that. It goes across any socioeconomic platform. And that's what makes it so special that we get to do what we do. Yeah. Oh, I think that, you know, my father still practices. So he, I talked about the fact that he transitioned to doing video business. There's a reason. I mean, And he was diagnosed with multiple myeloma a few years ago, plasma cell leukemia, which is a real form of it.

45:08And, you know, I fortunately it happened better or worse. It happened during peak COVID. And I got a chance to go home. I remember that frame because we're doing a lot remotely. And, you know, I fly in. He's super stubborn. I take him to the emergency room and we get him diagnosed. And I had a chance to be at his bedside while he was getting treatment. And all he could talk about while we were in the hospital was how he's going to get back to his patients. Yeah. And, you know, and this is someone who's, you know, we're not sure how he's going to survive this or not. There's not really a high success rate in treatment of that particular cancer.

45:44He's still here. Like he is he has done extremely well based on all the amazing care he's received. And the first thing he did was start back to seeing patients. And I think that to your point, that's what this is about. I mean, I think that the special thing, you know, Jordan's right. I mean, it's like, I do not feel embarrassed to show up to things late when I'm taking care of other people. I mean, and it is the commitment that we make to our patients. And I learned that from early. Like, so my dad was a doctor. He was in medical school when I was born. So, I mean, like when I say I've been around medicine my whole life, like my uncles and aunts are all physicians like, you know, former chair of surgery at Howard University babysat me when I was like two years old.

46:31Right. I mean, it's so I mean, I teach you to tie knots before you can tie your shoe. So when I say I didn't have a choice, I mean, it was just that's just that was that was the family business.

46:43Dr. Jesse Mills:it seemed like. Well, I guess you, you know, your wife know what she bought into as well as did mine. You know, I think you, I had a professor early on my training, she was actually a psychiatrist. But she said, medicine is a jealous mistress. And at every time that, you know, my wife gave up on me about 28 years ago, when I said I'd be home at six. It just isn't that it. I mean, it's now I'm finally getting to a point in my career, literally 30 years on or so where, where I could actually be somewhat more reliable but uh yeah i'm sure you have the same uh same issues in the frencher household especially uh especially with you still have at least one young kid at home right yeah yeah for sure it's like donovan donovan kind of knows and like um and so he had a field trip down to ucla on wednesday i think oh man he should come by my office and uh yeah he was he was loving it he was like he's like man dad i may i may want to come here like his thing though however is his musical theater he's opened up an entire world to me like uh that i had no exposure to and uh he's just so passionate about it so good about it but i've served so i've learned so many lessons about it about inclusivity about the messages like through lots of the things that he's done it made me a better communicator like seeing how like you know they they tell stories and uh and so so yeah i think our kids like you know they they reflect back to us like so much and i probably learned more from him over the last like you know 10 years of his life than i'll probably ever be able to teach him but i love that but yeah giving me chills man that's so cool you

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50:27Dr. Jesse Mills:Use code IHEART for 10 % off. That's Hero.co. Per serving not a low calorie food. Some products contain allulose. See nutrition info on Hero.co for sodium and sugar content. When you're building a small business, every day brings new challenges and opportunities. More than 1 million small business owners across America trust the Hartford to help protect what they have built. Because no two businesses are alike, the Hartford makes it easy to get a customized quote for your business. The right coverage helps protect your livelihood. Protect what you've built. Get a quote today at the Hartford.com slash small business.

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51:35Dr. Jesse Mills:Well, Jordan, what did I miss? I mean, Stan's got to go off and he's got a whole day that we were able to sneak him away for about an hour or so. But what questions do you have about the work Stan's doing in the community or just about what makes Stan Stan? in. I mean, just hearing everything you said, the incredible infrastructure you put in the place and your entrepreneurship and all the ways you give back. I mean, it's really overwhelming to hear, is there, and this is an unfair question and I'm really putting you on the spot, but is there - We'll fix it in post. Yeah, exactly. I'll fix it in post.

52:07Dr. Jesse Mills:Is there something that comes to mind for you that really is just something that you are, if not the most proud of, comes to mind as something that you are extremely, extremely proud of? A moment, a particular case with an individual not asking you to violate any HIPAA violations or anything, but is there anything that comes to mind that really just speaks to, you know, that sums it up when you think of the work that you do? That's a great question. There are a lot. I would say the thing that's brought everything together, so every Friday I get a chance to come out and go out to Redlands and meet with my team.

52:40And so we We usually do like, you know, an all staff meeting or a leadership meeting. And usually like once a month, I love to hear stories from our community health workers, because I mean, we go over numbers and like the finances and all the typical like businessy stuff that we need to projections and all that. And but I always like part of it to be rooted in like the stories of like the work that's happening and the people we're impacting. So we'll have like the community health workers kind of come in and tell me a little bit about what's going on. And I remember the first couple of times they would come in and similarly try to like tell me how many people they saw.

53:13And I was like, no, just tell me about the last couple of folks that you helped. And I think it was maybe a couple of months back. One of our community health workers talked about a patient, a community member that they were serving. And he had recently been incarcerated. He was released from prison and was struggling because he couldn't get like it been for whatever reason. there's a program where you can get some of these things expunged, depending on why you were frustrated. And it turns out our CHW kind of knew about those programming and like, and it started on a path of like helping this gentleman, like figure it out.

53:51At the time he was homeless and had some healthcare needs that we were helping him address. And then, so she helped him figure it out and eventually got this thing. He got a job, he got a place to live. And I mean, you know, we always start these things, particularly when we're talking like Like from a business perspective, funders and all kinds of how many, how big the market share is and how many people you served and how many thousands of folks and what is the scalability of this? At the end of the day, if I built this and we helped that one guy get his life together, get a place to live, get himself on track, be able to help and support his family, that's everything.

54:31And so I think that it still comes back to like what my dad was doing. It's just like helping one person at a time as a primary care doc. I mean, like we're just trying to build opportunities for us to do the same thing for others. That makes me the most proud because I wasn't going out planning to build that. It wasn't even part of calculus. It was like I wanted to help figure out how to address access to care. It turns out that some of those things are related to the social dynamics that people have. and then you know we figured out CalAIM enhanced care management program arose we said we're gonna we're gonna do it we're gonna build a team we're gonna make it work we're gonna make the numbers work we're gonna figure out how to do it well we took a risk and did it and now we serve like 200 members similarly like that with a small team of like five people you know with goals of partnering with others to expand that but like that wasn't even part of the vision right but it's just I I feel like when I talk to students, I feel like if you follow your passions, if you continue to like index on doing the right thing, take some risks to do that and not see barriers or problems with the solutions that you're coming up with, but rather try to figure out like just how to get done.

55:39I think that's an example of everything coming together. So, like we wouldn't have been in a position to do that had we not partnered with the health plan and the empire. We wouldn't have been able to position to do that had we not successfully built, you know, the access to specialty care side of things. And had Alvin Kwong, who at the time was our CTO, not brought the idea to me to be like, hey, Stan, I think we can do this. I think we do ECM. And I just said, well, I don't know how, but sounds like the right thing to do. Let's just do it. And doing it, we wouldn't have an opportunity to help that individual.

56:13And I mean, there are hundreds of other stories that are probably similar or even more dramatic. But that one stands out to me because I really have been passionate about our work with correctional health. For Black men, one in three are going to have some encounter with the criminal justice system in their lifetime. It's the same reason, kind of like that disparity is the same reason why I went into urology. You know, one in two are, you know, suffer like, you know, Black men are twice as likely to suffer from prostate cancer, you know, often have poor outcomes. And so it's kind of like these opportunities to kind of like build something that's helping lots of folks, but also discreetly be able to address something that for me is like, you know, hits home and is I'm extremely passionate about.

57:03So, yeah, I think that probably encapsulates kind of like how this kind of all works for me, zooming in and out all the time, just trying to be like, how can I make sure that like I'm thinking about and affecting the lives of individuals, not forgetting about their individual needs, but also trying to build systems that can help, you know, more than that person.

57:24Dr. Jesse Mills:Well, that embodies and encapsulates your character as a human being, Stan, because of all the national awards you've received and the Aspen Institute Fellowship. And there's so many things for you to be individually proud of that you actually called out one of your community health workers as changing the lives of so many people around you. And that's why you are who you are. And we do this every episode where we have a segment called You're Probably Going to Be OK. And usually it's like, you know, if we do something on prostate cancer, we do something on low testosterone, a health issue. And then I asked the guy if he's going to probably okay.

58:01Dr. Jesse Mills:But in your case, since we really talked policy and access to care, the community health system, is it probably going to be okay, Stan? Are we, I mean, with your work, it sounds like it is. But yeah, let us know because there is a lot of bad stuff in the news. But guys like you are trying to change that dialogue. Yeah, honestly, I think there's a lot of resources in the system. Like, I think there's lots of people, well-meaning folks and well-meaning programs trying to address the needs of members of our community, be it to help them with housing, be it to help them gain access to food, be it to help them with, like, getting access to better public schools.

58:40There's lots of people who are focused in the space. I think the biggest challenge is that most of those efforts, similar to the healthcare system, aren't coordinated. I think the other challenge is there's lots of competition in that space for limited resources that can be better done collectively. And so coming full circle back to kind of a hubs and spokes conversation, I think it really is about bringing together like-minded folks, like-minded programs, like-minded individuals and groups of individuals to serve a similar purpose. And I think that the better we can do that, I think the better, to your point, that community health infrastructure will be.

59:17we continue to try to splinter and try to do our own thing or pretenders crop up into that space because we're throwing tons of money at rural health, I think it'll become more fragmented. But my hope is, is that the people who really care about this are going to be persistently doing it, whether the resources are there or not. And those are the people that we have to identify, support and continue to like bring to fixing these problems.

59:40Dr. Jesse Mills:Amen. I love it. Well, then the last thing we always do, especially looking at, you know, nobody can see Stan, but remember I did say powerlifting is one of the things he does. So you're gonna have to just get an image of this guy. I'm sure you could probably Google him. But anyhow, we always ask when I talk with the men's health specialist and healthcare specialist, what do you do every day that makes you you? What is your non-negotiable when you get up to be Stan French or to take on the world and make it a better place? Truly, you have ownership in making this world a better place. How does Stan be Stan every day, my friend?

1:00:15Yeah, I think first, I think it's having an amazing life. So for those out here who want to choose correctly, choose a great partner to enable you to do the things that you do. And so I think that's first and foremost. And so I hope that each day I wake up and appreciate the heck out of her. I think that for me personally, I steal a phrase from a good mentor and colleague of mine, Bill Rollaford, who I did a lot of the Black Barbershop Help Outreach program work with he used to always tell me when i was i was coming up through and like and and we initially met i was in i was a fellow at the time i was walking around in t-shirts and shorts always and even to his like doctor's office to meet him and he was a fit guy and he was and i was like and so he was like stan no matter how busy you get no matter how many titles people throw at you like which frankly don't really matter because the work is the work whether you have a title or not he's like pay yourself first like and what he meant by that was like every morning you get up you do the thing that you need to do.

1:01:11And that thing for me is working out. So like every morning, without fail, I'm hitting the gym, we had one in our my dad had one in the basement when we were growing up, he ran marathons. He was an amazing example of like, physical fitness, like and the value of it, like he would say that I solve so many problems on those 20 mile runs on Sunday. and uh and so that's me like i i get up in the morning i head to either our like garage gym or i go work out with my wife at one of our local group fitness places here and for me that gets my day started right that's a non-negotiable it's like and and you know the kids know it like they know where to find me they'd be like they hear the weights banging in the in the garage unfortunately for my neighbors when I was doing powerlifting that kind of day.

1:02:02And, and, and yeah, I mean, I, I, that's a non-negotiable for me. I love it. Good partner.

1:02:09Dr. Jesse Mills:Pay yourself. Jim, never skip leg day. That works. Well, Stan, I am so grateful for everything, your friendship, your collegiality, the programs we're building, the work we're doing, the work you're doing, and just giving an hour of your time out here to the audience in such an important field that you're working in and the optimism and passion and enthusiasm you bring to medicine and to any community, rural, urban, or otherwise. So Stan Frencher, thanks so much. Where can people find you? Anything you're out promoting other than HubMD as kind of the thing that you're working on most outside of your day job, being a urologist at MLK Hospital?

1:02:51Oh, no. If folks want to find me, still practicing there at MLK Community Hospital. And certainly, like, if they want to learn anything about our work, yeah, they can go to our website, hubmd.org, and learn a little bit about our work and the things that we built at AFIA, which is our technology, means Swahili for health. I love it. And so, yeah. But always looking to partner with good people. Thank you for the opportunity to come and chat. It's always fun to hang out with you, Jess.

1:03:20Dr. Jesse Mills:That's what I say. I keep coming up with excuses to hang out with you because we're both so busy. So I'll take any chance I get, my friend. Stan French, everybody, thanks so much. Long Transit, take us out with that guitar. Jordan, thanks again for hanging in there with us and being the voice of every man. Always an honor being here with you. Thank you both.

1:03:46Dr. Jesse Mills:Let's talk about it. Let's talk about it in the mailroom Let's talk about it Let's talk about it in the mailroom Let's talk about it Let's talk about it in the mailroom The Mailroom with Dr. Jesse Mills was a production of iHeartRadio. It was executive produced by Jordan Runtag. It was edited, mixed, and mastered by Bahid Frazier, and the theme was provided by Long Transit. If you liked what you heard, please subscribe and leave a review. For more podcasts from iHeartRadio, check out the iHeartRadio app, Apple Podcasts, or wherever you listen to your favorite shows. This program is intended for educational and informational purposes only.

1:04:38It is not a substitute for professional medical advice, diagnosis, or treatment. Consult your healthcare provider for any medical or other related questions or concerns. The views and discussions aired on this podcast are those of Dr. Mills and do not represent the official positions of UCLA or UCLA Health.

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