WEBVTT

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Welcome to the Innovation Conversation, a podcast

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about innovators, both in business and real life.

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Hosted by myself, Ricardo Rescual and Harry McCona.

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This podcast is also sponsored by ODEV Tech.

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ODEV Tech is your premier software development

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partner. Make sure you check them out at odev

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.tech. The podcast is also sponsored by Notion

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.so. Notion is offering six months for free for

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new users. Make sure you check out our website,

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thestoreofevents .co .uk to read in the software.

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Hi, and welcome to another episode of The Innovation

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Conversation. Today we are joined by Tyler Gordon.

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Tyler, welcome to the show. Hey, thank you so

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much Ricardo. Pleasure having you here, Tyler.

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Tyler, would you like to introduce yourself a

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bit to the audience, please? Yeah, sure. Well,

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my name is Tyler Gordon. I'm originally from

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South Florida, but I've been living in Portugal

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for about four and a half years now. And I would

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say I'm a bit of a serial entrepreneur. I built

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a few successful businesses and consultancies

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and currently building some interesting things

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here in Portugal. Interesting. Okay, so there's

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a lot to unravel here. Obviously, I'm biased

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because you're in my hometown. So I'm going to

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ask you a lot of questions about the move to

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Portugal, which for me is quite fascinating.

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But I guess the first one, can you tell us a

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bit more like all the companies you got started

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and how did you end up in Portugal? How did that

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journey went? Yeah, yeah. I mean, since I was

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in middle school and high school, my buddies

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and I were selling websites. I guess my first

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big business that I built was in my 20s, we built

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a real estate technology business that built

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scheduling messaging tools for real estate agents

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called Agent Inbox. We ended up scaling it to

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about 10 % of the US, raising some money and

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exiting the business. I'm also the chief operating

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officer of a consulting business called Big Binary.

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So we're a high -end software development agency

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and we have about 200 engineers and employees.

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And we build software for Angelus, Major League

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Baseball. We've had four startups that we've

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built that have been sold. I actually hired them

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back in 2013 to build my first startup. That's

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how I got connected with them. And just building

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some other organizations here in Portugal besides

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Tejamed. One's a intergenerational housing charity.

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We're matching older Portuguese people that live

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alone with people that need affordable housing.

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Okay, interesting. So how did it happen? Because

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everyone I talk to in Europe always wants to

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go to the States, but you actually move the other

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way back or the other way. I mean the other way

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around. So how did it happen? Yeah, so I've been

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working remotely since 2013. And so my last business

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in the US, you know, I could be remote, but I

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had to go to a lot of meetings and in person

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things. And it was always a dream of mine to

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live abroad and to spend time in different countries.

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And so after the agent inbox company, I sold

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my things and moved into my backpack and was

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traveling for about two years working in helping

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run that consulting business. And I arrived here

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January 2020. Good timing. I had no intentions.

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Perfect timing. I honestly didn't know much about

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Portugal at the time. I had a bunch of Portuguese

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friends from the Bay area, but that's about it.

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And I liked it. So I extended one month and two

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months and three months. And then the pandemic

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happened and now I live here. Yeah, I feel like

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living in Portugal as an American really is.

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In the United States, I feel like people's identities

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are tied to their work, where I feel like people

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here in Europe. Work doesn't necessarily come

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first and you can have relationships with people

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for a very long time where nobody ever talks

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about work and of my American entrepreneur, entrepreneurial

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spirit being this type of community. Yeah, that

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is actually, it's very true. I think at least

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especially in Portugal, we tend not to ask what

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people do for a living. We just take them for,

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oh, they're here. What's your name? Okay, we'll

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deal with you as an individual, not so much show

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your job title because Unless you're a doctor,

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which can always use a doctor, right? Then people

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really don't care, I think. Yeah, yeah, yeah.

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I think it's really... I think there's a balance

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that I like halfway between the two, where work

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does not come first in life, but also as people

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that like building things. I mean, it's just

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our passion and there's really nothing I'd rather

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do most of the time than just create interesting

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things. Did you find it like when you launched

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your company here, so... Actually, tell us a

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bit more about what you do right now with a company

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in Portugal. Yes. So we're building Portugal's

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first concierge doctor's clinic. Concierge medicine

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has been around the United States at this point

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for 20 years and some very, very large companies

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in this space. And the idea behind concierge

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medicine is you pay a membership fee that allows

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a doctor to see less patients and provide you

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with personalized care. So most care at this

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point is If today is something's broke, you go

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to the doctor and they fix it. For concierge,

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medicine is really focused on trying to prevent

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things from breaking early on. And more practical

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standpoint would be both here and in the United

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States, if you want to see a GP or if you have

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a medicine doctor that you like, oftentimes it

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takes a while to get in. If you get there, the

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doctor is super late. You have a 15 -minute appointment

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that's super rushed. The doctor doesn't even

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know your name. They focus on giving drugs and

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treating symptoms. And it's not the doctor's

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fault either. I mean, the system, when doctors

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are paid per volume of patients they see, they

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end up seeing about 2 ,000 or 3 ,000 patients

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per year. And just that's what they have to do.

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With our business, Concierge Medicine, as I said,

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you have a membership fee. So the doctor sees

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less patients. In our clinic, it's instead of

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2 ,000 or 3 ,000 patients per doctor, it's under

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500. And you have a relationship with one doctor

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who knows you inside and out. For example, your

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first appointment is over an hour and a half

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long. They get to know you. They do a comprehensive

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physical. They run all these tests focused on

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prevention and longevity. You can make same or

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next day appointments in our clinic. They're

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30 minutes to an hour, and they start on time.

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The doctor gives you their cell phones. You can

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call, email, text any time. And you just have

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someone that like, is there for you, whatever

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you need. They're proactively working with you

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to make sure you're healthy. And how did you

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come up with the idea? So being here four and

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a half years in Portugal, I'm a human. I have

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medical issues sometimes. And like, yeah, I was

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just dealing with some things and getting a bit

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frustrated with the lack of attention I was getting

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from doctors. Sometimes after the appointment,

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you know, follow up questions or if you're taking

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any medicine, the doctor, you need to follow

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up with the doctor. I was just not able to go

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through this process in a way that I found acceptable.

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I was complaining to my parents and my parents

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were like, Tyler, you're a professional. Why

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don't you get a concierge doctor? You know, we

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both have concierge doctors here in Florida.

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You should get one. And I'm like, yeah, of course.

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That sounds great. I'm going to sign up immediately.

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And I started researching concierge medicine

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here and I couldn't find anybody doing it. And

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after that I was like, okay, well, you know,

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I learned a bit about the business model. I really

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became very fascinated by the incentive model

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of the business as well. And we decided to launch

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one here in Portugal. And we're really, it's

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going great at this point. Nice. Did you, you

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know, comparing with the companies you launched

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in the US, how hard was it to actually launch

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a company in Portugal? It's been difficult to

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build a business here. There's a lot of bureaucracy.

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Service providers tend to move a bit slower,

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less of a pressing priority for a lot of things.

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So yeah, I mean in the US, You can incorporate

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a business in 15 minutes on the internet and

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open up a bank account shortly afterwards. Where

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in Portugal, there's just a lot more details

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that need to be addressed through the entire

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process. I know the Portuguese government is

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spending a lot of time and effort right now trying

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to simplify a lot of these things, and I expect

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that to be how things continue, but it's a bit

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more challenging than my previous experiences.

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Interesting. You know, in terms of investment

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and finding investment, was that something you

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did for your business right now or you're self

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-funding the business? Yeah, so previous businesses,

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we've raised financing, millions of dollars and

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going into this business, we were very deliberate

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about picking a business that would be cash flow

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positive early on, that didn't require a ton

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of capital, that could grow as large as we want

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it to be. So for example, if we want to keep

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it a small business, It could be a profitable,

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healthy business where we take care of everybody.

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But at the same time, if we just want to keep

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growing or if we start growing quickly and we

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want to raise money, we can. So at this point,

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we are self -financed through our other ventures.

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And we're not opposed to taking money on. I mean,

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it's not a bad thing. A few of us on the team

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invest in other businesses, but we just want

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the optionality and also the ability to control,

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have a tightly held business at this point. Interesting

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and you know, what are your plans for the future

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for the business? Yeah, I mean right now the

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focus is just building a healthy business I mean,

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it's not not only is it a business that's focused

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on health, but we want a business where we pay

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people really well Where people obviously the

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first two years of a startup you have to bust

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your butt really make things happen, but We want

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a business where we can respect people's lifestyles

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And we're not building a lifestyle business.

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I heard a expression recently which was a dividend

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business. So lifestyle business is like the small

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one where you just kind of relax and you work

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a couple hours a day. Everyone's trying to go

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after these unicorn businesses where you need

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to exit for hundreds of millions of dollars for

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your investors to even be happy. Where a dividend

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business is a business that can grow at its own

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pace. It pays all the principles. People evolve

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very well. You know, our target is to grow across

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all of Portugal. We know we can have a very healthy,

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profitable business where we take care of our

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employees and our patients and doctors. But if

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we want to keep growing, hopefully we will have

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the option at that point. Nice. It seems like

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the future is bright. I mean, what feedback are

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you getting from both doctors and actual people

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using the service? Yeah. So on the doctor side,

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I mean, at the end of the day, we are in the

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business of having happy doctors. We have happy

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doctors. The doctors will do an amazing job at

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taking care of the patients. And so right now,

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most doctors, when you hear about it, it's not

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just in Portugal. Doctors are overworked. They

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have too many patients. And so with the concierge

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model, I guess there's two major innovations.

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One is that the doctors, instead of running and

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rushing through the day, they can walk through

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their day. On busy days, they're still focused

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on patient care all the time. But they actually

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get a chance to be doctors and spend time with

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patients and get to know them and get to know

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their life story and their history and have this

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relationship. And most doctors went to med school

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not to make a lot of money. They went to med

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school to take care of people. And so the doctors

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absolutely love this model as well because they

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get to do what they're really passionate about.

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And then also with the doctors, we split the

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subscription revenue with the doctors. So the

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doctors incentives, so it's not a fee per service.

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Most doctors right now get paid based on the

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volume of patients they see, where in concierge

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medicine, because there's this rev share component,

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the doctors are incentivized to keep patients

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happy and healthy. So there's this like really

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nice blend between the two. And then on the patient

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side, I mean, we've been told Pretty much every

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single patient we've had has told us it's the

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best health care experience They've ever had

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in Portugal that they've never had a doctor spend

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as much time with them They care about them and

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the whole system of being able to just chat and

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text with the doctor after the appointments and

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make quick appointments it's just a breath of

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fresh air that allows people to really Go deep

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and have that have those things that kind of

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been bugging them for a long time addressed in

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an iterative fashion that Listen to trust. Makes

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sense because so many times I remember going

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to the doctor and then being prescribed something

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and then not being able to give feedback on that

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prescription because this is it. This is the

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final word that you always need to follow the

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doctor's instructions, but actually they might

00:12:58.350 --> 00:13:01.230
not be right. So you might need to get some feedback

00:13:01.230 --> 00:13:02.570
and actually go back to the doctor. Hey, can

00:13:02.570 --> 00:13:04.610
we change this? Can we adapt that? But then that's

00:13:04.610 --> 00:13:06.450
another point we need to book and then you need

00:13:06.450 --> 00:13:08.659
to schedule something else. If you're not doing

00:13:08.659 --> 00:13:10.720
your private healthcare, it's an absolute nightmare

00:13:10.720 --> 00:13:14.019
to get that that affects us, isn't it? Yeah,

00:13:14.200 --> 00:13:16.039
I think like, we like to think about like healthcare

00:13:16.039 --> 00:13:20.340
3 .0, right, which is adding in the lifestyle

00:13:20.340 --> 00:13:23.500
components, adding in the root cause analysis

00:13:23.500 --> 00:13:26.419
components. And it's like, it's not just about

00:13:26.419 --> 00:13:28.620
drugs and treatment, it's about understanding

00:13:28.620 --> 00:13:31.120
the person as a whole. I mean, you might have

00:13:31.120 --> 00:13:33.139
a problem with your knee. and you go to the knee

00:13:33.139 --> 00:13:35.860
doctor and they do this particular thing with

00:13:35.860 --> 00:13:37.799
your knee, but if the doctor doesn't have the

00:13:37.799 --> 00:13:39.940
time to really look into it, maybe it's your

00:13:39.940 --> 00:13:44.720
back. Maybe your back's a little bit off. Maybe

00:13:44.720 --> 00:13:46.799
you have some stomach issues and the doctors

00:13:46.799 --> 00:13:49.639
like take this stomach medication, but really

00:13:49.639 --> 00:13:52.639
maybe it's a diet adjustment or maybe it's something

00:13:52.639 --> 00:13:54.919
that if you had the time to work through it with

00:13:54.919 --> 00:13:57.460
somebody, you could really figure out what that

00:13:57.460 --> 00:13:59.700
root cause is. That's where the basis for longevity

00:13:59.700 --> 00:14:02.960
and prevention and having a a fulfilling lifestyle,

00:14:03.139 --> 00:14:06.860
life is being able to address the issues at the

00:14:06.860 --> 00:14:09.480
root cause as opposed to just treating symptoms.

00:14:10.019 --> 00:14:12.580
Yeah. If you could fix something, I guess, in

00:14:12.580 --> 00:14:14.919
the Portuguese ecosystem, what would you fix?

00:14:15.059 --> 00:14:19.679
Question. I feel like from an entrepreneurship

00:14:19.679 --> 00:14:22.080
standpoint, a lot of times when I talk to other

00:14:22.080 --> 00:14:24.639
entrepreneurs about ideas, I feel like people

00:14:24.639 --> 00:14:27.220
very much, it needs to be like all or nothing,

00:14:28.080 --> 00:14:31.309
where if the idea isn't taking over the world

00:14:31.309 --> 00:14:35.070
in a billion -dollar business, it's not exciting.

00:14:35.769 --> 00:14:38.629
Or as well as if someone else is doing it, that

00:14:38.629 --> 00:14:41.490
means they can't do it. Where I think in the

00:14:41.490 --> 00:14:43.529
United States, there's very much the idea of

00:14:43.529 --> 00:14:46.649
the pie gets bigger, the more you build, and

00:14:46.649 --> 00:14:48.409
you don't need to build a billion -dollar business.

00:14:48.629 --> 00:14:49.889
I mean, if we build a billion -dollar business,

00:14:50.009 --> 00:14:53.190
that'd be great, but most businesses that are

00:14:53.190 --> 00:14:56.070
successful, that earn money for people and have

00:14:56.070 --> 00:14:59.830
happy, healthy people working there, There are

00:14:59.830 --> 00:15:01.850
small businesses or their medium -sized businesses

00:15:01.850 --> 00:15:05.190
and so I think that's a completely reasonable

00:15:05.190 --> 00:15:10.710
goal is to go after businesses that are of whatever

00:15:10.710 --> 00:15:15.649
size they get to and then on the Other people

00:15:15.649 --> 00:15:18.690
are doing it side. I mean, I think that's how

00:15:18.690 --> 00:15:20.769
innovation happens often it's competition. It's

00:15:20.769 --> 00:15:23.149
like hey these people are doing it let's let's

00:15:23.149 --> 00:15:28.049
just try to do a better version of it and some

00:15:28.049 --> 00:15:30.149
experiences I've had with people and I think

00:15:30.149 --> 00:15:32.809
that as more entrepreneurship and innovation

00:15:32.809 --> 00:15:36.409
happens, that mindset will also shift. You know,

00:15:36.429 --> 00:15:38.049
when you're building all these businesses, I'm

00:15:38.049 --> 00:15:40.269
sure you come across really dark moments and

00:15:40.269 --> 00:15:43.549
hard times. How do you overcome them? And what

00:15:43.549 --> 00:15:45.870
advice would actually give to people going through

00:15:45.870 --> 00:15:48.070
them right now? Yeah, that's a great question.

00:15:48.549 --> 00:15:51.470
So, you know, I advise some other startups in

00:15:51.470 --> 00:15:53.190
the consulting business as well. We work with

00:15:53.190 --> 00:15:55.919
early stage businesses quite a lot. And I think

00:15:55.919 --> 00:15:59.320
people are just surprised when they hit these

00:15:59.320 --> 00:16:04.580
existential threats in the startup journey. And

00:16:04.580 --> 00:16:07.500
people just, oh my God, it's the end of the world.

00:16:07.799 --> 00:16:09.980
We have this thing and if it doesn't get resolved,

00:16:10.120 --> 00:16:13.279
it's the end of the business. Why is this happening

00:16:13.279 --> 00:16:17.259
to me? This never happens to anyone else. I feel

00:16:17.259 --> 00:16:21.940
like anytime you start an organization is innovative,

00:16:22.159 --> 00:16:24.019
you're going to hit a couple of existential threats

00:16:24.019 --> 00:16:28.000
along the way. And really just kind of to say,

00:16:28.059 --> 00:16:30.740
hey, this is normal. This is expected. Let's

00:16:30.740 --> 00:16:33.679
figure out a way to move through it and not becoming

00:16:33.679 --> 00:16:37.580
panicked or wrecked about it. I think that's

00:16:37.580 --> 00:16:42.200
a very reasonable approach. I also think just

00:16:42.200 --> 00:16:44.340
like mental health, just having a network of

00:16:44.340 --> 00:16:48.100
friends, potentially doing therapy, having ways

00:16:48.100 --> 00:16:50.600
to kind of reflect on things is really important.

00:16:50.620 --> 00:16:52.919
And it's not talked enough in the entrepreneurship

00:16:52.919 --> 00:16:55.639
community. where a lot of entrepreneurs I know,

00:16:55.779 --> 00:16:57.360
including myself, when I did my first business,

00:16:57.860 --> 00:17:01.440
I just go, go, go all the time. And so when these

00:17:01.440 --> 00:17:04.740
dark moments happen and you haven't really built

00:17:04.740 --> 00:17:07.440
a infrastructure around you that can support

00:17:07.440 --> 00:17:12.299
you, it gets very challenging where if you have

00:17:12.299 --> 00:17:14.680
people that are experienced or people that know

00:17:14.680 --> 00:17:16.660
you well, you can have these conversations and

00:17:16.660 --> 00:17:21.390
relate to them. Get a lot more perspective on

00:17:21.390 --> 00:17:22.849
things that are happening because oftentimes

00:17:22.849 --> 00:17:25.150
startup challenges seem like you're the only

00:17:25.150 --> 00:17:27.390
person that's ever gone through it when in reality

00:17:27.390 --> 00:17:30.190
It's like anything in life in reality a lot of

00:17:30.190 --> 00:17:31.869
people have experienced it. Maybe they have some

00:17:31.869 --> 00:17:34.890
perspective that can help out Do you have like

00:17:34.890 --> 00:17:37.589
a group a good support group that has a lot of

00:17:37.589 --> 00:17:39.250
entrepreneurs or it's just people that actually

00:17:39.250 --> 00:17:41.670
do completely random things? Yeah, it's funny.

00:17:41.670 --> 00:17:44.250
I feel like here in Portugal We've developed

00:17:44.250 --> 00:17:46.769
a community of friends that are all doing very

00:17:46.769 --> 00:17:49.700
exciting things and interesting projects, but

00:17:49.700 --> 00:17:54.819
the group didn't form around those projects,

00:17:55.319 --> 00:17:57.180
kind of formed more organically around relationships

00:17:57.180 --> 00:17:59.599
and being friends. And then as we all got to

00:17:59.599 --> 00:18:01.539
know each other better, we're like, oh, wow,

00:18:01.559 --> 00:18:05.480
we're all doing really interesting things in

00:18:05.480 --> 00:18:08.160
our professional careers. But even if that's

00:18:08.160 --> 00:18:11.039
not your case, I feel like people can go foster

00:18:11.039 --> 00:18:13.900
this. There's so many entrepreneurship meetups.

00:18:14.909 --> 00:18:16.730
people that just like talking about things, even

00:18:16.730 --> 00:18:18.190
if they're not entrepreneurs, a lot of people

00:18:18.190 --> 00:18:21.490
that work in larger companies like to talk about

00:18:21.490 --> 00:18:24.150
this stuff and participate in it. And if you

00:18:24.150 --> 00:18:27.569
want to foster this community, I very much do

00:18:27.569 --> 00:18:30.990
so. I'm always curious on one thing. What was

00:18:30.990 --> 00:18:34.250
the biggest cultural shock you had? Because you

00:18:34.250 --> 00:18:37.210
were in Portugal just amongst the pandemic, right?

00:18:37.269 --> 00:18:38.950
So it's not really the best time because everything

00:18:38.950 --> 00:18:42.609
was shut off or shut down. So how was the biggest

00:18:42.609 --> 00:18:47.019
shock you had? I think the most challenging thing

00:18:47.019 --> 00:18:51.500
is to slow down the expectations on how products

00:18:51.500 --> 00:18:57.519
are going to get done. And a lot of services

00:18:57.519 --> 00:18:59.660
and things that you need, expecting it to take

00:18:59.660 --> 00:19:03.700
a couple tries. If your AC is broken, it might

00:19:03.700 --> 00:19:07.799
not get fixed the first time they visit. And

00:19:07.799 --> 00:19:11.279
coming from the US, which is just like, go, go,

00:19:11.299 --> 00:19:14.059
go. both professionally and personally. I mean,

00:19:14.079 --> 00:19:17.519
it's easy to get very frustrated in that situation,

00:19:17.519 --> 00:19:22.940
but I feel like it's also been a healthy and

00:19:22.940 --> 00:19:27.400
refreshing shift in my personal development where

00:19:27.400 --> 00:19:30.099
I've said, okay, it's just gonna take some time.

00:19:30.319 --> 00:19:35.160
It doesn't need to be done right now. And yeah,

00:19:35.279 --> 00:19:36.900
it's just part of the culture a lot of times

00:19:36.900 --> 00:19:39.660
here, so. Interesting, yeah, because it's always...

00:19:39.680 --> 00:19:42.640
I know everyone I talk to and they actually have

00:19:42.640 --> 00:19:44.059
the same thing and I have this problem every

00:19:44.059 --> 00:19:46.180
time I go back to Portugal, which is I'm on the

00:19:46.180 --> 00:19:48.740
go go go mode and then everyone else is very

00:19:48.740 --> 00:19:52.700
slow and I just start driving me nuts. Like why

00:19:52.700 --> 00:19:55.259
isn't this done straight away? Why are they taking

00:19:55.259 --> 00:19:57.079
so long to service at the restaurant something

00:19:57.079 --> 00:19:59.200
like that? It just drives me nuts. But then I

00:19:59.200 --> 00:20:01.380
get okay, I'm thinking like someone who lives

00:20:01.380 --> 00:20:03.640
in the big city. So every time I come back, okay,

00:20:03.880 --> 00:20:07.720
slow down a bit because people just chill. I

00:20:07.720 --> 00:20:10.789
feel like Half our way between the two is a healthy

00:20:10.789 --> 00:20:13.690
approach. I don't want it to take five times

00:20:13.690 --> 00:20:17.450
to get my refrigerator fixed, but I also don't

00:20:17.450 --> 00:20:20.130
need to be just a crazy person and be like, hey,

00:20:20.150 --> 00:20:22.210
this needs to get done within an hour. There's

00:20:22.210 --> 00:20:26.250
a blend between those two spots that is a good

00:20:26.250 --> 00:20:29.430
place to be in. What was the biggest challenge

00:20:29.430 --> 00:20:32.109
you had in Taj Mahal when you were building it?

00:20:33.390 --> 00:20:37.779
I think we expected this, but It took longer

00:20:37.779 --> 00:20:39.819
than we expected this one part, which was just

00:20:39.819 --> 00:20:43.859
recruiting an amazing doctor, our first concierge

00:20:43.859 --> 00:20:47.380
doctor, which is I think culturally, Portugal

00:20:47.380 --> 00:20:49.099
people tend to be a little bit more risk adverse.

00:20:49.619 --> 00:20:51.599
And then on top of that, Larry and doctors being

00:20:51.599 --> 00:20:57.539
a bit risk adverse. And so there's the fact that

00:20:57.539 --> 00:21:00.400
we're pitching this new model to a doctor that

00:21:00.400 --> 00:21:03.259
we want them to join a early stage business.

00:21:03.420 --> 00:21:04.440
I don't even want to call it a startup because

00:21:04.440 --> 00:21:08.289
it is a service business at the other day. We're

00:21:08.289 --> 00:21:10.769
at the same time, we want to find the best people.

00:21:11.089 --> 00:21:13.650
I mean, we're building a new business and we're

00:21:13.650 --> 00:21:16.309
focused on delivering the best care we can in

00:21:16.309 --> 00:21:20.269
this country. And so we needed a doctor that

00:21:20.269 --> 00:21:24.349
wanted to join that was technically skilled as

00:21:24.349 --> 00:21:27.710
a practitioner, but also a huge part of this

00:21:27.710 --> 00:21:30.410
business is building relationships with patients.

00:21:30.809 --> 00:21:33.349
So they also need that relationship component,

00:21:33.349 --> 00:21:36.859
which Took us a bit of time to find the right

00:21:36.859 --> 00:21:39.980
person and our current doctor. Dr. Louisa Batista

00:21:39.980 --> 00:21:44.660
is amazing She checks all the boxes and everybody

00:21:44.660 --> 00:21:48.299
is obsessed with her. That's either Do you have

00:21:48.299 --> 00:21:49.980
how many doctors you have in a platform? I mean

00:21:49.980 --> 00:21:53.000
obviously It won't be it doesn't need to be a

00:21:53.000 --> 00:21:55.099
crazy number because then they can service quite

00:21:55.099 --> 00:21:58.119
a lot of people but roughly Yeah, we just launched

00:21:58.119 --> 00:22:00.380
two months ago. So we have one time concierge

00:22:00.380 --> 00:22:03.769
doctor And we also have a nurse who's also amazing

00:22:03.769 --> 00:22:07.390
together. I mean, we give them the time to serve

00:22:07.390 --> 00:22:10.289
their patients and really be there for whatever

00:22:10.289 --> 00:22:13.210
they need. Interesting. And how, you know, the

00:22:13.210 --> 00:22:15.009
feedback you're getting from patients and stuff.

00:22:16.150 --> 00:22:18.069
I know you already told me what they're saying,

00:22:18.369 --> 00:22:20.990
but do they share the word with their friends

00:22:20.990 --> 00:22:22.789
and they say, hey, actually start doing this

00:22:22.789 --> 00:22:24.599
because it actually works really well? Yeah,

00:22:24.680 --> 00:22:26.740
yeah. I mean, half of our customers at this point

00:22:26.740 --> 00:22:28.839
have been referrals and this is just early on.

00:22:29.119 --> 00:22:31.079
So like right now the challenge is just getting

00:22:31.079 --> 00:22:34.299
in front of more people because it's a unique

00:22:34.299 --> 00:22:38.099
model that people typically don't have experience

00:22:38.099 --> 00:22:40.700
with, especially here in Portugal. So there's

00:22:40.700 --> 00:22:44.339
a bit of education, but typically after somebody

00:22:44.339 --> 00:22:48.039
has their first comprehensive exam, the first

00:22:48.039 --> 00:22:50.119
one, like people are just like, oh my God, like

00:22:50.119 --> 00:22:53.079
this, this is, I've never had somebody spend

00:22:53.079 --> 00:22:55.490
so much time really learning about me in addressing

00:22:55.490 --> 00:22:59.910
things that are typically overlooked. I mean,

00:23:00.009 --> 00:23:01.490
it's completely different because normally, I

00:23:01.490 --> 00:23:03.470
think they just give you, they kind of patch

00:23:03.470 --> 00:23:04.910
you up, isn't it? You go to the doctors, they

00:23:04.910 --> 00:23:06.670
give you some medicine. Okay, you're good to

00:23:06.670 --> 00:23:08.529
go. But actually, maybe the problem is a lot

00:23:08.529 --> 00:23:10.210
deeper than that. And then they actually need

00:23:10.210 --> 00:23:11.950
to spend some time with you and really analyze

00:23:11.950 --> 00:23:14.450
it well. But yeah, it's not the doctor's fault.

00:23:16.069 --> 00:23:18.910
It's easy to blame doctors that are spending

00:23:18.910 --> 00:23:22.539
15 minutes with you. But you know, they're Income

00:23:22.539 --> 00:23:24.940
model is tied to volume of patients. They see

00:23:24.940 --> 00:23:30.079
insurance reimburses there's not a system that

00:23:30.079 --> 00:23:33.539
that encourages prevention and personalized health

00:23:33.539 --> 00:23:36.759
care and Working with people to make sure that

00:23:36.759 --> 00:23:39.920
they their root causes are addressed. I Think

00:23:39.920 --> 00:23:41.180
what we've seen in the United States because

00:23:41.180 --> 00:23:43.380
we've studied the market really extensively which

00:23:43.380 --> 00:23:45.940
is that you end up saving money even though we're

00:23:45.940 --> 00:23:48.059
a premium service and we charge a monthly fee

00:23:48.059 --> 00:23:51.829
that is higher than most people have paid for

00:23:51.829 --> 00:23:57.029
other healthcare services. The end result is

00:23:57.029 --> 00:23:58.849
it saves you money and time in the long run.

00:23:59.069 --> 00:24:03.349
And most importantly, you have a better, you're

00:24:03.349 --> 00:24:05.349
healthier and you can enjoy your life and your

00:24:05.349 --> 00:24:08.990
time better. Interesting. You know, in the Seoul

00:24:08.990 --> 00:24:10.769
ecosystem, what do you think about the city of

00:24:10.769 --> 00:24:12.509
Lisbon like overall? Do you think it's buzzing,

00:24:12.650 --> 00:24:15.470
not buzzing? What do you think? Ah, Lisbon's

00:24:15.470 --> 00:24:35.930
the best. It's just a lot of Well, that's all

00:24:35.930 --> 00:24:38.250
right. We always do it in English anyway, so.

00:24:42.670 --> 00:24:44.349
It's really unfortunate because I feel like there's

00:24:44.349 --> 00:24:48.109
a lot of frustration with the amount of change

00:24:48.109 --> 00:24:51.289
that's happening in Lisbon because a lot of people

00:24:51.289 --> 00:24:54.529
that are living here, there's things that are

00:24:54.529 --> 00:24:57.109
missing to protect people that currently have

00:24:57.109 --> 00:25:00.690
their lives here. At the same time, I think you're

00:25:00.690 --> 00:25:02.730
seeing the same trend in most major cities around

00:25:02.730 --> 00:25:06.480
the world, the rise in remote work has led people

00:25:06.480 --> 00:25:10.299
to move to cities where there's either a price

00:25:10.299 --> 00:25:13.720
arbitrage or there's just a high quality of life

00:25:13.720 --> 00:25:17.539
in the particular city. And so, you know, I don't

00:25:17.539 --> 00:25:21.180
think that that is specific to Lisbon, even though

00:25:21.180 --> 00:25:23.039
when you're living there, I mean, it feels like

00:25:23.039 --> 00:25:26.319
that's the experience. I'm curious on one thing,

00:25:26.420 --> 00:25:28.759
you know, a lot of people say they want to move

00:25:28.759 --> 00:25:31.700
to the US to do business. Now, you have the experience

00:25:31.700 --> 00:25:33.440
of doing business in the US and doing business

00:25:33.440 --> 00:25:35.859
also in Europe and Portugal. Do you think that's

00:25:35.859 --> 00:25:38.059
relevant? Like, does it actually come a stage

00:25:38.059 --> 00:25:39.819
where as a business owner, as an entrepreneur,

00:25:39.900 --> 00:25:41.640
you actually should move to another country?

00:25:42.059 --> 00:25:43.619
Or quite on the contrary, you can always find

00:25:43.619 --> 00:25:46.319
what you need in the country you're at. I think

00:25:46.319 --> 00:25:49.480
it comes down to your personal objectives and

00:25:49.480 --> 00:25:50.799
the type of business that you want to build.

00:25:51.839 --> 00:25:53.940
I mean, there's no doubt that the US has the

00:25:53.940 --> 00:25:57.400
best infrastructure today to build early stage

00:25:57.400 --> 00:26:02.769
businesses at scale. has so many vendors that

00:26:02.769 --> 00:26:07.349
are very US Pacific that can support your journey

00:26:07.349 --> 00:26:09.690
of building the business. You have massive investor

00:26:09.690 --> 00:26:12.950
community, 350 million people that have high

00:26:12.950 --> 00:26:21.029
buying power. It's a huge market, right? But

00:26:21.029 --> 00:26:27.920
it's also hyper competitive. A lot of times,

00:26:27.940 --> 00:26:29.319
if you want to build a business, at least that

00:26:29.319 --> 00:26:34.339
scale. A, it's easier to do it there. But at

00:26:34.339 --> 00:26:36.319
the same time, you might, as I said, there's

00:26:36.319 --> 00:26:39.640
a lot of competition. Where being in a smaller

00:26:39.640 --> 00:26:42.000
country like Portugal or Europe or any other

00:26:42.000 --> 00:26:45.700
country, there's a lot of country and cultural

00:26:45.700 --> 00:26:48.819
specific, both challenges and opportunities.

00:26:50.440 --> 00:26:52.720
This business that we're building objectives

00:26:52.720 --> 00:26:57.609
is a higher margin, lower volume. business. So

00:26:57.609 --> 00:27:01.430
being in a country of 10 million people, we can

00:27:01.430 --> 00:27:03.470
create economic opportunity for us and for people

00:27:03.470 --> 00:27:08.289
we work with, thinking through what we can build

00:27:08.289 --> 00:27:13.170
here in a way that will work for us. But I think

00:27:13.170 --> 00:27:14.930
it also comes down to what lifestyle you want.

00:27:15.170 --> 00:27:18.069
I mean, I think if you want to just do the startup

00:27:18.069 --> 00:27:21.299
grind and hustle and You really bust your ass

00:27:21.299 --> 00:27:23.980
to build something, take over the world, live

00:27:23.980 --> 00:27:27.400
in New York or the Bay Area. Great places to

00:27:27.400 --> 00:27:30.440
do it, probably as well as London. But if you

00:27:30.440 --> 00:27:34.380
want to have more of a chill lifestyle, yeah,

00:27:34.380 --> 00:27:38.299
Portugal provides that in many ways. Interesting.

00:27:38.480 --> 00:27:40.539
Yeah, because I think a lot of people talk to,

00:27:40.660 --> 00:27:42.000
they always want to grow and they want to grow

00:27:42.000 --> 00:27:43.700
in the US, but I don't think they realize what

00:27:43.700 --> 00:27:45.680
it takes to actually grow the business there.

00:27:45.920 --> 00:27:47.839
Because like I said, it's super competitive.

00:27:48.559 --> 00:27:50.660
And it's it takes a lot for me, right? It's not

00:27:50.660 --> 00:27:52.240
just something you could just chill. Oh, I'm

00:27:52.240 --> 00:27:54.200
going to finish at five o 'clock. No, you're

00:27:54.200 --> 00:27:56.440
not going to continue working until you get stuff

00:27:56.440 --> 00:27:59.099
done. So that's that's a bit of a lifestyle change

00:27:59.099 --> 00:28:02.759
for a lot of people. Yeah, definitely. And I

00:28:02.759 --> 00:28:05.380
think in the United States, people just identify

00:28:05.380 --> 00:28:08.339
so much with their work as part of who they are.

00:28:09.119 --> 00:28:11.559
And it just that's the culture. Yeah, it's not

00:28:11.559 --> 00:28:12.799
it's not that it's right or wrong. It's just

00:28:12.799 --> 00:28:16.390
that is different. Yeah. What about the taxes?

00:28:16.589 --> 00:28:18.750
I'm always curious because you did move to a

00:28:18.750 --> 00:28:21.470
country that has a higher taxation overall. So

00:28:21.470 --> 00:28:26.329
how, how does that feel like? Hmm. I mean, if

00:28:26.329 --> 00:28:30.529
you're earning a lot of money in the United States,

00:28:31.410 --> 00:28:34.390
the tax bracket is pretty similar to what a higher

00:28:34.390 --> 00:28:37.829
income Portuguese taxes are. Okay. Right now,

00:28:37.829 --> 00:28:40.069
you know, we're building this business. I'm trying

00:28:40.069 --> 00:28:41.650
to figure out as an American, as an American,

00:28:41.690 --> 00:28:45.789
I'm taxed both countries regardless. So I'm just

00:28:45.789 --> 00:28:48.869
currently working with our tax account to try

00:28:48.869 --> 00:28:51.710
to figure out how do we structure things correctly.

00:28:52.130 --> 00:28:55.849
Yeah, I mean, I do feel like taxes in Portugal

00:28:55.849 --> 00:29:01.089
are complicated and make it difficult to... One

00:29:01.089 --> 00:29:03.349
of the issues I run into here is it's not that

00:29:03.349 --> 00:29:05.950
the taxes aren't justified or too high, as much

00:29:05.950 --> 00:29:08.569
as that it's difficult to understand them and

00:29:08.569 --> 00:29:12.509
move through the process. In the US also, but

00:29:12.509 --> 00:29:14.329
for a corporation specifically, they're a lot

00:29:14.329 --> 00:29:17.019
more simple. and personal taxes are always complicated.

00:29:18.960 --> 00:29:21.059
But I don't know, you can't just need taxes.

00:29:21.980 --> 00:29:24.519
I'm always curious because when people think,

00:29:24.539 --> 00:29:27.039
for example, they want to open a business, there's

00:29:27.039 --> 00:29:29.279
a couple of states that always spring to mind,

00:29:29.599 --> 00:29:31.440
right? Florida being one of them, then Texas,

00:29:31.539 --> 00:29:33.380
and obviously Delaware, because they normally

00:29:33.380 --> 00:29:35.900
have lower taxes. And I was curious to understand,

00:29:36.160 --> 00:29:38.220
like, when you move to Europe, you always end

00:29:38.220 --> 00:29:40.240
up paying a lot more taxes when compared to those

00:29:40.240 --> 00:29:43.519
other states, in this case, in the US. So that's

00:29:43.519 --> 00:29:45.829
what I'm curious about. Like how big of a shock

00:29:45.829 --> 00:29:49.289
was that? When we built this business, it was

00:29:49.289 --> 00:29:51.809
expected that we were going to pay for cheese

00:29:51.809 --> 00:29:54.529
taxes. So, you know, I think when you think through

00:29:54.529 --> 00:29:56.069
the model and you think through the opportunity,

00:29:56.170 --> 00:29:58.670
that's part of just figuring out what you're

00:29:58.670 --> 00:30:03.269
going through. Yeah, I think both countries'

00:30:04.109 --> 00:30:06.329
taxes are pretty high and not suggesting that

00:30:06.329 --> 00:30:08.630
they should be lower, but that's a political

00:30:08.630 --> 00:30:11.650
discussion that... Yeah, those are different

00:30:11.650 --> 00:30:16.259
podcasts, but... Well, it's especially being

00:30:16.259 --> 00:30:18.259
an American where you're required to file in

00:30:18.259 --> 00:30:20.240
both countries and pay taxes. Both countries

00:30:20.240 --> 00:30:22.700
just makes it quite complicated and something

00:30:22.700 --> 00:30:24.920
that needs to be very deliberately addressed

00:30:24.920 --> 00:30:27.460
early on if you're doing entrepreneurship outside

00:30:27.460 --> 00:30:30.220
the United States. And if something goes wrong,

00:30:30.339 --> 00:30:32.940
the Marines come in and save you. So it's not

00:30:32.940 --> 00:30:37.500
all that bad. All right. Tali, if people want

00:30:37.500 --> 00:30:39.180
to reach out to you and find more about Tejamet,

00:30:39.339 --> 00:30:41.779
how can they do so? Yeah, sure. I mean, you can

00:30:41.779 --> 00:30:47.519
check out our website at tejomed .com. You can

00:30:47.519 --> 00:30:51.319
find me on LinkedIn, Tyler Gordon, also Tyler

00:30:51.319 --> 00:30:55.839
at tejomed .com. I'm always happy to talk about

00:30:55.839 --> 00:30:59.220
entrepreneurship and other startups. I do a bit

00:30:59.220 --> 00:31:02.599
of angel investing as well. And just like to

00:31:02.599 --> 00:31:04.519
work with people that are doing amazing things

00:31:04.519 --> 00:31:09.359
and sharing things. Sounds good. Tyler, thank

00:31:09.359 --> 00:31:11.059
you so much for your time. I appreciate it. Yeah,

00:31:11.059 --> 00:31:35.490
thanks so much, Ricardo. from grants to investors

00:31:35.490 --> 00:31:37.650
to tips and tricks on how to be successful in

00:31:37.650 --> 00:31:40.390
your startup. This podcast is also sponsored

00:31:40.390 --> 00:31:43.990
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00:31:43.990 --> 00:31:45.869
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