Dentistry Uncensored with Howard Farran
Dentistry Uncensored with Howard Farran
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1348 The Future of Preventative Healthcare with Robert Edward Grant : Dentistry Uncensored with Howard Farran

1348 The Future of Preventative Healthcare with Robert Edward Grant : Dentistry Uncensored with Howard Farran

2/5/2020 3:00:00 AM   |   Comments: 0   |   Views: 105
Robert E. Grant is the Founder, Chairman, and Managing Partner of Strathspey Crown LLC, a growth equity holding company based in Newport Beach, CA with a broad portfolio of company and asset holdings spanning healthcare, clean energy, social media, and financial technology. In addition, he is the Founder, Chairman and CEO of CONCIERGE KEY Health, the first on-demand service to the world's elite physician specialists. He is also the Founder and Vice Chairman of ALPHAEON Corporation (a subsidiary of Strathspey Crown Holdings LLC), a leader in the rapidly growing field of Lifestyle Healthcare and based in Irvine, CA. He served as the founding  CEO of CONCIERGE KEY Health from April, 2017 until July, 2018. Likewise, he served as the founding CEO of ALPHAEON Corporation from February, 2013 until August 2016.
https://www.robertedwardgrant.com
VIDEO - DUwHF #1348 - Robert Grant

AUDIO - DUwHF #1348 - Robert Grant

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Howard: it's just a huge honor for me today to be podcast interviewing Robert  Edward Grant the founder chairman and Managing Partner of Strathspey Crown a growth equity holding company based in Newport Beach California with a broad portfolio of company and asset Holdings spanning healthcare clean energy social media and financial technology in addition he is the founder chairman and CEO of concierge key health the first on-demand service to the world's elite physician specialist he is also the founder and vice chairman of Alphaeon Corporation a subsidiary of strata fee Crown Holdings a leader in the rapidly growing field of lifestyle health care and base in Irvine California he served as the founding CEO of concierge Keith health from 2017 until 18 likewise he served as the founding CEO of Alphaeon from 2013 to 2016 he was formerly CEO and president of Bausch and Lomb Surgical in 2010 prior to this he led allergen medical as president from 2006 to ten Robert has served on several corporate boards he served as an independent board director of Myo Science Inc a q.focus restate medical and presently serves on the boards of Alphaeon incorporation and  Ghent Inc additionally he serves as chairman and founder of count Sterling limited a FinTech cryptography subsidiary a stratified additionally he served as on but basically he started on this just goes on for pages he's like he's a legend in my mind and I was so glad to get him on the show so my first question is kind of crazy but how does dentistry look fit in healthcare and how does dentistry look to you from your 30,000 feet for decades 

Robert Grant: you know I started my first experience in dentistry was probably with the company called hgm medical lasers which was out of Salt Lake City and I worked for about 25 years ago and then I spent some time as CEO of bio lays about ten years ago which is I think the first time I met you Howard and you know I've always been super impressed with the dental community and what you built with what downtown is totally amazing I've been tracking and following your work there for you know the better part of 20 years and it's really amazing to see what you've really been able to create in community and I think you know you've got all these dental practices that are all around the country and very often being a doctor in private practice can be a lonely thing to do and so when you've got a community around you of other doctors that can help you kind of deal with your issues whether you're a part of a chain or not you know and or maybe you can leverage off of some of the chain work because there are some fantastic chains that are in dentistry but basically you know bringing community dentistry I think is a really important thing and I think it helps patient outcomes too so you know I think from the perspective of the larger healthcare standpoint when you look at dentistry  has been the leader probably in the cache space segment for a very long time now one of my businesses is Alpheon on credit which  we just entered into the dental market and we provide loans and competing in the in the patient loan volume space we do right now in elective surgery and aesthetics we do about there were the number two player we have about 25 to 30 percent of the market in that in that space and compete against companies like Care Credit which I'm sure you know and many others but dentistry is the largest by far elective surgery market in the United States and I think that's because of the way that dentistry came about you know after World War Two and  looking to see where you know what was going to be covered by health insurance and what was not I think dentistry made a really brilliant move to not be part of the of what has become you know this health care insurance industry over the last 50 years and while there are some things that are reimbursed it's still largely a cash based segmentation tin use to do well and thrive and so I see it as a real teacher for the rest of healthcare that now we're moving towards a healthcare paradigm which is going to be more and more self-pay and in dentistry is on the front end of that has been on the front of that for a very long time in fact so it's one of the reasons why you know the aesthetic market has benefited a lot from dental entrance and  learned a lot also on how to run a business by being customer-centric and doing a great job of customers so I think dentistry plays a vital role in the future of where healthcare where healthcare is going to go it is already trending towards 

Howard: well you're a mathematician among other things but just telling the kids out there he's from Salt Lake City he started the laser company um all the laser companies have their roots in Salt Lake City because they forgot that one man there was this one who was the genius laser physicist at Salt Lake was it was a University of Salt Lake or was he BYU

Robert Grant:  you know he was actually at Bell Labs for a while but he's done work with the University of Utah he passed away what was his name wasDr. McMahon McMahon and he was the founder of hgm but he had worked with Jim Hobart coherent where I spent you know six years working at coherent as well in my and my career he was a brilliant laser physicist he was not the easiest guy in the world to work with I'll say that he's like  reading almost like meeting a caricature in life because he was a very larger-than-life figure with you know his own planes and everything and I remember working with them in a two tobacco all the time but he was one of these very salty characters that is in this healthcare industry's history and the fascinating past away he didn't he died in a plane crash here we are you know the day I hope you know horribly tragic accident yesterday but  you know dr. McMahon died in a plane crash he was piloting himself it was a citationjet and he was coming in for a landing approach in Atlanta any-any overshot the runway it was a very dark maybe foggy night a very sad situation but this I definitely lived a very full life also he was already in the 70s I believe when he passed away so he lived a full life but he lived on you know literally on the edge of the knife all the time so he's a fascinating character would you call him a genius oh he was definitely a genius no doubt he was a genius but also as many geniuses are very eccentric as well now you care about yourself are you talking about Martin still no I guess I might be a little bit eccentric my wife would say I'm eccentric I bet 

Howard: but it's amazing over the years how many dozen companies I've ran into they all had their roots from him yeah 

Robert Grant: no he really was an amazing amazing guy and just a very strong willpower and you know came is almost like a bygone era type of a person if you imagine kind of a character from like the late you know 19th century or something what it would be like he wore cowboy boots all the time but he was also a brilliant physicist so he was just as walking dichotomy was remember

Howard:  I'm my audience a third a fourth or sundial by the way a dental student asked me at a seminar on Saturday how do you know that where's the pole whatever because I always say it in my show send me the email Howard at dental town calm and tell me how old you are where you're from whatever and but a quarter them are still in dental school and you said dentistry is moving towards more self pay but although all they're here in schools that Bernie Sanders gonna be the president and it's gonna be free health care and free education what would you say to a 25 year old who's in dental school wondering if I and Bernie Sanders and health care will be free Sunday

Robert Grant:  well I don't think first of all I don't think Bernie Sanders is gonna be president you know it's not that I think he's one of the things I do like Burnie he's really passionate about what he believes it it doesn't necessarily mean when you're passionate about what you believe in that it's the right thing for the country I I am very much a fan if you've ever have you ever read the book my Iran called Atlas Shrugged absolutely mandatory reading at Creighton right Creighton well by the way so actually I lived in Nebraska I went to high school in Nebraska before I ever moved to Utah and what city of Nebraska where Omaha Lincoln Papillion I graduated from Papillion High School which is just a little bit outside of Omaha 

Howard: well you know what um it was so funny how what you learn when you're little to place I remember when Oklahoma was trying to get an NBA team and then they said madam the markets too small Maine oh man I went to a Creighton in Omaha they had no professional sports and big red football at Lincoln was a religion and they had more devout fans than some of these biggest markets and I called it I said if they go there and get Oklahoma like Nebraska got behind big red I said they'll get the whole state and they did it's been very very profitable so yeah so but but explain um so they know I'm a Milton Friedman fan I mean you know I mean when I went to Crete in 1980 Shh Warren Buffett was a dork home I was there and he had a thing with the Italian director of business or whatever at Creighton and he came over and spoke and in 1980 and and he was saying you know don't get into health care because as its to capital-intensive and someone else that's your fee he says I'm going into a business where it's not capital intensive someone I'll set your fee but some of these young kids they look at old guys like me and they just say he's just a funny that he health care should be free but if health care is free then that means that from Adam Smith to today everything we learned in economics about shopping on price and having skin in the game and being motivated and said so all that's just was that all like Mickey Mouse cartoons and we just throw it all away and and the end and Bernie is right the government is the best manager of all resources and when they steal money from one person to pay for health care for another that's better than you having some skin in the game 

Robert Grant: yes for those that would say the government is the best manager of all resources can you at least give me one example 

Howard: yeah even the post office went when a marine came back Fred Smith in Memphis and said I'm gonna get my marine buddies and do an overnight package the the United States Postal Service already had a post office in every city for over almost two centuries and it took them what 10 years to respond to that

Robert Grant:  yeah no absolutely and yeah I'm definitely a Milton Friedman fan I'm definitely a Miller Modigliani you another you know economists way of thinking as well as Adam Smith and you know I I believe fundamentally that health care one of the reasons why it's become so screwed up is it's not clear who the customer is think about it who is the customer when it comes down to a healthcare visit is it the doctor right it shouldn't be because he's a provider is it the patient not really because the patient has an insurance company that's paying for the visit is it the pharmaceutical company right because the pharmaceutical company is you know going to get a prescription related to this who is the customer and who's the who's the absolute end provider it's become so epic so ridiculous it's not clear and because it's not clear who the customer is people have taken advantage as middlemen along the way and that's true with administration it's true with the pharmacies who basically weigh over charge and they charge even on drugs that I'll give you one example of this so I have high blood pressure I have had since I was 13 years old it's a legacy of of a disease I had called IgA nephropathy that thankfully I survived through and it was fine but it left me with hypertension so I've had to try different blood pressure medications my whole life and and one time I went to my doctor and he wrote me a prescription to you know diovan so I started taking diovan it was fine I went to get a prescription renewal and they gave me this other drug called my Cinna pro well my Cinna pro was approved by the insurance company where diovan was not and and so lisinopril is what they ended up changing my prescription to well for the next two years I was coughing like crazy and I had no idea why I was coughing and one day I would see my doctor for an annual physical and I said man I don't know what it is but I've been coughing like mad for the last two years or so now it's driving me nuts and he says so you're on diovan right I said yeah but actually they gave me this stuff called my Senna Pro when I go to the pharmacy because they say it's generic and he said you can't take my senator all the side-effect is it makes you cough this is ridiculous right and this is exactly what's happening in health care where you you are basically being taken for a ride on so many layers because there's not clarity that I am the customer and ultimately I am the customer as a consumer as a patient and dentistry has kept that nice and clean and that's why dentistry is not crazy nobody's bitching about dental cost spiraling out of control that's just not the way it is whereas in health care you know you go in I have a friend who broke his arm he got a 64 thousand dollar bill from the hospital sixty-four thousand dollar bill for a broken arm and the hospital is expecting you to negotiate down and say no I'm not gonna pay that so they basically patted all this extra cost into it there are so many things like that across healthcare I hope that dentistry stays as far away from like universal health insurance and coverage as it possibly can it has it has thrived and done really well for a long time because it has stayed in the cash-based space where it is loud generally the envy of the the doctors that participate in the reimburse segment it's become the envy of those doctors because those doctors are thinking about how do I get a percentage of my business to be self pay so you know even if there is a super you know left wing agenda that is basically played out on on universal health care whether with Bernie Sanders or you know anybody else that comes along after Bernie Sanders I think that dentistry is going to be able to stay kind of off on its own as long as the dental community understands that it's much better as you said right to make sure you control your billing practice because you've got to have all the responsibility for the capital investment if you have all the responsibility for the capital investment you need to be able to have control over your pricing you need to be able to have control over the experience that your patients are getting and if you break that model everything starts to get screwed up so I've been a big proponent of South Bay healthcare for a very very long time I believe that there should be catastrophic insurance right I believe in catastrophic insurance absolutely I believe that you know one of the only good things that came out of the Affordable Care Act candidly was this notion of you know pre-existing conditions so that pre-existing conditions could not be excluded right from coverage and I think insurance companies if you look around the country what are the tallest buildings in every major city what signs do you see on those tall building insurance companies the insurance companies there's a freaking reason for that because they're selling fear think about it and I'm not trying to denigrate the need for having insurance in society but you know a long time ago I decided you know what I'm not going to pay for like all the bells and whistles on car insurance and I'm gonna have a large deductible and I have saved so much money because I never knock on wood I don't have car eggs accidents I haven't had car accidents and so because of that I'm fine and if I did have a car accident I'm happy to pay out of pocket for the first five grand or ten grand or whatever but catastrophic insurance is is definitely a must I don't think people should be going bankrupt because they can't afford or families shouldn't be forced in a medical bankruptcy because they can't afford insurance but I truly believe if you want a good experience for health care have it me between the doctor and the patient keep the government out of it 

Howard: yeah and people always forget that I mean that this country is found in 1776 and from 1776 to the end of War two Americans had no problem with her their health care I mean they were fine and it was affordable and it was fine and they you know they their biggest purchase is still a house and their second biggest purchase is still a car and their third biggest purchase back then would have been the heart attack or the cancer or whatever but then the government decided they should manage this and they've managed it to where now a cancer or heart attack can cost more than a car or a house and even if it you know it's just it's but the young kids you know history is always two steps forward one step back my Milton Friedman was the smartest economic genius of all time and it's funny you're you're from salt are you lived in Salt Lake right and Milton Friedman's most amazing speech called misuk until reality was given in in 1977 as a University of Salt Lake and an insurance again yeah a hundred people have car insurance because one guy wrecks his car and everybody pays a little and it covers that everybody has fire insurance and you know I've in my area where I live I've seen one house catch on fire every ten years for three decades we all pay a little but really health insurance that's not catastrophic cancer or heart attacks but every time you get a sniffle you want to go to the emergency room and you want that to be free when you take your family to a Mexican restaurant that's 50 bucks you're smoking 15 dollars a day in Marlboro cigarettes you look at all the money they spent at Disneyland Disneyworld Netflix all this stuff like that and they have skin in the game and they have skin in the game that's why they're switching from the Disney Channel to Hulu and Netflix and all this but once you take skin out of the game like like I already see those small examples where the smallest co-payment like 5% they'll say man I'm getting my hip done in it it's 75 thousand in Chicago and I got a 5% co-payment but it's only 40,000 in persons Kansas and that's where my sister lives so I'm gonna drive from Chicago and go stay with my sister to go from a $75,000 to a 48,000 hip and that's all because of a 5% co-payment so when you when you basically if you think something should be free you are mathematically completely out of your and you're gonna take 5,000 years of recorded history and just flush it down the toilet that is how disconnected from reality you are if you think any resource should be free and the same people that are saying health yours to be free then than they've been they turn around and say there should be a carbon tax it's like make up your mind man you sound like you're you know a schizophrenic but what what has got you excited today is relates to health care or just life in general well dentistry you know you're on dentistry uncensored it was an honor to get you to come on the show we've known each other for a long time what's got you excited about dentistry today what made you want to come on dentistry and son today is 

Robert Grant: I think Dentistry it's actually good at this better than regular you know the standard health care or overarching health care is and that's looking at prevention you know think about it as a child I remember from the time I was the smallest thing to remember going to see a dentist and talking about preventative care and I think it's because the reason why the paradigm in dentistry is so focused on prevention compared to the rest of healthcare which is very much sick care right it's because I think it's a cash payment market and because it's a cash bar kit you've got a balance between hey you know I've got skin in the game I don't want to basically have to pay for this so and I don't want to go through the pain of this we've all experienced tooth aches and you know abscesses and whatnot and having to get root canals at some point in time or another and so I'm gonna take care of my teeth and I'm gonna go see my dentist you know every six months and I'm gonna get a cleaning done I'm gonna floss daily think about how much effort goes into dental care prevention right compared to health care prevention we don't even do it we don't even I mean what do we really do for health care prevention let's be real and you know maybe we talk about diet and exercise and those types of things but I think it's so much broader than that so one of the the more recent companies that that I found it it's which is called that was out of concierge chi health has a product called access elite and access elite is a program that includes all health care providers on a on a wellness as well as standard health care platform so you have everything you want can have access there and it's on-demand access to top dentist and medical specialists but also wellness specialist too and we've been out selling this to corporations and it's going extremely well we we launched it in Orange County California we have about 30 companies on that and it's very much a platform that's wearing it around prevention and preventative maintenance in general so that we're not treating sick care and that's the only paradigm of health care I mean think about it if all of a sudden every single time doctors can make money is based on people being sick is that really a good way to be trying to focus a healthy population on staying and remaining healthy I mean if I'm a doctor as of course I think it's a great thing to want to help people get better from when they're sick and when they're ill but if it's it becomes a perennial part of who they are that we're constantly all on so many medications and so sick all the time and we've got to be fists and give it another medication to be fixed that's not exactly a good paradigm of health care you know look at China China as an example China has had their traditional Chinese medicine thing for a long time and in China you pay the doctor when you're well and if you get sick you stop paying the doctor it's exactly the opposite approach because the doctor didn't keep you well so now there's obviously a part of it that's the patient's part too but this is a completely different paradigm where you're paying the doctor on a wellness basis and and I think that this is a trend that I think is very interesting very exciting so that health care is not just one of sick care but more about prevention and I believe that dentistry is already a leader in that in that way because it has has been forced to be that way because there is a co-responsibility there is a responsibility on the part of the patient to ensure their own health and success

Howard:  so if you go to UM access light net excess elite now I love it to where you just enter your phone number and then you send the link to download the app right to the phone so I've got the access elite on the phone by the way that you're the only person that I've seen that does that on the site but what would is this accessing lead and I'm so obviously you have an app I can't believe Delta dentals been out since you know they started as the Longshoremen's Club Union dental benefits in 1948 when there are stupid government passed a law that wage freezes you know then the violent unions that go all the way back to the Bolshevik said well we it's against a law to ask for more money so they start shaking them down for whatever they could and they didn't pick housing and cars and gas and coal they just picked dental and started with that but I'm I can't believe it every single day someone comes in do you have insurance yeah and they got a piece of paper I gotta have someone call I got to call them and I mean they're just so ignorant I mean jobs came out with that app and the smart phone in 2007 it's 20/20 you have an app Delta Dental and every dental insurance doesn't have an app to verify claims I would I wish you would just go into that business really you're a mathematician I wish you would just start a universal app so that Obama care that was what's so depressing about bombing every see now it's unaffordable it's like dude 30 percent of the cost is shoveling paper back and forth and and they're on 4133 different practice management software systems just in hospitals it's like dude did fix any of that and it's all affordable but anyway so talk about download your app what is on your access flight

Robert Grant: access elite is a program and I'll tell you where it came from why I had the idea to start this program a few years back and it's because I had to go see a urologist and I have a concierge doctor that's my my general practitioner sort of primary care doctor and and I have a relationship with him the reason why I pay him this concierge fee is because I want to be able to see him on a moment's notice because I travel a lot and not that expensive and it's worth it plus he used to work at UCI University of California-Irvine and then when he left out of there he sent me a letter and a few other patients he said look you know you can do an entertainer with me I can only take 400 patients and I was like jamming to get my credit card to him so I could get him on the retainer because I didn't want to lose him now when I had to go see a specialist there's no more concierge service right and I had a high PSA level you guys are all hearing about oh my my illness my PSA level and so I said you need to see urologist so I said well when should I get you know how hard is it to get in see urologist said who do you recommend he says well you can shop around but I recommend this guy at UCI and he's a really top urologist so I tried to get an appointment with this person it was a 13 week wait well if I've got a high PSA level and you know there could be a prostate cancer issue don't know thankfully I didn't but I I didn't want to wait 13 weeks that seems like an awful long time to go to see a specialist I started looking up other specialists that were urologist and all of them were quoting like 12 13 week wait times and I thought this is messed up there needs to be a concierge on-demand service that include all the specialists so that I can go and also I wanted to do include we expanded it to include wellness and so it includes all kinds of stuff on there if if your wife has a baby and you need a doula we can have one sent to your house if your company you had a party the night before they all need IVs the next morning then we can send that to your company office and it's all part of this platform we have 500 providers now on the platform across traditional healthcare all specialties so you know top cardiologists neurologists you name it we've got even psychiatry and everything on the platform and and so we thought well we really need this kind of a program for all of your healthcare needs and by the way one of the things I hated was every time I go to a doctor's office I'd have to fill out all the same paperwork I filled out at the last doctor's office right and that's a pain in the ass so I thought well why can't we just put your whole health history onto the app and then the office can download that right and we'll do it all in a HIPAA compliant platform so that there's no issues with HIPAA

Howard:  and there's another class example like the government you know they always come up to the baseball bat they break your leg and then they steal your wallet still it'd take half the money in tax and say oh we want to help you get a wheelchair it's like dude all I need a wheelchair cuz you break my leg this HIPAA thing this HIPAA thing I mean you know it should be right now that I go to the doctor they take an x-ray he could give it to me on my smartphone and if I want to have a radiologist from anywhere around the world the best available maybe it's ten o'clock on a Friday night and some radiologist from India wants to read it but oh no your buddy you know the buddy the the government that kills six out of a hundred people for five thousand years and shakes down for all your taxes and all this stuff they pass laws so that I can't have this done I mean I mean and then they talk about OSHA I mean ever since they had all this like you're in California right now right so San Diego was the tuna fish capital of the world and everybody ate tuna fish there then this then the good old government decided that was very mental that they didn't like it it was it was not environmental friendly and it was dirty and all of us so they regulate until it died so now the whole industry left San Diego I mean they have museums I mean it was the birth of San Diego but did anyone in California stop eating tuna fish oh no they just they just now get it from Asia and they've done this from 1980 when I got out of high school to today 50 million jobs have been regulated to Asia from your good old buddy the the good old government and I just hope these kids can learn to read free to choose by Milton Friedman read miss a concealed reality from when he given there but you know it's always two sides forward one step back whenever I hear Bernie open his mouth I think all right you guys you didn't read your history books so we're gonna have to repeat this incredible lesson so access elite is what you're motivated about now

Robert Grant: I mean one of our companies went public last year and 2018 and I guess a year and a half ago now and almost two years ago wow it's almost been two years and that company is called Eveleth it's a new neurotoxin technology that that will be the name of the company emili´s vol us Eevee Oh L us mm-hmm Evelyn evolve that's right evolve and  it was one of the original you know stress be crowned companies a part of the Alpheon on portfolio as well and I'm excited to see that company do really well they just they just made their announcement on you know their fourth quarter and they've done a fantastic job they have a great leadership team and CEO you know we are we are large shareholders but we're not the we're not the only shareholders now in the company because it's publicly traded asset and we have other companies that are portfolio that are also in health care that talked about Evelyn why what cephalus it's a replacement it's a competitor to to Botox and oh yeah you

Howard:  uh you were telling me about that a couple years ago um-hmm you and Dorfman yeah the boy yes some competition to get more views on YouTube than that my door for an interview I mean that's uh that's like ten thousand so how's bill Dorfman doing you know

Robert Grant: I heard he was doing really well but Robert Heyman who you probably know very well as well he's on the board of Evelyn and he was on the board of Alfie on and they're very good friends and a founder of discus dental was his dad was a yeah his dad passed away like two years ago now I think a year and a half two years ago George you know of Beverly Hills was da Giovanni Hills what a what a great man really a philanthropist and you know it was interesting I talked to Robert about it and Robert just you know idolized his father like so many you know young boys do or at least hope  to do and you know it was it was very sad with when he passed away as well but he left a phenomenal legacy in Southern California of all of his great work so

Howard:  I bet his most Fred Amon was Robert's dad founder of Giorgio Beverly Hills 1964 but I thought it was so good that here's Fred Heyman make son Bob his son who has a friend and gun in school who's a dentist but just taking everything he learned from Argand his dad realized that dentistry the dense flies in the world the impression trove just boring I remember having dinner with John miles who was the president CEO of big old dents fly and everything and here's discus dental just crawling up you know taking market share because they had impressions that were purple and green and raspberry and flavors and all that and John Milo just said man that boys a genius he said I've been in this space 30 years never even thought about making an impression or a raspberry and so I bet Fred Haman's on greatest saw feeling was seeing Robert run off with discus that was a no because that was just all me two products plus good marketing and just marketing I mean I mean that's what perfume is

Robert Grant: yeah absolutely so you know it's great to see it's great to see that those companies do well with many companies in our portfolio but there's 16 in total now across healthcare FinTech as we you know you listed them off also clean energy and we like to try to take a unique approach more an entrepreneurial approach we like to go in markets that are highly regulated and help move them towards deregulation or find ways to work in a way that is less regulated within the current paradigm and  so we can be more customer centric and focused on their benefit you know one of our other companies in our portfolio is a company called luminous which if you like golf and  you watched over the weekend Tony fee now down at Tony Torrey Pines he was wearing one of our stamina Pro patches on the back of his neck and those  patches are doing really well so you can look for luminous or stamina Pro patches of pain patches that work great and again it's a it's a non pharmacological approach to pain that you know has just grown dramatically and also has a Fant management team and  leader in mat case who I spent you know I was with him on Saturday but basically I'm excited about lots of things in health care I'm excited about things that are going to be focused on really keeping people well versus having to have them be sick first to return them to wellness and I think that's just a model that needs to needs to evolve with time Matt

Howard:  do you think with excessively I'm noticing you know we're faced a lot of retired people I got a lot of senior citizens but I'm starting to see people who have gone to the subscription physician where you know it's  common out here will you'll meet a physician who's tired of the Medicaid Medicare rat race and they give their own cell phone number and they're too you know a couple hundred people do you think that's gonna be a material impact I mean I I doubt it's 1% of the market today but yes like a concierge models  

Robert Grant: yeah I think if the concierge I think it needs to evolve outside of just a concierge model and I think it needs to become something more mainstream and I think if you look at the Millennial population of today and this is where access elite focus is this attention they really care about wellness I mean they all go it's like amazing they'll see acupuncturist they've got massage therapists you know and there's even new careers now things like sound baths I'm like that didn't exist as a career when I was coming out of college you'll be a sound bath therapist but that's you know kind of what people are thinking more and more about yoga mindfulness these things are becoming huge trends that are growing at breakneck pace right now so I do think that the Millennials will be pushing this kind of wellness attitude because they're sick and tired of the sickness focus that health care has had and they're they want to eat differently they want to live you know more healthily and so what we do is we go to the corporation's we say look are you how important is the millennial generation to your hiring and your workforce and  generally pretty much every company right now is focused on how do I hire and retain Millennials and give them benefits that that are going to be powerful for them instead of things like gap insurance right Millennials aren't thinking about gap insurance they'd rather have something like access to access elite and it's not very expensive it's  a very fordable program you can buy a wellness version of it or you can buy a wellness and a healthcare pass for it and it's kind of like clear at the airport you know you've been all of us have been to the airport and some of mr. probably members are clear where you don't have to wait in line you can kind of go to the front of the line and that's basically what access elite provides for the patients that are on the program and we largely focus on corporations and corporations are happy to pay for their for their their population of their their employee base to have the access to this kind of benefit

Howard:  I want to switch gears completely and remind my audience that in the guy you're listening to is a humble man but he's very intelligent he's a mathematician he's a scientist he's and all these things you have another company called Alpheon on credit and I got another friend who was on the show pelo Melo who invented the all-on-four at a Lisbon Portugal and he's having to file a BK because he started financing these all on fours for people and now he's a short seven point four million US dollars and eighty-eight creditors are jumping on him and all this stuff like that and back in the day Dennis would carry their own paper and then some of them would get in trouble and then it went away to take the care credits and now you have Alpheon on and now you're starting to see it come back there are some there's some people talking about we'll just carry your own paper so you're a mathematician you know pelo MELAS I did this so and you have a product to sell that does this and my kids a quarter of them are still in dental kindergarten school the rest are all under 30 when a patient says it's $1,000 and the page I'll give you a hundred a month for ten months we're all good talk about that what does that make you think 

Robert Grant: you know what makes me think of an analogy actually you know if I know you know some great dentists probably the best in the world and if you had to have a brain surgery you probably wouldn't call one of your dentist friends yeah right I mean if we all if all of us need to do you have a brain surgery you're gonna find a top specialist I mean look go to a dentist because he's a great dentist not because he knows how to manage a portfolio of debt which is really hard to do by the way you know there's FICO scores there's management of those FICO scores I just had a company in that was telling us how they use AI to measure 2300 points of information on each patient on whether or not credit should be issued to that patient now did dentists have the time to manage all of that and then also how do you repo their teeth you know if they can't pay and dentists are very nice so they're generally nice guys in the community everyone likes their dentist generally and  so what are you gonna go now and take a baseball bat and like say you got a payoff I'm gonna break your knees you know that's not it's not the way most doctors want to play in the credit space in health care so what we've done without fee on credit is we've created a model that allows you to get the benefit of being able to you know get more patients approved and we have great approval rates we do about we'll do 300 you know 40 million or so in loan volume this year you'll start seeing us now if you haven't already at all the major dental shows I know we had a big presence at New York the Grenadiers York meeting in November and and our teams are going to all the dental meetings now we started out predominantly in the plastic surgery and dermatology space and ophthalmology where we've captured quite a lot of market share that was

Howard:  gonna be my next question so I don't mean interrupt but but why what what is what does dentist dermatology ophthalmologists and plastic surgeon have in common so that that the explain that to the homies because they don't know the differencing a family physician and internist what does dentist dermatologist ophthalmologist Plastic Surgeons and oftentimes veterinary like shine and Patterson both have veteran ex

Robert Grant: plain what those have in common that an internist and family physician does not have a comment pretty much all of them are in the self-pay category or at least a large part of their revenue is in self-pay so in ophthalmology you know lasik surgery is a self-pay procedure there are new procedures called smile in the ophthalmic space which is kind of a replacement in a way you know interest Romel type treatment for LASIK there's also say that again what some Tamala just are doing what they're doing self-pay procedures yeah but what was the procedure you said smile SMI L E it's a it's a company innovated it out of Germany called Zeiss and it's a it's a new type of treatment that allows for you know LASIK without having to cut a flap in your eye it creates an interest Romel treatment 

Howard: by the way if there was a dentist friend of mine at craig Seiken and for Christmas one year I bought him the Zeiss microscopes because my boys up I bought my boy Eric one and the Zeiss microscope I mean binoculars you can go outside in your and when it's completely dark and it's not night vision or whatever just so and you can just see in the dark and anyway about Craig so I can pair that and he still says it's just the best nose Isis and amazing dentists dermatologists ophthalmologists and plastic surgeons and veterinarians are self paying 

Robert Grant: they're also pay and dentistry has been by far the largest of those because there's a I don't know what the latest numbers are in dentistry but something like 120,000 hundred thirty thousand practices in the US and something like 160 hundred seventy thousand Dennis I think the last latest numbers I saw and probably more than half of them are on on your dental town so probably more like around a hundred and ten thousand plus I think around as I you know just uh just a quick memory thing but but basically all of these segments are trying to I mean how many people need hair removal for example hair removal yes

Howard:  you had to ask that to a bald man really we're only we're not putting this up on YouTube he's too damn good-looking for YouTube we're only put this out on iTunes we just can't we just killed the YouTube video but um hair removal actually I can't even get hair removal because I went down there so I'd never shave again but they said you had to have black coarse hair maybe dark brown and I'm Irish they said you're yellow red stuff won't absorb the laser so I'm bald and couldn't even get laser hair removal I'll belittling is that you say that but basically you know

Robert Grant: I used to say when I worked in the laser industry and we sold hair removal laser systems and how many people need hair removal well nobody needs hair removal but lots of people want it and our society is very much driven by what we want rather than what we need right so so basically these segments in dermatology and plastic surgery you know how many people need breast implants well it's it's a matter of how many people can be convinced that they want breast implants rather than the other way around the date on that it isn't that kind of coming down seemed like it was a really big deal in the eighties and nineties yeah it's definitely come down you know it was kind of at around and I haven't looked at the numbers on this the last couple years but you know there are about three hundred thousand you know breast implant procedures but a few years ago I know it's come down and probably flattened out there's also been some major recalls that have happened again yeah 

Howard: by your friendly government oh silligans bad susan out of existence and in five years of the research layers like oh those were J Simpsons attorneys and it's a now now they FDA approval okay well are you gonna go back and restore those companies friendly government who prints a trillion dollars of counterfeit money in a year can you print some money to go restore them oh no we don't do that we never met we're sorry so veterinarian I'm that that's another thing I'm we're much Patterson shine on your dogs new dogs you have a dot for dogs I knew you'd see I asked you should kill me over Skype 

Robert Grant: I knew that you have dogs do you have a dog because you just seem like a guy that loves dogs I don't know I've just that's a nice way of saying that he knew I was insane so so basically I don't know whenever I go on a trip and I'd have to leave my dogs at the vet the bill was more than if I sent my brother to a hotel yeah legit right is that expensive so it's like and you know you've got my dog on the counter and whenever the guy says oh you need this for prevention when it comes to my dog I'll be like oh do whatever is necessary for prevention for this dog to help this dog so that it doesn't get really sick but when it comes to you know like ourselves we're not willing to part ways of that money so you can't believe how much money goes into the veterinary space again it's a self-paced space and and I think you know that's why there's this common bond that happens between plastic surgeons dermatologists ophthalmologists and oculoplastic surgeons and dentists and then all the different specialties within dentistry that have a very high percentage of self-pay and by the way all of them are envious you know I can't tell you how the ophthalmologist complained to me about how well the dentists do and self-pay compared to them and I'll give you an example of it first of all you know an ophthalmologist has his toilet break because he's uninsured health care right he has his toilet break and he calls the plumber and the plumber comes to the office he plays with a plunger for like you know three to four minutes and then he hands the ophthalmologist a $900 bill he says I fixed your toilet the ophthalmologist says what $900 I don't even get that for performing a cataract surgery he says I know I used to be an ophthalmologist so so 

Howard: so a plastic surgeon you know I get you're their top procedures are liposuction tummy tucks facelift restless dermabrasion forehead left ear surgery your veterinarian I mean I don't care what you think about your dog you know you have to count for five thousand years recorded history and when times are good you cows chickens sheep and pigs but when they go into a depression you start eating your horse your dog and your cat but so when times are good well I drop off my dogs at the kennel I mean I never said no to upgrade well it's a Saturday we're having a play center yeah well then and then we have a bath yeah you know you just so yeah times are good but if it was 1929 and your three-year-old couldn't eat you'd say come here Mowgli your dinner so dentists dermatologist and all just plastic surgeons veterinarians are all pay-to-play are all self self-pay so you think do you think um Dennett do you think 20 how long you been in this space well in health care

Robert Grant: I've been in health care 25 27 years 

Howard: okay so 25 years 20 20 25 years from now let's go to 2050 do you think do you think dentistry will be more self pay or more collectivism socialism employment government unpaid 

Robert Grant: I think it's gonna stay about where it is I think you kind of like the homeostasis is that now it's a great homeostasis I think let it stay in that and let because it's not where the costs are spiraling so nobody's really focused on the dental side of health care from a health insurance spiraling cost perspective they're they're so focused on everything else I think that's a perfect place for dentistry to remain and where dentists can do well and thrive and might mind what encouragement would be that for those dentists that are coming out of school you know out of the the big dental school so the loma linda is and the cratons etc of the world that you come out and be excited about serving your patient and the customer because you know you'll never like let your cost spiral way out of control or the price to the patients get out of control if it really starts to impinge upon your ability to have word of mouth spread positively about you there is a balance there you know use like just because the government's paying for it doesn't mean that like you can just sort of like forget about the experience for the patient and that's what I mean about the we're not being clear right in the health care world it's the payer that they worry about more when I'm talking about you know sort of standard you know non dental health care world they worry more about the payer and keeping the payer happy than they do about  the patient has a great result sometimes and that is what is a big concern to me and if dentistry can stay as far away from that as possible I think Donald's ministry will continue to thrive and do really well and we'll see you know you know

Howard:  I want to switch I want to switch subjects completely because my homies listen you don't know that you're a very accomplished mathematician I mean you have multiple publications and unified mathematics physics discoveries a quasi prime numbers and we have a this coronavirus going out in China and we had the we had the you know the Spanish influenza 1918 you've been in healthcare 25 years you're a mathematician you know a thing about prime numbers are - what are your thoughts on this Chinese a corona virus 

Robert Grant: well first of all I walked in the office this morning I see my general counsel and he's wearing a mask he looks like an ape with one of these big mass they bought at Home Depot for painting and stuff and I'm like well I guess this is because of coronavirus because we had three cases that got announced over the weekend and one of them was here at least one was in Orange County in the orange area so

Howard:  the other one was a guy at ASU right up the street from here he come back from one right here so so as the Spanish Influenza I mean 1918 33 million three hundred and sixty-five thousand people died in 263 days was everything now and then are how are you how do you see this today you know

Robert Grant: I think it's true Nature has a way of sort of like calling the and and culling its own population I mean I hate to say that but this is what does happen there was a big scare in 2014 on Ebola which you know luckily it looks as though that's now you know gotten under control but this one is particularly I think frightening to the world because people were talking about it it was only about a month ago that I watched a program before they even discovered the corona virus that they were saying that there's gonna be another virus that the earth is gonna you know yield up that is likely to you know have a hugely damaging effect on population and in particular today where people are reticent to get vaccinations you know vaccinations even when they are available people are not wanting to get it and I candidly sympathize with them on some respects because you know while the vaccinations have been tested for their own you know to gain FDA approval what no one has ever tested is the consequences of compounding the aluminum preservative that goes into the vaccination and now they do these booster shots with multiple vaccinations and there have been some pretty frightening studies that have been done around the world and Lee I don't trust the pharmaceutical companies I used to be one of the CEOs of a pharmaceutical company I know how it really works it's not that they institutionally want to do the wrong thing at all that's not the case at all but but in reality they're very much driven by what's going to get us the highest return because you know there was a CEO that was the CEO of valiant that announced very openly and clearly my role is not to be concerned of the public health my role is to be concerned as a shareholder and I have a fiduciary duty and capacity that I have to be saluted ride the the highest returns that means prices could go way up and that means that that we're going to be profit driven and and there was a whole TV show made on Netflix about this this particular CEO who you know is no longer at the helm of the company the company changed its name from from valiant to another name but but the truth is that I think that there is likely to be quite a scare off of this coronavirus thing because it is spread through the air I mean I just kind of read up a lot on it yesterday and and you know it looks as though it could it presents in symptoms that are that seem pretty innocuous and non problematic so that means people could the virus can basically just state over a significant amount of time before people realize they even have it which is and really scary so this is why they they shut down the Disneyland in Hong Kong just over the weekend and they're really kind of going into lockdown mode in China and I know the Center for Disease Control is very concerned about this corona virus because you know the last count that I saw was 56 people had died from it already and they only discovered it on I want to say the very first case of it was on December 19th so we're talking about in the last one month so it's gonna require a lot of villain vigilant vigilance I'm not sure that everyone's gonna have to wear masks like my general counsel is here in the office today but I certainly hope that is not the case but it's something we we definitely want to keep on the radar string 

Howard: you just came out with a new book Mere of consciousness and I saw it on your Instagram but you have a hundred thousand followers on Instagram are you a rock star or a mathematician I know

Robert Grant: that one shocks me probably more than anybody else you know I just started drawing and doing a lot of artistic work that related to the mathematics that I have been publishing and discovering and and all of a sudden I picked up a quite a lot of followers and some of which are some of the top mathematicians in the world are in the followership of my Instagram page and so I published a book that had been requested because people can't really look that closely at the detail of pictures that are on Instagram so they wanted actually a book and so I put together you know about 300 or so of my pieces of art and mathematical work that goes along with it and I published it in this book called the mirror of consciousness and it went out in December but it's done pretty well

Howard:  yeah I mean you what  an amazing mind I mean I you have another one they eat  the etymology of a number you  say whenever new knowledge of a transforming nature permeates the race the standard of world culture Rises what would if a lot of these kids are coming out of school and they're saying you know Howard got out in the golden years he got out in 87 they're getting out 20:20 what's got you excited about if you were coming out of school today 25 years old and you had a

Robert Grant: doctor dental surgery in the United States of America Canada around the world why should she be excited that she's alive and a dentist at 25 you know I have a TED talk where I talked quite a lot about this topic and the topic of the TED talk is beautiful minds are free from fear the name of the conference that I spoke at for Ted was beautiful minds and I talked about being free from fear the most empowering and most important thing you can do I think as a new doctor a dentist going into the world is to manage how you think about the world around you that maybe just maybe the way you perceive the world around you will have an impact on what you experience now let me just put this as a question to you is life really what we experience or is it rather what we thought we experienced and we've all seen cases like Oh Jay Simpson case or whatever where there were you know in certain cases like total eyewitnesses 30 eyewitnesses to the scene of a crime and yet there are 30 different accounts of what the truth of that crime was and they're all swearing under oath of what they saw people all see the world differently we can see the world as a heaven or we can see it as a hell and it really comes down to how we perceive the world if we want to perceive that the world is happening to us the universe is happening to us or if we want to see the world in the universe is happening for us it's really a shift in our own mindset and I think that mindset thing that you can take with you by realizing that in this world we tend to attract the things that we judge until we no longer judge the things that we attract the things that we spot on other people the world is against me blah blah blah all these things we're looking at through a prism of our own eye right we have our own lens on the world and so if we want to see the world as a positive place it will be a positive place if you want to see the world is a very negative place it will be a negative place if you think you can or you think you can't you will be right so but say that get the things that we jet what was it quote the things that we judge so you attract we all attract everything that we judge until we no longer judge that which comes into our life that we're attracting so we attract what we judge until we no longer judge we attract and and this is why you see so many times people will choose I'll just give you an example of this can you dumb that down not from your audience but just for me sure so I have a guy I have a guy in my office here who's fantastic and he works in accounting and so I had to do these off-site meetings all the time and  one of the off-site meetings I asked him who here likes to gamble well the only guy that really raised his hand was the accountant and why did you laugh because I was thinking they can't be too smart to gamble you know the house wins right exactly and so I said I wanted to dive into this deeper I want to understand why is it that you like to gamble and you chose accounting well maybe he chose accounting as his career because he liked to gamble and he wanted to control himself and the way he perceived himself and the way the rest of the world perceived him and I said I said well you know when you gamble explain it to me says listen I know my limits I never go past my limits of gambling but I go to the high roller table right because to the $10,000 hand tables and I'm like holy cow what other things have we chosen in our lives that we chose because we were trying to suppress some characteristic that we like to do right because we wanted to put on airs you know why is it that certain you know clergy are full of people that you know have issues with demons yeah hopefully demons right they're hiding from themselves and it's because they don't accept themselves and so what we tend to then transcend towards is to understand that wait a minute everything around me is seen through the lens of my own vision 

Howard: I remember I remember you talk about your accountant gambling I remember when the guy that came out with men are from Mars Women are from Venus every site do why are you giving relation advice you've been married divorced so many times we quit counting but maybe that's why he became an expert because maybe going through all that so explain put that in men are from Mars Women are from Venus how do you sell the number one relationship book if you have a problem with getting married and divorced 

Robert Grant: well that's you just made my point which is you know in in that particular context this guy probably figure dies like wow I am horrible at staying married and so and by the way I am too but  not this time and I have no intention of going anywhere but at the same time I think we all live this sort of line we tell to the outside world whether we recognize it or not and it could be the smallest white little bi things right but we all do it day in and day out and you know I guess he can say look I have a doctorate in divorce now because I've been divorced three times or whatever right and so now I'm an expert on this and I can show you what doesn't work or maybe it's just that he embraced that he was horrible at it he needed to learn what it was to make it successful and then he wanted to share that or she wanted to share that with other people I can't I can't tell you the answer to that question but I do know this that when we take responsibility for our own lives and we don't push blame on others because the very first thing we want to do when we feel any shame is to blame it on everybody else it's everybody else's faults the government's fault oh my gosh you know this has happened bla bla bla you know the the plane crashed and it caused my business to go down or the stock market went down and I graduated the year the stock market went down so there were no jobs and then my life suck from at that point forward if you think you can or you think you can't you will be right in whatever it is that you want to do everything that happens positive starts as a seed in your mind it's not just as big lottery that's happening to us you are an active participant and how you perceive the world around you so anything that happens to you you know could either be the worst thing that happened to you or might be one of the better things that have happened you possibly even the best you could be fired from a job and then realize wow I've just been set free to start my own company in business and now that that moment went from the worst moment of my life to the best moment of my life it's how you perceive it that is gonna matter the most ninety percent of what happens to us is what we perceived happened to us not a head now

Howard:  I'm gonna throw you in your bus right now so this is terrible I'm Kobe but what would you tell Kobe Bryant's wife she just lost her husband daughter and she's not feeling I doubt she's feeling very happy positive she's probably screaming at all the gods what would you tell her today you know I would say to her first of all I feel terrible for your loss and 

Robert Grant: I think everybody's mourning the loss of Kobe Bryant because in a way Kobe Bryant represented you know kind of like the celebrity who also was just a good guy and it's really sad what has occurred with that and you can never diminish you know how painful it must be for the families that lost lost their members you know this last day or so it's just terribly devastating but at the same time what I would say to her is this give yourself time because even though this is probably you feel like the very worst moment of your life what comes out of this for you you don't know but maybe at the end of your life or even five or ten years from now something might come out of this it has such a big impact on the world that you are passionate about as well that really was a catalyst for change either in yourself personally or in the world around you sometimes we can change the cards that were dealt it just is the way it is but how we react to what happens in that because you could either go into a deep depression and have a miserable life the rest of your life or you could go into okay this is a wake-up call in some way shape or form for me for me personally it's not that I ever did anything wrong necessarily I didn't do anything to make that happen but how I react to that if I never go outside and leave my house again or if all of a sudden I decide you know what this is going to be a moment for me to find myself in a new way that I never imagined that I could or would and and I think if you go back and look at all the people that have experienced these types of situations you know some people just are super sad and then they sometimes go to deep depression and do terrible things or sometimes they go on and and use the legacy of cozy Kobe Bryant to to really change the world in very positive ways the choice is hers but she doesn't need to make that choice now she can come back to this she can think about this but my only thing that I would say is that give yourself time to synthesize to integrate and then figure out what you would like to see for the rest of your life you know I'm not saying that you can avoid having a sad things happen to you it's impossible to avoid that we're all Delta a hand of cards but we can change how we react to those moments and those how we react to those moments can very often have the effect of changing dramatically how we look at them in retrospect and and and whether it was the worst terrible thing that ever could happen or maybe it led to something else I I had similar circumstances where you know this past few months I lost some people in in you know there were friends that I was very very sad about and and one of them is he used to work at violate as well and he's the CEO of one of our companies elegent which is a snoring device that dentists will eventually be able to do as well it's a really cool storing device that basically uses app lication it's like a stable that uses a barbed suture that pushes the avila up in the back of your throat so that you don't end up snoring and it's a fantastic device it just got FDA clearance a few months back and we sell it with Cook medical but the CEO of that company is a fantastic guy named Alex arrow when Alex had one son that was 11 years old and his son was his life he wanted his son to meet with me and we're gonna have lunch together and everything well he sent his son off to meet his grandmother in Sri Lanka and his son was one of the 300 people that lost their lives 11 years old the suicide bombings that occurred in Sri Lanka last April and so here it was in the newspaper he sent his son off to go to you know Sri Lanka for a week to visit his grandmother an extended family and he's sitting in there he's the one person that dies he gets hit by shrapnel in this in this hotel cafe and so Alex called me and I was devastated for him I mean they called him the son was still alive and he was trying to save his son because he's also an ER doctor trying to save his son by telling people what to do over the telephone and it was just not possible and I wept with this man because he's a wonderful friend and I felt so deeply in his shoes in that moment it was this one of the saddest moments of my life but even he has found a way you know to be able to take that and not let it get him down the rest of his life even he has been able he came to my Christmas party that I had we had a company Christmas party and he was there and he brought a date to the party and he was in good spirits obviously he's created the whole legacy and and foundation around his son and for me it's a story of upliftment and it's about who he is as a person to maintain that positive mental attitude because as a new dentist going out in the world you're all going to face difficulty moments you're all going to face trial tribulation you're all going to face moments where you want to give up and we know that the suicide rates historically amongst dentists is pretty high right don't let it get you down don't let it get you down take those moments and try to find the silver lining and if you really take the moment to focus in on the silver linings and see the world through it as positive lens as you possibly can I I truly believe that you will come out the better for it and and that's true for anybody whether your dentist or anybody in the world but that's that's what I would say and that's a tough question to ask me but it's a very honest answer people need time to let time do its thing and look at things retrospect you know there are moments now I look back stupid stuff that I did in my youth stupid stuff that I got in trouble for stupid mistakes I made in my career I look back on all of them now and and horribly sad things that happen when I lost friends or I lost you know I had friends betray me or whatever I now look back on all of those things with a kind of a rose-colored glass lens and I say to myself well you know what it helped me to become Who I am you know we all at some point in time die all of us will face it and it's not something that I think about very often but but actually if I were to die today or tomorrow knock on wood I would look back on my life and say I've had a wonderful life even the difficult times I appreciate it because it made me who I am and I would not trade any of it any of it I would not trade or change any of it again I'm very grateful for the for the life that I've been given and for and for the cards that I've been dealt and the good ones and the bad ones it's not only that I'm grateful for the ones that were good I'm grateful also for the bad ones because I learned something every time and and you know it's sad that Kobe's life was cut short it's so sad and I was devastated over hearing it yesterday so was my wife he knows lots of people here we know lots of people that are close to them because we live in Newport Beach you know they they live to Newport B they still live in Newport Beach as well and how we perceive life though is is I think up to us we can't change the cards we've been dealt but we can change how we react to those cards well it was a I can't believe we went well over an hour tell Robert Heyman is he so mote is he lesson when I talked to him it was mostly human properties he was doing a lot of real estate high-end real estate he said he's still doing that and and like I said he's on the board of directors of MLS which we took public a couple years ago and you know he's he's active in a few things in dentistry too I believe I don't know all of the things he's involved in but he's such a great guy and been such an incredible friend to me for many years now and my partner Vic Vic Malik who he's also been friends with him for a long time one of the other people that is participating with us here is very much involved in dentistry and that's Yost Fisher you might remember Yost Fisher who was the CEO and chairman of Sirona which became a part of dents fly what's his name Yost Fisher Jay OST Fisher if I ask CH year know just if I ask a gr and how was a so he was with Sirona yeah so he was the guy that splendid out of Siemens and and operated independently did the deal with Patterson acquired Schick and simona blanc is his is his was his CFO at the time and I met them while I worked at by always and now they are partners with us here at strass P and and I love working with them they live in in Austria but they're awesome and they love the dental field they really love the dental field and they do a lot in dentistry and and I expect they're gonna do even more in the future oh my god I remember I just saw his face is full of

Howard:  I remember eating dinner with him at the Cologne meeting in Germany yes we talked about you 

Robert Grant: yes how you were doing I told them I was gonna do this this podcast with you and he said tell him I said hello and Yost is ISA he's become a real mentor to me over many years now he's definitely a mentor he helped me through a very difficult time a few years ago then that I now look back on and say I wasn't feeling this way at the time but I now look back on and say that was like a real seminal moment and I'm so grateful that it happened I had to learn who I was through that whole thing and you noticed played a huge role in in that that realization for myself 

Howard: well on that note thank you so much for coming on the show today and giving my homies a view of what health care looks like from 30,000 feet it was an honor to podcast you today 

Robert Grant: Thank You Howard and always an honor and you have such a big personality and I love watching you whether you know on stage or in other places or even your own podcast and I'm gonna start following your podcast now because I know you have a way of being very provocative in a way that's also not offensive and alarming you can be provocative and make people think and I think that's why it's been a big part of why you're so successful what you do Howard: well thank you very much I hope you have a rockin hot day thank you - and I thank Scobie for 41 years that was an honor to watch you and rest in peace Kobe

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