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Speaker 1: My next guest. Actually we've been like talking to each

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Speaker 1: other via via linked in, some chat, some LinkedIn chat.

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Speaker 1: The next guest is a proud member of the sorority

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Speaker 1: Delta Sigma Theta. She's a Board certified pediatrician, independent health advocate,

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Speaker 1: ted Talk Extraordinaire Arthur, and the CEO of your GPS

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Speaker 1: doc LLC. Prior to launching her company, Dr Rochester enjoyed

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Speaker 1: the seventeen year career in clinical and academic medicine. Please

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Speaker 1: welcome to Money Making Conversation, Dr Nicole Rochester. Hi, thank

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Speaker 1: you so much. I'm so honored to be on your show. Well,

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Speaker 1: thank you with letting everybody know we would like chit

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Speaker 1: chatting via LinkedIn. You know, she said she she lives

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Speaker 1: happy moment. I'm very happy to have your much too.

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Speaker 1: So were you based there right now? Doctor? I live

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Speaker 1: in Maryland, just southside of d C. I'm a Maryland

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Speaker 1: native of French George's County reside. It all my life. Okay, cool?

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Speaker 1: So when I when I'm reading your bio, reading your

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Speaker 1: title and just stead of enjoy the seventeen year career

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Speaker 1: in clinical and academic medicine, what exactly is academic medicine.

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Speaker 1: Academic medicine is when you are involved in teaching and research.

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Speaker 1: So I was responsible for teaching pediastric residents and also

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Speaker 1: medical students during their pediatric rotation, and also have the

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Speaker 1: opportunity to publish a couple of papers. So that's really

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Speaker 1: what what distinguishes academic medicine and clinical medicine is of

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Speaker 1: course just for everyday providing chair to patients. So I

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Speaker 1: was blessed to have the opportunity to do both right,

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Speaker 1: and it's really important and when you when you when

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Speaker 1: you get into that TED talk environment, what exactly is

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Speaker 1: your point of view when you're doing a TED talk. Yeah,

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Speaker 1: so I my TED talk really focused on our broken

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Speaker 1: health care systems. And you know, I'm sure all of

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Speaker 1: your listeners are amately familiar with the fact that our

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Speaker 1: health care system is broken, but I really wanted to

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Speaker 1: approach it from a different perspective. And you know, after

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Speaker 1: caring for my dad and really seeing the health care

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Speaker 1: system up close and personal from the other side, I

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Speaker 1: was really struck by what I found to be a

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Speaker 1: lack of connection. And so that's really what my TEDx

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Speaker 1: talk focus on, is this whole concept of being invisible,

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Speaker 1: how patients and their family caregivers are really invisible in

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Speaker 1: healthcare settings, and just the importance of reconnecting and establishing

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Speaker 1: what I called a nineties second encounter, where at the

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Speaker 1: beginning of every single encounter, dobs and patients just connect.

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Speaker 1: Before you start asking me questions about why I'm there,

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Speaker 1: what's hurting, just talk to me, Asked me about my day,

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Speaker 1: Asked me about my summer vacation, or my kids or

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Speaker 1: my husband. And that's just a way to really just

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Speaker 1: open up the door to an authentic relationship. So that's

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Speaker 1: what my tedex talk with about. Right. It's really interesting

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Speaker 1: because I'm a small business owner and the a's a

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Speaker 1: small business owner. One of the healthcare is one of

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Speaker 1: the number one things that any employee of potential to

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Speaker 1: employee or current employer employee lawyer wants to talk about,

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Speaker 1: you know what type of health plan, and of course

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Speaker 1: I want to have a health plan as well. So

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Speaker 1: so when you look at all these different things that

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Speaker 1: at different levels we start talking about health care, you

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Speaker 1: talking about a person who you want to employ it

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Speaker 1: Like my mom who recently passed, it was about twenty

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Speaker 1: for our healthcare because you know, she didn't want to

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Speaker 1: go to a facility. She wanted to stay at home.

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Speaker 1: So it was trying to find individuals or people are

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Speaker 1: hiring people and depending on your relatives to be able

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Speaker 1: to take care of that twenty four our o'clock. So

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Speaker 1: there's so many different when you talk about a broken

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Speaker 1: health care system. There's so many different layers when you

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Speaker 1: can stop and start talking like you talked about your father,

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Speaker 1: talking about my mom, but also have to talk about

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Speaker 1: people who are employed and how the system keeps shifting

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Speaker 1: and how much of employee is gonna pay and commit

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Speaker 1: to the plan? Is that plan going to be valuable

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Speaker 1: based on the deposits and the and the and the

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Speaker 1: prescriptions and the and their their office visits and all that.

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Speaker 1: So it really just just starts just evolving into a

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Speaker 1: whole level confusion. So when you're talking about it, did

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Speaker 1: you just did you specifically talk about the age of

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Speaker 1: what Joe father was at, or just just or you

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Speaker 1: just talked about the whole concept of the broken system

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Speaker 1: and the text talk. I really spoke about my personal

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Speaker 1: experiences hearing from my dad, but then the bigger picture

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Speaker 1: was really just a broken health care system in general.

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Speaker 1: But but I agree with what you said, you know,

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Speaker 1: it being a caregiver for my dad he passed away

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Speaker 1: when he was sixty nine, and just paying the differences

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Speaker 1: in how you know, I'm pediatricians. We rally around our

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Speaker 1: patients and everybody is you know, they will do their

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Speaker 1: absolute best to save a child, and so that was

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Speaker 1: really my perspecten and I really felt like with the elderly,

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Speaker 1: they don't enjoy that that same type of benefit, and

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Speaker 1: in many cases they are kind of written off by

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Speaker 1: health care professionals. And so I really had to you know,

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Speaker 1: sciercely and strongly advocate from my dad and you probably

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Speaker 1: experienced the same thing with your mom. Sometimes they're just

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Speaker 1: they're discounted. And I think some healthcare professionals as soon

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Speaker 1: well they're older, you know, they're they've already lived their

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Speaker 1: best years. And so often it's the family caregiver that

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Speaker 1: has to be the one to stand up in that

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Speaker 1: example and then that hospital room and and really advocates

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Speaker 1: for their loved one. Well, you know what happens is

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Speaker 1: it's about the we have to put in the role

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Speaker 1: of physicality of taking care of somebody who's older. It's

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Speaker 1: just taking care of a child or somebody a teenage

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Speaker 1: years who physically you can move them around a lot better.

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Speaker 1: You know, you you're dealing with weight, You're dealing with

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Speaker 1: individuals that you have to you have to be even

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Speaker 1: more careful than you are often with a teenager or

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Speaker 1: young child to live. They're suffering the same the same situation.

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Speaker 1: And also the number one problem with older people, they

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Speaker 1: will not tell you the truth. They will they will,

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Speaker 1: they won't tell you if they in pain, they won't

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Speaker 1: tell you, if they need to go to the restroom,

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Speaker 1: they won't tell you anything. They sit there and out

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Speaker 1: of pride of dealing with those issues, and you have

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Speaker 1: to find out and it's kind of hurtful because guess

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Speaker 1: what you have to find out at the last minute.

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Speaker 1: And so because the number one thing that we're dealing

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Speaker 1: with a lot of times it's really in the public's eye,

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Speaker 1: is dementia and how that can become so crippling to

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Speaker 1: a person that you respected that whether it could be

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Speaker 1: a school teacher, that could be a corporate exact, and

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Speaker 1: then you look at them now and they're childlike and

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Speaker 1: they're emotionally uh outbursts that you really can't control or

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Speaker 1: deal with. So it really is a tragic situation we're

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Speaker 1: dealing with, and so I wanted to bring you on

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Speaker 1: the show because it affects when you're talking about people

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Speaker 1: who small business owners or people who are trying to

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Speaker 1: deal with their day of life. You don't see this coming.

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Speaker 1: You don't see the breakdown of of the of the

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Speaker 1: parent because of the fact that they've been so strong

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Speaker 1: all your life, they've been leaders all your life, and

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Speaker 1: then when it comes to you, it can be quite

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Speaker 1: shocky because when you agree, it's oh, I absolutely agree,

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Speaker 1: it's it's very difficult. I mean, like you said, you

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Speaker 1: in some ways the relationships becomes reversed, you know. And

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Speaker 1: it was very difficult with my dad. I mean, that

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Speaker 1: was my dad. He was my protector, you know, he

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Speaker 1: was this strong black man and then you know, as

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Speaker 1: I watched him become more and more ill and become weak,

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Speaker 1: you know, then I have the one to protect him

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Speaker 1: and my sisters and I had to be the ones

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Speaker 1: to make sure that his, you know, best interests were met.

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Speaker 1: And that's it's very difficult to watch your parents transitions

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Speaker 1: to that role where they need you. And it was

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Speaker 1: very difficult for him as well. You know, they don't

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Speaker 1: like it. Like you said, they don't really want well,

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Speaker 1: they that they know they need the help, but they

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Speaker 1: don't want to admit it, and they don't want to

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Speaker 1: be a burden. My dad often said that to my

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Speaker 1: sisters and I, you know, I don't want to be

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Speaker 1: a burden on you all. So it's a very difficult situation,

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Speaker 1: and most people find themselves in that family caregiver position

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Speaker 1: very abruptly. You know, one day you're living out your

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Speaker 1: life and then the next day something happens and you

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Speaker 1: suddenly find yourself having to care for a loved one

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Speaker 1: and there's no preparation for that. We don't learn about

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Speaker 1: this in school, so it can be very challenging well,

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Speaker 1: because you know, when you start looking at life, it's

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Speaker 1: really interesting. Now, that's why I wanted to bring on

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Speaker 1: your show. We also want to talk about your GPS

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Speaker 1: doc LLLC, but I just wanted to talk about just

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Speaker 1: slow everybody down, because when we're talking about retirement, we're

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Speaker 1: just talking about us, you know, we don't talk about

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Speaker 1: you know, people talk about living life six save money

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Speaker 1: six months in vance, but nobody says, saves mony six

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Speaker 1: months in vance for your mom and dad. You know,

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Speaker 1: Nobody says that in any book, any any retirement book.

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Speaker 1: Nobody says that. They just said because but that is,

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Speaker 1: that is a growing issue because we live longer and

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Speaker 1: we have to do and it's and it's much more

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Speaker 1: an open issue. And like I said, putting and just

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Speaker 1: putting people in retirement homes and you look at the

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Speaker 1: way that can be. But like I said that, because

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Speaker 1: of the fact is twenty four hour care, that can

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Speaker 1: be a major major issue. And even if you have

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Speaker 1: a big family, because I come from and that doesn't

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Speaker 1: mean that doesn't mean that they're available. I got weekends,

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Speaker 1: I got weekends. I can't show up over there two tonight.

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Speaker 1: You know, it's like okay, so and I and I

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Speaker 1: say that honestly because we got to start thinking about

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Speaker 1: that process now. Because you can watch all these great

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Speaker 1: commercials on TV about retirement. You can watch all these

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Speaker 1: saving money, but they never talked about that hidden that

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Speaker 1: hidden debt, or that hidden inconvenience. Gonna say the word inconvenient,

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Speaker 1: because when it happens, it's inconvenient because you're not ready for.

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Speaker 1: You're not ready for, You're not ready to give up

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Speaker 1: your time, You're not ready to give up the money,

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Speaker 1: you're not ready to give up the commitment, and what

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Speaker 1: it happens is it was rather shocking, and it also

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Speaker 1: calls on you of courtions. Your question is your faith,

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Speaker 1: whether you're selfish, whether I don't have time for this.

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Speaker 1: It's a lot of things that starts getting wrapped up

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Speaker 1: into that whole process. And I just felt that, you know,

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Speaker 1: as as a person who talks about money making conversations,

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Speaker 1: talking about business, talking about planning that model for success,

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Speaker 1: this part of the plan gets left out a lot.

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Speaker 1: You are absolutely right, and and many times it's the

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Speaker 1: caregiver that's shouldering a lot of the financial responsibility. You know,

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Speaker 1: when you're like your mom needing seven care that's not

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Speaker 1: covered by Medicare and by traditional health insurance, and a

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Speaker 1: lot of family members don't know that. So it really

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Speaker 1: does need to be part of our environment plan. I

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Speaker 1: absolutely agree. Talking to uh doctor and Nicole Rochester, we

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Speaker 1: would be right actually to see your all of your

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Speaker 1: GPS doc LLC. Talking about that sounds exciting. I want

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Speaker 1: you to understand that this is all part of the

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Speaker 1: big picture. Learn your expenses, planning your expenses, and you

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Speaker 1: can handle them a lot better. That's why you should

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Speaker 1: be listening to the Money Making Conversations with Sean McDonald. Hi,

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Speaker 1: this is Rashan McDonald. You're listening to money Making Conversation.

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Speaker 1: On the phone is Dr Cole Rochester. She is the

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Speaker 1: CEO of your GPS doc llc uh off Air. Dr Rochester,

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Speaker 1: my staff was said, Rochan, you're pretty deep today about

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Speaker 1: this subject matter, and I said that the reason I

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Speaker 1: brought you on the show was that you're an expert,

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Speaker 1: and you also you have a personal experience of what

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Speaker 1: I'm talking about, and it's important that people understand when

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Speaker 1: they're talking about their future that this this little issue

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Speaker 1: which is a big issue, is not discussed, and that

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Speaker 1: is your parents. What to do with your parents from

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Speaker 1: a financial and a carrying standpoint, because it is what

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Speaker 1: they will they will be there. There is something that

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Speaker 1: you have to deal with. Age is a part of

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Speaker 1: the process. And I felt when the opportunity came for

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Speaker 1: me to bring you on the show, it was important

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Speaker 1: for people to at least start thinking about this process. Yes,

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Speaker 1: it is deep. Yesterday is I have no jokes for this.

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Speaker 1: I have no humorous curved on this, but I do

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Speaker 1: have a realistic approach to it because I've dealt with it.

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Speaker 1: I will be dealing with it with my with my

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Speaker 1: other family members, and it's part of my process. And

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Speaker 1: so if you were to give anybody any advice because

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Speaker 1: you experienced it, what was some of the I guess

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Speaker 1: to say, the the pits of the things that came

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Speaker 1: about that you didn't expect. What's your father? I think

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Speaker 1: one of the biggest surprises for me while caring for

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Speaker 1: my father was the complexity of the health care system.

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Speaker 1: And you know, I'm a position, as you said in

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Speaker 1: the intro. You know, I have been practicing now for

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Speaker 1: over twenty years. At the time that my dad became

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Speaker 1: really ill, I had over ten years of experience, and

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Speaker 1: yet there were so many barriers to getting my dad

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Speaker 1: the health care that he needed. And I think that

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Speaker 1: was unexpected for me. And you know, I had been healthy,

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Speaker 1: I had mostly had a lot of experiences personally with

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Speaker 1: meeting health care other than the routine. And so, you know,

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Speaker 1: one of the things that I always tell my clients

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Speaker 1: and and family members and friends is that you have

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Speaker 1: to be a strong advocate for your loved one. Many

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Speaker 1: people assume that you know the doctor or he or

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Speaker 1: she went to medical school and residency, and so they're

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Speaker 1: the expert, and they will have concerns and things that

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Speaker 1: they feel and their gut are wrong, but they decide

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Speaker 1: not to speak up, or they speak up in their

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Speaker 1: dismissed and so they let it go. And I cannot

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Speaker 1: stress the importance of being an advocate, you know, if

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Speaker 1: you have to say it over and over again, if

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Speaker 1: you have to escalate your concerns, because there was so

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Speaker 1: many times when I was able to, you know, get

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Speaker 1: things that my dad needed or get the care that

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Speaker 1: he deserved, only because I was a physician, and you know,

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Speaker 1: I would start out advocating as his as his daughter,

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Speaker 1: and then I would have to throw that title around

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Speaker 1: and and that you know, it's really unfair. But because

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Speaker 1: of that title, that influence, and even just knowing the

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Speaker 1: questions to act, knowing how to escalate matters. You know,

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Speaker 1: I saw over and over again that suddenly doors would

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Speaker 1: open that had previously been closed. And so that's one

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Speaker 1: of the things that I really do when I'm working

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Speaker 1: with clients is just helping them advocate for their family members.

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Speaker 1: So that's really the most important thing. And I think

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Speaker 1: also asking for help, you know, when you are in

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Speaker 1: this situation as a caregiver. You initially, most of us

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Speaker 1: try to do it alone. Thankfully, I had two older

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Speaker 1: sisters that you know, so we all had a tag

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Speaker 1: team effort. But even then it was very, very difficult,

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Speaker 1: and many family members just suffer a loans. Either they

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Speaker 1: don't want to ask for help or they will say, well,

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Speaker 1: no one's offering. But sometimes you have to tell people

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Speaker 1: exactly what you need. You know, sometimes you have to

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Speaker 1: just say, can you sit with mom or dad? Can

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Speaker 1: you go to the pharmacy and pick up these prescriptions?

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Speaker 1: Can you go buy some groceries and not wait for

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Speaker 1: people to you know, chip in, because sometimes they really

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Speaker 1: don't know how to help. This is really really great.

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Speaker 1: Let's talk about I mentioned it several times, your GPS

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Speaker 1: doc LLC. What exactly is that? So? Your GPS DOT

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Speaker 1: is a health advocacy and consulting company that really grew

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Speaker 1: out of my personal caregiving experiences, and like I mentioned,

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Speaker 1: you know, I started to discover that in many cases

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Speaker 1: it was my medical background that was kind of given

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Speaker 1: me and my dad a green light. And I thought

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Speaker 1: that while that was great for him, I thought about

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Speaker 1: the forty four million other family caregivers in our country

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Speaker 1: who don't have that benefit. You know, most people didn't

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Speaker 1: go to medical school, most people don't have a medical degree,

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Speaker 1: and I thought that that was incredibly unfair that everyone

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Speaker 1: else doesn't have access to that information or some of

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Speaker 1: those strategies that I used when I was caring for

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Speaker 1: my dad, and so I just felt compelled to help.

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Speaker 1: And so, really, what what your GPS stock is. It's

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Speaker 1: a health advocacy company, And so I work one on

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Speaker 1: one with clients who are primarily a family caregivers, mostly

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Speaker 1: adult children, taking care of their aging parents, and helping

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Speaker 1: them do anything and everything related to health care, so

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Speaker 1: that could be understanding their loved ones medical insurance benefit,

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Speaker 1: helping them to fight when they are denials, you know,

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Speaker 1: drafting appeals, helping them understand medical bills, serving as an

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Speaker 1: interpreter and explaining all of the medical lingo that we

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Speaker 1: doctors tend to use in the examination room. Helping during

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Speaker 1: a hospital stay, you know, being that liaison between the

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Speaker 1: metal equal teams and the family um if they need

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Speaker 1: rehab or nursing home facilities or home care services, helping

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Speaker 1: research those facilities, vetting them, you know, really discovering who's

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Speaker 1: out there what's good, who has the best quality, and

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Speaker 1: helping them make those decisions because I used to can

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Speaker 1: I say, wow, that's that's knowing what I've experienced, knowing

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Speaker 1: what Because you when you get over fifty, this conversation

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Speaker 1: becomes very popular amongst When you get over fifty, always

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Speaker 1: tell people you know, you know, you start attending more

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Speaker 1: funerals when you get over fifty. It's just natural. The

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Speaker 1: people you know, the people you were just high school with.

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Speaker 1: You know, life starts to take his toll on us physically,

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Speaker 1: and it's just life's habits, so bad things happen, just

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Speaker 1: start to take his toll on. But one thing that

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Speaker 1: you start talking about it when you started talking about

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Speaker 1: your health. You know as a youth. I spent thirty

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Speaker 1: days in the hospital when I was thirty two because

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Speaker 1: my LNG collapse. And that was the first time in

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Speaker 1: my life that I couldn't will myself to be healthy.

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Speaker 1: You know, I couldn't. I couldn't, like you know, if

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Speaker 1: I had a cold, I just go out there and

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Speaker 1: play basketball, sweat it out of myself, you know, I

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Speaker 1: just sweat it out. Who knew what a flu shot

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Speaker 1: was when I was growing up. Hey, I just I

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Speaker 1: just did it, just just ran til I just got tired.

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Speaker 1: Day on flu shodes. You gotta do everything. You take

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Speaker 1: the flu to go die, and so I take that

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Speaker 1: flu shot. Something else is gonna happen to your kids.

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Speaker 1: There's so many, so many fear levels out there that

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Speaker 1: you have to deal with that they have a person

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Speaker 1: like you to be able to have this company in

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Speaker 1: the foresight. Let me ask you this now, you said,

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Speaker 1: I'm a Maryland lady. I'm an East Coast queen here

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Speaker 1: I've been in all my life. What about the person

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Speaker 1: in California? Can you help these other people nationwide? How

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Speaker 1: did this I used to program assistant. Yeah, that's a

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Speaker 1: great question. I absolutely have clients across the country, you know,

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Speaker 1: my local clients. If they need me to physically be

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Speaker 1: present at doctor's appointments or it comes to the hospital,

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Speaker 1: then I can provide that service. But the majority of

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Speaker 1: what I do is really remotely. A lot of it

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Speaker 1: really has to do with, you know, research and breaking

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Speaker 1: things down and layman's terms, and you know, making phone

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Speaker 1: calls and advocating and talking to the doctors, and a

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Speaker 1: lot of that can be done via email and via phone,

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Speaker 1: via Skype, Spacetime. So my services are definitely not limited

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Speaker 1: to the Maryland area nor to the East coast. So

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Speaker 1: do you are your Skype person or your conference calls

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Speaker 1: are why do you do when you're communicating with your

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Speaker 1: with your potential clients? Are your current a roster of clients?

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Speaker 1: I I prefer zoom for for video calls, um, so

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Speaker 1: you know, if I have a client that is open

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Speaker 1: to that technology than you know, for video calls, I

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Speaker 1: primarily use Zoom. I have also used Spacetime, you know,

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Speaker 1: I really it really depends on on what the client.

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Speaker 1: And I also just want to add that, you know,

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Speaker 1: I realized that not everyone can work with me individually,

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Speaker 1: and so another part of my business is speaking, and

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Speaker 1: that's really my way of giving back to the community

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Speaker 1: and making sure that many people have this information. And so,

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Speaker 1: you know, I try to speak throughout the country, you know, churches,

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Speaker 1: small community organizations, and also larger stages, just really trying

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Speaker 1: to spread this message and and sharing really what are

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Speaker 1: inside tips and things that unfortunately are not known widely,

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Speaker 1: but things that will absolutely help individuals and their family

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Speaker 1: members get better healthcare. Before we get off the air

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Speaker 1: in the in this interview, I want to talk about.

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Speaker 1: I want one of your questions. You have a book

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Speaker 1: called healthcare Navigation one on one exactly? Is that? Oh? Yes,

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Speaker 1: my baby. So I have a daughter who is a

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Speaker 1: sophomore in college. I have an older daughter who finished college,

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Speaker 1: And just like with my dad, you know, I really

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Speaker 1: try to use my personal experience is to help others.

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Speaker 1: And so as my youngest starter was preparing to go

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Speaker 1: off to college last year, I kind of reflected on

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Speaker 1: some of the mistakes I made with my older daughter

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Speaker 1: and all the phone calls I got in the middle

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Speaker 1: of the night saying, you know, my head hurt, I

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Speaker 1: have a sore throat. Did I take this? How much

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Speaker 1: of this? Do I go to the health center? You know?

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Speaker 1: Do I go for the urgent care? How how do

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Speaker 1: I pick up this prescription? And so with my younger daughter,

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Speaker 1: I started preparing her for the fact that she was

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Speaker 1: gonna be going away to college and she wasn't gonna

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Speaker 1: have mom and dad right there. She was gonna have

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Speaker 1: to speak up for herself in medical appointments and make

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Speaker 1: you know, make appointments and pick up prescriptions. And I

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Speaker 1: just realized that, you know, even as a pediatrician, we

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Speaker 1: don't prepare our patients for that transition to college. And

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Speaker 1: so as I was preparing my daughter, I thought, Okay,

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Speaker 1: everybody needs this information, and so I wrote health Care

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Speaker 1: Navigation one oh one to really serve as a guide

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Speaker 1: not just for college students and college bound students, but

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Speaker 1: also for their parents. Um. And it just talked about

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Speaker 1: things from communicating with doctors and that's probably the biggest chapter.

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Speaker 1: And I go step by step of the question that

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Speaker 1: the doctor is going to ask you and give them

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Speaker 1: some tips on how to communicate effectively. We talked about

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Speaker 1: health insurance and some of the issues that come up

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Speaker 1: when you are out of state and how some people

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Speaker 1: may not have access to those health insurance benefits. We

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Speaker 1: talk about mental health, sexual health, and and really and

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Speaker 1: the book is just a great resource to really prepare

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Speaker 1: students for that transition. And there's really no other place

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Speaker 1: that I have found where Rochester, how can we get it?

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Speaker 1: Dr Rochers, How can we get that book? It is

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Speaker 1: available on Amazon Healthcare Navigation one oh one. Dr Rochester.

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Speaker 1: I want to thank you for calling MI show. Can

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Speaker 1: you come back on my show? Because as you see

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Speaker 1: I've I've tuned in and you've tuned into my listeners

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Speaker 1: and and what they need to hear, because I really

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Speaker 1: want to start a campaign about that awareness that the elderly,

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Speaker 1: that you will become elderly one day, and it should

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Speaker 1: be part of your conversation. Retiring a conversation. We're Tran

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Speaker 1: McDonald mood making conversation. Thank you, ma'am.