The Future of Medicine

Listen to Dr. Georgine Nanos featured on The Good Life Coach podcast.

Michele: This is episode number seven with Dr. Georgine Nanos. Welcome to The Good Life Coach podcast. I am your host Michel Lamoureux. The intention of this show is to awaken you to your fullest potential. Join me each week for inspiring interviews to elevate an area of your life as well as interviews with women entrepreneurs who are creating success on their own terms. Each episode provides actionable tips to guide you to design a life you love. Hi there. This is Michelle. Thank you for tuning into another episode of The Good Life Coach podcast. I am so grateful for your time and am hoping that the information that you get in these episodes really help you in some way in your life. You can reach out to me anytime over at TheGoodLifeCoach.com. You can go to the contact page and send me a note and let me know what challenges you're dealing with and what kind of guests would most benefit you and I would so welcome hearing from you. And in addition just as a reminder on every episode the show notes are at the GoodLifeCoach.com/ the episode number and today's is 007.
Michele: On today's show we've got Dr. Georgine Nanos who's an award winning doctor who has been recognized by her peers as one of San Diego's top doctors for nine consecutive years by San Diego Magazine. Dr. Nanos is board certified in family medicine and is the founder and CEO of Kind Health Group. I just love that name, Kind Health Group, which is a revolutionary integrative family medical practice that promotes overall wellness and really has a focus on preventative care which is really what we're going to be covering today. As part of Dr. Nanos' unique concierge practice she offers holistic health coaching to her patients which I think is amazing and also offers cosmetic procedures that are non-surgical as well. She shares a lot of really interesting and useful information today and I learned a few things that I didn't know about which includes the number one killer of women in the United States as well as a huge issue right now with doctors and depression. I'm going to leave it there. And just as a reminder anything that you learn on today's show is not to be considered medical advice, you should always consult with your own primary care doctor, physician or other qualified practitioner. So let's meet Dr. Nanos.
Michele: Hi Georgine, welcome to the show.
Dr. Nanos: Hi Michelle. Thank you for having me.
Michele: I'm so happy to have you on. And the reason that I asked you to come on Georgine is because I feel like what you're starting is incredibly innovative and progressive and it's going to be the future of medicine. I may be optimistic but maybe in 20 years there'll be a practice, the kind of practice that you're creating and it'll be more mainstream and maybe it's because I hope that will be the case. I do feel that we have a model now that is too rushed and too hurried and it's more focused on sick care versus preventative medicine and that's in fact what you're focused on yourself. I really wanted to get into your story because you were in a practice for 12 years, in a very successful practice and you decided to launch this innovative model and just go on your own and I was curious what was the mindset, what took you to this place and had this been something that was in your mind and heart to do for a long time.
Dr. Nanos: Thank you so much, yes I'm hoping that this will also become the future of medicine. But I've been thinking about doing this for a long time, I'd say at least the last five or six years, maybe longer. I was in a very successful wonderful practice with great people, I had great partners and they were great to work with however the method in which we delivered care to our patients was very stressful and I felt very incomplete. I love my job. I love practicing medicine with every fiber of my being, it really is something I'm very passionate about. But the model that we have today really doesn't deliver care in the way that most doctors were trained to deliver in a very comprehensive way. I only had five to 10 best case scenario 15 to 20 minutes with people scattered throughout the year, at best two or three times a year to deliver really important information to people and to really listen to their stories, it was hard to do that in a meaningful way. And so I'd see about 25-30 people a day and at the end of the day feeling like I wasn't taking really good care of people in the way that I felt they deserved to be cared for. And so this was a way to do things differently.
Michele: I think I should mention that the way that I actually found Dr. Nanos is I was moving to San Diego and I did my research and she was voted Best of San Diego nine years in a row and that was good enough for me and it was close to my home and so my first impression of you was it was such a unique experience, I'd never had a doctor come in never having met me before and welcome me so warmly and so genuinely and connect with me as a person first versus just diving right in. So the model you talked about I think we can all relate to where you feel even if the doctor is fabulous, I've had really wonderful doctors that I've had the pleasure of being my doctor but it always has felt rushed and you even within the traditional model I don't know how you did it but you never made me feel that way and I always felt that you answered my questions thoroughly and that I was in good hands.
Michele: And I think the other challenge is that what happens is you see your doctor on the well visit but then when you're sick and you really want to see your doctor and keep building that relationship you're with a P.A. or a nurse practitioner or another doctor and it's just very disjointed and you don't really feel like they know your history enough. And so as a holistic health coach and as a mom and just as somebody who's passionate about good health I always say you have to be your own advocate. But the model you're creating is allowing for that relationship. So could you tell us more about what it is that you actually created. And again I'd love to get into the why but let's start with what you've created and then we'll get into the why.
Dr. Nanos: OK. Sure. What I wanted to do was create a model that focused on prevention and also allowed people the time that it takes to build that relationship because really frankly it takes a whole lot of time to have people really be able to tell their story and feel like they're being heard in a clinical setting and it's very hard to do. I'm glad you had a really good experience the first time you met me but it's hard to pull off 25-30 times a day in a very rushed setting and I certainly tried to do it as much as I could but I wasn't always successful, at least I didn't feel like I was. And so in this new model what we've done is we take a much smaller group of patients and I had 4000 patients assigned to me in my previous practice which is an extraordinary amount, typically most full time doctors take about 2500 maybe 3000 at the most. So this was a really crazy volume of people to care for and to do it well was very challenging.
Dr. Nanos: In this new practice we charge a membership fee for patients and then this way we can cover our costs and care for a smaller group of people. And in doing so we can provide is a much more comprehensive level of service where they can come in and spend an hour or two if they need to. If someone calls up for an urgent need I tell them "Come right in. I will see you, we'll make time." So it's designed in a way that's centered around the patient so that we can address their needs as quickly and as comprehensively as possible. And if for example a patient can't come in or if they're traveling I can do a Skype visit with them, if they just need to talk about something over the phone we can just talk it through at any time really.
Dr. Nanos: And what's interesting is people say to me "Well don't you feel like you're at everyone's beckon and call all the time." But what's fascinating about this is that people are really respectful of my time and no one ever calls me in the middle of the night because they know they can always get me. So it's interesting that it's been a wonderful way to practice where I can really take care of people in a meaningful way and really address all of their needs.
Michele: I applaud all of that because like I said I felt like you did it within the traditional system as well as you could. 4000 patients sounds like an unbelievable amount of patients and maybe that's why it does feel the way that it does when you go to the doctor but not everyone's either gonna be able to afford a model or until the model matches what you're doing more traditionally. I think it will evolve to what you're doing at some point. Moms need to take care of their health and manage it as best they can. And I'll hear women say to me "Oh I haven't had bloodwork in 20 years" or "I don't really know what menopause is supposed to be or what I'm supposed to know."
Michele: And there's a lot of confusion and a lot of stress. I'm wondering if we can take a few moments to get in to some practical ways for women to manage their health within the traditional system while they explore or have more awareness of what it could be because I know that, and this is not the norm, you used to give your cell phone number out to your really sick patients so that you could feel good about taking care of them and so that they could have access to you but that's not the norm. So in an ideal world we would feel really connected to our primary care but since we can't and we need to manage it let's walk through what's the best ways that we can have that good relationship within the traditional model.
Dr. Nanos: Okay. Yeah. I think the most important thing is having... a lot of women attend to establish their first relationships with their doctors with their OBGYNs which is great and they do a lot of primary care as well. But once you get past your childbearing years having a primary care doctor that's focused more on your total health is also important. And a lot of family doctors also do a lot of GYN medicine so you can get all of those services with one doctor and this way you can build that relationship a little more solidly over time but it's really important that they see their doctor at least once a year especially if you're over 40 to make sure you're getting a complete breast exam and pelvic exam and you're getting all the necessary screening.
Dr. Nanos: And then also what's really important for women is addressing issues like heart disease and making sure your cholesterol is where it should be, that your blood pressure is where it should be and that you're managing your stress levels as well. There's a great public campaign in the last few decades about breast cancer but what's equally and more important I think for women is really addressing cardiac health for women which often takes a backseat to breast cancer. And that's something that sometimes gets forgotten. And so issues like high blood pressure or high cholesterol, diabetes are really big problems for not just women but men too that your primary care doctor can help you address and so doing that is really important as we age.
Michele: Georgine are you saying that heart disease is in fact one of the biggest risk factors for women and that we should be paying more attention to it because I think you're right, I think breast cancer or sort of cancer is something that we're seeing with either people we know or ourselves are dealing with it but heart disease you don't hear about as much or if you do the focus is always on men. So could you help just shed some light on that for us so we have a better understanding of what we'd be looking for our own risks and what we should be asking our doctors for to be sure we have good heart health?
Dr. Nanos: Sure. Heart disease is one of the biggest killers of women and men across the board. Unfortunately a lot of that focus tends to be on men but women are just as much at risk for heart disease if not maybe more so because we're not as well educated about it as our male counterparts are. So diseases like high blood pressure and high cholesterol and diabetes all really impact our heart health over time. And I think there's a big public campaign about cancer which can be frightening but and a lot of times we feel like we don't have a lot of control over cancer or maybe that's the thing that people tend to focus on more. But in terms of heart health there is a lot we can do to mitigate our risk for heart disease and truly we have a lot that we can do to control our risk for cancer as well. And they all follow the same path which is really healthy eating and a healthy lifestyle. All of that helps reduce our risk for heart disease and for cancer together.
Dr. Nanos: And that's a big part of what this new model that I've created really focuses on the preventive aspect of healthcare and helping people find more natural means of getting their health in line rather than taking pills all the time. I mean one of the big things that frustrated me about my previous life in my old practice was having so little time there wasn't enough time to really talk to people about nutrition and exercise and stress reduction. And so the easiest thing to do was to write a prescription for Lipitor or for your high blood pressure medicine. And oftentimes that's kind of where we left it with people and I could say very quickly eat less, move more, but that doesn't mean much to people in the other 364 days of the year where they're not seeing me. So in this new model what we've done is we have a very robust health coaching program. That's really the part I'm most excited about because we really do a very comprehensive intake of everyone's health history including their time in utero to their early childhood events, any early childhood traumas.
Dr. Nanos: A lot of those impact how our behaviors are set in adulthood and understanding those really gives us a really much clearer idea of where we are as adults sometimes. So we take all of that information, it's taken in through an online form and then we get a digital roadmap if you will of one's life and have a better understanding of that. And then with our health coaches we are able to really sit down with a patient sometimes for one and a half, two hours which is a tremendous amount of time and really set out some health goals for people so that we can meet them where they are and identify what their goals are to achieving optimal health.
Michele: That's so fantastic. Because nutrition is at the heart of wellness. And so when you aren't feeling well or you're going for issues, you're not ever recommended to see a nutritionist unless you ask, at least that's been my experience and then it's within a traditional model. You've actually brought in somebody who's functionally medicine trained, can you speak a little bit more about how you offer your patients a different way of looking at the nutritional aspects and how that in fact does help be preventative for their overall wellness, how that helps prevent disease?
Dr. Nanos: Sure. Our star health coach is Annie who is trained by the Institute of Functional Medicine as a certified health coach. And the reason we look to this model is because functional medicine really looks at the whole individual and really focuses on a mind body connection and recognizing that the traditional approaches to disease aren't necessarily the best ones, sometimes they are but it's important to have an open mind and look at a lot of alternative approaches to solving problems and throwing a pill at it isn't always the best solution. Not to say that I don't prescribe medicine and pills for certain diseases, I certainly do. But my preference is if I can avoid giving someone a pill then that is the optimal path as far as I'm concerned. And nutrition plays a huge role in this. I think it was, I can remember who said this, it may have been Mark Hyman who said "There's no weapon against disease more powerful than what's at the end of your fork." And that really resonates with me. And even your genetics can be overturned and you can down regulate a lot of these genetic predispositions to disease by modifying your diet and your lifestyle as best you can. And there's still people that are going to have heart disease, there's still people that are going to have cancer but there's a lot that we can do to minimize our risk.
Michele: I've read about the genetic piece and how people just say "Oh it's in my family, I'm sort of destined for this future" but is that why you do do the genetic testing because that isn't in fact the case, what we eat and our environment and the stress that we've taken in our lives is in fact what either turns those genetic markers on or keeps them off. Is that accurate?
Dr. Nanos: That's exactly right. Yes. So yes we do genetic testing within our model as well because I want people to understand what their genetic risk is and a lot of times that helps motivate them to work harder at modifying their lifestyle. And there is a concept called epigenetics where the idea is that you can up regulate and down regulate your genetic predisposition with your lifestyle and that's what we're looking at there.
Michele: So can you tell us what the epigenetics or the genetic testing can actually screen for, let you know what markers exist? So for example is heart disease one of the markers? Is cancer? Wat does it actually look for?
Dr. Nanos: There are literally thousands of genetic markers out there now and so what we do is we have a genetic counselor meet with each patient via Skype and they can also Skype in any family members from around the world to better understand their family history because not everybody knows every detail of their family health history in particular. So we do a really comprehensive genetic analysis of each individual from more of an oral history and then from there identify which genetic markers would be appropriate based on their family history. So it's really customized to each individual because there really are thousands of markers out there now that we can screen for and some are for cancer and there are some for heart disease as well. But we really customize it to each individual.
Michele: As you were talking Dr. Nanos I was thinking to myself that as women we run the households, we make sure that our children's health is taken care of, we schedule the well visits, we make sure they get to the dentist twice a year, we even do extra research if there's something that's going on so that we're on top of stuff, that we go to the doctor, we usually are the ones scheduling our husbands doctor's appointments to make sure that they show up because more often than not they won't unless we're the ones helping them. But I want to focus on the women who are listening, to the moms who have so much on their plate and sometimes don't make their priority as high on the list as everyone else in their family. So what is the top three best pieces of advice you could give a mother out there that's listening to take ownership of her health?
Dr. Nanos: I totally agree that women really under undervalue their own health. It's kind of like the oxygen mask dropping from the plane, you have to really help yourself first in order to help other people. And I've said this to my patients many times over the years that they really have to, women and moms in particular have tremendous guilt about doing anything for themselves. But you really have to practice some self-care and self-love to take better... We all have to do that to take better care of ourselves. I'm just as guilty of it as anybody else. But I think trying to emphasize sleep more. It's really sleep, healthier diet and exercise. And if we can throw in there some sort of meditation and gratitude and stress reduction and whatever it takes really to reduce our stress I think is probably the most critical.
Michele: Can I actually stop you in the sleep part or not even stop you but just go in a little bit deeper because I actually know so many women who are either telling me that they're really tired or at 4:00 in the afternoon they want to crash or they're waking up at 3:00 in the morning and their mind's racing. What can they do to better manage this sleep? Is that something that their general practitioner can help them with? Is there a certain test that should be run in order to have better sleep?
Dr. Nanos: There are lots of factors that contribute to good and poor night's sleep. And we call this sleep hygiene. So a lot of this I think has gotten worse in the last decade as we're more attached to our devices. We're constantly staring at our phones right before we go to sleep or watching TV. And so a lot of that blue light really disrupts our circadian rhythms and makes it hard to fall asleep if you're on your device right up until the moment you go to sleep. So I recommend people totally shut down for at least an hour before you go to sleep. Read like a traditional book, not like on a Kindle if you can or on a device. And then limit caffeine as well. I mean everyone's addicted to their coffee where you're drinking coffee till all hours of the day just to kind of get through those afternoon lulls and that's not helping you in the evenings. And then exercise is a really helpful way to get people to sleep as well so getting enough exercise during the day. But primarily in the morning or not too close to bedtime, if you're exercising really close to bedtime that actually sort of revs you up a little bit and makes it a little more challenging to fall asleep but really exercise throughout the day is very helpful.
Dr. Nanos: And then meditation also really helps to kind of quiet your mind. So doing that maybe before bed or late in the evening helps to kind of clear a lot of those ruminating thoughts. Sometimes journaling too, kind of getting those thoughts out of your head and writing them down is helpful to keep them from circulating in your brain at night. Drinking a lot of water, avoiding a lot of alcohol before bed. What happens is if you are drinking too much right before bed it tends to be very dehydrating and can wake you up in the middle of the night. So those are kind of the top hits there.
Michele: OK. Those are all really great. And it's just making me think too that... you even said even as a doctor but also as a mom it's easy to feel guilt. I don't know why we do, why do we feel guilty about taking care of ourselves? It's like there's so many priorities in a day that it's easy to push ourselves to the side and I've actually become very disciplined around this and that's not my natural state, I'm more of a spontaneous type. But I've really been trying to set myself up in the morning to meditate and to drink a glass of water with a little bit of lemon or lime in it. I'm wondering if there's anything that when you mentioned like... I'm wondering how you walk your talk because I'm sure that you do especially you have the access to the health coach now too. So what are some tips that you have found in terms of how to take care of your own health?
Dr. Nanos: I am trying really hard to eat better, to eat more of a clean diet, try to focus more on a plant based diet. I have kind of borderline high cholesterol so it's something I'm very conscious of and I'm trying to change with my eating habits. But it's also challenging when you have kids because they don't always like to eat all their vegetables. Trying to be creative in finding foods that the whole family likes is a challenge but it's something I'm trying to do as well. I'm trying to exercise a whole lot more these days and trying to find time to do that and then trying very hard to meditate and quiet my mind as an entrepreneur and a mom and a doctor. That is extremely challenging for me. But there are a couple apps that I've used in the past that have been helpful, I've used the Headspace app and then there's another one that I like that I use for my kids, I'm trying to remember the name of it now. That's been very helpful because that helps for them as well to get into that habit and then trying to practice gratitude and keeping a gratitude journal is also helpful as well.
Michele: So we have a similar focus too. So I like Headspace a lot, I like the guy's voice so I'll actually link that up in the show notes. There's another app called Calm that people like, I haven't used that one, I guess they can even read you stories at night to help quiet your mind. But I do agree that being able to meditate and find even five to 10 minutes because I find that when I do it consistently I want to stay there longer.
Dr. Nanos: Yes.
Michele: Right. So that's very useful. So you talked about being an entrepreneur. So part of the reason the show exists is beyond just talking to thought leaders like yourself about how to take care of your health or your business and stuff, is to also feature and talk to moms who are designing a life they love. Now again you left a very very successful practice where you didn't have to worry about patients. I mean 4000 a year you got a ready book of business and you took the leap Georgine, you went out on your own and you're also doing it in a way that isn't mainstream which is also another risk. So what prompted this and how did you figure out what steps to take to make it happen?
Dr. Nanos: So I am 46 years old and I was trying to think about how I wanted the rest of my life to be and I kind of felt that I couldn't keep up that pace in medicine in that previous model for another 20 or 30 years. I really love practicing medicine and I wanted to do it as long as I possibly could. And way beyond traditional retirement because I really enjoy it but I couldn't see myself doing it this way for another 30 years and I felt like this previous model was truly broken. And so in order for me to do something different I would have to fix it in my own way and build something new. And I really wanted to do it early before it got to the point where I was... I was headed towards burnout in my previous practice and I wanted to get to a place where I can build something new and fun that I really enjoyed before I got completely burned out and didn't have the mental resources to move forward. And I was worried that that was where I was headed. So I decided to really take that leap.
Dr. Nanos: I also went through a really difficult time in my life personally, I went through a very challenging divorce which was a huge personal struggle. And I think when women and men when we go through really difficult times like that it really forces us to look inward at the decisions we've made in our lives and really take a hard look at what we want our future lives to look like and so that time, that experience really helped me reflect on trying to make better choices for my future self and this was kind of where I ended up.
Michele: I think what you shared is so beautiful on so many levels because to look towards the future and then work back and you were seeing that this wasn't going to be... you were going to burn yourself out and you were gonna be taking away your joy which is in fact practicing medicine. That is clearly your joy. Like I said just from when I met you it's such a part of who you are, it's why you chose to go to medical school, it's why you're doing what you're doing.
Michele: And so I really commend you and also thank you for sharing something so personal because I think that's part of the truth of what happens when we hit dark times in our lives and it becomes an opportunity to awaken to what's possible and so I commend you for your strength to just having done that. So thank you for sharing all of that because I think that will be helpful to other women listening. So I think at this point it would be a great time to... I was just curious, just ask, because I do want to remind people of the goodness of others and everything that you're doing is really very inspirational. I'm curious do you have a happy story of working with a client that really drives home the importance of either making your health a priority or just some good news about having worked with a particular patient that you could share?
Dr. Nanos: Sure. So I have lots of them but there's one in particular that I'm most excited about and I tell this story a lot. It's a patient, a longtime patient from my previous practice, I'd known her for 12 years. And she's maybe a little bit older than me and I'd seen her about two or three times a year in my old practice. Kind of same story, every four or five months, 15-20 minute visits and she really struggled a lot with weight issues, blood pressure, anxiety. And we'd have the same conversation that was an abbreviated version of eat less, move more, the stress management and all that great stuff and nothing really changed for her over more than a decade. And she decided to follow me to this new practice and in the span of six months she's lost almost 30 pounds. She feels healthier than she's ever been. She is very involved with the health coaching aspect of our practice. What we do, the other part I wanted to mention about the health coaching which is really cool and unique is that the first visit is usually in our office but all the subsequent visits are out doing something. Going for a walk on the beach. We're very fortunate to have our office about four blocks from the Pacific Ocean.
Dr. Nanos: So what we do is our health coach meets the patients in the office and then takes them for a walk on the beach or they can go paddle boarding or she can go on a grocery store tour with them or do a pantry clean out or something that's meaningful and not just sitting in the office. So in the course of these last six or seven months this patient has just seen a dramatic life change. So what we also do is sink a patient's wearable devices to our app and so we can interact with them on a daily basis through the app as well as in-person visits and really engage with them and keep them accountable.
Dr. Nanos: And so this level of accountability has really made drastic changes in people's lives in such a meaningful and positive way. And she's not the only one, we've had many success stories like that. So even with a very small sample in a short amount of time we've seen just tremendous changes which are just so inspiring to me and I'm hoping that we can have more data over time to make this more of the norm because knowing this person for so long and seeing such a change in a short amount of time is really inspiring.
Michele: I think the word accountability is what stuck out because as you were talking I thought what was different. And I thought maybe [inaudible 00:35:53] the accountability model and it sounds like that's exactly what it was, Is that-?
Dr. Nanos: Exactly that. Yes.
Michele: Yeah. To have that support system and I would say to anyone listening, find that accountability whether that's a health coach near you or a friend who's got the same goals, team up with somebody and partner with them on your wellness because I think we are more likely to show up for others than we are for ourselves so if we know someone's counting on us it helps-
Dr. Nanos: Absolutely true.
Michele: Right, it makes that shift. We do because as women we tend to be givers and wanting to support and help. There's nothing we won't do for somebody that we care about. And so I think that's a great story to highlight one way to take ownership of your health especially if you've been stuck and nothing works.
Dr. Nanos: I really urge patients to try to find a doctor that will listen to them. They are out there and really feeling like you are being heard is very important because if you have a broken relationship with your physician then it doesn't serve you well at all. So I would say keep looking until you find the right fit. They do exist. The other point I want to make is that our health coaching model that we launched in January of this year has actually been so successful that we are offering it to people outside of the membership model of practice now, we're gonna be doing that in the fall because we want to make it more widely available to other people who don't necessarily need or want me to be their doctor. I don't necessarily need to be everyone's primary care doctor in order to still offer this service. And so we want to make this more widely available and it can be available virtually as well for people that want to try it no matter where they are in the country or the world.
Michele: That's so fantastic. I didn't know you were doing that. That's so great. So we can link to your site in case people are curious and want to see how they could be paired up with a health coach for accountability and for their own preventative wellness.
Dr. Nanos: Right.
Michele: That's fantastic. I think again this is the future. At least again it's my hope that mainstream-
Dr. Nanos: It's my hope too. I really I wish that this could be available to every single individual but like you said we're not there yet and we need more models like this out there to show the big insurance companies that this is a way more cost effective approach to medicine. And like we were saying earlier our current model isn't really healthcare, it's disease care, it just focuses on small interactions when people are sick rather than getting ahead of the game and focusing on prevention which is really where we can all benefit.
Michele: Right. And you even touched upon it when you said you were getting burnt out. I just saw an article that Arianna Huffington wrote that said something like two thirds of all doctors are either depressed or burnt out in this country. I could link to that article as well, I don't think it was specifically talking about primary care doctors but it was all doctors. So the problem isn't just... the system's broken on many levels, right? This isn't just-
Dr. Nanos: Oh yeah. The issue of physician burnout it's a widely discussed issue among physicians circles for the last several years and it's getting worse. I think the rate of physician suicides sadly is disproportionately higher than in other professions in the last several years which is really sad.
Michele: I wasn't even aware of that. That is very sad. Just from the stress of it all or?
Dr. Nanos: Exactly. Yeah.
Michele: Wow, that's unbelievable. So and this is again why I wanted to have you on because I believe that with awareness change happens. So when you set the bar higher in terms of what's possible then things start to shift. So now people have "Oh wait. There could be a model that allows me not to just get medicine anytime I'm sick but to look at something preventatively, to give me healthcare, to check my genetics." This is so great. I'd love to wrap up the interview with asking you some rapid fire questions and I'd love to know how does Georgine define success. What does that mean to you?
Dr. Nanos: I would say finding joy and happiness every day, going into work and not feeling like it's work would be success. Having happy children and healthy children is also my definition as well. Happy family as well.
Michele: So Georgine who has most influenced your life and gave you that sense of confidence to go out and launch your own business?
Dr. Nanos: I'd say a person would probably be my dad who passed away about 15 years ago but my dad immigrated to the United States from Greece when he was in his 20s and really came here with nothing and had a great sense of adventure and entrepreneurialism and really made a lot for himself and just really gave me the courage and the inner strength to really achieve my dreams which was interesting for that time being an old world kind of guy. He really empowered me as a woman to really achieve everything I wanted so I give him all the credit for that.
Michele: Is there a book that you could recommend that you find has most influenced your life that would be beneficial to the women listening?
Dr. Nanos: I love so many books and I read many different kinds of books. Most recently I listened to Notorious RBG about Ruth Bader Ginsburg which was really an inspiring book for women. I think all women should read that book. I love listening to audio books with my kids and we tend to do a lot of non-fiction books and we just listened to I am Malala which is also a really inspiring book for everyone to read. But my kids really loved it. I can go on but those are the most recent ones.
Michele: What piece of advice could you give a woman out there who has a dream in her heart that wants to launch something but is afraid? Is there any advice that you could give her to take the leap?
Dr. Nanos: Yes absolutely. Just do it because I mean there's nothing... I think living with regret for not doing something is way worse than failing. I mean I feel like to have tried and failed is better than to have never tried at all. So I think that you just have to go for it. There's never going to be a perfect time or a perfect moment. I think a lot of times as women and people in general we get stuck waiting for the perfect opportunity to take that leap or to make that next step or to make that change. And life is never going to be perfect and there will never be a perfect opportunity. So I think you just have to go for it and then adjust as you go.
Michele: That was the perfect way to wrap up this interview. Thank you so much. That was really well said and I couldn't agree with you more. So for people who are interested in learning more about your practice where can we find you. Web site? Social media? Where do you hang out?
Dr. Nanos: We're everywhere. So we're at www.kindhealthgroup.com. And we're also on Facebook, Instagram, Twitter and that's it.
Michele: And would they look-?
Dr. Nanos: @kindhealthgroup.
Michele: OK. Thank you. Is it @kindhealthgroup
Dr. Nanos: Well they're all linked on the website. They're all linked on the Web site. I'm not a great social media person. I have lots of people that help me do that.
Michele: OK. So we'll find you. I will do the homework and I will link it up in the show notes. Thank you again for everything that you've shared today. You've been such a pleasure. And I'll look forward to talking to you soon.
Dr. Nanos: Thank you so much Michelle. Pleasure was all mine.
Michele: I hope you enjoyed that interview as much as I did. I'd love to hear what resonated with you. So come on over to thegoodlifecoach.com podcast page. While you're there you can look at all the show notes from today's episode and join my newsletter. As a thank you'll receive the first chapter of my book for free. Thanks so much for listening and bye for now.

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