Picture this: it's 4:47 PM on a Tuesday. Dr. Reyes, a telehealth psychiatrist, has back-to-back virtual visits until 6 PM, then three follow-up consults that bled over from yesterday. Her Fathom recordings are piling up. The transcripts are accurate, the summaries are clean, but she's still typing SOAP notes into the EHR at 9 PM. She's been Googling "fathom alternative" for two weeks. Not because Fathom is bad — it isn't — but because the math stopped working when her practice grew from 40 weekly visits to 180. This is the conversation happening in telehealth practices across the country right now. Fathom built a beautiful product. But beautiful isn't always what a 12-provider behavioral health group needs at 6 PM on a Tuesday. What Fathom Actually Does Well (Credit Where It's Due) Let's be fair before we get critical. Fathom is genuinely one of the best meeting note-takers on the market. Their transcription accuracy is excellent. The free tier is generous.…