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Hey guys, welcome to potential 
practice mastery done here. 

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I'm going to go over the things 
that helped get the practice to 

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the $1,000,000 mark and beyond. 
Couple of good things that are 

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happening today. 
I we've had, I think we 

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remediated our mod Med training.
So we had our trainer come out 

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twice, so two days and then 
another two days. 

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And it's really because my, my, 
one of my partners was off on 

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vacation when she came and she 
came in helping second time. 

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And, and one thing I kind of 
wish I would have known or maybe

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I should have realized is 
everything has to be really bad 

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before it can get better. 
So we are on day #11 of our 

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implementation. 
It's getting a little bit 

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better. 
I feel more confident at getting

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the level of notes that I need. 
Murali is getting the hang of 

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the, the, which templates to use
because there's so many 

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different plans that you can 
use. 

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So just trying to find, find the
right ones that that work. 

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Well, one thing that I did, as I
mentioned before, any big 

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transition, I like to use 
something called a positive 

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focus where I write down 10 good
things about the day. 

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So the one of the main thing is,
is I originally used to print 

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out my, my patient's schedule 
every day and I used to write 

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notes on that. 
And I don't like the way the new

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mod Med schedule prints out. 
Actually, I didn't really like 

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the one that Athena printed out 
either, but it was just what I 

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did. 
But this, instead of doing that,

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what I did is I print out a 
daily patient tracking sheet. 

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This is something I've tried to 
use in the past, but I figured 

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out a little bit better way of 
doing it and that's what I'm 

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going to be using to track my 
patients from now on instead of 

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doing the print out. 
So it'll say paper, I guess. 

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But more importantly, I can just
write down my main thoughts if I

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can read my handwriting. 
The problem is reading my 

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handwriting here. 
So today did that, did a couple 

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of wounds, made a little bit 
easier for the wounds, their 

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wound template. 
It's pretty good. 

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In the Mod Med. 
I sent a couple of complex 

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patients to get surgical 
consults as well to the wound 

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center. 
Kenya was our trainer was there 

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helping us out. 
I set up a couple of filters 

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within my one of my like screens
that I had to look at so I don't

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have to be overwhelmed by 
everything in there. 

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And I also learned more about 
Clara. 

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Clara is an add on thing for Mod
Med. 

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I think it's owned by Mod Med 
and it it contacts patients 

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before them, asks them to fill 
out their paperwork. 

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It also has something that might
be able to replace Swell. 

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Swell is what we use for our 
online reviews to get them. 

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So it actually has something 
where every patient after they 

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come in, it can send them 
information out to give that 

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online review. 
How was your experience? 

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Would you give us a review? 
It has more of a feel like 

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Athena meaning it. 
How do you say it? 

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I think it's illegal. 
But what it does is it says did 

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you have a good experience? 
Yes or no? 

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And if you say no, it'll last to
give a comment. 

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If you say yes, that'll last to 
give them a review. 

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So I'm not sure if that they're 
supposed to do it that way, but 

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that that's what from what I 
understand, that's that's what 

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it is. 
Also, I've realized shockwave is

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a lot easier with the procedures
because it remembers everything.

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So shockwaves getting easier. 
My partner is using the iPad 

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component. 
He really likes the 

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transcription component of it. 
So you can use Dragon right 

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inside of it and things are kind
of working better. 

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So let's go over the patients. 
So I still had less patients 

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here, I think as we're still 
booting up. 

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So 55 year old female, level 4 
visit. 

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She had very severe plantar 
fasciitis. 

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This is one that didn't resolve 
from Shockwave. 

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She had six sessions, then I did
another three sessions and then 

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she just wasn't better. 
So she's going to be seen for 

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like a surgical consult she's 
had for over six months. 

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She's frustrated. 
So that's what we're going to do

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Next one was a 54 year old 
female that had #2 out of 6 for 

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a painful osperonium that was 
referred over to me from another

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provider. 74 year old male that 
we did medication management. 

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We changed his gabapentin so 
it's a level 4 visit and we are 

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going to check on Q Tenza for 
him. 

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Next was an 84 year old female. 
Level 3 visit. 

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E pad #1 out of 3 and so she I 
can't even read my hand right. 

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I'm sorry guys, but we did E pad
for her. 

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Next was a 80 year old female. 
This was a patient that was 

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given Diflucan from another 
doctor, didn't feel comfortable 

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taking it, came to talk to me 
and I, you know, just kind of 

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went over the options with them 
and then I divided the nails. 

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Next was a 50 year old female 
that wanted to do a nail sample 

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before he took the trypenafin. 
I've had a lot of patients 

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coming in because we have the 
lunula, they're wanting to do 

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laser. 
I just don't find it works as 

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well as the oral. 
That's just my experience. 

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If you guys know any different 
or feel any different let me 

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know please and maybe I'll 
change my ways but I still tend 

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to do more oral medication than 
anything. 

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Next was a 80 year old female. 
She had an ulcer on the anterior

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leg with some venous stasis and 
edema. 

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I did an uniboot on that and she
had a pressure ulcer on her heel

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neuropathic and on the left side
she had a BKA. 

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So I'm going to send her to the 
wound care center to to deal 

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with these. 
I don't deal with a lot of these

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wounds so if they get messy. 
Next patient was a 40 year old 

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male with the first MPJ. 
First actually met cuneiform 

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joint and she's feeling much 
better after doing shockwave 

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therapy on it for Mecca uniform.
I think she had an old lisp 

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franc injury that was never 
healed. 

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Next patient was a 8 year old 
girl that had some maceration 

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between the 4th inner space. 
I did lamb's wool and some 

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betadine. 
If it doesn't get better, we'll 

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do athlete's foot cream. 
Next was a fibroma 55 year old 

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that was set as opposed 3 
sessions of shockwave. 

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She wasn't any better so I did a
cortisone. 

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She felt better after that. 
She has orthotics and then she's

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just going to come back as 
needed for cortisone. 

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And then the last one actually 
was that one, sorry, the met 

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cuneiform joint that has a lot 
of better arthritis. 

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She felt better after the three 
shockwaves. 

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So I kind of talked to her about
having a maintenance plan like 

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every year coming in for 
shockwave to help with that bone

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marrow oedema. 
It's not going to take down the 

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arthritis, but it'll make her 
feel much better. 

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OK, those are things for the 
day. 

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Thanks.