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Hey guys, Don here, welcome to 
Podiatry Practice Mastery. 

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

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$1,000,000 mark and beyond. 
So I'm still having a hard time 

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getting all my notes done. 
I used to get my notes done 

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every day and I'm tending to 
leave them just so I can go 

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home. 
And there's still a little bit 

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of break during the day. 
But for the EMR transition, I'm 

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looking here, what the heck, 
what day were we were day #17. 

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So I think by day 30 it'll be up
and running and working 

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smoothly. 
The online scheduling system has

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worked quite well. 
We, we used to have that in 

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Athena, but for, for some 
reasons of like patients not be 

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able to make appointments the 
best way we've been. 

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We added it back in now for Mod 
Med and it's, it's working well.

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I think I told you we're, we're 
finishing up a urgent care page 

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on our website to kind of get 
some of the kind of pull some 

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business from urgent cares to 
kind of explain that that 

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rationale. 
So things are going good that 

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way. 
Let me tell you the day. 

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So the first patient, 66 year 
old female for carry flex 

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debrided 1 nail. 
There's no ENM when I do these 

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carry flexes once a year because
I'm not really changing any of 

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the the treatments. 
Next was a 47 year old male. 

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Well it left hallux. 
He had a wart. 

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I had kanthorin. 
He also had some left ankle pain

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and because of that he had our 
cortisone in the past. 

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I'm going to get an MRI to kind 
of see if there's anything I'm 

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missing in there. 
Next was a 55 year old that has 

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bilateral Achilles. 
Now she is on chocolate #7 So 

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let me tell you about this one. 
This one, she's my neighbor and 

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so I did 6 bilaterally for her. 
So that was like 3 grand. 

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She is better but it's not 
totally gone. 

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It was a three month follow up. 
And so for this one, I'm doing 

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an office visit for her and and 
I'm going to do them once a 

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month, another three once a 
month just for an office visit. 

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I've never done this before. 
I don't plan on doing that, but 

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I'm almost feeling bad like 
she's dropped all that money and

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the shockwave doesn't take a ton
of time. 

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So that's what I'm going to do. 
I'd like to hear if you guys do 

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something similar, but that's 
what I'm going to do for her. 

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Next was a carry flex. 
This was AI divided 1 nail. 

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So both these carry flexes were 
done by my nail tech. 

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And frankly she is much better 
at at nail at these nail things 

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than I am. 
I'm good, but I think she's just

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better. 
She's probably just takes more 

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time frankly because she doesn't
have this like a tons of 

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patience she's waiting to do. 
Next was a 25 year old male with

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a left hallux. 
Did an I and D. 

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Another was 18 year old female 
for bilateral I and D. 

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These are for ingrown toenails. 
Next was a 72 year old man had 

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orthotic adjustment I. 
There's a kind of a lateral lip 

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on the orthotic that was rubbing
and I dropped that down. 

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He's status post shockwave doing
well. 

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Next was another 44 year old 
carry flex and I divided 2 nails

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so I had a lot of carry flex as 
you can see, and I think it's 

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because of the time of the year 
they tend to come out this time 

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of the year. 
Next was a 30 year old female 

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for metatarsalgia stress 
fracture did X-rays. 

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Now this one I wasn't sure I 
wasn't sold that it was a stress

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fracture so I didn't build the 
the non op fracture care. 

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I'd like to know what you guys 
do if you're at like unsure. 

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I just did like an office visit 
and I'm going to see her back 

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for X-rays. 
I'd like to know what other 

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people do if you guys are always
doing it, even if you, you know,

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sometimes you, it might be a 
hairline fracture. 

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You can't really see it. 
It kind of hurts with vibration 

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with a tuning fork. 
Do you do, do you do like 

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fracture care all the time or 
only on the ones that you're 

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sure of? 
So that one I didn't, another 

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one was a carry flex. 
Wow, that's a lot of these here.

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And then that's another right 
ankle pain. 

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This is a 78 year old right 
ankle pain and we are just doing

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I was going to do the cortisone 
cortisone #1 in her ankle. 

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And then next was a 69 year old 
with a lot of lymphedema and I 

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referred her to a lymphedema 
clinic. 

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So that was that was the day 
that I wrote down the rest of 

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the notes. 
I'm not done with There were 

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there were probably more. 
I'm finding I have Raleigh's 

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doing much better. 
My scribe is doing much better 

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on the notes. 
He's getting more confident. 

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We're learning more things go 
and my staff is is much less 

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stressed as doctors was still 
kind of learning how to do all 

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of our paperwork and kind of 
like signing off on things like 

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pathology results and things 
like that. 

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So what what it's it's kind of 
calming down. 

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I feel like we're we're getting 
better. 

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I'm not eating during the day as
much like stress eating, which 

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is which is better for me And 
I've I've been enjoying working 

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with Al if you've been getting 
the emails, So we sending out 

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these weekly emails I'm having. 
I want to have him put in some 

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more like personal interest 
stories because I think people 

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like to know that like things 
that are going down on with the 

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family and, and things like 
that. 

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But those have been fun. 
And we're kind of ramping up to 

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do a, a smaller mastermind group
where we're going to kind of 

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work on making progress in our 
lives and, and things like that 

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progress. 
And then also looking at doing a

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called a hot seat mastermind. 
If you're not familiar with 

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that, what a hot seat is, is you
have one person, they kind of 

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prep, they, they kind of tell 
the, the situation of their 

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practice and then they ask for 
help and one and one area kind 

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of outline the problem. 
And then we kind of give 

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recommendations and suggestions 
that can be implemented. 

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And then there's a little bit of
accountability for, for feedback

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and, and doing things. 
So kind of kind of excited about

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starting that and, but other 
than that, that's about all 

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that's going on. 
I don't have much bandwidth to 

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do anything else. 
I was asked to do a dermatology 

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lecture by our pathology 
company. 

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So I'm, I'm kind of excited 
about that. 

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I'm a little, I don't know, I 
think I'm a little unsure 

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because I do quite a bit of 
biopsies. 

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I haven't done a ton lately, but
I, they want me to do a kind of 

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a biopsy workshop. 
So I'm, I'm thinking about doing

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that. 
I think it would be fun, but I 

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think a lot of times we get, we 
feel like there's this, I don't 

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know if you ever get this, but 
there's like an imposter 

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syndrome. 
Like am I really good enough to 

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do this? 
You know, why are they asking me

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to do this? 
I don't feel like this one wants

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to use me like the other 
shockwave company did. 

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I felt like the other shockwave 
wanted to use me. 

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So I, I did not, did not do 
that. 

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But we are still having good 
success with both shockwaves 

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softwave and the cure medics 
focus device. 

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OK guys, have a good day.