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Hey guys down here, welcome to 
Podiatry Practice Mastery, where

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we're trying to help you get 
your practice to the $1,000,000 

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mark and beyond. 
And I'm just going to share the 

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kind of the things that we we 
were working on in the office 

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today, 23 patients here on this 
day that I'm recording. 

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So our first patient was a 
patient with Gaudi Tofi in the 

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toe. 
So it's just basically an office

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visit for this patient. 
No, no follow up for this unless

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it becomes a problem next. 
So with my new medical record 

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here, I have these 10 minute 
appointments I'm starting to 

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use. 
So this is a 10 minute slot. 

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I'm putting in matrix follow-ups
in there. 

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Next patient was a 56 year old 
that had pestplanus that got 

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orthotics. 
Next was a 44 year old that had 

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some good results with Lamisil 
which we had Lamisil booster for

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them. 
Next patient was a 86 year old 

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female. 
She had a bunion so we gave her 

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just an older female, so a 
bunion spacer and she had one 

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thick toenail. 
So we talked to her about nail, 

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nail fungus. 
No follow up next was a 50 year 

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old, this female, this patient 
had right plantar fasciitis. 

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They got the the planter at the 
Pelto special. 

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So if you don't know, my staff 
know the Pelto special is the 

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basically the the morning 
stretch foam rolling and then 

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the night splint. 
And she also has some left 4 

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foot pain with the recommended 
shoe changes. 

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She'll be back in about 3 weeks 
for a possible ultrasound and 

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then going into shockwave if the
pain's not better. 

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Next would be a 67 year old 
female. 

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They got X-rays, kind of 
bilateral foot arthritis. 

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And she was here actually for a 
follow up of an ingrown. 

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So she was here for an ingrown 
could have been a very kind of 

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low value visit. 
But she also, I always ask 

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patients, do you have any other 
things? 

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And she had, oh, I have this 
foot pain. 

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I said let's get X-rays and, and
then we looked at that showed 

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the, the arthritis and we talked
about like orthotics for that or

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cortisone injections for her. 
I find I've been having a lot of

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patients coming in and I think 
it's because I have a new staff,

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but the they're, they're coming 
to me and they say, oh, the 

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patient doesn't want X-rays or 
the patient maybe doesn't want 

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the post op kit. 
I think a lot of times it's how 

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staff explain it to the patients
so that I have to sit down and 

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do kind of role-playing with the
staff and kind of explain how 

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how to explain it the proper 
way. 

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The problem with not getting 
X-rays before they see me is 

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that it just delays things. 
It's not so much that I don't 

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mind. 
They'll usually I'll just 

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explain it to them and they'll 
get the X-rays. 

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But in this case, just the 
delay, the delay of time of 

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going from from one room to the 
other. 

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I tend to as much as possible 
stay in the same room I'm at 

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until I get everything 
completed. 

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I try not to go out and the only
reason I would go out and in is 

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if I'm doing like a numbing up a
toe and then I'll go do another 

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room and then come back. 
But I try to stay in the room as

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much as possible. 
Next patient is a 77 year old. 

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He had a follow up with Lamisil 
booster. 

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He's doing well and he he had an
ingrown toenail that I took care

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of. 
So a lot of these patients, I 

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think this day, it was the day 
that I was recording a lot of 

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videos of what I've been, what 
I've been trying to do lately is

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so there's this idea of like, 
like in sawmills, they take 

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sawdust. 
And I've talked about this 

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before, you take sawdust and you
make it into plywood. 

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And So what is the sawdust we 
have? 

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Well, it's all these patient 
interactions. 

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So can I take these patient 
interactions and make videos out

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of them? 
The rationale for that is then 

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the best producing videos, then 
you can make those into ads. 

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So the best producing videos 
that have the most views, most 

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interest, then you can add a 
little call to action at the end

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of it for your ad. 
So that's kind of why I'm making

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more videos recently. 
I'm using something called Sub 

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Magic. 
It automatically adds subtitles.

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So what I do is I just take my 
phone and I upload it directly 

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into that and then a virtual 
assistant takes those and puts 

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those on my on my YouTube. 
So that's kind of how it works. 

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And then based on the best ones 
and we can turn those into ads. 

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I'm not to the ads portion yet. 
So I'm in the first video 

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portion. 
So I'm still figuring out the 

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ads portion. 
Just so you guys know. 

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OK, Next was a left plantar 
fasciitis did an ultra 

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ultrasound and this patient have
quite a bit of thickness and 

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this patient is going on 
vacation. 

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So I did a cortisone injection. 
A lot of patients if they're 

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going on vacations or trips, 
I'll do I do a cortisone with 

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this thing. 
She would have better benefited 

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better from shockwave and she 
may do that in the future. 

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Next was a patient that had 
somehow gotten to my schedule, 

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but she had nail care and but 
she also had like a right second

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toe kind of an ulcer. 
I think that's why she came in. 

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She should be coming in like 
every three months, but she 

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wasn't. 
So she got it my non my other 

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days. 
Next was a patient that was a 76

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year old that had a pain to the 
navicular tuberosity and 

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posterior tibial tendonitis. 
I did an X-ray. 

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I did an ultrasound. 
They're going to do the normal 

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things, kind of the resting anti
inflammatories, icing. 

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They did not want the tin Cam 
boot to rest. 

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It just wasn't comfortable. 
They're going to be back in 

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three weeks and if not better 
then I'll most likely recommend 

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Shockwave for that. 
Next was #2 out of 6 for 

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Shockwave for plantar fasciitis.
Next was #5 out of 6 for 

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posterior tibial tendonitis for 
shockwave. 

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Next was a a 54 year old that 
had a left first met cuneiform 

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joint pain and I did orthotics 
for this patient to help 

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stabilize the joint. 
Next patient was a nail sample 

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follow up and they got the 
fungal kit. 

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Next patient was a 63 year old 
that had an ingrown lateral 

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side. 
They also had right Achilles 

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pain. 
So this was an interesting one. 

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This is a 63 year old guy. 
He he very successful in life 

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went to see another another 
orthopedist in a group in our 

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hospital here. 
I was talking to my buddy like 

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he is single handedly the best 
referral source for us to our 

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offices. 
This orthopedist because just 

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some some types of the 
treatments that he does kind of 

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jumps into surgery for like 
everyone with Achilles 

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tendonitis or you shaving down 
the back of the bone and 

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reattaching it and just having 
difficult results with that. 

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And so he a lot of people come 
over here for a second opinion. 

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So for him he had this like 
ingrown toenail with with some 

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swelling. 
It wasn't infected and he was 

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like is there anything you can 
do about this? 

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I said sure And I said the 
reason you have this is because 

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the callus and the nail edge. 
And I know you guys all know 

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this, but I take it out and then
I, when I pull out the callus, I

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actually show him because the 
ingrown toenail didn't look bad,

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but it was because it was built 
upon a callus in there. 

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So I showed him that and that 
he's like, wow, that's cool. 

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And then the other side, he had 
insertional Achilles tendonitis.

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And I and I did an X-ray and I 
said, Hey, what we have to do 

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here is the shockwave. 
And so he did shockwave. 

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Now this guy is very successful.
He has multiple businesses and 

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he travels a lot. 
So he's like, I'm going to be 

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traveling. 
I said OK, well some patients, 

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they do Shockwave every week. 
That's like 6 weeks. 

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But if you want to like what the
research says is every 72 hours,

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we can do this. 
So this was I think a Tuesday. 

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So he's going to come in on a 
Friday afternoon. 

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So he's going to come three days
later. 

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Every three days he's going to 
come in till he gets his six 

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sessions done so he can kind of 
jump start on it. 

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So that was like my MVP patient 
of the day. 

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That second opinion next was a 
patient. 

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This is kind of an interesting 
one. 

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He's a 62 year old male. 
He was lifting a really heavy 

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cabinet and he whacked his fifth
toe and dislocated. 

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And The thing is like kind of 
brawny swelling and kind of 

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dislocated laterally. 
I couldn't relocate it with my 

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hand and I wasn't sure if I 
would just leave it because it 

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didn't look all that bad when I 
saw him on the X-ray. 

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It looks a little bit off, off 
kilter. 

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But if it if it calms down, he 
might not have to do anything. 

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If it, if it doesn't, then we're
going to have to pin it in place

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because I think he kind of 
ripped some of the, some of the 

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soft tissue that was holding 
everything in place. 

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So next patient was a 51 year 
old. 

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This is swift #5 And I set up 
number six and seven. 

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So this guy has had warts for 
years and years and years. 

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I, I, I, I record the number of 
Swifts just like I do chocolate.

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So I know what actual number I'm
at. 

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So this he is, he is more than 
normal, but I scheduled those 

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for him. 
Next was a 24 year old girl. 

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She's a little girl that ends in
PT school. 

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And I treated her mom. 
She sent her daughter. 

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She has bilateral bunions, but 
at this young age she has like a

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hypermobile kind of first Ray 
and this and the bunion that 

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she's going to need a lapidus. 
So I referred her to one of my 

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colleagues here that's going to 
do that for her in the future. 

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And then next was a 37 year old 
female for a Lamisil booster. 

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And then finally there was a, a 
patient that was a 42 year old 

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that's been kind of dealing with
some plantar fasciitis, had done

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shockwave in the past, was 
concerned about some tarsal 

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tunnel. 
And I think this end of the day,

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I think I was hungry and I just 
wanted to get out of there. 

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And I think I just, I was going 
to have her get a second opinion

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with one of my buddies to see 
kind of if there was any like 

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anything else going on that I 
was missing. 

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So that's what I did. 
But as I was thinking back about

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this, I think really the, the, 
the reason I was like hungry and

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tired. 
I don't know if that happens to 

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you at the end of the day. 
And I just didn't have as much 

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patience as I probably as I 
probably should. 

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And then finally, there was a 
rusty nail, a little girl, 18 

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year old that stepped in a rusty
nail at a bonfire. 

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She had already been prophylaxed
for tetanus. 

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She's placed on an antibiotic. 
And this one, I'm just doing a 

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tight call on her, like calling 
her, making sure she's OK 

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because she was having some 
guarding. 

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And so I was just really 
concerned about a deeper 

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infection that might not have 
gotten better. 

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I told her if it does get worse,
she just have to go to the Ed. 

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OK. 
So anyway, I hope you guys found

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this beneficial. 
If you don't know, there's a 

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website called Podiatry Practice
Mastery on there. 

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I have this $1,000,000 practice 
blueprint that you may be 

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interested if you haven't 
downloaded. 

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I think it would be good open up
some insights to how kind of our

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practice, what worked for us to 
get to the $1,000,000 mark for 

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the providers. 
OK, thanks.