The EntreMD Podcast

Adopting Telemedicine in your practice in the COVID19 era with Dr. Sogol Pahlavan

April 06, 2020 Dr. Una Episode 29
The EntreMD Podcast
Adopting Telemedicine in your practice in the COVID19 era with Dr. Sogol Pahlavan
Chapters
The EntreMD Podcast
Adopting Telemedicine in your practice in the COVID19 era with Dr. Sogol Pahlavan
Apr 06, 2020 Episode 29
Dr. Una

Welcome to another episode of the EntreMD Podcast.

In this episode I have the pleasure of interviewing Dr. Sogol Pahlavan. She is a pediatrician at ABC Pediatric Clinic which she started with her sister 12 years ago and has now grown it to an eight provider practice.

We discuss:

  • Myths around Telemedicine.
  • How to create an efficient workflow.
  • Strategies to get the word out to your patient panel.

Don't forget to share this episode of the EntreMD podcast on your social media channels and tag us #EntreMD. 

Subscribe & Review in iTunes

Have you subscribed to my podcast? If you haven’t, I want to encourage you to do that today. I don’t want you to miss an episode. Great episodes will be coming every week and if you are not subscribed, there’s a good chance you’ll miss out on those.

Click here to subscribe in iTunes!

Also, I would really love it if you left me a review over on iTunes, too. Your glowing reviews help other people find my podcast and I love reading them. Just click here to review, select “Ratings and Reviews” and “Write a Review” and let me know what your favorite part of the podcast is. Thank you.

Join the EntreMD Private Facebook group here. 

Links mentioned in this episode:

Free Telemedicine Masterclass with Dr. Una 
EntreMD Live in Atlanta, GA on 06/13/2020
Freedom Formula Masterclass - 12 week masterclass 

Show Notes Transcript

Welcome to another episode of the EntreMD Podcast.

In this episode I have the pleasure of interviewing Dr. Sogol Pahlavan. She is a pediatrician at ABC Pediatric Clinic which she started with her sister 12 years ago and has now grown it to an eight provider practice.

We discuss:

  • Myths around Telemedicine.
  • How to create an efficient workflow.
  • Strategies to get the word out to your patient panel.

Don't forget to share this episode of the EntreMD podcast on your social media channels and tag us #EntreMD. 

Subscribe & Review in iTunes

Have you subscribed to my podcast? If you haven’t, I want to encourage you to do that today. I don’t want you to miss an episode. Great episodes will be coming every week and if you are not subscribed, there’s a good chance you’ll miss out on those.

Click here to subscribe in iTunes!

Also, I would really love it if you left me a review over on iTunes, too. Your glowing reviews help other people find my podcast and I love reading them. Just click here to review, select “Ratings and Reviews” and “Write a Review” and let me know what your favorite part of the podcast is. Thank you.

Join the EntreMD Private Facebook group here. 

Links mentioned in this episode:

Free Telemedicine Masterclass with Dr. Una 
EntreMD Live in Atlanta, GA on 06/13/2020
Freedom Formula Masterclass - 12 week masterclass 

spk_0:   0:01
Hi docks. Welcome to the entree, Andy. Podcast where it is all about helping amazing physicians. Just like you embrace entrepreneurship so you can have the freedom to live life on practice medicine on your terms. I'm your host, Dr Una. Well, hi, everybody. And welcome back to another episode of the entree MD podcast. Today. I am so excited cause I have my friend and super amazing pediatrician Dr Sobol on here. And we are going to be talking about all things telemedicine, how to implemented the kind of business, the whole nine yards. And she's been doing this for a while, so, um, she's the go to person for this. So welcome to the show, Dr Sobol.

spk_1:   0:42
Thank you. Thank you for having me. It was a pleasure reconnecting with, you know, we haven't seen each other for a while, and I am more than happy to help our colleagues out there trying toe implement telemedicine, Especially in this time of the Kobe pandemic, which I think has pushed all of us outside of are coming zones. So let's get ready and embrace telemedicine.

spk_0:   1:06
All right, let's do it. So I know how amazing you are, and I know a lot of things about you, but I'm going to give you a moment to introduce yourself to the listeners.

spk_1:   1:17
You are too kind. I'm so I am a private independent pediatrician in East Houston. I have a practice with my sister. She's, ah, pediatrician as well. We opened up the practice about 12 years ago, and we have grown to have about eight providers, and one location were in Texas. So space is not an issues that we have about 27 exam ruse, and, um and we are predominantly low income underserved community, which makes it a bit challenging. And we'll talk. I'll start talking about it as we move on through the podcast. But my point is that if I can get my patients, which have a limited resource, is to be able to connect with me virtually then I think everyone out there should be able to do that. And we just have to really put our, um, myths aside and try things at.

spk_0:   2:26
Well, great. And I'm going to take a moment. Um, you know, I don't think everybody on here knows how we met, and and literally, this is what happened. So I had been following Dr solos practice for a while, and I was like, She's doing all the stuff I want to do when I grow up. So I sent her an email, and I'm like a You don't know me, but, you know, we're also open together, and I really love what you're doing. Can I fly out to Texas? You just come follow you around for a day and, you know, see what you do. Show me your operation. And she was so gracious. She let me do that. And he made a huge difference in my practice. They're very innovative. They have really good. They have really good systems and workflow and read, not redundancies. But, you know, things to catch things when they go bad. I mean, the whole nine yards. I still use all the stuff I learned from that. So So pay attention to her. Okay. All right. So why did you decide to introduce telemedicine in your practice?

spk_1:   3:30
Yeah. So, as you said, we're a practice. That is, um tries to be very forward thinking the reality of the health care industry these days is that yes, you're a clinician first, but if you want to survive in private practice, You really have to know your operational and you have to know the scope of your industry and how it's changing. And right now we're in this. I think this transition zone is what I call it in health care to where we're really shifting from the traditional, um, you know, independent practices into something that's more technologically driven. And so with and with everything that we have done, we have really looked at what is going on on the other industries and how can we take what they have done and better improve the quality and efficiency in the operation of what we do in our clinic. So that culture has been built in our clinic for you, right? And I think that's one of the hardest things toe overcome. It's like you want to do something new, but everybody else is holding back and is very uncomfortable. Um, so we eso I hurt on and I'm very involved, just like you are on soap, Um, which is this section of administration and practice management, part of the American Academy of Pediatrics. And so those are where all the ideas come from, right? though it's a group of very innovative, forward thinking pediatricians that air mostly an independent practice that challenges themselves every day to stay afloat compared to the larger health care system. So every new telemedicine was something that we needed to start on, and we wanted to do it slowly and not get rushed into it. And so and we knew our patient population. It might be a challenge, so we opted to started about a year ago.

spk_0:   5:37
Okay, so a year ago, and a lot of us, we're just starting now. Well, a lot of people. So you know, you said something fascinating that I've heard multiple times, but it's just lovely to hear you say it, and that is taking. Looking at what is happening in other industries, I'm bringing it into your own industry. So the way I heard it said is that sometimes innovation is not necessarily doing a new thing. Is just taking something that's already happening in another industry and translate it into your own industry. So that is so cool

spk_1:   6:07
Exactly, especially with the changes in you know, the millennials and now generates Generation Z. That's coming. These guys, this is how they live, they live online, right? And if you look at it, the businesses right now during the Kobe pandemic that are thriving. What are they? They're all the online Virtual right, Yes, that uber eats and the Amazon. And everyone's going curbside in all line, which I think this is this thing. This is something that pushed it. I think the entire world into just having away put cup call in saying, OK, we've got a geared towards this. We've got to get some resource is and get some operational sense to be able to thrive.

spk_0:   6:48
So So, in a sense, we can almost look at some parts of our businesses, as are our practices like this is an online business, like, it's so weird to say that, but you know, that's what it is. So what are some of the reasons why doctors are skeptical about telemedicine that you've

spk_1:   7:05
noticed? So I think change makes everyone uncomfortable, right? If you just put telemedicine aside, just any change in your traditional way of training or working are operating. So some people are more comfortable with change and they jump in and they're like, let's do it and a lot are very conservative, and they allow sphere and the uncertainty kind of toe hold them back on DSO. I think that's it's a shift in your mindset, right? That's the first thing that needs to be done, because if you you started, you'll love it. I love doing telemedicine. My patients love you doing like you will I've never heard of. I don't think I've gotten any feedback about anyone hating to do it, except for I will say the technical is yes. But that just kind of takes time to to wrinkle out, which, even now I haven't wrinkled it out all the way. But the concept of connecting over you know, the phone or the screen my four and six month olds are more engaged with me on the screen because, yeah, my Todd list fight to come to, you know, take turns. I want to see the doctor is still fully on the other side. Yes, so super positive feedback from parents and the kits.

spk_0:   8:29
That's really good. So would you consider that you were really resistant to it? Not resistant at all?

spk_1:   8:37
I wasn't, but that's just the kind of person I am. Whatever new thing comes up

spk_0:   8:42
much. Do it, okay?

spk_1:   8:43
And I'm kind of on the other, and I'm a bit impulsive. So I take it I go 120 miles with it, and I'm like, everybody has left behind. So I've learned Teoh kind of, you know, pull back and say, OK, this is the pace that we need to do this. And we need to create a team to do this. And this is not like a solo project. So it's been a great learning experience, for me is like,

spk_0:   9:06
awesome. So, yeah, so we just rain you into 100%. 120. How about it? And actually had a kid the other day. I think he was 16 or so and you know, his. His mom called to set up the telemedicine visit and I got to see him, and he's like, Doctor, and this is how we're seeing you're seeing patients now. I'm like, Yeah, that's that's the new thing. He's like, Well, that's what's up. I was like, Well, how so? That's

spk_1:   9:34
what some of them like. I can live with

spk_0:   9:36
that, you know, um,

spk_1:   9:37
your club.

spk_0:   9:38
I'm a cool doctor, you know? Says the 16 year old male, so I'm

spk_1:   9:42
really cool. I know. So what kind

spk_0:   9:48
of patient visits are you able to handle? The Tell me, Because the thing is like, OK, wait. I can't like I can't examine the patient can put hands on them. So you know what kind of visits are using that

spk_1:   10:01
for? That's a great question. So when we started its 2020 so we started, like, second quarter of 2019. Kind of playing with it and what we did. Whenever we start a project, we start with a provider. So we start with one provider and we create our team of champions, said, There's a clinical champion and then there's a non clinic.

spk_0:   10:23
Can I interrupt for a second? All right, people. So you see why I flew out to Texas to go?

spk_1:   10:28
Ha ha way.

spk_0:   10:30
Not like we just started telling medicine. No, we have h providers. We started with one, and then we had a clinical champion. And non, could you see how the whole process of this will pay attention? All right. I'm sorry, Glenn.

spk_1:   10:41
Yeah. So usually it's either I'm the clinical champion or my sisters, the clinical champions, so we start with one into t one team. And then if it works, then we roll it out slowly to the other individuals. And so, um, and this when you do telemedicine specifically for us because of the platform that we're using and our patients it a little bit of more hand holding. And we got a champion from the front one. My our ends was on our team and then myself. So as a team of three peek at it on and obviously you want billing. He wants, um, education with the billing department as well. But there's is not that difficult is just some changes that you can built into your thr as well. So that was our team. So we started with only behavioral appointments, which are super easy to do because there's not that. I mean, there's as far as a physical exam. You don't need to listen to the heart or the lungs or the abdomen when you're doing. And when I say behavioral, we have a large population of to do with a tht. We've stopped sending those kids out to psychiatry because of the access issues with Medicaid specifically, so we're treating those kids and then anxiety because of the increased numbers that we're seeing in teenagers with anxiety. So we have trained our physicians through the AP and some eco projects to be able to treat just simple anxiety if it gets thio more complicated than we send him to sites. So 80 HD and anxiety have been that was our first, like, behavioral health that we started out with. And again, it was just my patients or just my sister's patients andan this year what we did at the beginning of the first quarter. Um, we, um, stud accepted a little bit more right before Kobe and we said, You know what? Let's try Teoh, uh, at some sick visit, right, and we played around. The different models are six visits. We rode a protocol as to what? Sick visit. So rashes are awesome, right? Those stupid super. Yeah, you don't need to. You just need to look at the on Ben like a lot of the instant wants. Worried while reflux. I need to change my formula colic, social, those that parents love because you're saving them so much time and it's an inconvenient for the mom. That's you know it's supposed partum with the incident to come to your office and get exposed. And so it's great. It's a great marketing tool. And then now that we're in the cove edge, we have added, like, Gastro is me, know that they have gastro vomiting, diarrhea. I have done telemedicine with wrist injuries and knee injury or ankle injuries. I had a kid last week during Cove it that was on a playground or somewhere and fell like three days ago, came back to Mom and was having some swelling. And I said, Okay, and I literally walked moms through the exam. Parent,

spk_0:   13:48
you made Mommy a doctor?

spk_1:   13:50
Yeah, I made money. A doctor. That's exactly what I did. And and she And that was clearly point I'm tenderness at at the wrist and I said, Mom, come pick up extra time She went for extra A. It was broken, and so it without even a visit in the clinic. Great. So I would say behavioral health, Then add your rashes as you become comfortable. Then start adding the infants and the worried wells in the reflux, and once you start doing it, you get more comfortable with it and parents will get more comfortable with it. Last thing I want to six. Just because you're doing virtual care doesn't mean that you chant, Bring them ISS to do additional right if started as a virtual, and then if you're like you know what, The story's really changed and I need to listen to your heart. I need to put my hands on your belly. Then that's right. Then tell them to come in.

spk_0:   14:45
That's awesome. So don't roll everything out at once. It's fine to start and then scale as you go. And I think this is almost, you know, like we learned how to do a physical exam, and I think as you do telemedicine, you learn to rely more on your power of observation and a delegated physical exam, right? Like you describe your arms doing some stuff for you. So that's also a skill. It's not urinate per se. It's also a skill that we're learning. So the more you do it, the better you get at it, you know? So that's really cool. I love it. Now talk to me about your workflow. So how is this fragile? Our copays being collected is that in front of sense they have to side the whole, you know, because it was lovely till the workflow starts

spk_1:   15:32
this stuff, right? So I'll talk to you about our workflow crier to co bid because after Kobe it it's like our entire operation has changed and we're doing sick visits in the parking like curbside. So we'll go prior to Kobe. So we have one front desk person that is assigned to telemedicine for the day. That's not her sole responsibility, but she overhead, and so are so are the platform, and we'll talk a little bit about the platforms in a minute. But the platform that we're using, um, it depend your workflow depends on your platform. So we wanted to go with the simplest one. I didn't want my patients to download absent just because I wanted them toe, have a good experience and know what the virtual visits consisted off before I asked them to do. Too many stuff crept before, but I did that because of my patient population. If you have, you know you're living in suburbia, where everybody's doing uber eats and Amazon whatever, then tell him to download an app and then they're good to go

spk_0:   16:37
because it is just one more app,

spk_1:   16:39
right? It's just one more app, right? So we used oxi. Me and it actually get weaken. Text the patient a link. So there's no email involved. There's no app involved. There's no password involved. There's no user name that you texted. And then they click on it and it says, Enable your camera and video And he put the kid's name it and that's it. Literally. It's like three steps, super beautiful. Um, so the front death purse then. So there's a column in our schedule. Now that's telemedicine visit. All right, so you know you have your doctor's, it's. And then there's a scheduling column for telemedicine visits. Okay, um, we've played around with it. We initially we had specific days that we would do telemedicine Onley, but then that wouldn't work because it was really narrowing those options for those patients. So now what we do we have it in a column every day. There's a telemedicine column. Um, and AR Nurse is the one that's assigned to making those decisions as to whether those appointments can be telemedicine appointments. So the front has been trained and given a protocol. So all Russians go to telemedicine. Behavioral health goes to telemedicine. But if they have a question, then they'll routed to the R N. And the R N will be like, Okay, yesterday, when there's appointment in the telemedicine, it's counted as any other appointment. So insurance is verified the same way Kobe has taken the same way. So everybody on the front can do that. The two things that are different is consent and, um, the link sending the link. So that's where you have your front desk. Telemedicine specialist, uh,

spk_0:   18:20
cancer specialists. Okay,

spk_1:   18:21
Champion. No champion tellers your stuff because they love it, right, because they like to do things to help out the whole team. Eso we? A year ago, when we started, we were getting consents. There's a way that you could do consent in Doc's amity. I can't I don't know the details, but that that's what we're getting. But as we knew we were going to do telemedicine, we actually added the consent to our office policy. And we have updating our office policy with signatures as all patients

spk_0:   18:53
coming brilliant. That makes your workflow so much better.

spk_1:   18:57
Exactly. So most of our patients have the consent already as part of their office policy. Already signed in on Ben. When the patient gets the link and they arrived in the waiting room, that appointment is made ready for physician because there's no nurse or anything like that. And then we know that there's an appointment ready for physician and what we're doing before Cho bed. What my sister and I were doing is we would see those patients within our scheduled appointments, right? Because they were, like, size a day, right? And they were, like, super easy, like diaper rash 10 yet and potato go super easy stuff that you could get. So that was our work. Slow. Right now we have two positions that are doing telemedicine all day long.

spk_0:   19:41
Oh, that's great.

spk_1:   19:43
Yeah. Yeah. So we have our, uh We probably have 12 in the morning. About 24 in the afternoon is what we're seeing now.

spk_0:   19:53
That's great. That's really, really good. And I'm glad you guys, you know, got on it before, but, you know, I knew you would. I know you. Yeah. So now how did you get your patients to be aware that we now do telemedicine right. So they're calling, and this is what they're wanting. How do How do you

spk_1:   20:10
heard? Yes, so way have, ah, large, um, followers on social media. So we started that, like, three years ago. So we have a Facebook page and instagram page, so you have to have some sort of presence on social media, right? That's the best way. I would think that's the best way. If you don't have social presence on them on social media, then you know and text. So those are the three things straight. So we texted patients and said, Hey, be a virtual visits. We emailed everyone and said, Hey, we have virtual visits And then we posted it on social media as well. We actually had fight a company, create a little video of what virtual visits are. And we posted that on Social Media and Mel that video as well. We couldn't texted, but we emailed it. That gives you It's like a three minute video about, like, what is a virtual visit on Ben? We have TV's in all the rooms, so we use that for education and marketing as well. So we put that video on the TVs And then and then when pay people made appointments, we just said, Hey, you, you have a rash. There's no need to come into the clinic. We're gonna do a virtual visits. So some of it was just through the daily workflow.

spk_0:   21:25
Okay, so I have you did social media. You did emails, text three, TV's in the room, which is for education and ads, and then phone calls that were coming in. You converted some of those two telemedicine visits. So you're like, five for five. So don't. So don't start telling medicine. And I think that people would just come. They actually has to be some work behind that.

spk_1:   21:51
Sure. Okay, sure. Yeah.

spk_0:   21:52
This this is really good. All right, So now so tell me about platform. So we talked about the platform that you've used, which is docks about me on were not necessarily endorsing any platforms or anything like that, but, you know, just share some of them that are out there. Maybe you've experimented with and stuff like

spk_1:   22:08
that. Yeah. So I think you have to look at the cost of whatever platform that you're choosing, but do not just focus on the cost as remained decision maker because we made that mistake and we are living it, and I am not going to change it until the summer. Don't make that thing sick. Region on the 2nd 1 is efficiency. How does that platform stick into your practice and with your patient population? We thought Doxy was a lot more efficient for us because it the length you boom, I don't have toe use emails. I don't have to get my patients, teach my patients how to download the app ready and then usability, which kind of goes with, like, efficiency and usability. So, um, we So what? My plan personally for the summer. And this was even before Kobe it hit was for this summer. We're going to go with any time pediatrics, which is the pediatric specific platform. And I've had a lot of friends pediatricians that have used it and are really happy with it. But what I have to do in my clinic is that we're actually getting like in Turner High School student to come, and every visit that comes in, they're going to go in and say, Hey, we've got this great, awesome virtual hot launch. Let me help you download any time pediatrics. Because you I believe that the family has to sign up and put in their chits. So there's some involvement with data entries that we're gonna help our patients, which is the same thing within with our portal. Ours isn't as simple as go download the portal. Yeah. No, it's like, Okay, let me show you. This is like you have to hold their hands. So we're gonna use kind of the same work low in this summer and try to get a lot of patients on it. So I think, um, we are getting a lot of issues with doxy as faras either audio or video connections. So we tried Zuma's. Well, The issue that we had which zoom, which is what I thought we would have, is that you needed an email address. The link that sent to the email went into the spam. Some people didn't want to download it or their wife. I was cute. So? So we went back to the docks. De what else? But I think there is something out drug game. There's a couple of more right

spk_0:   24:32
there. There's a there's a ton of them on I think after cove it a lot more came out. Yeah.

spk_1:   24:39
Doesn't want that we've had experience with, but I think it's a personal decision. Will really look at the cost, efficiency and usability of your platforms and decide based on that.

spk_0:   24:48
Yeah. Okay. And I like that you anticipate when you change platforms that you're gonna have an issue with people registering and stuff like that. And you're like, I know this is going to be a problem. And this is the solution for the problems. As we roll it out, we're allowed the solution. This Well, so that's critical. Good for the high

spk_1:   25:05
schooler. Yeah, it's all about the mindset. It's like, this is not your going Thomas shoes, and it is Okay. Okay, Now let's start it.

spk_0:   25:13
Yeah, Yeah, I love it. No. Okay, so we've talked about the platform. Um, So what of this set up for the doctor? Do you have to have a mike? Do you have to get a headphone like I have on now? Do you need a beautiful background? Like do you need to create a studio? Like what do you need todo?

spk_1:   25:31
No, literally. When I'm at home, my background is in my bed, and it's like the headboard of my bed. That's great. People

spk_0:   25:39
think that's a wall,

spk_1:   25:41
but that, or like my office back here, that might be, you know, the backboard. So I will stay at home. I used my because Doxy has an app. So I use my phone and I have Doc's t on my phone and I connect with the patients. And then I have my laptop so nothing is integrated with our HR. Okay, so they're two separate hardware's right, my laptop, which I can log into my E H. R and type. And then I just look at the patient through my phone and we're connecting. And a lot of times I'm like, Okay, and let me just let me write down what you're telling me a minute. And that's kind of out of the conversation goes in the office. I have, Oh, and and the There's no like my Mike is on my laptop, my cameras on my laptop. There's no extra stuff that I bought in the office. We have my computer in the office, and then we added a second toe on screen, and so I'm typing on my computer just or you could have locked up. You don't even have to as long as the mic and a camera built in. It doesn't have to be anything special. And then the second screen is where I put Doxie on. And then we, which is it's Ah, cloud girl. So that's how we connect with the patient. And then I'm taking so two devices you use your phone or laptop or left upper mucked up or desktop in Mark Top. But you do need to screens. It's you can toggle between on one screen, but I don't like it because then you keep telling the patient, OK, am I? Hold on. This is

spk_0:   27:13
well, you don't like it cause you're miss efficiency and you want to be done with your notes, your billing and your prescriptions by the times the end of the visit. I know you. That's efficient. Way to do it. Yes, I love it Now how about reimbursements for these visits so that there is paying for this? What's going on?

spk_1:   27:35
So it totally depends on your state. We are lucky enough. Ah, that there is pay parity specifically for Medicaid, and I want to say private interests. We have a lot of Medicaid, so I know a lot more about Medicaid, the private. So pay parity means that, um they will pay you the same as that virtual visit versus the office visit. Okay, a lot of states do not. They drop it down to whatever percentage. That is definitely changing as this pat Pandemic hits. So I will check with your state's and your insurers. But Texas had pay parity in October of 2018 so we're never not well, like it's amazing. We're never head of anything, right? It's the South. Everything trickles down, like, five years later. But so someone must have advocated for us at some point or the telemedicine companies. So

spk_0:   28:29
that works. That's really good.

spk_1:   28:31
Yes. I would ask your interest or asked your state medical societies, right? They should know as well. Good. That's that. You know as

spk_0:   28:40
well? Yeah. And, you know, in the times we're in, because at the time of this recording were literally in the middle of the cove, It pandemic is changing day today. So, you know, stay updated. I know you talked about your patients. Um, loving it. Tell me some of the things they told you. They told me, I'm what's up? But you can hear the cool doctor.

spk_1:   29:01
So is so They say that they save money on gas. Okay, I take it you're night. That saves money on your guess. A lot of them stay. It's so what I've done for the behavioral kids, which is really worked. Well instead of the child missing half the day and being pulled out of school to come to your clinic. I've had parents go during the kids either lunchtime or their specials, which is like computer art. Those non academic classes check the child out of class. Some schools will allow the child in the mom to sit in a conference room and do the visit with me, which is like a great Yeah, that's great. And if the schools don't allow that, they go sit in the car and do they visit and the kid goes back to school.

spk_0:   29:49
Oh, that is amazing.

spk_1:   29:51
Kids love that because they don't want to miss school. Other kids were disappointed because they're like, Am I really wanted? If

spk_0:   29:56
I have to go back? Oh man. So sometimes you're not the cool doctor, but OK, so what would you tell the doctor? Thinking like Okay, I know, I know. I'm supposed to do telemedicine. I've known for a while and alcove it is here, and I can't even get a lot of people to come into the office. I'm thinking about it. What do you tell them? But in their affects what we tell them.

spk_1:   30:20
So my motto in life is always Just do it, Stewart. Just don't overthink it. Just do it and do it. You don't have to see 20 telemedicine visits today. Duwan, baby steps I'm writing. Who can change your mindset? Just do it and baby steps, right? No one is delegating how many you have to see. But if you're not gonna try it at all, then you are doing yourself a disadvantage, right? The other thing, I will say it's try it on your kid or your aunt or your grandma or sell on your team, right? It doesn't have to be. It could be fake patients Or try it with patients. Yeah, all physicians. The beautiful thing about physicians is they have the relationship and their connections that there parents, right? Your parents are willing to help you. So you know that one Hasam family or fuel some families that are willing to bend over backwards for you. Call him and say, Hey, I'm trying to do this Telemedicine bang. So can we try it out and connect? And and they're more than willing to help you. So So, you know, use your try. That's around you whether that's your friends or your family or, you know, your favorite patients. Um, you don't have to do it alone. You're not alone out there. Yeah, and you can't miss it up, right? You chant like if you did it in your life, I mean, the worst that could Not even the worst. But like, you know, I can't see your throwed, but I'm really concerned about strap drive by. Drop in. I'll swab. You go home and I'll call you. Right. Okay. I'm really thinking this might be appendicitis, but I can I feel your belly. So why don't you come into the office and I'll do the examine.

spk_0:   32:01
I love it. I love it. And I didn't know. Just do. It was your That's mine, too. I'm like Nike style. Just do it. I love it. That is so good. So just do it. Don't put yourself under pressure to do so many at once. You can start with one, and you can do test runs with your tribe. Whether that's you know, your family, your staff, um, you know, patients that love you. So that's that's so

spk_1:   32:23
powerful and flexible. Right? Flexibility is huge during these changes. And these pandemics and these crisis situation is that some people tend to be very structured, and that was great. And you need that in life. But you have to be amendable to these waves that are coming through right? And so know that this is their mom. There's probably gonna be some issues, and that's okay. And it's not my fault, and we'll learn through it. You

spk_0:   32:57
I love it. We'll take it. All right. So this is really good. I'm gonna have, um I'm gonna have you give us some, you know, resource is people can check out or anything like that. Uh huh. And if you're listening and you're like, Oh, I missed it. Just go to the show, notes. I'm gonna put all the links for every resource she gives in the show notes.

spk_1:   33:16
Okay. So if you are a pediatrician, the A P has a huge number of resource is as faras coding billing workflow. So I was used. American Academy of Pediatrics. If you're not a pediatrician, there is something called a tele Health Resource Centre, T R C. And it's actually divided into different regions. So are ours. In the South is T e x l a. Like Texas and Louisiana, which is that I think it's a Southwestern, maybe just the South region. I just know ours that has a lot of resources and they do a lot of webinars. You can sign up for their weapon ours, and you get a notification and email. And so that's a good way of just kind of educating yourself. Your medical societies are gonna have a lot of information as well. So I will say, if you, uh, specifics it start with the telehealth resource center and get a feel for, like, what is telemedicine and then go down to like your state to look at the billing and the coding and the payments for each of those

spk_0:   34:22
great great, great, great. And if you're on here, you're like, man, I hear you guys are here. Here, You ladies and I want to do this. But I'm kind of nervous about it. And I created a telemedicine. Masterclass is literally 74 minutes and is divided in several modules. So you're doing five minutes here, 11 minutes there. And the goal of that is, if you just listen to the module, follow the action step. In less than 24 hours, you should be up and running with telemedicine. Okay? This is your just do it. Telemedicine, Mestre. Hahahaha. So is entree, Andy dot com slash telemedicine. I'll put the link in the show notes as well go through it. We talk about, you know, workflow, marketing, all that stuff, all that good stuff. And the idea is this. This is your time to change. This is your time to reinvent your practice. This is a time to be more innovative. Yes, the pandemic is horrible. That yes, the health implications are horrible. But at least you out of it, you can get I have a brand new practice. Have a better practice. You know, I went through the pain, but it's better, so don't not take the opportunity. Okay? So the whole idea behind this podcast and and the free masterclass. All the resource is Doctor Solo is given is for you to just start. Just do it. And if you've already started making Bender, if you've already seen patients aren't using its and the word outside the tax and the email do some videos. Um, but just do it. Awesome. Thank you.

spk_1:   35:51
Thank you. Thank you.

spk_0:   35:56
Yeah, Thank you. Because this is such great value, I believe everyone who's especially those of us in private practice, they get a lot out of it. They can implement this and we'll come back and say, Oh, my God, Doctor Sobel's episode on the on trendy podcasts Lushest.

spk_1:   36:11
You know, I always joke I've often joke about this is survival of the fittest at the screen. So let's let's put our let's let's get comfortable with being uncomfortable. Because from that you will broke as a person.

spk_0:   36:28
I agree. I love it. Well, thank you so much for coming on. And, you know, I think we'll be getting you back on for Pete performance or something else for sure.

spk_1:   36:37
Awesome. Thank you so much for having me good. Like everyone out there

spk_0:   36:41
if you love this podcast. Please take a moment to subscribe. Share reviewed on iTunes as you go about your week. Remember, you're not just a and B urine on trendy. Don't forget to tune in next week for another great episode until next time.