SmartCast Ep. 42 with Tianna Tsitsis

Episode 42 November 24, 2023 00:31:54
SmartCast Ep. 42 with Tianna Tsitsis
SmartCast
SmartCast Ep. 42 with Tianna Tsitsis

Nov 24 2023 | 00:31:54

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Show Notes

Lacey engages in a captivating conversation with Dr. T at AMP, exploring her remarkable transition from being a hospitalist to venturing into the world of aesthetics, and the profound impact it has had on her life. Dr. T, an ardent admirer of Agnes and the diverse range of devices offered by AMP, expresses her fondness for the warm and welcoming atmosphere that the company provides to its partners, creating a sense of belonging akin to a close-knit family. Lacey and Dr. T continue their engaging conversation, delving into the dynamic nature of Dr. T's work as she effortlessly floats between three different locations. They discuss the unique challenges and rewards that come with managing multiple practices, highlighting the importance of adaptability and effective time management in ensuring a seamless experience for her patients. Dr. T's dedication and passion for providing exceptional skincare treatments shine through as she shares her commitment to delivering top-notch services across all her locations.

 

https://www.rejuvenationmdmedspa.com/

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Episode Transcript

[00:00:19] Speaker A: Hey, this is Lacey with SmartCast. And I'm joined with my last guest of the day, Dr. T, here at the owner Summit Amp in Phoenix, Arizona. Dr. T, thank you so much for joining me for this podcast after you just got off stage. And we're ready for cocktails, quite honestly. So I'm really excited that you're here. [00:00:34] Speaker B: To talk to us. Well, I do love to talk with a cocktail without a cocktail. Yeah. [00:00:41] Speaker A: So tell me a little bit about your background and what brought you into aesthetic medicine. [00:00:46] Speaker B: Oh, boy. Okay, so you feel free to edit any and all of this. So I am by trade an internal medicine doctor. So my very last rotation of my internal medicine residency was actually dermatology because I thought it would be dumb and I didn't care. And as a matter of fact, I absolutely loved it. So when I got into my own private practice, I had a little dermatology box. I took off like warts and did biopsies and things like that. And then I got an invitation from a company to come see what lasers are all about in the skin. And I knew I loved the skin. Lasers sounded cool. So I went to this seminar that lasted all day, and it was fabulous. I guess it was kind of like this, but this is much better. But anyway, so I went to this seminar, fell in love with lasers, tried to convince my boss to buy me a laser, but it's like asking somebody to buy you a house. He said no. And I just continued on my way. And then as an internal medicine doctor, then I got board certified in hospice. I started working as a hospice doctor, and I was introduced to an emergency room physician at that hospital who owned his own med spa. And I was like, Wait, what do you do? You're not a dermatologist. You're an Er doctor. And you do Botox and fillers and have multiple lasers. That sounds amazing. So I went and spent the day with him. I knew immediately this is where I needed to go. So he told me where he got trained. I went and got trained, and then my husband's like, you've never looked happier ever before with your day. So let's try this. So we opened a small office. It was 1000 town that I was a physician in. I figured all of my patients would know me and all the nurses would come to me. And so I felt very comfortable opening an office. So my husband sat at the front desk. I was in our one room injecting Botox, filler, and we got ourselves a laser, and we just went from there. And at some point he said to me, you have to stop working at the hospital. And I was like, oh, no, I could do everything. So I was working 18 shifts at the hospital, five shifts in our office. And he's like, if you want this to really take off, you're going to need to take a break from that. So I was like, okay, fine, I'll give you one month. One month will take off. And now that one month has turned into ten years. So I never went back after that one month. So pretty soon, my husband realized that I was spending a lot of money buying lasers and Botox and all the fillers and all the things, so he figured he should probably move to the back office and make sure we didn't go into bankruptcy. And then we hired our first employee, who is an esthetician, and she was a well experienced esthetician, so she had been in plastic surgery for about 20 years, so she knew all the things, which was great. So her and I managed the front desk. Then she would do a treatment. I would do a treatment. Then she's like, finally, we need another esthetician, a master, to run the lasers. At least in Washington state, you do. So then we hired our second person. So that first esthetician is now our patient care director and is still with me today. So we have a lot of the same staff that we started with. So it's been fabulous. I love it. And that's the one takeaway. I don't know, maybe we're not at the takeaways, but I just continue to tell people, if you don't love what you do, then don't do it. So if you don't know what botox, fillers, lasers, scarlet, Agnes, if you don't know what those things are, educate yourself. And once you do that, if you love it, do it. If you don't love it, please don't do it. [00:04:07] Speaker A: I could not agree. So what about it made you decide, okay, this is it. I'm going to just do this full time. I'm not going to go back to the hospital. Was it like after that month break that you took? [00:04:20] Speaker B: Basically. I mean, I was having so much fun, and there's a lot to learn in this industry, and if you don't spend the time to learn it, you're not going to be a good injector. You're not going to be a good I don't want to call myself a laser technician, but you're not going to do good treatments, and you're not going to do good by the patient unless you continue to educate yourself, and it's simply you can't do it all. I don't believe I just said that because I can do it all. But you can't really be an internal medicine doctor or hospice doctor and do aesthetics and be good at all three. So aesthetics takes a lot because it's something that your patient's going to look at themselves every day in the mirror, and if you're not good at it and they're upset with you because now they have to live with what you've done, then that's not fair to them. So I just came home happier. No patients are yelling at me in the hospital, everybody wants to come into the office even though sometimes the procedures are uncomfortable and they were just always happy when they left. And I loved having extra time with people to talk about things, to get to know them. I mean, I have got so many relationships that have started because basically patient comes in because she has something that makes her feel like she is terrible, no confidence. And you give them back that little bit of confidence and they are going to be your best friend for life. And in fact, one of my patients who just had, I mean, she had a simple line in her face and I got rid of that line, essentially. And now she walks around and she comes in every two months just because she wants to see me. I went to her wedding, I know her kid. I'm like the whole thing. So it's building relationships and helping people be happy together with may not be. [00:06:06] Speaker A: Saving lives, but we're changing lives for sure. [00:06:08] Speaker B: Absolutely. Yeah. I mean, they say that Botox helps depression. So if depression could lead to suicide, then you could be saving lives in that way. We may be. [00:06:17] Speaker A: So it's definitely very fun to be able to change into a scope of work that you get to do it and the people are there because they want to be, not because they have to be. And that really changes your mindset too, because you get to go home and say, I really made a difference in their life. I've changed their outlook on their self, and you've built their confidence, and you've just really helped them be able to do things that maybe they didn't even. [00:06:42] Speaker B: Think that they could do just because. [00:06:43] Speaker A: They'Re more confident and their self esteem has raised so much. [00:06:47] Speaker B: Oh, absolutely. And I have got four kids and three of them had acne and I got them to do treatments with me and now none of them have acne and no acne scars. And as a teenager with acne, it's awful, but you help their acne and now they're out there, they're doing things, they're feeling good about themselves. And of course we treat more people than just my kids, but I can even see it on that little level. And then think about somebody that had something amiss that they've looked at for their entire life and you just help with that. You can make people cry, you can make big changes. [00:07:22] Speaker A: Yeah, acne especially is very emotional. Hair loss is very emotional. [00:07:26] Speaker B: Absolutely. Sexual wellness. We do a lot of sexual wellness. In fact have a 22 year old man that's coming to us for help with. And I'm like, you have a long life ahead of you, let's help this situation because that will impact your relationships in the future. So yeah, it goes beyond just how you look, but it's how you feel and how you interact with other people all of that. [00:07:48] Speaker A: So you now have three practices? [00:07:51] Speaker B: We do. We have three locations, and so we decided to be consistent with our towns. So we are Burlington Bellingham and bothel Washington. We're keeping it in the bees. Yeah, it's very confusing, actually, because people don't know where they're going. [00:08:07] Speaker A: Do you go to each of those locations? [00:08:10] Speaker B: Okay, I do. As we have grown, we have started setting up separate staff at each location now, so maybe me and maybe one other person might go between practices. But we've realized that patients like to see the same people, and they like to have access to the same people whenever they want access to you. So if that person is going to a different location, it's a little bit harder to get in touch with them and to see them in case they needed to come back in. So I like the keeping the staff separate, but people know me, so I go everywhere, and plus, I'm very social, so I need to see them all. [00:08:47] Speaker A: So how many providers do you have at each of those locations? [00:08:50] Speaker B: Gosh, we will always have two injectors on site and two estheticians on site. We have a manager, an assistant manager on site at each location, and two receptionists I don't want to say that patient care coordinators, people at the front desk. So at each location there's that number of people. I think that might be six, seven, I don't know. Yeah, so that's how we do it. [00:09:17] Speaker A: How did you decide where you were going to put these locations, besides the fact that they all started with B? [00:09:23] Speaker B: Well, we started in Burlington because I had a practice there. So again, as an internal medicine doctor for 15 years, I just assumed that all of my patients that I'd been taken care of would come to me, and so it gave me confidence to open there. And then it was only ten minutes away from my house. Then we got approached by it was a hair salon up in Bellingham, which is 30 minutes north of us. And we weren't planning on expanding, but they wanted me to come in and do Botox for them. And we started going down that route of do. We rent a room from them, and then all the legal issues of being I don't know what you would call us in their location, and with malpractice insurance, et cetera, et cetera, we're like, oh, I don't know if that's right. But then we started looking around the area and we're like, wait a minute, there's not any real quality med spa in this area. So that's how we decided to go to Bellingham. And then we just kind of looked around a little bit farther south, because people come up from the south, and we weren't reaching quite as far as Seattle. People will come about 30 minutes, so they'll drive 30 minutes to location. So we specifically picked bothel because it's about an hour away, 45 minutes to an hour away, and people in bothel aren't going to come all the way up to Burlington. So we put it there for radius of the population. Plus there's a whole lot of population in bothel in that surrounding area. And they really didn't have any med spas. We do our research where we established them. Right. [00:10:47] Speaker A: So it needed to be far enough away that you could capture a new clientele, but close enough that you could go service all three locations. [00:10:54] Speaker B: Yes, for me, yeah, but I probably won't do that for much longer. The people in Baffle don't know me as well as Burlington and Bellingham. And again, I mean, I think I'd like them to have the relationships with the other injectors too. And then when we expand farther, I'm not going to be going to wherever else we go to next. [00:11:11] Speaker A: So do you have each of the amp devices at all three of those locations? [00:11:15] Speaker B: We do. We have an Agnes and a Scarlet at each location. And we have an Aqua firm just at one location. But the other two locations really like the aqua firm. So we'll probably be getting that pretty soon. But for me, for medical aesthetics, I really think that by the time a patient gets to me, they're usually wanting more than a facial. They want laser treatments, they want things like Agnes and Scarlet, something that's going to make a deeper impact. And aquiferm is great, and it can drive and derive to help with hair. You know, it is still a facial. So I think that maybe if I was to get another treatment, I would probably just buy another Scarlet with those, those Scarlets and Agnes's. Agni. Scarlets and Agni, they're busy all the like it's hard for me if a friend calls and need, I need an emergency scarlet. I'm like, I don't know if I can do that. It's probably going to be about a month to six weeks because they are booked out. So people love that treatment. I don't think they love actually getting it because it can be spicy. However, we recently got some new numbing cream and people are flying through it now. So it's a great treatment with no downtime and I love it. [00:12:31] Speaker A: So what are you having them do while they're numbing? And are they numbing for like 45 minutes? [00:12:35] Speaker B: Yes. Okay. Yes, they're numbing for 45 minutes to an hour and then using pronox. A lot of times I love the pronouns. I wish the patients would share it with me more, but they don't. But I know some for you, some for me. [00:12:47] Speaker A: There's enough to go around here. [00:12:48] Speaker B: There is enough to go around. Never give me their hose. Probably better, but anyway, the company that we were getting our numbing cream through, there's been a shortage of it. And so we're like, okay, we found another company that will make it for us. And it's actually better and I don't know if it's the base or what it is, but it is working so great and it's still a 23% lidocaine, 7% tetracaine, but it's just something that the way that they're mixing. It fantastic. Patients love it. [00:13:17] Speaker A: I'll have to get you to share. [00:13:18] Speaker B: That information with me. I absolutely. [00:13:20] Speaker A: We're always on the hunt for an even better compounded. We've been through so many different ones, and something will work for a while, and then all of a sudden you feel like it's really not working as well as it did before. And I don't know if that's just the way that they do the batches. [00:13:35] Speaker B: Or what, but probably yeah. And you know what? I think that the companies change their base and they don't tell you. Yeah. So they go, oh, yeah, sure, we're sending you Lt. And you're like, Wait, this isn't the same. [00:13:47] Speaker A: Get some that feels really creamy, and then some will be like, kind of grainy gritty and some will numb really quick and then wear off. And you're like, what is going on here happening? [00:13:55] Speaker B: Yeah. So if you can have a contact at that location that you can talk to, and if that does start to wear off, call them like, hey, man, what's happening? No, I do what did you do? [00:14:06] Speaker A: What's going on? What are you doing? What did you change? [00:14:08] Speaker B: Yeah, but if you can't numb somebody, they're not going to come back. And then that's sad because you want them to come back and you want them to get all the results they can. We normally will do five to six. Scarlets in a package. I know a lot of people just do three. We do do three, too, but we don't promote three, we promote six. So people can usually grit their teeth through one or two, but you're telling them to come back for six if you don't numb them. Well, they really don't want to come back and see you. Yeah. I mean, they'll come to see me because I'm nice and funny, which is. [00:14:41] Speaker A: Not always the case with doctors. [00:14:43] Speaker B: Yeah. I don't know. And it's not always the case with doctors. I know. [00:14:47] Speaker A: Usually we're having to coach doctors into, like, you have to have a personality. I'm going to need you to be. [00:14:53] Speaker B: A little bit more bubbly. Yeah, I'm pretty bubbly. Sometimes I'll sing to my patients and I always go la la when I am injecting them. Or distract them. Yeah, as a distractor. Or sometimes we'll turn up the music in the room. It's just kind of fun. We'll shake our booties a little bit. Yeah. [00:15:09] Speaker A: So you started in injectables and you added in the amp devices. Do you have devices from other manufacturers as well? [00:15:15] Speaker B: We do. So we have, obviously all the allergan stuff. So we have cool sculpting, cool tone, and then we have what else? We have cyton, so we're a big family, so and then we have rejuven that's our microneedling device. We use pure spin as our centrifuge. However, I'm probably going to be changing over to Solenis now because of the results that I have seen. [00:15:38] Speaker A: We're really happy with ours. [00:15:39] Speaker B: Yeah, that's what it sounds like. It just looks great. And the studies that I've seen and the improvements that you can get with Selenis versus the other PRP machines, pretty amazing. So those are basically the machines I'm trying to think of. I'm going through each of the rooms in my head. And then we have a hydrofacial. We have an oxygen facial. Again, the facials are not up. They're not my gig. I mean, people like them. When you're young and you're 20 and you want to look great for whatever football game you're going out to tomorrow, fine. But if you're in your 40s, which most of our patients are 40 and above, they want some real changes. And the real changes are going to come with doing laser treatments, scarlet, agnes, those deeper treatments. Yeah. [00:16:20] Speaker A: So are you doing an Aquiferman between your scarlets? [00:16:25] Speaker B: Are we doing an Aquifer in between our scarlets? Well, we're not no. That's a great idea. I like it. [00:16:34] Speaker A: Our patients like for us to do things like that because it just kind of like takes off that last little bit of dead skin and it adds some moisture back into the skin, plumps it and volumizes it back up. And so it's just kind of like that extra added value of I think that's a great idea. In between, be a little bit more bearable. [00:16:50] Speaker B: Yes, I think that's a great idea. I also think it's a great idea to add it at the end of a series so that way you can get a patient to come in and get those after pictures because those are the hardest things. So I think if you can woo them with, hey, we'll do a free facial. If you come in after your one month, after your fifth or 6th scarlet, that's great. Estheticians are really busy. I think it'd be hard to squeeze in facials after each one, but that's a great idea. I like it. And then to have the patients bring in their products that they're using at home, I started doing that with them too, because everybody's using 3000 products and I never know what they're using at home. And they go, oh yeah, I'm using. [00:17:27] Speaker A: Too, especially after a scarlet or something like that. And you're like, don't put that on. [00:17:31] Speaker B: Yeah, right. You don't know. So what I have started to do is have them after they do their consultation, then they'll come back for their next appointment or their first scarlet, perhaps. And I say, bring in all your skincare products that you use on your face. And I'll give them a half an hour with the esthetician because I don't want to go through all that because they're much better at looking at all the ingredients than I am. And that helps product sales, and it helps your treatments work better. And I used the analogy earlier today that I can be your trainer and you can come to me. Like, if you were going to the gym, you go to your trainer once a month, right? But you still have to do stuff every day. You still have to go to the gym every day. So do your skincare products at home. And then when you're done with your trainer, though, you want to do kind of a tune up or hey, remember this about three or four times a year. So you don't want your treatments to fall off just after you've done your five or six scarlets because you just invested a lot of money and you look fabulous. You want to keep it going. So, again, making sure they have a great at home regimen and then making sure they continue with their I don't want to call it maintenance. We like to call it enhancement procedure afterwards to keep things going. Yeah. [00:18:41] Speaker A: So do you have a favorite skincare line that you're having them use as their maintenance in between? [00:18:46] Speaker B: Well, we have three different skincare lines. It really depends on the person. If they've never used anything before and they're nervous about it, I typically will give them samples of Epiance, because Epiance is a fantastic product line. It's 90% botanical, 70% organic. Our rep is the developer sister, so we know everything about dr. Thornfeld is a great company. Plus they give samples, so that's really nice to get people dipping their toe into this world because they're always afraid. I don't want to buy a $250 cream when I might break out to it. Now, if they've been using something already and they're used to a regimen, my go to is usually zeo by Dr. Obaji. Not Obaji by newderm, but z o for Zen. Obaji. So that's what I use. I use actually a combination of Zeo and Epianz, and then I throw some is clinical in there too. I really couldn't understand when I first started how the companies would say, oh, you can only buy or maybe you just buy one or two products from this line and one or two products from that line. I'm like, oh, my God, that's so confusing. But now, once I'm in it, I'm like, oh, you're right. I do like that sunscreen better, and I like that active serum, and I like that daily power defense. But for me, because when I first started, I interviewed, I only knew Obaji's name. And so I called Zio, and they sent the rep over to my house. She just had had twins, so we had a lot to talk about. And she was like, what are you using on your skin? And I said, Well, I'm using Clinique, a bar of soap from Clinique and Clearsil. And she was like, great. So here's some zeo. I want you to try this. [00:20:19] Speaker A: Like, I'm about to change your life. [00:20:21] Speaker B: Yes, exactly. And so she gave me just two things, and I'm like, okay, I think I can do it because I'm already doing two things. So I started with those two things from Zeo, and it was life changing. And then she was like, after a couple months, she was like, okay, I want you to introduce this. And so after I introduced something called the Daily Power Defense, patients that I had coming back to see me for whatever treatments they were doing with me over and over, they're all like, wait a minute, you look amazing. What are you doing? I'm like, Well, I'm not doing any procedures on myself because I don't have a partner. It's just this daily power defense. I never sold more of that product that I did after I started using it. [00:20:56] Speaker A: I think I have some of that under my counter that one of the reps brought me. [00:20:59] Speaker B: So now I feel like I need. [00:21:01] Speaker A: To go home and use it or. [00:21:02] Speaker B: Send it to me. I'll take it. I love daily power defense. So I use EO. One of our offices really is into Is. You know, there are so many different product lines out there. It's just getting the word out that using medical grade skincare products is super important. The FDA actually does check what the company says. And so what's on the label is in the bottle. And what's in the bottle is getting into your skin. What's getting into your skin is doing what it says it's going to do. The FDA watches that for the medical grade skincare products. They do a little bit for the over the counter, but not really. So I try to explain to patients, like, you want to make sure that what you're putting on your skin is not just evaporating because that's what I hear a lot. Like, I don't know if it's helping. Well, I don't know if it's helping. It could just be evaporating. And so you might go get an eye cream that costs you $50. I don't know what eye cream costs. $50 at Walmart or Target or whatever. Yeah, at those places. But you don't know if that $50 is getting into your skin and making any changes. Right. [00:22:02] Speaker A: And also purchasing it from an authorized retailer because there's so many fake products being sold on Amazon. [00:22:08] Speaker B: Oh my gosh. [00:22:09] Speaker A: And they'll be selling saying that it's skin better or skin suitables or whatever. And it's like Jurgens. [00:22:16] Speaker B: Yeah, exactly. I can't believe how many people they. [00:22:19] Speaker A: Could just repackage that stuff or it's expired or whatever. So it's definitely important to make sure that you're purchasing from an authorized retailer. [00:22:26] Speaker B: Authorized. Very important. Zeo has an entire group in their company that has shut down, not I. [00:22:34] Speaker A: Know a lot of them are really making it a priority to find those people and to shut them down, too, for nothing other than just patient safety. And it makes their brand. It makes their company look bad. If they have an adverse reaction, somebody's face just like blisters up and falls off because they've purchased some over the black market product that's not even legitimate. [00:22:57] Speaker B: That's really true. So, yeah, you don't realize it. I mean, even me, I'm terrible at that. And I'll buy stuff from Amazon and I think it's like a Nike short and it's not Nike shorts or something else like Darn, it fold again. [00:23:12] Speaker A: So when a patient comes in and they're asking for your advice on skincare products and some of these lines have skin better, has their same version as Elastin's, same version as Hydranity, same version of ZEO's, same version. How do you choose which one of those is the best fit for your practice and for your patients? [00:23:34] Speaker B: Well, again, if they are totally treatment naive and they do or skincare product naive, then I will probably start them with some samples of Epians. If they've been using retinols and retinase, then I'll choose between is clinical and Zeo. Since I'm super comfortable with Zeo since I've been using it since day one, I typically will have them purchase this antiaging kit that's got five different products in it and it lasts like three to four months usually. I don't know, it's like 200, $250 or something like that. And there's five products in there. So it's kind of a tester, but it lasts you three to four to five months. And so you can really tell if it has made improvements. Testers from fiance that last you a week, I don't know. You won't see improvement, but the Z one you will. So I will typically put them on like a kit so that way they can try some of it. It's really just how comfortable I am with the product and looking at them and knowing how comfortable they are just applying things. Because if I know they're only going to do two products because they're a guy or that might sway me into which product line to use and see if I can just get them to do it, yeah. [00:24:42] Speaker A: And so I have one last question for you and then I'll let you go get ready for our ball. I think we're having an award ceremony tonight. So you started out in injectables and then you brought on device treatments. What led you to purchase the devices that you have and why? [00:25:00] Speaker B: So it was really the reps and my research. So when we started, there was a great paper that came out that actually listed laser companies and their lasers. And it just came out and I was like, oh, okay, well, I guess I'm going to call the top two. And I did, and I called the top two and one of them called me back. He came to my house on the coldest day of the year and demoed for me because I didn't have an office at that point. And at that. Point, I was like, wow, okay, this rep is amazing. And he is amazing. So it was the customer service that I got, really, which led us to our first device. When we got approached for Scarlett and Agnes, it was the rep just he's great. And he came in trying to see know like they do, and they just walk in the door, and the girls at the front desk are like, you're not going to see her unless you bring her Diet Coke or bring her chocolate. So he shows up with coffee, and they're like, no, that's not going to do it. [00:26:00] Speaker A: We gave you very specific instructions. [00:26:02] Speaker B: Yeah, then he brought me a mocha coffee. And again, I don't like coffee. Anyway. So the number one reason why doctors do things is because of food. Yes. And so we get a drug rep that brings you lunch, you're in. So this particular rep kept coming back. Kept coming back. And finally I was like, okay, he finally brought me chocolate, maybe a Diet Coke with that. And then he brought the device in, and so we demoed it. And we were still unsure with Scarlett and Agnes. And so we said, hey, we want to demo it again. And he was like, okay. So he brought it again. He brought that device in three times, both the devices, three times. And reps and companies won't do that. So I was like, this is really something special. And then I tried. We demoed, I think, no less than 20 devices, microneedling radio frequency devices, we. [00:26:52] Speaker A: Were saying, with microneedling radio frequency. That is by far the most treatment demos that we have done in any device before we brought one on. [00:27:00] Speaker B: Exactly. Yeah. So we demoed them. They kept coming back and let us demo them again and followed the patients. And hands down, the patients liked the Scarlet the best and Agnes the best out of all the other ones. And because he came back so much, we could see improvements. And you could see improvements even with one treatment. And if you could see improvements with one treatment, we love that. So we're like, yeah, we're sold. [00:27:23] Speaker A: We'll buy that. Having a great device rep is by far one of the most important parts in business with devices, specifically. [00:27:31] Speaker B: And they still call me. I mean, they're just check in, and if I ever have a question or there's any issue, I email or call, they are on it. So Amp is great in that way. I really like the fact that they won't leave me hanging. [00:27:43] Speaker A: Yeah, they've definitely been great partners for us. And we've known Dave Caraway for years and years and years, and he was actually a friend of my mom's when she first got into the business. So he's the reason that we joined Amp is he came in and demoed or had the Scarlet demoed for us. [00:27:59] Speaker B: Oh, that's fantastic. My Dave I'm talking about is Dave Tupiak. Yeah, and he's up in Canada now, but a big shout out to my Dave. Your Dave? [00:28:08] Speaker A: Yeah, there's enough Dave's to go around. [00:28:10] Speaker B: Here, but it's great. I think that I don't know, the relationship is really important, but also being able to see results. So I don't want to try to sell something to somebody when I don't believe in it. And if I don't see results, I'm not going to, and I'm not going to be able to sell it. Like, hey, yeah, you try it. I think it'll be okay. No, I mean, you really want to believe in it, and I do. We've demoed things on ourselves, and we're able to follow our staff. The staff would be the demo people, or sometimes we bring patients in. But it's nice when you can demo on the staff because then you can go, okay, what's your day one look like? Day two, day three, day four, et. [00:28:43] Speaker A: Cetera, and use their before and after photos. [00:28:45] Speaker B: And use their before and after photos. So it's been really nice, hands down. All my staff loved Scarlett and Agnes the best, too. So we've all done numerous of these on ourselves, and we will continue to do so. [00:28:56] Speaker A: But that's good, though, because then they're really excited to talk about it to patients, and your patients can sense that, and so it gets them really excited about it, too. We have, I think, over 25 different treatment modalities, and we don't have any of them that just sit in a closet all day long. We use all of them. [00:29:11] Speaker B: That's what I said. They asked up at the podium, what was your worst purchase? And I am like, I can't tell you my worst purchase because all of our purchases, none of them are in the closet. They're all out on the floor. And I think it makes a big. [00:29:24] Speaker A: Difference because we do test it on ourselves first. [00:29:26] Speaker B: Yeah, we test on ourselves. We make sure that you get results. Patient outcomes are, of course, the top and then the relationship and the support and safety and efficacy, of course. But we don't have a bad treatment that we offer. And again, none of them are sitting in the corner because we did our research. [00:29:45] Speaker A: Yeah, well, you have to, because like your first boss said, it is the price of a house. You have to make sure you're going. [00:29:54] Speaker B: To get great results because you have to pay it off. You have to pay it off, and you have to see that patient again. Yeah. So a lot of patients, like I said, some of them are my friends now, and I don't want them to be like, hey, girl, I don't look good, because you did blah, blah, blah, and you want to treat I treat all my patients like my family, and then I treat my family like my patients. Whenever my family comes town, I'm like, you get under that laser, you're getting a scarlet yeah. My poor sister, she came into town for high school graduation, and I whisked her away and did scarlet on her, and I'm like, I know you're probably going to swell. She doesn't do any treatments because she doesn't live here. And she did great. And she finished her treatment around 01:00 p.m.. And we went to the high school graduation about 06:00 p.m.. She looked fantastic. Good. Yeah. And that was Scarlett. Yeah. And she put up with it. [00:30:45] Speaker A: We love Scarlett so much. Our patients love it, too. They don't always love the pain. But I'm looking forward to getting your contact for your oh, sure. [00:30:53] Speaker B: For that. I actually have a picture of it on my phone. Oh, good. [00:30:57] Speaker A: Well, thank you so much for joining us today. And are you speaking tomorrow as well? [00:31:02] Speaker B: I get to moderate, evidently. Yeah. Wonderful. I mean, I don't know. I think I'm moderating a panel, so we'll see. That's how that goes. I can ask all the hard hitting questions that everybody wants to know. Yeah. [00:31:12] Speaker A: And then, I mean, if you're moderating, you get to jump in at any point. [00:31:15] Speaker B: I totally can do that. Yeah. Because I do like to talk you're. [00:31:18] Speaker A: Like, actually, I'll take this. [00:31:19] Speaker B: Yeah. I'm going to ask you a question. But wait. Yeah, no, it's going to be fun. Well, good. [00:31:24] Speaker A: Well, I'm looking forward to listening to you moderate the panel. [00:31:27] Speaker B: Oh, thank you. [00:31:27] Speaker A: But thank you again for joining us, and we'll see you tomorrow. [00:31:30] Speaker B: That sounds great. All right. Thanks for having me. [00:31:32] Speaker A: Thank you for joining us on today's episode of SmartCast in our weekend in Arizona with our partners at Amp.

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