Dec. 18, 2025

152: Tech Tools 1: VetRec. With Kevin Cohen

152: Tech Tools 1: VetRec. With Kevin Cohen
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Season 1

Welcome to episode one of our new Tech Tools series, where we cut through the noise to bring you real insights into the latest veterinary tech that could genuinely make your day‑to‑day vet life easier.

In part one VetRec founder Kevin Cohen helps me put this AI scribe through its paces to show us why veterinary AI software is rapidly moving WAY beyond just note taking. 

 

Highlights :

  • What an AI scribe really is and how it saves vets hours of documentation time
  • Beyond scribing - new tools to speed up your workflow with increased reliability and context
  • VetRec’s clinical support tool:  D.A.V.I.D. (Diagnostics Assistance for Veterinary Insights and Differentials)
  • Team workflows — how receptionists, nurses and vets can collaborate in the same platform

 

This one involves a bit of screen sharing, so if you want to follow along - watch the video for this on Spotify.

Note:  This episode isn’t a promotion or an ad — it’s the first of many deep dives into the tools you might be considering. If you have a software that you’d like us to explore, let me know at info@thevetvault.com

 

Check out our Advanced Surgery Podcast at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠cutabove.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, or go all in on surgery with our collaboration with Sydney University's ⁠CVE Surgery Course. ⁠

Find out how we can help you build you in your vet career at ⁠⁠⁠thevetvault.com⁠⁠⁠.

Get case support from our team of specialists in our ⁠⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space⁠⁠⁠⁠⁠⁠⁠⁠⁠.

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Join us in person for our epic adventure CE events at ⁠⁠⁠⁠⁠⁠⁠Vets On Tour⁠⁠⁠⁠⁠⁠⁠. (Next up: Japan snow conference!) 

 

Topics and Time stamps

 

  • 04:05 – New Features 2025
  • 05:19 – Add to Visit
  • 07:46 – DictationFeatures
  • 08:35 – A Cut Above Promo
  • 10:08 – Snippets
  • 12:15 – Insights & Recommendations
  • 13:59 – Integrations
  • 16:06 – EzyVet Chrome Extension
  • 17:05 – Custom Templates
  • 17:58 – Phone Call Recording
  • 21:38 – Multi-Pet Support
  • 22:33 – Client Handouts
  • 24:07 – Analysis Features
  • 28:38 – David AI Assistant
  • 38:03 – Records Recap
  • 41:09 – Team Access
  • 42:29 – Best Recording Practices

 

Unveiling the New Vet Vault Tech Series
Quick bit of background about something new that we're trying here on the Vet Vault.
Anyone who listens to this podcast will know by now that I've become a bit of an AI enthusiast.
I'm very curious about how it can make my life as a vet and yours easier, better.
That is after all, why we started this podcast.
But all of this can be overwhelming with a bunch of new AI based tech products rushing our way, each of them promising to provide us with just the solution we've been looking for.
And sometimes too many options can be paralyzing.
If there are too many choices, then the easiest option can be to do nothing.
But now is not the time to do nothing.
I'm Yuva Temstra and you are listening to the Vet Vault Tech series, where we find the newest and shiniest tech tools for veterinarians and take the protest drive so that you don't have to.
So here's what we're doing.
I will go sniff out interesting new solutions, experiment with them, and if I think they have potential to be useful to you, I'll get someone from that company on the podcast and get a bit of a product run through.
I'll ask questions as I do, The goal being to create a series of episodes that could serve as a reference for you when you need to make decisions about how AI fits into your day-to-day vet life.
I hope you find it useful.
Let me know if you do.
And by all means, if you come across a product that you think looks cool and you'd like us to do a deep dive into it for you, let us know at info@leaveitfelt.com.
Note that there's going to be some video involved in this we will screen share usually with our guests.
So if you can listen to this or slash watch it on Spotify where there's going to be a video so you can keep up with what we are doing, but the bulk of the information will still be completely clear by just listening.
Oh, and just to be clear, in the Stick series, we are not promoting any of these products.
These are not paid sponsorship slots or ads.
Every man and his AI is already sending me emails saying can we be on the podcast?
Because they know the caliber of person who listens to the Red Vault and they want to get into your ears.
But I have a rule that I'll only do paid promotions for things that I personally use on an ongoing basis and love.
And I do not have time to use all of the things that I plan to review.
My goal is purely to help you answer some questions about these products to help you make decisions about what fits with your needs.
At some point in the future, we might find a way to monetize this.
But this episode is not an ad or an endorsement, just a deep dive.
OK, let's get into it.
Speaker 2
I almost called you Doctor Kevin Cohen.
I'm so used to talking to doctors, I started most conversations with Doctor Kevin.
Speaker 3
Definitely not a doctor.
Definitely.
Speaker 2
We've been talking a lot on the vet fault about AI in broad terms and principles, and I'm really interested in how good it is and how can we use it.
But now I want to make a guide for people.
I was like a done a review of whether it's good or bad, but how do we use these tools?
And I want to get granular with specific tools and the most common ones out there.
And I've been playing with Vetrix.
So let's dig into Vetrix.
So it's an AI scribe, which we just sent off air that you and me both assume that everybody knows what an AI scribe is.
For anybody who doesn't know what an AI scribe is, you record your consults and other stuff, and it turns all of that into a lovely summarized clinical note so you don't have to sit in type records until late at night.
But Vetrix become more than that.
That was sort of the first thing when AI become a thing of vet science.
We jumped on that bandwidth like, oh shit, there's this thing that's going to save us so much time.
And for anybody who's not using an AI scribe, I'm not plugging Vetrix specifically.
You're an idiot.
You describe, you're saving yourself a lot of time.
I don't know, I hate writing notes.
Maybe I'm extreme in my opinions on it, but I've it's made me much happier as a vet to have AI make my notes for me.
But do you guys have become quite a bit more than just describe?
And I want to go through a couple of things.
We'll start, let's start with that 2025.
Streamlining Notes with VetRec's Core Scribe Features
What are the cool new things that Vetrick has that we might not know about?
Speaker 3
Yeah, I know.
So great.
So I think, and this is something that we initially said from the very beginning, which is we want to start with an AI scribe because like you said, it's the ability for you to record the conversation and generate this beautiful consultation medical record.
We we realized that from the very beginning, the scribe was just the start.
It was just like the wedge for us to provide even more help to that veterinary professional or to even maybe the clinic as a whole.
And so I'm going to demonstrate you some of the things that we've added over the past couple months that now transcend towards that scribe piece and into more of this advanced AI, if you will, to be able to help with insights, recommendation, reminders, and all of these things that are, again, fundamentally different from just generating a medical record and helping at different stages of the work.
Speaker 2
Before we move to new things, can I quickly just ask you undescribed functionality?
One thing I always want, I want to know is if I start a visit.
So I've got Poppy on the screen here and I then go.
So let's say I do a concert with Poppy and I admit her because I want to do a couple of things.
And now I go see my next three consults and then I come back and do Poppy's ultrasound and bloods and stuff.
Can I just open Poppy again and keep recording and it will update my notes for me?
Speaker 3
Yeah.
So one of the things that we have, if you see right there, there's a button that says add to visit.
And so this was like a very common request long time back where people wanted to add more information to that original consultation that they recorded, either by having a separate procedure like an ultrasound or a phone call conversation, or even maybe adding more to the original medical record just from like a planned perspective.
And so the ability to continue to improve and add and contextualize more information to that original case is very easy to do with Patrick and allows you to have a more complete, like history and record keeping of everything that you actually did for that picture.
So yeah, just like glad you can do it.
Speaker 2
I said add to visitor if I say add to SOAP, yeah, with physical, yeah.
Speaker 3
Uh huh.
If you click there, so the two drop down that you saw there were the different notes that you've already created.
So the one that you selected was your main notes that you have.
So if you click, for example, on the notes tab, you'll actually be able to see all the different notes that you've created for Poppy.
I'd like the top tab that you have there.
And then if you Click to the existing one, it basically will add more information to our original medical record.
If you wanted what, for example, a completely new medical record, for example an abdominal ultrasound report, Yep, then you would go and you would add a new note, OK.
And so now for puppy, you would have multiple notes depending on again the different case issue that you were wanting to record at that given point.
Speaker 2
I like the idea of the multiple notes within.
So if I go to my old visits, I've only got puppy here but I would see a list of all my patients down here and if I click into puppy exactly I will get old.
I'll see my ultrasound report.
My yeah, exactly.
Speaker 3
Exactly.
So, so if you click on notes right there at the top of the screen, it says notes in the tab.
Like like at the very top in in the main.
Yeah, you'll see there like the different notes that you have.
So here you have your regular SOAP notes with physical exam that you can modify, you can edit, you can improve.
And then you see that there's a button there that says new note.
So assuming that you would have more notes there, all of them would actually show there.
So once you click on Poppy, it would actually show all the different various notes that you have there if you were to have recorded multiple so.
Speaker 2
That's very cool.
I will also highlight when I was playing yesterday, I did see your dictation functionality where you can actually.
So did I understand that correctly?
So I can now then go into this note, click, it says yeah, additional notes not mentioned.
I could click there all right, and then start dictation.
And that's really cool because it does the the one that I use have to go in and and edit it manually.
I'm like, I don't feel like typing anymore.
I don't type anymore.
I Yeah.
Speaker 3
Yeah, you don't type anymore, right?
Yeah, that's all.
That's what we heard.
It's like, it's actually super cool what you're saying because, you know, two years ago you would ask them between Narnia, then you would explain this and they would be like, mind blown, right?
But now you're talking to over 3 Narnia.
Then you show them an initial product version and they're like, what else can you do?
Can you do this?
Can you do this?
Can you do that?
And so now they're expecting a lot more.
Like you're saying, like now I'm not typing, you know, like you wouldn't have said that two years ago.
You would have still typed.
But like, stuff is changing so fast that now like people are saying like, I don't want to type.
So like you better create more features for me to not have to type ever again.
Speaker 2
That's cool.
Exploring VetRec's Smart Integrations and Workflow Tools
Quick break to.
Speaker 1
Tell you about something exciting for the Red Vault.
I am obsessed with using AI to help me make better clinical decisions.
But something that I'm learning more and more is that the smarter you get, the smarter AI gets.
So we'll keep making our clinical continuing education podcasts so that you can learn and grow without having to commit hours and hours of your precious free time.
But sometimes you do really want to level up with structured education and maybe even another qualification like memberships or even specializing, which is where our advanced surgery podcast A Cut Above fits in.
Made for surgeons who want to really level up their surgical theory and sit at the level of the Australian New Zealand College of Veterinary Surgeons surgery membership exams.
But also great for interns, residents and anyone feeling imposter ish with their surgery knowledge and big announcement.
Cut Above has partnered with Sydney University's CVE surgery course.
Everyone who signs up for their full Bells and Whistles course will get, as of early 2026, complementary access to A Cut Above.
We are working in the relevant episodes into their core structure to complement whatever topic you're covering in the course, to provide additional study material, broader in depth explanations of tricky concepts, and just a way to get all of that information into your head without having to sit on your ass at a desk all day.
E-mail us at info@thevetvault.com for more or click the Surgery.
Speaker 2
Link that I've put for you in the show description.
What's this Insert snippet button?
Speaker 3
Yeah.
So that is another of the big features that we released recently.
So one of the things that people told us is that they want to create a medical record, they want to create a discharge null, for example, but they want to keep a specific set of predefined text that they always use, for example, for a particular case.
So let's say that they saw a case for a dog that had cancer.
And so there's a common BLOB of text that you always use for a specific type of cancer that you literally just want to copy paste the monitoring or the definition of that cancer.
And so you don't want to like copy paste every single time that.
And So what you do with that trick is you basically tell that trick, by the way, here all these snippets that I have for an acute diarrhea case, for a cancer, for a lymphoma, for whatever, like the common things that you like want to have on every single time.
And what Vetrix AI does is it detects what you said in that conversation.
And if your template instructs our AI, hey, by the way, I want you to dynamically add a snippet on this template, Then what happens is if we detected that you talked about acute diarrhea and you have a snippet that you always want to give clients about what acute diarrhea is, we automatically will insert that for you.
Speaker 2
That's very cool.
Speaker 3
And so and so it's contextualizing what you want.
Again, the whole premise of Vetric is we don't want to dictate how you do medicine.
It's how can we adapt and give you all these tools to make it so smooth for you on how you like to practice and what you like to have on a specific set of notes.
Speaker 2
Very cool and as you say I can just dictate in there if I wanted to start dictation.
Speaker 3
And you can always dictate if you want.
Yeah, exactly.
Exactly.
So, yeah, so there's there's a couple of other stuff that that I guess I can show you as well that transcend a little bit into that that AI scribe.
So for example, there's for those who are saying this, there's this a bell that it has like a red dot at the top, right?
Yep, this is what our insights and recommendations feature is now coming.
And I don't know what recording you had.
I don't know if you click on the billables, it actually will show something because I don't know exactly what you recorded.
But in theory, what happens here is we detect, oh, actually we did here.
Great.
So we detect what you talked and automatically give you tasks or insights into the conversation that you had.
So for example, there's a couple of things that we do from like a biddable's point of view.
Hey, we detected that you talked about XYZ.
Out of all of these things that you talked, there's these three items that we know are billable items based on your clinic's practice that we want to surface for you so that you make sure that you eventually add into that practice management software or whatever.
And you don't forget to add those treatments or diagnostics or medications that that are billable items or even stuff like tasks, for example, you said you were gonna follow up with the owner and you were going to call them on that particular day.
Now Vetrick will ingest that into the system and automatically remind you, hey, by the way, Dr. Hugh, we actually heard that you were going to follow up with this client.
Have you actually done that?
So it's like a nice way, again, transcending on that AI scribe.
But it all starts from the AI scribe in ways that we can now help you not only with the medical record, but fundamentally after or before or in different stages of that workflow to make that process even more smooth for you.
So.
Speaker 2
Two questions, please remind me to ask you about the To Do List where I'm going to find that, but here.
So let it list my cytology smear or whatever Bill.
So if I'm integrated with whatever Pims I'm using but it don't like how integrated is it?
Speaker 3
Great.
So and this is like a big question, right?
One that I'm not going to lie to you about.
So for those Pims who are like very open with like integrations, and I know for example, you brought in Doctor Caleb from Instinct a couple weeks ago, right?
They're incredible partners to us.
For example, we release an integration with them where it's like a true integration.
It's a read and write integration where we have, without getting too technical, the API level integration where we can actually make stuff like for example, Bill and all of these things really interchangeably well with that practice management software.
There's others that we do certain things, but this Bill button, for example, might not show up or it'll actually not work for those other systems that we don't have like deep integrations.
We have integrations for a medical record rights.
But when we go to like a set of other stuff, that's where it's like some don't.
We're always happy to partner with more, but not everyone wants to partner so.
Speaker 2
So do you have you mentioned instinct, Are they ones that are fully integrated that you're happy to mention just for if somebody's listening?
Speaker 3
Yeah, yeah.
So, so I, yeah, So Instinct is a great partner and we have lots of customers that are on Instinct as well that are very happy with integrations that we have.
We have what we call a two way communication.
So we're able to read information from Instinct and we're able to write information to Instinct actually.
So the classic example of writing back is well, you write back a medical record.
The classier example of reading is, for example, you sync your appointments.
So you have a lot of appointments in instinct already of your day.
And then you click a button metric.
It doesn't show here because your account is not set up with that and it'll actually be able to bring those appointments directly to Bedrick.
And for example, you have Poppy here.
You would have Poppy, Fluffy, Mr. Wiggles, Joey, Jimmy, like all automatically pulled up from that teams that we have.
And we have this with other teams with corners on, for example.
We have a read as well.
So there's some that we do.
There's some that there's hockey ways around it that we've done.
But yeah.
Speaker 2
You want to ask about it only because it's quite a big one in Australia and I did see it on your website.
Easy vet.
How integrated are you guys with them?
Yeah.
Speaker 3
Yeah, Easy Vet is a great example.
So, so we don't have any notion of integration with Easy Vet, but we've developed this Chrome extension that is very simple for a user of Vetrec to open Easy Vet and to open Vetrec side by side and essentially transfer the medical record contents into the different Easy Vet boxes that we have.
We actually pioneered this long time ago and I know that some others have followed after.
But again, it's this.
I don't like to always use the word integration because I know it has different meanings, right?
It's not a true integration if you think about it.
But we do integrate in a way that we do put the medical record in easily, very easily without for example, the user having to copy paste a lot of things.
So.
Speaker 2
All right.
Quickly, just looking at the output here, you guys have a ton of built in templates.
Obviously I can modify those templates.
If I have the template that I love, can I modify it to have my exact template and then that to use?
Speaker 3
It correct correct, correct.
So the whole point of Attric is that we give you a pretty fine set of templates if you want to just use those.
But with the template builder, you can actually create any type of templates.
You can see the ones that we have, you can modify them, and it's really super, super customizable.
It's one of the things that we proud ourselves the most, where we give that control to the user.
We let you to specify exactly what you want to have in each particular field in your template.
Speaker 2
I'm going to jump around a bit and you can come back to that.
Do you want to talk about I noticed phone, I can record my phone call, which is super useful as well because you spent a lot of time on the phone.
I actually did it the other day.
The one I used, I held the held my phone next to my phone that I was reporting next to the phone.
Speaker 3
That's terrible.
That's terrible.
Speaker 2
So do you make the phone call from Yeah, to explain the technical side of it, How does it work?
Enhancing Client Communication with VetRec's Features
Yeah, yeah.
So essentially, that is precisely the reason why we do this feature.
We had lots of specialists and ER doctors that are using that trick.
They really love that trick.
And they were telling us, hey, by the way, I want to talk to the client, but I mean, the ICU or I mean, this place where it's impossible for me to talk out loud with anyone because there's too much noise.
And so, yeah, they were putting stuff on speakerphone.
They were putting on the microphone.
They were.
And it was like a not great experience.
And from that it's stand the fact that, hey, what if we actually give the ability for the user to make a call to the client and have the client answer and have both sides of the conversation be recorded.
So I don't want, I don't know if you want to get too technically to hear into like how the architecture works and whatnot.
But the whole premise is that you are making the call to the client and the client will hear a message basically saying that this call is getting recorded and what not.
But the beautiful thing is that the client will see the caller ID that you want them to see on the phone number that you upload.
So what that means is that if you have a clinic, you will go to Vetrick and you will verify your number with us so that we know that Doctor Hubert has a clinic where the phone number is 5555.
And the caller ID, when they call to a client, says Doctor Hubert's Animal Hospital.
And so when we make the phone call through Vetrick that your client picks up, it'll say Doctor Hubert's Animal Hospital is calling.
And that's like a key thing for them to, well, believe that it's actually you and not like a scan call.
And then once they pick up, you have the conversation.
Both sides of the conversation get recorded.
Once any person hangs up, you get the medical record, or you get the phone call summary, or you get whatever template you want to have.
But you don't need to put things in speakerphone, You don't need to go somewhere else to make the call.
You just pick up your phone or pick up your landline or do it from the website itself and Vetrick will do it.
Speaker 2
OK.
So there's no I don't need to get any special hardware in terms of you.
Speaker 3
Can even use your phone, so you can see here in the screen that it says that Vetrick can call you at.
And then client number.
So for example, if you were to put your phone number in the field that says call me at, what Vetrick's going to do is Vetrick's going to make a call?
It's going to call your phone number, your iPhone, for example, you're going to pick up.
It's going to say, hey, we're connecting you to your client.
Your client is going to pick up.
It's not going to see your personal phone number.
It's going to see Doctor Hubert's Animal Hospital phone number.
Even though you're making the call through your personal phone, What?
That's and then everything gets recorded and then you have medical record.
Yeah.
Speaker 2
So I'm speaking on my phone, but it's recording in here.
I'm just trying to understand what it what the flow looks like for I'm sitting at work, I've got my I've got my computer open on Vetrick.
I've got my clinic phone next to me.
I start the call on Vetrick and then it calls my clinic phone and I pick up.
Is that right or?
Speaker 3
Correct.
OK, correct.
Exactly that, exactly that.
And then once you pick up, it says, hey, we're connecting you to a client.
And then we make the call to your client.
And once your client picks up, it says, hey, this call is getting recorded or whatever message you want the client to hear the first time.
And then the conversation connects and says, hi, this is Doctor Hubert.
How you know, I just wanted to follow up on Fluffy because we saw XYZ.
Oh, thank you very much.
Cancelled.
That's it.
Speaker 2
Every cool mate, just while I'm on the screen, the multi bit function as well.
So we've got is that for Mr. Smith comes in with a three dogs to vaccinate, correct?
And because that is always an issue because it's an orchid to go.
Excuse me, can I just pause and open a new visit for the next dog?
Speaker 3
Yeah, we don't want you to do that.
Speaker 2
Exactly.
So all I do is click it, I add patient one too, and then Petrick listens and it's smart enough to realize which pet I was treating for that visit.
Is that right?
Speaker 3
Correct.
And we do that automatically for you and then medical records get generated for each particular patient, so.
Speaker 2
Very cool.
Speaker 3
Basically streamlining the work for you so that you don't need to worry on any random manual stuff.
So.
Speaker 2
Yeah.
All right, let's get into the fancier stuff.
Let me go to my visits.
Where did I find Puppy again?
There we go.
So when I'm in my patient, I've got all these things up here, overview records, recap notes, client.
So talk me through what the difference.
So the notes, that's my SOAP note that I want in the computer.
Yep.
So this is what I'll either export to my Pimms if I'm if I'm integrated or copy paste.
That's right.
Yeah, Yeah, OK.
Speaker 3
Correct, correct.
Speaker 2
Client.
So these are client handouts, am I right?
Speaker 3
These are the client handouts that you can also change different formats.
For example, you can make it a little bit more official, a little bit more technical, less technical, a little bit more friendly, or maybe for a kid that you can customize how you want those discharges to be generated.
But again, you can also include the snippets, which is that scissors that you see there.
Yeah, but it's basically a different type of document based on the same information.
Speaker 2
So how do I?
How do I change the output?
Let's say I have a.
It is as you say.
I want a bit more detail or just a brief summary.
Where do I go to do?
Speaker 3
That so so you can go to actions all the functions in metric.
On the top right, there is gonna be always a button that says actions.
And then you can regenerate this document and you can choose.
You can also change the language.
If you have a different speaking client, you can change the language or exactly how you're doing here, you can go and you can change hey, actually I want an e-mail communication or hey, actually I want this or that.
And again, it depends on the template that you have in your system, but.
Speaker 2
Is RDVM is that referral?
Speaker 3
That's a referral, yeah, fantastic.
And again, that's the ones that we have in our system, but you might want your own.
Yeah, RDVM discharge and again this is where you can customize it however you want and let better just generate it so.
Speaker 2
OK, that's really cool.
Right.
So that is that's notes, that's client handouts transcript if I want to see the full transcript.
So I'm interested in analysis.
I had a look at this.
So that's a new thing.
Yeah.
So, yeah.
Speaker 3
So that's that's something that that we're starting and basically it's a little bit to what I was telling you before in terms of these tasks, these billables, right?
Leveraging VetRec's David AI for Clinical Insights
And essentially the thing that we want to do here is make the information a little bit more accessible to that doctor, right?
And So what was this cost?
What are the things that you probably should look for?
What are the things that you said you were going to follow up?
What are the different medications?
What was approved, What was not approved?
And so it gives that context information of everything that happened so that if you need to go back, for example, it's very easy.
You don't need to go through a long medical record.
You need to go through all the transcripts.
You need to go through all the recording.
It's very easily be being pulled in a way that you know what's going on.
And then from there we can go and we can get a little bit more into coaching and educational and all of these things about like suggestions and and for example, the speaking.
Speaker 1
Rate and like how?
Speaker 3
Fast a person was speaking, how slow a person was speaking.
Not.
Not all the time, but.
Speaker 2
Apparently I speak fast.
Speaker 3
I also speak very fast and I think one key important here is that one key thing is that it's not about us telling you like, hey, you're speaking fast.
It's bad.
Because I think one key thing that you see there, for example, is we also display to you your clients words permitted, yes.
So if your client is speaking super fast, you probably want to speak super fast as well to be able to like match that tone with your client.
If your client is speaking super slow and you speak super fast, then when that's when there's probably a mismatch on like, hey, look like you are probably speaking a little bit faster than what your client is speaking and they might not understand you.
So all of these like insights into how stuff can be better.
And I think it's eventually where Vetrick really stands out and where we want to go, which is again, like you said it, it's an AI system, right?
It's more than a scribe.
It's all of these things that we can do to help the user be more enjoyable when using this stuff.
Speaker 2
I was just trying to think how do, how do it's really cool.
How do you integrate this?
How does this become part of my workflow?
And what's it for?
Is this for next time puppy comes in, I can come back into this visit like I like?
Am I going to delete visits from Vetrek initially or as all this information going to go into my Pims?
How do I make this useful?
Because the way I see it right now is I could come next month when puppy comes back, I can before I start my visit, I could come in here and go.
What was the primary concern again?
Oh, I see you've got this overview button as well, where I can get a quick summary of what we've got.
Or is it supposed to live in the perm somewhere?
Because if it's at the moment, I'm going to spend much more time on Vetrick than on my perms.
Speaker 3
Yeah.
No, I don't think there's any intention of us to bring these analysis parts of the teams.
I think this is more of like the personal side of things.
The analysis is more like your account, your personal side of things for you to, like you said, come back and view things very easily or for you to understand how you in a way said things if you wanted to take note of that and maybe change things for the better next time.
For example, the speaking pace is just one area and we have other stuff coming in that I'll hold off on saying for now.
But like essentially what are other things that we can do to present you information that you can maybe take action on for next time to be better?
Speaker 2
So you envisaged that my visits are going to stay on rhetoric.
I can go almost like a perms.
It's gonna, I'm gonna grab.
So I so the idea is not that we don't delete stuff at some point to make space for more.
It stays on.
Speaker 3
We we don't delete stuff.
We only delete stuff if you click that red button.
Speaker 2
Yeah, yeah.
So no.
But which is it's a different take because when I started using dictate, not dictation, but I record scribes, I had no purpose for them.
Once I got my notes, I had no purpose to go back to them.
So I'd go clear the decks every now and again.
So I'm done with that versus this is I am going to come, as I said before the visit, I want to come back and scroll through and look at the overview and, and remind myself what we were doing.
And as you say, maybe look at, oh, I should speak a bit slower with this client.
There was a mismatch or something.
Is that you envisage how we use this?
Speaker 3
Yes, exactly.
Because of course like patients are all related clients.
And then of course, we can then give you some analysis of the client itself so that you can better be prepared the next time you see this client based on what happened before, so that you can go and you can take action on how you want to approach that client for even better satisfaction.
Speaker 2
Now in these boxes, I keep seeing David and we touched on it last time.
What does David stand for again?
Speaker 3
Yes, so this is funny because David is my Co founder, but but David stands for diagnostics assistance for veterinary insights and differentials.
It's like a whole name, but the whole point that we wanted to do it is because David is my Co founder's name.
Basically David here is another extra assistant that we give you.
Imagine if you have, for example, your own internal ChatGPT that has information either about the general world of veterinary medicine or specific information that you've uploaded to Patrick or about the particular case.
How does this help?
So for example, by default, you can ask questions to David about a particular case and it'll go and it'll fetch the Internet, but you can actually go and you can scope it down.
For example, if you're an enterprise and you would like to scope things down so that people don't go to the Internet and they go to the approved material of that enterprise, then David can actually be customized so that whenever he gives responses, it says, by the way, based on this article that was written by Doctor Hubert, the way that you should go and you should treat this particular case when they have this particular problem is by doing some of these things.
So like the literature of like where we're pulling the information can change in real time, but it's basically a chat assistant that you can go and you can ask information either from previous medical records or your existing medical records, anything that you want to ask on.
Speaker 2
So how would I integrate that?
Let's say I'm in a large group of text and we have a set protocol for XYZ.
How do I integrate this into Vetrick?
Do I send it to you guys and you build it in or am I building a?
Speaker 3
You can do it on your.
Speaker 2
Own a database so.
Speaker 3
If you get out of here, if you click the X and you click on the left side where it says configurations and then you click on Vetrick IQ.
Speaker 2
Gotcha.
Speaker 3
And we have a whole help center of this.
This is where you can go and you can actually add documents and add information for your particular reference materials, trainings, treatments, toxins, handouts, differentials, whatever you want to have.
And then you can see for example also that we have the snippets at the bulb in the top where you have that tab, it says Documents Marketplace snippet.
This is where again, the snippets is where I was telling you before, right?
So one thing is like the documents that you want, for example, David, to fetch information from, and you want the snippets, which is, for example, the little things that you want to always add in, like the medical record.
But here is like the Vetric IQ, if you will.
It's where you can have all this repository of data that you yourself can then upload.
And then we'll go and we'll look at this thing in real time with our advanced AI models and bring you that context at the right time with whatever information you wanted to basically have.
Speaker 2
So in technical terms, I'm building a RAG assisted AI version versus using the open model.
Speaker 3
Yes, I didn't want to get too technical 100, what is happening, It is RAG assisted framework that you yourself can essentially build and we'll just power it for your particular case.
Very cool.
So would that.
Speaker 2
Mean and did you say this is for any certain level of subscription that that has this access or if I'm a paid subscriber?
I have this if you are a paid subscriber.
Speaker 3
You have all of this OK, cool.
We want to democratize all of this access for everyone.
And even though it's just one more thing that I'll say, so if you click on the search bar at the top left, you see it says search.
If you search here, this is actually semantic search.
So what this means is that you can try searching things like what you see there doctor was feeling lethargic.
Or you can search something like like what is the procedure to handle anesthesia on rabbits that come in from this?
Like you just ask a sample question and Vetrick will actually search both your medical records, but also the documents that you had just uploaded there.
So now we've given you an advanced AI search on top of all of your random PDFs that you have so that you don't need to go and open each PDFs and do control find and figure out where the information is.
You just ask away and we'll pull up the information for you.
Of course, if you try it right now, it's not going to work because you don't have information to your account.
Speaker 2
But.
Speaker 3
If you were to do it, it goes and it brings all of that information contextually to you because of this framework that we talked about before that we enabled for you.
But help me find patients if I.
Speaker 2
Say, who was the correct king dog I saw right Wednesday?
Who is the exactly that?
Speaker 3
And it's funny that you mentioned that because a lot of people, we are seeing that they're searching.
They tell us, hey, by the way, I searched for the patient name or I searched for like, they're mainly using it for a traditional search feature and not like an advanced search where you could do something like that.
Like pull me the case last week where the golden retriever got hit by a car and it'll and it'll fetch that for you.
You don't remember the puppy name.
You don't remember the age, you don't remember the time, you don't remember what exactly caused something.
You just remember that there was an accident in a car and it was a golden retreat.
OK, that's all that you need.
So.
So once I've built my.
Speaker 2
Own database, so then I'll go to David and then I can where I at the moment I just have general knowledge as an option, then it will tell me your or.
Speaker 3
Split neck, whatever.
Speaker 2
I've added there.
They'll all pop up there, correct?
I can use that correct?
Speaker 1
On the.
Speaker 2
General knowledge search is that you meant you said Internet search.
Is that an Internet search or is it a closed book AI?
Again, I'm getting technical because I know, but is it the models the LLMS own knowledge or is it actually going to do a Internet search and then you know it's the LLMS models, it's the?
Speaker 3
LLMS model.
It's built in knowledge, yeah.
And we are looking into partnering with providers that can help with citations and textbooks.
We know that there's some out there, but we've evaluated some of them and we haven't really liked the technical quality that we've seen so far.
If we do add a provider, we want to make sure that it's fits our bar of the information, but it's going to be displayed to the users when it comes to like citations and actual content.
So this is something that we're constantly looking to see how we can improve in terms of giving those literature back.
But the fact that we have, we're the only ones that allow you to build essentially your own database and being able to build it in a way that you have your own rag framework.
And not many people will understand these things.
But you know, if you do understand these things, and this is where the challenge for us is how we can actually go and help and educate people, understand the power when it comes to Patrick's customization in advanced AI, because then it goes and you can have all these customized ways of responding to things.
Let's go through it.
Very.
Speaker 1
Quickly.
Speaker 2
So I did a talk recently at a show about using AI as a clinical decision making tool.
Should we do it and how do we best do it?
And the introduction of the talk was the different ways that we can use it.
So there's, if we talk AI, large language models can either use its own knowledge.
So every acknowledge is the wrong word.
But again, we'll say knowledge for the purpose of this conversation.
For the sake of the conversation, yeah.
Speaker 3
It could, so everything has been trained.
Speaker 2
On which is typically the whole Internet up to maybe a year or two ago and then some specific training, whatever the open AI guys would have trained JGBT everything.
It's its own knowledge versus it can do an Internet search, which is at first that uses something like a Google search, comes up with a list based on the SEO things, and then it will read the top one or two hits and then generate an answer based on that.
Or you can use retrieval augmented generation.
So rag assisted where you say here's all my textbooks and my notes and the stuff that I like and guide your output just using that.
Rather, it still has its own brain in the background, but it's kind of yes, the output is going to be guided by Iraq.
So that's what we're talking about there.
Just a quick over that is a great way to.
Speaker 3
Summarize it so you did a great job.
So thank you, thank you.
All right, that.
Speaker 2
Is David.
So that can help you make clinical decisions, which is really useful.
And again, if I open that, this chat winner that opens here, is this going to be specific to Poppy or this is just David Broad?
I can't hear about anything.
It's going to be specific to Poppy.
Speaker 3
David works best when it's like specific, right, like because we believe that if you just want to go and search for things, you just use the search at the top left that is across all the records.
But right now if you use David, it is on specific patients that you can then ask specific questions on eventually, and I'll share it with you.
We're going to be opening up David, so that it's basically a first class citizen of the product so that it goes.
And you can ask questions across all the patients in a way that you can have that more chat based interface where you can say pull me all the 20 patients that I saw that had this particular thing.
And then you can ask a follow up question.
What do you recommend about XYZ and then what about it?
So we want to make it like cross patient enablement, but right now first patient within.
Speaker 2
Vetrick or does within vetrick?
No, no.
Within vetrick within.
Speaker 3
Vetrick, of course, Yeah, so not the so if let's.
Speaker 2
Say the the pimps that are that you fully integrated, it's not going to be able to go and search it has to the data.
Speaker 3
Has to come through Vetrick.
Yeah, yeah.
OK, cool records.
Speaker 1
Yeah, so so records recap.
Optimizing VetRec for Teamwork and Record Keeping
Is another of these tools that we've developed where it provides the ability for the user to summarize the past medical history of an incoming patient.
So we've heard from specialists and from other people that they have hundreds of PDFs that they get from a new patient that they want to see for the past 10 years of medical history.
They sometimes even get like handwritten medical records and they can upload all of this information, even handwritten records to Vetrick and it'll go and it'll summarize the most important information in one to two pages and give you, hey, this is what's going on and what's best.
And you don't have this case right now in your screen and you can try it later is that you can get the summary.
You can ingest, let's say 200 pages of the past medical history of Fluffy and you get a summary.
But you can then use David to ask questions regarding that PDF.
So you can ask David.
Hey, David, when was the last time that Fluffy had diarrhea?
And it's not going to pull up Fluffy from the Internet.
It knows that you're talking about the Fluffy that you uploaded 200 pages worth of records and it'll say, hey, by the way, based on this record 3 years ago, that was the last time that it had diarrhea.
I don't think that that's the case.
Phenomenal.
So that was not.
Speaker 2
Going to be my question.
So again, so you don't I don't see it here, but that's going to happen because I think that's so this I'm using this at the moment, but it's obviously much better if it's all in one place.
But that's literally what I'm doing just with ChatGPT.
I will go and download a PDF, drop it in and then I because I want to know what was poppies potassium levels the last three times I traded.
So David will do that for me and you can just ask that to David.
Speaker 3
And and we believe that it's also more specialized than accurate because we've added those card rails so that it it provides the accurate information.
So yeah.
And do I have to?
Speaker 2
Download the notes and then drop it in.
Or for the integrated softwares, can I just drag it from the firms for the integrated?
Speaker 3
Softwares.
I love that you asked this question.
For the integrated softwares, we can actually automatically pull the past medical history of patients that you have in those integrated softwares.
So you don't need to download the PDF and upload it and do it again.
But I will tell you for the majority, you do need to do that.
You do need to get the PDF, need to upload it and then you do summary which is still just for.
Speaker 2
Anybody listening if you're not doing this?
So for example, my skin cases, skin cases are always seven years of fucking skin history.
And it's the first time I'm seeing this patient, so I don't have to to go and read everything we've tried.
So I'll drop it in.
But if I was using Vetrick, I'd absolutely do that and say, OK, have we done a food trial?
Which drugs that we does she respond to Prednisolone?
Does she get polyuria from Prednisolone?
What have we tried that hasn't worked?
And it's phenomenal.
It's good to help me back such, so much faster decision.
So I think this is such a cool feature.
I think that is the bulk of it, the team access thing.
Can somebody else access my notes?
So for example, what I've always envisaged would be good for a workflow is animal arrives at reception, the receptionist might start a vetric note for already and anything that God tells them at reception desk, they can add to that to to the notes.
And then the nurse or the tech goes to do ATPR and they add those values.
And one time I come in to the patient, I've already got some data.
Is that possible to work across different people on the same patient within ventric?
Yes, correct.
So.
Speaker 3
The whole way that we build Ventric is that you can create a team in a team, you can add members that you would want to have access to all the things that you're doing within that team.
So very simply, like you said, if you have a team in Doctor Hubert's Animal Hospital and you have 3 veterinarians, 3 veterinarian nurses, all having an account at Patrick, they can all see each other and they can all see the medical records that each of them have done.
They can even help edit a particular medical record that you created.
It's all a collaborative access.
And you can also control what you would want if you're an admin.
Hey, I don't want everyone to edit each other or to create more templates.
I want them to use my default templates, whatever it is, you know by default.
It's a very collaborative open environment where if you're in the same team, you can access each other's stuff.
Really, really cool.
Speaker 2
All right, I'm going to finish with a very practical.
Speaker 1
Question and I'm sure.
Speaker 2
People ask it all the time.
Best recording quality.
What do you recommend?
So I'll tell you what I do.
I used to start to work with my phone but for some reason this and this is not Vetrix specifically, but I find that the phone would be temperamental.
It'll sometimes some other app will take over the microphone because of the summer on setting and it'll stop recording versus if I just now take my laptop in with me, hit record on my laptop because that's where I'm going to work.
Have you guys figured out a perfect workflow?
Like what do you recommend?
Yeah, so.
Speaker 3
We have seen some lapel microphones being used in Vetrix consoles that are Bluetooth and they don't need to take the phone out.
They just take the phone out, click the record, put the phone, and then they have this microphone that they put it here and then they just talk.
We have people using the phone and you have reason to.
We have people using their computer.
We actually recommend the phone because we've invested a lot of engineering resources on making the phone quality actually super good.
And so there's a lot of these things where what if this happens?
What if this happens?
What if this happens on the phone that we actually already thought of and I'm not saying that we thought of everything, but over the past two years we've over invested in making sure that if you use your phone, the experience is actually gonna be very good.
Okay, yes, we've seen the cases for example, where someone takes their phone, they put it in their back pocket with the microphone going down.
And so, yeah, naturally the audio is not going to be great.
But if you have the phone and you put it in the table and you know some things, you got a notification in your phone or something happens in your phone, it's still going to be good quality because that has some other apps I played.
Speaker 2
With right at the beginning, that was a.
Speaker 1
Problem.
Speaker 2
Something would happen, I get a notification and then took it, would kick it off or something like that.
So it's nice.
No so so this is not the case.
Speaker 3
So we worked around that even for if you get a call like there, there's a lot of stuff that we've worked where it doesn't disrupt the audio conversation that you're having.
And we actually recommend the phone.
OK, so record on your phone and whatever I.
Speaker 2
Record will automatically port to the software on my desktop laptop it's in the cloud, so yeah, no.
Speaker 3
That's.
Speaker 2
Really cool.
Anything else?
Are you happy that we've covered anything important to take care?
Yeah, I think we covered a lot of stuff of.
Speaker 3
Course happy for you to check it out and give you feedback.
Before you disappear, I wanted to.
Speaker 1
Tell you about my weekly newsletter I speak to so many interesting people and learn so many new things while making the clinical podcast, so I thought I'd.
Speaker 2
Grant a little summary.
Speaker 1
Each week of the stuff that stood out for me, we call it the Vet Vault 321, and it consists of three clinical pills.
These are three things that I've taken away from making the clinical podcast episodes, my light bulb moments.
Two other things.
These could be quotes, links, movies, books, a podcast highlight, maybe even from our own podcast.
Anything that I've come across outside of clinical vetting that I think that you might find interesting.
And then one thing to think about, which is usually something that I'm pondering this week and that I'd like you to ponder with me.
If you'd like to get these in your inbox each week, then follow the newsletter link in the show description wherever you're listening.
It's free and I'd like to think it's useful.
OK, we'll.
Speaker 3
See you next time.
Kevin Cohen