Dr. T  00:00

Owners of a direct care practice are more likely to experience higher job satisfaction than the insurance based practice. And it's no wonder why direct care is independent of insurance. Patients pay the doctor directly for their expertise. The doctor gets full autonomy in how they care for patients and how they get paid. They have chosen this path with a love of medicine. This is the direct care way. 

Dr. T  00:24

By listening to this podcast, you may even start to believe that you too can have a successful direct care practice. Come listen with an open mind as I share my personal journey and how I pivoted from an insurance based practice to direct care right in the middle of the pandemic. And the valuable lessons along the way. This podcast may be the very thing you need to revitalize your medical practice. I'm your host, owner of a direct care podiatry practice, Dr. Tea Nguyen.

Dr. T  00:52

Hey there! Welcome to another episode. This one is a special one. It's always a special one on when I get to interview another doctor, I'm going to share with you the conversation I had with Dr. Kristina Janson, she is a podiatrist, a biomechanic expert who has a very niche practice on the other side of the United States. She's on the East Coast, and I'm here in the West Coast. And we got to talk about her practice. And what's so unique about her practice is that she has been in practice for decades, over 30 years. And so she is an example of what's possible when you fully commit into having a direct care practice. Now, her practice is 90%, cash, and 10% insurance based. So it's a hybrid. But she also specializes in crafting custom orthotics, all by hand, she might be the only one in existence. Now, who's doing it this way, it takes her eight hours to create these custom orthotics. And I think this is such a wonderful example of how important it is to create a niche for yourself. So you become the expert at that one thing. And that one thing is what will help you see fewer patients and charge more because that one thing is very special. It's highly specialized, and there's hardly competition for it. Therefore, you can charge a premium price. This was a fun conversation that I had with her that I wanted to share with you. So that you can see what's possible. You know, she's decades out in the practice. And some of us here like myself might just be in our first decade of practice, you know, we are all on our own journeys. And it's really nice to see those on the other side to see what they have accomplished and what it took to get there. So lean into this conversation. I know you're going to enjoy this one as much as I did. Here we go. I have Dr. Kristina Janson with me, and I'm excited to learn about her specialty clinic. I saw that you did and custom made orthotics. Is that correct?

Dr. Kristina Janson  02:55

Yes. Last one left in the United States.

Dr. T  03:00

Incredible. So I'm just scoping out your website, and I'll share it with the listeners go to Kristina Janson dpm.com, to learn more about her. And Dr. Janson, tell me a little bit about your style, your practice how you came to practice with a predominantly cash practice and what where are you at now in your practice?

Dr. Kristina Janson  03:24

Well, pretty much the same place I was 30 years ago, 30 years ago, I was I had done a surgical residency. And I was doing by in surgery. But at the same time, I was working for an older doctor just for some extra money learning how to make orthotics with him. He had terrible arthritis. So it was easier for him to have me help him. But insurance even back in those days didn't really pay for orthotics. So I somehow just never got into any insurance networks. And I did brilliant surgery and people paid me for cash. And this is in the early 90s. So it was tremendously unheard of for someone to do cash bunions and be completely out of insurance and doing orthotics because, you know, surgery was the money not orthotics. So you know, when my colleagues talk to me at conferences and whatnot, they would just laugh at me you know, that's crazy. Why would you spend eight hours making an advance but here we are designed the same but what has changed is the nature of health care and insurance. I just met with a podiatrist yesterday and he treats 50 to 60 patients a day and he gets paid for bunion surgery and insurance $350 for hardware in our surgery with assistants and nurses and

Dr. T  04:52

I know it so you and I know that struggle of insurance but you know in in my training I don't know how far off our training is. I mean, I graduated in 2014, from residency and all of my three years of surgical training, everyone said, You cannot practice medicine without being contracted with insurance, because that's how you get paid. So I was never introduced to the idea of a cash practice. And now that I'm in direct care, a lot of people are saying, well, this is what it used to be like before the insurance this took over. And I don't know if that was in last 20 years or so where they just kind of have a vise grip on what doctors can do and what they're getting reimbursed. And so I wanted to talk about you said initially when you opened your practice that you weren't really contracted with insurance anyway, is that right?

Dr. Kristina Janson  05:46

Yeah, correct. And I just remembered something. I was given a lecture by a doctor and his name was Myron boxer. And he spoke to all the podiatry surgical residents in a little talk in the break room, he said, Don't go into any insurance plans, and boy did we yell at him, he was an older guy, and not even be alive anymore. He was very well known podiatrist, though. So we all we yell at him, you have to take insurance Dr. Boxer here from the old days when you could take cash. And then I went home, and I was the one yelling the most about, you have to take insurance. But somehow that really changed me and I was a resident. So I didn't I wasn't in my own practice yet. But I just was sort of just very, you know, brainwashed, almost by that talk you gave and I never, I never signed up with any insurance companies.

Dr. T  06:37

That's really great. Just to have that introduction of that one crazy person, which is now me, who says the same thing Historically, it's been, it's been said over and over again. And I owe the older generations have said that in the past two, we're letting go of our autonomy. So why do you think this generation now is afraid to let go of insurance contracts?

Dr. Kristina Janson  06:59

I really can't blame them. Because it's an easy road, to have the phone ringing and ringing and ringing with new patients who are asking you to take my insurance? Yes. And then they come in, and they're not paying for anything. So you're gonna you want to have this? Yeah, I guess. So. You want to have orthotics? You don't have to pay for them? Yeah, why not? You know, you don't have to sell anything. And the phone is ringing. So you don't have to try to get new patients. So you know, who could blame a podiatrist for going with these insurance plans, you know, where the cost goes up, and the reimbursements go down. The profit is, the only way to get the profit is to do volume practice. So you're treating 5060 People with Ng, so you're not having very much fun, but at least you know, you, you know, and you could do it this way. And our way is not easy. You have to be very brave. Started, I'll give you a little analogy. I thought when I started, like I opened, I paid my first friend. I had this feeling this image in my head that I was an airplane and old airplane, and I pushed the plane off a cliff. And then as the plane is falling down the cliff, then I start the engine. And I hope that the plane starts taking off before I hit the ground. And that was me opening my practice, Cath practice 30 years ago.

Dr. T  08:20

Oh, my gosh, I know that feeling.

Dr. Kristina Janson  08:21

Very brave to do it.

Dr. T  08:24

Do you think in your opinion, that the security or the comfort of the insurance practices is actually blunting the physicians entrepreneurship skills? Like we don't know how to sell any more? We don't know our own value?

Dr. Kristina Janson  08:39

Yeah, yes, definitely prevents any need for selling anything or convincing. You say, I would like to do this, and it's pretty, how about this? Okay. So, salesman should know entrepreneur, you're not even really thinking, what is the best thing for the patient? You don't care? What's the best thing for the guy? That's true? What I provide what's covered what is free? You know, we're gonna go with

Dr. T  09:03

that. Yeah, I want to emphasize what you said, we don't think when we're in the insurance based practice, because number one, we're terribly busy. You're working, you're working one patient in and out, in and out. Secondly, you don't have energy to think and third patients just fight you when something's not covered by insurance and who has the energy to keep fighting day after day?

Dr. Kristina Janson  09:25

Yeah. You have such a limited time with the patient. I sent to my own doctor, once I said that, have you ever talked about and here's my own personal physician, and I asked her I said, Dr. Dave, we talked about like healthy diets with patients. And she said she's polish and she said, No, I don't get paid to argue with people. Because in one year zip right out the other year, I don't get paid for that. So I don't want to argue right? I don't tell

Dr. T  09:50

I'm talking about dying. Oh my gosh, that is so true. We don't get paid to argue.

Dr. Kristina Janson  09:54

No, no, no education. No, you know, preventative medicine there. Here's your prescription For, you know, your statin drug get out. All right,

Dr. T  10:02

I need to emphasize is we don't get paid to argue with the patients who want stuff for free. It, we may want the best for them. That's not what they want when they're used to not paying for things. And that's a problem. And that's why you we have a very challenging time with adherence to our medical treatment because a it's not covered, it probably isn't good as the assumption right, or they just don't want to pay. So let's talk about the design of your practice. You said that you are contracted with Medicare A small percentage and 90% Cash, is that right?

Dr. Kristina Janson  10:33

Yeah. And because I'm one of the only podiatrists in the United States that makes orthotics by hand, I do get a lot of Medicare patients, but our products are not covered by Medicare. So I do have a tiny routine foot care Medicare practice, but it's just for fun, because you know, then I don't have to think they're my patients for like 20 years or so they say, kids, you know, the, I do have a little mini practice, you know, maybe like 20 patients of that, but most But mostly what I do is patients that come in with crotch near their most miserable patients with the biggest problems, they've seen three doctors, four or five doctors, they come in and crutches can walkers, canes, you know, they can't walk on like the end of the road and work, you've tried the free Road, it didn't work, you're still in pain, you can't walk, you're 29 years old, you haven't walked in seven years. You know, that's a typical patient,

Dr. T  11:25

how do you market yourself

Dr. Kristina Janson  11:27

in the past, I only marketed myself through word of mouth. And because it takes me a long time to make one pair of orthotics about eight hours, seven or eight hours, I can only handle a few patients a week. So I used to say the magic seven providers, I would let those doctors send me patients. And that was it because that was all I could handle. But the problem is, is that the referring providers, practices have fallen apart, they don't spend any time with the patients. So there is no time for them to find out that the patient has a foot or ankle problem. You know, the patient has serious heart disease and is going to die and they just don't, they don't have time to, to, you know, get to the other, you know, aspects of the patient's health care. So the referral network fell away. And then so lately, I've been much more involved in social media. So I would say get maybe 20% of patients from social media and 80% from professional referrals or patient referral,

Dr. T  12:29

were in social media or you I have

Dr. Kristina Janson  12:31

a Facebook site, YouTube channel, Instagram account and Google My Business and, you know, or Twitter, my husband's in the background. I don't even know if Nick handles my husband handles this social media stuff. Wow.

Dr. T  12:49

So you're actively engaging in new ways of marketing, even though you've been in practice for over 30 years,

Dr. Kristina Janson  12:56

yes, because if you are a direct paid provider, you will cure patients quickly. So this is bad for business, you know, visits and they're happy and they don't, they can walk and they're there, you know, and they spend really not much money, you know, the the co pays and deductibles in network can be much more expensive than going to a direct pay provider. Because the money the cash that you're weighing out on the table is so valuable, that the provider really has an incentive, you know, a passionate incentive to get the patient better. So the patient gets better quickly, and the patient is gone. So now you need more patients, you know, so your need for new, direct a practice is greater because you you know, you're you're helping people, you know, they don't just keep coming once a month forever. You know, I've had patients who said, Oh, they went to the neurologist, Oh, great. Well, what was the diagnosis? I don't know. What what's the plan? Oh, to come back every month to do what? I don't know, you know, you're in network, you just go back once a month, you know, forever. So you don't need any new patients. You just keep going back. But with the direct provider, you know, they will actually cure you. You don't have to go back.

Dr. T  14:15

That is a really bad marketing slogan, we will cure you.

Dr. Kristina Janson  14:20

For business, it's great for the patient and provider, I will say very honestly that there is nothing more satisfying than not money. Money is not satisfying, but there's nothing more satisfying than me and the patient skipping down the hallway in their in their, you know, nice shoes, they're walking in, they're happy and we give a hug to each other and we say goodbye in the patient, you know, and the patient will stop buying like a month later, just to give me a hug. You know, there's more satisfying than that. There's no money that's that satisfying. Oh, I

Dr. T  14:57

know I work with the older population. And then every time they die, I get really upset. And I'm just like, What am I going to do now? You know, we've had such a long standing relationship. Yeah. And they just go up and leave me like it's just as devastating, you know, when you cure somebody or if they die. Unfortunately, you

Dr. Kristina Janson  15:20

have a very, you know, a very good relationship with somebody when they're pain because you have such an appreciation for the effort that they're putting into it. So you reciprocate, reciprocate with your tremendous effort and the patient's you know, the very appreciative to that.

Dr. T  15:38

Do you see other things? You know, you focus a lot on orthotics, do you do procedures or surgery anymore?

Dr. Kristina Janson  15:46

Well, I you know, I don't do any surgery anymore. I get I started out doing only amputations. And then I did only bunion surgery. And now I don't do any of those surgeries. I do AlphaGraphics injections or like olan Neva injections, or Wharton's jelly injections for people have wounds in their foot. So make orthotics and do alligretto injections to help them heal up really quickly. So do those procedures in the office. And I also have pain management modalities in the office, laser and other other things, 10s units and whatnot. You know, so I'll make orthotics, say someone has really chronic Achilles tendinitis, so I'll make them orthotics, but also going to put them on like a six week physical therapy plan, you know, and bandaging probably taping them, or 

Dr. T  16:37

what what is your most profitable service,

Dr. Kristina Janson  16:40

probably, believe it or not, it's not making orthotics, it is not because it is expensive to make orthotics, it takes me eight hours. So I could see patients in those eight hours, I can see, you know, 10 or 20 patients in that time. So it's really not making robotics, it's actually a once every once a year, or once every six months, if the patient has a bad foot, follow up appointments, because that's a 20 or 30 minute visit. And I actually make more money on follow ups. So I but that's good for the patient, because I make the event expire to last as long as possible. And, you know, I, I adjust the orthotic, I tweak it, you know, I watch the patient walk in, you know, make sure everything looks good. And then the patient leaves and they feel even a little better, you know, the patient very happy, you know, they don't need new orthotics. So actually adjusting about it, 

Dr. T  17:35

how long do a pair of orthotics last?

Dr. Kristina Janson  17:38

Probably eight years, I would say my orthotics, eight 910. I mean, once in a while I'll see a 15 year old Evonik, I just saw one from a guy from Germany, they will and we neither me or the patient could figure out like how old they were over there they were so we couldn't remember. So they last a long time. But usually people get new ones in year four, or five, because they want to get a second pair and keep collecting them. So the new parents going to be a little bit better, a little fluffier, little spongier. But they don't throw any of that exam, they just keep every four years or something that new ones and collect them. So I treat patients for 2030 years. So they're on there, like this pair of robotics, you know, over over 30 years

Dr. T  18:18

do you feed change with age significantly to get a new pair of orthotics,

Dr. Kristina Janson  18:23

anything that didn't even not, it's not just a child, I treat a lot of children, but you know, everyone's been changed over, you know, three or four years ago, pretty different. But I can melt your thoughts, I use thermo moldable materials that I can, you know, mold with. So I can adjust the shape of the orthotic. But after four or five years, I really need a new prescription. It's not the theory that it's more now but it's not fitting green. So those we don't throw them out though, we just put those in, you know, the mud boots or the slipper

Dr. T  18:51

orthotics. I have a love hate relationship with because in some people, they love it. And some people they hate it, I had a patient cry because I recommended orthotics and she said I have to wear this forever. And so what are your thoughts about people who don't love the idea of orthotics? Do you believe that someday people can transition out of them?

Dr. Kristina Janson  19:13

I think that's true, but I usually don't see those patients, you know, patients with mild problems or moderate problems, like say you had a flexor plate tear that would heal, you'd were there about a year and it would feel and then you don't need them anymore. But I never get those people I you know, I always get the worst case. You know, they're they've had a lot of orthotics and but but once in a while and I did this we get a patient who had never had orthotics before. And she had, she had had five or six foot surgeries. So her feet were very deformed, but she'd never had orthotics before because she was worried about wearing ugly shoes with your thoughts. So what I what I usually do is make sort of make a deal with the patient, you know, like make two pairs of probiotics and I say one for me and one for you. You know and it's a really Again, because they're gonna, they're gonna love the one for me with the ugly shoes, they're gonna walk around in that and be feeling great. And then they'll get a small pair dressy pair and put them in there, you know, goofy little silly, pretty shoes, and they're not gonna, they're gonna feel better than they would without the orthotics but not as good as the ones and the ugly foods. So it's kind of a rigged game. You know, I said, Look, allow me to parents,

Dr. T  20:21

what has been a huge misconception about your practice? Would you say that you want to dispel

Dr. Kristina Janson  20:27

the only time I really get in trouble with patients is the misconception is that I am an idealist. So I tell the patient what to do to solve their problem. And then it can happen that the patient goes back and they have not been compliant. You know, they didn't listen to me, they don't have the right shoes, you know, they, they put on high heeled shoes, and they come back. And you know, the foots all messed up again. So I get very frustrated with that. And I always have to correct myself, you know, this is the real world. It's been happening, people have to dress up. And you know, I think misconception is, you know, that, you know, like little dressy fashion shoes, you can get a good result. I think that's the biggest misconception. Were pretty shoes could be biomechanically wonderful. And that's just false. So that's a big myth. 

Dr. T  21:18

You know, I'm so fresh. In the progression of my practice, everything is like fresh to me. All of the objections, all the arguments about insurance, like all this is remains fresh. Yeah, and you've had decades of experience. And I imagine you're and plus you're from the East Coast, so your skin is probably really thick at this point. But how do you deal with patients who declined paying out of pocket? Or do you even get those people in your office?

Dr. Kristina Janson  21:48

Well, I don't give any discounts and I'm not cheap. But I'll have you know, the people who are struggling with money will be the first to come up with some way to pay for it. You know, and they understand that my heart is in it. I'm gonna work really hard. You know, I'm using very expensive materials. I have, you know, a big real estate budget here, you know, so they know I'm, you know, I got skin in the game. So I don't really have problems with people paying, they're usually referred by a friend or a doctor and the doctor will say, this is some this is a weird podiatrists, you know, you just have to go there with it, whatever she says, you know, so they're coming in pretty impressed, you know, just pay her whatever she wants, and she will fix you. You know, you already been to 10 doctors for three years, you know, let's get it done. Now. Let's go to her and do whatever she says. So the pretty prep when they come to me, because these people are pitiful, you know, they, you know, they've wasted a lot of time, and they have suffered, and they have pain.

Dr. T  22:49

So you have a really strong referral market who has already prepped the patient for you. 

Dr. Kristina Janson  22:54

Yes.  yeah

Dr. T  22:55

that is, that is a great strategy. I have to say,

Dr. Kristina Janson  23:00

the benefit of time, you know, like, if we're ever slow, you can just like pull out like five years ago, hey, it wasn't coming.

Dr. T  23:06

When you started your practice. How long did it take you to feel comfortable to sustain the business profitably, which you say, well, in

Dr. Kristina Janson  23:13

the beginning, I was still doing a little bit of bunion surgery and stuff. I was doing surgery. And really, what happened was that when Obamacare was coming, you know, Affordable Care Act, that radically changed the insurance market, so people would pay me and then they would submit a super bill, which is a bill to the insurance to get reimbursement, they suddenly were no longer getting a reimbursement for paying me. So my business really dropped off terribly. And this would be I would say, like, 2015 2020 12 through 2015. It was a huge drop in business. So I went from being frantically frantically. Like I said, the super seven providers, I wouldn't let anyone refer me page, I was way too busy. So went from that, to actually needing to go to the providers and say, Hey, remember me. So you know, it's been a big transition for me that I actually have to go and, you know, talk to the providers and send reports and, you know, make sure they keep sending patients.

Dr. T  24:19

I really love being able to talk to somebody who's been doing direct care for so long, because you're kind of the future of what's possible for many of us. So now that you're here or where you're at with your practice, you're satisfied, your buckets are full. What do you wish you could say to yourself to the younger version of yourself? Were there some mistakes you've made? Would there be some motivating words you'd say about the process of having your business?

Dr. Kristina Janson  24:46

Well, it was a terrible, terribly painful psychological strain when the business dropped off in 2012. And it was very painful. financially just to be incredibly busy, and then go to so few patients in a day. And I had to rebuild my practice after that. So that's the person that we'd like to talk to is that poor poor Christina, who went through that that was so devastating. And just to say, no, not just kind of be flexible, and go with the times and change what you're doing changer, you know, strategy. So that's what I'm going to change my strategy, and it really worked. And now I'm in a good place again.

Dr. T  25:34

So you feel like direct care is sustainable?

Dr. Kristina Janson  25:37

Yeah, yes, yes, as long as you have a good marketing strategy, and you realize, what took me years to realize, which is, you need a need to really work and spend quite a bit of your time I would say, maybe 10% of your time, working on developing a referral base for your practice. And I call that what I use is something I made it up myself, I call it the nurture project. And it's a list of 100 providers. And they could be you know, like, physical therapist, designers, any kind of doctor or healthcare, you know, nutritionist, psychiatrist, exactly a lot of psychiatrists on the list. I call it the nurture program. And of course, obviously, the initials are NP because you're trying to get BNP. So you have to work on that. And I recommend, you know, 10% of your work time should be spent on your nurture list. You call people you write letters to people, and you certainly should visit one or two people a week. You should put your face in their face and I know dockets for 35 years. I don't care. I bring a plate of arugula, which is Jewish cookies to the doctor and I say here's a plate of arugula. Oh, this isn't on my diet. And he's clutches it when a football was the Tom Brady running with this frugal to hide it from the girls, you know? Just you know, what's your

Dr. T  27:10

diet? That's so we we talked about visiting them ruining their diets? Perfect. That is a great marketing plan.

Dr. Kristina Janson  27:20

That's what I came up with on my own the nurture program, I call it or the nurturer. But it's NP you got to work on the MPs you need as a direct pay provider, you need more MPs than an insurance based practice.

Dr. T  27:34

Because we heal people so fast, we also have to bring them quickly in as well. To replenish Yeah,

Dr. Kristina Janson  27:42

yes. And you have to work on you have to have a strategy for that, that doesn't come automatically, you have to work on that.

Dr. T  27:48

What would you say to the doctor who's on the fence about either pivoting out of their insurance and into direct care or just going straight into direct care? What would you say to that person who's just kind of weary or skeptical about direct care,

Dr. Kristina Janson  28:02

my strong advice is as quickly as possible, get out of those low paying insurance programs get out of them. Because I was working for the city, I was a staff physician, and there, they took ghci and I was paid by the hour, so I wasn't getting paid by the insurance company. But we were seeing three or four patients an hour, and we saw the total payment in the day. And it came out to something like $300, for seeing all of these patients all day long, you know, you can't afford to spend a day making that much money, you'll have to get rid of those and drink coffee and you make more money, drinking a cup of coffee, reading the newspaper, then paying for all those supplies and workers and you know, so cancel that GH I can get out of that 1199 or whatever your local, you know, crummy insurances, you know, stop taking that insurance right now. And you can keep your better insurance in the beginning. So be a hybrid kind of practice in the beginning. And then little by little, and you can get out of it, but you don't you can't do it all in once because you have too many bills and staff and whatever, you got so many rooms, you know, to pay for real estate and everything. So but number one, get out of those, you know, by debtless Medicaid, you know, don't take that that's terrible, you know, those that's for a clinic, that's that's in the hospital, where kids are learning and treating the patients and learning and working with the attending. That's where those patients should be, you know, whether it's an educational situation and the patient is handled very nicely, and the hospital pays all the bills, you know, and it's not a private practice, though, that those patients belong in that you know, in an institutionalized setting, because they're gonna get very good care, you know, and the doctor is paid on a salary so they're, they're gonna give good care and then when you're really on your own, just more fat of those bad Add no insurances.

Dr. T  30:01

Is there anything else you would like to share with the listeners about your practice or direct care?

Dr. Kristina Janson  30:07

No, my practice is so weird, so nobody's gonna care about it. But I would say, to the regular podiatrist, that as you go to direct pain, you know, and try to do it over, say, a two or three year period, and as you do it, you're going to learn something about your life, which is life is so valuable, and your time is, is your most valuable asset. And what you want to go to work, you know, you don't want to go to work because you have to, you have to pay all those bills, you want to go to work, because you want some form of personal satisfaction. You know, that is part of a rich and rewarding life. Because your life is very short. You don't want to go in and see 50 patients an hour, you know, at the end of the day, you write a list and tell me the names of the people you just saw. You can't do it, you don't remember who they are. That's just no way to live. Who cares about the career or the job or anything, your your life is short, you better enjoy it. You better go to work and skip and whistle on behalf can't wait to get to work. You know, I say t g i t. And you know what that means? T G it? Yeah, it means thank God, it's Tuesday, because that's my first day of the week in the office. So I always say at TGI T, thank God, it's Tuesday, because I'm going to work I can't wait. I can't wait to help people, you know, and that's the way to live your life is to be really enjoying your work. So and that's what direct pay is. It's a you really enjoy it. Because the patient is putting their skin in the game. You're putting your skin in the game, and the two of you working together like partners. That's how the patient gets better. Very satisfying.

Dr. T  31:41

Do you have employees,

Dr. Kristina Janson  31:43

I've run a bare bones practice. So it's me and my husband, my husband is the laser technicians and works like a medical technician or MA. And then we have an office manager and her name is Joy. And we joke to the patients that we say that's not her real name. We just call her that because she is a joy. It's like a prank because then they go up and ask her what's your real name, but her real name? Is?

Dr. T  32:05

She good name? Yeah. Well, wonderful. If people want to learn more about you, how can they find you, Dr. Janson? Well, they can

Dr. Kristina Janson  32:13

go on my YouTube channel and my YouTube channel is my way to perpetually nag people and convince them to live a healthier life. And I my fantasy is that I'm helping someone in some country far, far away. You know, and they learned something by watching my YouTube channel and you know, and learn something and I'm putting it out there in the universe. You know, it's my way to give back. And so my fantasy is that I'm helping lots and lots of people that I don't know, so they can go onto my YouTube channel. And I have wellness tips, nutritional tips, exercise tips. This weekend, we're making a video. It's osteoporosis to point out, because osteoporosis one point now, nobody did those exercises. They were too boring. So this week, weekend, we're making a video where I'm going to teach the patients how to do osteoporosis exercises that are fun. So all it is it's a weighted vest, and gloves on the hands. And then you just you know, you can just stand so it's something really fun.

Dr. T  33:12

I appreciate your time so much, Dr. Jansen, I'll put the link down in the show notes where they can find you. You do have a huge service heart. And I can just tell with the 30 minutes that we're together. So I appreciate you Dr. Jansen, thank you so much for being with me. 

Dr. Kristina Janson  33:28

Thank you for the time.

Dr. T  33:29

You're welcome. I'll catch you next week. Take care. Thank you so much for being here with me. If you enjoyed this episode and want to hear more, please like, share and subscribe. So more people like you can have access to another way of practicing medicine, that direct care way. Let's connect find my info in the show notes and send me your questions. That might be the topic for future episodes. 

Dr. T  33:52

And lastly, if you remember nothing else, remember this be the energy you want to attract. See you next time