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Hi, Don here, welcome to Padaya 
True Practice Mastery, where I'm

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trying to help bring your 
practice to the $1,000,000 mark 

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and beyond in, in your, in your 
personal production in your, in 

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your clinic. 
So I'm going to go over the day,

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this is a recording of a, of a 
Thursday and kind of some good 

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and good and bad things here. 
OK, so first patient was a 37 

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year old guy. 
I did arthroplasty 5th digits, I

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did it 1 foot and then like six 
months later I did the other 

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foot. 
He's feeling much better with 

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these and he so just kind of 
quick post op now. 

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Luckily he I think he travelled 
afterwards. 

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So he's actually at 92 days post
op so I could actually do an 

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office visit now. 
So usually post op windows are 

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not quite that perfect, but this
one was. 

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Next patient was a 68 year old 
patient that had was it put on 

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Lamisil? 
I put them on a prescription of 

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Lamisil. 
They also had IPK. 

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I did lesion destruction on that
today and I did an office visit 

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because I haven't seen them for 
a while. 

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Next was a 42 year old. 
Same thing. 

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Actually theirs was a wart. 
Sorry, there's a wart. 

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This other one was a poro IPK. 
On the fifth met head, I did an 

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X-ray and they also had a 
tailor's bunion and I kind of 

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reviewed the kind of the cause 
of that. 

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Anatomic shoes come back as 
needed. 

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Now, one of the mistakes I've 
been finding, we have some new 

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staff and a lot of times they're
not doing X-rays. 

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And So what happens if they get 
X-rays? 

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It makes it much more efficient 
if they come in and ask hey 

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should I get X-rays? 
Well no, I will see the patient 

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first if I'm not doing anything 
and then you can get X-rays 

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after. 
But I try to have them always 

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get X-rays before and I prefer 
them to err on getting them when

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they shouldn't versus not 
getting them at all. 

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Next patient was AI removed pins
from some hammer toes. 

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He would have bunionectomy and 
hammer toes. 

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So this is a post op one. 
We did X-rays for him. 

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This was next one was a 69 year 
old. 

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She is 4 out of four for non 
radial only shockwave for a 

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fibula fracture. 
She's feeling great at 4 weeks 

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and I'm actually in have her in 
a boot one more week and then 

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transition her out of the boot. 
So I think that doing focused 

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shot or non radial shockwave 
because because we have both 

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softwave and focus shockwaves we
just call them non radial. 

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I did softwave specifically for 
this one and she's feeling so 

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much better at 4 weeks, reduce 
swelling, ready to go ride her 

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horse again like she wants to. 
And I think it's speed up the 

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recovery for this patient. 
So that's the reason for doing 

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shockwave for fractures. 
Not that it, it might heal the 

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fracture a little bit faster, 
but the return to activity is 

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quicker. 
She's super happy. 

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She actually did a a video. 
So just so you know, I'm 

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starting to do more videos these
days. 

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I use Submagic, so good 
testimonials on things that I 

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want to put on my website, like 
we're doing a new web page on 

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urgent care on our website. 
And so I'm getting videos 

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talking about, hey, I should 
have came to see you versus 

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going just to the urgent care 
where it was a waste of my time.

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So she was really happy. 
So I'm going to put her this 

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thing on the shockwave portion 
of our website. 

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Next patient was a Q 10S, a 
number one for a diabetic 

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patient. 
Next was a 71 year old female 

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plantar FAS. 
She had a #3 out of 3 for 

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shockwave. 
For some reason I only did 3 for

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her. 
I don't quite remember the 

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initial conversation but I did 
plantar fashion Achilles. 

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She also was scanned for 
orthotics today and I'm going to

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see her back at the orthotic 
follow up. 

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Next was a 12 year old little 
boy, flat feet rotted by his 

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mom. 
Talked about custom orthotics 

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for him and we did scan him for 
orthotics. 

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So that was orthotic #2. 
Once again, my goal every day is

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to do 2 pairs of orthotics. 
At least that's why that was my 

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second one. 
Next patient was another IPK and

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I did lesion destruction on 
that. 

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They're going to come back as 
needed. 

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Next was a ankle sprain patient,
73 year old. 

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We did an ultrasound. 
It showed some tendonitis to the

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dorsal foot region. 
So we're going to do PT for her 

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and I talked about shockwave if 
it doesn't get better, but she's

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not in that much pain. 
Next was a 46 year old female. 

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We did cortisone with an 
ultrasound she did not want. 

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She went kind of like the least 
expensive types of treatments. 

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She was seen like 6 months ago 
and just was kind of dealing 

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with her plantar fascial pain. 
So we did cortisone for her and 

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I'll see her back as needed. 
Next patient was a 71 year old. 

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He had pain to the second 
metatarsal head and I did a so 

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this was a kind of a interesting
one. 

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I, I did cortisone. 
He kind of wanted cortisone 

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plantarly to like the the I 
didn't go into the joint but 

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plantarly. 
I did a cortisone for this one 

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and I'm going to see him back in
about 3 or 4 weeks. 

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Next was a 69 year old with a 
infection that was sent over to 

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the office for evaluation. 
He's already getting better. 

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He had a paronychia to the base 
of the second base of the hallux

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and it popped on its own. 
The pus came out and he's 

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feeling much better. 
Next was 1/5 digit medial aspect

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exostectomy. 
I did that in the office with a 

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bone rasp that was probably the 
MVP patient. 

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Like these things, 
flexortonotomies and these 

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exostectomies and matrixectomies
and all these things are really 

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the most valuable patients for 
these little procedures in the 

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office. 
They're really efficient and 

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they they do well. 
Next patient was a a 43 year 

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old. 
They had a Lamisil booster. 

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Next patient was a 27 year old 
that had bilateral plantar 

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fasciitis. 
She got the foam rollers, 

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bilateral ultrasound, bilateral 
X-rays, and I'm going to see her

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back in four weeks Now. 
Her fascia was not all that 

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thick. 
So I think just the, the Aquinas

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was the dominant force for that.
Next patient was a 64 year old 

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female. 
This is one that I've been 

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treating number six out of 6 for
Shockwave for her peroneal 

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tendons. 
She also has some subtalar joint

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arthritis and I did a video for 
this one as well showing like 

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the subtalar joint arthritis. 
The other doctor wanted to 

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defuse it, but all all was 
hurting her was her subtalar, 

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her peroneals. 
And so we did 6 sessions of 

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shockwave. 
She's much better. 

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She actually gave me goat cheese
last time and so we made 

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caramelized don't even goat 
cheese if you wanted to know 

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what we did with that. 
And I thanked her for that. 

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And then next patient was a #3 
out of 6 shockwave and then the 

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last one was a this is one of my
favorite patients. 

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He is a type 2 diabetic that I 
amputated part of his hallux. 

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But then he actually listened to
me and did intermittent fasting 

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and ketogenic diet. 
I used to preach that a lot to 

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my patients and but he's been 
still doing OMD, which is 1 meal

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a day for his fasting and his 
A1C is like like around six 

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doing much better. 
And he's, he's a motivation now 

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inspiration to me because he's 
doing so well. 

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So that was the day I think 
those in office procedures were 

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really the, the most beneficial 
ones and been doing well for the

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practice. 
So once again, if you guys have 

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some great cases, send them, 
send them my way. 

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I'll, I'll be happy to present 
them. 

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If there's other things that you
are doing that produce a lot of 

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revenue and help you to get to 
the $1,000,000 mark, I'd love to

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know what you're doing. 
OK, Shoot me an e-mail down at 

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Podiatry practice master com or 
if you have any questions about 

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things that we talked about it. 
Thanks.