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Practice Management

As a non-physician healthcare professional, is there any issue in using the term “functional medicine” rather than something such as a “functional practice”?

Dr. Amy Nett: No. I mean, I think you’re just asking how you want to refer to your practice, and...

An update on the online dispensary that will carry every supplement using the ADAPT program. Before this dispensary, did your virtual assistant store some inventory of Prescript-Assist MegaSpore? How did your office have some to ship since these aren’t available through Emerson or Natural Partners? How you feel about the Natural Partners online dispensary that patients can order through a practitioner website and P-script is Full Script? There’s now Wellevate, which is Emerson’s version of Full Script. A lot of these now, they’re coming.

Chris Kresser: We’re still moving forward with the supplement store. It’s going a little more slowly than we had hoped....

It’s a practice management question. QuickBooks—why do you have to use their payment processing instead of Stripe on MD HQ. I have a merchant account with a great DL I use in Office, and any distance payments are made through MD HQ. I don’t understand why you’d have to use QuickBooks to process payments when MD HQ creates invoices that patients can pay securely.

Chris Kresser: We have switched over to using MD HQ. The advantage to using QuickBooks was that everything was in...

Do you charge sales tax on supplements? I thought it was required in California at least, but another practitioner told me it isn’t if you’re prescribing the supplements.

Chris Kresser: So it depends on your setup. We don’t stock supplements in the office and so I don’t actually...

When I asked in the Facebook group they answered that the price jumped from $300 to $418 because you’d added a bunch of new markers.

Chris Kresser: Yeah, so that was through the, from the beginning of the year all the way through the end...

I wonder if we can get handouts for child versions of all the treatment protocols.I think the only child protocol we’ve received is the antimicrobial one. I’m after the yeast one right now. But I would like to feel confident being able to help people of all ages with everything. Having been helped immensely by taking Kavinace, I wondered if it could help a child.

Dr. Amy Nett: We don’t have child versions and I think you’re talking about like the HPA axis treatment. Yeah,...

But does CCFM have an interpretation guide for the Case Review documents? How do we apply the metabolic form as well as the other documents to clinical use?

Dr. Amy Nett: So what I do with the Case Review documents is, we don’t really have an interpretation guide...

We’ve run a diagnostics CAR hack on a patient with clinically diagnosed HPD and found a zero minute value of 15 and a blunted peak of only 29 and I’m at 30 minutes. When doing these hack tests, do you observe the value for the waking reading only relative to the reference range or use a functional range or solely observe the percent increase?

Chris Kresser: We only observe the percent increase, that’s how the CAR is measured. Because all of these labs use...

Until ADAPT I’ve always heard it as a two figure number X to Y, but you often say when talking about test results for instance had a ratio of X. I can usually work out what this means maybe given context, but it’s harder. Can you explain how a ratio is something in comparison to something else and how can we know which the two things we’re talking about?

Chris Kresser: Yeah, you divide the numerator by the denominator and you get one number. And then it’s expressed as...

Is there some way to search for MD HQ within a patient’s chart for a specific lab? For example, search bar and typing in a keyword like organics bring up all the general organics tests for patient or provider instead of looking under documents and labs. This feature would expedite reviewing old labs to see patterns over time. Would you be able to request such a feature?

Chris Kresser: That’s a really good idea. I would love to see something like that. I think that would become...

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