Latest / Becker’s Healthcare Podcast / Beyond the Hype: A Practical Approach to Longevity Medicine

Transcript

Beyond the Hype: A Practical Approach to Longevity Medicine · Becker’s Healthcare Podcast

• 0:00
  - Hello, everyone. This is Erica Spicer Mason with
• 0:02
  - Becker's Healthcare. Thank you so much for tuning
• 0:05
  - in to the Becker's Healthcare podcast series.
• 0:08
  - Today, we're going to talk about longevity medicine.
• 0:11
  - We'll talk about how to help people live
• 0:13
  - better for longer and how to talk about
• 0:15
  - this topic without hype. And joining me for
• 0:18
  - this conversation, we have with us doctor Bobby
• 0:21
  - Kumar,
• 0:21
  - who's physician founder and director of Move Health
• 0:25
  - and Wellness. Doctor Kumar, so great to have
• 0:27
  - you on the podcast. Thanks for joining us
• 0:29
  - today.
• 0:30
  - Thanks so much for having me, Erica. It's
• 0:31
  - been a pleasure.
• 0:33
  - Really glad to have you. And
• 0:35
  - before we really get into the meat of
• 0:37
  - our conversation, I wanted to give you the
• 0:39
  - chance to give our listeners just a quick
• 0:41
  - sense of your background
• 0:42
  - and also what led you to find Move
• 0:45
  - Health and Wellness.
• 0:46
  - Yeah. Absolutely. So I'm a family physician by
• 0:49
  - training.
• 0:50
  - Had done traditional primary care, saw babies all
• 0:53
  - the way up through my patients who were
• 0:54
  - in nursing homes,
• 0:56
  - and in hospice care, manage complex care problems,
• 1:00
  - and chronic disease on a day to day.
• 1:03
  - I also saw them when they were in
• 1:04
  - the hospital. So very familiar with seeing patients
• 1:07
  - all through different aspects of their care journey.
• 1:10
  - And I think it was this
• 1:12
  - moment that I started to see my patients
• 1:15
  - continually
• 1:16
  - asking some of these questions that I didn't
• 1:18
  - feel were
• 1:20
  - really addressed in the moment that I had
• 1:21
  - them in front of me. For example, like,
• 1:23
  - you know, I'm why am I gaining weight
• 1:25
  - around my belly in spite of doing all
• 1:27
  - the things that I needed to do for
• 1:28
  - exercise and diet? Why do I feel so
• 1:30
  - tired? Why am I not recovering the way
• 1:32
  - I did five years ago?
• 1:34
  - And while we were always in the moment
• 1:37
  - dealing with the acute issue, I felt like
• 1:40
  - I was missing something in being able to
• 1:43
  - effectively manage my patients, which is one of
• 1:45
  - the reasons why
• 1:46
  - looking at what was really needed for patients
• 1:49
  - to help them be their best versions of
• 1:51
  - themselves from a health standpoint,
• 1:54
  - It really meant that we needed to go
• 1:55
  - further upstream.
• 1:57
  - On the innovation side, I also serve as
• 1:59
  - director of clinical transformation for Inflect Health, which
• 2:02
  - is our innovation and investment arm under Vituity.
• 2:06
  - And what we constantly saw in in terms
• 2:08
  - of our health care startups is we would
• 2:10
  - see these ideas pop up clinically
• 2:13
  - that were really
• 2:15
  - great ideas, but, unfortunately, they were it was
• 2:18
  - almost like it was just theater. We needed
• 2:20
  - physicians, clinicians who were at the front line
• 2:23
  - seeing these patients
• 2:25
  - in a longitudinal fashion
• 2:27
  - to really give us insight into what is
• 2:30
  - needed for prevention for optimal metabolic health. And
• 2:33
  - I think pulling from these two spaces, my
• 2:35
  - own clinical experience, and then also seeing
• 2:38
  - what solutions are being put out there made
• 2:41
  - me realize that move
• 2:42
  - is is what was needed. The space where
• 2:45
  - we can capture
• 2:46
  - patients earlier on upstream
• 2:48
  - to provide them the guidance, the therapies, the
• 2:51
  - treatments
• 2:52
  - that truly were proactive,
• 2:53
  - preventative,
• 2:55
  - in a personalized approach precise to their health.
• 3:00
  - Doctor Kumar, so great to learn more about
• 3:02
  - you and then also what move is all
• 3:04
  - about.
• 3:05
  - You know, it's interesting as you're you're speaking
• 3:07
  - to this more kind of holistic view of
• 3:09
  - health care or the the health care journey
• 3:11
  - and
• 3:12
  - addressing issues more upstream.
• 3:14
  - I I think that that was something that
• 3:16
  - maybe in the past was more of a
• 3:17
  - conversation at the clinical level, but now we
• 3:19
  - see a lot of interest from patients themselves
• 3:22
  - interested in longevity and and concepts like optimization.
• 3:26
  - It kind of feels like it's suddenly everywhere.
• 3:29
  - And we also have seen that McKinsey's
• 3:31
  - done some research that found a majority of
• 3:34
  - consumers now rank healthy aging as a top
• 3:36
  - priority. So I'd love to hear a little
• 3:38
  - bit more from you about what you think
• 3:40
  - is driving that surge and that interest right
• 3:42
  - now.
• 3:44
  - Yeah. With the with the advancements of technology,
• 3:46
  - now it is becoming increasingly
• 3:48
  - visible
• 3:49
  - what aging looks like. You know, before it
• 3:51
  - just used to be who was in our
• 3:53
  - immediate sphere. And now we get the opportunity
• 3:56
  - to see not just those in our inner
• 3:58
  - circle, but we're starting to see what is
• 4:00
  - what is aging look like beyond us. We
• 4:02
  - see what our parents are doing with their
• 4:05
  - aging. We see them becoming increasingly frail.
• 4:08
  - I know for my for myself, I have
• 4:11
  - the
• 4:12
  - luxury of being able to take care of
• 4:13
  - my own mother who's in her eighties, but,
• 4:16
  - you know, she I I've been able to
• 4:17
  - see other, you know, beyond beyond my mother,
• 4:20
  - my patients,
• 4:21
  - my friends' family members, cognitive decline, loss of
• 4:24
  - independence.
• 4:25
  - So we're starting to become more aware of
• 4:28
  - the individuals in our immediate circle and beyond
• 4:31
  - what aging let's say, unhealthy aging looks like.
• 4:35
  - And I think
• 4:36
  - patients now in this, you know, consumer driven
• 4:39
  - space, they're starting to look at that as
• 4:41
  - being a top priority because they, one, don't
• 4:43
  - want to be those individuals
• 4:45
  - or see themselves,
• 4:47
  - losing that type of independence and autonomy in
• 4:50
  - their care. But we also now are equipped
• 4:52
  - with better tools.
• 4:54
  - The aura rings, the, you know, the sleep
• 4:57
  - rings, things that measure your body composition at
• 4:59
  - home, being able to have direct
• 5:01
  - blood tests to your home that you can
• 5:03
  - just ship out. These are the types of
• 5:05
  - interventions
• 5:06
  - that are accessible
• 5:08
  - and now
• 5:09
  - more measurable
• 5:10
  - in ways that
• 5:11
  - weren't available ten years ago. So patients no
• 5:14
  - longer have to just wait for,
• 5:17
  - you know, their yearly annuals to meet with
• 5:19
  - their physician or their provider and be told,
• 5:22
  - hey. Your labs are normal. Come back next
• 5:24
  - year.
• 5:25
  - We have the other three hundred and sixty
• 5:27
  - four days that patients
• 5:29
  - have access to their health data.
• 5:31
  - And in some respects,
• 5:32
  - I think they have more health data than
• 5:34
  - hospital systems do. Right? Because they have this
• 5:38
  - information being fed to them
• 5:40
  - multiple times a day, all day long, and
• 5:43
  - they can access it at any point. So
• 5:45
  - they're now becoming more sole owners of their
• 5:48
  - health in ways that hospitals' health systems used
• 5:50
  - to do ten, fifteen years ago.
• 5:54
  - It's such a good point, doctor Kumar. I
• 5:56
  - hadn't thought of how not only
• 5:58
  - do patients tend to have more data at
• 6:00
  - their fingertips about their own health every day,
• 6:02
  - but then also they have
• 6:04
  - a bit more of a clear view of
• 6:07
  - what happens as we age, just with more
• 6:09
  - information out there, technological advances as you touched
• 6:12
  - on.
• 6:13
  - So so certainly a very aware patient base.
• 6:16
  - So I can see how this demand,
• 6:19
  - really drove,
• 6:20
  - you know, the the impetus of move.
• 6:23
  - And you mentioned earlier in your introductory remarks
• 6:25
  - that you noticed that gap in traditional care
• 6:28
  - kind of sensing that, you know, it it
• 6:30
  - was almost
• 6:31
  - in acute situations where you needed to address
• 6:33
  - a health issue for a patient. There were
• 6:35
  - other issues that were brought up that, you
• 6:37
  - know, you kind of wished
• 6:39
  - it would have been great if we could
• 6:40
  - have discussed that sooner.
• 6:41
  - So I'd love to know, you know, what
• 6:44
  - is longevity medicine offering patients
• 6:47
  - that they feel like they aren't getting elsewhere
• 6:49
  - in in that context?
• 6:51
  - You know, I don't think that
• 6:53
  - it was necessarily
• 6:56
  - that they weren't receiving it. Right? But I
• 6:58
  - think it's
• 6:59
  - being able to apply some of the similar
• 7:02
  - principles
• 7:03
  - at a moment when it's actually gonna be
• 7:05
  - impactful. And so I'll give you an example.
• 7:07
  - If we were to talk about how
• 7:10
  - health care is structured today, you know, we
• 7:13
  - still while we say things are a preventative
• 7:15
  - exam when we're,
• 7:17
  - scheduling our quote, unquote annual, we still are
• 7:19
  - screening for disease sometimes and oftentimes picking up
• 7:22
  - on
• 7:23
  - the signals of disease that have
• 7:25
  - presently occurred.
• 7:27
  - What we are now trying to do in
• 7:28
  - longevity medicine is take those same principles and
• 7:31
  - move them years up years forward. So now
• 7:34
  - we are talking about sleep. We're talking about
• 7:36
  - exercise and nutrition
• 7:38
  - and the impact of the environment and how
• 7:40
  - we,
• 7:41
  - how that impacts our own health, but we're
• 7:44
  - talking about our at the moments that we
• 7:46
  - can actually prevent those signals from even being
• 7:49
  - sent. And I I feel that's where longevity
• 7:52
  - medicine isn't necessarily replacing I know I I'm
• 7:55
  - very passionate about this part. It's not replacing
• 7:58
  - primary care, and it shouldn't it never will.
• 8:00
  - Because
• 8:01
  - the point of longevity medicine is equipping people
• 8:04
  - with the tools, interventions, information
• 8:06
  - just at a moment when it could be
• 8:08
  - the most impactful to prevent the problem from
• 8:10
  - even happening.
• 8:12
  - Such an important point. Thanks for clarifying that,
• 8:15
  - doctor Kumar.
• 8:16
  - So taking this a bit further, when you
• 8:19
  - have folks come to move, what are they
• 8:22
  - usually looking for? You know, what are they
• 8:24
  - most often
• 8:25
  - misunderstanding about what longevity care can do and
• 8:28
  - also what it cannot do?
• 8:30
  - Mhmm.
• 8:31
  - I
• 8:33
  - I always tell myself that I'm almost like
• 8:35
  - the quintessential
• 8:36
  - move patient. I I even as a physician,
• 8:39
  - going through my own health care journey, having
• 8:41
  - to
• 8:43
  - ask myself some of these questions, but not
• 8:45
  - actually getting
• 8:46
  - the specific answer I'm looking for. Patients aren't
• 8:48
  - coming in saying, I wanna learn about longevity.
• 8:51
  - They, you know, they're not necessarily
• 8:53
  - asking how do I age better, but they're
• 8:56
  - asking questions like, I don't know why I'm
• 8:58
  - tired all the time, or I used to
• 9:00
  - be able to lose weight. Like, for example,
• 9:03
  - I used to be able to lose weight
• 9:04
  - easily. I could just exercise and diet for
• 9:07
  - a few weeks and hit my hit my
• 9:09
  - health goals, and they no longer can do
• 9:10
  - that.
• 9:11
  - Or their recovery is delayed or, you know,
• 9:14
  - their joints are starting to suddenly hurt. And
• 9:16
  - these are the types of things that when
• 9:18
  - we think about what drives accelerated aging, we
• 9:21
  - also understand
• 9:23
  - many of those things are also related to
• 9:25
  - metabolic health and
• 9:27
  - related to inflammatory processes. And when we start
• 9:30
  - to look at what are the things that
• 9:32
  - we do to fix those things or prevent
• 9:34
  - those things from happening,
• 9:36
  - we're actually
• 9:37
  - doing all the things that help us to
• 9:38
  - age better. So for example,
• 9:41
  - exercise, strength training, resistance training, preserving your muscle,
• 9:45
  - putting emphasis into creating better sleep environments,
• 9:48
  - identifying
• 9:49
  - the inflammatory processes that are occurring or the
• 9:52
  - dysregulation
• 9:53
  - metabolically in our bloodstream
• 9:55
  - to reduce cardiovascular risk so that you don't
• 9:58
  - develop a heart attack, so you don't develop
• 10:00
  - a stroke.
• 10:02
  - Those things support healthy aging, but they also
• 10:04
  - in turn reduce
• 10:06
  - the chances of developing these chronic conditions and
• 10:09
  - comorbid conditions later on in life that worsen
• 10:12
  - mortality.
• 10:14
  - When my patients are coming in, it's almost
• 10:16
  - like we're trying to understand and fix the
• 10:18
  - problem that they're facing in front of us
• 10:19
  - that don't actually have a name. The exhaustion,
• 10:23
  - the fatigue, the you know, my labs are
• 10:25
  - all normal, but I just don't feel like
• 10:27
  - myself. That's actually what they're coming in for
• 10:29
  - is I need to understand my body better,
• 10:32
  - and everything to date has told me that
• 10:34
  - I'm fine.
• 10:37
  - Yeah. Everything you're saying, doctor Kumar, sounds so
• 10:39
  - familiar just in what I hear in my
• 10:41
  - own life with friends and family and, you
• 10:42
  - know, getting those,
• 10:44
  - surfacing some of those concerns in primary care
• 10:47
  - appointments and, you know, maybe not having it
• 10:49
  - addressed to the extent that that they necessarily
• 10:52
  - want or need. And so I can see
• 10:54
  - how,
• 10:55
  - folks would, you know, benefit from the service
• 10:58
  - of turning to a platform like Move.
• 11:01
  - And as you were talking about patients coming
• 11:04
  - to you with issues like fatigue, you know,
• 11:06
  - trouble losing weight, things like that, I imagine
• 11:10
  - you also hear a lot
• 11:12
  - of commentary from patients and maybe even clinicians
• 11:14
  - alike about things like supplements,
• 11:16
  - you know, new and cutting edge therapies, biohacking,
• 11:19
  - things like that that we're seeing everywhere on
• 11:21
  - social media and online.
• 11:23
  - So how do you separate legitimate medical opportunity
• 11:26
  - from hype like that, and and where do
• 11:28
  - you draw the line for your own patient?
• 11:30
  - I think this is where coming into
• 11:32
  - recognizing
• 11:33
  - what is what is when you mentioned hype,
• 11:36
  - like, what is science? What is what is,
• 11:39
  - biologically plausible? So and and for lack of
• 11:42
  - a better term, what is is there evidence
• 11:44
  - or isn't?
• 11:45
  - And many of the cases we see is
• 11:47
  - just emerging evidence, which is
• 11:50
  - fine to have that discussion with your patients
• 11:52
  - and have,
• 11:53
  - an informed discussion on what a data currently
• 11:56
  - exists.
• 11:58
  - Where where exactly are we seeing the most
• 12:00
  - benefit? Where was the most benefit documented?
• 12:03
  - Unfortunately,
• 12:04
  - there is
• 12:06
  - a lot of misconception
• 12:08
  - when it comes to,
• 12:09
  - oh, just take this supplement or do this
• 12:11
  - intervention and you're gonna be fine. The truth
• 12:14
  - is we sometimes
• 12:16
  - if we just institute a therapy or intervention
• 12:19
  - without actually having the testing and the interpretation
• 12:22
  - of that testing alongside it, it's it's really
• 12:25
  - just,
• 12:26
  - we'll say, an expensive,
• 12:28
  - decoration to your health for lack of a
• 12:31
  - better term. So the the the same point
• 12:33
  - kinda goes to, I need to look at
• 12:35
  - when I'm looking at my patient, I need
• 12:36
  - to understand their physiology and their and their
• 12:39
  - biology. And then I take a look at
• 12:41
  - the what are what are these interventions? What
• 12:43
  - are what is emerging? Is there established evidence?
• 12:46
  - And does it fit their goals and their
• 12:48
  - risk profile?
• 12:49
  - Personalized
• 12:50
  - preventative
• 12:51
  - measures are is something that move is really
• 12:55
  - founded on. We wanna understand the patient in
• 12:57
  - front of us. What may work for me
• 12:58
  - is not gonna work for you, which is
• 12:59
  - one of the reasons why I have, you
• 13:01
  - know, my thoughts around influencer driven
• 13:04
  - marketing of these types of treatments and therapies.
• 13:07
  - If we're really trying to be honest,
• 13:09
  - innovation
• 13:11
  - is important in health care. And for us
• 13:13
  - right now to be at the forefront,
• 13:16
  - physicians should be having these discussions with their
• 13:18
  - patients when they bring them these new therapies
• 13:21
  - that they're seeing
• 13:22
  - on Instagram and TikTok and, you know, in
• 13:25
  - the media to have
• 13:27
  - earnest,
• 13:28
  - honest conversations with their care provider.
• 13:31
  - We have to equip ourselves with not just
• 13:33
  - that knowledge because without that evidence, it's just
• 13:35
  - marketing.
• 13:36
  - And if we aren't innovative, you know, in
• 13:40
  - turn, physicians are not innovative, then we just
• 13:43
  - we're stagnant and we become excluded from this
• 13:45
  - equation.
• 13:46
  - So it's more important for me to discuss
• 13:49
  - with my patient. Let's run your labs. Let's
• 13:51
  - really understand
• 13:52
  - whether or not this $500
• 13:54
  - supplement stack is necessary for you because truth
• 13:57
  - be told, it may just be you're creating
• 13:59
  - very expensive
• 14:01
  - very expensive urine.
• 14:03
  - Yeah. Yeah. It's a great way to put
• 14:05
  - it, doctor Kumar. And I I noticed throughout
• 14:08
  - your remarks, you've really,
• 14:10
  - emphasized what what feels like the basics. You've
• 14:13
  - talked a lot about sleep, nutrition, movement,
• 14:16
  - metabolic health.
• 14:17
  - So amid all of these more marketable interventions
• 14:21
  - that you're talking about here, how do you
• 14:23
  - keep the fund those fundamentals,
• 14:25
  - that you touched on front and center when
• 14:26
  - patients are usually drawn in by those fancier,
• 14:30
  - more influencer based,
• 14:31
  - products?
• 14:33
  - Always I I'm not a builder
• 14:36
  - in in, like, construction. Right? I I joke
• 14:38
  - around with my family members because they know
• 14:41
  - that I
• 14:42
  - I I really can't build up, like, a
• 14:45
  - a tool like, you know, hang something on
• 14:47
  - a wall or construct something. That's not my
• 14:50
  - forte. But what I do know is that
• 14:52
  - I if I were to build something, it
• 14:54
  - could never be with just one tool. And
• 14:56
  - I look at these fundamentals as tools in
• 14:59
  - the toolbox
• 15:00
  - to build something. So if we're trying to
• 15:02
  - build optimal health, we're trying to build
• 15:05
  - living healthier for longer,
• 15:07
  - these are the fundamentals. These are the foundation.
• 15:09
  - This is gonna be the foundation of your
• 15:10
  - health. So the idea behind,
• 15:13
  - you know, taking a supplement or taking a,
• 15:15
  - you know, a medication or something that you
• 15:17
  - find like an advanced intervention,
• 15:20
  - these are things that help to accelerate that,
• 15:23
  - but it does not replace it. And I
• 15:24
  - don't I I think what has been,
• 15:27
  - unfortunately, to the detriment of this space is
• 15:29
  - that
• 15:31
  - prior to
• 15:32
  - having a more all encompassing approach towards health
• 15:36
  - to include these fundamentals is that they were
• 15:38
  - the only solution. And I'll give you an
• 15:40
  - example. Prior to, you know, ten, fifteen years
• 15:42
  - ago when we talked about obesity, it was
• 15:45
  - diet and exercise and that was the only
• 15:47
  - way to effectively lose weight. And so there's
• 15:50
  - been a a ton of bias around that,
• 15:52
  - right? That those individuals who are suffering from
• 15:55
  - obesity and dealing with this very chronic comorbid
• 15:58
  - condition,
• 15:59
  - they unfortunately
• 16:00
  - were being felt being treated as if this
• 16:03
  - was a life choice only,
• 16:05
  - because they weren't
• 16:06
  - exercising and,
• 16:08
  - eating the right foods. But that's actually now
• 16:10
  - we understand that that's not the case. There's
• 16:12
  - a number of hormones in play. There's a
• 16:14
  - dysfunction in the signaling that's happening in the
• 16:17
  - body. And so we're we we we should
• 16:19
  - be treating this as if it's a chronic
• 16:21
  - condition because it truly is. And we treat,
• 16:24
  - you know, high blood pressure with medications. We
• 16:27
  - treat
• 16:27
  - asthma with medications, but for some reason, there's
• 16:30
  - this overlying bias when it comes to obesity.
• 16:33
  - Truth is,
• 16:34
  - no matter what medicine you give for obesity
• 16:36
  - or high blood pressure or asthma, you there's
• 16:38
  - still things that have to be done to
• 16:41
  - protect
• 16:42
  - the effectiveness and the efficacy of that drug
• 16:44
  - and to maintain
• 16:46
  - the outcome that you're gonna get from that
• 16:48
  - drug long term, and that still comes back
• 16:49
  - to the fundamentals. So when I when I
• 16:51
  - tell my patients, like, the fundamentals, they're undefeated.
• 16:55
  - No matter what you do, you are you
• 16:56
  - are going to have to put emphasis on
• 16:59
  - these,
• 17:00
  - core pillars to help with sleep, nutrition. It
• 17:03
  - just may be
• 17:04
  - more curated
• 17:06
  - to your risk profile, and it's more curated
• 17:08
  - to your functional capacity. Because if we just
• 17:12
  - provide generic advice, you're once again
• 17:16
  - not effectively managing and preventing the problem in
• 17:19
  - front of you. So if I have a
• 17:21
  - patient who, you know, is not as mobile,
• 17:23
  - I'm not gonna tell them to go and
• 17:25
  - run
• 17:26
  - a hundred and fifty minutes per week. I'm
• 17:28
  - gonna talk about how we can get them
• 17:31
  - up to a functional capacity that would be
• 17:33
  - most beneficial to them and work with them
• 17:35
  - along that way while I institute
• 17:37
  - these more advanced therapies and diagnostics to support
• 17:40
  - their health.
• 17:41
  - Yeah.
• 17:42
  - It sounds like a a very grounded approach
• 17:45
  - here, this this focus on fundamentals and and
• 17:47
  - one that you've been able to through your
• 17:49
  - work at move, you've been able to personalize,
• 17:52
  - on a patient by patient basis.
• 17:54
  - Doctor. Kumar, I feel like I could keep
• 17:56
  - picking your brain on so many things related
• 17:58
  - to the fundamentals
• 18:00
  - to move and learning more about your patients,
• 18:01
  - but I know our time together is limited.
• 18:03
  - So as we close here,
• 18:05
  - if listeners remember just one thing from our
• 18:08
  - conversation today, what would you want that to
• 18:10
  - be?
• 18:11
  - I think when we think of the future
• 18:12
  - of health care,
• 18:14
  - we can't just be focused on how do
• 18:17
  - we treat disease better.
• 18:19
  - And while there's been so much investment
• 18:22
  - and opportunity in that space, and I think
• 18:24
  - we should continue
• 18:25
  - down that road,
• 18:27
  - it's more important that we focus on helping
• 18:30
  - individuals,
• 18:31
  - our patients, preserve their function longer.
• 18:33
  - I think that has
• 18:35
  - huge downstream impacts, not just from a health
• 18:37
  - standpoint, but even, you know, economical standpoint. If
• 18:40
  - we can help people stay strong, stay mobile,
• 18:43
  - cognitively
• 18:44
  - healthy, metabolically healthy into their seventies and eighties,
• 18:47
  - We're helping individuals. We're helping prevent disease. We're
• 18:51
  - lowering overall cost of care. We now can
• 18:53
  - put some of that capital and investment into
• 18:56
  - treating some of these very
• 18:58
  - difficult,
• 18:59
  - dangerous diseases that we still don't have solutions
• 19:02
  - for. I I I don't wanna ever promise
• 19:04
  - someone I'm gonna give them more birthdays. I
• 19:06
  - always wanna say I wanna make your I
• 19:08
  - wanna make it so that you can enjoy
• 19:10
  - your birthday the way that you want to
• 19:11
  - at that moment.
• 19:13
  - So to live with purpose, to be independent,
• 19:16
  - and to participate fully in their life in
• 19:18
  - that moment. So my my hope is that
• 19:20
  - we can shift our mindset into preserving function
• 19:23
  - for longer.
• 19:24
  - Yeah. What a great note to end the
• 19:26
  - conversation on. Doctor Kumar, I wanna thank you
• 19:29
  - again for sharing
• 19:30
  - all of your wisdom with our listeners and
• 19:32
  - for sharing more about Move. It's been great
• 19:34
  - learning more about it. Thank you so much.
• 19:37
  - Thank you for having me. It was wonderful.
• 19:38
  - Thank you.
• 19:40
  - And, of course, we'd also like to thank
• 19:41
  - our podcast sponsor for today's episode, Vituity.
• 19:45
  - Listeners, be sure to tune in to more
• 19:47
  - podcasts from Becker's Healthcare by visiting our podcast
• 19:50
  - page at beckers hospital review dot com.