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Hey guys, welcome to Podiatry. 
Practice Mastery down here. 

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I'm going to do this little 
episode on what's been working. 

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What hasn't been working? 
And it kind of a deep dive into 

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my version 1 of, using a scribe 
in my office. 

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So, a couple things, I'm going 
to go over. 

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This was a great ask, I'm really
impressed with people that are 

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good at asking for what they 
want. 

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I think that's good. 
And so if you're a subscriber, 

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if you're watching this on 
YouTube, please subscribe. 

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That's what I want you to do. 
Subscribe on, iTunes. 

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Put a comment there. 
Let me know what you think and 

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refer all your friends. 
That's what I want. 

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This was a great ask I got after
going to a Shockwave course, I'm

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going to share my number one. 
Shockwave tip with you. 

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I'm going to go over something, 
I'm excited about. 

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It's a biopsy Workshop that I'm 
going to do and kind of as an 

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idea of repurposing content and 
then my scribe training and what

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I need to improve on as more 
patience with my scribe 

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training. 
So let's get into this. 

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This was an email I got and it's
a good email. 

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I like it. 
And this is the reason can I ask

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for two favors? 
And I think when we are ask for 

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favors, we feel okay with that. 
So if you find an email coming 

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to you soon, that asking you for
a favor, this is where I got it 

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from. 
So you should have got an email 

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after the conference. 
Can I ask you two favors? 

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I'd love it. 
If you could provide me with a 

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one to two-sentence of quote or 
testimonial regarding the Boston

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Institute conference, it could 
include what you enjoyed and 

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giving other idea. 
So I like this as well for 

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potential practice Mastery. 
Could you give me a quote or 

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testimony? 
I like this so you might see 

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this in an email soon. 
Okay, Veronica please, put that 

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next email. 
Okay, that's my virtual 

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assistant to she's going to do 
that for me. 

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My second ask is it would be 
very good if you T up with two 

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other referrals. 
So I thought that was neat, I 

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thought that was a neat idea 
that they asked for that to get 

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more referrals and I think it is
worth it and that's why I do 

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talk about a. 
So I went to this cure Medics, 

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Shockwave course. 
So I'm going to let you, if you 

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guys have any questions. 
Email me, donít provide your 

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practice Master e.com. 
If you You Shockwave currently 

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kind of, let me know why beside 
besides the price, okay? 

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Because you can pay the thing 
off pretty quick and I can help 

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you. 
I have some tips on how you can 

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do that. 
If you are not a member of the 

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practice Mastery Academy, or if 
you have the 30 day blueprint 

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you're not looking at it. 
There are a lot of resources in 

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their lot of videos about 
Shockwave. 

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It interviews about Shockwave. 
Once again, I'm not paid. 

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I would love to be paid, but I'm
not paid by Shockwave to do 

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this. 
Okay? 

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Second thing I has asked, 
recently from the residents to 

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do a biopsy, See, like kind of a
course for them and so I'm going

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to turn that in. 
So this is the whole idea of re 

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utilizing content that I've 
talked to you guys about in the 

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past. 
So I'm going to create this into

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a master class. 
So it's going to be a master 

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class. 
It's going to you can register 

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for I'm going to put a link both
in this email and underneath 

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this video for that Master Class
and you can watch it. 

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It's going to be in January and 
you can sign up for it. 

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And then when it goes live, I 
will send you the link and you 

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can participate. 
If you have any Questions. 

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One of the emails will ask hey, 
you know can you address this 

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about biopsies questions? 
You have about biopsies if you 

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don't do biopsies you should be.
And this is kind of a general 

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overview. 
It's going to be at a resident 

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level. 
Maybe a little bit higher. 

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It's going to give you as well, 
though. 

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All of my templates, like all my
consents, all my wording, for my

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medical record, my macros 
billing codes. 

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Everything else like that. 
So if you're not doing it, it'll

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have everything you need. 
Please sign up for the biopsy 

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Master Class, okay? 
And just so you know, thank you 

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Veronica for Being this 
beautiful biopsy kind of slide. 

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It's so nice to have someone to 
help. 

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Okay next year week number 11 
and a half about using a scribe.

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So let's go into this. 
I'm going to tell you the Good, 

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the Bad and the Ugly. 
So this is what I use. 

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Right here, this is a phone. 
This is an extra phone, I don't 

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use my own phone and I turn this
on. 

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You can either do it via 
Microsoft teams or within teams 

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invite you can, you just click 
the link and it turns on the 

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phone. 
So on my phone has unlimited 

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unlimited voice calls. 
This is an extra phone that like

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for our for our like a Verizon 
here at the office. 

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They just gave us another phone.
So it's a phone, it has limited 

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data, but it has Unlimited phone
call. 

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So it's a phone call number, I 
can call Len and I just put it 

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in my pocket so I basically put 
it right in my pocket right here

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and Chan or chandru is was 
listening all the time to me? 

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Okay, you guys like this stuff 
so when I go to the bathroom I 

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have to make sure I mute it 
otherwise he hears way too much.

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Okay, so you have to that's what
I do for my phone. 

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Then I also have Microsoft 
teams. 

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So basically he sends me a link 
within Athena text and in that 

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link, I click in my treatment 
room in it and it pops up teams 

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and I share my screen. 
I do it right via the window 

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option. 
You don't have to download teams

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in each one of your treatment 
room, just do it. 

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Via the via the Google Chrome 
option, and I pause everything 

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and I show him my as I'm 
training and right now they 

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won't be this way forever. 
But I'm showing him my medical 

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record as I'm doing it. 
So I'm showing him walking him 

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through it, talking through at 
night, and I have to get verbal 

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permission from all my staff. 
I'm not my staff, all my 

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patients and there's no problem.
And so I, you know, it's kind of

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awkward a little bit because if 
you're talking about their kids 

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and other types of things, your 
chit chatting, he gets to 

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listen. 
Everything that I'm doing as 

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well. 
Okay, week number one, little 

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bit about him. 
He is in India. 

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He is, he's a pharmacist by 
training has a masters and I 

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guess it's better off for him to
do scribing for us in the United

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States that it is for him to be 
there. 

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The benefits to me is, it's a 
fixed hourly rate and I don't 

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have to pay any like, you know, 
the other stuff like like, 

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health insurance, and other 
thing else like that. 

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So if you want to know who I 
used, Use it can email me down 

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at but I drew practice Master 
e.com. 

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I am just starting this once 
again week one and a half. 

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I'm going to tell you all the 
bad things now. 

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Okay, let's go. 
My first scribed patient was on 

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day three, day three with ended 
up being a Friday. 

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It's my block day where I do all
my Nail Care. 

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So, this was the first patient 
that was done. 

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It was a routine. 
And it was scribed my, my 

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scribe, I was so happy kind of a
highlight, you know, could 

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breathe deep. 
But then, like today was a 

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Tuesday, it just all went 
downhill. 

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So I was 10 patients at the end 
of the day, late. 

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We're doing my notes and we had 
to do them all together so it 

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took a little time. 
So what are some of my 

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struggles? 
Good, bad and ugly, he couldn't 

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see my schedule. 
He couldn't see my schedule, so 

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here's my schedule, but usually 
on the side he could see the 

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schedule of the encounters but 
he wasn't able to do that. 

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Not sure why. 
But this was his scribe like I'm

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looking at his screen and he 
couldn't see my patients. 

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So that was kind of a challenge.
It was another challenge as 

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well. 
For prepping my staff, preps all

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the patients, And then he tried 
to prep them but he does not 

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talking to them so it's hard for
him to prep them so we can 

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partially prep but not fully 
prep but it's good for him to 

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prep. 
It's like a tongue twister. 

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It's good for him to prep 
because you get to see what's 

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going on next here where the 
rooms connected. 

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So this is what it looks like. 
Or I have my room. 

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So this is me with my phone. 
This is Room 5 room to room, 3 

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Room, 1 and room for. 
So each room I'm logged in and I

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can share the screen. 
This is my screen. 

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And so, as I share the screen, 
he can see whatever screen is 

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showing. 
And this I believe is someone 

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that's helping that maybe kind 
of training The Scribe, that's 

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what I'm guessing because they 
get training, so they three when

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I was looking at his screen it 
was very slow. 

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I don't know if the inner was 
slow. 

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I don't know if my Athena is 
slow, you know, you can't be 

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slow, right? 
So I'm always going going going 

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and his I was looking at a 
screen and it's really slow. 

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So he figured out a workaround 
on day. 03 he opened up multiple

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tabs so he opened up multiple 
tabs for multiple patients. 

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Was able to work on multiple 
things without having to wait 

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for it to load. 
That was a good idea. 

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So I was kudos to Chan. 
Who did that opening up? 

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Multiple notes simultaneously. 
I don't typically do that 

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because I get confused. 
Now, one of the challenges I 

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found today is that he if he was
working on a note, and I was 

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working at now, at the same 
time, it has a conflict, right? 

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Because it can have two notes 
and so I have to choose which 

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one, and usually I'm in a rush, 
I just choose mine and then his 

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gets deleted and I told him that
it was apologize, apologize. 

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Got always trying to fill 
everything in. 

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So that was another kind of a 
challenge next challenge. 

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He couldn't see all my macros so
macros are like these dot codes.

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I start dot matrix. 
So Matrix follow-up, masek 

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Matrix post-procedure Matrix 
pick, you'll Matrix. 

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Everything I learned how to do 
that today. 

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So that was a good thing but 
before I didn't, so he couldn't 

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have access to my what he has to
do is into Athena, has to go to 

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macros, and he has to subscribe 
to all my macros 540 of them. 

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So he has to go through then. 
Subscribe to each one of those 

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but at least I'll have access to
it. 

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So that was a struggle, but now 
we kind of figured that out. 

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Another thing is he showed me 
some good food. 

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Okay. 
Brioni. 

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I didn't know about that but we 
could. 

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So the nice thing, we have a 
scribe, it's kind of like a 

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buddy. 
Did you get to chat about 

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different things? 
You know, I tell them what I'm 

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going to have a coffee together.
We chat. 

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And he and it's funny though, 
because he's in my pocket, 

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right? 
He's muted all the time. 

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But occasionally, he talks to 
me, but it's usually when I'm in

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my office or in the in the break
room, I'm talking to him and so,

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but once in I'll he doesn't and 
he's like I'm in the treatment 

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room with the patients and they 
think someone's like what does 

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that they're hearing voices? 
Or today was, I had a pain pain 

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with my phone, like my phone 
wasn't working. 

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It wasn't connecting to our 
Wi-Fi, and it was bi bi bi, bi 

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bi bi, it's kind of like those 
patients. 

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They have their, their hearing 
aids, and they're running out of

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batteries, so the same thing. 
So that's why today I did use it

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be the phone. 
So I anyway you make you make 

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friends, you kind of get to know
someone. 

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That's what I kind of like about
having the Scribe and then they 

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for it was slower than I 
expected. 

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I To be very clear if you're 
training a scribe like training 

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a staff. 
We want everything right now 

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because I'm like, boom, boom, 
boom, boom, seeing all these 

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patients doing? 
All these notes and I'm faster 

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than the speed of something 
slower. 

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So you have to really be 
patient. 

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This isn't for everyone, 
especially the training what I'm

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assuming is like, I'm going to 
train these people and then 

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they're going to steal his going
to steal them because I'm kind 

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of more patient. 
I think I thought I was paged 

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thought until I got home and I 
told my wife, I like, I thought 

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I was patient, but I'm really 
not as patient. 

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So you have to be patient and if
you can just do your thing and 

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they're going to eventually 
learn, I hope I'll kind of keep 

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you guys in the loop. 
About that day for day, for as 

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well. 
He didn't have spellcheck. 

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So I have this little thing when
I do my notes, there's a little,

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a little red underline from 
Google that shows IMS up with 

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the spelling. 
And I can just right click and 

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then fix it, but I learned how 
to do that. 

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So you can turn Chrome spelling 
on and off and I sent this to 

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him and hopefully, he'll install
that. 

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So these are the instructions to
turn spelling on and off. 

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No dot codes. 
Once again, the dot codes were 

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the macros. 
And I learned how to do this, 

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this is how to subscribe to 
macros. 

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That's what I learned. 
They can subscribe to my stuff. 

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This is how you do it within 
Athena. 

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Oh, by the way, I'm going to put
a little link underneath this 

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video and podcast, if you want 
all of my like stuff that I 

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shared with my scribe and if you
want all my stuff, for my 

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medical record, I'm gonna give 
that out. 

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It's also in the 30-day 
practice, blueprint in the 

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practice Mastery Academy, but 
it's just basically, a Google, 

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Google Drive. 
And it has all my macros, all my

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discussions on my patient, 
education information, all these

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other things like that. 
So, I'm going to put a little 

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link. 
You just put your email and 

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it'll give Link to that Google 
drive. 

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And I'm probably going to make 
it like Podiatry, practice 

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Mastery / EMR, or something like
that. 

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And that's how you can get to 
it. 

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Just put your email and and then
it'll go right there to it to 

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get all my stuff. 
If you want to use that to train

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your own scribe, or to make your
EMR easier if you use Athena. 

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Hey, if you use Athena like, 
reach out to me, they can just 

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transfer my stuff over to yours,
so it's easier that way day, 5, 

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phrase, selection typing, kind 
of teaching him how to tie Type 

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kind of type smaller. 
Sentences doesn't know how I 

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type. 
It's not my typing, I want it to

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be my typing and it's not, 
that's kind of a challenge. 

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And I'm expecting that. 
Like, I'm talking, I'm friend of

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Brooks, have to verbalize 
everything, I'm doing, because 

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he's not seeing anything. 
So I'm verbalizing it and he's 

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not putting it in a physical 
exam. 

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So I'm a little stressed so I'm 
still kind of working, you know,

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speed slower than expected 
phrase selection typing, you 

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know, I'll get over it but 
that's kind of what I'm at right

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now. 
So that are my those are my 

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thoughts. 
It's once again, if you're 

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interested in doing scribe, let 
me know. 

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I'll tell you not to. 
Oh maybe I'll tell you to by the

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time you're going to reach out 
to me. 

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But hope this was beneficial 
please sign up for the biopsy. 

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00:12:31,700 --> 00:12:35,800
Work shot it shop. 
If you want my Athena stuff, you

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can download it right there. 
Or it is also within the 30-day 

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blueprint within the practice 
Mastery Academy. 

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Okay guys, thank you. 
Let me thoughts or comments or 

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shoot me, an e-mail down at 
Podiatry, practice Master e.com.

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Okay, thanks guys, until next 
time, bye.

