1
00:00:03,200 --> 00:00:06,000
Hi, welcome to Panache in 
practice Mastery down here. 

2
00:00:06,600 --> 00:00:10,300
What I want to share today with 
you is kind of a back story 

3
00:00:10,300 --> 00:00:14,700
behind something that that I've 
kind of put together called 

4
00:00:14,700 --> 00:00:17,800
patient presentations. 
If you've followed some of 

5
00:00:17,800 --> 00:00:21,100
these, the podcasts or videos in
the past, you may have heard of 

6
00:00:21,100 --> 00:00:22,100
this. 
But I want to tell you a little 

7
00:00:22,100 --> 00:00:26,700
bit about my, the backstory. 
So, basically, when I was 

8
00:00:26,700 --> 00:00:28,300
starting out, I was just like 
everyone. 

9
00:00:28,800 --> 00:00:34,100
I finished residency in 2009, 
when a The private practice, I 

10
00:00:34,400 --> 00:00:36,900
finished residency in July, 
there was a doctor that was 

11
00:00:37,100 --> 00:00:41,000
moving to Arizona and I 
basically picked up his his 

12
00:00:41,000 --> 00:00:43,900
patient population and so kind 
of busy from that from the 

13
00:00:43,900 --> 00:00:46,700
get-go. 
But what I found is certain 

14
00:00:46,700 --> 00:00:49,400
diagnoses were kind of complex, 
like plantar, fasciitis, or 

15
00:00:49,400 --> 00:00:51,100
achilles tendonitis. 
There's a lot of different 

16
00:00:51,100 --> 00:00:53,800
treatment options and then 
something happened. 

17
00:00:54,500 --> 00:00:58,400
Basically, what happened is, I 
there was a kind of a not, not 

18
00:00:58,400 --> 00:01:00,300
too good of an outcome for one 
of the surgeries. 

19
00:01:00,300 --> 00:01:03,400
I think that may have happened 
to some of us Before and and 

20
00:01:03,400 --> 00:01:06,400
there was some kind of 
accusations that I didn't do a 

21
00:01:06,400 --> 00:01:09,200
very clear, kind of pre-surgical
discussion. 

22
00:01:09,200 --> 00:01:12,500
I think many times we're kind of
busy, we maybe talk to patients 

23
00:01:12,500 --> 00:01:14,500
about surgery and then we just 
kind of go into doing the 

24
00:01:14,500 --> 00:01:16,400
surgery. 
Everyone signs the paperwork, 

25
00:01:16,400 --> 00:01:18,600
but they don't remember. 
All the doctor didn't go into 

26
00:01:18,600 --> 00:01:21,400
detail about that. 
And when that happened to me in,

27
00:01:21,400 --> 00:01:24,300
this is something that I've 
learned over the years is 

28
00:01:24,300 --> 00:01:26,000
something. 
Well, if I could do it over 

29
00:01:26,000 --> 00:01:28,400
again, what would I have done 
different? 

30
00:01:28,600 --> 00:01:31,600
And this was my real Epiphany 
where I was like, wow. 

31
00:01:32,200 --> 00:01:34,800
If I could have done it again, I
would have done a lot better 

32
00:01:35,400 --> 00:01:37,500
discussion pre-surgical 
discussion, and that was 

33
00:01:37,500 --> 00:01:39,600
actually my first patient 
presentation. 

34
00:01:39,600 --> 00:01:43,500
I put together a slide deck 
called a pre-surgical discussion

35
00:01:43,900 --> 00:01:46,600
initially, it was just done in 
Google, Google Slides. 

36
00:01:46,600 --> 00:01:49,700
I put together some slides to 
put some images over the time. 

37
00:01:49,700 --> 00:01:51,700
It's improved over the last 
number of years that I've been 

38
00:01:51,700 --> 00:01:55,700
using it, but as I started to do
that, for my pre-surgical 

39
00:01:55,700 --> 00:02:00,500
patients, it really, it really 
went into what we call like 

40
00:02:00,500 --> 00:02:03,900
informed, and they were really 
aware of what was going on. 

41
00:02:04,200 --> 00:02:07,100
And I'll show you that the slide
deck in a sec, a sec, a second 

42
00:02:07,100 --> 00:02:11,100
to some of these slides that I'm
using currently and then, as I 

43
00:02:11,100 --> 00:02:13,800
started to do it more, I was 
like, wow, this really makes my 

44
00:02:14,200 --> 00:02:17,000
my, my job a lot easier using 
these slides and so when someone

45
00:02:17,000 --> 00:02:19,800
came in for their pre-surgical 
discussion, so basically it was 

46
00:02:19,800 --> 00:02:23,200
30 days prior to doing surgery 
when I got the consent. 

47
00:02:23,200 --> 00:02:25,100
And then I went over the 
discussion with them. 

48
00:02:25,400 --> 00:02:27,800
And then from there I kind of 
multiplied like I recorded as a 

49
00:02:27,808 --> 00:02:30,800
video and I started to make 
other other slide decks called 

50
00:02:30,800 --> 00:02:34,100
patient. 
Just made made life a lot a lot 

51
00:02:34,100 --> 00:02:36,700
easier. 
And so, what I'm going to do is 

52
00:02:36,700 --> 00:02:38,900
I'm going to show you that slide
deck and a second, but I want to

53
00:02:38,900 --> 00:02:40,700
invite everyone. 
I'm going to put a link 

54
00:02:41,100 --> 00:02:44,800
underneath this, either this 
video, or this audio where you 

55
00:02:44,800 --> 00:02:47,300
can join is I'm going to do a 
webinar, kind of going doing a 

56
00:02:47,300 --> 00:02:50,000
deep dive into these patient 
presentations. 

57
00:02:50,300 --> 00:02:52,800
I'd like you to join me. 
You can get the link underneath 

58
00:02:52,800 --> 00:02:54,400
it. 
And then we can kind of do a 

59
00:02:54,400 --> 00:02:58,200
deep dive into, how to do 
patient presentations, how to 

60
00:02:58,200 --> 00:03:01,200
make your own, how to 
incorporate into practice and 

61
00:03:01,200 --> 00:03:03,600
and things like, Like that. 
So I think you'll enjoy it. 

62
00:03:03,600 --> 00:03:05,400
It's been kind of a 
transformational thing that I 

63
00:03:05,400 --> 00:03:08,200
wanted to share with everyone so
okay, so here we go. 

64
00:03:09,200 --> 00:03:11,600
This is patient present. 
These are my patient 

65
00:03:11,600 --> 00:03:13,600
presentations here. 
All the different ones that I 

66
00:03:13,600 --> 00:03:17,200
use the, what I specifically 
want to show to you is the one 

67
00:03:17,200 --> 00:03:21,100
on surgery that I talked about 
mmm. 

68
00:03:21,800 --> 00:03:24,900
After I leave it up top because 
I do it so much, right? 

69
00:03:32,700 --> 00:03:35,300
Here is surgery new. 
So you can see I have older 

70
00:03:35,300 --> 00:03:37,900
versions and I have newer 
versions that the newer ones, I 

71
00:03:37,900 --> 00:03:42,200
put new ayat, the older ones, I 
don't put new bike because I'm 

72
00:03:42,200 --> 00:03:44,400
always modifying. 
These are having people this 

73
00:03:44,400 --> 00:03:47,100
one, this isn't how it looked 
when I first started. 

74
00:03:47,200 --> 00:03:49,000
Okay? 
Just so everyone knows. 

75
00:03:49,000 --> 00:03:51,400
It looked very kind of 
rudimentary in the beginning, 

76
00:03:52,100 --> 00:03:54,300
but this is the slide deck that 
I currently use. 

77
00:03:54,300 --> 00:03:57,000
And it takes me. 
I would say about, I don't know,

78
00:03:57,000 --> 00:04:00,600
10 minutes to do with patients. 
Basically, I go over the 

79
00:04:00,608 --> 00:04:06,200
surgical, The main reasons for 
surgery, non-surgical treatments

80
00:04:06,600 --> 00:04:10,200
Imaging studies, surgical 
questions that people might have

81
00:04:11,200 --> 00:04:13,300
before the surgery during the 
surgery. 

82
00:04:13,300 --> 00:04:16,899
Anesthesia talking about where 
I'm going to do the local 

83
00:04:17,200 --> 00:04:19,700
surgical dressings, kind of 
after surgery. 

84
00:04:19,700 --> 00:04:23,500
What they need a boot cover. 
I put this in thing. 

85
00:04:23,500 --> 00:04:25,400
In for me, check the 
prescription drug monitoring 

86
00:04:25,400 --> 00:04:26,300
report. 
That's what I have to do. 

87
00:04:26,300 --> 00:04:29,400
Before I met surgery, kind of 
like that's a checker for me. 

88
00:04:30,200 --> 00:04:33,200
Pain medications talking, Out 
that after surgery, planning 

89
00:04:33,500 --> 00:04:36,200
important questions and then the
possible complications the 

90
00:04:36,200 --> 00:04:37,800
mirror. 
Main reason I do this is because

91
00:04:37,800 --> 00:04:40,800
of the possible complications 
and the treatments if they have 

92
00:04:40,800 --> 00:04:43,800
any of these. 
So this is the first slide deck 

93
00:04:43,800 --> 00:04:47,200
and I'm going to go into a lot 
more detail when we when we meet

94
00:04:47,200 --> 00:04:51,100
together about this. 
But that's what I want to invite

95
00:04:51,100 --> 00:04:52,600
you to. 
They'll be a little link 

96
00:04:52,600 --> 00:04:55,000
underneath here if you wanted to
join the. 

97
00:04:55,000 --> 00:04:57,600
This webinar on patient 
presentations to kind of taking 

98
00:04:57,600 --> 00:05:00,900
a deep dive into kind of how its
transformed practice. 

99
00:05:00,900 --> 00:05:02,900
I think it's It just it's been 
the best thing that's ever 

100
00:05:02,900 --> 00:05:04,900
happened. 
Until I hope you will join. 

101
00:05:04,900 --> 00:05:08,300
Hope you find some interest in 
this and we look forward to 

102
00:05:08,300 --> 00:05:09,700
seeing you there. 
Okay thanks guys.

