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Hi, Don here. 
Welcome to Podiatry Practice 

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Mastery. 
I am going to go over my one 

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page report for August 2025. 
I like to do this every month. 

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I kind of go over what's 
working, what's not working and 

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I like to share everyone kind of
behind the scenes, both in my 

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practice and in my personal 
life. 

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So I, I like to, a lot of times 
not only show what good things 

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are going on, but I think 
sometimes we learn more from the

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bad things that are going on in 
life. 

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OK, so this is the goals I was 
working on in July and then any 

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of the progress. 
So we're on the third month in 

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our new EMR with Mod Med and we 
are getting used to it. 

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Good, bad and ugly. 
After about 3 months, my scribe,

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he is up and running so 
thankfully like all my notes are

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getting done. 
I actually think it has a better

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billing software. 
I think we get paid faster and 

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it is certainly a lot less 
expensive than Athena, albeit 

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the actual templates are more 
challenging to use. 

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I think the protocols are a 
little bit better, but the 

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templates are a little bit used.
I feel a little more restricted,

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almost like handcuffed into 
having it do their way and and 

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look like those those templates.
A couple of things I'm really 

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struggling with and I've had a 
hard time with are trying to get

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good reports because frankly, I 
don't know how to make them. 

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And I would like to know like 
how many in tracking, like 

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tracking attribution tracking 
for my marketing? 

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So for example, are my patients 
coming from Facebook? 

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Are they coming from LinkedIn? 
Are they coming from other 

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places, other primary cares? 
And it has a little question 

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mark, but it's not obligatory to
answer. 

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So I have to figure out how to 
turn that on. 

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So it makes it obligatory. 
Also, my reporting isn't as good

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as Athena. 
Athena had really good reports. 

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Like these reports were 
excellent each month. 

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And it was really easy for my 
staff. 

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Like they can check new 
patients, follow up patients, 

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billing, but they have a hard 
time on like shockwave, 

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orthotics, other types of things
like that. 

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So I'm still struggling a little
bit with that. 

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I met with a like a person, a 
consultant that was going to 

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help us a little bit and then 
she kind of ghosted us. 

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I'm finding I get more of this 
ghosting stuff more and more, 

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and she was even referred from 
someone else, like a friend of 

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mine. 
But I just find that this 

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ghosting thing is, I don't know,
people just don't communicate or

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they're not getting emails. 
I'm not exactly sure which one. 

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I still find it a little bit 
challenging to sign off on 

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documents. 
I came back from vacation and 

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I'd like all these documents to 
sign. 

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So in Athena, it was really easy
to sign off on like physical 

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therapy orders or the physical 
therapy things that did sign 

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off, the reports and signing off
on for like diabetic shoe, like 

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they ask for subscriptions or 
signatures and stuff like that. 

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So it's really hard to sign off 
on stuff. 

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And so it got to a point where I
just printed things off and I 

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said I'll just physically sign 
it and had my staff re fax. 

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It makes it easier for me, 
frankly. 

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And it uses a piece of paper and
I don't have a ton of stuff I 

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have to sign off on. 
And so I'm actually thinking 

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about printing stuff versus 
doing it that way. 

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I've talked to some other 
doctors, they do that. 

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They're not like deal Breakers, 
but they're just frustrations. 

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And then the other frustration 
frankly was Athena came back and

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they're like, hey, you know, we,
we miss you. 

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Did you by the chance want to 
come back like, and I told them,

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hey guys, I love, I love Athena.
I loved it. 

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I was like a Rep, not a Rep, but
I like talked to other doctors 

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about Athena and they paid me 
money and not a whole bunch of 

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money. 
If anyone wants to know, it's 

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like $500.00 an hour and you can
someone talk to me. 

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Which it wasn't all that often. 
It wasn't breaking the bank, but

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I, I love the product. 
But the problem was like with 

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their percentage, we were just 
getting like hammered. 

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And so with this new one, Athena
offered something where we would

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have saved maybe like I think 
40,000 in this Mod Med would 

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have saved us like 70,000 per 
year. 

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And and also Modmed was cutting 
out all the cash payments, which

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I like the most. 
So orthotics, shockwave cash 

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payments don't go through 
Modmed's billing. 

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And so we get all the benefit 
versus them taking a percentage 

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of that. 
And that's what the main, like 

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the main reason was money. 
The main reason we switched was,

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was money. 
So that was the kind of the 

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issue. 
So they came back to me and 

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said, hey, we'll get you a 
better deal. 

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But now when they came back to 
me, really the deal wasn't any 

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better. 
It was the same deal they had 

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given before and it wasn't. 
And so there's no incentive for 

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me to to go back. 
So Murali, my scribe is is doing

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better, getting better with the 
new system. 

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I actually had to just I do a 
lot of nail care on Friday 

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mornings and I had to sit down 
actually with my office manager 

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and she had to like walk me 
through like baby steps here of 

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of getting. 
I know you might be great at 

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diabetic foot care coverage. 
I'm not. 

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And so she had to go in and just
review all my notes with me, 

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like 30 notes on a Friday and 
just say, OK, Dom, this, these 

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aren't getting covered. 
I'm tired of getting the 

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kickback. 
So you have to fix your notes. 

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So I did that. 
I had a good trip to Brazil. 

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So my wife is from Brazil. 
I lived at some time in Brazil. 

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I was a Rotary exchange student 
30 years ago. 

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Can you imagine that? 
I don't even feel 30, but it was

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30 years ago. 
We had a nice vacation, we had a

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good beach day to Rhode Island 
the Monday before. 

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So I've been taking during the 
summertime, some Mondays off to 

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be with my kids because they're 
on summer break. 

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And I find that during the 
school year, it's the, the 

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school doesn't like it when I 
take them out just on personal 

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days to enjoy days off with 
them. 

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So it kind of restricts us. 
So I'm trying to take more time 

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off during the summer. 
So we enjoyed that. 

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Brazil was nice. 
My, I went to, we went to a 

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little church camp and called 
the Mahanayeem, which is in the,

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in the, in the mountains. 
It was a little cooler there. 

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We're there for four days where 
there's a church retreat. 

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And then we went to my in laws 
in the interior part of Miniat 

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ice and we, and he's a coffee 
farmer now. 

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So I got to go look at the 
coffee in the morning and the 

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evening and drank the coffee and
I ate way too much. 

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So my only complaint was we 
stayed like 7 days at one 

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location with my in laws. 
So you can't like leave, but it 

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was, it was fun. 
Otherwise returned, I was 

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refreshed and I was really able 
to disconnect from work. 

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I don't really don't do any work
or any business reading or 

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anything like that. 
Now I do use my my travel days 

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as buffer days. 
Like I I tend to work when I'm 

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travelling just because there's 
nothing else to do when I'm 

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travelling. 
So I'm usually working on new 

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ideas. 
I'm continuing to do YouTube 

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Shorts and I'm taking the 
winners. 

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And I made an ad for that and I 
made an ad and we're doing that 

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for our urgent care. 
They're people that are coming 

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in. 
I'm really still struggling a 

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little bit with attribution 
check tracking, like tracking if

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patients are really coming from 
the urgent care. 

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I can see it on my schedule. 
And there's a new cool way with 

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Clara, which is with the Mod Med
where I can make appointments 

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just for urgent care 
appointments. 

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So they can get any time with, 
with any doctor. 

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So it makes it a lot easier. 
So these videos are going well. 

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I'm still doing a video a day 
with YouTube Shorts and it's 

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sending it everywhere else. 
It's like sending it to TikTok, 

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to Instagram, to X, which is 
Twitter. 

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It sends it everywhere else. 
So if you want to know how I do 

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that, just shoot me an e-mail. 
Don 

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don@podiatrypracticemastery.com 
love to share that little 

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protocol with you. 
It works really well for making 

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content. 
I just do content when I'm 

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seeing patients in in in the 
treatment room. 

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That's all I really do. 
I try to do 1 short a day. 

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I probably do multiple a day, 
but I kind of like put them all 

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together and then I make one 
short a day that publishes 

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through my virtual assistants. 
They publish everything. 

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We are still having our our 
phone guy. 

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We have a new virtual phone 
Podiatry person that answers 

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phones. 
He's still messing up on some 

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answers. 
Like he says someone asked, 

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well, can I send a picture and 
he said no. 

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Well, it's definitely on our 
website. 

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You can send a picture to us via
HIPAA circuit texting. 

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Like there's just simple 
questions that he's not 

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answering all that well. 
So it's probably our fault from 

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not training him. 
So for May, my billing was at 

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1:20, a 120,000, a little bit 
higher. 

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I think also only because of the
new medical record, like some of

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my previous billing was held 
back. 

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I don't know how many shock 
waves, orthotics, Swifts, or 

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amnios I've done because I don't
know how to track that. 

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We've got 17 reviews which were 
really down, so I'm switching. 

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I'm thinking about switching 
back to Swell. 

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It's a different company to get 
online reviews. 

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We were doing a lot more 102 
downloads, so we're getting a 

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lot more downloads on our 
website and our free lead 

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magnets. 
So different type of updates. 

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I've been doing these videos 
daily shorts with my VA. 

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If you want to see them, you can
certainly go to my YouTube 

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channel, YouTube slash Doctor 
Belto. 

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Our urgent pay urgent care page 
is doing well, getting a lot of 

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patient visits and it's filling 
up the the newer Dr. here that's

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not already busy. 
I got asked to do a biopsy 

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workshop for a local Podiatry 
meeting. 

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So I'm kind of excited about 
that. 

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I enjoy doing those things, so 
that should be fun. 

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My dad went on vacation. 
So when we went on vacation, my 

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dad who's dealing with a little 
bit dementia, he went on 

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vacation with his sisters and it
was such a nice break. 

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Like it was a good family 
dynamic and we are looking for a

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place for him. 
I really feel almost like guilty

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and sad saying this, but it's 
such a hard family dynamic with 

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a nine and an 11 year old at 9 
at home with with dad there as 

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well. 
Murali, my scribe is up to date 

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with mod Med. 
He's getting better with notes 

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and I really feel like life is 
getting better. 

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So frankly, life sucked for the 
first three months with the mod 

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Med or with any EMR. 
It's not mod Med specifically, 

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but it's it's tough and now it's
getting better. 

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Next there's a new ChatGPT that 
I've been using. 

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It's if you look up under 
specific chats, it was Alex 

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Harmozi, HORMOZI. 
If you like Alex or if you like 

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marketing, you could you just 
ask questions to his ChatGPT. 

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He has a paid version for like 
$200 a month, but I think the 

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free is sufficient. 
I made my dumb phone, so I made 

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my smartphone into a dumb phone.
I have a couple little tips 

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where basically I delete 
everything from all my pages, 

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all my home screens and I only 
have the first screen is totally

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empty and black. 
The second screen has only a 

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couple of icons that I use and 
then the next one has like my 2 

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point verification stuff. 
And I also have learned on my 

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phone. 
Anyway, the one I have, if I 

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click the right button three 
times, it makes it black and 

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white. 
So it's a lot less incentivizing

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to look at anything when it's 
black and white. 

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If it's color it, it just you 
want to look at it more. 

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And then finally, I started out 
some new titles on my Podiatry 

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practice mastery. 
I don't know if you guys noticed

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this, but if you're listening to
this, you might be. 

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I started to do actual titles 
based on interesting patients 

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I've seen during the day or 
things that I've learned or I 

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want to talk about versus just 
like the $1,000,000 minute. 

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I used to call everything the 
$1,000,000 minute, but I learned

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from Alex Harmozzi. 
It's probably better to have a 

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more tantalizing title. 
So I've been fixing the titles. 

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If you don't listen to this 
podcast, I don't know how you're

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listening to this, but listen to
it. 

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So what's my focus for August 
2025? 

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Focus on improving my urgent 
care page and make a patient 

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referral request card to the 
urgent care. 

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So basically a patient referral.
So something that I can give to 

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patients in the office, like all
my patients to refer their 

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friends for our urgent care 
appointments. 

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I want to make a special web 
page for a sneaker store 

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offering priority access to 
their customers for visits in 

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our office with an e-mail submit
well offer book as well offer a 

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book on common foot and running 
injuries. 

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So basically doing a page for 
us, but looks like their website

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with like a book for like we 
have a local sneaker store 

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called Sneakerama. 
I want to put a book on there 

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that I've done previously that 
they can give to their patients,

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their customers that come to the
office. 

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But also it would offer our 
urgent care if they have any 

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urgent foot issues. 
And then finally print out 

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referral cards for a sneaker 
store and ask them to give out 

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to their patients. 
So that was the day once again, 

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I hope you guys found this one 
one page overview for August 

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beneficial. 
I'd love to hear what you think.

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Send me an e-mail 
don@podiatrypracticemaster.com. 

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Also, I'm putting together a six
month challenge to help you get 

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your practice to the $1,000,000 
mark. 

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If you're in the six to six to 
seven $100,000 mark, you want to

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get to the million, let me know.
OK, Happy to have you be part of

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that challenge. 
OK, thanks. 

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See you tomorrow.