Welcome to today’s episode of true to form with your host president and co founder of crystal clear, highly regarded speaker and two time inc 500 entrepreneur. Tim Sawyer, true to form is a podcast that highlights leaders making headway in the ascetic anti-aging and elective medical industry. Learn from the experts to discover the secrets of success and pitfalls to avoid when growing all aspects of your elective medical practice. This week’s episode is brought to you by Ken Della, a leading US-based global medical aesthetic device company engineering technology that enables practices to provide advanced solutions for a broad range of medical aesthetic applications, including hair removal, wrinkle reduction, tattoo removal, women’s health treatments, facial resurfacing, traumatic and surgical scar treatments, body contouring, improving the skin’s appearance through the treatment of benign vascular and pigmented lesions and the treatment of acne leg, veins and cellulite. Please join me in welcoming your host, the authentic, the transparent Tim Sawyer.
Oh, welcome to true to form podcast that connects you to the people technology and hot topics that shape the elective medical community provided to you by crystal clear and brought to you by this week sponsor Ken Della, the leading US-based medical aesthetic device company. I’m your host Tim Sawyer for our returning guests. Welcome back. And for our first time listeners, we appreciate you joining us and encourage you to become a subscriber. The last episode we spoke with owner of Idaho’s number one med spot spot 35, had a great conversation with Warren Danforth, where he shared tips for scaling his business during a crisis, and how deeper connections can be made between patients and practice. If you missed it, you have to check it out. So with that said, we have a special guest, uh, one of the few returning guests that we’ve had, this was one of the most popular episodes that we recorded a year ago.
And we’re grateful for him to be back with us. He is at the epicenter of some of the issues that we’re dealing with an elective medicine right now. My guest is Brad Adato, who is a partner of the Berta dot a law firm. He’s a leading healthcare law firm. There are leading healthcare law firm and they work with physicians, physician groups, and other medical service providers in developing ambulatory surgical centers in office and freestanding and celery service facilities, medical joint ventures. These guys are the bomb. He regularly counsels clients with respect to federal and state healthcare regulations and the impact that has on their investments, transactions and contract terms, including Medicare fraud and abuse. If you trust anti-kickback anti referral and private security laws, he’s an international speaker. I’ve shared the stage of the many times. I want to welcome to the program. Hey Brad, how’s it going? Awesome, man. That’s a long intro. Hopefully we have time left to have any comments from us and we’re gonna have to work my bio and make it a lot
Shorter for you, man. I definitely think you have to catch a breath now, right?
We’re good. Thank you for coming back on. And um, you know, the, the, the hot topics right now obviously is everyone’s following the development of, as we emerge, if that’s even a thing from COVID and what are the things I wanted to get right to is, I mean, your, your law firm, as I mentioned, the intro, you’re at the epicenter of this thing everybody’s anxious. And what are some of the most frequently asked questions you’re fielding now as it relates to your relationship with the doctors.
Yeah. And again, Tim, thanks again for the invite back. I do appreciate it, but it’s, it’s amazing because when this thing started, the questions have pivoted so much from the very beginning it started with, can I keep my practice open to now that my practice is closed? What am I supposed to do to now? Can I reopen? And, and so it keeps changing and it changes. It feels like by the week or two, depending on what’s going on in that particular area. And I think the most consistent theme of questions that we are absolutely getting now is now that people are reopened it’s, um, how to get my staff back. Cause someone’s, uh, and, and, and then, and then once they come back, how do I make sure that if something, if the outbreak happens with one of them, what am I supposed to do?
And a lot of times it actually starts where we are today, which is educating yourself. Um, the, the, there is a lot of information out there as it relates to what you can and cannot do, but it’s spread out in so many different areas, even for myself who, um, I spent hours trying to keep up with it, but we’ve got federal regulations that we have to look to. We have state regulations that we have to look to. And of course, depending on how large of an organization, your, your, your, your medical office is, you have your own, um, you know, bylaws and handbooks and things that you have to look to. So there’s a lot to goes to that you have to, uh, look at. And one of the reasons I do think, especially with staff is when people went home, they got very nervous about coming back to work.
And so that whenever I have a client saying, you know, my, my, my nurse director won’t come back, uh, the first question I asked is why, and that normally is because they’re scared, they’re terrified. And, and they’re said, but I need to get them back. And I’m going to say, well, what have you done to get them there? A lot of times, it’s like, I told them to come back. I was like, okay, well, I get that, but have you, have you told them what you’ve done to protect them? Cause if you think, you know, going back to education, you need to educate your staff. That a lot of my doctors have spent hours and hours and hours attending webinars and listening and hear what was going on. And they have it in their head, but they haven’t spent the time stopping and realizing I got to get my staff where I am.
And so, um, I’ve had many clients spend three, four hours with their staff saying these are all the protocols I’ve put in place to protect you guys. This is how we’re going to wear be wearing PPE. This is how we’re going to be socially distancing. This is how we’re going to make sure when our patients arrive, our staff arrived that they are AC you know, that they don’t have the symptoms, but if they do, we’re going to be very smart about how we interact with each other. So there’s a lot of stuff that you can do on the front end just to get them comfortable. And I think 10, the biggest thing that happens, and they don’t realize they don’t realize it to it later is when someone’s scared. What do they do? They get the act they act out and what’s happened is especially with staff. Um, you know, they’re, they’re reporting their client, their side they’re reporting their, their, their, their accompanies or the medical practices to OSHA and the reporting of their medical companies to, um, the newspaper. And they’re reporting them to the medical boards. I know what is a good spot to be in, and all of which is coming from fear of the unknown. And that’s why I say, you know, in the beginning, it’s just for the staff, it’s just educating them.
Let me, so that begs the question. So as a lay person, I’m not an attorney, as you know, um, it’s gotta be a tricky dance. What are the legal implications around that? I know it’s probably, you know, difficult question depending on where you are on the state, but let’s say I mandate everybody comes back and they go, no, can I then say, well, you’re out, you’re out, you’re out. And there’s no liability, or I gotta go hire two people. Or how is that dynamic playing out? Right.
Let’s just assume for that question. There’s a lot of federal laws that they’re gonna, they’ll apply. And then I want to go into all the exceptions cause it makes it more difficult. But the first one that we’ll look at as the ADA American disability act and that has to do with accommodating someone. And so that’s why when I started the discussion is, which I can get into is that if someone says they can’t do something, you have to accommodate them. Well, the accommodation can only met at certain levels. If the accommodation is fear, I’m afraid of working. That’s not listed at this time as a disability. And so we still obviously want to work with that individual and say, you know, what, what can you do to get them comfortable? Can they telecommute many? Can they, this is an individual, has a back office person.
And yeah, you’d like to be at the office, but reality, they’re just submitting the PA you know, sending out stuff. Do they really have to be in there? Well, you know, a client of mine in California, nurse injector refused to come in and he’s like, Hey, the only way I can pay you is if you come in. So he furloughed her and obviously she was getting paid with ’em at that point. But eventually he had to make a decision with that individual as if she didn’t come in and he spent time educating her and getting her up to date and talking about all the safety protocols they put in place that had to do with obviously their staff. I said, what you do your patients. And obviously the facility itself, the three main areas that you have to address, and she never felt comfortable. So he finally just had terminated, um, that, that relationship.
And she had been with them for like 15 or 20 years. So it was not, it was not a something that he was happy about, but he was open operational and he needed a person in there. So these are not easy decisions that anyone has to make. These are not evil. Individuals don’t want to come to work, or they’re sitting around eating Bon bons and drinking white wine. I’m watching Netflix. There’s a scared. And, and, and I, you know, and everyone’s gonna have their own risk tolerance as to how they feel about their, about this. And just in general, obviously. And what’s been fascinating to us, honestly, is our clients that have their own ORs or their, their teams used to being in the operating room or having very little problems, because they’re used to dealing with pathogens. They’re used to dealing with the fact that the scrub weld and where at mass and sometimes we’re shields.
Um, and so to them, this is part of the practice of medicine. But to those who are used to being only on the aesthetic side, where you come in and as you you’ve been in these places before, they’re beautiful places, they don’t feel like a medical facility. Most of the time, um, you know, a lot of people address the nine and these places. And also overnight, they have to wear a mask. They have to wear a face shield depending on the service or running. They’re wearing scrubs sometimes over their clothes, depending on how they’re interacting with the patients. And so it’s changed the way they’re seeing it and it makes them more nervous and that takes them up a lot. And so again, we were definitely seeing that what you just described. And so then now the next question is like, do I have to continue to pay that person?
And how long do I have to continue to pay the person? And that has to do again with number one, is this a federal law? So the FMLA, do you qualify under that? And can they be paid or that there’s something that passed recently. And I say, family medical leave act, sorry, thank you. Yeah. And then they pass another law that came out that chased it for this purposes. We’re going to call the FMLA plus because what they did is they, they enhanced it during COVID time, but all my medical practices they’re exempt. Um, so the, uh, 90, you know, as, you know, more than 75% of our clients in the medical community. So if you are a medical provider, which is a huge definition, by the way, the labor department came out and then really it’s basically, if you, if you’re an, in any side of the med spa or cosmetic or any type of medical services, you’re exempt from this law and that law actually enhanced, uh, of the, the payments are all our clients in the medical side, we’re exempt.
And then if you have under 50 employees, um, you can basically self exempt, which is, and I use air quotes there for those, the podcasts. Um, but there is a process you internally go through that you can self exempt if you have less than 50 employees. So again, the vast majority of my clients, some of them are above that, but they’re, all of them are medical. So again, they were exempt either way. And so then you go look at your policies and so what kind of PTO do they have? What kind of sick leave? And then you have to pay him out of that piece. So there is a process they go through, um, that they have to kind of step by step by step, go through those processes. But it’s because you’re dealing with someone rightfully so. You know, everyone again is going to look at this differently. That might be scared.
And I think, you know what I always love about you as a quick side note, and it really your practice, you and Michael and Nick and the guys is you can tell a good lawyer when they start out with the first thing we all need to do is calm down and understand the other side. These aren’t crazy people who want to be angry, or they want to take advantage. They’re just anxious. And I think that that’s a really good perspective so that you’re not, you know, kind of fueling the fire on the employer side. And, um, so it’s, it’s tough. It’s definitely, it’s a delicate balance. And, um, you know, and I encourage anybody listening to the program to give these guys a call. They know what they’re talking about, and then the next thing I wanted to pivot to, uh, and one of the main reasons I wanted to have you on today was what are some, so we’re coming out of COVID or going back in, depending on where you’re at in the world, what are the top noncompliance, those, those two or three mistakes you’re seeing over and over again. And it could be even related to, you know, employees, but, um, what are the, what are the mistakes you’re seeing and how the most important thing is, how can folks avoid that? And the costly disruption that it creates?
I think the first big issue I’m saying, um, is a lack of knowledge of, of, of, of how, and when to use PPE, uh, protection, uh, um, personal protective equipment. And the reason why I say that is the, the, whether you, you know, again, unfortunately, to become political, you’re on the mass to not mass, uh, concept. The CDC recommendation is if you are rendering medical services and you as a medical individual, we’re wearing a mask and the, and you’re with a patient for, um, more than 15 minutes, which a lot of times some of our providers are, and that patient ends up being tested positive for COVID and that patient, and you’re wearing a mask. Um, and the patient’s not, then you’re actually, you don’t have to self quarantine, you should shift self-monitor. So it’s a huge shift. As far as the beginning, that was not the case.
They’ve now shifted and saying, Hey, if you’re wearing a mask and then if you’re treating the individual, that same individual turns out to be positive and they end up removed and they end up, um, removing their mask, um, or they don’t have a mask on all on your treating around their mouth. Um, you’re supposed to have a goggles or a face shield on. So again, this goes back to, this is again, we’re fine. Again, I’ve had debates with a lot of physicians about, uh, whether or not, you know, wearing a mask or not wearing a mask. This give you sufficient. I’m just trying to tell people if you try not to have to keep sending people home, that every time I I’m a positive patient comes to your office and you have to send the entire office home. If you were in PPE, CDC allows it to self monitor and not have to shut your, your medical practice down.
And I have had that phone call. I feel like weekly, if not my partner, Renee. And I swear, we were at one week, we had five or six different clients across the country, call us all with either a positive patient that came through or a positive employee. And by them, these guidelines, we were able to walk them off the ledge of having to close their, their practice and sending everyone home to self quarantine. And so those are all some, you know, and again, there’s a lot of other pieces to, as probably the first one is making sure you go to that process of, of abuse.
Do you sense, is it your sentiment that there’s, there’s pushback against wearing PPE because of the look around it, or?
Yeah, so I did have, uh, early in this, when I first started, I actually had some people. Okay, good. Go ahead. I said early on when, um, when this all first started, I absolutely had people saying I’m not going to ever give someone an injection while wearing a mask. I think that will look really weird. So they definitely were pushing back on that. But now that the CDC has been pushing so hard on how to protect yourself, some of these same States are adopting those as rules. And this skills, a category where I, when I’m, when I’m talking to my doctors about this or, or any provider, actually, there’s some squishy area that when it comes to the medical boards and dental boards and your nursing boards, where they will go after you, if you basically put yourself, well, if you put the patient at an unnecessary risk or harm, you failed to meet the standards of care, or you act in a manner that they deemed to be unprofessional, unethical behavior.
So my fear always is I want to protect you, your license. That’s my, you know, when I get asked questions, I say, here’s what I’m trying to do. And try to put you in the best position, the most defensible position that have this ever met a medical board complaint, again, what are, what are, what are these people that do are scared, they’re complaining. You can say, Hey, I’m following the best standards. So do you want to go in front of your medical board or nursing board and say, yeah, I don’t believe in mask. And even though the CDC recommends it and even in my state, so some States have mandatory some, some, some may versus MOUs, right? Um, I don’t think I’m doing unnecessary risk to my patients, or I think I’m following the standard of care. Great. You’re just going to have to prove that up and, and have a really good way of saying the CDC is wrong or my state’s wrong with those recommendations.
And they could be, by the way, I’m not saying they are, but again, what I’m trying to do is saying if the CDC recommends that, you know, a plaintiff’s attorney, who’s going to say that you’re there, your patient got COVID and that’s it. It’s, it’s your fault. They get COVID because he refused to wear a mask again, we’re just trying to minimize their risk. And so that’s definitely an area that we’re very concerned with our providers who are fighting us for that, because we feel like they’re, they’re low, they’re at least increasing their overall potential liability.
Yeah. Again, that’s a tricky one. It’s interesting because I was speaking with a friend of mine who is in Oklahoma, which at the time could be different today, but this was three weeks ago. That was pretty much wide open and what they would do super Kristy Mara. I don’t know if you know, but great, great gal and super successful med spa. And what they were doing is, um, in addition to having people text when they got in the parking lot, Hey, I’m here. And then they, you know, they rush them through the waiting area. Um, they kinda left it up to the patient to say, we’re comfortable. If you want us to wear a mask, wear a mask. If you’re want to wear a badge, wear a mask, you don’t want to wear a mask. We’ll do whatever, kind of do whatever you want model. And, um, that, that to your point probably only works in a, uh, state environment where it’s white. There are no regular, you know, there’s no requirements that they do that.
Yeah. It’s the may versus most piece. And the other piece is in going back to the patient care that you mentioned that the thing we definitely recommend to our clients is to minimize the time you spend with that individual personally, like in person, but maximize the standard of care. So that goes where telehealth comes in, that goes, meaning that you try to do as much as you can before they come in via telehealth. Um, you know, and then when they do come in, obviously if you’re doing an injection, you’ve already cleared them. You’ve walked through the issues. I have many clients that just do what they say. They wait in the car, they text them, they bring them straight to the exam room. They come in, they obviously double check the exam. They then render the service and then they walk right out because they’ve actually paid online already.
They filled out any updates, the paperwork electronically, again, they’re minimizing, but they’re still following the standards of care, which is essential. And going back to your point, if you’re less, if you’re with someone less than 15 minutes and the vast majority of the time you are social distancing. So I have doctors will walk in the office. They’ll with the patient, they’ll stay six feet apart the whole time they’re talking, and then they’ll come in very quickly, do the procedure they need to do. And they’ll step back out. Now, again, if you’re, if you’re using, um, something where something splatters, you absolutely want to wear a mask. And sometimes obviously a shield, um, a different depends on the procedure that you’re doing a lot of times, obviously, no matter what it requires you to work love anyway. But again, these are the kinds of things that, um, so long as you’re, um, still meeting that standard of care, and we’re saying maximize it and maximize it, the ways that you best can by using the technology that’s at our fingertips, um, that, that make life easier, but then minimize the amount of time that you’re with them personally, and again, in an operations setting and other things that’s impossible.
Like some people like you don’t understand this procedure by itself takes 25 minutes. I’m like, okay, well, if that’s the case, then let’s think about if you should be wearing PPE. And if so, what type of PPE should you be wearing?
Interesting. I want to kind of move to this next subject and I’m glad you brought up. Cause I was hoping to get to it. Have you seen, as far as tele-health goes, has there been much change in terms of deregulation around telehealth? Because you know, for example, in Rhode Island, I live in Rhode Island. You couldn’t, nobody was doing tele-health. Now all of a sudden, all the doctors are pinging me. Hey, you want to do telehealth? So what was there some big shift in that?
Yes. So, um, telehealth, um, is controlled like anything with the, with the practice of medicine, by a state. So every single state had different rules about how you could, um, rent our medical services and what those services look like. So in some States they say the only way you can rent our services to a patient via telehealth or telemedicine is that you had a preexisting relationship with that patient in person mean that they, you saw them one time beforehand, and then you could do it. Well, you know, other States have changed and said, well, you don’t have to have a preexisting relationship with that person. But when you render services to them, you have to meet the same standard of care as if you would, um, is again, if they were there in person, that’s the best way to kind of describe it. There’s other consents and other things I won’t bore you all your audience with that they would have to abide by.
But the piece is, if you tell me and I’ve had this conversation, well, Brad, the only way, if I would do this procedure, I would have to touch their skin to make this determination. And like, well then you can’t use telemedicine because you can work through all your questions and spend again minimizing the time within in person. But if you have to physically touch someone to finally diagnose the individual, um, then I don’t, you can’t use telehealth. So then go on to your question. What happened was when, um, when they wanted people to still see doctors, but not see them in person, the federal government urge all the States to lower the standards that they were acquiring. And then, and, and, and some of your audience by, I don’t know this, but Medicare and Medicaid do pay for certain telemedicine. So the federal payers lower the standards a little bit to make it easier.
So then all, a lot of people were paying attention to that. And then the States, a lot of them that are issued emergency orders to lower their standards and allowed cross. So I’m licensed in Texas and I won the treat a patient in Louisiana, generally speaking. I also have to be licensed there, but many States said, Hey, we need help if you’re licensed, you’re good right now. So again, they lowered who could render those services as to where you’re physically were located and where the patient was physically located. There has been a ton of stuff, uh, from the state level and the federal level saying, Hey guys, can we stay here now? Even if less pretend code it goes away. Is this okay? So there’s some pushback from other medical boards saying, no, no, no. We like the old fashioned way where you have to come in.
And some medical boards are like, Hey, this seems to be working. So that’s why it’s all sudden when I say picked up. I’ve been speaking on telemedicine for years, Tim. Yeah. Um, I have a few clients that, uh, that just because I have some telemedicine clients in general, so I have a few clients that do it. When I say, uh, my phone blew up overnight was what do I have to do, Brad? I know you’ve talked about this. What do I need? It’s like, you need this, this, this, and this. I’m like, okay, I’m doing it. I, I have to keep in touch with my patients. But yes, overnight, almost every single client of mine that never had telemedicine. And it was like, Hey, can I use zoom? Can I use this? Can I use that? I’m like, okay. Yes, but you have to add this or yes, you can do that or no, you can’t use Facebook live now. It’s still like you had to walk them through all those kinds of questions.
Yeah, it’s amazing. And, um, I, if someone had told me, you know, back in June of last year, there might be a pandemic coming. Sounds like it would have been a couple of investments. I would have been,
Those guys blew up overnight. It was like, what’s doxy. Now the doxy guys out on the boat. He’s got the girls out here. Woo. Good for them. Good for them. So, and listen, as we start to pivot again and wind down, one of the things that has changed a lot, and I’m curious to hear your take on this. So you guys like us are, you know, popular, invited guests all over the world and particularly in the U S and it’s tough because a lot of folks in our community, they rely on those shows for, for things like this, right. To get, to get those conversations. And so at Berta data, what are you guys doing now so that you can stay connected with not only your existing clients or the firm, but prospective clients of the firm who are looking for that education, how can folks engage with you? You know, webinars, podcasts, whatever it is.
Yeah, absolutely. So first, just like you, you know, we’ve been speaking for years and so overnight, we, we, we, as you can imagine, there were no longer in places to go. And so we had been shooting, uh, internal videos for as just like you, we have a membership program. So we have a portal where behind the wall paywall, we would have videos for our access plus members. Um, and we would shoot those, you know, two or three a month. Well, when COVID happened, what we did is we just flipped it and started, um, a YouTube channel, which is funny. Cause you know, we’re late to the game, but we never really saw a reason to use it. And we were shooting five to six videos a week, just trying to keep people up to date as to what was happening. These videos would be anywhere from five to 15 minutes, depending on the need of PDPs or this was going on here.
This is what the OCD said, or this is what OSHA said or whoever it was. We were just trying to get the information out there because we felt like this was not a time to worry about how we’re going to get paid. This is a time to educate the, the, the, our, our clientele, but more importantly, everyone else to make sure they understood it. And then like you, uh, we have been working on putting together a podcast for a solid two years. We’re just late to the game, but we did launch the legal one, two threes with Berta Datto, and, uh, until, um, in, uh, June of this year. So we’ve, we’ve, we’ve shot season one and we’re actually currently, sorry, recorded season one number and that’s being released at every other week. And we’re recording season two right now. Because again, we were trying to find other ways in which we could educate everyone as the important aspects that are out there.
And then finally, um, internally again, for our, our access plus members, we do a monthly, um, a web or zoom, a with some big factual issues that our clients are asking us so that we can do it internally for them. So they can, uh, pepper us with other questions so we can keep them up to date with what’s happening. So it’s been, it’s been an interesting new way of, of, of communicating. Um, but again, you know, going back to, I think how we started this is it’s very important to keep yourself educated as an attorney. Uh, you know, I have to keep myself educated, but also, especially if you’re a frontline medical provider to understand the do’s and don’ts the things you can’t, you shouldn’t, or you must do.
Yeah. And I, I, I tip my hat to you guys. There’s not a lot of lawyers thinking like you, and, and we’re all trying to find ways to, to contribute. That’s the biggest thing and through education, and I’ve always said to you, the best marketing in the world that you can do is create a positive impact on the industry you’re in through education and commitment to that. And I know that you and Michael and the firm have been a hundred percent committed to keeping the communication going. Like you said, it wasn’t just running the meter. It was making sure that people got update timely information. And, um, I know the community at large is grateful for that. And anybody who’s listening, by the way, little shout out to our listeners today, we surpassed more than 13,000 unique people have downloaded the podcast and a little over a year, shout out to you guys.
It’s awesome. More than 1200 new subscribers in the calendar month of July. And we’re only a little bit over a year old. And, um, so it’s today’s is great. I was excited about that. So the message is getting out right? That education is makes a big difference. We don’t charge for the podcast and we encourage people to, you know, share it with their friends. So you guys have been great. If somebody wanted you to shoot it, shoot you an email and ask you a question. What would be the best way to get ahold of you? Brad
Info at Berta Datto is the easiest way to get ahold of us. Um, that way my team can get it, get it faster than if you email me directly. I’m not as fast as my team is, but that’s firstname.lastname@example.org. And that’s probably the easiest way to get ahold of us. And I think one thing I just want to repeat what you said, which is, I agree is that when you educate the society, you educate the audience is because we want everyone to do well and not get in trouble. That’s the whole purpose of education so they can understand it because it doesn’t help the industry when everyone’s getting in trouble, because that just takes us down. Yeah.
Yeah. Well, you guys have been, um, exemplary folks in the community and I know everyone looks for you. I encourage Brad is a good friend of ours and we’ve worked together on a lot of projects. I encourage anyone listening. If you need some advice, whether it’s just how to most important thing is how to stay out of trouble, but this employee thing, it’s a big issue, you know, and what you can and can’t do. And, and compliance is a moving target, and they’ve got burned it out. It’s got some cool ways that you can work with them for not a ton of money. And, um, I will shamelessly plug these guys because I believe in them and I’ve sent a lot of folks their way. So with that said, great. I really, you taking the time once again to join us today. And, um, hopefully we’ll make this a, you know, every six months occurrence listeners love the free advice. And we’re grateful. Thank very much, but thanks again, Sam. I appreciate it. All right. We’ll talk to you soon.
Thanks for tuning into this week’s episode of true to form brought to you by Candela a leading US-based global medical aesthetic device company engineering technology that enables practices to provide advanced solutions for a broad range of medical aesthetic applications. To learn more about this week’s podcast sponsor, visit Candela medical.com and to learn more about your podcast provider crystal clear, visit crystal clear dm.com. Be sure to subscribe to the show on all your favorite music apps, including iTunes, Spotify, SoundCloud, and tune in to stay up to date with the newest episode. Thank you for listening.