Latest / The Elite Nurse Practitioner Show / Episode 229 - Operating in a saturated market

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Episode 229 - Operating in a saturated market · The Elite Nurse Practitioner Show

• 0:02
  Greetings. This is Justin Allan with the elite nurse practitioner. Welcome to the Elite Nurse Practitioner Show podcast dedicated to nurse practitioner entrepreneurism and achieving financial freedom, where I talk directly with nurse practitioners who need help. Listen up. Our market is saturated. Jobs can be scarce. are underpaid. We are undervalued. We are taking advantage of by the sharks within the health care system. And frankly, screw that. Sick of it? It's time for a change. And listen, I'm here to help make that happen. We are powerful. We can forge a path, and we are in control of our career and ultimately our financial and personal well-being.
• 0:40
  You do not need to submit to health care administrators, and your doctor will believe you do not have to take the measly salary. You do not have to work 50 to 60 hours a week. There is a different way and I'm here to show you that path. This podcast is raw, unfiltered.
• 0:58
  I have I've not talked to the nurse practitioners in this podcast prior to the call. Outside of an email exchange to schedule the episode. What you're about to listen to is a consultation session between a nurse practitioner and myself. It is real. It is unscripted, it is unplanned, and I have no idea what we're going to talk about. Anything and everything can happen during our conversation. The nurse practitioners in these episodes are struggling with an issue in their professional or financial life, and they have reached out to me for help. My goal is to help the nurse practitioner with actionable advice that will enhance and improve their professional, business and financial life. My other goal is to hopefully help my nurse practitioner, sisters and brothers build a more productive, powerful and free life. So I hope the content and information within these podcasts episodes does just that. All right, on to the episode. Hey everyone! Today we'll be talking to Abdul, who is a family nurse practitioner. He recently graduated in PE school and is actively applying for some jobs. He's getting guidance on where to go next should he find a full time job? Go. The more the traditional route. Start a side hustle while working or just go all in and sort of practice full time as a new grad? Hey, do. Are you. I'm doing well. I'm excited to be here. How are you? I'm good man. Glad. Uh. Glad. Glad to have you on here. Apologize if I'm sniffling or anything like that. I got. I got some allergies or something going on, so, um. So. Yeah, man.
• 2:18
  Cool. Well, tell us a bit about yourself. You just graduated school, and, uh, I guess you just need some guidance on. Yeah. What the hell do I applied to? I graduated preschool, I applied to as many jobs as you can think of. Um, and so I'm kind of in that, um, limbo state applying to jobs, and I'm starting to take it as a sign. It's like, you know what, I don't. Let me see if I can do something on my own. I'm trying to take it to a sign. I live in Rochester, New York.
• 2:45
  It's upstate New York, about an hour from Buffalo. Um, and I did a little research. You grew up in East Tennessee. Is that. Is that right? Uh, yeah. yeah, so much for very small. My city is about 200,000 people, roughly. Um, and so I graduated, um, here in upstate New York, and there's about two big competitors where I am, um, U of R. Um, and then Rochester Regional. And so I've kind of been applying to these two places. I just haven't gotten any luck. Um, but I knew I always wanted to do something I like. I'm very ambitious.
• 3:23
  I love people, and that's where my passion is. Um, it it's nothing specific just yet.
• 3:30
  Where it's like old men's health clinic or anything specifically. I love passion and I'm ambitious, or I love people and I'm ambitious, so I want to do something my own. It could be like with your assistance, it could be either like today we start something, or it could be like starting a traditional route. Um, I been a nurse, um, in the emergency department for a couple of years, and I did medicine for a couple of years. At the moment I'm in surgery, um, in PACU specifically. So, um, I have my RN job and, um, I also I love real estate, so I, I own a couple properties as well. So I have some passive income from that. So if I have to put all in into this new business where I got some passive income I can survive on from, um, you know, my properties, my rental income. And then I also have, you know, my PACU job at the moment. I can do weekends, part time, whatever it may be. Throw myself in there. That's an option. Or if, you know, based off your guidance, you say it helps to get into a system first. Do the whole part time thing. Um, that's also what I'm thinking about. Um, a little more background about my city. I did some research.
• 4:44
  Um, so like I said, about 200,000 people. I looked at the types of businesses that are already available that you talked about in your podcast. So men's health clinics, there's about six competitors. Uh, weight loss clinics is about ten competitors. IV hydration is about five primary care like a couple hundred, um, esthetics, about seven sexual health, about five, sleep optimization, about five. And then the one I really if I had to choose between all of these and maybe this might be the main focus is like occupational health or employer services. So like Dot clinical or Dot physicals, pre-employment examinations, drug testing. And as far as competitors, there's about six of those um locations, two of um, and they're kind of branched off those big clump, those two big companies I mentioned earlier with 1 or 2 private practices that kind of specializes in that. Well, I mean, he know, some research, so that's good. Um, and your area sounds, sounds saturated. So there's a lot of competition in most of these kind of niche cash based spaces, unfortunately. Um, I'm kind of surprised that for a city of 200,000 people, there's six men's health clinics.
• 6:11
  Yeah. Well, yeah, that's crazy to me. Yeah. Okay. Um, yeah. All right, so let me first just get a little background on you. How old are you? 26.
• 6:25
  26. Dude, you're still a kid. Yeah. Yeah. Yeah. Okay. All right. I know I like it, though. Man.
• 6:32
  You're ambitious. It's good. Okay, so you're just finishing school. You're 26, you got a couple properties, so you're obviously doing pretty well. Uh, you're probably making pretty decent money being beaten, I would imagine. Fair and Nothing like I don't do. I didn't do overtime. Been working in a lot of, like, um, most of my. It's about. Yeah, not nothing crazy I do. Well, but, um, I spend very low. I live in my mom's basement still. Even though I have a couple, I still see my parents every day. I share a room, like. So, um, I have low expenses, and I think that's why I don't really make a lot, a lot, but I have low expenses. Hey, dude. Whatever, man. Take advantage of the situation you have, like, whatever. Save your money, stack it up. Like, do whatever you got to do.
• 7:16
  There's nothing wrong with that. Um, you know, don't go and just blow your money and get a buy.
• 7:23
  Expensive house and all this kind of crap, and you have nothing left over. So, I mean, I think you're doing the right thing. You're obviously very intentional here, right? So, like, what you're doing is, is good. I mean, I would say keep doing it for a little while. Stash some cash. That's money, you know, that kind of thing. So. How much do.
• 7:46
  How much do MPs make in your area? Let's just say if you decide to work at the ER. Sometimes it'd be, um, about the two competitors, 100 K and 105 for the one that pays a little bit more. Um, and then if you work in hospital, including the night differentials, weekend differentials, there are about 130. And as a nurse, like how much more is that compared to what you could make as a nurse? You, um potential you can make more. Like I've there been used I've made 130 um, with incentives and stuff like that. Um, but say like base, you're making up anywhere between 80 K high 80s. Well, the only I mean, I think the only reason why I would get an NP job is just for some experience as a provider.
• 8:36
  I mean, outside of that, there's not much of a financial incentive by any stretch. The imagination that blows my mind. We are in 2026 and you go work in the air making$105,000 a year. Like, what a fucking joke. It's insane. That's why, like, I'm part of me is like, do I want to even throw myself in that system like I experience? Is it valuable? Like, I know it's very valuable, but I noticed from, like, doing watching a crap ton of your videos is experience as an entrepreneur is just as valuable as experience, as clinical, right? Like a lot of these people, they start in the business, then they start working on the business. And so there's a half and half. So I'm thinking like, oh, what if I pour my experience I'm young into ten years of entrepreneurship, which can be just as valuable as ten years of clinical experience. Well, yeah, I mean, if you're if your objective is to become financially secure and make money, then absolutely. I 100% agree with you. You know, if your goal is to just seek patience up until you're 65, 70 years old, then you know, maybe not. That's not the best way. But but listen it. What do you want to do with your life? Right? Do you want to work in the system? Do you want to work in this cogwheel? Do you want to understand and learn how to practice insurance?
• 10:01
  Medicine? You know what I mean. If you don't want to do that, you're shaking your head. People are not watching this video. He's shaking his head. So. Yeah. So you don't want to. Right. So you don't want to. Then why waste your time? Do you need to have experience as an NP in primary care er urgent care. These places that most new grads go. Do you need experience there to do some cash based wellness service. No you don't.
• 10:31
  Right. You don't. I don't care. People can listen to this and disagree with me. Fine. Email me and tell me your reasoning. Why? I don't see any. There is none. okay is a completely different game.
• 10:42
  All you need to understand as a new grad NB is you need to understand what SIC is and what SIC isn't. Right. You need to understand when to refer and when to stay within your scope and do what you're comfortable with. That's it. If you understand those things as a nurse, then you don't need to get the experience as an NP. I worked as a nurse. I worked home help as a nurse. That was basically my nursing experience with home health and and in the E.R.. When I got out of school, I understood what sick was and what sick is it? I understood I need to refer this to someone else. Like I understood that and being an NP didn't teach me that I knew it as an end. So if you know that as an RN already, if you understand that and you studied really hard and NP school and you understand just clinical medicine and stuff, you understand the basics. Then I say, what I would recommend for you is start a business. Like that would be my recommendation. Dude, I don't think it's necessary, especially with that kind of pay rate. You know, if you were making 150, 160,000 NP. Sure.
• 11:58
  You know what I mean. Go for it. Get, you know, get a get a job as an NP, make some more money. So that way you can invest that money back in your business. But you're not making anything really substantially more, not more than what you can make. Picking up an extra shift of nurse without a liability in the headaches. Right. I like that, that blows my mind. You know, I graduated MD school in 2013. My first job was Virgin Care, and I made $140,000 my first year in 2013 years ago. Like, it just blows my mind. This is what happens when the NP market comes saturated as hell and you see it as a commodity. You know what I mean? So screw that. Not a commodity. You're a person who's ambitious, and you're worth a lot more than that.
• 12:43
  Because you can produce more than that. Right. So you have to just do it yourself. You have to make it yourself. That's just how this. That's how it is. Right. So if you are willing to make it yourself, then let's just talk about that, because I feel like you getting some job as a complete waste of your time. Unless you know, man, unless, you know, unless the E.R. wants to hire you and you want to pick up a shift or two every week just so you can kind of get into that, you know, the groove of being a, you know, being a provider or whatever. Like, okay, cool.
• 13:16
  But I think it's gonna be a little bit of a combination of you probably still working as a nurse, maybe as an NTP somewhere, picking up a shift here or there or whatever, and just diving in on your business. Now, I will say this. Okay. I have I knew someone um, in Florida actually. And he did just that.
• 13:39
  Okay. I mentored him. Consulted with him a few times back in 2020, 2020, 2021, something like that. And he he he never worked as an NP because the pay was just it was it was an insult, right? So he was like, screw this. Why would I why would I work as an NP when I can work these ICU and air shifts and literally make almost the same, if not more than an MP? Why? Why would I do that? Right. So he basically kept working as a nurse.
• 14:20
  Uh, he worked 3 or 4 shifts a week. I think he, like his full time job was three days, and I think, you know, and he always pick up an extra shift every single week, right? He stashed the money away. He opened up his own mental health clinic in Florida, and it took him about a year or two for that men's health clinic to start gaining traction and that sort of a thing, but it did. And then he was able to cut down on the orange shifts and the work and stuff. And fast forward four years after that. He doesn't work as an RN at all anymore. He's 100% in on his business. Okay, so you could do it. You're just going to need to just be a little bit patient. But you're 26 years old, man.
• 14:58
  You could be patient with this, uh, still live at your parents house for another couple of years. If you have to save as much money as you possibly can. Invest some money into your business and just let it do its thing. If you're patient with it, then it will work. That's the problem with most people who started practice is that they're just not patient enough. So, uh, what are your thoughts? I think you're a straight shooter, and I. That's why I fell in love with your podcast, because a lot of the advice I've been getting is like technically old school advice. And I've always felt that if you're working hard, you're doing something wrong, and every single path that has the advice I've gotten was dedicate X amount of time, get paid crap money, and then start at zero again. And I'm like, why am I starting at zero? I feel like everybody's kind of reverse thinking this whole process and I don't know, and I'm starting to feel crazy. I'm like, okay, maybe I am wrong. Maybe I should go get paid $105, climb the ladder, leave that, then do the part time. But I'm like, I can do this now. And I don't know how you are, but the more people tell me no, the more I want to do it. Everybody's telling me to go into. I'm like, you know what? I tried, I applied to Justin. I've applied to so many jobs now, I've only had like two interviews and they were fantastic. But then they hired the experienced nurse or the nurse practitioner.
• 16:29
  Unlike, you know what? Screw you guys. You guys don't want me, and that's fine. This is. I'm taking this as a sign. Another background about me. It's like at least a pivotal moment in my nursing career. I. I probably have the record of how many times I've failed the NCLEX. I'm not stupid, but I failed the NCLEX a couple times. And, um, that was the best damn thing that ever happened to me because the jobs that I applied to before, like I applied to, um, like this ad that is known in my area that isn't very good. Um, and it I just bad stories. I applied to, like, a nursing home. Didn't get any of those then the first job that I ended up getting, um, like the both my job offers were taken away from me because I felt so many times they were like, yo, like, we can't keep waiting. I'm like, give me a little more time, I need to study. But then finally I went into med search and I found, like, I'm telling my brothers, they're like, I see these guys every day. It was the best decision I ever made. Long story short, is that because these doors kept closing, I took it as a sign and I, you know, I'm like, you know what? Forget you guys. I'm going to go find another, you know, opportunity. And this is the kind of the path I'm like feeling is like, I know where I'm going to be. I see the path over there, I see it, but how do I get there? I just don't know how to, like, get there. I know I'll be there. It might be a couple of years. Five years. It might be a day. I'll get there. But I don't know how. And I watch your videos so I can learn from the mistakes and just take those little shortcuts. Um, and I'm at the point now is like, okay, I know, I know my future, whatever looks like, but I don't know what I don't. I need to put my energy into something, as you could tell, because I know once that energy is there, like the I'll, I'll be able to take off. I just want to see from what you think. if you were to start a business route, or if you were to start all over from the beginning, um, you know, what would you want to be like? Okay, this is the most, say profitable, lucrative and stable and long like to long term stability. Where would you start? Yeah. Okay, so a couple couple couple thoughts and I'll ask you that question. Okay. So do not listen to the naysayers. First off just don't do every single. I have one person that supported me outside of like, close friends or family. You know what I mean? Not one person. Colleagues, nurses, NPS, other people I knew supported my decision on starting my own practice. Oh, dude, you're starting this practice in one of the poorest counties in the country. Everyone here has Medicaid, blah, blah, blah, blah, blah. Right. Listen, you can your limiting beliefs can stay with you. Okay, well, who's the millionaire now? I am not you.
• 19:21
  You're still working at your bullshit job, right? So do not let other people's limiting fears and limiting beliefs. Don't. Don't let it affect you. Okay. They are. All they are doing is literally projecting their fears and crap on you. That's what they're doing because they're too chickenshit to do it. Okay. So whatever. Let them keep working for their look. Let's let them keep working. Let them keep whatever. Let them keep putting their little measly $15,000 a year in there for one day. And then, you know, when they were tired and, you know, Social Security would be completely gone and whatever. Right. Like, let them. Let them go the traditional route. Okay. We need people to go the traditional route. Fine. If we didn't, no one would be working. Right. So let it be the worker bees. That's what they were trained to be. All right. Well, that's why it's called elite PNP. We're. We're the elite. We're 10% that think differently. Right. So let them be worker bees. It's fine. You'll eventually hire them at some point. Okay. So, like, you'll hire them at some point. So. Don't listen to them, dude. Just just don't. I'm not the only one who's done this.
• 20:30
  There's a lot of people who've done this, right. Like, I know I take some of these people on a daily basis, so don't listen to that. Okay. Um. The NCLEX.
• 20:40
  Who cares? The NCLEX was the dumbest exam I've ever taken in my life.
• 20:47
  Right. I got my first degree in biology and chemistry. And, you know, I. I was just messing around and partying and stuff. I was going to go to dental school where I was going to do, and I was like, I just, I need something. So I so I would do an accelerated BSN program. Okay. I remember going through the BSN and then graduating and taking the class and thinking to myself the entire time I was like, this stuff like sophomore level biology and chemistry classes blow this out of the water. This is this is this is dumb. The NCLEX is a test that they make ridiculously hard for absolutely zero reason. The NCLEX taught me nothing. It did not make me a better critical thinker. If anything that made me dumber. I had to get that crap out of my head. When I finally went to the real world, it was. It was ridiculous. And I'm sure there might be people listening to this. Being like, oh my God, what's he saying? Well, that's I'm sorry. That's the truth.
• 21:43
  Then let's was dumb. So if he failed it, man, who cares? Like who? Who cares? You know what I mean?
• 21:49
  Like, I think I just got lucky when I took mine. I was able to pass it. I just got lucky, man. You know, I'm not joking you. When I was taking the Act class, I was literally just guessing on half those questions. I was just guessing. I was like, this makes. No, there's no logical sense. There's no logic here at all. Zero. I don't care if you tell me. There is, there is it? There's no logic here. It was it was just it was. It was a stupid test. Um, so. Whatever, man. Good for you. Pass it. Who cares? It's over with now, right? Okay, so to answer your question, so what is something that you can get into. All right. It's actually man this is actually pretty crazy that we're having this podcast right now because like I'm literally on my on my other screen right now working on on on on something.
• 22:33
  And it's, it's kind of crazy that we're having this podcast right now. Um, so what's going to be something that is not saturated, that you can get into that is profitable with a high margin that, like you said, doesn't require a lot of work? You are right in your thinking. You don't have to work hard to make a lot of money. In fact, most entrepreneurs don't work that hard once they have a business that begins working for them. All the hard work goes into the startup phase of it and being patient phase of it. That's where all the hard work goes. After two years, you don't typically don't have to work that hard. If you set the business up the correct way. Okay. So your goal here is to create a business that is high margin, high ticket that requires less of your time. That's a business that works for you. A business that does not is an urgent care where you're seeing patients and you're dealing with insurance, and you're dealing with all that kind of crap. You just gave yourself a job, right? That's how most people approach business. They give themselves a job, and that's not what you want to do with a business. I refuse to open up a business now. I mean, I've I mean, at this point in my life, I've had I couldn't top of my head on the count real quick. One. Two three. Four. Five. Six. Seven. I've had seven, eight businesses now. I think something like that sold a few of them. Some of them I closed down because I was just sick of doing it. They were still making money, but I was just like, I'm kind of done with this, like medical cannabis as an example. I'm still making money. I just but I just stopped doing it. It wasn't worth my time anymore because it was requiring my time, right? Still, it was still profitable. It was requiring my time and I my time is valuable. And so. So I started 7 or 8 businesses or whatever. And now I'm at a point in my life, I'm 42, so I'm older than you are. I'm like 18 years older than you are. Um, 16 and no, 18 years.
• 24:48
  Yeah. 18 years. Right? Yeah. So. No. 2636 40. Sorry. It's gonna drive me crazy real quick. My allergies are driving me nuts. So I'm having, like, this couple little brain farts here, right? 2636, 4620, 16 years. Yeah. Okay. So.
• 25:08
  At this point in my life. I refuse to start a business that does not work for me. That that works for me right from the get go. And that is not scalable. Okay.
• 25:21
  And by scalable I mean does it grow? Or does it have the potential to grow without me having to work in it? Okay. That's the determining factor there that everyone listening in you need to really ingrain into your mind. Right. Does it grow in scale without me having to put significant inputs into it? Right. If I opened up an urgent care and I open up another urgent care and I had to work both of them, that's not a scalable business, right? If I hired providers. And sure it could. So you need a business that can grow and scale without your inputs into it. And the problem with the medical practice is for most people who start a practice. The, the, the issue is that they have to see more and more and more and more patients to generate more revenue and income. Right. That's not a scalable business.
• 26:28
  Scalable business is when you start that now, you actually start putting less time into it and it continues to grow. That's a scalable business, right? So I refuse to start any kind of business that does not have that tied to it. I just I refuse to, which means I'm very selective now in my life on what projects I decide to take. I'm approach with ideas all the time, and I, I turn down 99% of them because it's not a scalable business. So what business can you do right now that's scalable, that does it require a significant amount of your time that will allow you to continue to work, to make a living and allow you to put some money away and stuff. So you build an emergency fund, you can build a nice nest egg, etc. what's a business that you can start that you can keep doing that and that kind of works for you. That's scalable. That can still actually though be be profitable. Okay. So the ones that you kind of talked about already that are already pretty saturated area weight loss clinics, hormone replacement therapy clinics, wellness practices on a subscription based model.
• 27:43
  Okay. That's some kind of recurrent income built into it. Those are scalable businesses, right?
• 27:50
  Because you get 100 patients or whatever they're paying you every single month. You don't have to see them every single month, right. So that like that can exponentially snowball and grow. Right now. The issue though is that it's saturated. So so what do you do? Right. What's a service or a product that you can bring into that market that no one is doing right now?
• 28:13
  Right. I happen to be working on something that I'm going to. It's going to be outside of a temp though. It's, it's it's a completely different business because it's it's more of a franchise.
• 28:23
  It's not an education business. It's a franchised business. It's a franchise clinic. So what I've been integrating into my men's health clinics right now. Okay. High ticket executive health longevity concierge care, high ticket, not $100 a month,$150 a month, not $250 a month. $350 a month. $500 a month, $1,000 a month,$1,500 a month. That's what they pay me. Okay. Concierge based. And to get in on that, you still you have to do an executive physical, a high ticket, very diagnostic physical exam.
• 29:02
  Actual physical like me actually listen to their heart and stuff, I don't care, I don't do that. I don't have to do that with these patients because I'm doing a CTA of their heart. I don't care about listening to it. It's not going to tell me you're a full body MRI doing comprehensive lab work. I'm doing a full diagnostic. This is the CEO's get. This is the stuff celebrities get. And my objective is to bring it to the masses. Okay. I've already been doing it for about a year already, and I've perfected the model basically. And so that's something that you could do all right if you were interested in it. The beautiful thing about that kind of model is you need one patient a month, one you're paying you ten grand for this physical and your margin is 60, 70%. Okay. Then they get the longevity program paying$8,000 a month, one patient a month. It's really all you need takes you no time at all. You know what I mean? You do it out of your mom. You can do your parents basement if you want.
• 30:08
  Like, you know, I would recommend a small office or something, but. But. Yeah. So that is something that I am. I'm actually going to be launching it probably in December. I'm still perfecting it. I want it to be a turnkey franchise for everyone who's interested in getting in on it.
• 30:26
  Turnkey. So you get it. You basically you join and like I literally give you everything website, Google, business listings, vendors, protocols, procedures, literally everything. All you got to do is just get a location, integrate into your practice and do a couple little things and begin seeing patients. Like, that's my goal if I'm still working on it because I want it to be perfect before I before I launch it, it's not going to be expensive either. Like this is not a $40,000 franchise. This is like a couple hundred bucks a month. It's like, I'm gonna my objective is to have a thousand of these franchises out there. You own it, though. It's all yours. Like, you just pay me the franchise fee and I keep giving you updates and that sort of thing. But anyways, that's then and there. All right. So if this is something that you want to pursue and I can give you some more details or whatever after this. But like that's something you could do. It's not saturated yet okay. I think it probably will be in about five, 4 to 5 years. I don't think it's as it gained traction yet. Is this something you could think about? You could do that. You could do a wellness clinic if you wanted to and just go outside your area. Okay. So if you wanted to do more of a traditional wellness cash based practice, you could do that outside of your area in an unsaturated market. I'd say that before another podcast, too. Smaller towns are goldmines. Even towns of ten, 15,000 people. Really, anything could work there. There's no one else doing it. So. But, Um, so for the the all inclusive executive model.
• 32:03
  Um, now, where do you find these customers? Is it a is your like, you have to put a lot into marketing to find someone who would. Well, if you join my franchise, I'm going to be doing all the SEO work for you, so people just find you. Yeah. I mean, you can always do some paid advertising as well if you want. But the thing is, is that the people who are interested in that are beginning to they're beginning to get wind of it.
• 32:34
  Okay. Some of the big dogs out there in the podcast role as an example, like Andrew Huberman and Joe Rogan and some of these other guys and stuff, they're already starting to talk about this stuff. All right. So you can allow them to do the heavy nationwide awareness of it. Okay. And then you just need to be available to provide that service in your area. Yeah. So like, it's not really a terribly, uh, difficult thing now. It probably will be slow at first. Okay. I fully expect every franchisee I bring on board. I'm going to tell them it's probably going to take you 2 or 3 months to actually get your first patient. Okay. But the the investment into it, it's not it's not crazy. You're talking about, you know, maybe 5000 bucks or something like that total. Did you really need you you need a very small office a literally a one room office. And there's no staff. You don't need any staff whatsoever. Right. So yeah, these people are going to be looking for this and it's going to grow in my opinion. And you said the services would include basically this full like scale or um, this physical would include what what did you say it included. Like it's basically full diagnostic. Yeah. Okay. It's it's advanced labs. It's it's it's it's it's body diagnostics. It's it's stress testing. It's it's basically everything. The the goal of it. Okay. The goal of it is to.
• 34:13
  Basically give the person a clean bill of health. You examine every system. Essentially you rule out common diseases that affect people. Most common things. Right. Cancer, cardiovascular disease, etc.. You you basically rule all this stuff out. You can give it a clean bill of health. I did one on myself. Right? Like I didn't want it over. It was about eight months ago or something like that. I basically did it for myself because I was curious. So like I did, like I did it all. I did full CTA with AI plaque analysis. Like all of it, I had the heart of a 16 year old. I literally have a calcium score zero plaque. Oh, you like completely normal heart like full body MRI. Clean. Now, if you find something, then do you have do you have to address it? That's going to be solely up to you. Like my franchise model is. No. I go over what to do in the case of findings. A lot. A lot of it's like incidental Lomas or basically what they're called, like, you know, they're just kind of like, oh, this is just kind of a whatever. It's nothing. You know, there's a cyst on your kidney or whatever, right? False flag stuff, whatever you need to know. What that what those things are right. You need to know what's normal and what's not. You need to know what to do in terms of if something comes up. What do you do?
• 35:48
  Like I cover all that. You know, all the protocols and everything, basically. But but like.
• 35:55
  Yeah, it's that's kind of what it is, man. It's you. You're gonna find stuff like, you know, I do this at my men's health practice, and I find things I have found, you know, I mean, a couple of times I found some bad things, you know, like, I found a guy who had some pretty significant, uh, some pretty significant plaque buildup in his heart. But the reason why he paid me was because he wanted to know these things. And so guess what? We found this stuff. We formed a cardiology post in it before it was ever a problem. Right. I have found some very, very, very early cancers. Very early stage one kind of shit, right? Stage ones treatable in most cases. You know what I mean? The standard medical model is a model where we address it. When it when it hits, you know it's screening these things. Insurance never pays for this stuff. You know what I mean? The traditional model. I unfortunately want you to die, you know, like they don't want. I mean, they still want you to keep paying your insurance premiums and stuff, but at the end of the day, it's just they don't want to pay for the treatments, they don't wanna pay for the preventions and things like that. So. So yeah, I mean, it's it's something you need to think about. All right. I mean, it's it's not a terribly complicated thing if you understand. You know, if, if you, if you know how to do it. Um, yeah. That could be something you could do in your, in your area. You mentioned dot and occupational medicine man. It's you have to work and it's very low margin. It just it just is unless you can get some contracts with some very large employers, you know, but at the end of the day, you have to be available to. You know, suture, someone cuts their hand or whatever. I mean, I, I've like, uh. An urgent care that I worked at, actually.
• 37:55
  Um, I worked at an urgent care, and we had an occupational medicine kind of program inside the urgent care. So I did that occupational medicine for about three years. You have to be available for cuts and exposures and, you know, things like that. The dot physicals ban, they don't pay anything. You're making a hundred bucks, you know. So it's not it's it's not a motto I'd recommend. It's it's not scalable. But the wellness clinics, you're saying because of the competition, it might be a good idea to look outside what's like a suitable, like, population size that, you know. Um, I mean, I can just do research, look around and see, like, the competitors in these different areas and just like. Is there like a I don't know. Like a, like a guesstimate ratio like this many people for this many places around and stuff like that. Yeah.
• 38:53
  My dude, my rule of thumb, um, generally speaking, is that for every wellness clinic or service, weight loss, men's health, sexual health, whatever. Typically, anywhere between 100 to 150,000 people usually will support one, uh, profitable.
• 39:15
  So you have 200,000 people in your in your, in your city. There's six men's health clinics like yeah I have hippie I have all six addresses. Yeah, yeah, yeah. They can't be making that much money, man. They're not they're not turning much of a profit. There's there's no way unless the area around you, just because the city's 200,000 people, you start caring suburbs in small towns and everywhere. That's within 15, 20 minute drive. That's probably closer to a million people.
• 39:43
  Probably. I mean, the the research I did was within 30 minutes, um, of where I'm at. Um, it had six people for like that specific business. And then the other ones, like I said, like weight loss clinics. There's 10 in 30 minute radius from where I was at and my city, but it only takes like 15 minutes to get 15, 20 minutes to get from one end to the other end.
• 40:08
  Um, so, I mean, with these wellness clinics, um, I guess because of the saturation and I didn't know how trendy these topics or these, um, places are also like, excuse me, I don't know if, like, when I was thinking of and, like, I didn't know that they were low margins, but I thought it'd be. Oh, this is like, like, less trendy. It'll be there, it's more stable. But, um, from the sound of it, the margins are too low. But then if I go to the wellness clinics, there's ten weight loss clinics, five IV hydration, five sexual health. Um, like, there's some ADHD mental health medication. There's some addiction clinics already, um, you know, that are up and running. So I find myself in like a pretty saturated market. But like you said, nobody's doing what? Um, that full diagnostic. I've never I've never been. It sounds absolutely like there's a there's a want for that, like, I, I, I want that, you know, um, so I can definitely. But then the question becomes like for somebody with zero, I mean, I had when I was young, I had like a couple like, you know, you know, teenage businesses like doctor, I did like a detailed company and like these small little businesses.
• 41:30
  But for somebody who has zero like entrepreneur background size rental properties, Um, that sounds be I. I'm be honest, it sounds kind of intimidating. And just to charge somebody that much money, I from I'm looking at it sounds timid. It sounds almost a little overwhelming as well. But if you're telling me, yo, it's possible you just gotta grind for the first two years. Um, and then, you know, following your protocols and following, you know, the system that you're laying out. Um, it gives me a little more hope, but it does sound intimidating. Yeah, I mean, it's I mean, I mean, it is. I mean, I completely agree with you. It's like, oh, I mean, I'm gonna find some stuff and I'm gonna have to address it, right? I mean, that's why they're paying you, you know what I mean? But the thing is, is that you aren't obligated to do that. You are just doing the exam, right? That's that's all you're doing. If something comes up, you refer it out. That's all you have to do for the most part. You can do whatever you want. You know, it's complete provider discretion at the end of the day. You know, if they enroll into your longevity program or whatever, you know, if you're a concierge thing, you're only focused on more of their longevity stuff. Right. So and yeah, I mean, so it's again, it's totally up to you. I mean, you can always refer some of this stuff out. You were for most of it. I mean, that's what I've always done. I just refer this stuff out.
• 43:08
  I mean, I don't mind treating someone's, you know, prediabetes and things like that. You know, their CTA comes back and they have, you know, some plaque or whatever. I mean, it's like, oh my God, what do I do? I mean, if it's if it's if it's not crazy, you can still aggressively manage it from a longevity standpoint. You know what I mean? I, I mean, it's almost like, you know, like from my, like, real estate, like the home inspection, like, they'll give you a huge list of all from, like, and one nail sticking out to like, hey, you could address this.
• 43:45
  You don't have to, but here's the whole list of what's wrong with your home. Um, and I mean, looking at it that way, that that that does make sense. Correct. You don't have to address everything. You know. You address what's within the scope of the practice. It's just like any other practice. Right. With a men's health clinic, when a PSA comes back at 6 or 7, you think I'm managing that? Hell, no. You're all just seeing that. You know what I mean? That's just that's medicine, you know? So as long as you know what to do with it, then it's really not anything crazy. So. So, yeah. You address what you want within the scope of the practice itself, right? With a weight loss clinic, you are literally only focusing in on the weight loss aspect of bear care with men's health, only men's health. If you have a weight loss patient who comes in with a blood pressure of 170/100, you don't have to treat their blood pressure. You can still put them on a GLP one.
• 44:59
  You're going to lose weight, which should improve your blood pressure. But you also need to see your primary care doctor versus blood pressure medication. Because that's not that's not the scope of this practice. Right. And so with like this concierge thing that I'm talking about, your scope is whatever it is that you want it to be, right? Like I have, you know, because it isn't going to be a franchise model. You know, I'm going to have these scopes. I'm gonna have these longevity tiers that you that you follow. And whatever falls with that scope, you stay in that scope and it's totally still up to you. You know, I do recommend in those longevity tiers that you do manage. Some people like you, you should be aggressively pursuing blood pressure. You should aggressively pursuing improving metabolic health and things like that from a longevity standpoint. Right.
• 45:46
  So it's again, it's totally up to you within that scope of what you do. Everything else is outside of that scope and gets referred out or someone else manages it. Right. So yeah, I wouldn't worry too much about that. Um, like, don't stress out too much about it because ultimately it's still fairly low liability. In general. Most of these cash based things are fairly low liability in general. There will always be some things that come up. There will always be red flags that come up, and you need to know what to do when those red flags occur. Right.
• 46:27
  So if you understand what those are, then you can just address them. Okay. So. So yeah.
• 46:34
  But what you're telling me though, I mean, there's all these practices in your area, ADHD clinics, all this kind of stuff. It's just like it's it's it's it's becoming a race to the bottom in a lot of areas and very saturated areas. It's becoming a race to the bottom. And, you know, it's unfortunate, but you aren't alone in the situation that you're in. I've not been able to find a job and wanting more in life. And now you have this license that's giving you the ability to diagnose and to prescribe medications and to order tests and do all of these things. That is a very valuable skill. And it's still a very valuable license because most people don't have that license. Right. So you have to leverage it to to the max that you possibly can.
• 47:23
  You have to leverage it within the means that are given to you, right? You live in an area that's saturated, and the plate that's been given to you is the plate that's been given to you. You can't change any of that stuff. You just you can't. It's out of your control. So why worry about it, right?
• 47:42
  So what can you do with, with with the situation that's, you know, that's right in front of you. And so that's what you're going to have to really try to figure out that or relocate somewhere else, or be willing to drive an hour or two hours away to somewhere else. You know, I said this in a previous podcast. It's what I had to do. That's what I did it first. You know, when I was doing medical cannabis evaluations, I had to drive almost two hours away to do cannabis evaluations in B F no middle of nowhere New Mexico like middle of nowhere, but I was the only person doing it in like a, I don't even know, thousands of miles square area. Right. But I was the only one doing it, so it was worth my while to drive two hours away once a week, once every two weeks. It was worth my while. Like I would go and make five grand in six hours. It was worth it, you know what I mean? That's what I had to do. That's what I did. And so yeah, when I opened up my second mental health clinic location, it was four hours away, maybe closer to five.
• 49:06
  It was a drive to that place. I didn't go there every day, you know what I mean? But I that's that's what I had to do. So you're going to have to either just really make some pretty hard decisions here and say, this is the life that I want. What am I willing to sacrifice to get there?
• 49:27
  You know, the easy path. The easy door has unfortunately been closed, right? Too many people doing the shit in your area or just is. There's too many people doing it. So the door has been closed, unfortunately, and it's been closed in a lot of places, unfortunately.
• 49:45
  Right. But there's still a lot of opportunity out there. There still is. You just have to find those places. There's always going to be televised nationwide too. There's always that right. But people always still would rather go local. They just would. Almost most people would. So you just have to just find where that locality is, right? So you just probably just need to do a little bit more research. Yeah. I think and that's you know, I think I'm not afraid of failing. I'm not afraid of starting something. You said it like I'm 26. I got time to feel. I got time to make mistakes. I got time to try everything you just said, you know, like. And if it works, it works. And, um. But what would you say? All right. You know, in the last, next six months, what do you want me to accomplish in the next pen and paper? Where? What should I start?
• 50:41
  Um, I'm gonna close my lab or I'm gonna end this phone call. What am I hopping on? What am I doing next? What you need to do, okay, is, number one, have I some kind of financial plan? Okay. Like, break down what your monthly revenue is after taxes. Who cares what before taxes is? You know what I mean? Who cares?
• 51:05
  These always these people who always give me gross numbers and before tax numbers, this shit doesn't matter. What's like, what do you make? Right. That's what matters. So what is your after tax revenue coming in on a monthly basis. Your income coming in on a monthly basis. Okay. What would that be if I picked up one extra shift a week or whatever as well? Okay. What is my burn rate? How much am I burning through this every month? Just, you know, ah, car payments and blah, blah, blah, blah.
• 51:32
  Whatever your expenses. Figure out what that number is. All right. And just begin aggressively just saving that up and nest, digging it up as much as you possibly can. Because over the next 2 or 3 years for you is going to be a very volatile time in your life. Okay.
• 51:51
  You know, when I graduated school when I was 28, so I was just a couple years older than you are.
• 51:55
  Right. I didn't start my first business till I was 30. Shit. What was it, 30? 33. I think it was when I saw my first business. I was 33. Okay. So for those five years or so, I was able to save up quite a bit of money, get some experience as an MP, whatever, and basically kind of just grow up. You know what I mean? So. So in your situation here, the next 2 or 3 years of your life is going to be very volatile. Honestly, dude, the next ten years of your life are going to be volatile. You know, a a a person doesn't really become an adult until they're probably in their mid 30s. Okay. I'm speaking about men. Females tend to grow up a little bit, a little bit sooner. So for all the females listening to this, they're probably shaking her head. Yeah that's right. Yeah.
• 52:44
  Most females grow up, usually in their late 20s. For men, it's usually mid 30s, maybe even later. Some men never grow up. But you know, like I know some of them. My cousin is one of those like, dear Lord, are you 43 years old, still bartending? What the hell are you doing, man? And so anyways, though. So the next ten years is gonna be kind of volatile. So what you need to do is you need to build up a financial fortress to allow you to get through some of these difficult times. All right. You're going to have some difficult times in your life in the next five years, especially with with jobs, starting a business, maybe some financial stuff that comes out that you weren't aware of. People in your life start dying. Relationship turmoil. Like there's just a bunch of man that just happens. It's what makes you a human being. As long as you're focused on growing, right? Some people just refuse to grow and that's that's their issue. But you shot me with someone who's willing to grow. So, like, just that's just what's going to happen. So I would do that number one. Okay. Come up with come up with a basic financial plan and try to save as much as you possibly can. Don't put it in your bank account. Don't just sit there in your bank account.
• 54:00
  Okay. The Federal Reserve right now is increasing rates. The bond market is in complete turmoil right now. Interest rates right now on the ten year Treasury are at like 5.2%. This is the first time in like 20 years it's gotten that high. So you are literally getting paid 5% on your money for doing literally nothing. Okay. So put your money into a brokerage account and let it grow there. If you want cash, fine. Keep it cash. But you're going to put it in short term treasuries. Okay. Just put all your money in bill.
• 54:39
  Or just those real. Those are the tickets. Okay. I have lots of cash right now.
• 54:46
  Right. Because I have a feeling the market's going to correct. There's going to be something.
• 54:50
  Something I feel like I just had this feeling something's going to happen in the next six months. So I want I want some money on want some cash on the sidelines. Okay. Put all your money in bill or JP St just pays a little bit better. Okay. You're making 4.55% on your cash right now. Literally just sitting there. Let it compound 5%. Every single month it pays you. Every single month. Every single month. That just. It just keeps going up. Doesn't sound like much, but dude's 5%. It's better than sitting in a bank account, right? So do that. And then what you need to do is I think that you should, while you have this motivation, while you have this ambition, while you have this plan in your head. All right. Make a move.
• 55:34
  Don't don't do anything crazy here. This is your first business. So it should be a business that's fairly cheap to start. All right. That doesn't require a lot of your time. That allows you to learn how to run a business. If you can manage your personal finances well, and it sounds like you can, because you have a couple of rental properties and stuff already at 26 years old. So it sounds like you got a pretty good impulse control mechanism in your brain here. Right. So that's good. That's a strength. So you can manage your finances in your business well too. All right. So if you manage your personal finances well, your your manage your business finances well or is business finances well also okay for anyone listening, if your personal financial situation is an absolute disaster, your business financial situation will probably be a disaster too, right? So just get in on something, start something and just see how it goes right.
• 56:43
  In the next three months, try to have at least something going, something that only costs $10,000 at most to start.
• 56:57
  All right. Do not go in on something that's 30, 40, 5000 thousand dollars. Some small business loan, a build out on a commercial property. Do not do that yet. Okay. You have some experience. Real estate. Want to build out commercial property or whatever little strip mall and have your clinic inside of it. Then rent out the other three or whatever. That's fine, but don't do that now, okay? 3 to 5 years from now, it's probably not a bad idea, but not now. So it just starts the small 10,000 bucks at most. If you have to drive an hour, an hour and a half away, two hours away to do that. And so be it. If you want to do these, you know, this executive franchise thing, let me know. You'll be one of my first franchisees. I'd be honored. All right. So like, if you want to do that, I'm cool with that too, right. But like that's that. That would be my recommendation. But otherwise, man, I think this is just going to be a little bit of a grind for you for a little while.
• 57:55
  Just put your head down and just work and save the money and just pay your dues and just suck it up, man, and just do it for a little while. So I did it for five years. I just sucked it up. I was working in shitty EHRs and urgent cares and NP getting walked all over, you know, like that's what I had to do. And I had and I did it as a nurse before that for a few years, wiping asses, doing enemas, crap like that, because someone's been impacted for, you know, two weeks or, you know, I paid my dues. I did it right. So, like, you know, you're still going to have to do a little bit of that. That's fine though, man. You do it while you're young, you know, you get it over with, I don't know. Does that answer your question?
• 58:44
  Most definitely. Most definitely. It's a very good guy. Yeah. Okay. Any, uh, any other questions?
• 58:50
  Well, I mean, this has been like, fantastic. I mean, I really appreciate you. Thank you. Nah. You're welcome man. Um, for anyone who might be interested, is going to be Vanguard Health Network. It's not up yet, but I'll make sure to throw something up if you want to. You're interested in it or whatever. You just sign up to the email. When I launch the franchise, it'll be out. And, uh, it's I'm hoping November or December, I just I want to make sure it's perfect before before I, I'm not I'm not rushing it, basically. So, um, but anyways though, uh, any questions for me? Like, you know, what are the questions at the end, you know, personal curiosity questions. It's just more specific. You know, I was I was doing research on where you grew up. Did you grow up? I know it was like a poor area. Um, but what what what was your background? Did I see something about, um, you growing up in trailer park or something like that? Yeah. Really? Yeah. Really? Yeah. I grew up in a shit shit hole. Single white trailer, man. That's that's insane. That's like. That's awesome. I mean, that that just is like. That's really inspirational. I mean, like, like, I have the ambition to have all that stuff and, um, like, so I'm an immigrant from. I'm not from here. I was born in Sudan. I came in 2007. But like my I got my pa's the hardest working man I ever seen. Seeing him work so hard and like to like this conversation, just let me know. I'm not crazy that people can do this and like, it gave me a lot of hope. It really did. Yeah man. Dude, listen, most people who come from adversity are typically the ones that do very well in life because you've been there. I mean, I can't even imagine that you went through, you know, I mean, coming over here from Sudan in 2007, I mean, that must have just been I mean, I mean, you were, what, like seven years old, six years old or something like that. Yeah. So, like, you know, the first 6 or 7 years of your life, I'm sure were extremely volatile. Then you had to completely start from scratch here, you know, and people who come from adversity, right. Like there was times when I was growing up and, you know, in this trailer, it every single mother, my dad, never in the picture. And, uh, you know, there was some times in high school we didn't have, like, a go take a shower before school. And there was, like, literally the water wouldn't turn on. I was like, well, I was like, uh, I forgot I, I didn't have the money to pay for water bill or whatever, right. I'm just like, okay, well, I'm gonna drive my grandparents or we're gonna take a shower. You know, there was just times like that, man. Like, I remember growing up. Um, I remember, I remember there was a time when I was like 11 or 12 or something like that. I was pretty young, and I was so hungry, like, I went to the, like, the pantry, and all there was, was like Minute Maid lemonade mix. And I literally sat there and just licked my fingers and just sat there and just ate lemonade. Sugar, like like, you know what I mean? And I'm sure you can probably I'm sure there's some I'm sure you have similar stories like yours. So like, you know, people who come from adversity, man, it's what gives us the spark to never have to go through that ever again. And it allows you to tolerate risk because you've been at the worst. And you know, you've been there and you survived, and you're willing to take a risk now because worst case is I have to go back to that. I still survived it. And honestly, I mean, I still I still had fun. I still made it work. You know what I mean? I mean, I would never have to go back to licking my fingers for sugar lemonade, you know what I mean? But like, but like, if something significantly happened to me or whatever, I, I know I'd be able to survive it. Right.
• 1:02:49
  So that allows us to take risk. And these people who are telling you this traditional model. Those people have never taken a significant risk in their life, I don't care. They might say they have, but they never really have. They've never taken the risks you and me have. And some other people out there might be listening to this who've taken some significant risk in their life. Right. And so that it's a super power dude. You know, I'm like, I don't regret whatsoever whatever whatever happened to me when I was younger there. I have no regrets. I don't hold it against my mother. What I don't. I take care of her. I bought her a condo. I bought her a car. She didn't. I worry about shit now. You know what I mean? I took care of her. My dad passed away, but that's whatever. And so, like, you know, like, that's just. That's what gives us our superpower, man, is that we're not risk averse anymore, you know? And we've been there. We've done that. And it gives you the motivation and the the ambition to do it differently. That's why this is such a great country. People like people on America all the time. American citizens do. And I listen to this. It drives me nuts. You people have no clue how good we have it here. Shut up! I can't stand it, man. You have no idea how good you have it here. You can literally make your life anything that you want. You have the ability to do it. It's so many people, man. Don't take advantage of that and think they should complain about how the system is rigged and all this kind of nonsense. Fine. Keep complaining. Doesn't. Does. What does it do for you? Does absolutely nothing. You know what I mean? So? So. Yeah, man. Yeah, that was that. I mean, that was a lot, but I literally like, um, I related to everything you said. You know, like, it really hit home, and I was like, I know, I know, it's going to be okay. I know that, I know my goal. I see my vision and similar like the more no's I get, I just get pissed off and I'm like, you know what? I'm gonna I'm gonna do it now. Like, now you're forcing me to do it. If anything, you don't want me to do it. Tell me that I should go do it. And I might not do it, but like, the more nos that I see, and like you said, anything's possible. I know anything's possible. And who's gonna. Who's going to stop me? You're not going to stop me. Just like you can't. And so I, I wanted to put all this energy into something. And like you said, you gave me kind of a plan on what's next.
• 1:05:18
  And start small, start slow, and, um, just keep at it. And then, like you said, I got time on my side. Um, and the more I mean, I look forward to failing. I look forward to messing up. And this way, I can grow from it. I'm not afraid of adversity. I'm not afraid of what? I lose a little muddy, like you said. Like we've been through real like proud. So I don't care. It's so small. Um, that's why to me, it's not a high risk. Um, so I, I'm very excited to see you on my next steps. Yeah, yeah. See what happens. Man, there really isn't that much of a risk. That's why I always tell people what's the worst? What's the worst case scenario? Man, the business fails, and you gotta keep working and enjoy your air conditioned home and your fast food and your car. Like that's the worst case. Yeah, like it's not that bad. Like, that thing is, like, there might be, like, if you are where you are, you know, 100% that your life isn't going to become this thing that you see it. But if you take that risk, it might be 5050, it might be 5050 that you become successful, it might be 25% that you might be, but you are 100% not going to be successful if you don't do anything. I'd rather do that 1% than having 0%, you know. So that's how I see it's like I'm not afraid of failure. I know I got time, I know I got a stable job. If I got to, I'll go burn again. I don't care, I'll be an MP, get a regular job, I'll be fine. But to me, it's like the risk is there. Why not? You know. Yeah, that's a good point, man. Exactly right. You. You will 100% not succeed if you do not try. Right.
• 1:07:06
  There's always some luck sprinkled on this man. Always is. Like any business anyone ever starts, there is always going to be some luck and ball. That's just, that's that's the name of it. But but like you, you have 0% luck if you don't if you if you don't try it, you'll have your luck will be zero. If you try it though, you like that. That's what helps get you into that lucky situation. I've been in multiple lucky situations in my life because I put myself into the situation to begin with, and I never would have put myself in that situation. I never would experience the luck and that luck can be anything for business related to a relationship.
• 1:07:48
  To finding a friend. To whatever man. Right. Like so. Yeah. Did you help you? Yeah. You have to put yourself out there. So. Yeah. Appreciate it. Thank you so much for the question, man. Well, don't, uh, don't log off this, but I appreciate, uh, appreciate you hopping off here. Or appreciate you getting on here. And, uh. Yeah, man. Thanks a lot. Thank you. Have a nice day. Thank you for listening to the show.
• 1:08:11
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