You know, what I'd like to share with you today is four things that doctors and patients need if we're going to fix healthcare. Now, this is a five part series. There's this introduction to what we're going to talk about. And then I'm gonna go into these four areas in some detail. Now these four things are absolutely going to be critical if we want to fix healthcare. And really the best way to look at it is that the genesis the real core of what we need to do to fix healthcare, is to reestablish the competency of the amazing relationships that doctors have with their patients. Not just friendly relationships, but thoughtful relationships where doctors can understand their patients, not as a diagnostic node, but from the perspective of ethnography.

Understanding them at the core of who they are, how they live, what are the psychological and mental health issues? What is their economic situation? What are the other cause factors that impact their ability to comply with wellness and health, and to really do a better job of managing their diseases in the case of disease management. We really have to realize that there is four things that have to happen to reestablish the relationship between the doctor and the patient. Now, this is going to sound shocking, and some people may already know this, but to me it's really shocking is that as a management consultant that works across the entire healthcare ecosystem, I can tell you that there is a new body of work right now that is called patient throughput or patient flow. Now, believe it or not, these methodologies are actually using the systems that they use in restaurants drive through restaurants, you know, In and Out Burger, McDonald's, name your restaurant to get customers through quickly. So we're actually McDonaldizing, literally, the way in which we get patients through a clinic.

So the goal with these new systems is give the patient and the doctor the least amount of time so that we can see the most amount of patients. Now at some level, you would say, wow, that's great. We want to see lots of patients. But what it does is it creates the prescription default mechanism. You come in you got a chronic disease, the chronic disease could be solved your weight loss and through lifestyle, management but you don't have time to have that discussion. So you write a prescription. That is happening as we speak in 10s of thousands of clinics around the country. That's unfortunate. So in this series, I'm going to talk about the need to reestablish time. The old fashioned commodity of time is critical to reestablishing the relationship between the doctor and the patient. Now, here's the other problem, and it's really, really big. And again, in this five part series, I'll go into it in much more detail.

Doctors need more data. You know, oftentimes, a patient will come into a clinic and they'll look in their ear with an otoscope. They'll listen to their chest for obvious acoustic reads on hearts and respiratory functions. They'll get a blood pressure and they'll get body temperature. That's not a lot of information. And we already know that things like blood pressure is impacted by what we call the white coat syndrome where patients are nervous, their blood pressure goes up. So is it a psychological impact onto their blood pressure or is it a physiological impact? So one of the biggest problems that patients and doctors have is that during that relationship during that dialogue, there's not nearly enough data. We're going to talk in this series about how we fix that. The other issue is resources. Now resources really have two components to them. One part of the resources is tools. The other part of the resource is training. So from a tools perspective, doctors need easy to explain and deploy resources primarily in the areas of mental health, weight loss, stress, stress management, they have very few tools.