Hey guys, Don here, welcome to Podiatry Practice Mastery.
I'm going to go over the things that helped get to the
$1,000,000 mark and beyond. So I'm still having a hard time
getting all my notes done. I used to get my notes done
every day and I'm tending to leave them just so I can go
home. And there's still a little bit
of break during the day. But for the EMR transition, I'm
looking here, what the heck, what day were we were day #17.
So I think by day 30 it'll be up and running and working
smoothly. The online scheduling system has
worked quite well. We, we used to have that in
Athena, but for, for some reasons of like patients not be
able to make appointments the best way we've been.
We added it back in now for Mod Med and it's, it's working well.
I think I told you we're, we're finishing up a urgent care page
on our website to kind of get some of the kind of pull some
business from urgent cares to kind of explain that that
rationale. So things are going good that
way. Let me tell you the day.
So the first patient, 66 year old female for carry flex
debrided 1 nail. There's no ENM when I do these
carry flexes once a year because I'm not really changing any of
the the treatments. Next was a 47 year old male.
Well it left hallux. He had a wart.
I had kanthorin. He also had some left ankle pain
and because of that he had our cortisone in the past.
I'm going to get an MRI to kind of see if there's anything I'm
missing in there. Next was a 55 year old that has
bilateral Achilles. Now she is on chocolate #7 So
let me tell you about this one. This one, she's my neighbor and
so I did 6 bilaterally for her. So that was like 3 grand.
She is better but it's not totally gone.
It was a three month follow up. And so for this one, I'm doing
an office visit for her and and I'm going to do them once a
month, another three once a month just for an office visit.
I've never done this before. I don't plan on doing that, but
I'm almost feeling bad like she's dropped all that money and
the shockwave doesn't take a ton of time.
So that's what I'm going to do. I'd like to hear if you guys do
something similar, but that's what I'm going to do for her.
Next was a carry flex. This was AI divided 1 nail.
So both these carry flexes were done by my nail tech.
And frankly she is much better at at nail at these nail things
than I am. I'm good, but I think she's just
better. She's probably just takes more
time frankly because she doesn't have this like a tons of
patience she's waiting to do. Next was a 25 year old male with
a left hallux. Did an I and D.
Another was 18 year old female for bilateral I and D.
These are for ingrown toenails. Next was a 72 year old man had
orthotic adjustment I. There's a kind of a lateral lip
on the orthotic that was rubbing and I dropped that down.
He's status post shockwave doing well.
Next was another 44 year old carry flex and I divided 2 nails
so I had a lot of carry flex as you can see, and I think it's
because of the time of the year they tend to come out this time
of the year. Next was a 30 year old female
for metatarsalgia stress fracture did X-rays.
Now this one I wasn't sure I wasn't sold that it was a stress
fracture so I didn't build the the non op fracture care.
I'd like to know what you guys do if you're at like unsure.
I just did like an office visit and I'm going to see her back
for X-rays. I'd like to know what other
people do if you guys are always doing it, even if you, you know,
sometimes you, it might be a hairline fracture.
You can't really see it. It kind of hurts with vibration
with a tuning fork. Do you do, do you do like
fracture care all the time or only on the ones that you're
sure of? So that one I didn't, another
one was a carry flex. Wow, that's a lot of these here.
And then that's another right ankle pain.
This is a 78 year old right ankle pain and we are just doing
I was going to do the cortisone cortisone #1 in her ankle.
And then next was a 69 year old with a lot of lymphedema and I
referred her to a lymphedema clinic.
So that was that was the day that I wrote down the rest of
the notes. I'm not done with There were
there were probably more. I'm finding I have Raleigh's
doing much better. My scribe is doing much better
on the notes. He's getting more confident.
We're learning more things go and my staff is is much less
stressed as doctors was still kind of learning how to do all
of our paperwork and kind of like signing off on things like
pathology results and things like that.
So what what it's it's kind of calming down.
I feel like we're we're getting better.
I'm not eating during the day as much like stress eating, which
is which is better for me And I've I've been enjoying working
with Al if you've been getting the emails, So we sending out
these weekly emails I'm having. I want to have him put in some
more like personal interest stories because I think people
like to know that like things that are going down on with the
family and, and things like that.
But those have been fun. And we're kind of ramping up to
do a, a smaller mastermind group where we're going to kind of
work on making progress in our lives and, and things like that
progress. And then also looking at doing a
called a hot seat mastermind. If you're not familiar with
that, what a hot seat is, is you have one person, they kind of
prep, they, they kind of tell the, the situation of their
practice and then they ask for help and one and one area kind
of outline the problem. And then we kind of give
recommendations and suggestions that can be implemented.
And then there's a little bit of accountability for, for feedback
and, and doing things. So kind of kind of excited about
starting that and, but other than that, that's about all
that's going on. I don't have much bandwidth to
do anything else. I was asked to do a dermatology
lecture by our pathology company.
So I'm, I'm kind of excited about that.
I'm a little, I don't know, I think I'm a little unsure
because I do quite a bit of biopsies.
I haven't done a ton lately, but I, they want me to do a kind of
a biopsy workshop. So I'm, I'm thinking about doing
that. I think it would be fun, but I
think a lot of times we get, we feel like there's this, I don't
know if you ever get this, but there's like an imposter
syndrome. Like am I really good enough to
do this? You know, why are they asking me
to do this? I don't feel like this one wants
to use me like the other shockwave company did.
I felt like the other shockwave wanted to use me.
So I, I did not, did not do that.
But we are still having good success with both shockwaves
softwave and the cure medics focus device.
OK guys, have a good day.