Latest / Becker’s Healthcare Podcast / Anish Desai on AI, Healthcare Disruption and the Future of Physician Practice

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Anish Desai on AI, Healthcare Disruption and the Future of Physician Practice · Becker’s Healthcare Podcast

• 0:02
  - The strategic agenda facing hospital and health system
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  - So join us November second through the fifth
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  - at the Hyatt Regency in Chicago,
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  - Register on our events page at beckershospitalreview.com
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  - upper right.
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  - This is Scott Becker with the Beckers Healthcare
• 1:00
  - Podcast. I'm thrilled today to be joined by
• 1:03
  - a brilliant hospitalist
• 1:05
  - who's also a digital health thinker and advisor.
• 1:08
  - He runs a fantastic
• 1:10
  - podcast called the Underdog Physician. Probably nothing more
• 1:13
  - important today than taking care of underdog physicians
• 1:15
  - and trying to grow
• 1:17
  - the strength of our physician community.
• 1:19
  - Doctor Desai, Anish Desai, so thrilled to have
• 1:21
  - you with us today. Tell us a bit
• 1:23
  - about your background and and what you do.
• 1:26
  - Scott, thank you for this opportunity.
• 1:28
  - Pleasure to be on your podcast.
• 1:30
  - I'm a board certified internal medicine physician and
• 1:33
  - a practicing hospitalist,
• 1:34
  - as well as, as you mentioned, the host
• 1:36
  - of the Underdog Physician podcast.
• 1:38
  - In the clinical setting, I manage acute complex
• 1:42
  - inpatient populations on the hospital floors.
• 1:45
  - Through my podcast, the Underdog Physician Podcast, the
• 1:48
  - goal really is to spotlight
• 1:50
  - spotlight
• 1:51
  - health care trailblazers
• 1:53
  - who are stepping outside
• 1:55
  - the traditional roles to build innovative care models,
• 1:59
  - launch health tech solutions, and reclaim
• 2:02
  - some of that physician,
• 2:05
  - leverage that comes with the rigorous training that
• 2:08
  - they have in building innovative health solutions.
• 2:12
  - So so thank you. It seems to me
• 2:15
  - that every day,
• 2:16
  - not within all the challenges in the health
• 2:18
  - system, and partially because of them,
• 2:21
  - I'm finding examples of innovations.
• 2:23
  - For example, a a family member
• 2:26
  - just recently
• 2:27
  - reached out a day or two ago, said
• 2:30
  - she can't get her iron infusion through the
• 2:32
  - nutritional health system. That's she can't get it.
• 2:35
  - That's being delayed to the pharmacy. It's being
• 2:38
  - delayed through insurance.
• 2:39
  - It just is a morass
• 2:41
  - and has become really challenging.
• 2:43
  - Going vacation soon, needs the iron fusions to
• 2:46
  - feel better,
• 2:47
  - can't get in till mid September or so.
• 2:51
  - And she asked, what could she do? And
• 2:52
  - I said, well, I can't reach out to
• 2:53
  - the CEO on that and bother him about
• 2:55
  - that. But have you tried private
• 2:58
  - infusion,
• 2:59
  - you know, centers and stuff like that?
• 3:01
  - Sure enough,
• 3:02
  - a small percentage of the cost, she was
• 3:04
  - able to get that scheduled right away and
• 3:07
  - is getting that done right away through just
• 3:09
  - a different innovative disruptive way of taking care
• 3:12
  - of it. Now the downside is she's gotta
• 3:14
  - pay for it, but the cost was so
• 3:16
  - inexpensive comparatively that it's worth paying for.
• 3:19
  - But it seems like there's so much disruption
• 3:20
  - going on that maybe doesn't get enough attention,
• 3:23
  - and I I see it so often now.
• 3:26
  - Things moving at rapid pace that are making
• 3:28
  - a difference and a lot of by necessity.
• 3:30
  - What are you seeing, doctor Desai? What changes
• 3:32
  - are you seeing? What disruptions are you seeing?
• 3:34
  - You interview a ton of people. What is
• 3:36
  - the most interesting use case or examples you're
• 3:38
  - seeing of disruption going on?
• 3:40
  - Yeah. Absolutely, Scott. So, you know, I think
• 3:43
  - you highlighted,
• 3:44
  - you know, few key points,
• 3:46
  - which is you know, one of which is,
• 3:48
  - you know, the stand alone
• 3:50
  - ambulatory infusion centers, AIC,
• 3:53
  - which is something that we've been seeing,
• 3:55
  - you know, more and more of because it
• 3:57
  - improves
• 3:58
  - speed of access. Right? Cost comparison facility fees
• 4:01
  - are much more,
• 4:03
  - manageable.
• 4:04
  - You know, I guess
• 4:06
  - the the the real premise of that is,
• 4:08
  - you know, I think it it varies for
• 4:10
  - patients who are evaluating whether to self pay
• 4:12
  - for that,
• 4:13
  - or to just go through the insurance hurdle.
• 4:15
  - But that is a a big disruption that
• 4:17
  - we're seeing in the outpatient setting.
• 4:20
  - As a host of the Underdog Fusion podcast,
• 4:22
  - you know, I've had almost 150
• 4:24
  - plus
• 4:25
  - guests coming in from from different ranges, whether
• 4:28
  - health care administrators to start up founders to
• 4:30
  - venture capitalists who actively deploy capital into these
• 4:34
  - startups. There are several,
• 4:37
  - disruptions that I'm seeing. One of which is,
• 4:40
  - particularly in the
• 4:43
  - AI space, with respect to ambient clinical intelligence
• 4:46
  - at the bedside.
• 4:48
  - I'm seeing a lot of
• 4:50
  - advanced,
• 4:51
  - ambient
• 4:52
  - documentation
• 4:53
  - tools that are coming in
• 4:55
  - to help
• 4:56
  - document and accurately transcribe clinical encounters and generate
• 4:59
  - accurate notes in real time.
• 5:01
  - You know, I think this fundamentally helps the
• 5:04
  - clinicians
• 5:05
  - focus
• 5:06
  - their energy and their time on building report
• 5:09
  - with patient while ensuring that the documentation
• 5:12
  - is accurate.
• 5:14
  - The other aspects that I'm seeing disruption in,
• 5:16
  - one of which is predictive clinical analytics and
• 5:20
  - early intervention.
• 5:21
  - You know, there's a lot of health care
• 5:22
  - systems and a lot of EMR systems like
• 5:24
  - EPIC, which are
• 5:25
  - developing
• 5:26
  - predictive AI models to analyze,
• 5:29
  - you know, continuous vitals, labs, telemetry in real
• 5:33
  - time. And these tools can really help support
• 5:35
  - clinical teams
• 5:37
  - by identifying these subtle, you know, physiological
• 5:40
  - improvements
• 5:41
  - or risk hours earlier. So, you know, which
• 5:44
  - allows for earlier timely intervention.
• 5:48
  - Few other areas where I'm seeing disruption.
• 5:50
  - Another is, you know, this concept of hospital
• 5:53
  - at home, where you have AI enabled,
• 5:56
  - continuous monitoring,
• 5:58
  - you know, systems which helps family, you know,
• 6:01
  - get greater comfort while keeping hospital bed capacity
• 6:04
  - optimized,
• 6:05
  - in, you know, higher acuity,
• 6:08
  - centers.
• 6:10
  - Another one that I'm seeing is, you know,
• 6:13
  - care coordination. That's huge.
• 6:15
  - Agentic workflows are are helping automate routine
• 6:19
  - administrative communication
• 6:20
  - between hospital departments, pharmacies, and and post acute
• 6:23
  - facilities.
• 6:25
  - And let me ask you this question, doctor
• 6:27
  - Desai. It it seems as though the specialist
• 6:30
  - equation
• 6:31
  - is getting crunched a little bit. Like, I
• 6:33
  - was watching the stats, and they resonate with
• 6:35
  - me. There's 27,000
• 6:37
  - oncologists in the country, but 2,000,000
• 6:40
  - more more diagnosis is each year of cancer.
• 6:43
  - Is there any way
• 6:45
  - to take care of all of us between
• 6:47
  - technology
• 6:49
  - and physician shortages,
• 6:51
  - or
• 6:52
  - are we
• 6:53
  - moving towards a multi tiered system? What does
• 6:56
  - this look like? Is there hope that some
• 6:58
  - of these different solutions, like I saw with
• 7:00
  - my colleague in the
• 7:02
  - iron infusion,
• 7:03
  - is there hope that some of these different
• 7:05
  - solutions will allow us to have the specialties,
• 7:08
  - the amount of specialists we need to take
• 7:09
  - care of people,
• 7:11
  - or are we really in a bad cycle
• 7:13
  - going in the wrong directions? There's just not
• 7:15
  - enough doctors compared to the amount of people
• 7:17
  - that we have here.
• 7:19
  - Yeah. I mean, you know, I think I
• 7:20
  - think, you know, you you hit a key
• 7:22
  - point, which is that mismatch.
• 7:25
  - You know, I think there's a famous quote.
• 7:27
  - I forgot who it's attributed to, but, you
• 7:29
  - know, there is a thing that necessity drives
• 7:32
  - big innovations and big disruptions.
• 7:35
  - And I think this is one of those
• 7:36
  - trends that I think is driving a lot
• 7:38
  - of changes that are coming in into the
• 7:40
  - health care system. You know, you mentioned the
• 7:42
  - mismatch between, like, specialized oncology, workforce, and and
• 7:45
  - surging cancer incidents. Right? So there is a
• 7:47
  - huge structural bottleneck that cannot be solved by,
• 7:50
  - you know, workforce expansion alone. So this is
• 7:53
  - where, you know, I'm seeing a lot of
• 7:55
  - disruption with respect to leveraging,
• 7:58
  - you know, automated data synthesis,
• 8:00
  - you know, you developing multimodal
• 8:03
  - clinical decision support tools,
• 8:05
  - you know, also virtual tumor boards.
• 8:08
  - And there are companies like, you know, Tempus
• 8:10
  - Foundation,
• 8:11
  - Concerta Health AI, Roche, Navify,
• 8:15
  - which are really tackling these problems head on.
• 8:18
  - You know, they're working on on developing cloud
• 8:20
  - based AI or orchestrated
• 8:22
  - virtual tumor boards to allow, you know, a
• 8:25
  - lot of these community
• 8:27
  - oncologists,
• 8:28
  - to to run complex cases through,
• 8:32
  - these pathways that they've created.
• 8:34
  - And, you know, they they they rely on
• 8:36
  - an extensive subspecialist network, but they're really leveraging
• 8:39
  - the technology to to fill in this gap
• 8:42
  - to an extent.
• 8:44
  - You know, and then there's also, of course,
• 8:46
  - the, you know, the asynchronous
• 8:48
  - patient monitoring and and digital therapeutics where there's
• 8:51
  - a lot of innovation going on with Jasper
• 8:53
  - Health, Nuna,
• 8:55
  - where they're using, you know, these,
• 8:57
  - these, like, biometric wearables,
• 8:59
  - which are paired with, you know, these unique
• 9:01
  - apps
• 9:02
  - to help manage side effects and toxicity from
• 9:04
  - chemo and immunotherapy.
• 9:07
  - Remarkable. And talk about, doctor Desai. For you,
• 9:11
  - the next six months, next year,
• 9:13
  - you're
• 9:14
  - have got this great career ahead of you,
• 9:17
  - brilliance
• 9:18
  - thus far. What are you most focused on
• 9:20
  - and excited about the next six to twelve
• 9:22
  - months?
• 9:24
  - Yeah. Absolutely. So, you know, where do I
• 9:26
  - see myself,
• 9:27
  - in in a year? You know, so I
• 9:29
  - think right now, I would say is the
• 9:31
  - best time
• 9:32
  - to be in in the health care field
• 9:34
  - just because of the, innovation that's going on.
• 9:37
  - So looking ahead over the next twelve months,
• 9:39
  - you know, I see myself, you know, continue
• 9:41
  - to grow in my role as a hospitalist,
• 9:44
  - continuing to grow my podcast and the audience,
• 9:47
  - reach that I have, as well as connecting
• 9:50
  - with innovative,
• 9:52
  - health care leaders.
• 9:54
  - You know, I also see myself potentially
• 9:57
  - having a a somewhat of a bigger role
• 10:00
  - in the AI startup space,
• 10:03
  - where, you know, the the focus would be
• 10:05
  - on
• 10:06
  - leveraging technology to reduce health care disparities.
• 10:09
  - So that that's really where I see myself
• 10:11
  - on a on a professional front.
• 10:13
  - Now on a health care broader landscape, you
• 10:16
  - know, looking ahead over the next twelve months,
• 10:20
  - you know, I think what I'm seeing a
• 10:21
  - lot of is, you know, these the rise
• 10:23
  - of
• 10:24
  - acute care and virtual delivery.
• 10:27
  - I think, you know, what's gonna happen probably
• 10:29
  - is,
• 10:30
  - you know, AI is gonna be increasingly more
• 10:32
  - and more embedded into a clinical workflow.
• 10:35
  - There's gonna be a lot more perhaps, you
• 10:37
  - know, virtual hospitalist,
• 10:40
  - you know, who would provide, you know, triage
• 10:42
  - support, medical oversight to regional community hospitals where
• 10:46
  - there's a shortage,
• 10:48
  - and, of course, utilizing technology.
• 10:50
  - You know, so I think I I I
• 10:51
  - do see that.
• 10:53
  - In addition to that, I think what one
• 10:54
  - thing also that I'm excited about is
• 10:57
  - the
• 10:58
  - the changes
• 11:00
  - that are gonna come as a result of
• 11:03
  - having AI, having, you know, these novel workflows
• 11:07
  - to really
• 11:08
  - make the time of the clinicians much more
• 11:10
  - efficient,
• 11:12
  - such that they're able to spend, you know,
• 11:14
  - more quality time with their patients.
• 11:16
  - And I think that's one thing that's gonna
• 11:18
  - gain even greater emphasis,
• 11:20
  - you know, as we we develop better AI
• 11:23
  - models and tools.
• 11:25
  - Thank you. What does it mean long term?
• 11:28
  - You know, there's this constant question of
• 11:31
  - where the human is in the loop, where
• 11:33
  - the human's not in the loop. You know,
• 11:35
  - I'm looking at radiology
• 11:37
  - recently
• 11:38
  - where there's so much screening going on by
• 11:40
  - AI,
• 11:41
  - but the radiologist,
• 11:42
  - rather than being relieved,
• 11:44
  - Now so many things to look at so
• 11:46
  - quickly, and and it seems like there's
• 11:49
  - not really cutting into the need for radiologists.
• 11:51
  - In fact, there's just as many of them,
• 11:52
  - and there's so much screening going on. What
• 11:55
  - is the long term? Any
• 11:57
  - thoughts five to ten years versus fifteen years
• 11:59
  - and where the physician fits into all of
• 12:01
  - this? Is there so much artificial intelligence deployed?
• 12:05
  - Yeah. Definitely. So, you know, I think that's
• 12:07
  - something that, you know, I've seen a lot
• 12:09
  - of,
• 12:10
  - you know, a lot of discussion around that
• 12:12
  - because, you know, there is a there is
• 12:14
  - this AI that's coming in,
• 12:16
  - you know, more as a supplemental tool, at
• 12:18
  - least in my opinion,
• 12:20
  - to their radiologists and the imaging centers.
• 12:23
  - You know, but there at the same time,
• 12:25
  - you're right. Like, there is a a rapid
• 12:26
  - growth in diagnostic imaging volume.
• 12:29
  - Combine that with, you know, expanding screening recommendations.
• 12:32
  - So it has outpaced, you know, to an
• 12:34
  - extent, the capacity of of the current work
• 12:37
  - force, right, in in the radiology space.
• 12:39
  - So I think, you know, the this evolution
• 12:42
  - of human in the loop will probably,
• 12:45
  - you know, still
• 12:47
  - still
• 12:48
  - continue to evolve, you know, I think ten
• 12:50
  - years, fifteen years from now.
• 12:52
  - I think, you know, the physician will still
• 12:54
  - have to review, you know,
• 12:57
  - every single slice, you know, manually validate or
• 13:00
  - reject AI bounding boxes,
• 13:02
  - and, you know, make sure that the current
• 13:05
  - the report is accurate.
• 13:07
  - But eventually, I think, you know, perhaps maybe
• 13:09
  - ten years from now,
• 13:11
  - there may be, you know, a bit more
• 13:14
  - autonomy, you know, with respect to lower risk
• 13:17
  - profiles.
• 13:18
  - Right? So maybe there's, like, a highly defined,
• 13:20
  - you know, low risk,
• 13:23
  - screening category where, you know, there's
• 13:25
  - autonomous AI pre clearing
• 13:28
  - with, you know And
• 13:29
  - let me ask you a question to follow-up
• 13:31
  - on all of this.
• 13:33
  - You talked about necessity being the mother of
• 13:35
  - invention, one of the great famous quotes of
• 13:37
  - all time and and completely correct and couldn't
• 13:40
  - agree more.
• 13:42
  - Are we at a spot
• 13:43
  - where the physician
• 13:46
  - association societies
• 13:48
  - are being so protective of their members
• 13:51
  - that they're not producing enough physicians. We've made
• 13:53
  - residency too long. We've made med school too
• 13:56
  - long. We've made fellowships too long. A lot
• 13:58
  - of education was developed prior to the Internet
• 14:01
  - that we're forcing that necessity
• 14:04
  - of inventing other ways to ground physicians because
• 14:06
  - you just don't have enough of them. Like,
• 14:08
  - I'm watching recently
• 14:10
  - this
• 14:11
  - incredible turf war between the American Society of
• 14:14
  - Anesthesia
• 14:15
  - and the American Association of Nurse Anesthetists.
• 14:19
  - Yeah. You know, this turf war has been
• 14:21
  - going on forever. It seems like most of
• 14:23
  - the members have actually thrown their hands up
• 14:25
  - and said, we just need more anesthesia help,
• 14:27
  - but the associations
• 14:29
  - are got after each other. But we know
• 14:31
  - we have such a shortage of anesthesiologists.
• 14:33
  - So are the professional associations
• 14:35
  - leading to this being a necessity
• 14:38
  - to to find ways around physicians because we're
• 14:40
  - not producing enough physicians?
• 14:43
  - Yeah. Well, that's a very interesting question, Scott.
• 14:45
  - And I think,
• 14:47
  - I think part of it, you could say
• 14:49
  - that that is indeed the case. I think
• 14:51
  - the health care delivery system itself,
• 14:53
  - you know, has
• 14:55
  - seen this rapid increase in in,
• 14:59
  - you know, all the innovation and the disruption.
• 15:00
  - But one thing that I think
• 15:02
  - has not really,
• 15:04
  - you know, changed as much is the length
• 15:06
  - of the training.
• 15:08
  - Now, you know, I've had this question asked,
• 15:10
  - multiple times,
• 15:12
  - and I think I agree with a lot
• 15:13
  - of the consensus that I've I've gone from,
• 15:15
  - you know, from from my guests, that I've
• 15:17
  - had. You know, I think I think there
• 15:19
  - has been, increase in the medical school campuses,
• 15:23
  - you know, but I think
• 15:25
  - the the funding, you know, that comes through
• 15:29
  - through the Medicare, you know, which was which
• 15:31
  - was established,
• 15:32
  - you know, in in in 1997,
• 15:35
  - has created a bottleneck. You know, where every
• 15:37
  - year, you know, there is
• 15:39
  - lots of, qualified medical graduates who go unmatched
• 15:43
  - simply because, you know or partly because of
• 15:46
  - the funding, you know, which which hasn't kept
• 15:49
  - up with the growing aging population, which now
• 15:52
  - tends to live longer.
• 15:53
  - Also, I think the curriculum is ripe for
• 15:55
  - disruption because medical education
• 15:58
  - has focused based on, you know, the models
• 16:01
  - that were previously there, you know, four years
• 16:03
  - of med
• 16:04
  - school, but it hasn't really incorporated it or
• 16:06
  - expedited the tech integrated training that we're seeing
• 16:08
  - now.
• 16:10
  - You know, and I think there's role for
• 16:11
  - newer
• 16:13
  - specialties within medicine, like clinical informatics, which is
• 16:16
  - growing, health economics,
• 16:18
  - AI governance,
• 16:20
  - you know, which which aren't,
• 16:22
  - leveraged still in in a lot of the
• 16:24
  - medical curriculums.
• 16:26
  - So,
• 16:27
  - you know, like, I guess the question was,
• 16:29
  - like, protective focus versus frontline reality.
• 16:32
  - You know, I think I would say, you
• 16:34
  - know, most of the physician associations, to my
• 16:36
  - knowledge,
• 16:37
  - have, you know, really been focused on,
• 16:41
  - you know, the the practice models that are
• 16:43
  - currently,
• 16:44
  - in place
• 16:45
  - and not so much on this gap that's
• 16:47
  - that's coming in. Right? But part of it
• 16:49
  - is caused by lack of funding.
• 16:52
  - So, yes, I think in that way, the
• 16:53
  - shortage is, forcing this structural innovation.
• 16:57
  - And, you know, there's a physician force multiplication
• 17:00
  - via AI,
• 17:02
  - you know, where you have one oncologist potentially
• 17:04
  - who can who serves a lot more patients,
• 17:07
  - just with with the help of, like, you
• 17:08
  - know, things like Ambient AI and and, you
• 17:10
  - know, these multimodal
• 17:12
  - clinical decision support tools.
• 17:15
  - No. I I think that's right. I do
• 17:17
  - think there are so many challenges
• 17:18
  - with it. And I do think
• 17:21
  - some of the challenges are, you know, we're
• 17:23
  - producing 200,000
• 17:24
  - nurses a year. We're producing
• 17:26
  - 30,000 doctors a year. So many doctors are
• 17:28
  - retiring a year.
• 17:30
  - Yeah.
• 17:31
  - It it does seem like the medical societies
• 17:33
  - are not doing enough to figure out how
• 17:34
  - to expedite medical education for a million different
• 17:36
  - reasons.
• 17:38
  - And I I totally hear you on the
• 17:39
  - residency shortfalls and totally agree,
• 17:42
  - but but it does seem
• 17:44
  - that sometimes everybody is so parochially focused on
• 17:47
  - their own issue
• 17:49
  - that they miss the bigger picture.
• 17:51
  - And and and I do think there's a
• 17:53
  - lot of that going on in health care
• 17:54
  - right now. Not not from you at all,
• 17:56
  - but I do I do see this as
• 17:58
  - I'm watching this turf battle continue to unfold
• 17:59
  - for the last twenty years between these outages
• 18:01
  - and CRNAs.
• 18:02
  - I'm just you know, and and I see
• 18:04
  - it because we get editorial from both sides
• 18:06
  - of the equation, and I just wanna throw
• 18:08
  - up my hands and say, don't you realize
• 18:10
  - we have a tremendous shortage of anesthesia? Why
• 18:11
  - don't we work on fixing that? You you
• 18:13
  - follow me? And so I I do find
• 18:15
  - it to be fascinating.
• 18:17
  - In any event, you've you're having this great
• 18:19
  - career.
• 18:20
  - What advice, doctor Desai? And I love what
• 18:22
  - you do, you know, trying to mix different
• 18:24
  - fields and different thoughts. I just think it's
• 18:26
  - fantastic.
• 18:27
  - What what advice do you have for,
• 18:29
  - evolving physicians, emerging physician leaders, on how to
• 18:32
  - approach their career?
• 18:34
  - Yeah. Absolutely.
• 18:35
  - I'll give a couple of advice points. You
• 18:37
  - know, something that I have gone through, you
• 18:40
  - know, the guests that I've had and just
• 18:42
  - things that,
• 18:43
  - I've learned along the way. First thing is
• 18:45
  - readers are leaders.
• 18:46
  - You know, there's a very famous book called
• 18:48
  - the Ikigai,
• 18:50
  - which is a Japanese concept of finding your
• 18:52
  - purpose. That's one thing I definitely recommend anyone
• 18:55
  - listening to this podcast to read,
• 18:57
  - and kinda really helps you do a lot
• 18:59
  - of introspection,
• 19:00
  - and really know your why for you know,
• 19:02
  - why you wanna,
• 19:03
  - you know,
• 19:04
  - I guess, grow or evolve your career,
• 19:07
  - what's the kind of vision you have for
• 19:09
  - your career,
• 19:10
  - and how you wanna be part of, you
• 19:12
  - know, if at all, of this new disruption
• 19:15
  - and innovation that's going on.
• 19:17
  - You know, I think one of the advice
• 19:19
  - I would say is, you know, lead with
• 19:20
  - technology instead of, you know, resisting it. You
• 19:23
  - know, really try to understand AI
• 19:26
  - and what the implications are of that and,
• 19:29
  - you know, try to attend as many
• 19:32
  - conferences as possible in areas you're interested in,
• 19:34
  - whether it's quality improvement, whether it's,
• 19:37
  - health care, start ups seen.
• 19:39
  - But whatever your interest may be, just try
• 19:41
  - to network with like minded people,
• 19:45
  - and find a a good mentor early on,
• 19:48
  - you know, who's following the path
• 19:50
  - that you foresee for yourself.
• 19:53
  - I I love it. Doctor Desai, what a
• 19:54
  - pleasure visiting you as always. Just a brilliant,
• 19:57
  - brilliant physician leader.
• 19:58
  - Thank you so much for joining us on
• 20:00
  - the Veterans Health Care podcast. Always love getting
• 20:02
  - a chance to visit with you. Thank you
• 20:03
  - so much for joining us. Scott, thank you
• 20:06
  - so much. Absolute pleasure to be on the
• 20:07
  - podcast.
• 20:08
  - One thing I did forgot to mention is
• 20:10
  - check out Scott's book on building great business.
• 20:13
  - It it's definitely
• 20:14
  - has some great tips and insights, especially for
• 20:16
  - listeners who are very entrepreneurial and driven.
• 20:20
  - Yeah. Let's make sure everybody hears that. No.
• 20:21
  - I'm just kidding. Thank you so much, doctor
• 20:23
  - Desai. You're you're the very best. Thank you
• 20:25
  - for joining us. What a pleasure. We'll talk
• 20:27
  - again. Thanks, Scott. Thank you. Absolute pleasure. Thank
• 20:29
  - you for this.