The journey of building the AI powered practice starts right here with ModMed Scribe two dot o. So Michael, are we ready to demo it? We are. Great. We tried this before. And before we start, Michael, we need to do things a little bit differently this year than we did last year. Absolutely. This is gonna be completely made up and off the cuff. You're gonna decide what kind of patient Dan's gonna be and what diseases he has. In the first year we did this, everyone not only thought it was scripted, but it was a video. I'm like, no, no, that was live. So we're doing it again, but this time, you're gonna be the participants. Alright. So let's decide what kind of persona we would like Dan to play. Should Dan be doctor Google, argumentative, mispronounce his words, knows a lot about nothing? Or should he be the frat bro obsessed with his gains and his tan, terrified meds will ruin his workout? Or the nervous Nelly, scared of chemicals, fluorescent lights, sprays, and infections. There's a round of applause. I'm hearing Let's hear it. The loudest. Do we want Dan to be Doctor Google? By applause. Would we like Dan to be the frat bro, by applause. Would we like Dan to be the nervous Nelly, by applause. Pratt bro wins. Sup doc? This is gonna be great. Alright. We're not done yet. Now we have to give Dan some diseases and I please, can we make this PG thirteen? Yeah. Please. No STDs. My company was like shout out, I'm like no no no no no, professionals. Alright. Shout out some diseases for Dan. Anything. Psoriasis. Let's do one that's really hard. This is dermatology clinic. Super rare disease. Toxic what? Toxic epidermal necrolysis? Okay. Bullous Bullous pemphigoid. Great. Okay. Alright. That's a lot going on right there. Excellent. Alright. So without further ado, why don't we go ahead and switch to the iPad and we're gonna do a live demo. I'm gonna Alright. Dan, fat bro, who has bullous compagoid, toxic epidermal mycosis, toxic epidermal necrolysis, and psoriasis. And scene. And scene. Good morning, Dan. How are you today? What's up, doc? Fist bump? Yeah. Sorry about the sloshing skin. Apparently, I've got some, dermatological issues. No problem. Fine. You got that. Yeah. Great. So what can I help you with today? So like I've been lifting a lot, taking the good powder, right, the creatine, and I'm just I'm set, but I got these like derm issues. So I've got I've got itchiness on my elbows. It's on my my my elbows and it's, well, it's itchy, doc. Okay. Like like two months ago, it got worse. So I put I put powder on it, like the creatine powder I take. I thought it helps me buff so much. Sure. That like if it gets ripped, maybe I can derip my my scaly patch, but It's a good thought. It didn't work. Okay. I also tried some over the counter lotions and potions and none of that worked. That's amazing. Yeah. It looks like you also have some bigger problems. Yeah. You've got blisters Yeah. On your belly and they're it says you're they're itchy? Yeah. Everything itches. I am super itchy all over. Okay. And I feel like my skin is sloshing off. Yeah. It looks like you've lost your skin on your back. Yeah. That's really alarming. Some someone in the audience decided, hey, we're gonna give Dan some toxic disease and there we go. You know how it is, so caught That happens all the time. Caught this disease and who knows. Why don't I go ahead and do an exam if that's okay? Yeah, great. Okay. Is it okay if we take your wig off? No dude, I'm not wearing a wig and you cannot take it off. Even if I was wearing a wig, ladies don't like that. Okay, sorry. Didn't, I'm afraid, I'm sorry I brought it up. I'll be a better doctor. Hey, I've got a party to get to. Can I, can we speed this up? Oh yeah, of course, of course. So it looks like you definitely have some erythematous patches with micaceous scale and plaques consistent with psoriasis. Okay. Yeah. So there's lots of different ways we can treat it. It's the condition that happens sometimes. It's bimodal distribution. You can get it in your twenties, which clearly you're in your twenties. And then, we can treat you with like a topical medication or we can treat you with a biologic. What would you like to do? I don't know what those words mean, but Sure. So we can so you don't looks like you don't have a lot of it on your knees and your elbows, so why don't we prescribe Clobetasol zero point zero five percent cream? We'll dispense a large tube twice daily. I mean, I don't think creams are gonna cut it, doc. I think I need some of the strong juice. Alright. Well, why don't we go ahead and prescribe SKYRIZI? SKYRIZI. SKYRIZI. Oh, I saw that on TV. Must be good. They can afford advertising. Yeah. Okay. We'll do that. Alright. Awesome. And I'm sorry to say strangely you have these, very tense bulla on your abdomen, consistent with a diagnosis called bullous pamphygoid. Somebody gave that to you very recently. Yeah. So, there's lots of ways we could treat that. We can give you prednisone. We could do CellCept. I don't know what these words are. Alright. But you know what? I heard steroids are pretty good. Alright, why don't we do that then? Perfect. We'll go ahead and prescribe prednisone, twenty milligram tablets. You'll take two tablets in the morning, for a while. We'll say thirty days. Thirty days? Doc, can I drink on it? We'll do two refills. Sure. Okay. That's okay. It's not gonna affect? You drink like milk or something, that'd be better for your Okay. I can drink some milk. Okay, awesome. Can we go back to the itchy please? Why not? Because my shoulder's also itchy, my knee's itchy, I'm seriously itchy. Okay, I just realized I'm holding this iPad upside down. Okay, Sure. Your knees are itchy. On a scale of zero to ten, how itchy are your psoriasis? I'm like a three. Oh, wait. No. I'm a seven. I'm a nine. I'm a nine. Okay. You're a nine. Alright. You're itching. It's a nine for your psoriasis. Looks like your total body surface area is three percent, just on your elbows and your knees. Would you say your psoriasis is mild, moderate, or severe? Severe. Okay, it's severe. And I'm really sorry to tell you, but it just so happens that all of your skin is sloughing off on your back. Oh, no. A lot of it. I think you have something called toxic epidermal necrolysis, which is kind of a rare one in a million disease. But you seem to have that today. Mom said I'm a catch. So what we need to do is admit you to the hospital and we'll do some wound care, maybe put some xeroform gauze the area. It'll take about three weeks for your skin to grow back. Oh, okay. But then I get order some labs. Sometimes viruses cause this. Like, we'll order, like, an EBV titer and a CMV titer and a HSV titer just to see if anything's doing this. Okay. Well, I appreciate it, doc. That all sounds really intense. Hey, can we go back to the psoriasis for a second? Did you Sure. Did you say I have to inject something? Because I might already have been injecting something and I don't want the two to mix. It's totally fine. Listen, we don't really have time for this right now because we have a whole show. But, it says here that you wanted your tattoo removed. I do. I do have a tattoo. Okay. It says, I love creatine. You want that removed? Yeah. Okay. So we'll go ahead and do laser tattoo removal with a Q switched ND Ag laser ten sixty four nanometer, four millimeter spot with a fluence of four joules per centimeter squared, total of twenty pulses. The color of the tattoo is black ink and it'll be eight hundred dollars. No. Higher. Eight hundred and fifty dollars? I know. Higher. I have a great tattoo and it's gonna take time for you to get that off. Okay. Thank you. My kids' college thanks you too. Nine hundred dollars. Nine hundred dollars. I like it. Alright. Excellent. We'll see you back in one month for your laser and a six months for see how your toxic epidermal necrolysis is doing. Yep. My skin will grow back. Alright. Alright. Awesome. Thanks. Righteous. Okay. You did not plan this. No. You did. Right. So how do we build something? Because our first AI generation was literal. Every time a doctor said a prescription name, it's like, yes, sir. I'm gonna cure that up and I'm gonna do this. Every time a doctor said a lab, it's like, yes, ma'am. We're gonna order that lab. And it was so literal. But it turns out healthcare's a lot more like this, maybe not this exaggerated, than it is a linear conversation. So how did we train something that understands intent? How did we train something that does reasoning? And it turns out you need a ridiculous amount of data, not a little bit of data. We train the AI on seven hundred and fifty million encounters worth of data, billions of diagnosis and plans, and hundreds of millions of prescriptions and labs. And to put that into perspective, your new ModMed assistant for Scribe has over twenty five thousand years of experience under its belt. And beyond just the tremendous amounts of data, good AI has evolved. It's grown. It's trained. It doesn't come out of the box just working. This is, our launch of AIScribe two point o, and this has been iterated over fifteen hundred times in a span of several months. And we can iterate really, really fast, and we have a team of amazing physicians that have created this and use it in their practices as their lab to make sure it not just works, but it works naturally in a natural setting. So please go to the solutions bar, test this out yourself, really pressure test it. Well, why don't we show them what it looks like? Let's do that. Yeah. So let's look at our output from our amazing, amazing situation here. We've got itchy rash on elbows and knees, symptoms worsened two months ago. The patient applied creatine powder without benefit and the itch, he amped it from nine out of ten. He feels like he's very itchy, which he mentioned many times. Blisters on his abdomen, cosmetic consultation for tattoo removal, which is completely irresponsible. Says, I love creatine. Okay. We did an exam, although I didn't state specifically what I examined. It was pretty good. I asked Dan to remove his wig. He said no. So the patient declined a wig and he had a tattoo. The patient has psoriasis. Dan kept going about his itch NRS score, which was a three, then a seven, then eight. He finalized on nine. That's what it did. I said that his total body surface area was three percent, which was what it was. Dan decided it would be a mild, moderate, but he said severe, and that's what it got. We have a diagnosis summary here, which captured all of his ramblings between clobetasol cream, which he really didn't like. So he wanted to SKYRIZI because he saw it on commercial. That's what we did. We prescribed SKYRIZI. The prescription enriches based on previous prescriptions. So I didn't have to say all of the loading doses and the maintenance doses, but it knew based on previous historical information, which is really cool. And yeah, then he had bullous pemphigoid, which totally makes sense in a real life setting. We prescribed prednisone twenty milligrams, take two tablets by mouth morning for thirty days. It knew that they did the math and it knew that was sixty pills. I didn't have to say it. Then, because this totally makes sense, we diagnosed him with toxic epidermal necrolysis, which is a complicated illness requiring hospital inpatient. His skin was sloughing off on the back. We ordered random CMV titers and EBV titers and herpes simplex titers, which is what you do. And we did a dressing change and we put Xeroform gauze on his back. And then we did laser tattoo removal, because that makes sense. Q Switch laser ND Ag ten sixty four, spot size four, Fluence four, wavelength ten sixty four nanometer, the pulse count of twenty, nine hundred dollars because he wanted to pay more. And then we followed up for one month for the laser and then six months for his toxic epidermal necrolysis completely unplanned, unscripted. What do you think? So what you just saw was real and it's so powerful and I encourage you. I can't encourage you enough to go see what you've seen today for yourself and it's so easy to do. Attend your AI specialty session because while this was derm focused because Michael is a dermatologist, you need to see it in ophthalmology, orthopedics, otolaryngology, plastics podiatry. You need to see for yourself just how specific this thing is. Visit the AI pavilion. Don't have a script in mind. Take the iPad from the person. Let the person who gave you the iPad from our our sales team, our marketing team, our CS team play the role of the patient and you be the doctor. You challenge the system and see how powerful it is at taking a nonlinear conversation with lots of information and distilling it down and understanding intent, understanding what's deferred, understanding what's happening in the context of the of the practice. And as if all that wasn't enough, we have a special offer. I feel like I'm in sales now. I guess I am in sales as a CEO. There's a QR code if you head over to the booth, and we are doing early pricing and early availability. We're charging only two ninety nine for the first year for the people here at Momentum. So two ninety nine a month, you don't need to commit to a long term contract years, you just sign up for the year. And now that you've seen AIScribe two dot o, this is just the tip of the spear.
