Hey guys, welcome to potential practice mastery done here.
I'm going to go over the things that helped get the practice to
the $1,000,000 mark and beyond. Couple of good things that are
happening today. I we've had, I think we
remediated our mod Med training. So we had our trainer come out
twice, so two days and then another two days.
And it's really because my, my, one of my partners was off on
vacation when she came and she came in helping second time.
And, and one thing I kind of wish I would have known or maybe
I should have realized is everything has to be really bad
before it can get better. So we are on day #11 of our
implementation. It's getting a little bit
better. I feel more confident at getting
the level of notes that I need. Murali is getting the hang of
the, the, which templates to use because there's so many
different plans that you can use.
So just trying to find, find the right ones that that work.
Well, one thing that I did, as I mentioned before, any big
transition, I like to use something called a positive
focus where I write down 10 good things about the day.
So the one of the main thing is, is I originally used to print
out my, my patient's schedule every day and I used to write
notes on that. And I don't like the way the new
mod Med schedule prints out. Actually, I didn't really like
the one that Athena printed out either, but it was just what I
did. But this, instead of doing that,
what I did is I print out a daily patient tracking sheet.
This is something I've tried to use in the past, but I figured
out a little bit better way of doing it and that's what I'm
going to be using to track my patients from now on instead of
doing the print out. So it'll say paper, I guess.
But more importantly, I can just write down my main thoughts if I
can read my handwriting. The problem is reading my
handwriting here. So today did that, did a couple
of wounds, made a little bit easier for the wounds, their
wound template. It's pretty good.
In the Mod Med. I sent a couple of complex
patients to get surgical consults as well to the wound
center. Kenya was our trainer was there
helping us out. I set up a couple of filters
within my one of my like screens that I had to look at so I don't
have to be overwhelmed by everything in there.
And I also learned more about Clara.
Clara is an add on thing for Mod Med.
I think it's owned by Mod Med and it it contacts patients
before them, asks them to fill out their paperwork.
It also has something that might be able to replace Swell.
Swell is what we use for our online reviews to get them.
So it actually has something where every patient after they
come in, it can send them information out to give that
online review. How was your experience?
Would you give us a review? It has more of a feel like
Athena meaning it. How do you say it?
I think it's illegal. But what it does is it says did
you have a good experience? Yes or no?
And if you say no, it'll last to give a comment.
If you say yes, that'll last to give them a review.
So I'm not sure if that they're supposed to do it that way, but
that that's what from what I understand, that's that's what
it is. Also, I've realized shockwave is
a lot easier with the procedures because it remembers everything.
So shockwaves getting easier. My partner is using the iPad
component. He really likes the
transcription component of it. So you can use Dragon right
inside of it and things are kind of working better.
So let's go over the patients. So I still had less patients
here, I think as we're still booting up.
So 55 year old female, level 4 visit.
She had very severe plantar fasciitis.
This is one that didn't resolve from Shockwave.
She had six sessions, then I did another three sessions and then
she just wasn't better. So she's going to be seen for
like a surgical consult she's had for over six months.
She's frustrated. So that's what we're going to do
Next one was a 54 year old female that had #2 out of 6 for
a painful osperonium that was referred over to me from another
provider. 74 year old male that we did medication management.
We changed his gabapentin so it's a level 4 visit and we are
going to check on Q Tenza for him.
Next was an 84 year old female. Level 3 visit.
E pad #1 out of 3 and so she I can't even read my hand right.
I'm sorry guys, but we did E pad for her.
Next was a 80 year old female. This was a patient that was
given Diflucan from another doctor, didn't feel comfortable
taking it, came to talk to me and I, you know, just kind of
went over the options with them and then I divided the nails.
Next was a 50 year old female that wanted to do a nail sample
before he took the trypenafin. I've had a lot of patients
coming in because we have the lunula, they're wanting to do
laser. I just don't find it works as
well as the oral. That's just my experience.
If you guys know any different or feel any different let me
know please and maybe I'll change my ways but I still tend
to do more oral medication than anything.
Next was a 80 year old female. She had an ulcer on the anterior
leg with some venous stasis and edema.
I did an uniboot on that and she had a pressure ulcer on her heel
neuropathic and on the left side she had a BKA.
So I'm going to send her to the wound care center to to deal
with these. I don't deal with a lot of these
wounds so if they get messy. Next patient was a 40 year old
male with the first MPJ. First actually met cuneiform
joint and she's feeling much better after doing shockwave
therapy on it for Mecca uniform. I think she had an old lisp
franc injury that was never healed.
Next patient was a 8 year old girl that had some maceration
between the 4th inner space. I did lamb's wool and some
betadine. If it doesn't get better, we'll
do athlete's foot cream. Next was a fibroma 55 year old
that was set as opposed 3 sessions of shockwave.
She wasn't any better so I did a cortisone.
She felt better after that. She has orthotics and then she's
just going to come back as needed for cortisone.
And then the last one actually was that one, sorry, the met
cuneiform joint that has a lot of better arthritis.
She felt better after the three shockwaves.
So I kind of talked to her about having a maintenance plan like
every year coming in for shockwave to help with that bone
marrow oedema. It's not going to take down the
arthritis, but it'll make her feel much better.
OK, those are things for the day.
Thanks.