{"id":1499,"date":"2020-05-12T12:00:00","date_gmt":"2020-05-12T12:00:00","guid":{"rendered":"https:\/\/dev-cloud9-software.pantheonsite.io\/?p=1499"},"modified":"2020-05-12T12:00:00","modified_gmt":"2020-05-12T12:00:00","slug":"virtual-consultation-is-here-to-stay-an-interview-with-dr-mark-coreil","status":"publish","type":"resources","link":"https:\/\/www.planetdds.com\/resources\/virtual-consultation-is-here-to-stay-an-interview-with-dr-mark-coreil\/","title":{"rendered":"Virtual Consultation is Here to Stay: An Interview with Dr. Mark Coreil"},"content":{"rendered":"\n<p>Dr. Mark Coreil (<a href=\"https:\/\/schwabortho.com\/\" target=\"_blank\" rel=\"noopener\">Coreil Orthodontics<\/a>) takes some time to speak with Blu Nordgren (Cloud 9 Software) about the importance of virtual consultation capabilities, how a patient exam can be conducted virtually, and dispenses advice for anyone seeking to start virtual consultation at their Orthodontic practice.<\/p>\n\n\n\n<p><strong>Video length<\/strong> = 0:28:51<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Watch <strong>Now<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Virtual Consultation is Here to Stay\" src=\"https:\/\/player.vimeo.com\/video\/416445362?dnt=1&amp;app_id=122963\" width=\"500\" height=\"281\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Dr. Mark Coreil (MC):<\/strong> Hi, I\u2019m Dr. Mark Coreil, and I practice in Lafayette, Louisiana. And I practice with my wife, Katherine Coreil. And, we actually have two locations, one of them in Lafayette, and one in Houma, Louisiana.<\/p>\n\n\n\n<p><strong>Blu Nordgren (BN):<\/strong> Why are virtual consultation capabilities so important right now?<\/p>\n\n\n\n<p><strong>MC:<\/strong> So currently, when we\u2019re not able to see patients, virtual consultations are a very essential part of maintaining contact with the patient. At every level, right? So we\u2019re able to interact with them to the degree that we can check on their tooth movement progress, we can adjust treatment, like change elastic arrangements. Right now, we are creating an environment where we can actually check the patient, make sure the progress is going well, make sure nothing is out of place, so it allows us when we\u2019re not able to see the patient in the office, we are actually seeing the patient while they\u2019re at home. So, a virtual consultation for me, is being used quite extensively for our active patients, and we\u2019re also engaging new patients. So if a new patient wants to call and have an evaluation like a new patient consultation\u2014that\u2019s important. But as of late, the ongoing process of taking care of existing patients has been the <em>focus<\/em>.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Can you walk me through a new patient exam and the way that you do it right now?<\/p>\n\n\n\n<p><strong>MC:<\/strong> A new patient consultation or examination, in a virtual environment, for our office starts with going to our home page, and clicking on virtual consultation. That instantly launches <em>OrthoScreening<\/em>, which is a propriety software that guides them through a series of photographs that they take themselves or they take with a buddy. And it\u2019s the same photographs that we take in the office whenever we\u2019re doing records, right; so we get a smiling photograph, we get a frontal shot. So we get the five or six critical images that are necessary to look at the teeth, look at the malocclusion, and in addition to that, the patient fills out a questionnaire as to their primary concern, what they would like us to look at. And so it\u2019s the same dialogue, it\u2019s virtual, and we\u2019re doing it like in written form. Once we complete that process, I then invite them into a live consultation with <em>Doxy.me<\/em> or <em>Zoom<\/em>. <em>Doxy.me<\/em> has been our preference lately because of the waiting room and we\u2019re able to share a screen. So we\u2019re able to talk to the patient, we have the still photographs to look at, which are really high quality. We don\u2019t have to have them pulling back their cheek during the live consultation, we have the still photographs to look at. We are able to educate the patient using, what we call <em>Braces Academy<\/em>, which is a software that animates how would we take care of their chief complaint. So it\u2019s the same thing we do in the office except it\u2019s in a virtual environment.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Could you tell me more about the hurdles you\u2019ve faced in the recent weeks?<\/p>\n\n\n\n<p><strong>MC:<\/strong> The most difficult challenges that we have faced, you know with the office environment being closed and not able to see patients\u2014seeing the patients has been overcome with the virtual consultation. The team members that have been asked to stay home\u2014I mean it\u2019s like family right\u2014so that\u2019s a challenge. We can\u2019t get together anymore. We have a couple of people who get together with us to help on the administrative side. But I feel like the most difficult part is not getting our orthodontic family together to support each other, so we\u2019ve been doing that virtually. So we get together whether it\u2019s telephone, or whether it\u2019s written cards, we do the best we can. I\u2019ve personally reached out to all of my patients via phone, and then through virtual consultation. But the most difficult part as an orthodontist, is, you know, you get into this business to interact with people, and then all of a sudden you have to do it through the web, which is fine, but it\u2019s not the same, right? We love the hugging, we love the laughing, and all the things that we enjoy on a regularly day, so we\u2019re trying to re-create that as best as possible. But we\u2019re anxious to get back.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Can you tell me a little bit more about how you\u2019re leveraging the tools in Cloud 9 to help you conduct your virtual consultations and new patient exams?<\/p>\n\n\n\n<p><strong>MC:<\/strong> So our decision to go to Cloud 9 has proven to be instrumental in our ability to navigate through this current moment. We had made a choice because of Cloud 9\u2019s reputation, its inherent ability to do everything we needed it to do, but most importantly we have access to the entire patient data pool, meaning that we have their charting notes, we have their photographs, we have their radiographs. So whenever we\u2019re doing a virtual consultation, and we\u2019re talking to the patient, we have their photographs on one screen, and we\u2019re talking to them on another screen. We have a reference on where they started, with <em>OrthoScreening<\/em> we have a reference on where they are. So the idea that with using Cloud 9, I don\u2019t have to be at the office to do this. So whether I\u2019m at home, whether it a staff member at their home, everyone has access to the office files. We\u2019ve made an attempt in the past to use VPNs and that was <em>extremely<\/em> unsuccessful. So the contact via server-based, or client-based software was a total bomb. Cloud 9 has allowed us to be an office wherever you are and right now that is critical, and it will be critical in the future. So it\u2019s been, it\u2019s really been a godsend.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Great. Thank you. And actually you touched on something else I want to ask, which is how do you see virtual consultations being a part of your practice in the coming months, and even years, now that the environment really has changed?<\/p>\n\n\n\n<p><strong>MC:<\/strong> So virtual consultations, we\u2019ve discussed virtual consultations at many levels, on many different webinars. And the consensus in our office, and amongst our colleagues is that virtual consultation is here to stay. I think that everyone would agree that there are several key areas that we\u2019ll focus on. One is <strong>observation<\/strong>. So we have a busy mom, a busy patient, and instead of having to come in to look at a progression of maybe a tooth being lost, growth, that sort of\u2013 we can take a look at that virtually and maybe save mom a trip, and not have her come in just to take a look and tell her that \u201cWait, we\u2019re waiting on molars to erupt, we\u2019ll see you back in six months.\u201d So observation appointments are one. Number two is <strong>retention<\/strong>. We have a number of retention patients that have to come into the office on a regular day just for us to look and say \u201cHey, it looks great.\u201d That\u2019s really nice to be able to visit with the patient and to re-engage. But given the current environment, the virtual consultation allows us to see and confirm with them \u201cIt\u2019s great,\u201d or, \u201cNo, it\u2019s not so great, you do need to come in but you\u2019re going to come in at this specific time,\u201d when we have the appropriate amount of time to take care of like a new scan, or whatever we need to do. So, observation and retention are definites. The other thing that\u2019ll happen is that when we have the extended appointment, like let\u2019s say we do an initial bonding, and we\u2019re going to put the patient out 16 weeks and let the wires work their way, in between those appointments we historically have not engaged the patient. We just told mom \u201cEverything is working, call us if there\u2019s a problem,\u201d but now we can engage, right? So make mom feel like hey, we\u2019re still connected to you. We had done that in the past with, sort of, text messaging and maybe a few photographs, but now that we have an organized, systematic way of doing that, mom\u2013 they\u2019re going to be really fluent. And, in fact, like every patient will leave now with a retractor, ready to take photographs so that they can submit those, and be taught how to take those photographs, so that the quality of the photograph is the same photograph that we take in the office and in fact, we currently use an iPhone for all of our intraoral photographs. So, the patient will be taking the exact same image that we take in the office. The clarity, the ability to check the liner fit, the ability to check wire movement, tooth movement, you know, emergencies, patient says something\u2019s giving them trouble\u2014we can see that very, very, very closely with the retractor, so it\u2019ll be as if they\u2019re in the office. So it\u2019s a wonderful tool, it\u2019s unfortunate how we came about to see the benefits of it, I think, but moving forward at least we discovered it.<\/p>\n\n\n\n<p><strong>BN:<\/strong> What advice would you give someone wanting to start virtual consultations at this time?<\/p>\n\n\n\n<p><strong>MC:<\/strong> Any orthodontist that\u2019s considering doing virtual consultations and they have nothing in place, I would look at, you know, one specific aspect of it, and that is time availability. We have found that scheduling the <em>live<\/em> consultation via <em>Zoom<\/em> or via <em>Doxy.me<\/em> has been very, very challenging. It\u2019s hard to coordinate time with the doctor and the patient. So, the reason <em>OrthoScreening<\/em> has worked so well for us is that we text them, we say \u201cHey, go to the website, click on virtual consultation,\u201d and they provide us with the photographs, or they take the photographs at their leisure, right? So they\u2019re submitted to us, and I look at it whether it\u2019s on my iPhone, and I can be out and about. I look at it, I get a notification, \u201cIt came in,\u201d I can scroll through those images, and then I can respond to them really quick. Our average response time with the software is maybe a minute. And then they get a response back and it\u2019s at my leisure but it\u2019s very, very fluid. I don\u2019t have to be anywhere in particular, and we can provide them with the necessary information. I think flexibility is important because if you try to do live virtual consultations with everyone, you will get frustrated. We find that the number of people that, you know, you go to voicemail, that don\u2019t actually answer the phone, is significant. So what\u2019s practical, we like to have photo submissions, and so we do the live consultations as needed. And those aren\u2019t very frequent, believe it or not. I think that moving forward we may be engaging some, but we really like the <em>OrthoScreening<\/em> tool because of the fact that there\u2019s some flexibility. For both of us. One of the things that\u2019s important about using <em>OrthoScreening<\/em> is the ability to use <em>Braces Academy<\/em> simultaneously to export the data, those videos. For instance, if a patient submits a photograph and the elastic arrangement that they currently have needs to be changed, you simply go to <em>Braces Academy<\/em> and grab the image that you need for the new elastic arrangement, and you send them that photograph, and they can change the elastic direction, virtually. You don\u2019t have to see them in the office. And it\u2019s the same thing with brushing, if it\u2019s poor, or if they need to make an adjustment, we have those videos in place to show them what to do. You can animate it with your hands, but it\u2019s really nice to be able to send video. And again, <em>Braces Academy<\/em>, the reason we love it is the fact that we engage patients constantly via text messages. We send them videos, we send them Hellos, we send them just engagement just to say \u201cHey, we hear from our orthodontists way beyond just the regular appointment. We hear from them all the time.\u201d And when we really want to wow them, is when they\u2019re in the office, and we\u2019re in the new patient exam, a live new patient exam in the office, we\u2019ll send them the videos to their phone while they sit on the side of us. So like in the office, and they\u2019re getting pinged, like \u201cThere\u2019s your video. There\u2019s another video, There\u2019s a third video.\u201d And we keep pinging them with videos because we say \u201cNow you have the whole catalog of videos, so when you get home tonight, you can show them all to dad.\u201d And so that\u2019s the nice part. That\u2019s really cool.<\/p>\n\n\n\n<p><strong>BN:<\/strong> What\u2019s a common myth you would say of virtual consultations, and can you debunk it?<\/p>\n\n\n\n<p><strong>MC:<\/strong> One of the myths of virtual consultations. I was talking to a surgeon recently and he said that virtual consultations like for his patients, for head and neck patients, is very difficult because they need to palpate. In orthodontics, what\u2019s unique is that it\u2019s so visual. You would think that virtual consultations have a very limited capacity in orthodontics. They would have a limited capacity maybe in dentistry because you have to see so up close. But in orthodontics it\u2019s actually like a real appointment. I mean, a really high quality photograph you can make the decisions that you need to make, and you can inform the patient as to the quality of the progress or what needs to be changed, or \u201cHey, you need to come in, you really need to come in now.\u201d I\u2019ll give you an example. I had a patient submit photographs last week, she was wearing elastics and trying to close the space. And I saw a little kink in the wire, and I knew that the tooth couldn\u2019t move because of the kink, right, it wasn\u2019t straight, so the tooth couldn\u2019t slide across, and so I said \u201cHey, we need to change your wire.\u201d Now the prior ten patients that I saw that were doing something similar, the wire was perfectly flat so there was no need to come in, just continue the elastics. So, you can determine via the virtual consultation the necessity of bringing the patient in.<\/p>\n\n\n\n<p>So as we extend appointments out there\u2019s no question that the virtual consultation will be that tool. And so I would say that orthodontics is probably <em>the<\/em> most applicable place for a high quality\u2026 you know, if the images are of a high quality, to get the information that you need to make a decision. Same thing we do with aligners: instead of having some proprietary software we use <em>OrthoScreening<\/em>. And we just have the patient get really close and really focused with the iPhone, and we can see if the aligner is seated just as well if we had them in the chair. So we know that the aligners are working, and it\u2019s just simply a high quality photograph.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Wow. So I\u2019m personally curious about the piece the, the mouthpiece that goes with the camera?<\/p>\n\n\n\n<p><strong>MC:<\/strong> So in order to get exceptional quality with the patient photographs, the ones that they take of themselves, we either mail out this retractor, but now we will be giving them out to every patient that walks in. So, 50 cents each on Amazon. It\u2019s a \u201cSpeak Out\u201d retractor, and \u201cSpeak Out\u201d is just a game you play, when you put this in and you try to articulate it\u2019s kind of funny, but it\u2019s so simple because once you insert it [Dr. Coreil inserts retractor] you can\u2019t talk anyways. That\u2019s the \u201cSpeak Out\u201d game, you can\u2019t articulate. [Dr. Coreil removes retractor] But, with this retractor, once the patient puts it in you really get a nice visual of the teeth, and if you pull it to one side you really get a nice side shot, for us, as orthodontists, it\u2019s called a buccal shot. So you get these really get these really high quality images, whether it\u2019s open or closed. So instead of using your fingers you can use spoons, but this is the retractor we\u2019re talking about.<\/p>\n\n\n\n<p>Starting yesterday, what we\u2019re doing is when a patient contacts us via the web or via phone for a consultation, what we\u2019ll do is we\u2019ll immediately mail this out (if they can wait, like 24 hours), we\u2019ll get the retractor to them so that our quality of images goes up significantly, so we can make a very good diagnosis. And obviously, that diagnosis, I want to emphasize one very important point: It will not totally replace the clinical examination, so at some point we <em>will<\/em> see the patient in person, and we <em>will<\/em> take a radiograph and do a thorough diagnosis. However, in the meantime, the patient gets very good feedback from the doctor as to, \u201cI have a complaint, what will that entail, how long will it take, and about how much will that cost?\u201d I think that we have to be reasonable as orthodontists considering that there are alternative methods, or alternative ways, that they can access this care. It\u2019s out there in society and commerce and so, this is <em>our<\/em> way of allowing the patient to find out \u201cWhat can we do?\u201d you know. But being supervised by a doctor, a specialist, and it\u2019s actually fun. So that\u2019s the way we\u2019re going do it. We\u2019re going to use this retractor right here.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Nice, well thank you, that\u2019s actually a great demonstration! Ok, so moving along here, are there (this actually ties in really well with that, but), are there any resources that have really helped you along your journey toward virtual consultations?<\/p>\n\n\n\n<p><strong>MC:<\/strong> Well I think, I think the resources that are necessary, that have helped me along with virtual consultation, is the fact that you just become accustomed to being in front of a camera, and being able to talk to a patient very comfortably and engage them, you know, through a screen. And I think, everyone I think in the world probably has had some kind of practice with that over the last two months. But without question, the students, I mean all the kids have at least experienced it. And I think most parents have too. So that the fear that we had, or I would say, we considered it not significant, or not important, \u201cYou don\u2019t need that.\u201d And now, what\u2019s helped me, is just to practice, and do it over and over. And after you do a few it becomes very comfortable, and you really find out that just like in the office, you spend more time talking to the patient and the parent as a person. So we\u2019ve been emphasizing that whether it\u2019s the phone call, phone calls are great, right, but this is better, this is the phone call with the face. And again, I think that, in <em>our<\/em> philosophy, we\u2019re taking care of the person. The teeth are secondary. I think that most people come to us for a relationship. And we\u2019ll give them great teeth, but we\u2019re able to give them what they came for, right. An actual contact relationship, touch points, all those things that are relevant, and in today\u2019s world they may be really seeking that, right? How many people do they contact that are really interested, \u201cWhat\u2019d you do today? Is your family well? What\u2019s going on?\u201d So, we\u2019re touching a patient the same way we did in the office with the same amount of concern. And I think that that\u2019s most important.<\/p>\n\n\n\n<p>And, you know, to finish that off, I think our goal is to give hope. And it\u2019s been a <em>constant<\/em> theme in our office, ever since we started. Laughter, hope, fun, but right now when there\u2019s so much concern we have to give hope. And it\u2019s not just about orthodontics it\u2019s about \u201cHey guys, this is going to be great, look at what we\u2019ve discovered,\u201d right? And, \u201cWe\u2019ll be in the office one day but right now, this is the best we can do, but it\u2019s still fine.\u201d And what\u2019s cool is that they feel comfortable reaching out to you to do this so that we can engage each other, and get those questions answered.<\/p>\n\n\n\n<p><strong>BN:<\/strong> What are some specific roadblocks that people who are dipping their toe into virtual consultations should look out for, in your opinion?<\/p>\n\n\n\n<p><strong>MC:<\/strong> If you\u2019re going to do, if you\u2019re going to just start with virtual consultations, I think that there are so many out there, and I really think that you need to, although it is not necessary at this moment\u2014those laws have been relaxed with regards to HIPAA\u2014it\u2019s extremely important that you invest in a HIPAA-compliant platform. And you can pick anyone you want. You know, we have chosen <em>Zoom<\/em>, <em>Doxy.me<\/em> is HIPAA-compliant, <em>OrthoScreening<\/em> is HIPAA-compliant. Because when that is brought back into place, you need to be compliant. It\u2019s the same thing as if you were on Cloud 9, and you send email out, you want to be HIPAA-compliant. So that\u2019s important because as the world migrates to tele-medicine, tele-dentistry, I think that there\u2019s, there\u2019s an inherent risk in it for people to intercept critical data. So I think HIPAA is very, very important.<\/p>\n\n\n\n<p>The second thing I would say is that from a technical standpoint, the important components for the virtual consultation are: Quality of audio\u2014you need to make sure your mic is of sufficient quality, you need to make sure that the room you\u2019re in does not echo. It needs to have carpet, it needs to be\u2026or curtains, whatever. And you just\u2026 What you do is establish a meeting, and you ask the person on the other side, \u201cDoes that echo?\u201d Your background should be sufficient, and you know, just be aware of what do you want it to look like behind you. The same thing with the video cast, it needs to be of high quality. You want it to represent your practice. And you\u2026 in my opinion, I tend to use my hands a little bit more, instead of just try to speak, because I want it to feel like I\u2019m next to you, right? And so, feel comfortable just talking to the camera and reaching out, and I think that that goes a long way as to making them feel comfortable. And reassure the patient that it\u2019s okay to call back.<\/p>\n\n\n\n<p>And lastly what I would say is that there are certain platforms that are much easier for the patient to connect to, like if you send a link out, all they have to do is click on it. And I would recommend that your team do a trial run with the patient, connect with them to make sure that if it\u2019s a live consultation, that that connection is sufficient. The patient feels comfortable, you don\u2019t want them frustrated with the connection, and you can\u2019t get across to them.<\/p>\n\n\n\n<p>So one of the reasons we go with <em>OrthoScreening<\/em> is that we give them written feedback immediately. But establishing a live feed like this, we would want to practice it so that there\u2019s no frustration. We want everyone comfortable so that it is a successful meeting. We don\u2019t want anyone, anyone, you know, worried about the technology, we just want to enjoy the moment.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Exactly, that\u2019s great. Yea, it\u2019s customer service in the age of virtual meetings.<\/p>\n\n\n\n<p><strong>MC:<\/strong> That\u2019s right. You can\u2019t send an IT person out, but what you <em>can<\/em> do is your team is well-versed in coaching them through that, you know, over the phone or whatever, and just say \u201cBe patient, be patient, we\u2019ll get this through, and let\u2019s get this connected. So now that you\u2019ve done it once, the software is all installed, so it\u2019s easy to get done a second time.\u201d<\/p>\n\n\n\n<p><strong>BN:<\/strong> What\u2019s been the biggest surprise to you in the last few weeks and why?<\/p>\n\n\n\n<p><strong>MC:<\/strong> So what\u2019s exciting for me is the positive feedback that we have received, especially yesterday. We begin seeing patients again next week, on a very limited basis, here in Louisiana. So yesterday we began calling active patients to see them one at a time, we\u2019re putting them like every 30 minutes. And the very, very positive feedback from the patient. We walked them through the process: What is it going to be like this first appointment when they come back. You know, they\u2019ll have to fill out a second sort of informed consent, they have to go through a questionnaire, we\u2019re going to meet them at the core, we\u2019re going to walk through\u2014so you have to go through all the steps, I won\u2019t go through all the details, but they are extremely positive! They\u2019re like, \u201cI\u2019m so excited that Johnny\u2019s coming back, I trust you guys.\u201d You know, no question about it, most of them are choosing to stay in the car, that\u2019s cool, but they\u2019re trusting us.<\/p>\n\n\n\n<p>As opposed to some colleagues that I spoke to yesterday who are dentists. And when they began calling routine cleaning appointment patients, right? They were calling patients in, they were scheduled to be seen for regular cleanings, the response was very different. And the response was \u201cI\u2019m not sure yet. Can\u2019t we postpone this a few months? I\u2019d rather wait.\u201d So, you know, the whole litany of reasons. So when I talked to a couple colleagues yesterday, trusted colleagues, I think there\u2019s, like a common denominator. Number one: Orthodontic offices are amazing, right? The staff is amazing, the patients trust us, they love us, it\u2019s a fun environment, it\u2019s not as intimidating, and I think that as orthodontists we have a much better chance of bringing our practices back to life than maybe other professionals do. And dentistry may be a little bit more challenged than orthodontics is because of the nature of what we do. So, in one day, I hate to make, you know, big conclusions from that, but in one day, that\u2019s monumental. That patients are, you know, willing to come back without even any hesitation. Not a single patient said \u201cI\u2019d rather wait. I\u2019m concerned.\u201d No, \u201cwe trust you guys.\u201d So <em>that<\/em>, that\u2019s really good news for us.<\/p>\n\n\n\n<p><strong>BN:<\/strong> That\u2019s phenomenal. What a positive way to kind of wrap up this week and launch into next week before reopening.<br>MC: Absolutely. Moving forward, every single patient that we have, that we are seeing, you know, physically seeing, and there\u2019s an opportunity to do a virtual consultation for the next appointment, that may be prolonging the next physical appointment, that\u2019ll be offered. And I think that the parent, whether it\u2019s schedule or whether it\u2019s just \u201cHey that\u2019s wonderful, we\u2019ve already experienced it once, I think we\u2019re going to go ahead and do that.\u201d So we\u2019re going to be offering it to a lot more patients as an alternative, and it\u2019s totally legit with regards to when we do the photographs, it\u2019s stored in the cloud. And we are actually bringing those photographs into Cloud 9 so that it\u2019s part of the patient record. So we actually just copy the questionnaire, copy the response, copy the photographs. So the whole virtual appointment was put into Cloud 9, and so everything we do is cloud-based. We don\u2019t have <em>any<\/em> local software. And so Cloud 9 gives us that flexibility to do that. So it\u2019s as if you saw them, right? And it\u2019s well-documented. It\u2019s actually <em>better<\/em> documented because we take a lot of photographs here, but we don\u2019t take photographs at <em>every<\/em> appointment. So it\u2019s really nice.<\/p>\n\n\n\n<p>I think it\u2019s well accepted that the future is \u201ccloud-based,\u201d right? I don\u2019t think anyone will question that, and the reason that we went to Cloud 9 is its capabilities, its reliability, and it\u2019s cloud-based. Now, the ability to integrate those support software, those apps that you have, it\u2019s very helpful. But moving forward for a practice I think that everyone needs to seriously consider moving away from a client-based server in their office to cloud-based. Specifically Cloud 9 because it\u2019s the only, in my opinion, the only truly cloud-based software out there. Because integration as we move into a more virtual world of treatment, integration will not become, or will not remain optional, it\u2019ll become necessary. So in the coming years, what\u2026 we\u2019re using this as a stop-gap measure, and it\u2019s working really, really well. I think that regulatory and other means, I think that, it\u2019ll be mandatory. So you seriously need to consider to budget into that, that this is where you\u2019re headed. And the one thing you need to do, it\u2019s technology. And it\u2019s not necessarily technology in the clinical area as much as it is technology and how you\u2019re going to manage patients using, you know, this virtual world, this virtual environment. So, all of a sudden we find ourselves at a moment when you need to make those big steps. So, that\u2019s important. For me, that\u2019s the way I see the world.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Great, thank you so much. I really appreciate you taking the time to talk to me today, and thank you for being patient with my, with my little friends here.<\/p>\n\n\n\n<p><strong>MC:<\/strong> Oh no that was, that was a pleasure. Thank you.<\/p>\n\n\n\n<p><strong>BN:<\/strong> Would you be comfortable with us sharing any of your contact information with current customers, if they have\u2026<\/p>\n\n\n\n<p><strong>MC:<\/strong> Anybody. Yea. All of it. I really enjoy working with practices one-on-one, and answering questions that they may have. We specialize in acknowledging a challenge, right? So the office calls, and they might have a, a frustration point. You acknowledge that it\u2019s there, and then we work through it and solve it. And so, the team and I work together to make that happen. So <em>absolutely<\/em>. We would highly encourage phone calls and emails.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Join Dr. Mark Coreil as he talks about the importance of virtual consultation and exam capabilities for every orthodontic practice!<\/p>\n","protected":false},"featured_media":13411,"template":"","categories":[1321,1455],"tags":[],"resource_type":[],"class_list":["post-1499","resources","type-resources","status-publish","has-post-thumbnail","hentry","category-cloud-9","category-orthodontics"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/resources\/1499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/resources"}],"about":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/types\/resources"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media\/13411"}],"wp:attachment":[{"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/media?parent=1499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/categories?post=1499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/tags?post=1499"},{"taxonomy":"resource_type","embeddable":true,"href":"https:\/\/www.planetdds.com\/wp-json\/wp\/v2\/resource_type?post=1499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}