No. 004 · Sunday
THE MEMO
Every week, I try to record one video for YouTube. That is the only part of the content machine that has to come from me.
I used to think every platform needed its own recording. One for YouTube, another for Instagram, another short clip for Facebook. It sounds manageable until you are also seeing patients and running several businesses. Then content becomes another job waiting for you.
So I changed the handoff.
I record one long-form video. An editor cleans it up once. Before anyone adds dynamic text or burned-in captions, that clean file goes into OpusClip.
The software finds the short moments inside the full recording and turns them into vertical clips with captions. My team reviews them, picks the strongest ones, and publishes them to YouTube Shorts, Instagram Reels, and Facebook.
My job ends after the original recording. I do not sit down again to recreate the same idea three different ways.
What it cost. It still takes discipline to record every week, and somebody still has to edit and review the clips. The software does not know my voice well enough to make every decision. My team still has to decide what is worth publishing.
What it returned. Consistency. One recording gives my team enough material to keep the practice and my businesses visible all week. We are no longer starting from an empty page every time a platform needs something.
More eyeballs do not automatically mean more patients. But if nobody sees you, they cannot choose you.
I am still working toward recording a full month in one sitting. That is not my reality yet. For now, one video a week is a system I can actually keep.
TJ
THE SIGNAL
Three things worth your attention this week.
In a randomized trial of 249 physicians, access to GPT-4o improved clinical performance by 7.2 to 18 percentage points across three countries. The npj Digital Medicine study was published September 9. It tested controlled cases rather than real clinical practice, and the researchers did not measure harms.
Only 7% of medical groups say prior-authorization turnaround got faster in 2026, while 44% say it got slower. That’s MGMA’s September poll of 178 practice leaders. The federal clock changed, but most practices have not felt the work move any faster.
Patient writing style accounted for roughly 35% to 61% of disparities in who received a reply to a portal message. A JAMA Network Open study covered more than 3.6 million message threads. Black patients were less likely than White patients to receive a reply from the intended clinician, about 28% versus 32%.
WHERE I’LL BE
MIS Intensive Private Cadaver Lab
September 25-26, 2026 · Glenview, IL · CME Dynamics HQ
misintensivelab.com
Private Practice Profits Workshop, In Person
October 23-24, 2026 · Glenview, IL
privatepracticeaiworkshop.com
