Latest / Founder Mode / From Doctor to Founder with Jay Motley
Transcript
- 0:00That's really seen patients come out of an infusion and feel
- 0:04completely different and they'll say, I feel like myself again.
- 0:07That was really unexpected. I was pretty, I'm a scientist.
- 0:10I was skeptical going. I was like, can the numbers
- 0:12really be this good? And they were.
- 0:14And So what we look at Ketaminez is really like a window.
- 0:18It's like a an open window and it's a tool.
- 0:36Welcome back to Founder Mode. Where we talk to builders who
- 0:38take big swings, especially when the world least expects it.
- 0:41Today, we explore what it looks like to go from practicing
- 0:44medicine to founding a modern mental health clinic.
- 0:46Yeah, it's a conversation about innovation, care and personal
- 0:50transformation. Before we get into it with Jay
- 0:51though, Kevin, you famously hi every health tech product and
- 0:55diligently follow Brian Johnson's blueprint protocol.
- 0:58And now that you're getting a lot more exposure to healthcare,
- 1:01now work in healthcare, maybe healthcare adjacent.
- 1:04Yeah. What's your answer to helping
- 1:06people get and stay healthy? Like the everybody thing, not
- 1:09like the just for people who want to spend thousands of
- 1:11dollars on expenses. Yeah, and I think part of this
- 1:14is a code thing. A lot of times you're always
- 1:15like, oh, add another fix for the bug.
- 1:17And a lot of times the actual fix, and especially in AI, is
- 1:20deleting because you're. Solution by subtraction.
- 1:23Yeah, So I think, but I think the to your real question, which
- 1:26is, man, it's the sleep thing. Sleep, eat real food.
- 1:30It's all the stuff that you stay away from the center aisles of
- 1:32the grocery store, right? Stay on the outside and then
- 1:35walk your dog, right? Walk yourself, walk your dog,
- 1:37walk your family. Take a 10,000 steps or whatever
- 1:40it is. Take the stairs man.
- 1:41There's my building has four flights and you can take a
- 1:44elevator, but it's alright. Just take the stairs.
- 1:45So when I see stuff when I park my car park a little farther
- 1:48away, I all the silly things you can do to add a few 100 steps to
- 1:51your day. It adds up, yeah.
- 1:54So I don't know, Jason, you started like a doctor house call
- 1:56app. You spent years working in
- 1:58healthcare yourself. What do you think the future's
- 2:00going to? Look like it's weird right now,
- 2:02right? Because AI there's like the
- 2:05accelerate, we talk about this a lot.
- 2:06There's the A cell and D cell crowds where it's like there's
- 2:10going to be AI doctors in 5 minutes and then there's the
- 2:12other people. There's no AI is never going to
- 2:15be a doctor. The truth is, of course, going
- 2:16to be somewhere in the middle, but I think the reality that
- 2:19we're all facing is like hard to get appointments, hard to get
- 2:22through to the doctor's office. There's so many challenges in
- 2:25just getting good care. I'm going through something with
- 2:27my wife right now where it's like she's got this thing can't
- 2:30quite figure it out. Been talking to ChatGPT about it
- 2:33a lot. And she went to the ER and the
- 2:36doctor was very dismissive. Women's Health stuff always
- 2:38dismissed. And it's it's the same refrain.
- 2:40History doesn't repeat it rhymes.
- 2:42And with healthcare, I feel like where we're going to go is there
- 2:45is this kind of uprising of people being like, I pay so much
- 2:49money and I get worse and worse care in service there.
- 2:53There is a breaking point, I think for everybody.
- 2:55And so I'm hopeful and I'm an optimist, A techno optimist,
- 2:58that AI is going to be somewhat of a solution there and that it
- 3:02will reduce administrative burden, that it will reduce the
- 3:05things that Chachi PT is doing for me right now.
- 3:07As I ask it simple medical questions, it yeah, it says,
- 3:10yeah, I'm not a doctor, but that's fine.
- 3:11Like I don't need you to be a doctor.
- 3:13I need you to give me the upper hand.
- 3:15Educate me the script. This thing that you're going to
- 3:17say when you go to the ER to be triaged so they see you right
- 3:20away, like does that stuff. That's super helpful.
- 3:22So what is the end state of that look like?
- 3:24Nobody has a crystal ball and knows.
- 3:26But to the extent that we can get better outcomes because we
- 3:29can optimize to care for sick people better and we can better
- 3:32manage the time of providers and administrative people and just
- 3:36reduce the overall burden and weight on the system, I think
- 3:38that's where it's going. But yeah, I don't know, should
- 3:41we start to get going with our guy Jay here?
- 3:43Yeah, Doctor Jay Motley spent more than a decade in medicine
- 3:47before stepping out and now building a new model for mental
- 3:49health. Yeah, let's jump into how that
- 3:51journey unfolded. Jay, welcome to Founder Mode.
- 4:04You went from the OR to building a modern mental health clinic.
- 4:06Today we're talking about what drove that shift and how you see
- 4:09the future of care. Thanks, great to be here.
- 4:11Great to see you guys. It's.
- 4:12Great to see you, Jay. Happy to have you.
- 4:14Let's just start with the kind of big elephant in the room
- 4:16question. What made you step away from
- 4:18this long career in anesthesiology and take the leap
- 4:22into entrepreneurship and being a founder?
- 4:24Yeah, it's a great question. Funny enough, I'm one of those
- 4:27kids. My parents are both in
- 4:28anesthesia, so I guess it's like a family business.
- 4:30I told the kindergarten class that I was going to be an
- 4:33anesthesiologist. Literally.
- 4:34Yeah. And so that's what I did.
- 4:36And I went through all the little steps that you have to do
- 4:38to get through Med school, make A grades, get into Med school,
- 4:41do anesthesia. And that was always what I
- 4:43loved. And I was so excited to to get
- 4:46into it and having as a career. But then really 2, two things
- 4:49happened simultaneously. One, when I took a job out of
- 4:52residency, I came into a group that was a private anesthesia
- 4:55group. I was a shareholder in that
- 4:56company and it was amazing. We were working.
- 4:59We worked together as a team, built an amazing anesthesia
- 5:03practice. It have been going 60 years
- 5:04before I got there. And then we got taken over by a
- 5:06hospital system and I became employed overnight.
- 5:09So that point, the writing started to be on the wall.
- 5:11Things changed. Wasn't about patient care as
- 5:13much anymore. We weren't making decisions as
- 5:15much as a team anymore. Decisions were coming top down.
- 5:18And I've always been entrepreneurial.
- 5:20And so that was the opportunity that I sought to make the
- 5:22switch. And, you know, that partnered
- 5:25with earlier, a few years prior, I had lost my wife to colon
- 5:29cancer. And so sorry.
- 5:31Yeah, it was it was definitely a surprise.
- 5:33She was a young woman, 26 years old when she got diagnosed and
- 5:37ultimately ended up passing away a couple years later.
- 5:40And that led me into really kind of trying to understand why
- 5:45would a 26 year old, otherwise healthy, with no history of
- 5:48colon cancer, get that. And I discovered lifestyle
- 5:52medicine. And that was part of the other
- 5:54reason that led me to change. Yeah, interesting.
- 5:56And then as you think about those sort of critical moments
- 6:00and thinking about what you were going to do next, like what were
- 6:03the key factors? And I like how you said I was
- 6:05different employed versus a shareholder.
- 6:06And I think it's a big thing, and we can't talk about that a
- 6:08lot as a founder, but what was there like when you're like,
- 6:12hey, this is the thing, Like the top things that you wanted to
- 6:14show up in this kind of new way of working, restarting again as
- 6:17a new practice. Yeah, as I thought about it and
- 6:20after I went through what I went through, I understood.
- 6:23And you hear that time is your most important and most valuable
- 6:26asset. And it's one thing to hear it
- 6:28and then another thing to actually experience it.
- 6:31And for me, after going through what I went through with
- 6:34Lindsay, I actually felt and understood how valuable time is
- 6:37and how you only get so much of it and you don't know when
- 6:40things will change. And the big turning point for me
- 6:43was when I started losing control of my schedule and
- 6:45losing control of my calendar. Beforehand, we had a lot of
- 6:48opportunity to trade shifts and there was some flexibility.
- 6:51And so that was what I was looking for out of a job.
- 6:53But when that started changing, that was definitely the the big
- 6:56turning point for me. And it's not like when you go
- 6:58into entrepreneurialism, we all know it's not your calendar's
- 7:01wide open, but you have control over the calendar that way that
- 7:04that I had lost with my other job.
- 7:05So that was one huge thing I was looking for was to get control
- 7:08of the calendar again. So when you talk about this
- 7:09category of lifestyle medicine, which I like that phrase, I
- 7:13don't know if we've ever talked about it that way on the show.
- 7:15So it's cool to hear you say it with somebody with the
- 7:17background that you have. You took this leap from
- 7:20anaesthesiology into more mental health and Wellness in this kind
- 7:24of thinking about the whole person.
- 7:26You've also gone in a direction that's it's very new and still
- 7:30in this bit of a regulatory unknown space, right?
- 7:34There's certain things you can and can't do.
- 7:35And you've explored now ketamine therapy and you've described it
- 7:39as a breakthrough for people stuck in this traditional
- 7:42medical system. What convinced you that it was
- 7:46worth building entire clinic around this kind of an idea?
- 7:49It's interesting that an anesthesiologist would go into
- 7:51mental health care 'cause it's not our natural, but I think the
- 7:54way that it started was I noticed it coming up in our
- 7:57anesthesia journals a few years prior.
- 7:59Ketamine's an anesthesia drug. It's been around for about 60
- 8:02years and it's used as an anesthetic.
- 8:04So we're very familiar with it in our profession, but we've
- 8:07never used it quite in that way. And maybe I would say six or
- 8:10seven years ago I started noticing it in the journals more
- 8:12talking about for mental health. I was like, wow, that's really
- 8:14interesting that it's used that way.
- 8:15It wasn't something that was expected really To think of an
- 8:18anesthesia drug used that way is pretty much off the wall.
- 8:21But that's what happens in medicine.
- 8:23Sometimes drugs that are invented for one thing end up
- 8:25being used for something else. Ketamine obviously is a medicine
- 8:29compared to SSRIs or something that would be traditionally used
- 8:32for mental health care. Those often take six weeks or
- 8:35more to work, even if they work at all.
- 8:38What is different about ketamine is it's about 70 or 80%
- 8:41effective for people that at first failed All the traditional
- 8:44therapies that are out there. They're already coming in and
- 8:46haven't tried everything that the medical system can throw at
- 8:49them. That's the best care and
- 8:50ketamine can work in hours Today that's really seen patients come
- 8:54out of an infusion and feel completely different and they'll
- 8:58say, I feel like myself again. That was really unexpected.
- 9:01I was pretty, I'm a scientist. I was skeptical going.
- 9:04I was like, can the numbers really be this good?
- 9:06And they were. And So what we look at ketamine
- 9:09as is really like a window. It's like a an open window and
- 9:12it's a tool so it can start to make the changes.
- 9:16But I think for the changes to stick and for patients to really
- 9:18get better long term, you have to look at all the other
- 9:21lifestyle things that are going on, the really the root cause of
- 9:24what's causing the depression. And that's not always something
- 9:27that's just going to be magically fixed with a medicine.
- 9:29You know, we, we see ketamine as a way to, to open that window
- 9:32and then we can start to work on a lot of the other stuff.
- 9:34So we really built a comprehensive clinic around
- 9:36that. We have therapy, counseling that
- 9:38goes into, we talk about all the lifestyle things like nutrition,
- 9:42how we eat, how we move, stress management, sleep, those sorts
- 9:46of things. And I think when you bring the
- 9:47full package together, it offers something that we haven't seen
- 9:50really before in traditional mental health care.
- 9:53I really, the way you're talking about it, which is very counter
- 9:56to the traditional system of the, let's just treat the
- 9:59symptoms. Let's just treat this one thing
- 10:01that's wrong as an anesthesiologist, let's just
- 10:02give him this pain management or anaesthesia to help somebody go
- 10:07under for a procedure. And I think it's such a, it's
- 10:09such a different view. And I, I like that.
- 10:11And I know that a lot of it comes from just having known you
- 10:14prior to this conversation, your personal story and what you just
- 10:16shared about the loss of your first wife.
- 10:19There's so much loss and rebuilding there.
- 10:21I, I can't imagine what you went through, but I imagine that it
- 10:25had a huge impact on how it shaped your commitment to your
- 10:28own health and longevity and ultimately what became this
- 10:31business, Mindwell, that you're building.
- 10:33So just can you talk a little bit about that?
- 10:35I think in the aftermath of her passing, you're a single dad at
- 10:38that point. My, she was pregnant with my
- 10:40daughter while she went through the treatment and so we didn't
- 10:43really know what would happen to her.
- 10:44And thankfully she came out healthy and happy and she's a 12
- 10:48year old like wildly successful kid now.
- 10:50And we're so thankful about that.
- 10:52But I spent a few years there really soul searching and trying
- 10:55to figure out what happened here.
- 10:57What am I doing in medicine? Are we really helping people?
- 11:00And I've ushered thousands of people through surgeries and
- 11:03we'll see the same patient over and over again.
- 11:06My diabetic that ends up having to be amputated and they come
- 11:09back in again and again. And I'm like, why are we not
- 11:11getting to the root causes? Why are we just putting band
- 11:14aids on things? And so a lot of that was soul
- 11:16searching for me and trying to figure it out.
- 11:18And also coming to terms with what we went through from my own
- 11:21mental health care and getting through the loss of a spouse and
- 11:24then what we went through with her at the end of life.
- 11:26It all seemed to just congeal. There's this medicine that's
- 11:29basically a miracle for people that are suffering from mental
- 11:32health care issues. I've also suffered and want to
- 11:35be able to help in that area. I'm an anesthesiologist and it's
- 11:38a medicine that I'm comfortable with.
- 11:40And then I meet my new wife, Beth, who's a family medicine
- 11:43physician and also trained in lifestyle medicine.
- 11:47And so she was really the first one that was able to introduce
- 11:50me to this concept that we were never taught in Med school.
- 11:54It wasn't anything. We spend four years in Med
- 11:56school and not once do we talk about how nutrition effects
- 11:58health and how it prevents disease.
- 12:00And so it's wild to me, but the American College of Lifestyle
- 12:03Medicine is an amazing organization that does evidence
- 12:06based prevention and treatment of chronic disease.
- 12:08And thanks to Beth being a part of that and have it be a
- 12:11subspecialty for family medicine.
- 12:13I was also introduced to it and saw this is what the exact thing
- 12:17that I've been looking for patients that I wanted to serve
- 12:20and I got boarded in it and I was able to build that concept
- 12:23into the mental health care practice that we have in mind.
- 12:25Well, so. You're a dad of five with six on
- 12:28the way, running a clinic, training for marathons.
- 12:30Like how do you balance all this?
- 12:32Oh yeah, I know that's funny, right balance.
- 12:34OK, I'll say the number one most important thing is have an
- 12:37amazing life that just does pretty much everything and takes
- 12:41care of a ton for you. I like to think we have balance.
- 12:43I get up at 5:00 in the morning pretty much every day.
- 12:46That's pretty standard for me. That's.
- 12:47Going to the club, This is team 5:00 AM right here.
- 12:49All right, that's what I'm talking about. 5:00 AM is the
- 12:51time and that's my time. I run every day.
- 12:54That's how I train for marathons.
- 12:55I was, I came into that in my early age when I went into
- 12:58college, probably 155 lbs, pretty good weight.
- 13:01And then by junior year, I'd gotten up to well over 200 lbs,
- 13:05started getting hypertensive. And that was my really first
- 13:08wake up call. I was like, how am I 20 years
- 13:10old and already having chronic disease?
- 13:12I went to a family friend that was a physician.
- 13:15He asked me all the questions. And finally he just said you're
- 13:17overweight and that's probably what's causing your blood
- 13:19pressure issues. If you lose it, it'll go away.
- 13:22If you don't, you're going to be on meds the rest of your life.
- 13:24And that was a wake up call. I had no idea.
- 13:27I really just thought I was growing up and I didn't.
- 13:28I saw myself in the mirror. I didn't see this unhealthy
- 13:31version, but thankfully he was able to wake me up.
- 13:34It was my mental health time. I think in time and I've just
- 13:36carried that on. I started running marathons and
- 13:38then eventually got to where I PR did a 250 marathon a few
- 13:42years ago. And I have a great group of guys
- 13:45here in Greenville. We, it's called, we run at dawn.
- 13:48There's probably 40 or 50 of us in the group total.
- 13:51Usually 20 or 30 guys every morning show up out there
- 13:55together and it runs in. So that's how that part of it
- 13:58works. That's dedicated to me, my
- 14:00mental health, my work, and I get that in before any of the
- 14:02family wakes up. And then, you know, you get home
- 14:05breakfast, get the kids fed out to school.
- 14:08And then I just try to make sure that I wear hats in the time
- 14:12when I'm in something. I'm completely focused on that.
- 14:14And when it's with the kids, I'm focused on the kids.
- 14:16When it's work, I'm focused on work.
- 14:18And I guess that's how we make it work.
- 14:19That and a lot of help around the house.
- 14:21We have a nanny too that pitches in, which is we couldn't do it
- 14:23without her. We Run It Dawn is maybe the best
- 14:26running club name I've ever heard.
- 14:29This episode was gonna be called From Doctor to Founder with Jay
- 14:31Motley. But I'm gonna, I'm gonna rally
- 14:33the team and maybe we call that We Run It Dawn.
- 14:38It's pretty good. Great.
- 14:39Line, it's an amazing Yeah, they killed it with that, they killed
- 14:42it. And so, yeah, we had our own
- 14:43logo. And how many you were overweight
- 14:45in college? And then how many marathons have
- 14:47you now run, Kyle? That's a good question.
- 14:49Probably around 10 plus or minus.
- 14:51Don't hold me to it. It's 2. 160 plus miles, no big
- 14:54deal. And the hundreds of miles
- 14:55training for that, That's insane dude.
- 14:56OK, you talk a lot about prevention, sleep, fiber, plant
- 15:00based eating. Why do you think that these
- 15:02basics are just so overlooked? Kevin and I talk about this
- 15:04stuff all the time, but it is not something most people are
- 15:07talking about or thinking about. Yeah, yeah.
- 15:09Gosh, it's so true. I think it's a couple reasons.
- 15:11One, I just think that stuff's not sexy at all, to be honest.
- 15:15Prevention is not sexy. You get excited about the
- 15:17firefighter that comes and puts out the fire, not the fire
- 15:21Marshall that comes over and changes the batteries and the
- 15:23smoke detector. And I think it's.
- 15:24No fire Marshall calendar, just the fire fire.
- 15:27Calendar, yeah, that's right. There's just nothing sexy about
- 15:29prevention. So I think that's part of the
- 15:31big problem. We don't get excited about
- 15:32disease that never happened. That's the hard part is how do
- 15:35you quantify that? How do you know you don't know
- 15:38the diseases you prevented? And so they're really tough to
- 15:40get excited about. So that's so tough with
- 15:42prevention and and we got to figure out how to solve that.
- 15:45And I really think the other problem is the way the system is
- 15:47set up. Honestly, the system is not
- 15:49built to reimburse prevention. Our providers are paid to, to
- 15:54see patients. There's codes that determine how
- 15:56they get paid for visits and you know, you get paid a couple $100
- 15:59for a 10 minute Med visit or you don't get reimbursed any extra
- 16:04for a 45 minute visit where you go over with patients, you know
- 16:07about their lifestyle choices. And it's not the, it's not on
- 16:11the provider side. I know every provider I talk to
- 16:13is they think this way, they wish they had more time.
- 16:16They want to spend this time with the patients talking about
- 16:18these things. The system's just not set up for
- 16:20it. And I think that's, I think
- 16:22that's what's going on with it's we got to figure out how to
- 16:24solve that part of it. What Wellness myths like annoys
- 16:28you the most and what are something that people should
- 16:30focus on instead? There's so many hyped things
- 16:32that are like, you know what, what do you think?
- 16:34Or what do you see in sort of your radar that, you know,
- 16:36you're like, oh man, this? I'm nervous about his answer to
- 16:38this question. Like all the stuff that you and
- 16:40I do. Yeah, I know.
- 16:41I got to be careful with this one.
- 16:42I don't want to step on anybody. No speak the.
- 16:43Terms please. Yeah, yeah.
- 16:45So one of the huge ones is that you need these like multi $1000
- 16:49bio hacks to be healthy. I think the real truth is the
- 16:52stuff, the like low hanging fruit is what we do as
- 16:54entrepreneurs, right? It's like showing up every day
- 16:57by day and doing the little stuff brick by brick.
- 17:00And if you get your sleep every night, we actually set your.
- 17:03Sleep scores every morning. We like tax, but hey, what do
- 17:05you get what I get? Because it's, it's a dumb thing,
- 17:07but you're like, honestly, that's going to set the tone.
- 17:09If you can get enough, shame yourself into getting good sleep
- 17:11every night. That's right.
- 17:12And accountability. That's fantastic.
- 17:14Accountability, not shame. Yeah, that's right.
- 17:17Accountability, I like it. It's it's just incredible here,
- 17:19so. It's the really expensive
- 17:21devices. Seeing Brian Johnson spending,
- 17:23you're like, you just go outside and take a walk.
- 17:26Yeah, Yeah, I exactly. And just go out and get a walk.
- 17:29It's free and make sure you do the walk every single day.
- 17:32And we're talking with entrepreneurs.
- 17:33I think we're a bit of a different breed here.
- 17:35And so I think of things a lot about like the population at
- 17:38whole and maybe some of these answers relate to that.
- 17:41And when you look at, when you look at everyone in our country,
- 17:44there's probably some issues with just nail in the base.
- 17:46I think a lot of us as entrepreneurs have probably got
- 17:49that stuff checked off and then then it makes more sense to
- 17:52start to look at some of the more detailed stuff.
- 17:53But that's one that gets me up with the big population for
- 17:56sure. So you've written about AI in
- 17:59both education and in medicine. How do you see technology
- 18:03reshaping mental health in the next few years?
- 18:05Yeah, we're right in the middle of this massive change right
- 18:08now. It's really fun to be involved
- 18:10with it. I think for all of us and see
- 18:12where we're going with AII, don't one of the fears and one
- 18:14of the questions is do we think AI is going to replace
- 18:16clinicians overnight? I don't think that's going to
- 18:18happen personally. I think what we're going to see
- 18:21is that it's just going to make clinicians better.
- 18:23It's going to be a partner that we work with and it's going to
- 18:25allow us to just take better care of our patients and spend
- 18:28more time with them. I can tell you as a business
- 18:31owner that runs a medical clinic, if I can get AI and if
- 18:34it can get to the point where it can start to remove a lot of the
- 18:37grunt work then my team's having to do then things like prior
- 18:40authorizations, scheduling, billing, that sort of stuff that
- 18:43we're taking times away from patients.
- 18:45It's going to, it's going to change that completely.
- 18:47So I, I think that's going to be a huge thing.
- 18:50I think also when we're looking at right now, our patients have
- 18:53access to the clinicians just for a short window of time
- 18:56really while they see him in the office.
- 18:58And I think AI is going to have the potential to fill that gap
- 19:00for us. So there can be some
- 19:02availability 24/7 for our patients to be able to have some
- 19:06access there that we can't provide something that'll be a
- 19:08nice way for it to fill in. Yeah, it's off label for middle
- 19:10healthcare. And that's all related to the
- 19:12way the system works and how we get approvals for drugs.
- 19:15It would need to get a new approval for depression, which
- 19:17is very expensive and we hope it's happening, but it's
- 19:20unlikely. So that's all cash pay.
- 19:22There is a version of ketamine called esketamine.
- 19:25That's one of the molecules that's in ketamine that got FDA
- 19:27approval. So they were able to pull that
- 19:29molecule out and get FDA approval for depression.
- 19:31So that is an insurance based product and we offer it for our
- 19:35patients because it's very effective and it's also popular.
- 19:38Every insurance has different stipulations.
- 19:41There's different things that you have to do to make sure that
- 19:43it gets approved, and then often times there's lots of hoops that
- 19:47you have to jump through even when you think it's approved.
- 19:49That part is tough, but we run a hybrid system where we are, so
- 19:52we have a bit of both. We offer cash pay services and
- 19:55then we do insurance as well, and that seems to be the sweet
- 19:58spot for us. We've seen great success there.
- 20:01We can sometimes start patients on ketamine with cash pay and
- 20:05they can get feeling better quickly.
- 20:06And then we can transition to one of the other services for
- 20:09maintenance. And yeah, it seems to work.
- 20:11So that's the way that we plan to keep going.
- 20:13So you started one Mindwell clinic to start and I think you
- 20:16have multiple. What did you learn during those
- 20:19kind of first six months truly in founder mode starting that
- 20:22first clinic that that you wish you'd you knew earlier in the
- 20:26process? Yeah, that was wild.
- 20:27Like thinking back to those days, you go in and you're
- 20:30learning everything on the fly. So yeah, I opened the clinic
- 20:33with one employee and one team member and me, and it was a
- 20:36front desk person and me and we were doing everything.
- 20:38I built the website first, got the logo built, did the build
- 20:42out everything. That's right, Every single bit
- 20:44of it. And the big thing I'm seeing now
- 20:46is when, you know, when you start that way, you can grind it
- 20:49out and you can just do it all on your own and you can muscle
- 20:51through it and figure it out. But when you scale, you can't do
- 20:55that. And so you have to put some
- 20:56systems in place. And I think one of the big,
- 20:59that's one of the big things that I learned is systems.
- 21:01And we're in the middle of building all those out now as we
- 21:03scale where we just opened our third location with plans to
- 21:07open more. And yeah, so that's one huge
- 21:09thing. I think the other thing that I
- 21:11learned is just how you hear it over and over, but how important
- 21:15the team is and the people that you hire and making sure you
- 21:17hire great people. And I didn't know what I was
- 21:20doing at all when it came to that.
- 21:21And I think I just got really lucky because we've gotten
- 21:24really good team members. But if I could tell myself
- 21:27anything back then it would be hire slow, hire fast or the
- 21:32Classic and I could have gotten in trouble.
- 21:34But I think we just got lucky because we got, we have a great
- 21:36team and we really built the company around this idea that if
- 21:40you hire really good people and you take care of them and you
- 21:43treat them really well and it starts there, that they'll want
- 21:46to take good care of patients, They'll be excited to be there,
- 21:48excited to do the work they're doing.
- 21:50And it seems to work so far. Our patients love our team
- 21:53members and we get great reviews on Google on there willing to
- 21:56share their experience there. So we've been really excited
- 21:57about that. Awesome, Yeah.
- 21:58Where can people follow your work and read your writing or
- 22:01learn more about your clinics? Yeah, I I write on sub stack,
- 22:04I'm on X and post some there LinkedIn.
- 22:09Awesome, the usual thoughts. What's the what's the website
- 22:12for Mindwells Clinic Clinic? It's mindwell.com.
- 22:15We'll include that link in the show notes.
- 22:16We'll link to your sub stack and your social profile so folks can
- 22:20connect with you after. But just man, thank you.
- 22:22This was really honest, inspiring superhuman actually,
- 22:27and just appreciate you joining us, Jay.
- 22:29Yeah, for sure. Thanks for having.
- 22:30Me awesome. Thank you.
- 22:31Take care, dude. That was great.
- 22:33I think the most inspiring thing for me was just this calm
- 22:36demeanor of it's broken, I got this, we're going to go fix it.
- 22:40And to me, that was like everything you want in a
- 22:44provider partner in your health to be like, man, it's just a
- 22:47calm, cool, collected vibe, but also really thoughtful in terms
- 22:51of hey, look like insurance can cover certain things.
- 22:54We're going to work with that where it can, but then where it
- 22:56can't, this idea of self pay or sort of lifestyle can be other
- 23:00ways to help you people get healthy holistically rather than
- 23:03just trying to say medicate, medicate, medicate.
- 23:06It's not there is a way where you can approach that where you
- 23:09use medication. I loved the line of open a
- 23:10window. Like that was just a like
- 23:12crystal line of hey, let's open a window so we can go in and
- 23:14figure out what else is going on and really solve that.
- 23:16Yeah, I feel like you and I are both really obsessed with this
- 23:19stuff and like, how can we Max health, like health maxing right
- 23:23and get the most out of life, have good longevity, get to see
- 23:26our kids grow up and have be become parents themselves if
- 23:29they want to be like just all that good stuff.
- 23:31And I feel like Jay, every time I talk to him, I the same
- 23:34impression because you just met him.
- 23:35But like, I've known Jay for a minute and yeah, he's just so
- 23:38calm. And it's like, yeah, you want
- 23:39that in your corner. And like, also as an
- 23:41entrepreneur and founder, man, is it good to be mellow and
- 23:44chill? Because when the world's going
- 23:46crazy and everything's on fire, you're like, all right, let's
- 23:48just go put out that fire. And he's, oh, by the way, should
- 23:50we maybe get the fire Marshall in here before there are fires?
- 23:53It's pretty good. So we touched on some of these
- 23:55just now. But Kevin, what were your top
- 23:56five takeaways for folks listening?
- 23:58Yeah, the first is like regain control of your calendar, right.
- 24:01Honestly, time is all of ours scarcest asset use breakthrough
- 24:05tools as wedges, right. Like how do you tackle those
- 24:07deeper root problems once you open it up?
- 24:09And then really designing around prevention, whether when the
- 24:12incentives and applause favor this firefighting.
- 24:14And then the last two, this kind of prioritizing this free
- 24:18fundamentals, right, sleep, movement consistency.
- 24:21And then before you go chase any kind of expensive optimizations
- 24:24or add-ons. And then finally you can really
- 24:25launch alone, right. You can build, you can be a
- 24:27founder and solo The Thing, hero mode, the Thing founder mode,
- 24:31the Thing before scaling demands that now you got to put systems
- 24:34in place and hiring and more importantly hiring the best
- 24:37people to really build a team around you that can allow you to
- 24:40go to the next level. And he's not the first person to
- 24:42say this, but hire slow, fire fast.
- 24:45And I, I cannot, we cannot say that enough on this show.
- 24:48So if this episode changed how you think about health or career
- 24:51transitions, share it with somebody else who needs to hear
- 24:54it. And don't forget to subscribe,
- 24:55leave us a review and help new listers find Founder mode.
- 24:58That's it for today, because building a life you believe in
- 25:01is the hardest and most important startup you'll ever
- 25:04run. And around here, we run it dawn.