Mastering Medical Billing & Credentialing: Insights from Ciara Lewis

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Hi and welcome to the Uworld order showcase. Podcast I'm your host, Jill Hart. And with us today is Sierra Lewis, Sierra is a medical billing and credentialing consultant. She offers billing and credentialing services to medical and behavioral health providers. She is launching a new Webinar series to help fight the challenges, providers are facing within their practices. And she's the podcast host of the brand, new podcast

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: talk billing with Cnt welcome to our podcast Sierra.

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Ciara Lewis OMBW GG#23: Hello! How are you?

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I am doing fantastic. I'm really glad to have you here and to talk all things billing medical billing with you.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So how did you get started in that.

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Ciara Lewis OMBW GG#23: Actually, I originally went to school for

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Ciara Lewis OMBW GG#23: like physical therapy. Had some health issues, so they pretty much told me that would be a waste of time. So we switched professions.

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Ciara Lewis OMBW GG#23: I then try to go for like medical assisting. That also didn't work. So then that's how I kind of found the medical billing and credentialing.

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Ciara Lewis OMBW GG#23: So I've been doing that for probably the last 12 years, if not a little bit longer. I did start out within doing kind of like medical assisting some office management.

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Ciara Lewis OMBW GG#23: That sort of thing.

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Ciara Lewis OMBW GG#23: like. I said. My health kind of took a toll on me. So now here I am. I started my own practice or not practice. I started my own business. At the end of 2,019.

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Ciara Lewis OMBW GG#23: I pretty much seen a bigger need for. Yes. Yes.

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Ciara Lewis OMBW GG#23: I've seen a bigger need for what was going on. You know, issues that providers were having that weren't getting addressed. With inside the practice.

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Ciara Lewis OMBW GG#23: Pretty much the 9 to 5 people just being there to clock in clock out get their paycheck.

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Ciara Lewis OMBW GG#23: not doing anything much more than that. And I mean, I guess that can be expected at times. But I've just always been that person. I like to go the extra mile. I'm very detail oriented.

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Ciara Lewis OMBW GG#23: and I take my job very seriously. So I you know I love what I do. I probably do it way too much. Drive my mom and them crazy at times.

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Ciara Lewis OMBW GG#23: I have tried to

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Ciara Lewis OMBW GG#23: cut back a little bit and and make more of a schedule to where I can fit other things in, where it's not just like constant work around the clock.

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Ciara Lewis OMBW GG#23: But yeah, so that's how I got where I'm at today.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Awesome. So do you mainly actually do the medical billing for companies? Or do you teach people how to do medical billing? Do you go in and work with

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: medical billing facilities. Do you work with individuals who are?

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I'm just like

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: know me in? I'm.

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Ciara Lewis OMBW GG#23: I do it all. I have done a mixture of all of it. The funny thing is, when I 1st started the company. I really wanted it to more. So be more of a consulting business.

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Ciara Lewis OMBW GG#23: Fortunately, unfortunately, a lot of people realize that I actually knew how to do the job and had a lot of experience in doing it. And so what happened was people started asking me to just take on.

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Ciara Lewis OMBW GG#23: You know the billing or the credentialing full time or part time.

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Ciara Lewis OMBW GG#23: And so pretty much. That's basically what I do now, for the most part. Every now and then I will get a couple of consulting clients.

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Ciara Lewis OMBW GG#23: I have gone in offices before and help, you know, clean up, or, you know, give them like a systemization

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Ciara Lewis OMBW GG#23: to help make things go smoother.

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Ciara Lewis OMBW GG#23: I do training provide educational tips. And now we're like, I said, launching our 1st podcast

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Ciara Lewis OMBW GG#23: and I'm working on our webinars.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: That's exciting.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's really exciting. So do you? Do you actually have a credentialing course that you offer? Or is it more like a coaching session.

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Ciara Lewis OMBW GG#23: Trying to get the actual course set up. What I've been doing in the past just until I get it, because I mean, there's so much into it. It's it's been very hard and challenging, actually trying to get the course set.

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Ciara Lewis OMBW GG#23: But what I've been doing in the past is pretty much just walking people through it, or providing them guidance as they go through it.

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Ciara Lewis OMBW GG#23: But yes, we are in the process of getting that set up to where we have, like a we're actually also trying to publish an ebook

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Ciara Lewis OMBW GG#23: for it as well. But yes, we do are trying to get the course set up too.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So you're you're not only looking to work with

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: medical providers. You're also looking for people that want to make some income from home.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: as a medical billing expert is that.

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Ciara Lewis OMBW GG#23: I mean, yeah, we. I've had people like, I said, I've I've had different walks of life reach out. I have had people reach out that are wanting to learn the billing aspect of it because they're a biller themselves or you know, providers want to learn the billing end of things.

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Ciara Lewis OMBW GG#23: Like, I said. I've I've also walked people through the credentialing steps, and not all the time. Are they providers? They just maybe somebody who's looking to get into the field to be able to assist the providers.

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Ciara Lewis OMBW GG#23: So yeah, there's

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Ciara Lewis OMBW GG#23: different ways. We can go about it. But yes, I'll target those type of people as well.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Interesting, interesting. So when you talk about credentialing, do you have to have like a special certification in order to

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: be a medical billing.

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Ciara Lewis OMBW GG#23: Not for credentialing you do not?

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Ciara Lewis OMBW GG#23: you, I mean, there are ways to get certificates for that, but

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Ciara Lewis OMBW GG#23: it's not something you necessarily have to have to do credentialing.

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Ciara Lewis OMBW GG#23: But plus credentialing is something that huh!

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: What is credentialing.

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Ciara Lewis OMBW GG#23: So credentialing is basically where we get you connected with all the insurance panels. In network to where you can take your your clients. Insurance.

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Ciara Lewis OMBW GG#23: You know, if you're not in network, then you either do not. Either you either cannot take the insurance or they have to pay an out of network rate.

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Ciara Lewis OMBW GG#23: So that's what we do.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So you help providers get

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: become in network for more and more different insurance companies as they come online.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: oh, that's fascinating.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So you're kind of on the cutting edge with all of the insurance companies as well as the medical providers.

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Ciara Lewis OMBW GG#23: Yes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Interesting. That's a lot.

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Ciara Lewis OMBW GG#23: It is. It's it's a challenge. There's some days I wake up and I'm like, what was I thinking? And then, you know, I get. I start talking to my clients. And I'm like, okay, I remember now why I signed up to do this.

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Ciara Lewis OMBW GG#23: So yeah, it's a challenge, especially because it changes constantly.

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Ciara Lewis OMBW GG#23: it's getting a little bit tougher out there, because, you know, the insurance companies are no longer wanting to perform like they were before.

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Ciara Lewis OMBW GG#23: and it's starting to cause a lot of issues. It's now making a lot of our providers want to go to private pay which is thrown off the balance. So eventually, we're gonna have a you know, a major

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Ciara Lewis OMBW GG#23: domino effect. And I'm really nervous to see where that's gonna take us. If we don't get a fix here soon, because we can't keep going at the rate we're going

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Ciara Lewis OMBW GG#23: and of course it all ties back to the insurance companies not doing what they're supposed to. They don't want to pay the providers. They, you know, want to make you jump through too many hoops to get a network or to get paid. And it's it's just it's getting to where it's not worth it.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's really interesting. I I

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I know from experience, or from just watching what's happened in the medical communities where you've got more and more

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: more and more demands being made on insurance companies for for claims, because people are

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: are needing more help. And yet the the rates are going up, and

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: people are just like

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: they're not able to to either pay for the insurance or be self pay because it it gets. There's a whole different

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: game that needs to be played. And it's really it comes down to being a game. You know, the insurance companies play their game. Medical billing

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: facilities are playing their game, and they're they're all trying to like buy for a very limited amount of funds, which is like the consumer's money.

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Ciara Lewis OMBW GG#23: Yes, sir.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: You. It used to be insurance companies would charge you a a rate which was.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you know, it was reasonable. It wasn't inexpensive when I was young, it was. It was actually kind of inexpensive in that

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you paid a percentage, and your employer paid a percentage.

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Ciara Lewis OMBW GG#23: Yes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And that was that was super manageable. But it it's just like gotten way out of control. And then it was like 80 20. And now it's it's pretty much, you know, whatever every anybody else can squeeze out of you, there's

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and you can't figure out. You know the the law is that they're supposed to tell you what stuff's gonna cost.

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Ciara Lewis OMBW GG#23: I'm off!

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Before you have the procedure done, but it's really hard

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: to get that information from providers. They're supposed to give it to you, but they don't.

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Ciara Lewis OMBW GG#23: Yeah. And

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Ciara Lewis OMBW GG#23: it's like I said, it's every day is a challenge.

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Ciara Lewis OMBW GG#23: and but that's another reason why I went into it is because I love a challenge. But it's it's definitely becoming way more challenging than I think any of us ever imagined that it could be.

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Ciara Lewis OMBW GG#23: Like you said, it's a game, and it's not just one

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Ciara Lewis OMBW GG#23: person playing a game, or what it's like. Each piece has their own

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Ciara Lewis OMBW GG#23: Their own game, shall we say, like, have their own motive. And it's it's really affecting all of us more than what we can see, because no one is actually stopping to look at that bigger picture. They're just too concerned about

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Ciara Lewis OMBW GG#23: their game board

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Ciara Lewis OMBW GG#23: and not understanding like this is a bigger matter than just your game.

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Ciara Lewis OMBW GG#23: So that, that's a lot of what we are, you know, gonna be diving into with within the podcast and the webinars

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Ciara Lewis OMBW GG#23: and just, you know, trying to help people get through these challenging times and that sort of thing, and and figure out ways to get through it.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Yeah, it really impacts all of the healthcare

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: profession. I mean, when we, as individuals, go to the doctor, for whatever reason.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: your quality of care is impacted by all of these financial shenanigans that are happening behind the scenes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: A lot of people just aren't even aware of. They think I'm gonna go. And I'm gonna get like

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: the best answer for my problem and

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: doesn't really happen that way. And so they want you to do all these tests and and the tests can vary in price, depending on where you're going. And you know you really can shop for the best price

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: out there. I I found this doctor that

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: he's he's an independent.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Which is really rare. These.

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Ciara Lewis OMBW GG#23: It is. Now, yeah.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And he, we're self pay. So he gives us places where we can go, where we can get

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: incredible deals

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: on things like Mris, like, I paid $400 for an MRI.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I've paid like thousands of dollars

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: work.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Okay.

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Ciara Lewis OMBW GG#23: It almost doesn't even make sense. To have insurance anymore is how bad it's getting. And

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Ciara Lewis OMBW GG#23: that's part of the problem. The economy is part of the problem. Like, I said. You know them not wanting to pay the providers for

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Ciara Lewis OMBW GG#23: what they're worth is part of the problem

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Ciara Lewis OMBW GG#23: making all these providers go private pay, but knowing that the economy is not stable enough to hold up private pay for so long, I mean right now, sure, there might be people that can afford it. But

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Ciara Lewis OMBW GG#23: what's gonna happen in a couple of months, or when inflation takes another rise. You know what I'm saying like, we're gonna be in trouble, and no one's looking at that.

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Ciara Lewis OMBW GG#23: I mean, people right now are, gonna be

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I actually have a solution to this problem which I'm just going to put it out there. And 1 1 possible solution is, there are. There are medical conglomerates in almost every community where they they

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: partner with the hospital, the local hospital, and they have a a network of doctors.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They could provide insurance

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: for the people in the community. You pay every month. You pay them 300 500, whatever they they feel they need in order to be able to provide you with the best possible care they can provide you with.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And there's, you know, it's like a dentist like dental insurance. You go, and you get certain things are free during out the throughout the year, so that

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you can catch the big things before they become really expensive things.

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Ciara Lewis OMBW GG#23: Yes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Then

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: then, when and then there's a a tiered

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: level of of pricing, for you know this suite of services costs X number of dollars. They do it with maternity. You know, you can know. Okay, I'm gonna I'm gonna pay $10,000 to have this baby in this hospital, and

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: if I'm paying out of pocket.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: This is how it's going to go. And these are the programs that are out there to help support it.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: If they did something like that rather than these

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: blanket insurance companies that are playing all these games. And they're really investment firms more than insurance companies, people 401 Ks. Buy into these insurance companies so that they can get a big return on their investment. So they're more beholden

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: to the people buying.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They're

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: their business than they are to paying the Pre or paying the claims for their.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They're people that are

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: part of their insurance that they're insuring.

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Ciara Lewis OMBW GG#23: Yes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's great!

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Ciara Lewis OMBW GG#23: I, actually, I actually partner with another company that actually does something similar to that. It's like a health share. But

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Ciara Lewis OMBW GG#23: it works better than any other health share that I've ever come across. And it makes way more sense to me.

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Ciara Lewis OMBW GG#23: So yeah, we're hoping to come up with a couple of projects within the next year.

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Ciara Lewis OMBW GG#23: As well. But yes, that that is, that is definitely one way. We can defeat the system. Like, I said, it's just gonna take everybody to try to get on a similar page or the same page or do something, because if not, we're we're all gonna end up being in trouble. It's gonna break, and and we'll probably.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's already broken. It's just how we are. Gonna recover from the brokenness of it. And people don't trust doctors anymore. And for whatever reason.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and it's almost always personal. They've had a personal experience with some medical facility or some doctor in particular or another, and so they

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: they don't trust the information that they're getting there.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And so it makes

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it makes all the problems even worse.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I I do have a

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I I do metashare. It's it's a Christian medical, sharing community, and

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it's it's like catastrophic insurance used to be.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I pay I self pay for everything up to. I think it's $2,500 now could be 3. It's always going up. But

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and it's not real cheap, but it's not hugely expensive. I can afford it at this point in my life, but they

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: they they take care a hundred percent

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: of anything over that amount.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Her.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Her

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: incident is what they call it. But

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So if if I came down with cancer.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I wouldn't lose everything, you know, if I've got like something that I can't identify what it is, or I've got a cold, or I, you know, break a bone or something that's not gonna cost that much money to get fixed or set.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Then I I'm I'm gonna be paying for that myself.

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Ciara Lewis OMBW GG#23: Yes, and it's

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Ciara Lewis OMBW GG#23: I don't know. It's I. I think, the the issue you're you're also just discuss, I think, a lot of reason why, we're starting to see all these.

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Ciara Lewis OMBW GG#23: you know cases where a doctor

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Ciara Lewis OMBW GG#23: misdiagnosed this patient, or a doctor fraudulently done this or that is one, because doctors are literally trying to find loopholes to get paid more by the insurance companies, which which is ridiculous, because, again, it's putting us as the patient at risk. It's putting themselves at risk and it again. It's not benefiting anybody. And then, you know, I think we're also seeing doctors make more mistakes, because, like I said, and like you just said.

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Ciara Lewis OMBW GG#23: they're so worried about what's going on in the background, all the financial noise and issues and and denials, and this and that that they can't really focus on the the patient or the surgery, or whatever it is that needs to go on.

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Ciara Lewis OMBW GG#23: And

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Ciara Lewis OMBW GG#23: you know, that's causing a part of the problem, too. And this is why we're starting to see a lot of the independent practices go away, and people are going into the hospitals now.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: they have to. And the hospitals aren't paying them enough to to support the debt that they have to sustain just to become a doctor, I mean, it's not cheap to become a medical professional. To begin with, you spend years, and you go into like hundreds of thousands of dollars of debt, and you're not making that much. I mean, you only have certain number of hours. You can work each day, and they're paid by the hour, too.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So and and they're they're expected to meet quotas. And

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it's it's really stressful. So their quality of life is very poor. So they've got all of this stress on top of them, and then they're supposed to be helping you. The medical profession is one of the top

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: professions. As far as suicide rates go people they're leaving in droves. They take their own lives. They're universally unhealthy human beings because of the conditions that they work under, and they're not allowed to share information that falls outside of the medically regulated guidelines.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: So you know, if they're if they took nutrition training, they can't come into the office and say, Hey, I know if you cleaned up your diet and addressed, you know XY, and Z. That would probably help your problem. Instead, they have to prescribe a drug, or they have to tell you that you have to have surgery. And all of these things. It's like

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: there's a old song was called Alice's restaurant by Arlo Guthrie, and that they talk about all the cops showing up with their cop equipment, and they want to use all their stuff cause. It was the crime of the century where they were. Litter bugs.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I I just get that impression anytime. You walk into one of those medical facilities. It's just like, Oh, we gotta use all of our really expensive.

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Ciara Lewis OMBW GG#23: Nice.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Equipment on you.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and charge you for it.

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Ciara Lewis OMBW GG#23: Yes.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Outrageously.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And if and if you, if your insurance company won't pay us, we're gonna charge you.

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:: 19:47

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Never mind. You spent, you know.

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:: 19:49

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: thousands of dollars in some cases on insurance to take care of this.

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Ciara Lewis OMBW GG#23: Yeah, it's it's sad. And

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Ciara Lewis OMBW GG#23: I even knew patient advocacy. Now, I've not got to advertise that a whole lot which that's something I definitely want to do a lot more of. But I have helped, you know a couple of patients out with, you know, understanding their bill or fighting something that you know shouldn't have been on there

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Ciara Lewis OMBW GG#23: that sort of thing. So I do that as well, because, yeah, a lot of times, people they don't even know what they're getting billed for, what they're paying for, or if they even should be paying it, or you know any of the above

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Ciara Lewis OMBW GG#23: you know, I had a couple of people come to me like something from the hospital, and they're like, I didn't get a flu test or this or that, but yet it's on there. So then we had to go back, and, you know, get it taken off or fill it, and

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Ciara Lewis OMBW GG#23: there, you just never know what's on there, especially if you don't know what you're looking at and like. I said a lot of times, people don't, and they just go by what's on the paper, and that's it.

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Ciara Lewis OMBW GG#23: My poor mom does the same thing like she's like, oh, if you didn't know what we were doing, there's no telling what I'd be paying these people

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Ciara Lewis OMBW GG#23: because it's been wrong so many times. I'm like, why you didn't go for that. Why is this on here.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And then they put codes. So you really can't know what it is. It's like, it's a secret.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And people don't realize that when you take these tests, you're entitled to get a copy of the test.

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Ciara Lewis OMBW GG#23: Oh, I think.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I had an MRI done, and I I have a little CD.

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:: 21:23

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I discovered some things that they didn't even mention.

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Ciara Lewis OMBW GG#23: When you yep, that's it, too. And like I said, I think this comes circling back around to like you said, you know people are getting to where they don't trust the doctors anymore, or

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Ciara Lewis OMBW GG#23: they don't want to go. And I think that that's eventually going to cause a whole nother problem going down a whole nother loophole. Because I think this is when we're going to start to see, you know, either more people dying because they're not going to the doctor. More cancer or more diseases popping up because people are not being properly taken care of or going to get the proper treatment. Because yes, people are getting to where they do not want to go to the hospital or the doctor, or get this test or that test.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And and it becomes an emergency when people end up going, and and then then it's way more expensive for everybody. The hospital, the patient, and you know the outcomes are much poorer than if you

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:: 22:21

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: had some conversation with a medical professional, and you and you took personal responsibility for

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: for your medical care, you know it's you are in charge, and most people look at the doctor and think, Oh, this guy! He's got a white coat on, therefore he must be a magician, and he can make me magically well, and I don't have to take

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:: 22:45

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: responsibility for changing any of my behaviors. He's just gonna give me a little pill, and I can just continue on down the path that I've been going down that led me to this place, and that doesn't work. You have to take personal responsibility for your health.

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Ciara Lewis OMBW GG#23: And honestly, I think another thing that we're. And again, the reason I can speak on this is because, like I said, I have the background in the medical field, and I've seen it happen

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Ciara Lewis OMBW GG#23: so many times. People will go and they'll they'll just pick up their prescription and pop it in their mouth. They don't read the instructions. They don't read the side effects. They don't see if it coincides with something else that they're taking.

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:: 23:24

Ciara Lewis OMBW GG#23: because, although yes, you think your doctor would make sure that, and would tell you that you would be surprised how many don't actually check your medication list when they're giving you a new medication.

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:: 23:35

Ciara Lewis OMBW GG#23: and they don't make sure that it's not coinciding with something, and they just prescribe it to you. Anyways.

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Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They never say, Okay, come back in X number of days. Let's see how this is affecting you.

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:: 23:46

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's just like, Send you off. I had a doctor prescribe something to me that for Ibs, and

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:: 23:55

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it was

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:: 23:57

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it. It made me so loopy by the 3rd day.

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Ciara Lewis OMBW GG#23: Wasn't.

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:: 24:00

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Actually get out of bed.

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:: 24:03

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I don't remember what it was. I shouldn't have been

213

:: 24:08

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I shouldn't have been driving on it.

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Ciara Lewis OMBW GG#23: No.

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:: 24:11

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: A at all. And

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:: 24:15

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: yeah, I it was just like

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:: 24:18

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: I couldn't. I could not function at all, never said anything to me about what it was or how it was going to affect me, or

218

:: 24:29

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: then I didn't read this stuff. I mean, it's it's pages, and it's tiny print.

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:: 24:34

Ciara Lewis OMBW GG#23: Yeah. Well, I mean, because I I think we've been taught from

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:: 24:39

Ciara Lewis OMBW GG#23: little on that. If the doctor says, or you should trust the doctor, the doctor knows, and that's not the case. The doctor is not always on our side, especially nowadays, like it's worse now than it was then.

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Ciara Lewis OMBW GG#23: And you know, that's the other thing is, I just wish people knew how to advocate more for themselves, and would stop being so afraid and intimidated when they go to these offices

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Ciara Lewis OMBW GG#23: and, like you said, understand that we are in control. It's not the doctor we get the final say, so. We decide. If we.

223

:: 25:07

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: We're hiring them.

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:: 25:09

Ciara Lewis OMBW GG#23: Yes, whether we did take that surgery, whether we take that pill, they don't they? They just make the recommendation. We don't have to take it.

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:: 25:19

Ciara Lewis OMBW GG#23: And I've even gone as far as starting to get back into like

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:: 25:24

Ciara Lewis OMBW GG#23: herbal medicine. And you know things like that because it actually works if you look and you figure out the right ones. And I mean you have to be careful with it, too. You can't just go taking it, I mean, especially if you're taking another vacation.

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:: 25:35

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Yes.

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:: 25:37

Ciara Lewis OMBW GG#23: But I mean there are some that you can substitute, or that actually do really work. And I have noticed a change with it. And now I don't have to take half the prescriptions I was taken before.

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:: 25:47

Ciara Lewis OMBW GG#23: because that's what they want is you to keep taking them. Keep coming back. Keep putting money in their pocket

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:: 25:52

Ciara Lewis OMBW GG#23: and half time. It's not working, or it's just causing you to have a whole nother symptom that you gotta fix.

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:: 25:57

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And and for the love of God, if you're on.

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:: 26:02

Ciara Lewis OMBW GG#23: Medicine.

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:: 26:03

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Pharmaceutical medication.

234

:: 26:05

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Go and have

235

:: 26:07

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: go and meet with your doctor at least every 3 months at least, and have them go through everything that you're on and do the blood work.

236

:: 26:18

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: If you're gonna go that route it it's so important.

237

:: 26:23

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: my dad. He's 88 and he he has congestive heart failure. He has a doctor that he has on retainer

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:: 26:32

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and really good relationship with this guy and he had a cardiologist who told him to take Eloquis. That's a blood thinner and he was taking it, but he fired that cardiologist because the guy

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:: 26:49

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: over medicated him, and he passed out. And so

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:: 26:53

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: my dad is, is not a shy, retiring person, so he said

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:: 26:58

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: later, dude and but he was still taking the blood thinner.

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:: 27:05

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and

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:: 27:06

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: it was it was causing him to bruise really badly, and he went back to his

244

:: 27:13

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: doctor that he has on the retainer, and the doctor is like well, it maybe you shouldn't be taking that, because obviously it's not

245

:: 27:21

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: doing what it needs to do. Had my dad not had the doctor that's on the retainer.

246

:: 27:27

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: But, like most people, you know, he got pissed off with somebody, and so he's not going to the cardiologist who originally put him on this thing. So nobody's monitoring

247

:: 27:39

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: the results. I mean.

248

:: 27:42

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: that's how you get internal bleeding, and

249

:: 27:44

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you end up dying from that like

250

:: 27:47

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: properly prescribed, properly taken pharmaceutical drugs is one of the leading causes of death in this country.

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:: 27:54

Ciara Lewis OMBW GG#23: It is yep, and like you said, and I think that doctors nowadays, too, are also not doing. Follow ups like they should, because, like you said. If you're on certain medications, a blood pressure, a water pill.

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:: 28:08

Ciara Lewis OMBW GG#23: blood thinner, anything of those type of diabetics, you definitely need to be followed up at least every 3 to 6 months.

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:: 28:17

Ciara Lewis OMBW GG#23: Just to have that checked, and some of those may even require, like once a month to go get checked, you know, depending on how severe it is.

254

:: 28:24

Ciara Lewis OMBW GG#23: and if you're not doing that, then, like you said, you've got a problem, and I I pretty much tell my doctor

255

:: 28:31

Ciara Lewis OMBW GG#23: I will decide when I come in here and see like.

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:: 28:34

Ciara Lewis OMBW GG#23: I don't think 6 months is good good enough. I think I need to be seen before then, so I will make my appointment.

257

:: 28:42

Ciara Lewis OMBW GG#23: we just have to learn how to advocate for ourselves and speak up. And you know, like I said. I'm just lucky because

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:: 28:48

Ciara Lewis OMBW GG#23: I've been in the field. I've seen it. I know how it works. Everybody doesn't have that advantage, and that knowledge. So I know when to question something, or you know, when something's not right, or whatever a lot of people don't.

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:: 29:01

Ciara Lewis OMBW GG#23: I feel like if we don't start asking questions or or doing better. You know, we're just harming ourselves. We really are.

260

:: 29:08

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And you need to get those results from those tests and look it up for yourself.

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:: 29:12

Ciara Lewis OMBW GG#23: Yes.

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:: 29:13

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: You know, the doctor can say, Oh, yeah, you fall within the averages. Well, the averages is average of sick people.

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:: 29:21

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: You know, averages mean something when they tell you something. Your you know, your blood

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:: 29:28

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: serum levels, or whatever. There's a meaning behind that. And you need to look it up and see what's considered normal and what's considered optimal. They aren't the same.

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:: 29:41

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And

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:: 29:42

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you you just that's again taking personal responsibility for your health. You're paying to have these tests. You're paying for this information. Use the information to help yourself, and don't just depend on somebody else who's gonna look at it quickly.

267

:: 29:58

Ciara Lewis OMBW GG#23: Right.

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:: 29:58

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They're not personally invested in the results. They don't.

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:: 30:03

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Honestly, they don't care whether you live or die. So.

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:: 30:06

Ciara Lewis OMBW GG#23: And I can't tell you how many times, like

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:: 30:09

Ciara Lewis OMBW GG#23: people will go get blood work.

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Ciara Lewis OMBW GG#23: and you just wait and wait and wait, and the whole time it could have been something urgent. That's what happened to my aunt. That's how she found out she had breast cancer was, you know, she had went to go get. I guess, her test or whatever. No one had followed back up with her until like, I guess last minute, and the next thing, you know, she's got like stage 2 or 3 breast cancer, like, I'm sorry. How did we miss this? I just came. You know it

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:: 30:36

Ciara Lewis OMBW GG#23: because they're just not doing what they're supposed to be doing. That's what it boils down to. And it's it's sad.

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:: 30:42

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It is sad. And because doctors are so overworked and underpaid, and they have to work harder, they're showing up

275

:: 30:53

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: yeah, less and less.

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:: 30:54

Ciara Lewis OMBW GG#23: It's burned out.

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:: 30:55

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: They're burned out. And so the staff. And in a lot of cases you're getting physicians assistance. You're not actually even getting doctors

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:: 31:04

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: in there, which are just pretty much glorified nurses. So not anything against nurses that the nursing staff is being overworked.

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:: 31:14

Ciara Lewis OMBW GG#23: Yeah, they're exhausted.

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:: 31:16

Ciara Lewis OMBW GG#23: They're they're exhausted. And it it's just messing with the full functioning of care to where

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:: 31:22

Ciara Lewis OMBW GG#23: you know you. You can't get what you need, or what you're supposed to, because everybody is so exhausted, or they're focused on something else.

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:: 31:30

Ciara Lewis OMBW GG#23: And I feel like, since Covid.

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:: 31:34

Ciara Lewis OMBW GG#23: everybody has something more going on now than they did before. You know, family problems, financial problems like marital pro like you name it, it's it's something. And so that's already taken off focus from people going into work.

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:: 31:46

Ciara Lewis OMBW GG#23: But then you get into work. And you're working in an environment that is just like, what am I working for? Where? What's the outcome? Where's the good? You know it's hard.

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:: 31:57

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It is hard.

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:: 31:58

Ciara Lewis OMBW GG#23: Very hard.

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:: 32:00

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: But

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:: 32:01

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you provide

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:: 32:03

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: a bright light

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:: 32:05

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: in all of this darkness.

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:: 32:07

Ciara Lewis OMBW GG#23: I try, I do.

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:: 32:08

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: You help healthcare providers and medical providers

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:: 32:14

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: be able to navigate the the issues between insurance and getting paid so that they can actually stay in business.

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:: 32:23

Ciara Lewis OMBW GG#23: Yes.

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:: 32:23

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: And also you help people in that.

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:: 32:26

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: If they're looking to get into

297

:: 32:29

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: a career that

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:: 32:31

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: has lots of up potential for them. You know, being a medical billing specialist is. It's a lucrative career, and it's it's an honorable profession.

299

:: 32:41

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: and a lot of times you can do it from home.

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:: 32:45

Ciara Lewis OMBW GG#23: Yes.

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:: 32:45

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: It's 1 of those things. You could

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:: 32:47

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: be a mom or a wife, or have other things that going on in your life. But you can do it in your in your spare time.

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:: 32:55

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: depending on, you know the size of the company, and

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:: 32:58

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: you also from time to time.

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:: 33:01

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: help

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:: 33:03

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: patients who are struggling with their

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:: 33:06

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: their medical bills understand what they're looking at, and how to define the

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:: 33:12

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: information that they need in order to figure out what their bills all about. Cause.

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:: 33:18

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Yeah.

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:: 33:20

Ciara Lewis OMBW GG#23: They don't know, I know.

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:: 33:22

Ciara Lewis OMBW GG#23: But yeah, I have. You know you'd be surprised of a lot of the providers that open these practices or go into practice, and they don't even know. And I'm like, How did you even manage to open a door like I don't. I don't understand, because half of them don't know what their Mpi is, or how do you go and get it? Or

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:: 33:40

Ciara Lewis OMBW GG#23: you know the codes that they're just sitting here, Bill, and I'm like, did you even know what you were billing, or what the requirements were for you to do that?

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:: 33:47

Ciara Lewis OMBW GG#23: And they don't understand. So that's another thing that I do is I provide like, I said, the educational background and knowledge to help them understand and know what they're billing. You know what they're supposed to get when they build this or how it works, and that sort of thing.

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:: 34:02

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: That's awesome. So how do people get in touch with you? If they're

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:: 34:06

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: fall into one of these categories.

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:: 34:09

Ciara Lewis OMBW GG#23: You can reach me on my email at Kll, consulting llc@gmail.com, or my website, which is Kl, consult llc.com.

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:: 34:21

Ciara Lewis OMBW GG#23: and I'm also on Instagram and Facebook should be Kl. Consulting Llc.

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:: 34:28

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Awesome. So this has been

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:: 34:31

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: an enlightening conversation. Sierra.

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:: 34:35

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: what's the one thing you hope the audience takes away from our conversation today?

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:: 34:40

Ciara Lewis OMBW GG#23: Pay attention, advocate for yourselves and just know that

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:: 34:46

Ciara Lewis OMBW GG#23: it doesn't have to be as rough as what we're making it. And you are in charge at the end of the day.

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:: 34:53

Jill Hart-The Coach's Alchemist & Host of the You World Order Showcase Podcast: Awesome thanks for joining me.

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:: 34:55

Ciara Lewis OMBW GG#23: Thank you.