Latest / The Radio From Hell Show - Best Of / Dr. Cacciamani from September 22nd, 2026

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Dr. Cacciamani from September 22nd, 2026 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: We have a guest in the studio with us who's
• 0:03
  Speaker 1: been here before. It's Dr. Mark Cacciamani, and Manor on
• 0:08
  Speaker 1: First is... your operation.
• 0:11
  Speaker 2: Yes, I'm so excited to be here.
• 0:12
  Speaker 1: It's nice to have you. And by the way, just
• 0:15
  Speaker 1: may I say that you smell terrific.
• 0:16
  Speaker 3: Oh.
• 0:17
  Speaker 2: Gee, you smell terrific. Should I snuggle in?
• 0:21
  Speaker 1: It's just perfect.
• 0:24
  Speaker 2: My son likes cologne, so he picked this out for me.
• 0:26
  Speaker 1: He did a great job.
• 0:28
  Speaker 2: What's the name of it? I don't even know the name.
• 0:32
  Speaker 1: It's very nice.
• 0:33
  Speaker 2: I'll send it to you. I'll email it.
• 0:35
  Speaker 1: It's subtle. It's good. So we have Dr. Kachiamani here.
• 0:39
  Speaker 1: Manor on First, family-owned, physician-operated, not part of a large
• 0:44
  Speaker 1: corporate chain.
• 0:46
  Speaker 2: Correct.
• 0:46
  Speaker 1: Have they approached you yet?
• 0:48
  Speaker 3: No.
• 0:48
  Speaker 4: You know, it won't be long, I'm sure. Once we
• 0:51
  Speaker 4: fill up, once we do all the hard work, I'm
• 0:52
  Speaker 4: sure they'll say hi. So you've taken this old mansion,
• 0:56
  Speaker 4: the Salisbury Mansion.
• 0:56
  Speaker 2: Beautiful.
• 0:57
  Speaker 1: Historic place. Historic, yeah. I've not been inside, but I
• 1:03
  Speaker 1: remember taking a video tour when it was up for sale. Yep.
• 1:07
  Speaker 1: And there's some real estate agent walking through all of
• 1:10
  Speaker 1: the places.
• 1:11
  Speaker 2: It's a beautiful building.
• 1:12
  Speaker 1: Ballrooms and, oh, my gosh, just.
• 1:15
  Speaker 2: Old woodwork and fireplaces.
• 1:17
  Speaker 3: And they've done a nice job of keeping that feel
• 1:21
  Speaker 3: but improving on it and making it modern.
• 1:25
  Speaker 1: So I drive by there every day. This is an
• 1:28
  Speaker 1: assisted living.
• 1:29
  Speaker 2: Is that how we call it? That's correct, yeah. Assisted living.
• 1:32
  Speaker 1: And I drive by it every day, and so I've
• 1:34
  Speaker 1: watched the progress, and I think, oh, when is that
• 1:37
  Speaker 1: ever going to get done? And it's a lot of work.
• 1:41
  Speaker 1: So you built kind of an annex or something. Yes.
• 1:44
  Speaker 4: Tell me how that works. It was actually a long,
• 1:47
  Speaker 4: long process. So it was nine years from when I
• 1:49
  Speaker 4: bought it. I actually own a building that's three buildings
• 1:52
  Speaker 4: away on the same street, and that's where my house
• 1:54
  Speaker 4: call doctor's office was. And we needed some more parking,
• 1:57
  Speaker 4: and it came up for sale, and I'm like, hey,
• 1:59
  Speaker 4: I could do something with that. And eventually here we
• 2:02
  Speaker 4: are with an assisted living and it's a historic building.
• 2:05
  Speaker 4: So we had to go to the historic committee. We
• 2:07
  Speaker 4: had to sit there multiple nights, present what our what
• 2:10
  Speaker 4: our plans were and make made suggestions. And what they
• 2:13
  Speaker 4: wanted us to do was to say, hey, let's not
• 2:15
  Speaker 4: make mixy and let's not match everything. We want a
• 2:19
  Speaker 4: distinct sort of hyphen between the old. and the new
• 2:23
  Speaker 4: so that we can appreciate the old architecture. And so
• 2:26
  Speaker 4: that's what we ended up doing. So did you add
• 2:28
  Speaker 4: space to the.
• 2:29
  Speaker 2: We did.
• 2:30
  Speaker 4: Actually, we took some space away. So there was a
• 2:32
  Speaker 4: chapel there. It used to be a mortuary, which is
• 2:34
  Speaker 4: kind of an odd.
• 2:35
  Speaker 1: Yeah, I remember when it was a mortuary.
• 2:37
  Speaker 2: Evans and Early Mortuary. And so we went from the mortuary.
• 2:42
  Speaker 4: It had a chapel. We took that down. to expose
• 2:45
  Speaker 4: sort of like there's like a turret on the side
• 2:46
  Speaker 4: of the building. Beautiful windows, stuff that we couldn't even
• 2:49
  Speaker 4: see before. So we exposed some of the old architecture,
• 2:53
  Speaker 4: and then we added on all of a brand-new sort
• 2:56
  Speaker 4: of wing.
• 2:56
  Speaker 1: That's really beautiful. Now, how many– so how– well, let's
• 3:01
  Speaker 1: talk about what assisted living is and how you approach it.
• 3:05
  Speaker 3: Yes.
• 3:05
  Speaker 1: So, boy.
• 3:06
  Speaker 5: Okay.
• 3:08
  Speaker 4: And I've been doing assisted living visits as a physician
• 3:11
  Speaker 4: for the last 20 years.
• 3:13
  Speaker 1: Do you specialize in gerontology?
• 3:14
  Speaker 4: You know, I'm actually family medicine, and then I'm hospice
• 3:17
  Speaker 4: and palliative care certified. So end-of-life is what I specialize in. But, yeah,
• 3:24
  Speaker 4: I work with a lot of gerontologists as well. The
• 3:28
  Speaker 4: assisted living is a space where you have your meals,
• 3:32
  Speaker 4: and you can have some assistance with your medications, with toileting,
• 3:36
  Speaker 4: maybe with dressing. You know, there's a lot of things
• 3:39
  Speaker 4: that people need help with that you don't realize until
• 3:41
  Speaker 4: you get there or you're a family member that's taking
• 3:44
  Speaker 4: care of mom or dad.
• 3:46
  Speaker 1: My wife used to do this for me, but she's
• 3:48
  Speaker 1: gone now.
• 3:49
  Speaker 2: Oh, that's tough. No, not me personally.
• 3:51
  Speaker 1: Yeah, not me personally.
• 3:55
  Speaker 2: I got you.
• 3:55
  Speaker 1: But that's the kind of thing that happens too is
• 3:57
  Speaker 1: that My wife used to help me get my compression
• 4:00
  Speaker 1: socks on, and I can't do it.
• 4:02
  Speaker 4: Yeah, that was one of the first things that I
• 4:04
  Speaker 4: think of is compression stockings and how difficult it is
• 4:06
  Speaker 4: for people. And what happens is they go without care.
• 4:09
  Speaker 4: They just don't do it. And that happens with medications.
• 4:12
  Speaker 4: Getting refills is difficult. And so there's sort of all
• 4:15
  Speaker 4: these things that build up as a person gets older,
• 4:18
  Speaker 4: and it just becomes difficult. So we put it all
• 4:20
  Speaker 4: in one place. So we have meals. We have medication management.
• 4:23
  Speaker 4: If you end up with a sore or a wound,
• 4:26
  Speaker 4: we can call in people from home health Yeah, so
• 4:29
  Speaker 4: we really just are there to help.
• 4:31
  Speaker 1: If you have a question, by the way, about assisted
• 4:34
  Speaker 1: living and about Manor on First, Dr. Kachiamani, I'm sure,
• 4:38
  Speaker 1: would be willing to take your phone calls.
• 4:40
  Speaker 2: Oh, that would be great.
• 4:41
  Speaker 1: 877-602-9696 is the number, 877-602-9696. so if you have, if
• 4:49
  Speaker 1: you're just curious about who would be eligible for this.
• 4:53
  Speaker 3: I have a lot of friends now and the conversation
• 4:56
  Speaker 3: we're having, you know, so we're in our mid fifties,
• 4:58
  Speaker 3: which means our parents are, are getting to the point
• 5:02
  Speaker 3: where maybe not today, but, but something to, it's good
• 5:05
  Speaker 3: to start thinking about this before you need it.
• 5:08
  Speaker 1: Right.
• 5:08
  Speaker 2: Absolutely.
• 5:09
  Speaker 4: You know, I think a lot of people wait way
• 5:11
  Speaker 4: too long and I, and I've seen people in their
• 5:12
  Speaker 4: homes as well. And I don't know how many times
• 5:13
  Speaker 4: I will go to the house and, and say, hey,
• 5:16
  Speaker 4: this is a fall risk here, and you really should
• 5:18
  Speaker 4: move to an assisted living, and it takes me a year,
• 5:21
  Speaker 4: maybe longer, to get them to move.
• 5:24
  Speaker 2: And then they move, and they say, why didn't you
• 5:25
  Speaker 2: tell me to move sooner? And I'm like, I did.
• 5:27
  Speaker 2: Do you not remember?
• 5:29
  Speaker 4: And so every single patient of mine that's moved from
• 5:32
  Speaker 4: their home to an assisted living are grateful.
• 5:35
  Speaker 1: What's the age range of people who are there?
• 5:37
  Speaker 2: So really, anybody can come.
• 5:39
  Speaker 4: So if they're intellectually disabled or if they need help
• 5:41
  Speaker 4: with that sort of thing and they're younger, or disabled
• 5:44
  Speaker 4: of any form, and they just need help. So yeah,
• 5:48
  Speaker 4: it's any age. We don't take children. But it's not age-discriminating.
• 5:57
  Speaker 1: An adult person. For instance, if I were, and I'm not,
• 6:02
  Speaker 1: but if I were a widower or a bachelor, and
• 6:05
  Speaker 1: I just decided, you know what, I need somebody to help.
• 6:08
  Speaker 1: I just want to be around people and So I
• 6:11
  Speaker 1: could just move there like it was my apartment.
• 6:13
  Speaker 2: Absolutely.
• 6:16
  Speaker 4: So my mother, when I opened the assisted living, my mother,
• 6:18
  Speaker 4: who's a nurse, she's 81 years old, and she still
• 6:21
  Speaker 4: has her nurse's license in Pennsylvania. She's called me and said, hey,
• 6:25
  Speaker 4: do you need any help? And I said, absolutely, come
• 6:28
  Speaker 4: on out. And so she moved in for six weeks.
• 6:32
  Speaker 4: And the socialization and the interaction that she had with staff,
• 6:37
  Speaker 4: with other residents, she was a new person. Like, I
• 6:40
  Speaker 4: didn't even recognize her. And she even said it to me.
• 6:43
  Speaker 4: She's like, Mark, we have such a better relationship now
• 6:45
  Speaker 4: that I'm living in the manor. So she lived there
• 6:47
  Speaker 4: for six weeks, and she helped me with little things.
• 6:51
  Speaker 4: It really just it's amazing how even though when you
• 6:53
  Speaker 4: don't need help, that socialization is very important. And we've
• 6:55
  Speaker 4: shown that in studies with dementia and cognitive decline.
• 6:59
  Speaker 1: Do you do you know you said you're not full yet.
• 7:02
  Speaker 1: How many people can you accommodate?
• 7:04
  Speaker 4: We can go up to 54, 54 rooms. And so
• 7:08
  Speaker 4: that's what we're getting. We're like eight percent full now.
• 7:11
  Speaker 4: So we're in the ramp up phase, getting all of
• 7:13
  Speaker 4: our systems in place. But, yeah, I mean, it's been
• 7:16
  Speaker 4: it's been a joy. honestly, to take people in and
• 7:20
  Speaker 4: to care for them. It's been sort of like you're
• 7:22
  Speaker 4: having new people in your family.
• 7:24
  Speaker 1: If you're curious about some of this and some of
• 7:27
  Speaker 1: the services that are offered or if you have a
• 7:31
  Speaker 1: thought about maybe you yourself or somebody in your family,
• 7:35
  Speaker 1: why don't you call us now, 877-602-9696. and ask a question.
• 7:40
  Speaker 1: You can text questions.
• 7:41
  Speaker 2: Yeah, we have some three, three, nine, eight, six. They're
• 7:43
  Speaker 2: coming in three.
• 7:44
  Speaker 1: Three, three, nine, eight, six. And, uh, can we get
• 7:46
  Speaker 1: to one or two text questions real quick?
• 7:48
  Speaker 5: Uh, do you have a social worker on staff?
• 7:51
  Speaker 4: Um, we do not have a social worker on staff. Uh,
• 7:53
  Speaker 4: I've worked as a social worker for a year and
• 7:55
  Speaker 4: volunteering in Southern California. Um, so one of the ways
• 7:59
  Speaker 4: that we sort of utilize a social worker is through
• 8:01
  Speaker 4: home health. So home health companies have social workers. There's
• 8:04
  Speaker 4: a lot of resources in the community. Um, But yeah, even,
• 8:07
  Speaker 4: even them, they don't. So does home health come to.
• 8:10
  Speaker 2: Absolutely.
• 8:11
  Speaker 4: You know, I've sort of used all of my, my
• 8:14
  Speaker 4: abilities as a home care physician and brought it all
• 8:17
  Speaker 4: to the manner. So we can do x-rays, we can
• 8:19
  Speaker 4: do echocardiograms, EKGs. I mean, I can even do procedures there.
• 8:23
  Speaker 4: And so what we've, what we've been able to do
• 8:25
  Speaker 4: is sort of develop a system by which something that
• 8:27
  Speaker 4: would normally be like, you call your physician and they say, Hey,
• 8:29
  Speaker 4: you have to go to the emergency room. You call
• 8:32
  Speaker 4: your physician and they, and I come in and I,
• 8:34
  Speaker 4: and I do an evaluation. I say, you don't need
• 8:35
  Speaker 4: to go to the emergency room. Let's, Let's save the
• 8:37
  Speaker 4: six hours waiting and let's just order an echocardiogram here.
• 8:42
  Speaker 4: We'll order some blood work and we'll deal with it.
• 8:44
  Speaker 1: Yeah, cool. That's good. I'm a member of the Rancho
• 8:47
  Speaker 1: Gordo Bean Club.
• 8:50
  Speaker 2: Is that a real thing?
• 8:51
  Speaker 1: It is.
• 8:51
  Speaker 3: Oh, my.
• 8:52
  Speaker 5: Orem.
• 8:53
  Speaker 1: Look it up. Rancho Gordo Bean Club. We're talking with Dr.
• 8:57
  Speaker 1: Mark Cacciamani. He's the owner, the proprietor, the big cheese
• 9:03
  Speaker 1: at Manor on First, an assisted living place. Right in
• 9:07
  Speaker 1: the heart of downtown. What's the address exactly?
• 9:09
  Speaker 2: It is 574 East 100 South.
• 9:12
  Speaker 4: All right.
• 9:12
  Speaker 1: And if you have any questions, 877-602-9696. You can also
• 9:17
  Speaker 1: text questions to 33986. And there is a text question
• 9:21
  Speaker 1: that you have, Gina.
• 9:22
  Speaker 3: Yeah, we've got several coming in, but I thought this
• 9:25
  Speaker 3: was a good one to start with. Can the manor
• 9:27
  Speaker 3: have residents temporarily? My family will be going on vacation
• 9:31
  Speaker 3: for three weeks, and we need someone for my mom
• 9:33
  Speaker 3: to stay while they're gone.
• 9:36
  Speaker 2: Yes, we can.
• 9:37
  Speaker 4: Actually, so we've done that already multiple times. So it's
• 9:40
  Speaker 4: a respite stay. It's sometimes a bit of work. So
• 9:45
  Speaker 4: a lot of the assisted living is sort of limited
• 9:46
  Speaker 4: to a certain amount of time. You know, like, oh, well,
• 9:48
  Speaker 4: you have to stay a month. And so that's the
• 9:50
  Speaker 4: limiting factor. We don't do that. We say, you know,
• 9:53
  Speaker 4: depending on how much care you need, you know, we
• 9:56
  Speaker 4: usually like five days minimum at least.
• 9:58
  Speaker 2: But being a physician.
• 10:00
  Speaker 4: there's a lot of paperwork and orders that need to
• 10:02
  Speaker 4: happen in order for us to take over the care.
• 10:05
  Speaker 4: So it's nice that I can sort of make it
• 10:07
  Speaker 4: happen immediately. So usually there's a time issue, a time
• 10:09
  Speaker 4: crunch that happens. And so I'll go and see a
• 10:12
  Speaker 4: patient and do an evaluation.
• 10:13
  Speaker 5: Well, this would have been a great service for my
• 10:16
  Speaker 5: parents because they wanted to travel. But then my mom's
• 10:22
  Speaker 5: mom needed assisted living, and so she just essentially moved
• 10:26
  Speaker 5: in with them, and they couldn't leave.
• 10:27
  Speaker 1: They could never go anywhere. They couldn't go anywhere.
• 10:29
  Speaker 2: It's like a baby.
• 10:30
  Speaker 4: You have 24-hour care.
• 10:33
  Speaker 1: It's a great option. Now, do you have people that are,
• 10:38
  Speaker 1: you know, it's assisted living. Do you have people there
• 10:41
  Speaker 1: that don't really need assistance? They just want to, they
• 10:44
  Speaker 1: need a place to live?
• 10:46
  Speaker 4: Usually that happens when it's a partner of somebody else.
• 10:49
  Speaker 4: And so we'll have a caregiver that's burnt out and
• 10:53
  Speaker 4: is maybe older, and they fall and they break a hip,
• 10:56
  Speaker 4: and now there's someone at home that needs care. And
• 10:59
  Speaker 4: so then they come in and then someone else follows afterwards,
• 11:03
  Speaker 4: and they don't need much care at all. And we
• 11:05
  Speaker 4: can accommodate that. So there's no extra charge if we
• 11:10
  Speaker 4: do nothing for somebody. You can accommodate couples directly. Living
• 11:14
  Speaker 4: together in the same... We can, yes, yes. And we've
• 11:17
  Speaker 4: done that, so we actually are able to sort of modular,
• 11:20
  Speaker 4: make adjustments to our rooms and sort of connect rooms
• 11:23
  Speaker 4: if we need to. So if someone wants two bathrooms
• 11:25
  Speaker 4: and two rooms, we can do that. You have full
• 11:29
  Speaker 4: meal service, meals all day.
• 11:33
  Speaker 2: We do, yep. And then snacks available.
• 11:35
  Speaker 4: So our executive chef, her name is Britt Jersic. She
• 11:39
  Speaker 4: actually used to work at the beer bar. I think
• 11:41
  Speaker 4: we were mentioning that. She was an expert in beer.
• 11:44
  Speaker 4: Can you have beer at that Manor on First?
• 11:47
  Speaker 2: So we can.
• 11:48
  Speaker 4: So, you know, I think that's our whole idea is
• 11:50
  Speaker 4: that we want to be able to personalize everybody's experience.
• 11:55
  Speaker 4: And when you're in a corporate large company, there's these
• 11:57
  Speaker 4: rules that are just sort of blanketed over everything to stop,
• 12:00
  Speaker 4: you know, liability and litigation. And we just don't do that.
• 12:04
  Speaker 4: We want to talk to the people. We want to
• 12:06
  Speaker 4: see what's important to them and then see how we
• 12:08
  Speaker 4: can make it work. And so if you want a
• 12:09
  Speaker 4: glass of wine, you can have a glass of wine.
• 12:11
  Speaker 2: We can, we have systems in place. We'll, we'll make a,
• 12:13
  Speaker 2: a policy. We'll talk.
• 12:15
  Speaker 4: So for instance, we had a, someone that wanted an
• 12:18
  Speaker 4: open fire and that's kind of a no, no. Um,
• 12:21
  Speaker 4: they wanted to light a candle for a Sarah, a
• 12:23
  Speaker 4: religious ceremony. And, uh, and I'm like, you know, let's
• 12:26
  Speaker 4: see if, if this is really a regulation that's, that's solid. And,
• 12:29
  Speaker 4: and it isn't, um, we just have to have a
• 12:31
  Speaker 4: policy about it. And so we made a policy and
• 12:33
  Speaker 4: now she can do her ceremony and, It's those little
• 12:36
  Speaker 4: things that I always, when I was going to assisted livings,
• 12:38
  Speaker 4: I would notice and I would be sort of frustrated with.
• 12:40
  Speaker 1: Now, I know there was another text question there, Gina,
• 12:43
  Speaker 1: about financing.
• 12:45
  Speaker 2: Well, we've had a.
• 12:46
  Speaker 3: Couple of different people wanting to know about if Medicare
• 12:49
  Speaker 3: pays for anything or.
• 12:51
  Speaker 2: Just generally about financing.
• 12:54
  Speaker 1: Yes.
• 12:55
  Speaker 2: How can people do that? So this is always a
• 12:58
  Speaker 2: sticking point.
• 12:58
  Speaker 4: And I initially wanted to be sort of a lower
• 13:02
  Speaker 4: or a mid-tier facility.
• 13:04
  Speaker 1: Mm-hmm. Where we are in our location. Price-wise, yes.
• 13:08
  Speaker 4: And we weren't able to do that because of where
• 13:10
  Speaker 4: we are and the amount of land that we had.
• 13:12
  Speaker 4: So we're definitely a higher-end luxury assisted living. But the
• 13:17
  Speaker 4: first place to start when you're ever thinking about assisted
• 13:19
  Speaker 4: living is what's our price point? What can we afford?
• 13:22
  Speaker 4: And the first thing to think about is.
• 13:26
  Speaker 2: Are you a veteran? Or have you been married to
• 13:30
  Speaker 2: a veteran?
• 13:31
  Speaker 4: There's something called aid and attendance that will pay up to,
• 13:33
  Speaker 4: I think it's around $ 1, 800 a month in assistance, which
• 13:38
  Speaker 4: is a big help. And then obviously you'd have to
• 13:40
  Speaker 4: come up with the additional money. So that's one of
• 13:43
  Speaker 4: the ways you can pay. The other one is if
• 13:45
  Speaker 4: you don't have a lot of money and you have Medicaid,
• 13:48
  Speaker 4: Medicaid will pay for, this is considered custodial and housing,
• 13:52
  Speaker 4: will pay for this through a waiver program. It's called
• 13:55
  Speaker 4: the New Choices Waiver Program. And the idea is that
• 13:58
  Speaker 4: you need help, and you could probably go to a
• 14:00
  Speaker 4: skilled nursing facility where it would be covered by insurance,
• 14:04
  Speaker 4: but that costs $ 12, 000, $ 13, 000 a month. And so what
• 14:07
  Speaker 4: they do is they say, hey, we can really manage
• 14:09
  Speaker 4: those things in assisted living. Let's move you to an
• 14:12
  Speaker 4: assisted living and pay less. So Medicaid will assist with that,
• 14:15
  Speaker 4: and that's up to, I think, $ 2, 200 a month.
• 14:19
  Speaker 1: We have a friend of ours who's in our chat room, Ivy,
• 14:23
  Speaker 1: and she says, My daughter, Lola, just got off work
• 14:26
  Speaker 1: from the Manor on First.
• 14:27
  Speaker 3: Oh.
• 14:28
  Speaker 1: Is that Dr. Mark?
• 14:29
  Speaker 2: It is Dr.
• 14:30
  Speaker 1: Mark.
• 14:31
  Speaker 2: I'm there a lot. Let's say that.
• 14:34
  Speaker 1: You have to have staffing 24 hours a day.
• 14:36
  Speaker 2: We do.
• 14:37
  Speaker 1: We do, yeah.
• 14:38
  Speaker 4: And so, you know, and I get calls with questions
• 14:41
  Speaker 4: and concerns often. And, you know, we're staffing up. When
• 14:45
  Speaker 4: you begin, it's difficult because you don't have a lot
• 14:47
  Speaker 4: of patients, but you have to have that staffing.
• 14:49
  Speaker 2: And so, yeah.
• 14:50
  Speaker 5: Uh, here's a text. Uh, my husband has Parkinson's. It's
• 14:54
  Speaker 5: getting to the point where it's getting hard for me
• 14:56
  Speaker 5: to take care of him on my own, but I'm
• 14:57
  Speaker 5: not ready to leave him by putting him in a home,
• 15:00
  Speaker 5: even though I don't need assistance. Can we move in
• 15:02
  Speaker 5: as a couple?
• 15:04
  Speaker 2: Absolutely.
• 15:05
  Speaker 4: So we've, we've actually had patients that, um, residents that
• 15:09
  Speaker 4: have moved in for respite stay with Parkinson's. Um, Parkinson's
• 15:13
  Speaker 4: is a little bit difficult to manage because it'll often
• 15:15
  Speaker 4: be when you take your medications, you'll be able to
• 15:18
  Speaker 4: move around very well.
• 15:19
  Speaker 2: Well, And then when it.
• 15:20
  Speaker 4: Starts to wear off, it's not so well. Then you're
• 15:23
  Speaker 4: a fall risk. And so that's kind of a little
• 15:25
  Speaker 4: bit more difficult to manage sometimes. So oftentimes we'll give
• 15:29
  Speaker 4: it a couple days taking care of somebody before we
• 15:31
  Speaker 4: sort of put a whole plan in place. But, yeah,
• 15:34
  Speaker 4: you can move in as a couple. You can continue
• 15:36
  Speaker 4: to do cares as you wish as well. So we
• 15:39
  Speaker 4: develop a plan incorporating you as a wife. You want
• 15:44
  Speaker 4: to be able to help him with eating. You want
• 15:45
  Speaker 4: to be able to help him with maybe dressing. But
• 15:47
  Speaker 4: you don't want to do the shower because– you're worried
• 15:49
  Speaker 4: you're going to fall. So we just, we sit down
• 15:51
  Speaker 4: with you, we make a plan, a care plan, and
• 15:53
  Speaker 4: it works out really great.
• 15:55
  Speaker 5: Are residents allowed to come and go as they please,
• 15:58
  Speaker 5: or do they need to be accompanied by someone?
• 16:01
  Speaker 2: That's a great question. Yeah, they can come and go
• 16:03
  Speaker 2: as they please.
• 16:04
  Speaker 4: That's one of the other things that I think is
• 16:05
  Speaker 4: really important is that we want you to have autonomy
• 16:08
  Speaker 4: and dignity. There are certain situations where someone might be
• 16:11
  Speaker 4: at risk of getting lost, and so we can sort
• 16:14
  Speaker 4: of We can flag that in certain ways with their
• 16:17
  Speaker 4: key fob and the front desk.
• 16:19
  Speaker 3: Yeah, because I'm sure there are people that would be
• 16:21
  Speaker 3: perfectly fine if they want to go take a walk
• 16:23
  Speaker 3: around the block or go do something. But other people,
• 16:26
  Speaker 3: you might want to have a little more.
• 16:27
  Speaker 1: Call an Uber and go someplace in town.
• 16:30
  Speaker 2: Yep, and that's happening right now.
• 16:32
  Speaker 4: Some of our patients, one of our residents can't see
• 16:35
  Speaker 4: very well, and so she'll just get an Uber.
• 16:38
  Speaker 2: She needs help with a lot of things, but she's
• 16:40
  Speaker 2: not incapacitated.
• 16:42
  Speaker 1: She'll get around.
• 16:43
  Speaker 5: And, of course, I knew this would come up.
• 16:45
  Speaker 2: Pets. Oh, I love me some pets. Oh boy.
• 16:48
  Speaker 1: Yeah. How do you, how do you handle that?
• 16:50
  Speaker 2: Uh, so this is, this is, it took me a
• 16:52
  Speaker 2: while to get to this.
• 16:54
  Speaker 4: Uh, you know, some facilities have their own pet, so
• 16:56
  Speaker 4: they'll have a resident, uh, pet and they'll, they'll put
• 17:00
  Speaker 4: that pet on the MAR medication administration record for walks
• 17:04
  Speaker 4: so that.
• 17:04
  Speaker 2: The residents, so the staff know to walk them.
• 17:06
  Speaker 4: Um, we don't have a pet, but we, we, we
• 17:09
  Speaker 4: certainly support patients having pets.
• 17:10
  Speaker 2: They're so important.
• 17:12
  Speaker 4: I mean, for quality of life, um, Typically, larger corporations
• 17:17
  Speaker 4: will say, hey, if you have a pit bull or
• 17:18
  Speaker 4: a dog that's bigger than this size, you know, you
• 17:20
  Speaker 4: can't have it there. I don't do that because I
• 17:23
  Speaker 4: know there's big dogs that are great and there's little
• 17:25
  Speaker 4: dogs that are horrible.
• 17:26
  Speaker 2: Yeah, that's true. And so what I do is I
• 17:28
  Speaker 2: interview each dog.
• 17:31
  Speaker 4: And so I will sit down and I'll take a
• 17:34
  Speaker 4: look at the pet. And, you know, we had a
• 17:36
  Speaker 4: request recently for Can I bring my rabbit? I'm like, absolutely.
• 17:40
  Speaker 4: That's super easy.
• 17:42
  Speaker 1: I had a house rabbit for several years.
• 17:44
  Speaker 2: Yeah, they're kind of cozy.
• 17:46
  Speaker 1: Yeah, I mean, I don't know. They don't care about
• 17:49
  Speaker 1: you one way.
• 17:50
  Speaker 2: Or the other. There's something you can pet. They're soft
• 17:53
  Speaker 2: in your lap.
• 17:53
  Speaker 1: They're soft and cozy.
• 17:55
  Speaker 2: Exactly.
• 17:56
  Speaker 1: All right. Well, what's the website? People get a hold
• 17:59
  Speaker 1: of you.
• 17:59
  Speaker 2: You bet. It's www.manneronfirst.com. And that's the digit first? Yes,
• 18:04
  Speaker 2: it's the number first.
• 18:06
  Speaker 1: One ST?
• 18:07
  Speaker 2: One ST, correct. And if people want to take a tour? Yeah,
• 18:11
  Speaker 2: we are available.
• 18:12
  Speaker 4: Just go online, and you can sign up there, or
• 18:14
  Speaker 4: you can call the number on the bottom of the screen.
• 18:16
  Speaker 4: We can usually give a tour same day or next day.
• 18:19
  Speaker 1: All right, excellent.
• 18:20
  Speaker 4: Dr.
• 18:21
  Speaker 1: Mark Katiamani, Manor on First, thanks for being here. It's
• 18:25
  Speaker 1: a lovely facility.
• 18:26
  Speaker 2: It's really nice. Come by whenever. We'll give you a lunch.
• 18:29
  Speaker 1: I will. All right.
• 18:29
  Speaker 2: Yeah.
• 18:30
  Speaker 5: All right.