Founder Notes · No. 14

The tool I never told you about.

Kevin Mackey 8 min read Founder, FxMedSupport

Two weeks ago, a client of seven years called me in a panic. A water pipe had burst in his clinic overnight. His office was shut. He had a full week of appointments on the calendar and no way to reach every patient at once.

He had been an ActiveCampaign user for years. Hundreds of campaigns. Hundreds of workflows. A library of automations he had spent half a decade refining. And in the one moment he needed to fire off a single, simple message to a specific list of human beings who were about to show up to a closed door — it couldn’t do it.

Then he called Cerbo. Cerbo — the best EHR in functional medicine, the system his entire practice runs on — couldn’t do it either. And that’s not a knock. An EHR isn’t built to be a mass-communication platform. It’s built to be the clinical brain of your practice, and it is the best at that. But the moment you need to reach forty-seven patients in the next twenty minutes, you need a different kind of muscle.

So he called us.

“Kevin, I can’t figure out how to send a message to every patient on the calendar this week.” — and that’s when I realized the tool we’d quietly built four years ago was about to save his entire week.

I walked him through our Simple Email Tool. Filter by appointments this week and next. Compose the message. Send. Two minutes. Done. Every patient knew, before they got in their car, that the office was closed and what to do next.

And here’s the part that made me sit down at my desk and start writing this: that tool is given away on our Basic tier. He was an Enterprise user. He’d had it the whole time.

A small story about why we build the way we build.

Years ago, when we started fitting FxMedSupport into the spaces Cerbo couldn’t fill on its own, we kept hearing the same complaint from practices: “I just need to email my patients. I don’t need a marketing platform. I don’t need a CRM. I don’t need lead scoring. I just need to talk to the people who are already mine.”

So we built the Simple Email Tool. Then practices started asking for newsletters, and we built that too. Then they asked if we could capture inquiries from their website without paying another vendor — so we added contact form capture. Then bulk messaging, then templates, then the whole quiet little stack.

And I never made a big deal of it. I never put it on the homepage. I never wrote a press release. I treated it like plumbing — something that should just work, and stay out of the way, and be there when you need it.

That’s the trap of building plumbing. When you do it right, nobody notices it’s there.

Meanwhile, every practice I talked to last quarter was paying somebody else for the same thing. Three, four, five hundred dollars a month to a marketing platform whose integration with their EHR was, frankly, a wave-and-a-handshake at best. Built once, years ago, just to be able to say an integration existed.

What I learned the day the pipe broke.

The lesson wasn’t about the email tool. The lesson was about the patient container.

When something goes sideways in your practice — and something always goes sideways eventually — the only thing that matters is whether your patients feel held. Whether they feel like you’ve got them. Whether they walk away from the moment thinking my practice has their act together, even when life clearly does not.

The pipe wasn’t the problem. The pipe was just the universe being the universe. The real test was whether the practice could keep its arms around its people on a bad day. And on that bad day, the tool that did the holding wasn’t the expensive one. It was the quiet one that had been sitting on his account, included, for four years.

Why I’m finally talking about it.

Because too many of our practices are still paying somebody else for what we already give them. Because the integration most platforms have with Cerbo was built to check a box, not to actually serve a clinician on a Tuesday morning. Because we’ve spent four years quietly making it better, and it deserves a moment in the light.

And because I’ve come to believe something I didn’t fully believe when I started this company: most independent practices don’t need more software. They need fewer tools that do more, built by people who actually understand the day-to-day. That’s the eighty-five percent I keep talking about. Solve eighty-five percent of what a practice actually needs, beautifully, and then get out of the way for the other fifteen.

For some practices, that fifteen percent still includes a heavy marketing platform with lead scoring and pipeline automation. Great. We built a real bidirectional integration into those too, so the data flows both ways and the picture stays whole. We don’t need to win the email. We just want the practice to win the moment.

Cerbo is the best EHR in functional medicine. Always has been. Always will be. Our job is to amplify it — especially in the quiet moments, like a Monday morning when the water won’t stop running.

— Kevin
Founder · FxMedSupport
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