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And now America's Healthcare Advocate,
Cary Hall.

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Hello, America.

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Welcome to America's Healthcare Advocate.

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Show broadcasting coast
to coast across USA.

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Here on the HIA
Radio Network, you can learn more about us

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by going to the website
AmericasHealthcareAdvocate.com.

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AmericasHealthcareAdvocate.com.

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Send me an email if you’ve got a question
or comment I'll be happy to respond to.

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Oh, and by the way,
thank you all of you who liked the shirt.

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Okay, the psycho bunny shirt.

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So I'm wearing it again.

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Just want to let everybody know
that I listened to what you said.

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Additionally,
if you want to follow the show or tell

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somebody about the show,
we have the YouTube channel America's

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Healthcare Advocate, 16 podcast channels,
including Rumble, which we just added.

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So the show is out there.

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We've got about a half
a million views on YouTube,

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and I don't know what Dave,
where we're at on the podcast?

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That's a couple hundred thousand, I think.

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So it continues to grow.

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This show today is probably one
you might want to go up and listen to.

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I think you're going to find it

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pretty interesting in studio with me
today, Doctor Monique Gary.

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She is the chief medical officer of Bexa
and Elizabeth Vire.

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She is the chief revenue officer of Bexa.

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Welcome to both of you.

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Thank you.

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Flying in here from Philadelphia
to be with us today.

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I really appreciate that.

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And you canceled a trip to get back here
and try to be on the show.

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So thank you both for doing this.

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So this is a show that we've talked about.

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I've talked with Elizabeth
about for some time when I met her

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and we talked about this program,
what they do, the technology.

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I was floored by what it is.

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You know, we try very hard
on this broadcast to bring you things

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that are leading edge
medical technology, leading

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edge, cures that are being explored,
things that are being done.

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They're sometimes out of the box, like
the WAVi brain scan, like the Neuro20.

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Well, this device is very much like that.

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It's all about breast cancer.

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And it's all about
why this device can do a better job

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than the conventional way we're treating
breast cancer, and the conventional way

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we're looking to find out whether women
have the beginnings of breast cancer,

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late stage breast cancer, whatever it is,
we're going to explore all that today.

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You're going to learn a lot. So, you know,

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obviously this show is,

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directed toward women who have issues
or may have an issue or have concerns.

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But if you're the husband,
you're the father.

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You know, whatever the case may be,
you've got a woman in your family

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who may be at risk.

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You want to listen to this show.

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So let's just start, Elizabeth.

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So let's talk about Bexa.

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It's an international company.

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You're here in the United States,
you're in Columbia, South America,

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Saudi Arabia, Indonesia.

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That's pretty significant.

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Let's talk about what Bexa is
and how it works.

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Absolutely.

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Well, I always like to first start off
with what Bexa is not.

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Just to make sure we're very clear
from the very beginning.

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So Bexa is not a competitor
to mammography.

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For those women above the age of 40

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who are currently getting their annual
breast screening, it's amazing.

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Keep doing what you're doing.

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Bexa is also not a mammogram solution.

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So Bexa is an alternative to mammography.

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We are here to help close the annual
screening gap in two ways.

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One, for those above the age of 40
who are not getting their annual

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breast screenings today due to pain,
radiation inconvenience, delayed results,

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and dense breast tissue.

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And then two for those
who do not currently meet the age

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guidelines of mammography

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unless they have some type
of family history in most cases.

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So Bexa is a painless, radiation
free breast exam.

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We have our examiners
who are certified breast sonographer

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come on site to an employer's location
or to an on site clinic

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to provide those exams
that last no longer than 30 minutes.

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So very in and out again, convenient and
we have accurate and immediate results.

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We're also density fiber cystic
and breast implant independent.

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And we service our men and women
above the age of 18.

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And again,
you can be pregnant, breastfeeding

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because we are radiation free.

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So we really try to close that gap again
of annual breast screenings.

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But then we remove all the barriers as to
why women do not receive

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their annual breast screenings
or can't today.

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So doctor, how did this come to be?

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Hey, I mean, we spent 2.5 hours
last night over dinner.

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We had a wonderful time
and I learned an enormous amount.

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And I've done a lot of research,
a lot of work to get these shows ready.

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So what was the

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who was the brainchild behind all of this
to bring all this together?

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And because it's completely different
than what we're doing now.

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Oh, it's it's completely out of the box,
but it's not entirely new.

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So the concept, the way Bexa works
is a process called elastography.

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So it's looking at the stiffness
of the breast tissue.

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An easy way to think about that.

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It's like a sponge, right?

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If your fingers are gliding along
the sponge.

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It’s spongy, it‘s spongy, it’s spongy.

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If it hits an olive pit, all of a sudden
there's something stiffer in the tissues.

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So that concept has been around
since the 80s, really 1986,

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where we used to use that
for finding cancers in the liver.

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Now where it gets really interesting.

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And this is the storytelling part
of this conversation,

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where we're telling stories
a little early,

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is that it was developed
and innovated by a gentleman

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from the Harvard Robotics
Laboratory named Jaeyong,

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whose mother had some breast issues,
and she was very reluctant

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to get her mammogram.

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And he was working on the robotic haptics,
like the fingers,

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you know, how hard you press on the phone
and what happens as a result of that.

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And so
why can't I take this type of technology

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and put it into something
that's not radiation or something handheld

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to find masses in the breast,
like that's what we should be doing.

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And that's how Bexa was born.

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It was initially called SureTouch.

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And so back in the late 90s, early 2000s.

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If you look up some things,
you'll see a little bit on on SureTouch.

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But the email address
when you get an email

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from SureTouch
with SureTouch dot me.SureTouch.me.

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Well okay. Hold on a minute.

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There could be a problem with that.

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Our our CEO
is he evaluated this technology cause

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we didn't invent it, right?
We acquired it.

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And as he looked to acquire it,
he said, well, that's gotta go.

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So what should we call it?

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And he began to do tremendous amounts
of market research with women.

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And they said,
we need a better breast exam.

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Better breast exam.

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Hence ‘Bexa’ was born.

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And that's how
it all came to be. Indeed. So

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you know, Elizabeth said a couple things
that are interesting.

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Age guidelines.

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So one of the things that I thought
was interesting, when we looked at

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statistics was the number of women
not getting exams.

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How much of that falls to women
that are below

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the age where they qualify to go in
for the mammogram?

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And older women
I had this conversation with my wife.

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I was talking about all of this was doing
show prep over the last 3 or 4 days.

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She said, gosh,
I haven't had a breast exam.

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I don't even remember when. She's 76.

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So let's talk about that.

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Why is that piece important?

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Why is it being overlooked?

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There's a huge gap there.

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Let's talk about that doctor. Oh, boy.

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So you've opened
the can of worms here, right?

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With the preventive test.

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I'm good at that. But you are.

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Not good
at getting them back into the can,

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but I’m really good at opening it.

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This this one's not going back in the can.

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So, you know,
there are clinical guidelines,

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meaning what doctors think women
should do to check every year

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to make sure they're okay
and that they don't have breast cancer.

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And then there are other guidelines.

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There are guidelines developed by folks
who maybe don't do anything

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in the breast cancer space
who are not oncologists.

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They're not breast surgeons like myself.

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And that's where the preventive task force
sort of falls in.

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So the task force
gives us some recommendations

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on when women, at average
risk should start screening.

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And every society, every major
medical society does the same thing.

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And they say women who have average risk,
no family history.

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Right.

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They, don't have any radiation exposures,
any of the other things.

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No mutations in the genes... start at 40.

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And we say go every year until you are...

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until your life
expectancy is less than ten years.

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Right? Now. Well, okay. So

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how the hell do you

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know when your life expectancy
is less than ten years?

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That's the part where I'm like, whoa.

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So that's not the I'm.

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76 years old.

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I thoroughly believe
she's going to make it well past 86.

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Why, I'm lost. We'll get this.

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You're not the only one.

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So we're all the doctors
because the task force says stop at 74.

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Once you hit 74
you don't have to go anymore.

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So there are women who are 75
who are vibrant, who play golf

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with pickleball every day.

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My Nana was 99 and driving.

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And she's wearing her lipstick. Right.

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I got a long life ahead of me.

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Why should I stop at 74?

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So there's a lot of confusion
in what we're recommending to women,

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and it trickles down.

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The docs are confused,
the women are confused,

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and you know what it means.
Things are getting missed.

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Yeah, things are getting mixed
and things are being missed.

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Okay.

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And that's one of the reasons
why we're doing this show today

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is we're going to talk about those gaps.

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What needs to be done.
Why is this technology different?

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Why do women prefer this technology

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when they are exposed to it
versus getting the mammogram?

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Is it easier?

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Is it more convenient?
What does that mean.

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And we'll talk about some other things.

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But when we come back from the break
we're going to talk

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about what we call the Bexa solution.

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So we'll come back to the break.

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We'll talk about the Bexa solution,

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and we'll start getting into the weeds
on how all of this works and what

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you can expect.

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If you want

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to connect with these folks and learn more
about their product and their services.

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So the website is mybexa.com, mybexa.com.

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You want to call them,
you can actually do that.

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1 888 469 2392,

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1 888 469 2392.

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Stay tuned.

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We'll be right back after the break.

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You're listening to America's
Healthcare Advocate.

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Broadcasting coast
to coast across the USA.

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Don't go anywhere.
The doctors in the house.

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We'll be right back.

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Welcome back.

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You're listening to America's Healthcare
Advocate show, broadcasting coast

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to coast across the USA here on the HIA
Radio Network.

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I want to say hello to our newest
affiliate, WZGM,

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AM and FM 96.1, Asheville, North Carolina.

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I want to thank Brian Siebold there.

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He is the program director
for putting us on the air.

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Very happy to be in Asheville,
North Carolina.

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Hope you all are doing well down there

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and recovering from that horrible flood
and all the difficult times you had.

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But, welcome to the family.

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We're glad to have you on board in studio
with me, doctor Monique.

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Gary, she is the chief medical officer
for Bexa and Elizabeth Vire.

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She's the chief revenue officer.

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Doctor Gary completed her medical degree
at Philadelphia College

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of Osteopathic Medicine.

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Her general surgery
training at UMass, followed by breast

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surgical oncology fellowship at Georgetown
University Hospital.

239
00:10:18,451 --> 00:10:21,053
She holds multiple faculty appointments.

240
00:10:21,053 --> 00:10:24,690
Associate Professor of Surgery,
PCOM Temple, University.

241
00:10:24,924 --> 00:10:28,761
Associate Professor of Health Equity
within Dartmouth University,

242
00:10:29,362 --> 00:10:34,200
and a fellow of the American College
of Surgeons, Society of Surgical Oncology,

243
00:10:34,200 --> 00:10:37,236
and a master's degree
in Molecular biology.

244
00:10:37,570 --> 00:10:39,205
Probably knows a little bit
about the topic.

245
00:10:39,205 --> 00:10:40,306
Right.

246
00:10:40,306 --> 00:10:42,975
Elizabeth
Vire is the chief revenue officer.

247
00:10:42,975 --> 00:10:46,112
She has 15 years experience with revenue
growth, leading

248
00:10:46,112 --> 00:10:49,081
high performance sales
teams, optimizing and market strategies.

249
00:10:49,382 --> 00:10:51,684
And what Elizabeth brings to the table
here.

250
00:10:51,684 --> 00:10:53,185
And we're going to talk about
this later on.

251
00:10:53,185 --> 00:10:54,520
We're going to do another show.

252
00:10:54,520 --> 00:10:57,423
But we're going to talk a lot
about what this means.

253
00:10:57,423 --> 00:10:59,659
And this is this is Elizabeth’s forte.

254
00:10:59,659 --> 00:11:02,762
What does this mean
to self-insured employers?

255
00:11:02,895 --> 00:11:04,797
What does it mean to TPAs?

256
00:11:04,797 --> 00:11:07,800
What does it mean to groups
that want to reduce their overall cost?

257
00:11:07,833 --> 00:11:10,036
That's
where Elizabeth's going to really shine

258
00:11:10,036 --> 00:11:13,472
in terms of discussing
that this is where her expertise is.

259
00:11:13,472 --> 00:11:16,942
So two experts in here today
very happy to have them.

260
00:11:17,343 --> 00:11:17,576
All right.

261
00:11:17,576 --> 00:11:20,212
You said something when we went on break.

262
00:11:20,212 --> 00:11:23,215
Why do we need more solutions?

263
00:11:23,616 --> 00:11:24,483
Why do we need them?

264
00:11:24,483 --> 00:11:27,253
Well, it's not because the current one
doesn't work, right.

265
00:11:27,253 --> 00:11:29,655
We all know mammograms save lives.

266
00:11:29,655 --> 00:11:31,290
Colonoscopies save lives.

267
00:11:31,290 --> 00:11:33,559
Yes. Right. PAP smears,
all of these things.

268
00:11:33,559 --> 00:11:37,630
So in the breast space,
mammograms have been around since the 60s.

269
00:11:38,130 --> 00:11:41,400
But have the numbers of early detections
gone up?

270
00:11:41,734 --> 00:11:43,202
No, to a point.

271
00:11:43,202 --> 00:11:44,870
And then they dropped back down.

272
00:11:44,870 --> 00:11:46,539
And the reason has a lot to do with

273
00:11:46,539 --> 00:11:50,376
why women aren't getting this one test
that they know saves lives.

274
00:11:50,376 --> 00:11:54,513
If 1 in 8 of us would get it, if we would
get this, we might find something early.

275
00:11:54,647 --> 00:11:57,149
Right. No woman ever said,
hey, if you add contrast to that.

276
00:11:57,149 --> 00:11:59,418
I'll do that. Right.
Give me an IV now. Right?

277
00:11:59,418 --> 00:12:02,621
Or if you had 3D, sign me up for it.
Oh, AI?

278
00:12:02,788 --> 00:12:04,290
Now I'm going to stand in line for it.

279
00:12:04,290 --> 00:12:07,393
There's something wrong with the process
of mammography that's offputting to women.

280
00:12:07,626 --> 00:12:11,197
And so when those numbers are stagnant,
no matter how many Super Bowl commercials

281
00:12:11,197 --> 00:12:14,166
we all sponsor and how many Pink-Outs.
And they wear the pink shoes.

282
00:12:14,166 --> 00:12:15,101
Where are the pink shoes?

283
00:12:15,101 --> 00:12:17,036
I got my pink shoes on. I love my pink.

284
00:12:17,036 --> 00:12:18,537
It's not moving the needle.

285
00:12:18,537 --> 00:12:19,605
And so what that means is

286
00:12:19,605 --> 00:12:22,675
there's an opportunity for innovation
to fill those gaps.

287
00:12:22,942 --> 00:12:26,278
Not only that, the cancer
yesterday is not the cancer tomorrow.

288
00:12:26,312 --> 00:12:27,012
But what does that mean?

289
00:12:27,012 --> 00:12:28,347
Meaning, in my practice, I'm

290
00:12:28,347 --> 00:12:31,417
seeing women who are younger
and younger schoolteachers in their 30s.

291
00:12:31,417 --> 00:12:35,287
I'm seeing folks in their 20s get cancer,
and all the statistics are showing

292
00:12:35,621 --> 00:12:36,422
29 and 39.

293
00:12:36,422 --> 00:12:37,890
And the guideline is 40 and above.

294
00:12:37,890 --> 00:12:39,692
The guidelines 40 and above.

295
00:12:39,692 --> 00:12:42,895
So we're missing
that whole class of women.

296
00:12:42,895 --> 00:12:45,030
And so what we say,
oh, we'll get through risk scoring

297
00:12:45,030 --> 00:12:46,132
and know your family history.

298
00:12:46,132 --> 00:12:48,968
80% of those young women
have no family history of breast cancer.

299
00:12:50,636 --> 00:12:53,639
Wow. So 80% have none.

300
00:12:53,672 --> 00:12:56,976
Those young women are the one,
the 29 to 39 year olds

301
00:12:56,976 --> 00:12:59,345
who are getting breast cancer
faster than everybody else.

302
00:12:59,345 --> 00:13:00,346
No family history.

303
00:13:00,346 --> 00:13:02,982
A risk assessment
might not have helped them.

304
00:13:02,982 --> 00:13:04,216
So you just said something.

305
00:13:04,216 --> 00:13:07,153
The 29 to 39 years old are getting breast

306
00:13:07,153 --> 00:13:10,156
cancer faster than in the.

307
00:13:10,222 --> 00:13:12,024
Yeah, what what do we do?

308
00:13:12,024 --> 00:13:14,794
Any idea why that's happening?
It's a separate show.

309
00:13:14,794 --> 00:13:16,796
But there are things,
environmental things.

310
00:13:16,796 --> 00:13:19,298
There are things called endocrine
disruptors. Right.

311
00:13:19,298 --> 00:13:22,201
What's messing with our hormones?
What's in our food that we're eating?

312
00:13:22,201 --> 00:13:24,370
What's messing with the inflammation
in our bodies.

313
00:13:24,370 --> 00:13:25,838
Right. Our hair products.

314
00:13:25,838 --> 00:13:26,672
Right. Dyes.

315
00:13:26,672 --> 00:13:27,873
There's so many things

316
00:13:27,873 --> 00:13:29,308
that are contributing that we think

317
00:13:29,308 --> 00:13:32,311
are contributing smoking, vaping, alcohol,
sedentary lifestyle.

318
00:13:32,378 --> 00:13:36,048
Covid really showed us that
the health of this nation is very poor.

319
00:13:36,081 --> 00:13:38,984
Oh, we're we're
absolutely the worst. Yeah.

320
00:13:38,984 --> 00:13:40,519
And so then we see these people

321
00:13:40,519 --> 00:13:42,154
and we're like,
oh, you're too young for breast cancer.

322
00:13:42,154 --> 00:13:43,756
You don't fit the mold.

323
00:13:43,756 --> 00:13:44,824
But they do.

324
00:13:44,824 --> 00:13:45,991
And so there's two problems.

325
00:13:45,991 --> 00:13:49,328
There's the guideline problem right where
people are okay, you're 40 and above.

326
00:13:49,328 --> 00:13:51,397
But what if you're a black woman like me,
right.

327
00:13:51,397 --> 00:13:54,934
We're getting breast cancer ten years
younger, more aggressive later stage.

328
00:13:55,367 --> 00:13:57,536
The guidelines say, well,
maybe it's not enough evidence to say

329
00:13:57,536 --> 00:13:59,638
you should get, you know,
additional screening.

330
00:13:59,638 --> 00:14:01,540
What about the women with dense breast?

331
00:14:01,540 --> 00:14:03,108
48% of women.

332
00:14:03,108 --> 00:14:06,111
Every second person has something called
dense breast.

333
00:14:06,278 --> 00:14:08,681
And the FDA says
you should get supplemental imaging.

334
00:14:08,681 --> 00:14:10,182
We should do more stuff to look.

335
00:14:10,182 --> 00:14:12,918
It’s like looking at a cloudy sky
looking for cloud.

336
00:14:12,918 --> 00:14:14,086
That's the density, right?

337
00:14:14,086 --> 00:14:14,520
Okay.

338
00:14:14,520 --> 00:14:16,422
FDA says you should get more imaging U.S.

339
00:14:16,422 --> 00:14:17,823
preventive task force those guidelines.

340
00:14:17,823 --> 00:14:19,792
And now there's not enough evidence
to suggest that.

341
00:14:19,792 --> 00:14:21,227
So there's all this confusion.

342
00:14:21,227 --> 00:14:23,362
Meanwhile women don't know what to do

343
00:14:23,362 --> 00:14:25,731
and they're not getting their
imaging every year.

344
00:14:25,731 --> 00:14:27,633
And so it's not a problem
with the technology.

345
00:14:27,633 --> 00:14:29,935
But there is a problem with the process.

346
00:14:29,935 --> 00:14:34,340
And that's where Bexa comes in as a really
smart solution for adoption that works.

347
00:14:34,840 --> 00:14:37,476
But there's a problem with acceptance.
Yeah.

348
00:14:37,476 --> 00:14:39,111
Because the women are saying,

349
00:14:40,613 --> 00:14:41,380
not so much.

350
00:14:41,380 --> 00:14:42,114
I don't want that.

351
00:14:42,114 --> 00:14:44,850
Yeah I don't yeah, I'm busy.

352
00:14:44,850 --> 00:14:47,820
I don't have time to mess with that, yada
yada yada, yada, yada.

353
00:14:48,020 --> 00:14:52,725
So we're missing this whole class
where he was switched to the, you know,

354
00:14:52,725 --> 00:14:56,695
those of us that are chronologically
challenged and where that's at.

355
00:14:57,029 --> 00:14:57,930
Okay.

356
00:14:57,930 --> 00:15:01,333
And and as a result of that, you're having
the numbers

357
00:15:01,333 --> 00:15:02,935
are starting to creep up now. Yeah.

358
00:15:02,935 --> 00:15:03,636
Just think about it.

359
00:15:03,636 --> 00:15:05,437
Every year you go
and they call you back and say,

360
00:15:05,437 --> 00:15:07,907
oh, you got to get another test
because you've got dense breast,

361
00:15:07,907 --> 00:15:09,508
but it may not
be covered by your insurance.

362
00:15:09,508 --> 00:15:11,310
So now you got to take another day
from work.

363
00:15:11,310 --> 00:15:13,178
You got to find something to do
with the kids, with the elders,

364
00:15:13,178 --> 00:15:15,347
something to do with the dinner
that you were going to stop and pick up.

365
00:15:15,347 --> 00:15:18,117
You got to move your plans
and get another test.

366
00:15:18,117 --> 00:15:20,386
It could be two weeks,
it could be two months.

367
00:15:20,386 --> 00:15:22,388
And then they say, oh, you going to
come back for a little bit more?

368
00:15:22,388 --> 00:15:23,923
Let's check it again in six months.

369
00:15:23,923 --> 00:15:26,659
So this process is expensive right.

370
00:15:26,659 --> 00:15:30,596
The process of we call that false positive
meaning your mama was inconclusive.

371
00:15:30,596 --> 00:15:33,599
We kind of see something
and it might be might not be.

372
00:15:33,632 --> 00:15:35,968
That process is so off
putting to women that they say,

373
00:15:35,968 --> 00:15:37,670
you know
what, I'm not doing that again this year.

374
00:15:37,670 --> 00:15:41,073
And then if I heard you correctly,
and this is interesting because I've been

375
00:15:41,073 --> 00:15:45,577
in this industry for 30 plus years,
it may not be covered by insurance.

376
00:15:45,577 --> 00:15:48,747
So there are policies
that don't cover these follow ups.

377
00:15:49,114 --> 00:15:52,518
So then the woman, well,
I can't afford to get a 1700

378
00:15:52,518 --> 00:15:57,356
or 2000 or $3,000 MRI, Cat scan,
whatever it's going to be.

379
00:15:57,723 --> 00:15:59,558
So I'm just not going to do it precisely.

380
00:15:59,558 --> 00:16:01,860
And have you if you've ever had an MRI,
you go on that machine.

381
00:16:01,860 --> 00:16:04,897
Once you get that dye
that makes your mouth water

382
00:16:04,897 --> 00:16:07,032
and you're like,
okay, I'm not doing this again.

383
00:16:07,032 --> 00:16:10,336
And so all of these reasons
are compounding why we're finding

384
00:16:10,469 --> 00:16:12,471
cancers at a later stage.

385
00:16:12,471 --> 00:16:14,273
So we got to do something different.

386
00:16:14,273 --> 00:16:17,810
We cannot continue to do the same things
and expect different results.

387
00:16:18,243 --> 00:16:19,812
Yeah, that's the definition of failure.

388
00:16:19,812 --> 00:16:22,047
Precisely.
And we're certainly failing. Yeah.

389
00:16:23,015 --> 00:16:25,918
This you know, you said something
last night.

390
00:16:25,918 --> 00:16:27,519
We've only have about two minutes left.

391
00:16:27,519 --> 00:16:29,121
Back to that MRI thing.

392
00:16:29,121 --> 00:16:30,556
So I've had multiple MRIs.

393
00:16:30,556 --> 00:16:32,024
Had a brain tumor in 85.

394
00:16:32,024 --> 00:16:34,827
You know I, I've done this.

395
00:16:34,827 --> 00:16:36,695
Well you're on your back going in.

396
00:16:36,695 --> 00:16:39,565
How do the women do it
when they go in for the breast MRI?

397
00:16:39,565 --> 00:16:42,901
Oh, so you're on your stomach
in this Superman pose.

398
00:16:43,102 --> 00:16:46,372
Right face turned to the side,
staring at the side of that machine.

399
00:16:46,372 --> 00:16:47,940
All that noise, all that whirring.

400
00:16:47,940 --> 00:16:49,408
Even if they play a little bit of music.

401
00:16:49,408 --> 00:16:51,343
But it's a completely uncomfotable...
You can't hear any music in that thing.

402
00:16:51,343 --> 00:16:53,178
Superman, Superman pose. Yeah.

403
00:16:53,178 --> 00:16:55,514
Now it's better than that. It's
better than the smash-a-graham, right?

404
00:16:55,514 --> 00:16:57,716
It's better than squeezing
it between the two metal plates

405
00:16:57,716 --> 00:17:00,719
with 28 pounds of pressure,
because that's what a mammogram is.

406
00:17:01,020 --> 00:17:04,323
So they're like, well, let's give every
woman MRIs, but the MRI find everything

407
00:17:04,323 --> 00:17:07,292
and then you need ultrasounds after that
and then you need biopsies after that.

408
00:17:07,459 --> 00:17:08,994
This whole process.

409
00:17:08,994 --> 00:17:12,031
And in the process the women aren't
informed of what's been seen.

410
00:17:12,197 --> 00:17:14,166
They get a message in the portal, hey,
we saw something.

411
00:17:14,166 --> 00:17:15,467
Call this number.

412
00:17:15,467 --> 00:17:17,403
And what are you supposed to do?
You have no idea

413
00:17:17,403 --> 00:17:20,072
what's wrong with your breasts.
and what's the anxiety level?

414
00:17:20,072 --> 00:17:21,740
My wife suffers from heart failure.

415
00:17:21,740 --> 00:17:26,145
The first thing she does when she gets her
labs is goes right to the website.

416
00:17:26,145 --> 00:17:27,780
She did this yesterday.

417
00:17:27,780 --> 00:17:29,114
A couple of things were down.

418
00:17:29,114 --> 00:17:31,316
She's like, I hold the phone.

419
00:17:31,316 --> 00:17:34,319
You don't start
interpreting your own information here.

420
00:17:34,553 --> 00:17:35,220
Let's go from there.

421
00:17:35,220 --> 00:17:38,023
But the level of anxiety is huge, right?

422
00:17:38,023 --> 00:17:39,224
You could have a cancer.

423
00:17:39,224 --> 00:17:41,360
You may not know what to do
for weeks to months.

424
00:17:41,360 --> 00:17:42,694
And that's the problem.

425
00:17:42,694 --> 00:17:43,028
All right.

426
00:17:43,028 --> 00:17:44,063
So now you know

427
00:17:44,063 --> 00:17:47,399
when we come back from the break we're
going to talk about the Bexa solution.

428
00:17:47,633 --> 00:17:49,334
Now we've framed the problem.

429
00:17:49,334 --> 00:17:50,669
We've talked about what's going on.

430
00:17:50,669 --> 00:17:53,172
Now we're going to come back
and talk about how do we fix it.

431
00:17:53,172 --> 00:17:55,307
All right.
If you want to learn more, the website is

432
00:17:56,708 --> 00:17:58,544
mybexa.com, mybexa.com, the phone number

433
00:17:58,544 --> 00:18:01,680
1-800-469-2392

434
00:18:01,880 --> 00:18:04,716
1-800-469-2392.

435
00:18:04,716 --> 00:18:06,218
You want to learn more about this?

436
00:18:06,218 --> 00:18:07,953
Go to the website or give them a call.

437
00:18:07,953 --> 00:18:09,788
You certainly might
want to think about this

438
00:18:09,788 --> 00:18:12,858
if you've got a self-funded plan
in a large employer group.

439
00:18:12,858 --> 00:18:16,528
If you're a TPA, even if you're a broker
or human resource director,

440
00:18:16,695 --> 00:18:18,130
might want to take a look at it.

441
00:18:18,130 --> 00:18:19,498
We'll be right back after the break.

442
00:18:19,498 --> 00:18:22,501
You're listening to America's
Healthcare Advocate

443
00:18:22,668 --> 00:18:25,571
broadcasting coast to coast across USA.

444
00:18:25,571 --> 00:18:26,071
Stay tuned.

445
00:18:26,071 --> 00:18:29,074
We've got more.

446
00:18:38,317 --> 00:18:38,917
Welcome back.

447
00:18:38,917 --> 00:18:42,421
You're listening to America's Healthcare
Advocate show broadcasting coast

448
00:18:42,421 --> 00:18:46,091
to coast across the USA here on the HIA
Radio Network.

449
00:18:46,291 --> 00:18:50,562
All the shows are posted on 16
podcast channels and the YouTube channel.

450
00:18:50,562 --> 00:18:53,332
So maybe you're that broker.

451
00:18:53,332 --> 00:18:55,501
Okay, that's got three clients
in the Pareto Contrarian Re or

452
00:18:56,702 --> 00:18:58,170
the Berkeley Captive.

453
00:18:58,170 --> 00:19:00,672
400, 200, 300 employees.

454
00:19:00,672 --> 00:19:02,241
And you know what that bottom line

455
00:19:02,241 --> 00:19:05,244
number is going to look like
when the reinsurance bill comes next year,

456
00:19:05,544 --> 00:19:09,648
because they had three major cancer
claims, two of which were breast cancer.

457
00:19:10,048 --> 00:19:13,051
You could do a lot to eliminate that

458
00:19:13,218 --> 00:19:16,221
if you understood the Bexa model
and how it works.

459
00:19:16,288 --> 00:19:19,758
So if you're a TPA, this is something
you might want to think about.

460
00:19:19,758 --> 00:19:22,761
If you're a broker, you definitely
should be thinking about it.

461
00:19:22,961 --> 00:19:23,295
All right.

462
00:19:23,295 --> 00:19:27,099
And if you're a human resource director,
imagine what this would mean

463
00:19:27,099 --> 00:19:30,903
to the women in your company
if they were told they could get this exam

464
00:19:31,103 --> 00:19:34,606
and do it in 30 minutes,
in the convenience of the office.

465
00:19:34,606 --> 00:19:37,409
If they wanted to do that. We'll
talk about all of that in this segment.

466
00:19:37,409 --> 00:19:40,846
To learn more about it, go to the website
myBexa.com.

467
00:19:40,846 --> 00:19:43,782
myBexa.com.
Do you want to talk to somebody?

468
00:19:43,782 --> 00:19:46,051
Call them ask for Elizabeth.

469
00:19:46,051 --> 00:19:47,953
She'll be happy to chat with you.

470
00:19:47,953 --> 00:19:51,023
1-888-469-2392.

471
00:19:51,023 --> 00:19:54,092
1-888-469-2392.

472
00:19:54,359 --> 00:19:56,094
Over dinner last night,

473
00:19:56,094 --> 00:19:59,097
we talked about a lot of different things,
but she told some stories last night.

474
00:19:59,097 --> 00:20:00,332
You've probably

475
00:20:00,332 --> 00:20:01,066
I think you've done

476
00:20:01,066 --> 00:20:04,536
about 4 or 5 conferences here this year
so far, if I remember correctly.

477
00:20:05,070 --> 00:20:08,941
Talk about some of it because we just
talked about the inconvenience

478
00:20:09,141 --> 00:20:13,712
that having to lay on your belly
and do this thing, 28 pounds of pressure.

479
00:20:13,712 --> 00:20:17,683
Talk about what you're hearing
when you go to these conferences and women

480
00:20:17,683 --> 00:20:20,252
come up to you. Elizabeth. Absolutely.

481
00:20:20,252 --> 00:20:24,356
So there's actually a few different things
that I feel like we hear constantly.

482
00:20:24,356 --> 00:20:26,124
And it's so sad, really.

483
00:20:26,124 --> 00:20:27,859
It's interesting
to be on this side of things.

484
00:20:27,859 --> 00:20:30,963
I knew breast cancer was a big deal.

485
00:20:30,963 --> 00:20:33,198
I just didn't realize how big of a deal
it was.

486
00:20:33,198 --> 00:20:35,400
And, and yesterday
at this conference that I was at,

487
00:20:35,400 --> 00:20:38,370
there were at least half a dozen women
who were all breast cancer survivors.

488
00:20:38,637 --> 00:20:40,639
That's a lot of women.

489
00:20:40,639 --> 00:20:42,541
Yes. Exactly.

490
00:20:42,541 --> 00:20:44,910
But the interesting thing is
that you have these women

491
00:20:44,910 --> 00:20:46,745
who do have dense breast tissue.

492
00:20:46,745 --> 00:20:50,949
And the moment that doctor Monique starts
to describe what the actual process

493
00:20:50,949 --> 00:20:54,453
or journey could be for a woman with dense
breast tissue, you start to see

494
00:20:54,753 --> 00:20:56,121
this kind of light bulb go off, right?

495
00:20:56,121 --> 00:20:59,091
And they're like, wait, there's
something different that's out there.

496
00:20:59,091 --> 00:20:59,992
There's something different.

497
00:20:59,992 --> 00:21:03,595
That's an alternative to what I'm doing
today that fits the needs that I have.

498
00:21:04,162 --> 00:21:08,367
The other thing is, you have these women
who don't meet the age guidelines.

499
00:21:08,600 --> 00:21:13,272
And then and I'll tell you, I, I tell this
story on a, on a pretty regular basis.

500
00:21:14,106 --> 00:21:17,442
But there is there's a family member
who is 24

501
00:21:17,776 --> 00:21:20,078
and no family history,
and she was diagnosed

502
00:21:20,078 --> 00:21:23,582
with what they thought was stage one
and ultimately ended up being stage four.

503
00:21:23,815 --> 00:21:27,085
And that happened about two weeks before
I took this job at Bexa.

504
00:21:27,452 --> 00:21:30,455
And that to me, like you just
you never really quite think.

505
00:21:30,822 --> 00:21:33,325
24 Years old. 24. Yeah.

506
00:21:33,325 --> 00:21:35,594
Stage four and no family history.

507
00:21:35,594 --> 00:21:37,562
So what happens
whenever you feel that lump?

508
00:21:37,562 --> 00:21:40,265
And to doctor Moe’s point earlier
you go in to see your provider

509
00:21:40,265 --> 00:21:43,669
and they say you're too young,
you're fine, everything's normal.

510
00:21:43,835 --> 00:21:44,503
Come back again.

511
00:21:44,503 --> 00:21:46,772
Well we all know it's not easy
to get into your PCP, right?

512
00:21:46,772 --> 00:21:47,372
You've got to wait.

513
00:21:47,372 --> 00:21:50,575
Typically, I know I have to wait 3
to 4 months if I were to go see mine.

514
00:21:51,009 --> 00:21:53,378
And then on top of that,
now you've got to have a script

515
00:21:53,378 --> 00:21:54,746
to even go in for a mammogram.

516
00:21:54,746 --> 00:21:57,883
If you have a concern, you should be able
to go in and have that done.

517
00:21:58,650 --> 00:22:01,253
The other thing
that I just heard a story yesterday.

518
00:22:01,253 --> 00:22:02,988
We had an examiner that was on site.

519
00:22:02,988 --> 00:22:06,391
She was providing demos and I went
and asked this lady how it went.

520
00:22:06,758 --> 00:22:09,227
And she said, in the past
she's had two mammograms.

521
00:22:09,227 --> 00:22:10,495
She's 50.

522
00:22:10,495 --> 00:22:11,830
Her first one was okay.

523
00:22:11,830 --> 00:22:14,433
Her second one was so painful

524
00:22:14,433 --> 00:22:17,903
that she literally blacked out
and they had ruptured a cyst.

525
00:22:18,270 --> 00:22:20,272
And it was
because she had smaller breasts,

526
00:22:20,272 --> 00:22:23,742
but it was just it was this awful story
that I was hearing.

527
00:22:23,742 --> 00:22:25,977
And then she said, I will never again
get a mammogram.

528
00:22:25,977 --> 00:22:28,647
And again, we're not anti mammography,
but it's just to say

529
00:22:28,647 --> 00:22:31,383
there has to be an alternative solution
that's out there.

530
00:22:31,383 --> 00:22:34,353
I fit one of the 62% of women
above the age of 40

531
00:22:34,353 --> 00:22:36,188
who do not have
an annual breast screening,

532
00:22:36,188 --> 00:22:39,024
and that's kind of alarming
based on the position that I'm in.

533
00:22:39,024 --> 00:22:40,726
But it's it's 100% true.

534
00:22:40,726 --> 00:22:44,563
I don't want the pain, I don't want
I don't want any of that uncomfortable

535
00:22:44,563 --> 00:22:46,098
like... so it's just. Yeah.

536
00:22:46,098 --> 00:22:47,833
So doctor, show the device.

537
00:22:48,900 --> 00:22:51,536
Why - how this is different.

538
00:22:51,536 --> 00:22:53,305
What it does. This is it.

539
00:22:53,305 --> 00:22:56,808
I mean, this this little machine
that you're looking at right here

540
00:22:56,975 --> 00:22:58,176
is the whole device.

541
00:22:58,176 --> 00:22:59,811
So explain how this works.

542
00:22:59,811 --> 00:23:01,980
This is it. And you know,
the first thing I'll say is this.

543
00:23:01,980 --> 00:23:04,983
If you told me 20 years ago
that you could poop in a box and mail it.

544
00:23:05,217 --> 00:23:06,451
Right, well, there you go.

545
00:23:06,451 --> 00:23:08,120
Now, that's something I hadn't thought
about, folks.

546
00:23:08,120 --> 00:23:08,420
Right.

547
00:23:08,420 --> 00:23:08,987
20 years ago

548
00:23:08,987 --> 00:23:11,156
when I started practicing medicine,
that you could do that

549
00:23:11,156 --> 00:23:13,959
I would have laughed out of the out
of this booth and said, yeah, whatever.

550
00:23:13,959 --> 00:23:14,793
Okay. Yeah.

551
00:23:14,793 --> 00:23:17,162
And it's the same thing
for every new innovation.

552
00:23:17,162 --> 00:23:19,164
So when we talk to doctors,
they're like, okay,

553
00:23:19,164 --> 00:23:21,533
so if this is so good, then
how come I didn't learn about it?

554
00:23:21,533 --> 00:23:22,534
How come I don't know about it?

555
00:23:22,534 --> 00:23:25,470
Because innovation is happening
and we have to keep up with it.

556
00:23:25,470 --> 00:23:28,874
But how this works is my ten
fingers, right?

557
00:23:28,874 --> 00:23:30,876
As magical
as I think they are, I'm a surgeon.

558
00:23:30,876 --> 00:23:31,676
I think they do wonders.

559
00:23:31,676 --> 00:23:33,211
I'm sure you do. It right.

560
00:23:33,211 --> 00:23:37,048
The effectiveness of these ten fingers
to find a cancer, to find a mass in

561
00:23:37,048 --> 00:23:40,051
the breast is like 50/50 flip a coin.

562
00:23:40,318 --> 00:23:42,354
It's called a clinical breast exam.

563
00:23:42,354 --> 00:23:45,524
And so what Bexa has done
is that on the bottom of this device,

564
00:23:45,524 --> 00:23:48,727
there are not ten fingers,
but 192 sensors.

565
00:23:48,894 --> 00:23:49,394
On that.

566
00:23:49,394 --> 00:23:53,365
Little this little device, 192 sensors
that are arranged like a lattice.

567
00:23:53,532 --> 00:23:57,302
And everywhere where those two filaments
overlap, it sends a signal up.

568
00:23:57,669 --> 00:24:00,005
And so as it glides along
the breast, right.

569
00:24:00,005 --> 00:24:01,740
This is the clinical breast exam.

570
00:24:01,740 --> 00:24:03,842
As it glides along
the surface of the breast,

571
00:24:03,842 --> 00:24:07,879
it looks for changes in the stiffness
of the tissue below where it's gliding.

572
00:24:08,146 --> 00:24:08,447
Right.

573
00:24:08,447 --> 00:24:11,450
So think about it
like fingers on a piano key or like,

574
00:24:11,683 --> 00:24:13,385
like hands gliding along something.

575
00:24:13,385 --> 00:24:17,088
And you're feeling
for the changes in the stiffness.

576
00:24:17,088 --> 00:24:20,091
And where there's a cancer,
the breast tissue is going to be stiffer.

577
00:24:20,325 --> 00:24:22,561
So it's looking for changes
in that elasticity.

578
00:24:22,561 --> 00:24:23,061
It's stretchy.

579
00:24:23,061 --> 00:24:23,929
It's stretchy.

580
00:24:23,929 --> 00:24:24,930
It’s stretchy. Hmm.

581
00:24:24,930 --> 00:24:27,065
Something's pushing back on the sensor.

582
00:24:27,065 --> 00:24:30,001
And it can detect down
to five millimeters.

583
00:24:30,001 --> 00:24:32,404
And that matters at six millimeters.

584
00:24:32,404 --> 00:24:35,807
Right a cancer that's aggressive
triple negative the Her2 positive.

585
00:24:35,807 --> 00:24:38,243
They need aggressive chemotherapy

586
00:24:38,243 --> 00:24:40,545
that cost all of a sudden
you talk about claims cost.

587
00:24:40,545 --> 00:24:43,482
The cost for some of those drugs
through the roof.

588
00:24:43,482 --> 00:24:43,982
Well yeah.

589
00:24:43,982 --> 00:24:47,652
But what the other problem is
you're talking about early detection

590
00:24:48,286 --> 00:24:52,691
using the standard methods where they're
not even going in until they're 40.

591
00:24:52,991 --> 00:24:57,229
We're back to the 24 year old with stage
four cancer and no history in her family.

592
00:24:57,395 --> 00:25:00,065
This changes that.
This changes everything.

593
00:25:00,065 --> 00:25:03,702
But what this does what it does not do
is it doesn't tell you if it's a cancer.

594
00:25:03,835 --> 00:25:06,838
It glides along. It finds the mass.

595
00:25:06,872 --> 00:25:09,841
Ultrasound defines the mass.

596
00:25:10,141 --> 00:25:13,245
So this is a handheld ultrasound right.

597
00:25:13,245 --> 00:25:15,180
And so you get two modalities in one.

598
00:25:15,180 --> 00:25:17,015
And this is important
I'm going to come back to this

599
00:25:17,015 --> 00:25:19,951
because the cost in the time from a woman
having a lump

600
00:25:19,951 --> 00:25:22,954
to getting a diagnosis
can be weeks to months.

601
00:25:23,522 --> 00:25:25,590
I have a friend.
She's a physician in Maryland.

602
00:25:25,590 --> 00:25:27,058
She's a primary care.

603
00:25:27,058 --> 00:25:31,162
It took her six months
to get a diagnosis of DCIS stage zero.

604
00:25:31,162 --> 00:25:33,732
By the time she actually got the
surgery, it was stage two,

605
00:25:35,166 --> 00:25:35,534
right?

606
00:25:35,534 --> 00:25:37,836
And so when you find a lump
and you find it small

607
00:25:37,836 --> 00:25:40,906
and we got to talk about this,
the reason we search for the lump

608
00:25:41,439 --> 00:25:44,476
is because the most common presentation
of a cancer that's going to spread

609
00:25:44,643 --> 00:25:46,111
the way it starts is a lump.

610
00:25:46,111 --> 00:25:50,081
It starts as a mass
97% of cancers that go anywhere

611
00:25:50,315 --> 00:25:53,718
and that become stage
four start like this as a lump.

612
00:25:54,152 --> 00:25:55,554
And so if you're going to save lives.

613
00:25:55,554 --> 00:25:57,222
If early detection is going to save life.

614
00:25:57,222 --> 00:25:59,691
Find the lump,
find it fast, find it cheap.

615
00:25:59,691 --> 00:26:02,694
Tell her what it is
and then tell her what to do about it.

616
00:26:02,761 --> 00:26:06,765
And do it in a sensitive and humane
and compassionate way, person to person.

617
00:26:07,232 --> 00:26:08,233
That's the difference.

618
00:26:08,233 --> 00:26:08,733
They're not.

619
00:26:08,733 --> 00:26:11,269
They're not waiting
30 days to get through.

620
00:26:11,269 --> 00:26:14,506
So this is so you're the let's just say

621
00:26:14,506 --> 00:26:18,043
the employer sets this up in-house,
decides we're going to start doing this.

622
00:26:18,043 --> 00:26:19,911
We've had four cancer claims.

623
00:26:19,911 --> 00:26:23,148
You got 300 women here in our company
or whatever the case may be.

624
00:26:23,148 --> 00:26:25,383
We had four major claims last year.

625
00:26:25,383 --> 00:26:28,386
Of those four, three were not detected
when they should have been.

626
00:26:28,386 --> 00:26:30,355
Two were below the age of 40.

627
00:26:30,355 --> 00:26:32,023
We're going to bring this in.

628
00:26:32,023 --> 00:26:33,725
How long to do that exam?

629
00:26:33,725 --> 00:26:37,195
This exam with the encounter
with our examiners that we trained.

630
00:26:37,195 --> 00:26:40,966
Talk to the woman, ask her what she feels,
go over the breast exam with her.

631
00:26:41,032 --> 00:26:41,967
You get the device.

632
00:26:41,967 --> 00:26:44,970
Any masses that are found,
you get the secondary study

633
00:26:45,070 --> 00:26:48,306
20 to 30 minutes, 20 minutes.

634
00:26:48,306 --> 00:26:50,642
20 minutes you're putting your clothes
on. 30 minutes you’re signing the survey.

635
00:26:50,642 --> 00:26:52,010
You're walking back to your desk.

636
00:26:52,010 --> 00:26:54,212
And they have the results.
And they have the results.

637
00:26:54,212 --> 00:26:58,316
Now if a mass is found,
it gets sent immediately to a fellowship

638
00:26:58,316 --> 00:26:59,417
trained breast radiologist.

639
00:26:59,417 --> 00:27:02,020
And you know, they're kind of like
unicorns in this country right now.

640
00:27:02,020 --> 00:27:03,054
Finding a doctor,

641
00:27:03,054 --> 00:27:06,825
a radiologist who just does breast
imaging they are in very high demand.

642
00:27:06,825 --> 00:27:09,427
But we have them
and they will read that ultrasound.

643
00:27:09,427 --> 00:27:10,895
They'll look at the picture,
the measurements,

644
00:27:10,895 --> 00:27:13,832
they'll get all the features
that our ultra sonographer will send.

645
00:27:13,832 --> 00:27:15,166
And they'll say,
you know what this looks like.

646
00:27:15,166 --> 00:27:16,968
You should check it again in six months.

647
00:27:16,968 --> 00:27:19,137
This this looks like a cyst.
This looks like nothing.

648
00:27:19,137 --> 00:27:21,239
This looks like you need a biopsy.

649
00:27:21,239 --> 00:27:23,341
And so how many women are being referred
for that?

650
00:27:23,341 --> 00:27:25,043
That's called the referral rate. Right.

651
00:27:25,043 --> 00:27:30,949
So when you compare how many women after
a mammogram need more pictures, 13 to 21%.

652
00:27:30,949 --> 00:27:32,117
Bexa?

653
00:27:32,117 --> 00:27:35,453
2 to 5% of women are going to need
something after the Bexa exam.

654
00:27:35,654 --> 00:27:38,657
Because we find the mass,
we tell you how suspicious it is

655
00:27:38,823 --> 00:27:41,693
and then those 2 to 5%,
because that number is so small,

656
00:27:41,693 --> 00:27:45,196
they get a call from me or a member,
my clinical team that says, hey,

657
00:27:45,463 --> 00:27:48,033
you had a breast exam with us.
We saw something.

658
00:27:48,033 --> 00:27:48,900
Who's your PCP?

659
00:27:48,900 --> 00:27:50,402
Who's your gynecologist?

660
00:27:50,402 --> 00:27:53,104
Let's get you in to get some more imaging.

661
00:27:53,104 --> 00:27:56,241
And now let's go back to the insurance
hurdle.

662
00:27:56,641 --> 00:27:59,611
You have the actual diagnostic information

663
00:27:59,611 --> 00:28:03,214
from the radiologist
who knows how to read breast exams.

664
00:28:03,515 --> 00:28:07,218
So now the pre cert
to get the rest of the testing done

665
00:28:07,452 --> 00:28:11,289
is a walk in the park
because it's medically necessary.

666
00:28:11,489 --> 00:28:13,158
The magic two words.

667
00:28:13,158 --> 00:28:16,161
It's medically necessary
because you just showed them.

668
00:28:16,261 --> 00:28:18,196
There it is. Here's the pictures.

669
00:28:18,196 --> 00:28:20,565
Here's the analysis. Yep it's all done.

670
00:28:20,565 --> 00:28:21,866
Get them in.

671
00:28:21,866 --> 00:28:23,568
Exactly. It's remarkable.

672
00:28:23,568 --> 00:28:27,005
And if they have problems, they call us
and we find somebody in that market.

673
00:28:27,005 --> 00:28:28,206
Every new market we enter,

674
00:28:28,206 --> 00:28:31,443
I find doctors who are on standby
waiting to receive these women.

675
00:28:31,443 --> 00:28:34,245
If they've got a breast issue,
they know if I'm calling,

676
00:28:34,245 --> 00:28:36,314
they're going to see these women,
they're going to get them in.

677
00:28:37,382 --> 00:28:38,516
It's remarkable.

678
00:28:38,516 --> 00:28:40,585
It can make a huge difference.

679
00:28:40,585 --> 00:28:43,988
You know, once again,
I do these kinds of shows for a reason.

680
00:28:44,389 --> 00:28:46,991
This is technology that is not...

681
00:28:46,991 --> 00:28:48,626
most folks don't know anything about this.

682
00:28:48,626 --> 00:28:51,062
I certainly didn't before I met Elizabeth.

683
00:28:51,062 --> 00:28:52,664
It's remarkable what they're doing.

684
00:28:52,664 --> 00:28:56,234
They can change the way we're
treating breast cancer in this country

685
00:28:56,234 --> 00:28:59,237
in terms of getting it done
earlier, smarter and better.

686
00:28:59,270 --> 00:29:00,505
You want to learn more?

687
00:29:00,505 --> 00:29:03,675
mybexa.com is the website, mybexa.com.

688
00:29:03,675 --> 00:29:07,612
Phone number 1-888-469-2392.

689
00:29:07,612 --> 00:29:11,049
1-888-469-2392.

690
00:29:11,216 --> 00:29:13,752
We'll be right back after the break.
The doctors still in the house.

691
00:29:13,752 --> 00:29:14,319
Stay tuned.

692
00:29:14,319 --> 00:29:17,322
We've got more.

693
00:29:21,459 --> 00:29:22,227
Welcome back.

694
00:29:22,227 --> 00:29:23,695
You're listening to America's Healthcare

695
00:29:23,695 --> 00:29:27,165
Advocate Show, broadcasting coast
to coast across USA.

696
00:29:27,599 --> 00:29:31,669
You know, you've got women in your family,
or your a guy listening to this,

697
00:29:31,669 --> 00:29:34,038
this is audience
tilts a little bit toward men.

698
00:29:34,038 --> 00:29:38,910
And our women in audience capacity
climbing every day.

699
00:29:39,210 --> 00:29:42,213
But nonetheless, I'm talking to
you guys out there.

700
00:29:42,247 --> 00:29:43,348
You got a wife?

701
00:29:43,348 --> 00:29:45,784
She's under the age of 40.
She's never done this.

702
00:29:45,784 --> 00:29:47,752
You need to talk to her, okay?

703
00:29:47,752 --> 00:29:51,723
You don't want to be the one
with the 24 year old wife that's got stage

704
00:29:51,723 --> 00:29:52,524
four breast cancer.

705
00:29:52,524 --> 00:29:55,527
Because she didn't detect
it wasn't detected early.

706
00:29:55,927 --> 00:29:57,462
Let her listen to this podcast.

707
00:29:57,462 --> 00:30:00,331
Let her listen to the broadcast,
go up on the YouTube

708
00:30:00,331 --> 00:30:03,501
and tell them that it's there because
it can make a big difference for them.

709
00:30:03,501 --> 00:30:06,004
The website is mybexa.com. It's
a great website.

710
00:30:06,004 --> 00:30:07,338
Videos are up there.

711
00:30:07,338 --> 00:30:08,807
I spent a lot of time on it.

712
00:30:08,807 --> 00:30:09,874
Easy to understand.

713
00:30:09,874 --> 00:30:11,843
They've got a lot of initiatives up there.

714
00:30:11,843 --> 00:30:14,479
You'll want to take a look at mybexa.com.

715
00:30:14,479 --> 00:30:16,447
You want to call them? Learn about this.

716
00:30:16,447 --> 00:30:19,450
Learn how you can incorporate it
into your company's health plan.

717
00:30:19,551 --> 00:30:23,721
Learn how you could do it as a broker,
as a TPA, or a human resource director.

718
00:30:24,088 --> 00:30:27,258
1-888-469-2392.

719
00:30:27,258 --> 00:30:30,428
1-888-469-2392.

720
00:30:30,995 --> 00:30:33,631
It's a great program,
can make a big difference and can make

721
00:30:33,631 --> 00:30:36,901
a huge difference in terms of claims
cost as you move forward.

722
00:30:37,202 --> 00:30:39,504
All right.
So let's talk a little bit about this.

723
00:30:39,504 --> 00:30:44,209
Net Promoter Score I saw this I'm like
okay what is the Net promoter score?

724
00:30:44,576 --> 00:30:47,145
So explain that Elizabeth and talk
about what it is.

725
00:30:47,145 --> 00:30:47,579
Absolutely.

726
00:30:47,579 --> 00:30:51,683
So it's important that we have a 98
NPS score okay. 98%.

727
00:30:51,850 --> 00:30:54,719
That's incredibly important, especially in
the industry that we serve today.

728
00:30:54,719 --> 00:30:57,722
Because if we look at this with
I mean, you're talking about carriers,

729
00:30:58,056 --> 00:31:02,594
or other vendor solutions that have,
you know, teens or even like in the 30%.

730
00:31:02,594 --> 00:31:02,794
Right?

731
00:31:02,794 --> 00:31:06,831
So to have a 98 means
that if we were to come back on site,

732
00:31:07,232 --> 00:31:10,201
people would opt in
to doing a Bexa breast exam again.

733
00:31:10,368 --> 00:31:11,536
So they truly love us.

734
00:31:11,536 --> 00:31:12,871
And I think the very unique part

735
00:31:12,871 --> 00:31:17,041
about what we do is one,
we service self-funded employers.

736
00:31:17,041 --> 00:31:19,210
You can be fully insured as well,
but the billing is a little different.

737
00:31:19,210 --> 00:31:21,379
So self-funded
employers is very important.

738
00:31:21,379 --> 00:31:24,616
But when we come on site
after an exam is performed,

739
00:31:24,782 --> 00:31:27,452
we ask that patient
then or that member then.

740
00:31:27,452 --> 00:31:30,154
Would you mind filling out a quick survey?

741
00:31:30,154 --> 00:31:32,757
The vast majority of women will fill out
that survey.

742
00:31:32,757 --> 00:31:35,193
I think it's 97% of those women.

743
00:31:35,193 --> 00:31:38,162
And then that's where we get our NPS
score of 98%.

744
00:31:38,162 --> 00:31:40,198
Remarkable. So, yes, women love us.

745
00:31:40,198 --> 00:31:42,400
The other thing
is, from the employer's standpoint,

746
00:31:42,400 --> 00:31:45,103
I told you this dinner last night,
if I'm the employer

747
00:31:45,103 --> 00:31:48,373
and I got 200 employees,
and of that, 40% are women,

748
00:31:48,840 --> 00:31:51,876
and I bring this program in place
and put it in and say, oh, by the way,

749
00:31:52,844 --> 00:31:53,845
you know, you guys, out there

750
00:31:53,845 --> 00:31:56,180
you, want to bring your wife's in here
because they're covered.

751
00:31:56,180 --> 00:31:57,649
We'll do it for them. Okay?

752
00:31:57,649 --> 00:32:02,520
Whatever the case may be, the concern,
the level of concern and care that shows

753
00:32:02,520 --> 00:32:06,591
by the employer, doctor, is like,
they really do give a damn, don't they?

754
00:32:06,925 --> 00:32:09,928
You know, I had

755
00:32:10,094 --> 00:32:11,329
the folks up here, for Exemplar

756
00:32:11,329 --> 00:32:14,332
Care and Doctor John said, you know,
the best thing that I ever heard,

757
00:32:14,732 --> 00:32:18,002
when I was actually in the clinic
or working was an employee

758
00:32:18,002 --> 00:32:19,504
came in from a company and said,

759
00:32:19,504 --> 00:32:22,707
“you know, this is the only damn thing
my employer does for me that’s any good”.

760
00:32:23,074 --> 00:32:28,179
And it was like, okay, well,
but so the point is, it's engagement.

761
00:32:28,680 --> 00:32:33,484
And it shows in addition to the ROI,
at the end of the day, it shows something.

762
00:32:33,785 --> 00:32:36,587
And what it really speaks to
is the experience, right?

763
00:32:36,587 --> 00:32:39,157
A Bexa breast exam feels like wellness,

764
00:32:39,157 --> 00:32:42,727
and your typical breast exams
kind of don't have that same sense.

765
00:32:43,027 --> 00:32:45,330
And that speaks
to the quality of our examiners.

766
00:32:45,330 --> 00:32:46,931
They're the lifeblood of what we do.

767
00:32:46,931 --> 00:32:49,901
When I train these examiners,
I train them to be compassionate,

768
00:32:49,901 --> 00:32:52,270
to ask questions,
to engage with these women.

769
00:32:52,270 --> 00:32:55,073
And no woman ever walks
out of the typical of breast experience

770
00:32:55,073 --> 00:32:57,241
and says, oh,
I feel more educated about my breast now.

771
00:32:57,241 --> 00:32:59,177
I understand what I've got going
on. They're like, crap.

772
00:32:59,177 --> 00:33:00,645
I hope they didn't find something
this year.

773
00:33:00,645 --> 00:33:02,280
I guess I'll find out on my phone in

774
00:33:02,280 --> 00:33:04,949
you know, one week, two weeks
whenever I get the results.

775
00:33:04,949 --> 00:33:07,585
But when women leave they say, “are
you're going to be here tomorrow?” “Can

776
00:33:07,585 --> 00:33:08,987
I call my sister? Can I call my.

777
00:33:08,987 --> 00:33:10,388
You know, my coworker is on vacation.

778
00:33:10,388 --> 00:33:12,156
She says she'll come back early for this”.

779
00:33:12,156 --> 00:33:15,760
We have gotten those types of phone calls
and those types of referrals

780
00:33:15,960 --> 00:33:18,262
because you go in, it's a ten by 12 room.

781
00:33:18,262 --> 00:33:20,732
It's a heated massage table,
it's warm gel.

782
00:33:20,732 --> 00:33:24,002
It's a friendly face asking you questions,
showing you

783
00:33:24,002 --> 00:33:28,172
what your breast exam is and encouraging
you to do your own breast exam at home.

784
00:33:28,172 --> 00:33:29,374
And it's something found.

785
00:33:29,374 --> 00:33:30,541
She's looking at it right then

786
00:33:30,541 --> 00:33:32,844
and there and she said,
we get this over to the radiologist

787
00:33:32,844 --> 00:33:34,412
and we're going to
get your result right away,

788
00:33:35,513 --> 00:33:35,880
right.

789
00:33:35,880 --> 00:33:37,615
That process feels like wellness.

790
00:33:37,615 --> 00:33:39,150
That's what women want.

791
00:33:39,150 --> 00:33:39,450
Yeah.

792
00:33:39,450 --> 00:33:42,720
It not only does it feel like wellness,
it is wellness.

793
00:33:43,187 --> 00:33:43,855
Okay.

794
00:33:43,855 --> 00:33:48,893
Because you're detecting this early
and you're getting them into the protocol

795
00:33:48,893 --> 00:33:52,363
where if there's an issue, it's
not going to be stage four.

796
00:33:52,530 --> 00:33:55,533
So what is so let's talk about that
for just a second.

797
00:33:56,434 --> 00:34:00,972
You know in this country unfortunately
we treat things after the fact.

798
00:34:00,972 --> 00:34:03,341
I like I said, at dinner last night,
we put the Band-Aid on.

799
00:34:03,341 --> 00:34:06,044
Meanwhile you're bleeding
out of your femoral artery.

800
00:34:06,044 --> 00:34:06,878
Okay.

801
00:34:06,878 --> 00:34:10,281
How much of a difference does this make?

802
00:34:10,281 --> 00:34:11,749
Will this make?

803
00:34:11,749 --> 00:34:15,653
You know, when you talk about overall
the difference between reducing

804
00:34:15,653 --> 00:34:19,490
these stage four stage
three cancers versus where we are now?

805
00:34:20,191 --> 00:34:21,392
Those are good questions.

806
00:34:21,392 --> 00:34:24,495
And the number one,
the cost of breast cancer care in

807
00:34:24,495 --> 00:34:27,498
this country is totaling over $29 billion.

808
00:34:27,765 --> 00:34:28,099
Right.

809
00:34:28,099 --> 00:34:30,902
And stage four stage,
when you go up in a stage,

810
00:34:30,902 --> 00:34:35,006
you're going up by 80,000
to $100,000 per stage that that insurer,

811
00:34:35,039 --> 00:34:38,342
that employer is paying right
for that later stage diagnosis.

812
00:34:38,709 --> 00:34:42,313
So when you find it early,
it saves money for the company for sure.

813
00:34:42,313 --> 00:34:44,449
But think about your employee, right?

814
00:34:44,449 --> 00:34:45,883
She now has a longer health span.

815
00:34:45,883 --> 00:34:47,285
She's more invested in that company.

816
00:34:47,285 --> 00:34:50,221
She has reduced absenteeism
because she doesn't need chemotherapy.

817
00:34:50,221 --> 00:34:52,690
Right.
She's going to stay with that company.

818
00:34:52,690 --> 00:34:52,957
Right?

819
00:34:52,957 --> 00:34:57,328
The GDP of an entire nation goes up when
we invest in women's health solutions.

820
00:34:57,328 --> 00:34:58,196
And that's been shown.

821
00:34:58,196 --> 00:35:00,631
McKinsey
did a great report on that last year

822
00:35:00,631 --> 00:35:02,934
where we talked about at the World
Economic Forum last year.

823
00:35:02,934 --> 00:35:07,038
So investing in breast cancer care
and early detection is dividends, right?

824
00:35:07,038 --> 00:35:10,041
Not just the direct cost
but the indirect out of,

825
00:35:10,208 --> 00:35:12,410
you know, downstream cost for sure.

826
00:35:12,410 --> 00:35:14,846
So in the numbers number one high cost

827
00:35:14,846 --> 00:35:17,849
claim $528,000 okay.

828
00:35:18,082 --> 00:35:21,252
Number two $419,000 okay.

829
00:35:21,285 --> 00:35:24,989
So you're looking at you
know, $1 million in claims here

830
00:35:25,156 --> 00:35:28,092
for each
and every one that we're talking about.

831
00:35:28,092 --> 00:35:28,893
I’ll do you one better.

832
00:35:28,893 --> 00:35:31,863
The cost of a false positive.

833
00:35:31,863 --> 00:35:32,230
Right.

834
00:35:32,230 --> 00:35:34,599
That cost of the secondary
imaging, the possible

835
00:35:34,599 --> 00:35:38,236
biopsy that may ensue the six month later
follow up imaging that you need,

836
00:35:38,536 --> 00:35:42,807
that cost is totaling 2 billion
to the health system for false positives.

837
00:35:42,807 --> 00:35:45,810
And that could be basically eliminated.

838
00:35:45,943 --> 00:35:49,413
Reduced significantly,
significantly, dramatically.

839
00:35:49,747 --> 00:35:52,150
And this is where we've got to get smart
about what we're doing.

840
00:35:52,150 --> 00:35:56,053
Because on the surgical side of things,
I'm doing less and less surgery, right.

841
00:35:56,053 --> 00:35:57,889
They're doing shorter
courses of radiation.

842
00:35:57,889 --> 00:36:00,525
Everything's getting smaller
and de-escalated

843
00:36:00,525 --> 00:36:02,059
on the treatment side of things,

844
00:36:02,059 --> 00:36:03,494
as we find things early,

845
00:36:03,494 --> 00:36:06,631
but we're ramping up on the looking
for things side of things, right.

846
00:36:06,631 --> 00:36:08,099
We're ramping up on early detection.

847
00:36:08,099 --> 00:36:11,869
So now you need a mammogram, ultrasound,
MRI, follow it up in six months.

848
00:36:11,869 --> 00:36:12,670
You need a biopsy.

849
00:36:12,670 --> 00:36:13,771
You need pathology.

850
00:36:13,771 --> 00:36:16,741
All those costs are starting to snowball.

851
00:36:16,908 --> 00:36:18,843
There's a real problem in this country.

852
00:36:18,843 --> 00:36:22,113
And the way to solve
that is with this kind of technology.

853
00:36:22,113 --> 00:36:22,880
Absolutely.

854
00:36:22,880 --> 00:36:25,249
It can make a huge difference, right?

855
00:36:25,249 --> 00:36:25,516
Yeah.

856
00:36:25,516 --> 00:36:28,686
You know, thank you guys,
both of you, for coming in here.

857
00:36:28,686 --> 00:36:30,488
I'd love for you flying in here
like you did.

858
00:36:30,488 --> 00:36:32,690
You changing your plans to be here?

859
00:36:32,690 --> 00:36:34,959
When we do these kinds of shows,
that makes a difference.

860
00:36:34,959 --> 00:36:36,794
And I think this one
is going to make a lot of difference.

861
00:36:36,794 --> 00:36:38,896
So I appreciate both very much.

862
00:36:38,896 --> 00:36:41,299
You know, I'll say it again.

863
00:36:41,299 --> 00:36:42,867
You know, I do these for a reason,

864
00:36:42,867 --> 00:36:45,870
and you're the reason out there
in that audience listening to this.

865
00:36:46,337 --> 00:36:49,473
There's somebody out there listening this
right now that knows there's an issue.

866
00:36:49,740 --> 00:36:52,710
There's somebody out there that’s
a human resource director that knows

867
00:36:52,743 --> 00:36:55,880
she had 3 or 4 women last year
that had major cancer claims.

868
00:36:56,314 --> 00:37:00,318
I've got a good friend, who just finished
a she had stage four cancer.

869
00:37:00,318 --> 00:37:02,220
She's still going through radiology.

870
00:37:02,220 --> 00:37:04,655
She's still going through chemo. Okay.

871
00:37:04,655 --> 00:37:06,057
She has gotten her hair back.

872
00:37:06,057 --> 00:37:07,558
We had lunch the other day.

873
00:37:07,558 --> 00:37:10,561
This is a very difficult situation
for for women.

874
00:37:10,728 --> 00:37:13,464
And it's something you can change
if you want to change it.

875
00:37:13,464 --> 00:37:14,799
You want to learn.

876
00:37:14,799 --> 00:37:17,168
You have to take the first step
or nothing's going to happen.

877
00:37:17,168 --> 00:37:19,237
It's just that simple, right?

878
00:37:19,237 --> 00:37:22,240
The way to do
that is go to the website, mybexa.com.

879
00:37:22,473 --> 00:37:24,809
Look at it for yourself, all right.

880
00:37:24,809 --> 00:37:27,945
Or pick up the phone,
go to the website and call them.

881
00:37:27,945 --> 00:37:29,313
Ask for Elizabeth.

882
00:37:29,313 --> 00:37:30,648
Have a conversation.

883
00:37:30,648 --> 00:37:32,383
They'll come out. They'll talk to you.

884
00:37:32,383 --> 00:37:35,820
Phone number 1-888-469-2392.

885
00:37:35,820 --> 00:37:38,823
1-888-469-2392.

886
00:37:39,090 --> 00:37:42,093
And now I leave you with this thought
from Doctor Martin Luther King.

887
00:37:42,326 --> 00:37:45,796
Americans must learn to live together
as brothers and sisters,

888
00:37:46,097 --> 00:37:49,100
or we will surely perish together
as fools.

889
00:37:49,467 --> 00:37:51,168
Truer words were never spoken.

890
00:37:51,168 --> 00:37:54,705
Thank you for listening to America's
Healthcare Advocate broadcasting coast

891
00:37:54,705 --> 00:37:58,876
to coast across the USA here on the HIA
Radio Network.

892
00:37:59,210 --> 00:38:00,578
Goodbye America.
