Medicine

hoskinson broadcasting live from warm sunny colorado got the sun coming through it's always warm always sunny sometimes colorado today is september 7th 2022 it's my dad's birthday so let's all wish him a happy birthday and i want to make a video talk a little bit about something that's near and dear to the family that we've been involved in as a family for almost 70 years now medicine so as many of my father's a doctor my brother's a doctor my uncle's a doctor grandfather was a doctor got a lot of nurses in the family and extended family as well and so it's always been the family business to do things in medicine and i always knew that as i became an entrepreneur regardless of what my primary field was i would in some way find a way to get into the medical field so i thought a lot about it about two years ago and i had a lot of conversations with my brother who's an internist in gillette and we decided that the best approach would be to build a clinical center of excellence in gillette wyoming and so that is a place where we invested a lot of time and effort money into trying to do direct primary care right for as many people as we can so we purchased a old restaurant and have been massively refurbishing it and adding about 20 some thousand square feet yeah the whole facility will be over 30 000 square feet when it's finished and we have a lot of stuff getting a clia approved lab with a full genome sequencer compounding pharmacy we're setting up a hyperbaric center we have all the bells and whistles that one would want to do personalized medicine and the goal is really to think about the lifestyle of the patient and how do you get the foundations right the the sleep the exercise the nutrition and then also how do you view the person as a patient as a human and the goal is to try to find ways to really improve people's health overall as many of i used to be a lot thinner i'm actually 245 250 pounds and so i'm not the bastion of health myself so one tends to create these types of things to try to improve everything from how you sleep to how you eat and the goal long term is longevity so we want people live longer and there's plenty of things you can do and it seems like drugs like metformin and others like caloric restricted diets for example could potentially have an impact on lifespan in fact there's great books out there from dave sinclair and dave asprey and from peter diamandis and others that talk about kind of the state of the art but the problem with a lot of these books was the exception the last one the one from peter they are written by scientists and not doctors and there's a big gap between what happens in science land and what actually happens in the practical patient care and the things that are fda approved and one of the things that we decided when we set up this clinic was that we wanted it to be a great research hub so we over built it and we have the ability to image people we have the ability to sequence a whole genome we have the ability to verify what's in a supplement so there's a lot of a very expensive and very nice equipment that's going there and after it's done it'll be state of the art for that entire area of wyoming and look a lot like what you'd see at a research hospital or a research lab associated with the university and so the first goal is to try to not only get a handle on the primary care market in gillette but then also start understanding the research that is in anti-aging and regenerative medicine and get a better sense of how these things work for example we built a hyperbaric center and several of the physicians at the clinic are actually learning how to use the hyperbaric center getting a fellowship and then it takes about a year and it's very complicated and potentially dangerous piece of equipment however many people believe that hyperbaric chambers not only help accelerate healing but actually potentially could extend lifespan in addition to some great neurological benefits and there's been numerous studies floating around somewhere around this idea that being exposed to high pressure and high oxygen has some sort of epigenetic expression and over 800 genes that reduce inflammation and promote the release of stem cells so let's do some research and having a state-of-the-art facility means that we're going to have the ability to do everything from full-body mris spec scans on the brain we'll be able to take a look at people's genes and for especially for neurological treatments like long covered and tbis traumatic brain injuries we'll be able to actually do qualitative and quantitative assessments so you can take a look at the executive function the memory of the patient you can take a look at a litany of things and then be able to do studies to compare before and after and they can be the gold standard placebo-controlled double-blind clinical trials easy to do with hyperbarics you just give people normal oxygen and others the regular stuff and the others the actual stuff and you randomize it with a button so it's a slow burn we've been working on it for two years the clinic will probably open before the end of the year we're working real hard to get it out but it's been challenging because we've had to do so much and there's long lead times all these things and lots of regulations to follow and a ton of people to hire i think that full strength will be at least at 35 to 40 and then more to come and then we should be fully operational before the end of next year and actually starting to do research in addition to doing direct primary care and getting deep into the gillette market now long term what i'd like to see is integration of good technology into medicine so i'm a tech entrepreneur and we write software and what's always been amazing to me is that when i look at the state of software and medicine it's pretty deplorable you can dramatically improve things with ai assisted chart review with better techniques to mine data from medical records and the application of blockchain technology in a few key areas especially supply chain and for data privacy and data portability so record privacy and portability so as the clinic evolves and grows the patient population evolves and grows it's going to be real cool and real fun to see if we can find some blockchain and identity applications for that patient population for example be really nice to get every patient connected to a debt and use a tallah prism and it'd be really cool to see if we can enhance communication security so go beyond what hipaa requires using technology and techniques from our industry and also ask how can one do anonymous data mining using some advanced cryptographic techniques on medical records so i didn't want to make this video until we were far enough along as we're going to be opening here in a few months if anyone is in the healthcare business and anyone is interested in the topics of anti-aging or regenerative medicine whether you're a physician or a scientist don't be a stranger we've aggregated a pretty dense network of people and we're gonna follow the same approach that we followed with cardano an evidence-based approach with peer-review foundations and we're going to start in a very practical sense with the patient at the center it'll take years and years and years to see this clinic grow beyond its roots in wyoming and actually extend and hopefully be able to come up with some product lines for anti-aging and rejuvenation but at the very least we can do it together because as we learn you'll learn so every paper we publish it's open to the world and our goal is to make sure that these papers are well read well understood and when we start a lot of them will just be on some basic things like can we show that hyperbaric chambers actually do some interesting and good things and make that beyond a reason of a doubt and then i'm very interested in combining them with stem cell therapies because they seem to be quite synergistic and my hope is then to layer them on top of things like pemf and photobiomodulation as well as direct transcranial electrical stimulation i think these things together along with some some brain games could actually dramatically help people who have had brain injuries if they're done correctly of course these protocols have to be invented and developed we have to check things we'll of course see if we can verify the aviv protocol that's been developed in israel that a lot of people feel is great for anti-aging and that's just one of many things we'll look into we're also going to look into bacteriophages in the microbiome we're going to look into other techniques in tissue engineering so that we can potentially regenerate wounds that people have had and having clean rooms and a compounding pharmacy means that it's not too hard to actually start making exosomes and stem cells as well so these are all on the horizon some will take months some will take years but the longer the short is that it's a lifetime endeavor and so it hopefully will be a good contribution to medicine and hopefully we can improve things at the end of the day the health care system in the united states in particular is pretty bleak right now we spend too much and we get too little patients are treated like numbers like cattle and we seldom get good care even if you're wealthy i am one of the wealthiest men alive i don't run away from that i don't hide that there's not many billionaires running around but even in this status there are times when it's difficult for me personally to get good health care and if i can't get it in my status in my my position i can't imagine how difficult it can be for people who are on the other side of the curve and that's fundamentally unfair so you don't complain about it you don't demand a government program come and save all of us you just simply fix it so the other side of the clinic goes beyond just saying can we come up with ways to make people live longer and have a longer health span meaning they're healthier throughout their age but also can we come up with ways to distribute health care in a more affordable capacity i'm a big believer in concierge and direct primary care and i think there are ways to structure it if you have the right economy of scale with good care teams at much much lower price points than what insurance charges and what people are normally used to so that's another thing we're going to explore and that's one of the reasons why we built the clinic in gillette instead of next to a major population center like new york city or los angeles or denver or chicago we decided to build an area that actually has a high density of poverty an area where many people are coal miners an area where there's a lot of unemployment an area where people aren't doing so well and there are many communities throughout the midwest and frontier throughout the rust belt that are exactly like this that are looking for a bit of hope and a bit of change and so my goal is in addition to great research and having phys phenomenal physicians on staff and great scientists on staff is also to build great care teams and new models of just delivering and distributing health care to people in that area and we'll write it down just like any good clinic does any good researcher does and share our results of how much better did we do relative to the care system that we saw if this model is successful another goal will be then to expand the clinic to many small communities throughout the united states dozens and then eventually hundreds so that just because you happen to live in a small town doesn't mean you shouldn't get the best possible care all things considered also allopathic care at times tends to ignore the lifestyle if you look at things the american college of lifestyle medicine they train physicians to start thinking that maybe just maybe that diet exercise good sleep are foundations that if ignored will result in chronic ailments and will exacerbate what's already there they're not the care for everything but the absence of them is a guarantee that one will need a cure for something so our hope is to also integrate that into the care for the patients as well in addition to the business model innovation of direct primary care and then finally of course being able to bring blockchain technology into the healthcare space this is a try before you buy type of deal it's going to be a long journey and we're going to learn a lot along the way but i would like to see if we can bring the principles of exclusive accountability and transparency in all things to health care somehow some way so i'll periodically every now and then give you guys updates i we're gonna have our opening here in a bit and when we do i'll send a film crew up and we'll record it and you guys can see what the facility looks like in phase one phase two will be completed next year and will be fully operational at that point and there's a lot of people involved in this and it's really a phenomenal experience working with my dad and brother it's something i never thought i'd have a chance to do in medicine because i didn't study medicine and i thought about it but i went a different route in life and i'm glad that i did because i love systems instead of individuals and it's been also very good to work with the team that i have there i had to build kind of silently and subtly a second company all at the same time and i forgot how much work it is as an entrepreneur to get things bootstrapped and to worry about concerns like how to get the sewer line and the fiber optic cables and and these types of things it's a good blast from the past and it's been an enormous labor of love and gillette as i mentioned is a little off the beaten path so it's been a bit difficult getting the staff but actually now we've overcome that and it's getting easier and easier we'll have our website and a lot of the branding and other things operational before the end of the year and then as i mentioned throughout all next year we'll be building and designing and doing things and we even hired a grant writer so we're going to do a lot of great sponsored research as well with the facility so finally if you happen to be in this field wish us well and if you happen to have skill sets in these areas or would like to be part of this in some way do feel free to reach out and more to come so i figured i'd share a little bit of information on that side i tweeted a picture recently about it the internet is so incredibly cynical at times and toxic and i guess just by mentioning that i have more than one company and i do more than one thing in life some people felt i was leaving cardano or somehow distracted certainly not i do a lot every day and to the critics maybe you should consider doing the same thank you all for listening and until next time cheers