1. WHERE IS THE HEALTHCARE REVOLUTION?
+

2. JAY PARKINSON, MD, MPH

3. CHIEF MEDICAL OFFICER

4. CANADIAN-BASED

5. HEALTHCARE IT

6. HEALTHCARE SERVICES

7. NAT FINDLAY, CEO

8. VP OF CLINICAL STRATEGIES

9. CARDINAL HEALTH

10. 23 EMPLOYEES

11. 16 DEVELOPERS

12. PRIVATELY FUNDED

13. STARTING THE REVOLUTION

14. PEDIATRICS & PREV MED

15. FEW OPTIONS TO PRACTICE

16. NO OPTIONS TO USE TECHNOLOGY

17. I HAD TO STEP BACK IN TIME

18. 10 YRS TO USE TODAY’S HEALTH IT

19. I AM A MILLENNIAL DOCTOR

20. WELL...ALMOST

21. I’M 32

22. I COMMUNICATE LIKE A MILLENNIAL

23. I USE MILLENNIAL TECHNOLOGY

24. GEN X AND MILLENNIAL PATIENTS

25. THEY USE MILLENNIAL TECHNOLOGY

26. AND THEY NEED A DOCTOR

27. WE USE THE NET TO COMMUNICATE

28. WE USE THE NET TO CONNECT

29. IT’S VERY EFFICIENT

30. IT’S VERY FUN

31. IT’S JUST PLAIN NORMAL

32. YOU CAN’T CONNECT WITH DOCTORS

33. I CHANGED THAT.

34. WORLD’S FIRST “VIRTUAL” PRACTICE

35. I DIDN’T HAVE AN OFFICE

36. I HAD A WEBSITE

37. AND A NEIGHBORHOOD

38. AND YOUR APARTMENT

40. I CONNECTED WITH MY PATIENTS

41. EMAIL, IM, SMS, VIDEO CHATS

42. I SAW THEM IN THEIR HOME

43. I HAD ALMOST NO OVERHEAD

44. $1500

45. TECHNOLOGY GAVE ME FREEDOM

46. WE COMMUNICATED HOW WE WANTED

47. AND WE DID IT EFFECTIVELY

48. AND EFFICIENTLY

49. THAT’S WHAT THE NET DOES

50. TELL ME THEIR SYMPTOMS ONLINE

51. BRANCH LOGIC QUESTIONNAIRE

52. LOOK AT MY GOOGLE CALENDAR

53. SCHEDULE THEIR OWN APPT

54. iPHONE ALERTS ME I HAVE AN APPT

55. I SEE THEM IN THEIR APARTMENT

56. I CHARGED A REASONABLE FEE

57. $100 - $150 PER HOUSE CALL

58. AND PEOPLE PAID ME CASH

59. THREE TIMES THE RATE
300 MY PRACTICE
225
150
TRADITIONAL PRACTICE
75
0
SEPT OCT NOV DEC

60. HALF WERE INSURED

61. STILL PAID ME CASH

62. I WAS ACCESSIBLE

63. I COMMUNICATED NORMALLY

64. WE HAD A RELATIONSHIP

65. THAT WE BOTH VALUED

66. CLIENTS WERE WILLING TO PAY

67. A REASONABLE PRICE

68. VALUABLE, ACCESSIBLE SERVICE

69. I AM A DOCTOR IN BROOKLYN

70. WHO HUNG UP HIS SHINGLE

71. VIA THE WEB

72. 7,000,000 HITS IN 3 MONTHS

76. WHY?

77. I SAW A NEED

78. AND I FILLED IT

79. STRAIGHT TO THE CONSUMER

80. MEET THE NEEDS OF...

81. |kənˈsoōmər|

82. WHAT IS THAT?

83. TWO DEFINITIONS

84. a person who purchases goods and
1 services for personal use

85. a person or thing that eats or
2 uses something

86. WHICH APPLIES TO HEALTHCARE?

87. I SAY #2

88. AN ANALOGY

89. YOU NEED TO BUY CLOTHES

90. EVERYONE NEEDS CLOTHES

93. LUCKY YOU

94. YOUR OWN PERSONAL SHOPPER

95. YOU HAVE NO FASHION SENSE

96. YOU DESPERATELY NEED HELP

97. HE’LL CHOOSE YOUR CLOTHES FOR YOU

98. HE HAS A GRADUATE DEGREE FROM F.I.T.

99. HE TRAINED THERE FOR NINE YEARS

100. HE’S VERY OVERWORKED

101. BECAUSE EVERYONE NEEDS CLOTHES

102. YOU WAIT HOURS

103. HE’S THE BOTTLENECK

104. THE ALTERNATIVE = NAKED

105. ONLY THE BEST FOR YOU

106. YOU LOOK GOOD = HE LOOKS GOOD

107. COST ISN’T AN ISSUE

108. WHY?

109. HE DOESN’T KNOW, NOR DOES HE CARE

110. HE’S TOO BUSY FOR SUCH TRIVIALITIES

111. AND LUCKY YOU

112. YOU DON’T CARE EITHER!

113. SOMEONE ELSE IS PICKING UP THE TAB!

114. HE TAKES YOUR MEASUREMENTS

115. HIS TOOLS ARE SO PRECISE

116. TAPE MEASURE = $50,000

117. HE’S PARTICULAR ABOUT HOW YOU LOOK

118. AND IF YOU’RE NOT HAPPY...

119. YOU SUE HIM!

120. HE WRITES THE ORDER

121. YOU PICK UP YOUR SUIT

122. FROM THE MOST CONVENIENT STORE

123. PAY YOUR $10

124. AND LEAVE WITH YOUR $5000 SUIT

125. OBVIOUSLY CRAZY

126. EVEN CRAZIER THAN PRE-INTERNET

128. STORES COMPETED IN LOCAL PAPERS

129. NO EASY WAY TO COMPARE COSTS

130. ALONG CAME THE PRICE REVOLUTION

132. THE DINOSAURS WERE SCARED!!!

133. LITTLE DID THEY KNOW...

134. THIS WOULD ACTUALLY INCREASE REVENUE

135. CUSTOMERS = MORE, SIMPLIFIED!
SELLERS = LESS, COMPLEX!

136. CONSUMER IGNORANCE = $

137. BUT IN FACT...

138. CONSUMER KNOWLEDGE = $$$

139. THEN CAME THE QUALITY REVOLUTION

140. THE DINOSAURS WERE SCARED!!!

141. SELLERS HAD TO BE ACCOUNTABLE

143. YOUR BUSINESS DEPENDS ON YOUR REP

144. PRODUCTS HAVE TO BE ACCOUNTABLE

146. AGAIN...

147. THE DINOSAURS WERE SCARED!!!

148. SALES DEPEND ON YOUR QUALITY

149. THE DINOSAURS THAT DIDN’T CHANGE

150. SIMPLY DIED

151. WAS IT A METEOR?

152. NO...

153. IT WAS AN UNCOORDINATED

154. SMOLDERING ATTACK

155. FROM A BUNCH OF GENIUS NOBODIES

156. THAT CHANGED BUSINESS FOREVER

157. THAT CHANGED THE WORLD FOREVER

158. WHERE IS THE HEALTHCARE REVOLUTION?
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159. IT’S SIMPLY NOT HAPPENING

160. WHY?

161. HEALTHCARE IS OFFLINE

162. NO ONLINE HEALTHCARE TRANSACTIONS

163. ONLY HEALTH INFORMATION

164. NO PROVIDER-PATIENT CONNECTIVITY

165. THE PAYORS ARE IN THE WAY

166. AGAIN...THE PAYORS ARE IN THE WAY

167. DOES PAYPAL GET IN THE WAY OF EBAY?
NO!

168. PAYPAL ENHANCES EBAY

169. DOES VISA GET IN THE WAY OF AMAZON?
NO!

170. VISA ENHANCES AMAZON

171. WHAT ARE THE NEXT STEPS?

172. FOLLOW THE EVOLUTION OF THE NET

173. START TRANSACTING ONLINE

174. MAKE DOCS MORE ACCOUNTABLE
(SELLERS)

175. MAKE THEIR PRODUCTS MORE ACCOUNTABLE
(DOCTOR SERVICES)

176. QUESTION CURRENT QUALITY PRACTICES

177. WHAT IS PHYSICIAN QUALITY?

178. THE DEGREE TO WHICH HEALTH SERVICES
FOR INDIVIDUALS AND POPULATIONS
INCREASE THE LIKELIHOOD OF DESIRED
HEALTH OUTCOMES AND ARE CONSISTENT
WITH CURRENT PROFESSIONAL KNOWLEDGE

179. HUH?

180. WHAT DOES THIS REALLY MEAN TO DOCS?

181. DO I DELIVER GOOD HEALTHCARE?

182. HOW DO I KNOW?

183. I LIKE TO THINK I DO

184. BUT DO I REALLY?

185. THE BMJ RECKONS THAT 50% OF THE
TREATMENTS I USE IN GENERAL
PRACTICE AREN’T PROVED, AND 5% ARE
PRETTY HARMFUL BUT I STILL USE THEM

186. HOW DO I PROVE I IMPROVE OUTCOMES?

187. IN MY PAPER CHARTS

188. OMG!

189. I HAVEN’T DONE A CHART REVIEW

190. SINCE MEDICAL SCHOOL

191. BUT THE REAL QUESTION IS...

192. WHAT DOES THIS MEAN FOR PATIENTS?

193. DID MY DOCTOR INCREASE MY
LIKELIHOOD OF FEELING BETTER?

194. DID SHE USE CURRENT PROFESSIONAL
KNOWLEDGE TO HELP ME FEEL BETTER?

195. GEEZ...I HOPE SO

196. BUT HOW DO I KNOW?

197. WHERE IS THE INFO TO PROVE THIS?

198. IN MY PAPER CHART IN MY DOC’S OFFICE

199. OMG!

200. I CAN’T EVEN READ THE HANDWRITING!

201. AND WHAT DO YOU MEAN???

202. $100 TO FAX IT TO ME!

203. FOUR WEEKS FROM NOW!

204. HERE’S THE POINT

205. MEASURING INDIVIDUAL PHYSICIAN
QUALITY WITH THE CURRENT
INFRASTRUCTURE IS IMPOSSIBLE,
UNREALISTIC, AND FAR FROM THE
ACCEPTED SCIENTIFIC METHOD

206. HEALTHCARE DATA = PRE-EXCEL ERA

207. HEALTHCARE DELIVERY = 1960’s

208. HEALTHCARE TRANSACTIONS = PRE-EBAY

209. WE ARE SCIENTISTS

210. WE EXPECT RANDOMIZED, CONTROLLED,
DOUBLE-BLINDED STUDIES

211. JUST LIKE MEDICATIONS

212. PHYSICIAN QUALITY IS AN INTERVENTION

213. DO YOU THINK YOUR PATIENTS ARE A
RANDOMIZED, CONTROLLED, DOUBLE-
BLINDED STUDY?

214. DO YOU THINK YOU HAVE ENOUGH
SIMILAR PATIENTS TO MAKE THIS DATA
RELIABLE AND REPEATABLE?

215. MOST DOCTORS ARE AVERAGE DOCTORS

216. WE FOLLOW A BELL CURVE

217. SOME ARE REALLY GOOD
MOST ARE AVERAGE
SOME ARE REALLY BAD

218. HOW ARE YOU SUPPOSED TO KNOW??

219. DOCTOR RATINGS?

221. COME ON ALREADY!

222. CONSUMER INFORMATION IS FREE!

224. 10,000 TVs = 36 RATINGS

225. 2,000 PATIENTS = 5 RATINGS?

226. RELIABLE RATINGS DEPEND ON VOLUME

227. VOLUME DEPENDS ON INCENTIVES

228. THERE ARE NO INCENTIVES

229. BLOWING OFF SOME STEAM

230. TELLING STRANGERS HOW
WONDERFUL YOUR DOCTOR IS

231. LET’S RETHINK QUALITY “RATINGS”

232. WHAT DO PEOPLE EXPECT FROM DOCS?

233. HOW DO CONSUMERS VIEW QUALITY?

234. THOROUGHNESS

235. THEIR OWN, REGULAR DOCTOR

236. A WARM, FRIENDLY DOCTOR

237. TIMELY APPOINTMENTS

238. APPOINTMENT OPTIONS

239. WHAT DOES THIS MEAN?

240. CONSUMERS WANT:
THEIR OWN THOROUGH, FRIENDLY
DOCTOR WHO WILL SEE THEM WHEN AND
HOW THEY WANT TO BE SEEN

241. HOW CAN WE MAKE THIS HAPPEN?
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242. START TRANSACTING ONLINE

243. TAKE LESSONS FROM
EBAY, AMAZON, AND KAYAK

244. WE NEED TO STOP PRODUCING MORE
CONSUMER HEALTH INFORMATION

245. FOCUS ON TRANSACTIONS

246. USE THE NET TO CONNECT PATIENTS
WITH THEIR NEIGHBORHOOD DOCTORS

247. FACE-TO-FACE AND ONLINE

248. PAID FOR BY INDIVIDUALS, NOT PAYORS

249. SUSANNAH FOX
*former editor of US News & World Report
*current Director of Pew Internet and American Life Project

250. RECRUIT DOCTORS.
GO MOBILE.
LET E-PATIENTS LEAD.

251. 1 START RECRUITING DOCTORS

252. PCPs ARE GETTING RESTLESS

253. THEY’RE SICK OF WORKING LIKE DOGS
FOR SOMEONE ELSE’S PROFITS

254. THEY’RE SICK OF NOT BEING
ABLE TO DO THEIR JOB WELL

255. BECAUSE THEY GET PAID FOR VOLUME

256. AND THAT PAY DECREASES EVERY YEAR

258. SOCIAL NETWORKING DOCTOR BLOGS

259. “HYPERLINKS SUBVERT HIERARCHY”
-THE CLUETRAIN MANIFESTO

260. TAKE ADVANTAGE OF HYPERLINKS

261. BOTTOM UP APPROACH

262. TO CREATE A UNIFIED PHYSICIAN VOICE

263. THE INTERNET ORGANIZES GROUPS

264. WE HAVE TO GIVE DOCS ALTERNATIVES

265. OPPORTUNITIES TO BE ENTREPRENEURS

266. A PROFITABLE BUSINESS MODEL

267. TECHNOLOGY AND TOOLS TO CREATE
“THE CONSUMER EXPERIENCE”

268. DIFFERENTIATE THEMSELVES FROM
“THE COMPETITION”

269. COMPETITION:
TRADITIONAL, OVERWORKED,
UNDERPAID, INSURANCE-TAKING, TOO
BUSY TO CARE DOCTORS

270. ADVERTISING AND MARKETING SUPPORT

271. BECAUSE DOCS DON’T DO THIS WELL

272. THIS WILL SPREAD VIRALLY
WITHIN DOCTOR COMMUNITIES

273. WE’RE ALL LOOKING FOR A BETTER WAY

274. 2 GO MOBILE

275. INTERNET COMMUNICATION IS NORMAL

276. SMS, IM, VIDEO, FACEBOOK, MYSPACE

277. IT’S HOW WE COMMUNICATE

278. IT’S ACCESSIBLE.

279. IT’S UBIQUITOUS.

280. IT’S EFFICIENT.

281. THERE IS NO DIGITAL DIVIDE

282. WE NEED TO CREATE
FACEBOOK FOR HEALTHCARE

283. A WEB PLATFORM

284. WHERE DOCS CONNECT WITH THEIR
PATIENTS

285. ONLINE AND IN-PERSON

286. TO COMMUNICATE AND COORDINATE

287. A MARKETPLACE BASED ON CASH

288. WITH ABSOLUTELY NO PAYORS

289. NO MIDDLEMEN

290. PATIENTS AND PROVIDERS CONNECTING DIRECTLY

291. TRANSACT ONLINE

292. 3 LET E-PATIENTS LEAD

293. WHAT ARE E-PATIENTS?

294. e-Patients represent the new breed of informed health
consumers, using the Internet to gather information
about a medical condition of particular interest to them.

295. The term encompasses both those who seek online
guidance for their own ailments and the friends and
family members who go online on their behalf.

296. e-Patients report two effects of their online health
research—better health information and services, and
different (but not always better) relationships with their
doctors.

297. CONNECT DOCTORS WITH E-PATIENTS

298. USE THE INTERNET AS A TOOL

299. TO EDUCATE PATIENTS

300. HAND-PICKED INFORMATION

301. PERSONALIZED TO YOU.

302. WHO ARE E-PATIENTS?

303. THOSE WITHOUT AN ACCESSIBLE PCP

304. E-PATIENT #1
THE UNINSURED WHO HAVE TO PAY CASH

305. WHO ARE THE UNINSURED?

306. 47 MILLION

307. 70% (33.4 MIL) ARE AGE 18-55

308. 38% HAVE INCOMES > $50K

309. 20% HAVE INCOMES > $75K

310. 80% OF PEOPLE AGE 18-34
ARE ON FACEBOOK

311. YOUNG
WIRED
NOT POOR
RELATIVELY HEALTHY
PRONE TO ACUTE INJURIES
PRONE TO ACUTE ILLNESSES
SPEND $900 PER YEAR ON HEALTHCARE

312. E-PATIENT #2
THE INSURED WHO WANT INFORMATION,
ACCESSIBILITY, AND COMMUNICATION,
AND ARE WILLING OR HAVE TO PAY
OUT-OF-POCKET FOR IT

313. OUT-OF-POCKET HEALTHCARE EXPENSES
$250 BILLION PER YEAR

314. ANNUAL REVENUES:
EBAY = $7.7 BILLION
APPLE = $24 BILLION
GOOGLE = $11.4 BILLION
AMAZON = $13.5 BILLION
MICROSOFT = $51.1 BILLION

315. OUT-OF-POCKET
DOCTOR SERVICES EXPENSES:
$75 BILLION PER YEAR

316. AND NOT A SINGLE COMPANY
HAS GONE AFTER THIS MARKET

317. UNTIL NOW

318. hellohealth

320. CONSUMER BRAND

321. HEALTHCARE DELIVERY

322. THE MYCA WEB PLATFORM

323. “THE FACEBOOK OF HEALTHCARE”

324. CONNECT DOCTORS AND PATIENTS

325. BOTH ONLINE AND IN-PERSON

326. DOCUMENT THESE INTERACTIONS

327. BILL FOR THESE INTERACTIONS

328. NEIGHBORHOOD-BASED OFFICE

329. MUCH LIKE STARBUCKS IS A
NEIGHBORHOOD STAPLE

330. NEW HEALTHCARE CONSUMERS

331. WHO EXPECT MORE

332. WHO EXPECT BETTER

333. IT’S ABOUT TIME

334. OF HEALTHCARE

335. FOR THE WHOLE FOODS CROWD

336. THEY EXPECT ACCESS

337. THEY EXPECT SERVICE

338. THEY EXPECT VALUE

339. THEY EXPECT THE EXPERIENCE

340. THEY PAY FOR “EXPERIENCE”

341. THEY’RE HAPPY TO IF IT’S
REASONABLE AND TRANSPARENT

342. JUST ASK

344. SUCCESSFUL CONSUMER BRANDS

346. PEOPLE NOW INTERACT WITH BRANDS

348. PEOPLE EXPECT

349. PEOPLE EXPECT

350. BUT IN HEALTHCARE

352. THE HEALTHCARE CONSUMER EXPERIENCE

353. SIMPLY DOESN’T EXIST

354. UNTIL NOW

355. hellohealth

356. INTERACTIVE
NEIGHBORHOOD-BASED
CONSUMER-BRANDED
HEALTHCARE DELIVERY
PLATFORM AND SERVICE

357. VERY LOW OVERHEAD

358. USED TECHNOLOGY

359. TO STREAMLINE PROCESSES

360. STREAMLINE COMMUNICATION

361. CUT OUT THE MIDDLEMEN

362. PEOPLE WANT TO CONNECT

363. PEOPLE WANT THEIR OWN DOCTOR

364. PEOPLE WANT TO MAKE THEIR APPTS

365. BUT DOCTORS ARE INACCESSIBLE

366. AND TOO BUSY

367. TO PROVIDE THE EXPERIENCE

368. TECHNOLOGY NOW EXISTS

369. TO CONNECT PEOPLE

370. THE INTERNET HAS CHANGED

373. IT’S ALSO CHANGED EVERYTHING

374. IT REVOLUTIONIZED INDUSTRIES

375. IT REVOLUTIONIZED RELATIONSHIPS

376. IT REVOLUTIONIZED THE ECONOMY

377. IT WILL CONTINUE THE REVOLUTIONIZING

378. IT CREATES OPPORTUNITY

379. IT FOSTERS CREATIVITY

380. IT STREAMLINES PROCESSES

381. IT SAVES MONEY

382. IT CREATES MARKETS

383. IT CREATES COMPETITION

384. IT KEEPS US HONEST

385. IT KEEPS THINGS FAIR

386. HEALTHCARE

387. BUT THINGS ARE CHANGING

388. WE CONNECT YOU

389. WITH YOUR NEIGHBORHOOD DOCTOR

390. USING A STRONG CONSUMER BRAND

391. AND A CASH-BASED “ECONOMY”

392. hellohealth

393. BRANDED
ADVERTISED
MARKETED
DESIGNED

394. the barbarian group

401. 1,000,000,000 HITS

402. WHAT DOES EACH hellohealth LOOK LIKE?

403. TWO DOCTORS

404. TWO MID-LEVELS

405. TRIAGE SPECIALIST
THIS PERSON MANS THE DASHBOARD

406. 5000 PATIENTS

407. EACH PATIENT PAYS $25/MONTH

408. TO BE A MEMBER

409. IT’S NETFLIX-LIKE, “SO LOW I DON’T
EVEN THINK ABOUT IT” MONEY

410. + PER EPISODE FEES

411. $75 TO $150 PER IN PERSON VISIT

412. INTERNET COMMUNICATION

413. DOCS ARE PAID BY THE HOUR

414. ONE NEIGHBORHOOD

415. INITIALLY
50% HOUSE CALLS
50% OFFICE VISITS

416. MORPH INTO ONLY OFFICE VISITS

417. FIT INTO ANY NEIGHBORHOOD

418. ANYWHERE IN AMERICA

419. TECHNOLOGY REPLACES STAFF

420. JUST YOU AND YOUR OLD-TIME
NEIGHBORHOOD DOCTOR

421. LOTS OF TECHNOLOGY

422. COMMUNICATING NORMALLY

423. POWERED BY MYCA

424. A VERY INNOVATIVE PLATFORM

425. FACEBOOK MIXED WITH AN EMR

426. MIXED WITH iGOOGLE WIDGETS

427. FACEBOOK AND MYSPACE

428. THE OS FOR SOCIAL NETWORKS

429. GOOGLE

430. THE OS FOR SEARCH AND CLOUD

431. THE MYCA PLATFORM

432. THE OS FOR PRIMARY CARE

433. UI IS 100% WIDGET BASED

434. EMR WIDGETS

435. HERE’S A SNAPSHOT

436. SCHEDULING WIDGETS

437. COMMUNICATION WIDGETS

438. EMAIL, IM, SMS, PHONE, VIDEO

439. FEDEX LIKE LOGISTICAL ENGINE

440. TO ANALYZE AND PLAN MY DAY

441. SO SIMPLE

442. COMPLETELY CUSTOMIZABLE

443. CHOOSE YOUR WIDGETS

444. FROM MYCA’S WEBSITE

445. ORGANIZED BY SPECIALTY

446. ORGANIZED BY FUNCTION

447. ORGANIZED BY INTERFACE

448. ORGANIZED BY WORKFLOW

449. IT’S PICK-N-CHOOSE

450. IT’S DRAG-N-DROP

451. IT’S REARRANGE

452. JUST ENOUGH TO MAKE YOUR UI
PERFECTLY EFFICIENT

453. JUST FOR YOU

454. NOT TOO COMPLEX
NOT TOO SIMPLE

455. JUST FOR YOUR NEEDS

456. STUNNINGLY BEAUTIFUL

457. SIMPLY iGOOGLE-LIKE INTUITIVE

458. THE OS OF PRIMARY CARE

459. hellohealth FREES DOCTORS

460. INCREASES THEIR REVENUE

461. SIGNIFICANTLY
$125,000 PER MONTH OF CONSTANT REVENUE

462. hellohealth STREAMLINES

463. hellohealth IS EFFICIENT

464. WE GIVE CONSUMERS

465. THE EXPERIENCE

466. MOST IMPORTANTLY

467. WE CONNECT WITH THEM

468. AND MAKE GOOD MONEY DOING IT

469. WE DISRUPT THE OLD WORLD

470. WITH NEW TECHNOLOGY

471. STARTING WITH CASH

472. A STRONG CONSUMER BRAND

473. FOR NEW DOCTORS

474. AND NEW CONSUMERS

475. WHO SIMPLY EXPECT BETTER.

476. WE’RE OPENING JULY 1

477. WILLIAMSBURG, BROOKLYN

478. 105 BERRY STREET

479. hellohealth

480. ANY QUESTIONS?