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Hello and welcome to Podiatry, 
practice Mastery, done felt. 

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So here I have already here and 
we're going to be talking about 

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how to optimize your Podiatry 
practice. 

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Thank you. 
So, tell me a little bit about, 

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I think we originally heard from
you from Dean Jackson and Joe 

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polish. 
And I think they originally 

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recommended some of your, some 
of your work with in terms of 

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optimizing, and if people want 
to listen, they can read your 

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books. 
Could you explain kind of how 

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you got into this? 
But have you worked specifically

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with any, with any medical 
practice or medical Medical? 

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Practitioners. 
Oh, yes. 

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I have worked with many both. 
I've worked with private 

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hospitals. 
I've won. 

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So, I also work as a volunteer 
as an EMT. 

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So, I have seen that side of the
hospital system and medical 

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profession as well. 
And continue just want regular 

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basis, and there's an enormous 
founded and efficiency there. 

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So, yes, I have dentists 
doctors, chiropractors. 

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You name it? 
Okay. 

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So let's let's let's talk a 
little bit about What's some of 

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the low-hanging fruit for some 
of us that because basically 

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this will be a whole bunch of 
Private Practice. 

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We all own our own practices. 
We're all trying to get more 

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efficient, do more things. 
See more patients, earn more 

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Revenue but or something, so the
You know, sorry, you're breaking

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up really badly and I don't know
why. 

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I don't know if it's on my end 
or not. 

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It looks like I'm okay. 
Amen. 

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Hang on a second. 
Okay, let me try joining from my

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from my phone and see if that 
helps at all. 

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Okay, because otherwise, it's 
breaking up too much. 

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We try to close everything down 
here, too. 

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House looks the same except the 
fake background looks good. 

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Okay, good. 
Well, I can actually hear you 

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now, so that's good. 
Yeah, alright. 

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Okay, so Some of the low-hanging
fruit managers. 

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Do you wanna start over? 
You want me to pick up? 

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That's fine. 
Yeah, pick up. 

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Where we left off there. 
Okay. 

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So one of the things that is 
sort of low-hanging fruit for 

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most businesses, but 
particularly comes out in the 

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medical profession is the sort 
of like customer Journey. 

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Customer experience if your 
will, right? 

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And so, you know, just like 
there are thousands of doctors 

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that do what you do and, you 
know, offer that service and 

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thousands of people that do what
I do. 

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Like one of the ways that we 
differentiate ourselves is with 

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my opinion with content and then
with the A customer experience 

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both of which were things that 
sort of go out the window when 

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people get busy content. 
I really I can't stress enough 

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the importance of creating 
content and because that really,

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in my opinion again 
differentiates you. 

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Because it shows your 
perspective, your opinion and it

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is one of those things where 
it's like, I just can't sit down

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and write a blog post. 
I can't sit down record a 

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podcast, whatever. 
But one of the big things that 

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that I have done with automation
is created processes, whereby 

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you can record a quick video and
that turns into blog. 

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Posts and tweets and podcasts 
and YouTube videos and all sorts

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of things completely 
automatically. 

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So with, you know, 32 seconds to
a minute of effort. 

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You can create a month's worth 
of content and then on the 

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customer Journey side of things,
you know, one of the one of the 

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really common things that for 
some reason, dentists 

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particularly seem to do is that 
the end of their day, they will 

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call every one of the patients 
that they saw that day just to 

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check in and say, oh, you know, 
dr. 

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Simon Says, want to make sure 
you're feeling well. 

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Will you know, it takes, Maybe a
minute two minutes. 

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Each one is usually maybe eight 
to twelve patients a day. 

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And I remember speaking at an 
event where was all dentists and

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I asked you, how many people do 
that? 

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Like 80% of the room, raised 
their hand. 

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It's like and, you know, raise 
your hand if more than one 

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person ever answers the phone 
and nobody raised their hand and

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say, okay, so and you leave 
voicemails, right? 

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Yeah. 
It's like, okay, raise your hand

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if anybody ever calls you back 
and nobody raised their hand. 

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Now, that doesn't mean it's not 
valuable and there's mean it's a

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good thing. 
However, They can get that 

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sentiment across and accomplish 
that without actually taking the

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time and to do that. 
So there, for example, there's a

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tool called slide broadcast, 
which is a ringless voicemail 

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tool that allows you to send 
voice mail directly to someone's

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phone without it ringing and you
can accomplish the same result 

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for both parties using a tool 
like that in a completely 

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automated way. 
In that case. 

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The doctor just has to record 
one message each week or each 

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month, whatever they want to do 
in terms of rotation. 

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Say, hey, it's dr. 
So-and-so. 

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Just want to check in. 
Are you doing? 

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And then their assistant can 
just hit a button or even even 

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automated without having to have
an assistant to it that calls 

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all those people, you know, 8:00
that night and leaves that 

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voicemail again. 
It is a genuine result that 

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you're trying to reach. 
Steve you want to do it and then

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that doctor can go on focus on 
other things and that's a 

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significant chunk of time to. 
We found about a half an hour or

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an hour maybe. 
Every night of the sort of the 

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customer Journey. 
Yeah, those are great. 

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That I think is an easy one to 
fix. 

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Now. 
A lot of these. 

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Are you still you? 
Because I know when I read the 

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other stuff, it was like, if 
this then that and now there's a

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new one out there to automate. 
And everyone seems to be almost 

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packaging these. 
And now paying for the same 

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thing, like making content, 
putting it in a pod coast and 

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others other things. 
Automatic for you. 

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Do you still like, put the 
little pieces together and do it

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on your own? 
Do use outside services like 

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that? 
It was I think I told you that's

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one of my frustrations as I do 
one of these. 

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And, you know, I can put the 
same thing on anchor. 

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I can put the same thing on 
YouTube. 

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I don't like driving the 
description, but it just, it 

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just takes a little bit of time 
and I've tried using VA as fancy

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hands. 
All the other stuff is just kind

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of a pain, you know. 
Yeah, so you always try to avoid

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using people when possible, 
right? 

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Because people are going to sort
of bring some complexity and 

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error Shiva. 
I wouldn't use fancy hands for 

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anything. 
Ever fancy hands used to be 

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amazing. 
You surprised. 

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Yeah. 
No, I used to recommend fancy 

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hands all the time. 
But at some point several years 

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ago, the quality. 
Honey, just like fell off a 

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cliff and let me I mean it's 
unfortunate honestly because 

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they were real Pioneers but like
I wouldn't have fancy hands. 

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Like tell me what the alphabet 
was at this. 

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Okay point and so there are lots
of other services that can do. 

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That kind of thing. 
There are Services, especially 

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as that, but you know, if you if
you're willing to spend a half 

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an hour, you can set it up in an
automated way using tools like 

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zapier repurpose that IO and I 
actually have a Blog. 

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Post on medium that people can 
see that has a lot of detail 

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around that specific one. 
And it really walks you through 

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how to set it off. 
So, you know, if you're 

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reasonably intelligent, which we
have to assume you are if you're

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an MD, set it up. 
Great. 

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No, I think that's because 
that's awesome. 

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Because I think a lot of times 
we try to throw money at things 

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and without thinking, and 
working a little bit. 

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You can make a system that 
automates, you still use 

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follow-up then, because that's 
what I use mostly for reminding 

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me to call my wife, by our 
flowers, call my post-op 

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patients. 
I still use that for a lot of 

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things, especially the SMS 
section of it. 

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That's the most, that's the best
part. 

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The email section. 
Someone else can do Boomerang or

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something similar. 
But the SMS is what's King for 

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me? 
Yeah. 

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What other what other tips you 
have so follow up? 

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That is great. 
And so I I don't use. 

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Yes, so I don't use follow-up 
then just because that 

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functionality is built into 
Gmail now, but if you don't use 

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Gmail, then yes follow up. 
That is still my recommendation.

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I don't like Boomerang because 
it doesn't work on mobile. 

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So follow up that more from 
anywhere is really, really easy,

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you know, and as you've seen 
that works really well to defer 

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things to a specific time that 
you're going to deal with them 

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in a more effective manner. 
So, that's definitely a big one.

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The other one is IFTTT as you 
sort of allude to a for, as a 

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sort of more basic. 
Socata mation platform, but what

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I like IFTTT for is for idea 
capture, you know, all 

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entrepreneurs, all business 
owners, get business, again, 

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ideas all the time and many of 
them don't capture them in an 

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effective way. 
Running them down in a notebook 

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is usually not something that's 
going to actually get it done. 

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So we're like I can say to my 
alexapril604 don't want to say 

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it because she'll respond right 
now in any room of my house. 

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I can say like, hey we add this 
thing to my to-do list for my my

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my Because I think is what it 
is. 

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And then that will actually make
a card in my Trello board with 

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that thing which is done through
IFTTT. 

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And then at the end of the 
night, I can go into Trello and 

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sort of sort through all the 
different ideas that I've 

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captured throughout the day and 
actually, like, you know, put 

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them into action. 
That's a, that's a good one. 

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How about scribes? 
What are your thoughts about 

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scribes in terms of 
documentation of notes for 

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doctors? 
What was our whatever notes 

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scribe like using a scribe in 
your practice versus typing 

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notes? 
Yes, so that's that is a really 

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good one. 
So, you know, they're it depends

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on the car. 
How to practice obviously, you 

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know, some doctors have more 
patient notes than others or 

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what your kind of dealing with. 
But yes, that is a really good 

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one. 
There are some really good 

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services that can do it really 
cleanly, in an automated way, 

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like, otter .a ISO Auto, like 
the animal fodder that AI, which

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I really like. 
But yeah, there are there's, 

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there's medical scribe services 
that are hipaa-compliant that 

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you can do recordings with and 
things like that. 

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They don't really live in the 
room. 

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Obviously and those things can 
be outsourced, very effectively 

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as well and then they can put 
all that information into your 

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EMR obviously. 
Yeah. 

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How about in terms of as a doc, 
in terms of marketing automating

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marketing, like you talked about
creating one piece of content 

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and then just some people 
recommend that others say old 

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that. 
It was the old Brendon burchard 

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recommended that and now 
everyone's changing their their 

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philosophies all we can't use 
the same content over in a lot 

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of different places. 
What are your thoughts on that 

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yesterday? 
Those are the same people that 

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say, like, you can't do the same
content everywhere. 

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So I'm just not going to do 
content right now. 

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Like, I'm so dumb. 
How does that work? 

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Right. 
Sure. 

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It some point. 
It'd be great to have that, but 

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at the very least, we know for 
the most part that most of the 

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algorithms, like they're going 
to look at how much you're 

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boasting, how often you're 
posting and obviously, like, we 

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don't want to just Spam 
services, but if you're posting,

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once every six months, like 
you're not going to get very 

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much attention, no matter how 
good your content is. 

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Hmm. 
I see what you mean. 

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Yeah, because we're not doing to
that extent, that we're going to

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get. 
People are going to notice. 

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No one's going to look. 
You think they're looking at 

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multiple platforms. 
They don't if they're using, 

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Twitter, they're looking only at
Twitter, absolutely Instagram 

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and things like that. 
Let's talk about getting away 

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from actually making our money 
as doctors seeing patients and 

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looking at some other 
opportunities like as an 

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entrepreneur Amazon, you know, 
the Amazon Marketplace, where 

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you can sell stuff kajabi to 
create your own courses, 

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developing your own YouTube 
channel, and making money on 

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YouTube. 
Any thoughts to any of those 

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that ring ring something in your
head? 

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So I think that Tick Tock is 
like the platform for a lot of 

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that kind of thing right now. 
I was so I have installed and 

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deleted Tick-Tock nine times on 
my phone because I tried it. 

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I hated it. 
Try it again in like was almost 

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like disgusted by it. 
And I and now I love it. 

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Now. 
I like I finally like have 

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gotten it and I really like it 
and for me a lot of it is 

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emergency medical stuff, some 
medical stuff in general and 

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then woodworking content because
I do a lot of woodworking. 

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So Oh, I love say talk now and I
do get a lot of, there are a ton

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of products that I end up buying
now from table, talking 

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services, like gifts for my 
wife, things for the house, and 

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it's all coming from Tick Tock. 
So the algorithm Tick, Tock is 

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amazing. 
And who is this doctor? 

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Dr. Mike, you know, is like the 
number one doctor on YouTube and

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also on Tick-Tock. 
Now, you don't have to be that 

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for it to me, you know, matter 
for you or for to make to make 

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an impact. 
If you want to make ad Revenue, 

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obviously if something is the 
most followers, For a lot of 

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people are really is that 
exposure and maybe if you're a 

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doctor that has your own 
products, then it's a really 

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good platform for that, kind of 
thing to be able to sell it. 

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So Amazon is tricky in my 
opinion. 

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You it depends what you're 
selling. 

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It depends how you're doing it, 
it can be an enormous time suck 

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for not a lot of return, but 
there are certainly people to do

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that for fun. 
Like, my wife is like, an expert

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at shopping at. 
T.j. 

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Maxx and home goods and stuff 
like that. 

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And there are always times where
we'll find. 

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Find things that are words. 
Like I love you can sell this 

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for like a 60 dollar profit on 
Amazon. 

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So there's that I think courses 
or still really big so like I am

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actually just in the process now
of filming my third round of 

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courses with creative lives in a
huge Marketplace for online 

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learning. 
Not just because the pandemic. 

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But certainly that accelerated 
things. 

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So and and I think people are 
always looking for ways to 

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improve their health and 
wellness without going to a 

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doctor, you know, of course. 
Some courses are a good one, as 

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well as Punjabi. 
I think is very complex. 

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I would I would look more like a
platform like skillshare or you 

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to me that has a really great 
built-in audience and an easy 

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way to create their own content.
And also, I would say, like, 

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don't get held back by thinking 
that you need to have like a 

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great studio with a mic and 
lighting and everything, and 

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that's why you're not producing 
and content. 

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Some of my most successful 
courses have been filmed on a 

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handheld gimbal with my phone 
walking down the street in 

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Brooklyn. 
I like that. 

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What I really like about what 
you said is they already you're 

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going to a platform that already
has an audience because my 

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challenge if I make a heel, pain
course on kajabi. 

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If I don't have an audience, I 
don't have anyone looking at it 

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and they already have their own 
audience. 

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So I think that's key when you 
do it that way. 

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Let's talk about using your 
optimize automate and Outsource 

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kind of as a thinking tool. 
So I'm a, you know, If you 

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00:14:56,600 --> 00:14:58,800
don't, you're still in to teach 
a coach, I still think about 

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Thinking Tools a lot. 
And so I'm like, oh, how can I 

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apply this one once a month? 
I'm going to have it. 

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00:15:03,600 --> 00:15:05,900
Remind me once a month with 
follow-up then do. 

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And I'm going to make a little 
worksheet, optimize automate 

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00:15:08,300 --> 00:15:10,700
Outsource and kind of work 
through some of these things in 

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my practice to make it better. 
So how would you go about doing 

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00:15:14,200 --> 00:15:15,300
that? 
In terms of just writing on a 

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00:15:15,308 --> 00:15:18,800
piece of paper or any other kind
of workflow of like actually you

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00:15:18,800 --> 00:15:21,300
could any we get ideas as 
entrepreneurs, but we don't 

300
00:15:21,300 --> 00:15:24,500
Implement them. 
Yes, right. 

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00:15:24,500 --> 00:15:27,300
Absolutely. 
And I appreciate you sending me 

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00:15:27,300 --> 00:15:29,800
that impact over, by the way. 
I'm not so interested your coach

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00:15:29,800 --> 00:15:32,800
mostly just because I don't 
travel right now, but I'm a big 

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00:15:32,800 --> 00:15:34,800
fan of Dan and everything that 
he's created. 

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00:15:35,100 --> 00:15:39,000
That the so the framework is, is
the order is really important. 

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00:15:39,000 --> 00:15:41,600
So, optimize then automate then,
Outsource a lot of people 

307
00:15:41,700 --> 00:15:44,200
reverse that, but try to 
Outsource first, right? 

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00:15:44,200 --> 00:15:46,000
As you said, throw money at the 
problem, right alive, you'll try

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00:15:46,000 --> 00:15:49,900
to throw people at a problem, 
you know, and if you do that, if

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you take an inefficient process 
and hands it off to another 

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00:15:52,300 --> 00:15:54,400
person. 
At the same time you're doing 

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00:15:54,400 --> 00:15:56,200
that and expecting them to 
actually produce a better 

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00:15:56,200 --> 00:15:58,600
result. 
It's like asking for failure, 

314
00:15:58,800 --> 00:16:02,100
you know, so we need to optimize
first which means looking at how

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00:16:02,100 --> 00:16:04,300
we do what we do now, 
identifying the processes that 

316
00:16:04,300 --> 00:16:06,500
we go through, where the 
resources headed, how much time 

317
00:16:06,500 --> 00:16:10,200
we spend on different things. 
How much money and once we sort 

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00:16:10,200 --> 00:16:13,600
of shine that light and 
efficiencies arise that we can 

319
00:16:13,600 --> 00:16:16,600
start to eliminate inherently 
after that. 

320
00:16:16,600 --> 00:16:18,000
That's what sort of look at 
automation. 

321
00:16:18,000 --> 00:16:20,000
So we want to create systems and
processes that were placed with 

322
00:16:20,000 --> 00:16:23,200
those people do well before 
every game to a person because 

323
00:16:23,300 --> 00:16:26,300
At that point, when we do get 
through Outsourcing because we 

324
00:16:26,300 --> 00:16:29,400
need to, we're Outsourcing stuff
that somebody can actually 

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00:16:29,400 --> 00:16:32,300
engage with and sink their teeth
into, and really bring value to 

326
00:16:32,300 --> 00:16:36,300
and feel empowered. 
Yeah, and so, would you so 

327
00:16:36,300 --> 00:16:40,100
what's so optimized, would you 
put that into like a unique 

328
00:16:40,100 --> 00:16:43,400
process type of a thing or just 
anyway, just write down what the

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00:16:43,400 --> 00:16:46,200
process is just, a little step 
one step two, step three and 

330
00:16:46,200 --> 00:16:49,500
then any improvements you would 
do or an impact filter or you 

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00:16:49,500 --> 00:16:52,000
know, I'm just I'm not maybe 
that's just my mind said. 

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00:16:52,000 --> 00:16:54,500
What tools do I use drugs? 
I did my journal like a journal 

333
00:16:54,500 --> 00:16:55,500
it. 
Okay, let's look at this 

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00:16:55,500 --> 00:16:58,000
process. 
Hawaii do content for patients. 

335
00:16:58,000 --> 00:17:01,600
I do one. 
I do one YouTube per week for my

336
00:17:01,600 --> 00:17:04,000
YouTube. 
And then how do I then send it 

337
00:17:04,000 --> 00:17:05,200
to every everywhere else? 
Now? 

338
00:17:05,200 --> 00:17:07,400
Sometimes I get hung up and I 
don't know what you do when you 

339
00:17:07,400 --> 00:17:09,599
get hung up. 
Let's say, okay, I theoretically

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00:17:09,599 --> 00:17:11,599
know I can send this to Twitter 
to everything else. 

341
00:17:11,599 --> 00:17:15,000
But then I'm like, I get stuck. 
And I waste time thinking how 

342
00:17:15,000 --> 00:17:17,000
the heck can I get out of this 
stock? 

343
00:17:18,500 --> 00:17:22,400
Well, right. 
So a lot of the experience of 

344
00:17:22,400 --> 00:17:24,200
overwhelm the people. 
Have is because they don't know 

345
00:17:24,200 --> 00:17:27,000
what's causing overwhelmed. 
So, sometimes just having some 

346
00:17:27,000 --> 00:17:29,500
identification, awareness of 
what that information is or like

347
00:17:29,500 --> 00:17:32,900
what the data is or whatever. 
Around us is actually really 

348
00:17:32,900 --> 00:17:38,000
helpful and that control serves 
as an antidote to stress in many

349
00:17:38,000 --> 00:17:43,100
places. 
And so, the example I did sort 

350
00:17:43,100 --> 00:17:44,400
of the imagery. 
I was like uses. 

351
00:17:44,400 --> 00:17:46,100
You can't read the label from 
inside the jar. 

352
00:17:48,200 --> 00:17:50,700
So we need that opportunity to 
sort of get out shine that light

353
00:17:50,700 --> 00:17:52,600
the writing the process is an 
interesting one. 

354
00:17:52,600 --> 00:17:54,700
So a lot of people do that. 
The right down across is no, 

355
00:17:54,700 --> 00:17:58,000
give it to somebody else to do. 
But the problem with that is 

356
00:17:58,000 --> 00:18:00,400
that they end up writing down 
processes that include 

357
00:18:00,400 --> 00:18:02,600
heuristics and shortcuts that 
they have in their brain that 

358
00:18:02,600 --> 00:18:04,100
they haven't explicitly 
identified. 

359
00:18:04,600 --> 00:18:06,000
And then it doesn't work very 
well. 

360
00:18:06,000 --> 00:18:08,000
So what we actually want to do 
is show somebody how to do a 

361
00:18:08,008 --> 00:18:11,300
process and then ask them to 
write the check list and when 

362
00:18:11,300 --> 00:18:14,000
they write it we have them give 
that to somebody else and have 

363
00:18:14,000 --> 00:18:17,100
them actually run through the 
process which will never ever 

364
00:18:17,300 --> 00:18:21,200
Work It Never Dies but now what 
happens is we get a very 

365
00:18:21,200 --> 00:18:24,200
granular chance to correct 
issues. 

366
00:18:24,800 --> 00:18:27,900
So, you know, just the person 
this third party is to step 3 

367
00:18:28,200 --> 00:18:33,200
where it says, you know, open 
open the patient's Charter from 

368
00:18:33,200 --> 00:18:37,100
the EMR, right? 
And this person is like, which 

369
00:18:37,100 --> 00:18:40,300
chart how do I access it? 
Right? 

370
00:18:40,300 --> 00:18:40,800
Yes. 
Okay. 

371
00:18:40,800 --> 00:18:43,900
So instead of saying the person 
started should be, like open 

372
00:18:43,900 --> 00:18:47,000
this link, click this link the 
password and access information 

373
00:18:47,000 --> 00:18:49,600
is In this folder in your 
password manager, right? 

374
00:18:50,300 --> 00:18:54,300
And then we get to step 7. 
And it's like, okay, now attach 

375
00:18:54,900 --> 00:18:57,800
the, you know, pigeons x-rays 
their imagery, and right. 

376
00:18:57,800 --> 00:19:00,200
Well, where, where our where's 
the imagery? 

377
00:19:00,200 --> 00:19:01,700
Where do we keep that? 
Alright? 

378
00:19:01,700 --> 00:19:02,900
Yeah, we have that on the shared
drive. 

379
00:19:02,900 --> 00:19:05,700
So now you're the one. 
So what we do is we go through 

380
00:19:05,700 --> 00:19:08,800
that now and we've now in this 
step by step and now you end up 

381
00:19:08,808 --> 00:19:12,700
with a process that you have. 
Now shown works not just at the 

382
00:19:12,700 --> 00:19:15,800
secondary level, but at a 
tertiary level which means that 

383
00:19:15,800 --> 00:19:17,100
you could literally grab 
somebody off. 

384
00:19:17,300 --> 00:19:20,100
Treat have the money for that 
process and what you've not done

385
00:19:20,300 --> 00:19:24,400
is eliminated training. 
That's that's key. 

386
00:19:24,700 --> 00:19:27,600
That's I learned this from you. 
When I use, when I used to use 

387
00:19:27,600 --> 00:19:30,200
fancy hands, I sent them to do 
something and they came back 

388
00:19:30,200 --> 00:19:33,000
with me and whenever it was a 
Google doc and I actually added 

389
00:19:33,000 --> 00:19:35,300
stuff, right? 
As they were doing it and they 

390
00:19:35,300 --> 00:19:38,900
fixed it and they could do it a 
lot easier, but that's that's 

391
00:19:38,900 --> 00:19:39,600
key. 
I think. 

392
00:19:39,600 --> 00:19:40,900
Wow. 
That's great. 

393
00:19:41,800 --> 00:19:43,600
Well, thank you. 
I think, I think we've covered 

394
00:19:43,600 --> 00:19:45,300
enough here. 
I that was a great tip here. 

395
00:19:45,300 --> 00:19:47,600
If people want to learn more 
about you. 

396
00:19:47,700 --> 00:19:48,800
How are you? 
How do they do that? 

397
00:19:50,300 --> 00:19:51,800
Everything is at less during 
dark. 

398
00:19:51,800 --> 00:19:53,200
Calm. 
Cool. 

399
00:19:53,600 --> 00:19:55,700
Thank you so much. 
I appreciate your time and 

400
00:19:56,100 --> 00:19:58,500
sharing your tips. 
Thanks for having me.

