Latest / Aesthetics Unscripted / Botched Surgery Fixes & Luxury Recovery with Dr. Sachin M. Shridharani

Transcript

Botched Surgery Fixes & Luxury Recovery with Dr. Sachin M. Shridharani · Aesthetics Unscripted

• 0:05
  SPEAKER_01: Welcome to Aesthetics Unscripted.
• 0:07
  SPEAKER_01: I'm your host, Kim, and I'm so wildly excited today to introduce you to the one and only Dr.
• 0:12
  SPEAKER_01: Sashine Tridorani from Lux Surgery, right here on Fifth Avenue overlooking Central Park.
• 0:19
  SPEAKER_01: Welcome aboard and thank you so much for coming today.
• 0:21
  SPEAKER_00: Yeah, of course, Kim.
• 0:23
  SPEAKER_00: Thank you so much for having me.
• 0:24
  SPEAKER_01: You have such a dynamic story, and I don't want to miss out or leave out anything at all.
• 0:29
  SPEAKER_01: So please, for our viewers, introduce yourself and who you are, why Lux Surgery, how did you get here?
• 0:35
  SPEAKER_01: Why plastic surgery?
• 0:37
  SPEAKER_00: Sure, no, thanks.
• 0:38
  SPEAKER_00: I you know, my name is Sachin Shrid Harani.
• 0:40
  SPEAKER_00: I'm a board certified plastic surgeon based here in New York City on our famed Fifth Avenue.
• 0:46
  SPEAKER_00: Um, it's been quite the journey, as it is for so many people, to get to where they are, but I am the founder of Lux Surgery, where the confluence of luxury and aesthetic surgery, and also associate clinical professor of plastic surgery at Washiou School of Medicine.
• 1:00
  SPEAKER_00: For me, it's all about invoking the tripartite mission that I learned at Johns Hopkins when I spent nearly a decade there in my plastic surgery training.
• 1:10
  SPEAKER_00: That is research, clinical excellence, and education.
• 1:14
  SPEAKER_00: And these three tenets are what guide every part of the purpose that we have here at Lux.
• 1:19
  SPEAKER_00: What I like to think about is if I was just spending my day doing surgery, which in itself is obviously a complex element, I feel like what is the impact factor that I would have on moving the field forward?
• 1:32
  SPEAKER_00: How many patients could I see or take care of in a day?
• 1:35
  SPEAKER_00: I'm physically going to be limited by the amount of time and bandwidth.
• 1:38
  SPEAKER_00: But when I'm doing the research component of aesthetics, new neuromodulators, new toxins, new fillers, new breast implants, anything that's happening, liaisoning with the FDA to help bring new treatments to life, that helps me have such a global impact.
• 1:54
  SPEAKER_00: Because the work that we do, then those treatments get injected in millions of patients.
• 1:58
  SPEAKER_00: Those implants get placed in hundreds of thousands of people.
• 2:01
  SPEAKER_00: So for me, it's all about figuring out how in medicine to have a higher impact factor.
• 2:07
  SPEAKER_00: So if I was a journal, I'd want to be the New England Journal of Medicine, for example, or the Aesthetic Surgery Journal.
• 2:13
  SPEAKER_00: Can we reach millions of people and help them by the work that we're doing by being a surgeon scientist?
• 2:18
  SPEAKER_01: You have always been very unbelievable to me because you're not just a doctor, you're a plastic surgeon, and you're not just a surgeon, you're an educator.
• 2:27
  SPEAKER_01: And you're not just an educator, but you're jumping in with the science.
• 2:31
  SPEAKER_01: And it's incredible.
• 2:32
  SPEAKER_01: And I love the fact that you give back to the community so much on a global scale.
• 2:37
  SPEAKER_01: What got you into the educational part of it and why get involved with the FDA?
• 2:42
  SPEAKER_01: I know you just spoke about that, but could you expand on that just a little bit more?
• 2:46
  SPEAKER_00: Yeah, of course.
• 2:47
  SPEAKER_00: So I mean for me, education is key.
• 2:48
  SPEAKER_00: In order for us to get to where we've gotten to, we all had to be students and we've had to have excellent educators.
• 2:54
  SPEAKER_00: And the thing that I realized in medical school was that in order to master content, you had to be able to teach it.
• 3:01
  SPEAKER_00: So when I was preparing for exams, if I knew it well enough that I could explain it or help my friends who might be struggling with a certain subject matter, I was like, okay, I've mastered this topic because they're asking me how to learn this, or can you please explain it to me again?
• 3:16
  SPEAKER_00: Or what do I need to know?
• 3:17
  SPEAKER_00: Well, then you have to have a vast scope of that knowledge base.
• 3:21
  SPEAKER_00: And so for me, education is really important because if I hadn't had good mentors and educators, I would never have had the inspiration and the motivation to get to where we've gotten to.
• 3:30
  SPEAKER_00: And look, it's it's sort of like the saying that you've heard, I didn't go this far to just get this far, right?
• 3:36
  SPEAKER_00: We have so much more to do in the space, but the key hallmark is good education and then giving back and teaching and mentoring others.
• 3:45
  SPEAKER_00: Where that liaisons, like you said, for example, with the pharmaceutical companies or FDA, plastic surgery and aesthetic medicine is arguably to me one of the most dynamic places in medicine to be.
• 3:55
  SPEAKER_00: The true innovation happens so quickly because the consumer, the patient, the clinicians, everybody wants the newest thing.
• 4:04
  SPEAKER_00: I want a better filler, I want a better laser, I want a better device, I want to feel better, look better, all these different things drive pharma companies and innovation to keep on progressing.
• 4:17
  SPEAKER_00: But with that, we have to make sure those things are safe.
• 4:19
  SPEAKER_00: So we have to be critical thinkers to expand what it is that we're working on, understanding the needs of our patient, figuring out what's the next gen Botox look like, for example.
• 4:29
  SPEAKER_00: But then make sure it's actually safe so once it's injected in millions of people, we don't hurt them.
• 4:35
  SPEAKER_00: So those complex problem-solving elements distill down into needing to simplify it so you can actually have something that again, hundreds of thousands of providers across the world can actually treat their millions of patients.
• 4:48
  SPEAKER_01: Exactly.
• 4:49
  SPEAKER_01: But you know what?
• 4:50
  SPEAKER_01: I think you really do have to pat yourself on the back because not everyone that can do can teach, not everyone that can teach can do.
• 4:57
  SPEAKER_01: And not everyone that teaches is dynamic and passionate like you are.
• 5:01
  SPEAKER_01: I've had some fantastically educated teachers in medical aesthetics and going back to conventional education that would drone on in a monotone.
• 5:10
  SPEAKER_01: And it was very hard to stay focused and really absorb what they were trying to give you.
• 5:15
  SPEAKER_01: So I find that your passion just shines through every time you open your mouth.
• 5:21
  SPEAKER_01: So if anyone has an opportunity to jump into one of the master classes with Dr.
• 5:26
  SPEAKER_01: Sashine Shirani, I highly suggest you date, you take up that offer.
• 5:31
  SPEAKER_00: Well, Kib, that's kind of you to say, but I mean you've spent so much of your time teaching and educating as well.
• 5:36
  SPEAKER_00: We've learned so many treatments from you, even our own team.
• 5:39
  SPEAKER_00: We've leaned on you before, so your also enthusiasm comes through.
• 5:42
  SPEAKER_00: But I think that's what it comes down to, right?
• 5:44
  SPEAKER_00: A good educator has to have that enthusiasm.
• 5:47
  SPEAKER_00: And people talk about the word passion and throw it around, but passion means that you're like up early in the morning at four o'clock in the morning thinking about what is it that I want to do today, what's gonna get me out of bed.
• 5:57
  SPEAKER_00: You've got that pep in your step.
• 5:59
  SPEAKER_00: It's it's about your lifestyle, it's about what your ethos is in just trying to do right by the people that want to learn so they can create something special for themselves.
• 6:09
  SPEAKER_00: So you share that same you know element as well, and I've noticed that over the years.
• 6:13
  SPEAKER_01: I'm humbled.
• 6:14
  SPEAKER_01: Thank you so much.
• 6:15
  SPEAKER_01: I really appreciate that.
• 6:16
  SPEAKER_01: But let's talk about your level of patient care because it's obvious that we are establishing the fact that you're a wonderful, approachable human and an amazing, elevated surgeon, educator, and researcher.
• 6:30
  SPEAKER_01: So when it comes to patient care, lug surgery, there are some spectacular surgeons and clinics around every major city in the world.
• 6:39
  SPEAKER_01: So I know why people would come here, patients would come here, but can you please share with our viewers?
• 6:45
  SPEAKER_01: What is the difference when you come here from the very beginning of their experience to the very end?
• 6:50
  SPEAKER_00: We designed, I designed the practice.
• 6:52
  SPEAKER_00: I always start with we because it took a team, but it was kind of my, you know, again, the motivation that I've had was really a function of wanting to create something where I would want to get care, right?
• 7:05
  SPEAKER_00: I wanted to design a practice for me as a consumer.
• 7:08
  SPEAKER_00: And for me as a consumer, or for me as a patient in aesthetics, what would I want?
• 7:13
  SPEAKER_00: I want to feel like the most important person on the planet for those moments where I have someone's attention.
• 7:21
  SPEAKER_00: I want to make sure that everyone understands that.
• 7:23
  SPEAKER_00: And that's one of the things that I tell every patient while they're going to sleep on the table, and I mean it, is that for the next few hours, you're the most important person on the planet to everyone in this room.
• 7:33
  SPEAKER_00: And so, you know, Maya Angelou had a very, very famous line from one of her poems and even one of her quotes, and it's classic.
• 7:41
  SPEAKER_00: People will forget what you said, people will forget what you did, but people will never forget the way that you made them feel.
• 7:49
  SPEAKER_00: So, how do we want to make people feel?
• 7:51
  SPEAKER_00: When they walk through that door, they need to feel like they are walking into a friendly area.
• 7:58
  SPEAKER_00: I want them to feel safe, I want them to feel confident, I want them to feel like they're in a luxurious experience where every part of the senses have been curated to help them.
• 8:08
  SPEAKER_00: Some people are audiophiles, so we want the ambient music to tap into who we are.
• 8:12
  SPEAKER_00: Some people like to set are very scent-sensitive, so we have custom scents and diffusers that put something I think very appropriate out into the you know atmosphere, so to speak.
• 8:23
  SPEAKER_00: Some people are very much into gustatory, right?
• 8:27
  SPEAKER_00: The way things taste.
• 8:28
  SPEAKER_00: So it's about sparkling or still water.
• 8:30
  SPEAKER_00: Is it about the tea or the coffee?
• 8:31
  SPEAKER_00: It's not the fact that you're just offering someone water.
• 8:34
  SPEAKER_00: It's how it's offered to them, and it's the fact that we'll keep track of that in their chart.
• 8:38
  SPEAKER_00: So the next time they come in, like Kim, welcome back, um, still water that's chilled, right?
• 8:43
  SPEAKER_00: And you're like, oh my gosh, they will remember.
• 8:44
  SPEAKER_00: And we're keeping track of that for thousands and thousands of patient touch points per year.
• 8:49
  SPEAKER_00: So it's about the fact that we want to take that effort.
• 8:52
  SPEAKER_00: Everything we do is driven to make a person feel like they're the most important human being on the planet for the time that we're going to interact with them.
• 9:00
  SPEAKER_01: Oh, that's just amazing and so commendable, of course, but you need to brag up a little bit because you're not just a private OR here.
• 9:07
  SPEAKER_01: You have more than one.
• 9:08
  SPEAKER_01: And let's talk about the one thing that is just absolutely a special treat that you cannot get, as far as I know, anywhere else in New York City.
• 9:18
  SPEAKER_00: Yeah, so I think differentiation is so important, right?
• 9:21
  SPEAKER_00: And what I mean by that is I think uh what we did was in our new expansion, we built the city's only or one of the only overnight luxury stays.
• 9:30
  SPEAKER_00: And so what we're able to do is immediately after surgery, when I was operating yesterday, after we finished a very complex mommy makeover, the patient needs good monitoring and care.
• 9:40
  SPEAKER_00: They don't need to be admitted to a hospital, but I'm not gonna send them home.
• 9:43
  SPEAKER_00: So traditionally, you send them to a hotel, a nurse stays with them, but they've got to leave the premises, they've got to get into a car, that car has got to take them there, they've got to go from you know the car walking through a hotel lobby into their room.
• 9:56
  SPEAKER_00: There's going to be elements of privacy, their discomfort.
• 9:59
  SPEAKER_00: What if they're a little nauseous, they're not feeling well, people are taking a look at them.
• 10:03
  SPEAKER_00: All of that now has been eliminated because right after surgery, they just go into a separate part of our office, but has been designed for a luxury hotel stay.
• 10:11
  SPEAKER_00: So you walk in and you're like, oh my gosh, I literally went from a clinical space into this completely hotel-like feel that's once again tapped into the senses of making sure that everything is set up for them.
• 10:22
  SPEAKER_00: It's sort of like, you know, if someone's getting onto a yacht or a private jet, for example, there's a checklist.
• 10:29
  SPEAKER_00: What do you like to eat?
• 10:30
  SPEAKER_00: What do you like to watch?
• 10:31
  SPEAKER_00: Do you want your logins and us to have everything set up for you?
• 10:34
  SPEAKER_00: Our team literally curates an entire experience for the patient so that way that they're all set.
• 10:39
  SPEAKER_00: And they never have to leave the premises.
• 10:41
  SPEAKER_00: And they also, the beautiful part is they don't have to worry about not being seen by anyone.
• 10:46
  SPEAKER_00: And all of our patients need to feel like they're a celebrity.
• 10:49
  SPEAKER_00: So whether people know who they are out in the street or don't, it doesn't matter.
• 10:53
  SPEAKER_00: Say it all the time.
• 10:54
  SPEAKER_00: You walk around New York, you're gonna run to someone that you know, and people do that.
• 10:57
  SPEAKER_00: It doesn't matter, you don't have to be on the cover of Vogue to want anonymity and privacy.
• 11:02
  SPEAKER_00: It's just what how people are gonna be made to feel.
• 11:04
  SPEAKER_00: So um it is pretty exciting that we were able to open that and it's been a huge hit.
• 11:08
  SPEAKER_01: I think it's insane.
• 11:09
  SPEAKER_01: I love it.
• 11:10
  SPEAKER_01: I think everyone that's ever been in a big city or watched a movie that has seen a post-surgical scene sees the nurse bringing, wheeling out the wheelchair onto the sidewalk, waiting for the cab or the Uber.
• 11:22
  SPEAKER_01: And that when you're really in that in real life, it's stressful.
• 11:27
  SPEAKER_01: It's stressful for the patient, it's stressful for the recovery nurse, it's stressful for the surgeon because they are checking in with you post-op as a surgeon, as your recovery nurse, to run back and forth to the hotels.
• 11:40
  SPEAKER_01: That's, I mean, there's always traffic.
• 11:42
  SPEAKER_01: What if there's an emergency with the patient or you're stuck in traffic?
• 11:45
  SPEAKER_01: This is New York City, it's crazy.
• 11:48
  SPEAKER_01: So to be so forward-thinking, to bring in an ensuite next to your beautiful, um oversized professional ORs, I I just cannot compare that.
• 12:01
  SPEAKER_01: I can't think of the proper analogy to express how impressive that is.
• 12:05
  SPEAKER_01: And it's so obvious.
• 12:07
  SPEAKER_01: It's like forest for the trees.
• 12:08
  SPEAKER_01: Why didn't anybody do this years ago?
• 12:10
  SPEAKER_01: Yeah.
• 12:10
  SPEAKER_01: So I really have to tell you that it's it's incredible.
• 12:14
  SPEAKER_00: Well, again, we want it to feel like I I want to feel like where, for example, would I want to recover?
• 12:20
  SPEAKER_00: How would I want to feel?
• 12:22
  SPEAKER_01: When it comes to patient complications, I have to tell you, Dr.
• 12:25
  SPEAKER_01: S, I have always been shocked to this day that patients will bargain hunt when it comes to any kind of procedure with their body, whether it's surgical or non-surgical, yet they will budget for up to a year or more for a luxury handbag.
• 12:41
  SPEAKER_01: So there has become a specialty with uh being a corrective surgeon for botches.
• 12:47
  SPEAKER_01: And I know personally that not every surgeon, they might be wildly talented at what they do, but not every surgeon is great at fixing botches.
• 12:56
  SPEAKER_01: And I know you happen to excel at that.
• 12:58
  SPEAKER_01: So can you share with us how do you feel about dealing with botch patients, especially when they're coming from practices outside of your own?
• 13:07
  SPEAKER_00: There's a well-known saying, and that is it's expensive to be cheap, right?
• 13:11
  SPEAKER_00: So when I think about the motivation with often when you have patients that come with complex issues, they've often always said, Well, I should have, right?
• 13:21
  SPEAKER_00: It's the shoulda, woulda, coulda.
• 13:23
  SPEAKER_00: I really should have just gone to an expert to begin with.
• 13:26
  SPEAKER_00: It's pretty rare that someone gets botched at a reputable practice.
• 13:32
  SPEAKER_00: If you take care of enough patients, things are going to happen.
• 13:35
  SPEAKER_00: I've had patients that have infections.
• 13:38
  SPEAKER_00: I've had patients that have wound breakdown, I've had patients that don't have perfect scars.
• 13:43
  SPEAKER_00: It's okay.
• 13:44
  SPEAKER_00: The question is, is do you know how to fix that or find out the reason why?
• 13:48
  SPEAKER_00: An infection is a normal part of the process, the healing process.
• 13:52
  SPEAKER_00: It doesn't mean that we did something wrong or had to break in sterility, but you're out there in the world.
• 13:56
  SPEAKER_00: It doesn't take much for a bacteria to get on something.
• 13:59
  SPEAKER_00: You get the flu every year.
• 14:00
  SPEAKER_00: It doesn't mean that there's something wrong with you, it just happens.
• 14:04
  SPEAKER_00: But can you identify and make sure that you don't get sick from it?
• 14:06
  SPEAKER_00: So if you don't have complications or you don't have problems, you're not working hard enough.
• 14:13
  SPEAKER_00: The question is, do you know how to identify those problems?
• 14:16
  SPEAKER_00: Do you know how to fix those problems?
• 14:18
  SPEAKER_00: You know how to take care of the patient.
• 14:20
  SPEAKER_00: And so fixing botched procedures is typically just a function, plain and simple, of seeing people that didn't get good care.
• 14:28
  SPEAKER_00: The surgeon really was, I don't know what happened in that case, things went awry, they cut corners, they didn't use the right products or the right treatments, so now you have to fix it.
• 14:37
  SPEAKER_00: Again, you probably heard me say earlier, I'm fond of handling complex problems.
• 14:42
  SPEAKER_00: I like taking these, I like taking on a challenge.
• 14:46
  SPEAKER_00: I like to take something that's got a problem, or fix that problem, or help someone in dire need who's had an issue because that is such a gratifying part of the practice.
• 14:56
  SPEAKER_00: And that is the loyal patient forever.
• 14:59
  SPEAKER_00: You take someone that comes to you broken or emotionally distraught, and you console them and help them and make them better than where they are, you have a loyal patient in perpetuity.
• 15:11
  SPEAKER_00: And that person is very grateful, as opposed to some people just come and be like, I paid you, this is a transaction, do it, and I'll see you the next time I need something.
• 15:18
  SPEAKER_00: This is about the human connection.
• 15:20
  SPEAKER_00: So for me, again, the inspiration for this really comes from the complex procedures I saw at Hopkins.
• 15:27
  SPEAKER_00: Seeing my mentors execute face transplants, hand transplants, taking people that had lost because of a military accident or something that happens in the war theater, or someone that has a tragic accident, goes through a windshield or hit by a drunk driver, that their life is completely changed in a split second, and now you're restoring and trying to make them whole again.
• 15:51
  SPEAKER_00: So I think in aesthetics, we tend to often just overlook that and say, well, it's just elective, right?
• 15:56
  SPEAKER_00: We don't care.
• 15:57
  SPEAKER_00: Well, it's elective, you already were fined, what were they thinking?
• 15:59
  SPEAKER_00: Oh my god, they got botched.
• 16:01
  SPEAKER_00: It's like, okay, but this person still was seeking medical care.
• 16:04
  SPEAKER_00: Whether it was elective or whatever their motivations were, now they've got a problem.
• 16:08
  SPEAKER_00: Who is actually going to help the patient as opposed to just punt them out and say the juice isn't worth the squeeze on helping them?
• 16:14
  SPEAKER_00: So we take on a lot of complex cases, and I'm proud to say that we have a very high success rate with making people a lot better.
• 16:21
  SPEAKER_00: Are they perfect?
• 16:23
  SPEAKER_00: No.
• 16:23
  SPEAKER_00: But are they restored?
• 16:24
  SPEAKER_00: Yes.
• 16:25
  SPEAKER_00: And so I think that's a big, big element.
• 16:27
  SPEAKER_01: Absolutely.
• 16:28
  SPEAKER_01: Restoring their confidence, it's the biggest gift you can give anyone.
• 16:31
  SPEAKER_01: Um, that reminds me of I am not a super fan of medical tourism.
• 16:36
  SPEAKER_01: I'm not 100% against it.
• 16:38
  SPEAKER_01: Obviously, maybe I'm biased.
• 16:40
  SPEAKER_01: Of course, I know the level of care that we give here in Manhattan.
• 16:43
  SPEAKER_01: So when people come here with medical tourism, I'm like, great.
• 16:46
  SPEAKER_01: And then people go somewhere else and like certain countries, and I'm like, why?
• 16:51
  SPEAKER_01: Why did you do that?
• 16:52
  SPEAKER_01: Um, but can you just share with our viewers why would someone that's someone such as yourself that's at that highest level of patient care, why would we say, you know, tread with caution?
• 17:05
  SPEAKER_01: Because again, you're bargain hunting, and why are you doing that to go out of the country when if anything goes wrong afterwards, you're on your own?
• 17:13
  SPEAKER_00: Medical tourism is an interesting facet, it's connected the world in a lot of ways, and because of social media, people are able to show their before and afters, are able to express themselves, they're able to show their results, and that appeals to certain demographics, right?
• 17:28
  SPEAKER_00: There's a lid for every pot.
• 17:29
  SPEAKER_00: And so people will find a surgeon or find a clinician that can help them in the way that they think because they like the culture or the brand or the way that person speaks, all those things end up mattering and people will seek care.
• 17:40
  SPEAKER_00: Problem you run into is when the pure motivation is the money.
• 17:45
  SPEAKER_00: I need to save money, I need to save money.
• 17:48
  SPEAKER_00: There are some incredible physicians and surgeons all over the world, right?
• 17:53
  SPEAKER_00: And there are some terrible doctors right here in Manhattan.
• 17:58
  SPEAKER_00: And so I think for us it's all about sifting through and figuring out can I get great care if I went to Timbuktu, for example, well, the world hair restoration expert is there, or I can get the best rhinoplasty in the world in Turkey and it costs me a fraction.
• 18:12
  SPEAKER_00: Okay, if you're going because you're looking at value and expertise combined, perfect.
• 18:18
  SPEAKER_00: But more often than not, people just kind of end up in these places because of Google searches.
• 18:22
  SPEAKER_00: It's not that they've sought the expert global opinion from someone in Sydney, Australia, because they went there and know that that person pioneered a treatment.
• 18:33
  SPEAKER_00: They may go to that country because, plain and simple, they're like, Well, I heard that they do pretty well, they've got these incredible packages, and you stay there and you do this, and those are the same patients that end up either with catastrophic issues, rare infections, right?
• 18:48
  SPEAKER_00: There's different types of, and then you come back here and you were in a tropical climate with different types of bacteria, and now you need infectious disease specialists to help with that.
• 18:57
  SPEAKER_00: You don't know what was done, you can't get access to your medical records.
• 19:00
  SPEAKER_00: Those countries all don't share the same type of discretion of protecting patient rights and legalities and HIPAA and all these different types of legalities.
• 19:09
  SPEAKER_00: Those corporate structures and legal structures aren't in place everywhere.
• 19:13
  SPEAKER_00: So what happens now when you have a problem?
• 19:15
  SPEAKER_01: Exactly, and you have no access most of the time to the full medical records.
• 19:19
  SPEAKER_01: And as you said, you don't know exactly what was done to them or what was injected into them.
• 19:25
  SPEAKER_01: And uh I think the American misconception is that uh if it goes wrong, I'll just come home and they'll fix it.
• 19:32
  SPEAKER_00: Yeah, exactly.
• 19:33
  SPEAKER_01: The fix could be hundreds of thousands of dollars in some extreme cases.
• 19:38
  SPEAKER_01: It's going to be thousands of dollars regardless.
• 19:41
  SPEAKER_01: And can we even fix you?
• 19:42
  SPEAKER_01: Like you said, we might not be able to fix you.
• 19:44
  SPEAKER_01: How long are you going to be stuck in the hospital?
• 19:46
  SPEAKER_01: It's not going to be covered by your insurance.
• 19:48
  SPEAKER_01: This is not like, eh, Dr.
• 19:50
  SPEAKER_01: Russell just fixed me if uh if something happens with my$2,000 breast implant that I flew to Tim Buck TV for.
• 19:56
  SPEAKER_00: Yeah, and that's kind of the issue, right?
• 19:57
  SPEAKER_00: Is that like if we're looking at a wall and we scratch that wall or someone, you know, puts puts uh, you know, puts uh something on the wall, a TV on the wall, and it falls off and it tears out because there was enough blocking.
• 20:09
  SPEAKER_00: Okay, great.
• 20:09
  SPEAKER_00: We can put sheetrock, we can paint it, we can plaster it, we can do that.
• 20:12
  SPEAKER_00: There's a fixable solution.
• 20:14
  SPEAKER_00: Unfortunately, the body, not everything is fixable.
• 20:17
  SPEAKER_00: You can't.
• 20:18
  SPEAKER_00: There's just some things that you cannot actually restore.
• 20:21
  SPEAKER_00: So it's a really big challenge.
• 20:22
  SPEAKER_00: And we're so used to just it being transactional, being like, okay, my iPhone overheats, I'm gonna take this one in and they're gonna replace it and give me a brand new one that comes off the conveyor belt because it's within a year, no problem, done.
• 20:33
  SPEAKER_00: You know, that doesn't work that way.
• 20:35
  SPEAKER_00: So I think that's probably one of the biggest elements often.
• 20:38
  SPEAKER_01: Absolutely.
• 20:39
  SPEAKER_01: And that reminds me, it leads us right into the conversation of I've seen almost like an epidemic level of peptides that are coming in from even if they're compounded here, that are just not supplying what we think they say in the vial.