We hear a lot about the disruption economy how Amazon is changing the face of retail, or how Uber is changing the way we get around. But there are more subtle yet equally significant changes at work in a variety of sectors, including philanthropy and medicine. And it s not necessarily bearded, hipster millennials in skinny legged pants who are leading this change. In Baton Rouge, two very different types of doctor are changing the way we approach philanthropic giving and medicine. Dr. Beverly Brooks Thompson is a management consultant whose firm, Brooks Thompson Consulting, specializes in fundraising advising and philanthropic management consulting for corporate, nonprofit and individual clients. Beverly founded the firm in 2016, after more than 20 years of fundraising experience, which, most notably included directing the Forever LSU Campaign for Louisiana State University, which raised more than 798 million in excess of the campaign s 750 million goal. Dr. Gunjan Raina is a primary care doctor here in Baton Rouge who is praticing concierge medicine. Concierge medicine enables patients, for a fee, to have total 24 7 access to their doctor and more personalized care. Gunjan grew up in Canada, studied in India, did her residency in Pittsburgh and built a primary practice in Baton Rouge. Recently, she opened Heal 360, a concierge practice at the Baton Rouge General Hospital, and became one of the younger physicians to affiliate with M.D. VIP a national network of primary care doctors that follow this new, concierge model. It s fascinating and the way of the future e at least for those who can afford it. Photos at Mansurs on the Boulevard by Ken Stewart.