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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 of broadcasting coast

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to coast across the USA, from Alaska
to Florida all the way to Hawaii.

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Thank you for joining us, for making us
one of the most listened to talk shows

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throughout the United States.

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294 affiliates strong.

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My producer name is Karen Carson.
I'm your host, Cary Hall.

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You're looking for Medicare health
insurance.

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The good folks at RPS
Benefits by Design are happy to help you.

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You can reach the lovely Joyce Thompson
at 877-385-2224.

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And Jim Lodge will help you with
any employer sponsored health care needs.

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They are happy to help you as well.

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Again, at 877-385-2224, 24 seven anywhere in the country.

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Feel free to give them a call if you have
questions, you want to send me an email?

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I get these all the time.

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I do that on the on the website, healthradio.us.

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And I will be happy to respond to you
with anything I can help you with,

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whatever the case may be.

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In studio with me today,

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who came all the way in here from New York
City, pretty close to New York.

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Right.

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Our Bob Goldberg and Joseph Swider,
they are from ProsperDTX.

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What is ProsperDTX?

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You're going to find us interesting.

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ProsperDTX applies
this proprietary, casual machine

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learning technology to patient
health workers to create next generation

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personalized care for cancer
and other diseases.

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The takeaway

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from what I just said is they help improve
the life of cancer patients.

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We're going to dove into that
and talk about that today.

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Let me tell you a little bit about Bob
and what he does.

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Bob Goldberg is the co-founder and chief
strategy officer of ProsperDTX.

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He's also the vice president
and co-founder of the Center for Medicine

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in the Public Interest.

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And he advocates for consumer and access
to medical innovation, better

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health
information, personalized health care.

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Over the past 20 years, Dr.

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Goldberg has dedicated himself
to improving the health of Americans

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and promoting medical innovation
prior to founding CMPI,

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Dr. Goldberg was a director
of the Manhattan Institute Center

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for Medical Progress

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and the chairman of the 21st Century
FDA Task Force that examined

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the impact of the FDA's critical path
initiative on drug development.

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So Guy obviously knows what he's talking
about.

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We're very happy to have him in studio.

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And the fact that he came in here
from New Jersey.

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Also, his partner, Joseph Slater,
is the CEO and co-founder of ProsperDTX.

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He has 25 years in life science executive.

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He was a portfolio manager, entrepreneur
and advisor for J.P.

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Morgan, the Dreyfus Front
and the Scudder hedge fund.

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Welcome, gentlemen. Happy
to have you all here.

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Great. thank you, and we get this done.

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We're going to go enjoy some of that
wonderful Kansas City barbecue today.

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So there we go. All right.

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So let's just start off with ProsperDTX,

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because when you and I first talked,
Terry Mondy, a good friend of mine

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and someone who I've worked with
for years, brought this to me

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and I was fascinated by it
because you're filling a void in a space

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where for cancer care patients, there
just isn't anybody doing this right now.

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And the complications
that people have after they've had

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cancer treatment while they're having
cancer treatment are significant.

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Talk about what ProsperDTX brings
and how it works, Doctor.

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Thanks again for having me, Cary,
and for having Joe as well.

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We established Prosper
Digital Therapeutics.

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Exactly because of the problem of

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when people are diagnosed with cancer
and they're being treated for cancer.

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People forget that most of this care
is managed on their own.

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99.9% of cancer care is self-management.

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We you see the doctor, an average of maybe

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16 minutes a month, if you're lucky.

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During that time, lots of things

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happen.

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Side effects, isolation, anxiety.

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There's nothing there to help people.

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And these are major drivers
of quality of life, but also E.R.

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and hospital admissions,

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which are about 30% of the total costs
of cancer in this country.

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So we, from our own experiences,
personally saw

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that there was a need for for doing this.

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And the question was, well,
if you're going to do it,

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do you want to wait till things get worse?

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Which is usually what happens
because people are reluctant to talk.

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You aren't monitoring them
or do you get ahead of the thing

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by coming up with predictive models
that can get to people

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and provide them with care
before they get sick,

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before their fevers spike,
before they lose weight.

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And that's really the essence of
of prosper.

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You know, we we collect all this
electronic health information

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and the unstructured information,
which is the information

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about how you're feeling on a day to day
basis.

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We have proprietary algorithms
which allow us to personalize

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where you may be going in the
in the care process

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and provide you with 24 seven

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concierge care,

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which consists of live navigators,
to help you with things

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like transportation,
financial services and nutrition.

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You know, we've even in our focus group,
people have talked about massage therapy,

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but also identifying

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remotely through the kinds of things
that try to find the things that people

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are most likely to be hospitalized for
and stop them from happening.

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I think that kind of gives for an idea
of what we're doing here.

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Here's here's an interesting statistic
that I think

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you find interesting
in the audience today.

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65% of the people with cancer likely
to experience unplanned, acute admission.

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What does that mean, Joe?

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That means that as the CMS has stated,

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there's ten different conditions
that a cancer patient

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can develop due to the chemotherapy,

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which the CMS has identified
is avoidable, that cancer patients

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undergo complications,

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that with the right
kind of oversight can be avoided.

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So unplanned hospitalizations
doesn't mean that excludes

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hospital visits
for radiotherapy, for surgery,

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and for those kind of procedures
that are planned unplanned

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hospitalization just means really that

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the care of the patient is out of control,
that the care is not adequate.

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For example, I got interested in

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having a cancer product
because I lost my dad to cancer.

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I've lost friends of mine to cancer
who are younger than me,

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and I have experience
seeing that there's huge gaps

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in the continuity
of care of these patients.

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And these gaps are these gaps are these
these areas where

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if there was an intervention
or information or suggestion or support,

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then these patients would not have
these hospitalizations.

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For example, in a self-insured

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company typically has about 1%
of their employees come down with cancer,

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but up to 20% of their total health
care costs could be treating that 1%.

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We think that
there's great inefficiency in

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in the care of cancer patients
and great gaps in the continuity of care.

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And think that digital application
versions are the perfect way

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to coordinate resources
and provide recommendations and support

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to coordinate with a care team,
the navigators

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and really to bring in friends and family

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that that can help support
the cancer patient in their journey.

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That's critical
because the caregiver, you know,

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your wife gets cancer, your husband gets
cancer, your child has cancer.

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There's a

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caregiver, though, that has to because
as you said, you're self-managing this.

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You have to be your own advocate. Yeah.

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My wife's got a very significant
heart condition.

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I will tell you that we have spent
a lot of time I have spent a lot of time

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navigating the health care system,
getting her to the right people.

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And I had to change doctors
and hospitals three times.

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But I know my way around the space.

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But for the average person out there,
they don't.

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And that's

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that's the problem,
is that they're self-managed

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being in a vacuum where they don't
understand, you know, what's going on

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here.

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We've got about a about 30 seconds
and about a minute left.

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Just chat about that quickly
before we go to break.

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Well, my own personal experience is
Joe knows my dad visiting my dad.

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He fell,

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he cracked his neck, everything, you know,
we went to E.R., he got discharged.

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And then I we all we looked at each other.

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Me and my brother and my dad go, well,
what do we do now?

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How do you care with a guy
in a miami j-brace cervical collar?

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How do you shave?

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How do you walk?

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And these things are never thought
of during the cancer treatment process.

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The reason that we develop
these causal models is there could be five

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different reasons for fever or weight loss
and so on.

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We find using analysis underlying causes

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so that the caregiver can actually make
a easy, informed decision.

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So we come back from the break.

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We're going to explore
some of those situations.

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We're going to talk specifically
about some of the things

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that happened to people with cancer issues
and other diseases that

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ProsperDX is treating
the website is ProsperDTX.com.

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If you want information ProsperDTX.com.

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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 here on the HIA
Radio Network.

00;09;04;08 - 00;09;06;05
Coast to coast across the USA.

00;09;06;05 - 00;09;07;25
We've got more of the doctors in the
house.

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Stay right there. I'll

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go out to the blue.

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Welcome back.

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

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to coast across the fruited plain
here on the HIA radio network.

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You can find out more about us

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by going to the Web site
HealthRadiot.us, HealthRadio.us.

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My producer, Miss Karen Carson.

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I'm your host, Cary Hall. In studio
with me, Dr.

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Bob Goldberg, founder of ProsperDTX,
co-founder ProsperDTX.

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Joe Slater,
CEO and co-founder of ProsperDTX.

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We are talking about the treatment
of cancer and the challenges people face

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when they are being treated for cancer,
with chemo and all the other things

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they have to go through.

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And we're trying to put information out
here.

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You know, I do these shows.

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I'm trying to educate this audience
that there is a better way,

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there's another way to treat
whatever this particular issue is

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that you may be having.

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That's why we do these kinds of broadcasts
to educate the audience out there

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in terms of what's available.

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You're not going to find this

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typically anywhere
in the mainstream media or anyplace else.

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So that's why
we do these kinds of broadcasts.

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So if you are that human resource
director, maybe you're a broker

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or TP administrator
or hospital administrator.

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You should go take a look at this
and see what you think,

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because I think you're going to be
surprised.

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It's called ProsperDTX.com.

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They've got a great website

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you can contact them through the website
ProsperDTX.com.

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It can make a big difference.

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It can make a big difference in how people
are living their daily quality of life.

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And it can also lower the cost
by not having these unscheduled E.R.

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visits and readmissions to the hospital.

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So again, the website ProsperDTX.com,
you said something off here a minute ago.

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That was very interesting.

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I think Joe said this,
36% of the people are taking a supplement.

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Now go from that to the to the

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to the conclusion of what happens
when they're taking this particular.

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Supplement with Joe's the smart one.

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And he he had the he had the.

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You're the Ph.D..
Wait a minute. I don't understand.

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And that piled high and deeper,
as my mother would say.

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But yeah. So, Joe, with.

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36% of patients take some kind
of a natural substance substitute

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supplement to boost their immune system,
they're thinking.

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Logical. Well, if right,
this will make me better.

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Right.

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It's well-meaning,
but it's not reported to the doctor.

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It's not part of the medical record.

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And who knows this?

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And studies have shown that people
taking this, these supplements,

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it hurts the effectiveness of chemotherapy
and can exacerbate the the

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side effects.

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So having a complete
medical record is really important.

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Let's pull back to the patient
that the person that gets

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the diagnosis, they're overwhelmed.

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They're scared to death start.

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Yeah. What what are we going to do?

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And then this health care system says,

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oh, we need you to go
get all your health records.

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They're scattered everywhere.

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What ProsperDTX does
with as a benefit to a health plan

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is to engage that patient and collect
all their health records digitally.

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We're able to do this now over 95% of
all health providers in the United States.

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We create a longitudinal record
and not just

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health records that are part
of the current system they're in.

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Anywhere
they've been, where there's an electric

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electronic signature or a record,
we can bring that in.

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So if there's something that, you know,
one of our advisors is Rafael Fonseca

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from the Mayo Clinic, who told us

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early on in engaging the company that

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often patients don't

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tell the physician
very important ideas about some of

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the treatments they've gotten in the past,
and with that information

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that they would prescribe differently.

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So what we're able to do
is work with the physician.

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We're not a substitute for a doctor.

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We're part of the care team.

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We think that we're the missing part
of that to create this continuity of care.

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And we can identify these problem
areas, flag them,

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make recommendations, communicate
with the patient and the care teams

00;13;24;24 - 00;13;26;10
to have a better outcome.

00;13;26;10 - 00;13;28;23
Yeah, a significantly better outcome. Bob,
go ahead.

00;13;28;23 - 00;13;31;22
Yeah, I was going to say
just to follow up, but Rafael, Dr.

00;13;31;22 - 00;13;35;01
Fonseca said in this particular case,
he didn't know

00;13;36;13 - 00;13;39;19
that his patient
had a urinary tract infection

00;13;40;21 - 00;13;42;05
which wound up

00;13;42;05 - 00;13;46;06
progressing because they're immuno
compromised into a hospitalization.

00;13;46;16 - 00;13;50;28
If he had known, if it had been in a
and this is Mayo Clinic, by the way,

00;13;51;08 - 00;13;55;10
if he had known that
and was able to see in the E.R.

00;13;55;10 - 00;13;57;20
that that was happening,
he could have prescribed

00;13;57;20 - 00;13;59;23
and could have taken taken action.

00;13;59;23 - 00;14;03;17
And to that point, you know,
we're not just throwing not doing a

00;14;03;17 - 00;14;05;08
just a data dump.

00;14;05;08 - 00;14;06;21
We work with the doctors.

00;14;06;21 - 00;14;10;16
We work with our customers
to develop a visualization

00;14;10;24 - 00;14;13;25
that makes it look like
almost like a box score in the old days.

00;14;13;25 - 00;14;15;27
Remember the box scores? Yeah. Yeah.

00;14;15;27 - 00;14;19;18
So you know where you're going
and what's happening.

00;14;19;27 - 00;14;22;24
So the final thing I just want to say
is that

00;14;23;01 - 00;14;26;08
a lot of people don't tell their doctors
not just what they're taking,

00;14;26;12 - 00;14;27;25
but what they're not taking.

00;14;27;25 - 00;14;29;26
Or here's the other one.

00;14;29;26 - 00;14;32;27
A lot of people that are going to chemo
and they're doing this

00;14;32;27 - 00;14;36;15
because they're having nausea,
they can't eat, they're going out

00;14;36;15 - 00;14;39;17
and they're getting marijuana suppliments,
they're getting CBD

00;14;39;17 - 00;14;42;05
or they're getting edibles
or they're getting actual marijuana.

00;14;42;08 - 00;14;43;14
And what do they do?

00;14;43;14 - 00;14;48;26
They walk into a clinic or dispensaries
dispensary.

00;14;48;26 - 00;14;49;20
That's what it's called. Yeah.

00;14;49;20 - 00;14;52;15
And who do they talk to? The Bud Master.

00;14;52;21 - 00;14;55;15
Now, I'm going to ask you, really,
I mean, this is

00;14;55;16 - 00;14;58;16
you've got,
you know, what, a 19, 20 year old to do.

00;14;58;18 - 00;15;00;24
I don't know,
you know, behind the counter.

00;15;00;24 - 00;15;03;24
And he's telling you, yeah, well,
you know, you ought to do this one

00;15;03;24 - 00;15;04;15
and that one.

00;15;04;15 - 00;15;07;24
I mean, is that really the best way
to approach this?

00;15;07;24 - 00;15;11;06
Or in the case of ProsperDTX, you're

00;15;11;06 - 00;15;15;16
going to call your navigator and say,
hey, yeah, I'm having this problem.

00;15;15;16 - 00;15;18;10
Maybe they're going to recommend
that you get an edible,

00;15;18;10 - 00;15;21;03
but they're going to tell you what to do
and how to do it. Right?

00;15;21;03 - 00;15;23;21
Right. And listen, we're not doctors.

00;15;23;28 - 00;15;26;08
I don't play one on TV.

00;15;26;08 - 00;15;29;14
We work with the clinicians
to give them a weekly

00;15;30;05 - 00;15;32;17
roundup,
depending upon what they're looking for.

00;15;32;28 - 00;15;34;18
But in terms of the supportive care.

00;15;34;18 - 00;15;36;02
Absolutely right.

00;15;36;02 - 00;15;39;14
We collected information
and then you can go to the navigators

00;15;39;22 - 00;15;42;06
and you can ask and answer.

00;15;42;11 - 00;15;45;23
And sometimes you'll tell the
navigators and other patients

00;15;46;27 - 00;15;48;16
what you won't tell the doctor.

00;15;48;16 - 00;15;49;24
We can learn from that.

00;15;49;24 - 00;15;53;22
And instead of going to a bud master
for your anxiety and for the

00;15;53;22 - 00;15;56;24
your appetite, you can do it

00;15;56;29 - 00;16;00;04
under a more prospective and controlled

00;16;01;24 - 00;16;03;14
situation.

00;16;03;17 - 00;16;07;17
That that is going to have the just like
just like Joe talked about, maybe

00;16;07;28 - 00;16;12;22
36% of the people taking a supplement
that is actually hurting their chemo.

00;16;13;09 - 00;16;15;26
Okay. So here, this is a same process.

00;16;15;26 - 00;16;17;06
We're just talking
about a different issue.

00;16;17;06 - 00;16;22;21
50% of patients with a depression
or anxiety, particularly cancer patients,

00;16;23;09 - 00;16;26;17
are taking CBD or some kind of THC

00;16;26;17 - 00;16;29;07
laced product
and not telling their physicians.

00;16;29;23 - 00;16;32;00
So 50%. 50%.

00;16;32;00 - 00;16;33;15
That's yeah.

00;16;33;15 - 00;16;34;19
That's a scary number.

00;16;34;19 - 00;16;37;11
Yeah,
I mean, especially from the standpoint of

00;16;37;19 - 00;16;40;29
you're not telling the doctor
what you're doing, okay.

00;16;41;02 - 00;16;42;09
You know, whether

00;16;42;09 - 00;16;45;27
and then then there's this issue
with trying to connect all the dots.

00;16;45;27 - 00;16;50;20
So you've got a primary care physician,
you've got another physician over here.

00;16;50;20 - 00;16;52;13
You've got an oncologist over here.

00;16;52;13 - 00;16;54;11
How is all that being communicated?

00;16;54;11 - 00;16;58;15
Yeah, people freeze and are intimidated
when they go to see their doctor

00;16;58;18 - 00;17;01;20
and they want to tell the doctor
what the doctor wants to hear.

00;17;02;08 - 00;17;05;19
They typically report
the thing that they've been feeling

00;17;05;25 - 00;17;07;17
the last couple of days,

00;17;07;17 - 00;17;09;26
whereas if they haven't seen their doctor
in a month,

00;17;10;03 - 00;17;11;12
they've had some other problem

00;17;11;12 - 00;17;14;17
that's been dominant,
but they don't even bring it up.

00;17;14;17 - 00;17;18;29
So what our our technology does is it
helps the patient.

00;17;19;18 - 00;17;22;00
We help the patient collect how they feel

00;17;22;17 - 00;17;25;15
and then report
how they feel to the physician.

00;17;25;25 - 00;17;27;16
So talk about how they do that.

00;17;27;16 - 00;17;29;18
So you've got you've got the phone app.

00;17;29;18 - 00;17;31;07
I mean, I've got a picture of it
right here.

00;17;31;07 - 00;17;32;26
How does that work?

00;17;32;26 - 00;17;34;00
Well, we try to make it.

00;17;34;00 - 00;17;39;10
And our chief technology officer,
Evan Patton, has been working at MIT,

00;17;39;14 - 00;17;41;23
developing easy to use

00;17;42;14 - 00;17;45;00
Excel, man of the people

00;17;45;00 - 00;17;49;21
kinds of interfaces
for for these kinds of experiences.

00;17;50;00 - 00;17;52;03
We try to make it
as noninvasive as possible.

00;17;52;08 - 00;17;55;22
So we're asking and answering
and checking in.

00;17;56;01 - 00;17;57;02
How are you feeling today?

00;17;57;02 - 00;18;00;26
And maybe it's just a matter of red, green
and yellow lights

00;18;01;03 - 00;18;03;29
or different temperature levels.

00;18;04;10 - 00;18;07;03
So in terms of, say,
what's tech with nausea,

00;18;07;05 - 00;18;10;03
are we able to eat today really quick?

00;18;10;03 - 00;18;11;16
Yes or no?

00;18;11;19 - 00;18;14;06
Do you feel nauseous? Yes or no?

00;18;14;06 - 00;18;15;08
What?

00;18;15;08 - 00;18;18;05
In the case of oral health, which I know
we're going to talk talked to,

00;18;18;11 - 00;18;20;20
did you have trouble swallowing,
which sometimes happens

00;18;20;27 - 00;18;23;13
when you're when you have vomiting,
you also have GERD.

00;18;23;23 - 00;18;28;11
So we collect that information
and feed that back into our platform.

00;18;28;11 - 00;18;29;14
And we are allowing people

00;18;29;14 - 00;18;32;11
to help collect information
which isn't told to the doctor

00;18;32;19 - 00;18;33;25
because you don't have 60.

00;18;33;25 - 00;18;36;12
When you're in your 16 minutes
with your doctor,

00;18;36;17 - 00;18;40;08
you want to be present
your best self as opposed to that stuff.

00;18;40;13 - 00;18;42;13
That's not that's not the reason for it.

00;18;42;14 - 00;18;43;20
Yeah. Correct. Yeah.

00;18;43;20 - 00;18;47;03
But if the doctor's got all that data
when you walk in the office,

00;18;47;10 - 00;18;50;15
he already knows what you've been going
through for the last 30 days.

00;18;50;17 - 00;18;51;29
Right. And he can look at it go.

00;18;51;29 - 00;18;55;21
I understand you're having a problem
with this or you've got a urinary or this,

00;18;55;21 - 00;18;56;16
that or something else.

00;18;56;16 - 00;19;00;13
And then and then he can take steps
to help you resolve that issue.

00;19;00;13 - 00;19;02;09
Right? Yeah. I mean, I.

00;19;02;09 - 00;19;03;05
Go ahead. I'm sorry.

00;19;03;05 - 00;19;06;17
There's one important
aspect to our digital application,

00;19;06;17 - 00;19;08;20
and that is the coordination of a care
team.

00;19;08;26 - 00;19;12;13
Typically, a patient will have family
and friends that want to help.

00;19;12;17 - 00;19;12;25
Right.

00;19;12;25 - 00;19;16;16
And they're able to interact with his app
and get information

00;19;16;21 - 00;19;18;10
and be able to support the patient.

00;19;18;10 - 00;19;19;23
And that's critically important.

00;19;19;23 - 00;19;22;18
So I hope this is making sense
to all of you out there.

00;19;22;18 - 00;19;24;13
You know, they've got some great people
that they work with.

00;19;24;13 - 00;19;25;18
You heard him talk about Dr.

00;19;25;18 - 00;19;29;14
Fonseka and the issues from Mayo Clinic.

00;19;29;19 - 00;19;30;19
You know, they've got Dr.

00;19;30;19 - 00;19;35;10
Kerzac at the University of California,
San Diego, Gina Marie Pullman,

00;19;35;14 - 00;19;37;21
Duke University.
I'm reading this for a reason.

00;19;37;21 - 00;19;40;05
I want you understand
who's behind this stuff?

00;19;40;05 - 00;19;43;09
Behind the scenes, working with these guys
to make this thing work.

00;19;43;09 - 00;19;45;22
The website is ProsperDTX.com.

00;19;45;25 - 00;19;47;13
I urge you to take a look at it.

00;19;47;13 - 00;19;49;01
We'll be right back after the break.

00;19;49;01 - 00;19;52;09
You're listening to America's
Healthcare Advocate broadcasting coast

00;19;52;09 - 00;19;56;07
to coast across USA.

00;20;02;07 - 00;20;03;00
Welcome back.

00;20;03;00 - 00;20;06;00
You're listening to America's health care
advocate show Broadcasting Coast

00;20;06;00 - 00;20;09;11
to coast across USA here on the HIA
Radio Network.

00;20;09;11 - 00;20;13;19
You can find out more about us
by going to the website HealthRadio.us.

00;20;13;19 - 00;20;15;04
HealthRadio.us.

00;20;15;04 - 00;20;16;28
Send me an email if you've got a question.

00;20;16;28 - 00;20;20;17
You also can go up on the podcast
platforms TuneIn, SoundCloud, iTunes,

00;20;20;17 - 00;20;24;10
Spreaker, all and we're on all of those
Spotify, the whole nine yards.

00;20;24;10 - 00;20;27;06
So if you want to tell somebody
about this show or listen to it again,

00;20;27;06 - 00;20;30;06
whatever the case may be,
go to go to the podcast platforms.

00;20;30;06 - 00;20;32;07
They are posted up there
each and every week.

00;20;32;07 - 00;20;34;19
Our producer, always perfect.
Miss Karen Carson.

00;20;34;25 - 00;20;36;29
I'm your host Cary Hall. In studio
with me, Dr.

00;20;36;29 - 00;20;42;07
Bob Goldberg, co-founder of ProsperDTX,
and Joseph Slater, CEO ProsperDTX.

00;20;42;10 - 00;20;45;13
We are talking about cancer
care and disease issues

00;20;45;13 - 00;20;46;29
surrounding cancer right now.

00;20;46;29 - 00;20;49;11
If you you know, so
you're a procrastinator.

00;20;49;11 - 00;20;53;24
You've got, you know, five or six people
in the groups in the Perito can try and re

00;20;54;01 - 00;20;55;28
or the Berkeley found
or one of the other ones

00;20;55;28 - 00;20;58;26
and they're all self-funded plans
are you're doing it some of the way

00;20;59;08 - 00;21;03;06
you might want to take a look at this
prosper Dexcom is the website

00;21;03;15 - 00;21;05;28
it's a really good website
there's a lot of information up there.

00;21;06;12 - 00;21;08;21
I think you might find
this would make a lot of sense.

00;21;09;07 - 00;21;12;27
Also, if you're a human resource director,
go up to the website, take a look at it.

00;21;13;05 - 00;21;15;28
And if you are in a TPA working a TPA,

00;21;15;29 - 00;21;18;02
another place
that it might make a lot of sense for you.

00;21;18;02 - 00;21;22;07
So once again, or if you're an employer
and you are on a self-funded plan,

00;21;22;07 - 00;21;24;14
you know,
look at it, see what you think of it.

00;21;24;14 - 00;21;27;16
ProsperDTX.com. All right.

00;21;27;22 - 00;21;28;26
We left off there.

00;21;28;26 - 00;21;29;19
That last thing

00;21;29;19 - 00;21;33;08
there was an interesting comment
that Joe made 16 minutes

00;21;33;08 - 00;21;36;27
is the average amount of time
that a patient gets with their doctor

00;21;36;27 - 00;21;38;20
when they're going
through cancer treatment.

00;21;38;20 - 00;21;43;19
And then we have all of these issues, Bob,
that they have to deal with.

00;21;43;19 - 00;21;48;11
So you're talking about everything
from nausea to fever to vomiting,

00;21;48;23 - 00;21;52;13
you know, all these different things
that lead them to go into the E.R.,

00;21;52;20 - 00;21;56;07
which is the least effective dollar
spent in medical care in this country.

00;21;57;07 - 00;21;58;17
And they still don't know where they are.

00;21;58;17 - 00;22;00;27
And they're dealing with people
that are not when they go in there,

00;22;01;08 - 00;22;03;21
they're not even talking to people
that are there,

00;22;03;27 - 00;22;07;06
that are
that are oncologists or experts in cancer.

00;22;07;10 - 00;22;11;01
They're talking to a resident,
usually doctor that is in there

00;22;11;01 - 00;22;14;25
catching you know, fastballs all day
as they're rolling them through the door.

00;22;15;01 - 00;22;17;25
So let's talk a little about

00;22;17;25 - 00;22;22;00
those things that they experience
if they are, in fact, a cancer patient.

00;22;22;10 - 00;22;24;08
And let's go through some of those.

00;22;24;08 - 00;22;27;00
Well,
and it doesn't matter whether you're doing

00;22;27;00 - 00;22;29;20
immunotherapy, which are the
you know, the pills that you take,

00;22;30;00 - 00;22;33;10
radiation therapy
or the traditional chemotherapy,

00;22;33;22 - 00;22;38;07
these complications
will occur to a certain degree.

00;22;38;23 - 00;22;42;25
And as I said,
if the first segment of the show,

00;22;43;07 - 00;22;47;03
there could be five different causes for
pain or five different causes for nausea,

00;22;47;25 - 00;22;50;04
we're able to look at people's data

00;22;50;24 - 00;22;55;24
in real time and come up
with a pretty good idea of what

00;22;55;24 - 00;23;00;05
the underlying causes are so that you're
not going back to the hospital e.r.

00;23;00;05 - 00;23;00;18
Again

00;23;01;22 - 00;23;04;20
and for us, there's two benefits.

00;23;04;20 - 00;23;08;05
One is for the caregiver
and for the patient.

00;23;08;05 - 00;23;11;08
It reduces that uncertainty both in terms

00;23;11;08 - 00;23;14;06
of what may be happening
and what the underlying causes.

00;23;14;17 - 00;23;17;05
The second thing is for a

00;23;17;05 - 00;23;21;10
a third party administrator
or a benefits manager,

00;23;21;23 - 00;23;24;09
there's a lot of different programs
out there and they're all

00;23;24;26 - 00;23;26;29
play a very important role.

00;23;26;29 - 00;23;29;16
But you want to make sure that the money
you're spending

00;23;29;20 - 00;23;31;17
to keep people out of the hospital

00;23;31;17 - 00;23;35;06
is actually saving you the money
that you want to save in the first place.

00;23;35;18 - 00;23;39;07
And we're we're very, very insistent upon

00;23;39;16 - 00;23;43;23
being able to measure
the outcomes and benefits so that people

00;23;44;00 - 00;23;47;11
that are paying for it get a sense
that they're getting their money's worth.

00;23;47;11 - 00;23;52;15
But more importantly, for those patients
and caregivers, a sense of confidence

00;23;52;15 - 00;23;56;00
that the plan that is being
developed is working for them,

00;23;56;06 - 00;24;00;17
and that's almost as good
as having another caregiver.

00;24;00;27 - 00;24;06;12
So, Joe, how important is it to have that
24 seven service available?

00;24;06;12 - 00;24;10;01
You know, it's 2:00 in the morning
and your wife, your husband,

00;24;10;01 - 00;24;13;24
whatever the case may be, is violently
sick, can't sleep.

00;24;13;28 - 00;24;15;23
And you think, well,
I got to go to the E.R..

00;24;15;23 - 00;24;18;08
Well, in this case,
you don't have to go to the E.R.

00;24;18;09 - 00;24;22;16
You can you can get on your app,
explain how that works.

00;24;22;16 - 00;24;26;20
Well, let's think about
the name of the company is ProsperDTX.

00;24;26;21 - 00;24;29;08
And Bob coined the term Prosper

00;24;30;03 - 00;24;32;27
for perspective and personalized.

00;24;32;27 - 00;24;35;21
So we prospectively anticipate

00;24;36;04 - 00;24;40;14
what's going to happen to a patient
based upon their care regimen.

00;24;41;05 - 00;24;45;20
So if we if if a patient is going to be
they're likely to suffer

00;24;45;20 - 00;24;49;19
dehydration
or oral health challenges or so forth.

00;24;49;26 - 00;24;55;24
We prospectively communicate with them
before they have to go to the. E.R.

00;24;55;24 - 00;24;57;02
and we go to where the puck is.

00;24;57;02 - 00;24;59;09
I think that's the term
we like to use a lot. Yeah.

00;24;59;10 - 00;25;02;04
You know, like Wayne
Gretzky was a great hockey player,

00;25;02;04 - 00;25;05;02
not because he chased the puck
because he knew where the puck was going.

00;25;05;17 - 00;25;11;04
And so that's kind of our thinking in the
where we plan our digital platform.

00;25;11;04 - 00;25;16;02
So, you know, Bob was talking about
causal, causal machine learning

00;25;16;02 - 00;25;22;01
and successfully completed a validation
study of over 4000 high risk COVID

00;25;22;01 - 00;25;25;08
patients during 2020, where we identified

00;25;25;28 - 00;25;28;20
causes of survival and recovery.

00;25;29;07 - 00;25;31;16
And it was a fascinating study.

00;25;31;23 - 00;25;37;14
We followed these patients at assisted
living centers in the Northeast, over

00;25;37;14 - 00;25;40;28
4000, 4091, high risk patients.

00;25;41;13 - 00;25;44;21
And we
we looked at their entire medical records

00;25;45;06 - 00;25;49;26
and were able to establish and identify
supportive care ideas

00;25;49;26 - 00;25;52;01
that would supportive care

00;25;52;27 - 00;25;56;11
treatments that were low cost,
but that actually help

00;25;56;18 - 00;26;00;11
patients survive and recover more quickly.

00;26;00;11 - 00;26;03;04
And that's the beauty of causal inference.

00;26;03;04 - 00;26;06;12
And causal machine
learning is identifying actionable

00;26;06;12 - 00;26;10;25
causal factors where you can intervene
and look at how you can

00;26;11;26 - 00;26;14;12
change the course of the patient's
experience.

00;26;15;00 - 00;26;19;21
So, Bob, what's happening
here is before they get to the point

00;26;19;21 - 00;26;23;20
where this becomes a significant issue,
where maybe there's readmission

00;26;23;20 - 00;26;26;23
or whatever the case may be, you're able,
as I'm listening to Joe

00;26;26;23 - 00;26;28;22
talk about how you're modeling
what you're doing,

00;26;28;22 - 00;26;31;13
you're able to say, hold
on, this is where this is going.

00;26;31;13 - 00;26;33;26
This is what we need to do.
Am I correct, correct.

00;26;33;29 - 00;26;37;16
So in the case of the COVID study
that we did,

00;26;38;14 - 00;26;40;24
we found that

00;26;40;24 - 00;26;42;24
and again,
we're not talking about high tech stuff.

00;26;43;05 - 00;26;47;03
We we found that
just taking a decongestant or something

00;26;47;08 - 00;26;50;06
like a Mucinex kind of

00;26;50;06 - 00;26;53;27
medicine actually had
a positive relationship to the survival.

00;26;53;27 - 00;26;59;12
Mind you, this is before vaccines
and antibodies and stuff like that.

00;26;59;12 - 00;27;05;06
We're developing a similar
set of algorithms for people with cancer

00;27;05;12 - 00;27;09;11
and again, taking thousands and thousands
and thousands of permutations signs

00;27;10;11 - 00;27;12;20
to ask, what if and can you do this?

00;27;12;26 - 00;27;16;23
What if we did this with this kind
of patient or these individuals?

00;27;17;02 - 00;27;20;17
And down in the years ahead,
hopefully be able to do this

00;27;21;03 - 00;27;25;09
sort of on the fly automatically,
but for the time being,

00;27;26;01 - 00;27;29;26
just being able to go to
where the puck will be for these

00;27;31;03 - 00;27;34;00
important areas anxiety, depression,

00;27;34;00 - 00;27;38;04
nausea, fatigue, fever, that's
you know, it's huge.

00;27;38;04 - 00;27;39;05
It is huge.

00;27;39;05 - 00;27;42;11
And this is a significant improvement
and it's personalized

00;27;42;11 - 00;27;43;12
for each and every person.

00;27;43;12 - 00;27;50;12
So if you want information on the website
is ProsperDTX.com or ProsperDTX.com,

00;27;51;00 - 00;27;53;20
you know, like I said, if you're
a human resource director, broker

00;27;54;06 - 00;27;56;12
administrator
or even a hospital administrator,

00;27;56;17 - 00;27;59;09
you really should take a look at this
because it can make a big difference

00;27;59;27 - 00;28;03;19
in your client and patient's health
and the way they're handling

00;28;03;26 - 00;28;05;12
their cancer treatment.

00;28;05;12 - 00;28;06;19
We'll be right back after the break.

00;28;06;19 - 00;28;10;13
You're listening to America's Healthcare
advocate broadcasting here on the HIA

00;28;10;14 - 00;28;13;19
radio network, coast
to coast across the USA.

00;28;13;19 - 00;28;14;22
We've got more. Don't go anywhere.

00;28;17;12 - 00;28;18;03
Welcome back.

00;28;18;03 - 00;28;21;03
You're listening to America's Healthcare
Advocate show broadcasting coast

00;28;21;03 - 00;28;24;20
to coast across USA here on the HIA
Radio Network.

00;28;24;20 - 00;28;26;08
My producer, Miss Karen Carlson.

00;28;26;08 - 00;28;28;11
I'm your host, Cary
Hall, the studio with me, Dr.

00;28;28;11 - 00;28;31;21
Bob Goldberg, co-founder ProsperDTX
Joeseph Swiader, co-founder

00;28;31;21 - 00;28;33;09
CEO ProsperDTX.

00;28;33;09 - 00;28;35;17
We are talking all things
cancer care here.

00;28;35;24 - 00;28;38;13
How the ProsperDTX app works,

00;28;38;21 - 00;28;41;13
how it gathers records,
how it gets information,

00;28;41;18 - 00;28;44;15
how you have navigators,
24 seven available to you.

00;28;44;18 - 00;28;47;09
If you're a cancer patient,
they help you get through the issues

00;28;47;09 - 00;28;48;08
you're dealing with.

00;28;48;08 - 00;28;50;22
The website ProsperDTX.com.

00;28;50;28 - 00;28;53;03
Again,
if you're a human resource director,

00;28;53;03 - 00;28;56;26
if you're a hospital administrator,
if you're a broker or TPA,

00;28;56;26 - 00;28;58;11
you work in the TPA.

00;28;58;11 - 00;29;00;16
This is something
you should take a look at.

00;29;00;18 - 00;29;01;20
It's impactful.

00;29;01;20 - 00;29;02;14
It works.

00;29;02;14 - 00;29;04;27
You heard him talk about 4000 studies.

00;29;05;04 - 00;29;08;00
They did study 4000 patients on COVID.

00;29;08;03 - 00;29;11;11
I mean, and you heard me read
some of the people that are involved

00;29;11;11 - 00;29;14;18
in this, doctors around the country
that are working this is a real deal.

00;29;14;22 - 00;29;16;28
And it makes a lot of sense
and that's why we're doing this.

00;29;16;29 - 00;29;17;20
All right.

00;29;18;00 - 00;29;19;07
Let's switch gears a minute.

00;29;19;07 - 00;29;21;26
You know, we do a lot of shows
with the company called Trilogy.

00;29;22;12 - 00;29;25;11
They're an all natural oral health
care product

00;29;25;25 - 00;29;28;11
I believe in, and I use it daily.

00;29;28;11 - 00;29;30;06
It's also kept me from getting COVID.

00;29;30;06 - 00;29;32;10
I've never had COVID,
and neither is my wife.

00;29;32;18 - 00;29;35;10
And I attribute that to two things
vaccines and the constant

00;29;35;10 - 00;29;38;12
use of the spray for your mouth,
your hands or your face.

00;29;38;12 - 00;29;40;04
But but one of the things

00;29;40;04 - 00;29;43;22
that came out of working with them
was learning about cancer patients.

00;29;43;28 - 00;29;47;19
And the last thing I would have thought of
was all the oral health problems Bob

00;29;47;20 - 00;29;48;14
talked about that.

00;29;48;14 - 00;29;52;13
Well, we're very fortunate
to have as a partner the

00;29;53;13 - 00;29;55;25
the director of the Lombardi Cancer

00;29;55;25 - 00;30;00;06
Comprehensive Mine at the Lombardi
Comprehensive Cancer Center in D.C.

00;30;00;06 - 00;30;02;12
is minority health program director.

00;30;03;06 - 00;30;07;14
They identified
oral health of cancer patients

00;30;07;14 - 00;30;11;05
as a leading cause
of hospitalization, E.R.

00;30;11;05 - 00;30;13;10
admissions and reduction
in quality of life.

00;30;13;17 - 00;30;17;10
Can't you can't eat canker sores
and so on.

00;30;18;00 - 00;30;22;19
It's rarely dealt
with among cancer patients, and it's a key

00;30;22;19 - 00;30;26;17
driver of the cost and that,
like I said, the quality of life.

00;30;27;02 - 00;30;31;27
So being able to do this
kind of supportive care,

00;30;32;20 - 00;30;35;20
chewing ice, chewing gum,
just things like things

00;30;35;20 - 00;30;39;13
that manage day to day, critically,
critically important.

00;30;39;13 - 00;30;41;10
It may seem like a small thing.

00;30;41;10 - 00;30;44;27
It's not,
but it's it could really mean life

00;30;44;27 - 00;30;46;16
and death to a lot of cancer patients.

00;30;46;16 - 00;30;48;16
My father had cancer of the mouth, okay?

00;30;48;22 - 00;30;51;12
And he died from it because of
metastasized one in his body, you know,

00;30;51;17 - 00;30;54;21
and they surgically removed his tongue
a large portion of it.

00;30;54;27 - 00;30;57;20
It was hell, absolute
and complete and total hell

00;30;57;26 - 00;31;01;10
And I was one of the caregivers
and it was not an easy thing to deal with.

00;31;01;21 - 00;31;04;01
So I know how, you know, that was an

00;31;05;01 - 00;31;06;14
extreme example.

00;31;06;14 - 00;31;07;14
But we've had Dr.

00;31;07;14 - 00;31;10;17
Elias and the people from travel up
here, and I had a cancer patient

00;31;10;17 - 00;31;14;19
here in the studio and they talked about
the hell they went through, not, as you

00;31;14;19 - 00;31;19;12
said, not being able to eat the pain
in their mouth constantly affects sleep.

00;31;19;12 - 00;31;21;13
It affected everything they do.

00;31;21;13 - 00;31;23;25
Nobody's talking about. Yes. Okay.

00;31;23;25 - 00;31;26;03
And you guys identified it.

00;31;26;03 - 00;31;30;11
And and so if somebody has the issue, Joe,
and they pick up the

00;31;30;12 - 00;31;32;24
you know, they pick up the phone,
they call their navigator.

00;31;32;24 - 00;31;34;13
The navigator walks them through.

00;31;34;13 - 00;31;36;18
Here's the issue and here's
what we think will help you.

00;31;37;08 - 00;31;38;18
Exactly.

00;31;38;22 - 00;31;44;18
We look at specifically
the care regimen of the patient

00;31;44;18 - 00;31;48;09
and see the likelihood of them
developing oral health complications.

00;31;48;27 - 00;31;50;05
We recommend certain

00;31;51;06 - 00;31;52;04
actions, as Bob

00;31;52;04 - 00;31;54;26
was mentioned, coordinate
with their navigators.

00;31;55;08 - 00;31;57;25
And also a very important part of this
is that

00;31;58;28 - 00;32;01;03
a cancer patient can be all enthusiastic.

00;32;01;03 - 00;32;04;19
Download an app, say, I'm
going to really like tackle this problem.

00;32;04;25 - 00;32;06;14
But then they get hit by a train.

00;32;06;14 - 00;32;07;27
It's called chemotherapy.

00;32;07;27 - 00;32;10;13
Yeah, well, cancer care
and they don't want to do anything.

00;32;10;22 - 00;32;10;29
Right.

00;32;10;29 - 00;32;14;01
So coordinating
with not only their navigator, but

00;32;14;01 - 00;32;17;10
family and friends
that can that can step in

00;32;17;10 - 00;32;21;08
when the moment of self advocacy
is his biggest challenge, we think is a

00;32;21;10 - 00;32;25;16
is a really important aspect
of delivering that continuity of care.

00;32;25;21 - 00;32;28;16
So so families want to make that clear
family

00;32;28;16 - 00;32;31;17
members can also be on the app
yes and so that can be shared.

00;32;31;17 - 00;32;32;24
You can create your own care team.

00;32;32;24 - 00;32;34;10
You can create your own care team.

00;32;34;10 - 00;32;38;05
And, you know, and it can just
think about your dad and your situation.

00;32;38;09 - 00;32;40;16
I lost my dad to cancer.

00;32;40;16 - 00;32;44;06
If I had something that was able
to give me information

00;32;44;06 - 00;32;47;22
about what he was going through
and how I could take care of him,

00;32;48;21 - 00;32;50;02
you know,

00;32;50;06 - 00;32;54;13
during that time, in effect,
could know it before it would happen.

00;32;54;16 - 00;32;58;07
That would that's the real
the real important part.

00;32;58;07 - 00;33;00;20
You don't want to put out a fire.
You want to prevent the fire.

00;33;00;28 - 00;33;06;04
So we think that the care team defined
as family of friends is an important link.

00;33;06;18 - 00;33;08;23
I think that's huge
and I think it's used it.

00;33;08;23 - 00;33;10;05
Everybody stays on the same page.

00;33;10;05 - 00;33;12;18
You think about it
now, you know we're here in the Midwest.

00;33;12;24 - 00;33;14;29
But you you know, you look people here.

00;33;15;03 - 00;33;16;21
I've got kids in Washington State.

00;33;16;21 - 00;33;18;03
I've got kids here.

00;33;18;03 - 00;33;20;08
You know, we had kids in California.

00;33;20;08 - 00;33;23;17
I mean, and with this

00;33;23;17 - 00;33;27;01
kind of a situation using this app, have
everybody can communicate. Yes.

00;33;27;01 - 00;33;29;19
And be part of the team
and that that's helpful.

00;33;29;19 - 00;33;30;11
That's very helpful.

00;33;30;11 - 00;33;32;22
I mean, I'll give you one brief anecdote.

00;33;33;14 - 00;33;36;00
So with with our our beta version,

00;33;36;10 - 00;33;41;26
my dad totaled the car
and he was rushed to the emergency room.

00;33;41;26 - 00;33;42;09
Thank God.

00;33;42;09 - 00;33;45;17
You know, it turned out
it was just a fracture.

00;33;45;25 - 00;33;49;23
But I was able to see in real time
as he was going through the procedures,

00;33;50;02 - 00;33;54;00
what the results were, I was able
to share it with his primary care doctor.

00;33;54;06 - 00;33;56;04
I was able to share it with my brother.

00;33;56;04 - 00;34;00;16
So we were able to make an assessment
based upon the treatment

00;34;00;16 - 00;34;04;16
that is receiving
and the his prior history.

00;34;04;18 - 00;34;07;10
They wanted to give
him hypertension medication

00;34;08;16 - 00;34;10;09
and I said, don't give him hypertension.

00;34;10;09 - 00;34;11;22
He has white coat syndrome.

00;34;11;22 - 00;34;12;26
The guy's

00;34;13;18 - 00;34;16;15
blood pressure goes to the roof
every time he sees a doctor.

00;34;16;22 - 00;34;20;02
So there are certain things
that you as a care team, you know,

00;34;20;24 - 00;34;24;10
you can they the
the wisdom of the crowds can produce

00;34;25;07 - 00;34;28;16
better care not just for that,
but also for things like oral health,

00;34;28;24 - 00;34;31;08
where, by the way, in the program
we're doing,

00;34;31;19 - 00;34;36;15
we're going to give people through
telehealth access to some of our experts,

00;34;36;15 - 00;34;42;19
including somebody with an expert in oral
oncology, oral, oncological dentistry.

00;34;42;19 - 00;34;45;05
I think it's. Go ahead, Joe.
Wrap it up here.

00;34;45;05 - 00;34;48;22
I just wanted to point out
that our product portfolio for cancer

00;34;48;22 - 00;34;50;04
has three different legs.

00;34;50;04 - 00;34;53;22
The first is cancer screening,
where we help patients,

00;34;53;27 - 00;34;56;24
that we help people that are cancer free,

00;34;56;24 - 00;35;00;20
understand their risk, active treatment
and then survivorship.

00;35;00;29 - 00;35;01;08
You know,

00;35;02;11 - 00;35;04;25
what you guys have created here is really,
I think, quite remarkable.

00;35;04;25 - 00;35;05;24
It's very, very different.

00;35;05;24 - 00;35;07;29
I really appreciate you guys
coming in here from New York

00;35;07;29 - 00;35;10;29
and New Jersey and doing this show,
because I think we got

00;35;10;29 - 00;35;12;23
a lot of information out to people.

00;35;12;23 - 00;35;16;00
You know, folks, I said it going into
this segment, I'm going to say it again.

00;35;16;09 - 00;35;19;19
You know, we do these kind of shows
to educate you to bring you information.

00;35;19;19 - 00;35;20;06
You well, you know,

00;35;20;06 - 00;35;23;15
we did a show here a couple of months ago
on black Alzheimer's, folks,

00;35;24;14 - 00;35;26;05
Alzheimer's,
the African-American community,

00;35;26;05 - 00;35;27;22
they were looking for people
go to the trial.

00;35;27;22 - 00;35;31;15
We had more people off the podcast
going them before we ever put the show

00;35;31;15 - 00;35;31;26
on the air.

00;35;31;26 - 00;35;35;06
My point in telling you that
is this information needs to be shared.

00;35;35;06 - 00;35;38;16
The website is ProsperDTX.com.

00;35;38;16 - 00;35;39;11
It's a great place.

00;35;39;11 - 00;35;41;19
Take a look at this and understand
what they do.

00;35;41;24 - 00;35;44;16
And now, ladies and gentlemen,
I leave you with this thought from Dr.

00;35;44;16 - 00;35;46;27
Albert Einstein,
the one who follows the crowd.

00;35;46;27 - 00;35;48;24
We usually get no further than the crowd.

00;35;48;24 - 00;35;53;02
The one who walks alone is likely to find
himself in places no one has ever been.

00;35;53;12 - 00;35;55;08
Remember,
friends. It's a funny thing about life.

00;35;55;08 - 00;35;59;09
If you refuse to accept anything
but the very best, you most often get it.

00;35;59;16 - 00;36;02;16
Thank you for listening to America's
Healthcare Advocate broadcasting

00;36;02;16 - 00;36;07;10
here on the HIA Radio Network coast
to coast across the USA.

00;36;07;10 - 00;36;08;25
Goodbye, America.

00;36;09;26 - 00;36;18;23
Just want to.