1 00:00:01,040 --> 00:00:03,520 Hey guys, Don here, welcome to Podiatry Practice Mastery. 2 00:00:03,520 --> 00:00:06,680 I'm going to go over the $1,000,000 minute things that 3 00:00:06,680 --> 00:00:08,960 have helped get to the $1,000,000 mark and beyond. 4 00:00:09,640 --> 00:00:13,320 So I was talking recently, I've been listening, this is a couple 5 00:00:13,320 --> 00:00:15,040 of times to this peaks and valleys book. 6 00:00:16,400 --> 00:00:19,240 And one thing that kind of stuck out to me, there's another book. 7 00:00:20,560 --> 00:00:23,640 Again, I read a lot of books. It's called You can't teach a 8 00:00:23,640 --> 00:00:26,520 person to Ride a bicycle in a seminar. 9 00:00:27,120 --> 00:00:30,840 And it was, it's a book from Sandler. 10 00:00:30,840 --> 00:00:34,800 So Sandler is kind of a coach for sales people. 11 00:00:35,280 --> 00:00:39,320 And the idea is a lot of times we try to teach things like in a 12 00:00:39,320 --> 00:00:41,880 seminar format where you just really have to live through it 13 00:00:41,880 --> 00:00:46,360 and learn from it. And the one big key from that 14 00:00:46,360 --> 00:00:51,160 book and also Peaks and valleys is that we have roles in our 15 00:00:51,160 --> 00:00:53,840 life and then we have our identity. 16 00:00:53,840 --> 00:00:56,080 And this is kind of a philosophical idea here. 17 00:00:56,480 --> 00:01:00,680 So like I have a role as like a son of my dad that I'm helping 18 00:01:00,680 --> 00:01:02,080 him with his like dementia stuff. 19 00:01:02,080 --> 00:01:04,959 I have a role as a husband, I have a role as a father. 20 00:01:04,959 --> 00:01:07,040 I have a role as a physician, as a doctor. 21 00:01:07,800 --> 00:01:10,160 I have a role as an office business owner. 22 00:01:10,440 --> 00:01:12,600 So all these different roles. And then we have our identity. 23 00:01:13,160 --> 00:01:16,600 And I think sometimes we mix up our roles and how we feel in our 24 00:01:16,600 --> 00:01:18,360 roles. Like right now the role isn't 25 00:01:18,360 --> 00:01:21,560 doing too good in my office. Our biller just kind of gave her 26 00:01:21,560 --> 00:01:23,360 notice. We're still going through this 27 00:01:23,360 --> 00:01:29,520 new EMR day #8 and but there's an identity which is bigger than 28 00:01:29,520 --> 00:01:32,920 that. So the identity is separate from 29 00:01:32,920 --> 00:01:35,960 our role. And even though the role might 30 00:01:36,160 --> 00:01:41,440 be bad or having a valley or identity, if how you identify 31 00:01:41,440 --> 00:01:44,600 yourself. And so in the way I identify 32 00:01:44,600 --> 00:01:49,160 myself as like a child of God. And, you know, I, I have this 33 00:01:49,160 --> 00:01:51,760 identity of myself, it's separate. 34 00:01:51,760 --> 00:01:54,720 And so trying to learn to separate those things and kind 35 00:01:54,720 --> 00:01:58,800 of turn off, OK, the role went bad today, but I, I'm still am a 36 00:01:58,800 --> 00:02:01,520 good person. I'm doing the best I can and 37 00:02:01,520 --> 00:02:04,160 keeping your identity. So this is kind of a peaks and 38 00:02:04,160 --> 00:02:06,800 valleys have a have a similar mindset of that, you know, even 39 00:02:06,800 --> 00:02:09,680 though you're in the valley, your identity and the way you 40 00:02:09,680 --> 00:02:11,360 kind of deal with that can be beneficial. 41 00:02:11,360 --> 00:02:14,120 So one thing I've been doing during this transition is I'm, 42 00:02:14,200 --> 00:02:20,920 I'm doing writing 10 good things about about each day as I'm 43 00:02:20,920 --> 00:02:25,800 going through this quote UN quote, sucky time of the medical 44 00:02:25,920 --> 00:02:29,520 record translate transition. So I'm going to tell you about 45 00:02:29,520 --> 00:02:31,120 those things. I, I really, frankly, I can't 46 00:02:31,120 --> 00:02:34,800 remember. This was a day of a Friday that 47 00:02:34,840 --> 00:02:37,400 it was 1/2 day because it was the first Friday of the month 48 00:02:37,400 --> 00:02:40,720 where our staff does an office meeting and I had Marjorie help 49 00:02:40,720 --> 00:02:41,560 me. So I guess the good thing with 50 00:02:41,560 --> 00:02:44,680 Marjorie, she did like 5 toenails with a carry flex on 51 00:02:44,680 --> 00:02:45,920 this patient. I don't know if she charged for 52 00:02:45,920 --> 00:02:49,320 all 5, but her toes probably looked really good when she was 53 00:02:49,320 --> 00:02:50,440 done. She took a long time. 54 00:02:50,520 --> 00:02:52,000 That's fine. I was just kind of pushing 55 00:02:52,000 --> 00:02:54,880 through the day and now we're up to full schedules. 56 00:02:54,880 --> 00:02:58,920 Now we're not limited schedule. And I had like, gosh, I think 57 00:02:58,920 --> 00:03:01,760 went home with 19 charts open and I never do that. 58 00:03:01,760 --> 00:03:03,640 But morally doesn't know what he's doing with the charts yet. 59 00:03:03,640 --> 00:03:06,680 I don't know what I'm doing yet. And specifically, I'm having to 60 00:03:06,680 --> 00:03:09,600 open up the other charts to see why they were billed that way. 61 00:03:09,880 --> 00:03:14,320 And what are the errors that I'm learning is that we send a 62 00:03:14,320 --> 00:03:15,840 systemic over to the primary cares. 63 00:03:15,840 --> 00:03:17,800 They fill it out. Let's say it comes out with 64 00:03:17,800 --> 00:03:20,400 something with like a diabetes with modern neuropathy or 65 00:03:20,440 --> 00:03:23,640 neuropathy. I still in some, I didn't know 66 00:03:23,720 --> 00:03:26,840 they were billing it under that, but there was no class findings 67 00:03:26,840 --> 00:03:31,000 of neuropathy in the note or in that at least in the note of 68 00:03:31,000 --> 00:03:32,880 Athena. Now with Mod Med, I have to put 69 00:03:32,880 --> 00:03:34,920 class findings in there. I have to put something else in 70 00:03:34,920 --> 00:03:38,920 there to get that type of care covered. 71 00:03:39,200 --> 00:03:41,640 So I'm I, so I'm talking about the good thing. 72 00:03:41,640 --> 00:03:45,480 So I've asked for help now to learn about my ignorance with 73 00:03:45,480 --> 00:03:48,120 routine care. You guys might be great at it. 74 00:03:48,120 --> 00:03:50,760 I wasn't that good at it wasn't my focus, but I'm having to get 75 00:03:50,760 --> 00:03:53,280 better at it. So I have a Kenya who's helping 76 00:03:53,280 --> 00:03:54,400 me. So I'm getting better at that. 77 00:03:54,400 --> 00:03:56,680 She emailed me back and I can fix those notes. 78 00:03:56,680 --> 00:03:58,680 There's only two I couldn't finish, but it took me, gosh, it 79 00:03:58,680 --> 00:04:01,880 took me forever guys, to do these notes. 80 00:04:02,400 --> 00:04:04,680 Murali was starting to copy notes over. 81 00:04:04,800 --> 00:04:08,760 Well, I had an obligation that day to leave. 82 00:04:08,800 --> 00:04:12,080 We were recording a TV program with our church, and so I was 83 00:04:12,120 --> 00:04:14,520 part of that TV program. So I left earlier. 84 00:04:14,520 --> 00:04:17,279 I left like at noon, but I had to finish the notes at night. 85 00:04:18,959 --> 00:04:21,240 I was also kind of share something with you. 86 00:04:22,440 --> 00:04:24,520 I was like to share the bad stuff too. 87 00:04:25,240 --> 00:04:26,400 So you don't think everything is good. 88 00:04:26,880 --> 00:04:29,520 So the other day I was doing aspiration of a ganglion cyst. 89 00:04:29,520 --> 00:04:32,600 I did too that day, but one of them I numbed her up and as I 90 00:04:32,600 --> 00:04:35,160 was injecting it, she moved her foot and it stuck me. 91 00:04:35,160 --> 00:04:38,200 So I got like a stuck and I haven't been stuck. 92 00:04:38,200 --> 00:04:42,240 Gosh, I don't know if ever or, or it's been years and I don't 93 00:04:42,240 --> 00:04:44,120 even know the pull process anymore. 94 00:04:44,480 --> 00:04:46,680 And so I had to talk in the in the midst of switching the 95 00:04:46,680 --> 00:04:48,600 medical record, I asked my office manager, what do we do 96 00:04:48,600 --> 00:04:49,960 with this? What blood test do we need? 97 00:04:50,760 --> 00:04:54,040 I had to contact the patient or she was actually contacted me 98 00:04:54,040 --> 00:04:56,360 said, Hey, you know, I think we should check this out or and I 99 00:04:56,360 --> 00:04:57,840 felt embarrassed. I'm like, because initially I 100 00:04:57,840 --> 00:05:01,520 was like, Oh, it's no big deal. But then she called me out on 101 00:05:01,520 --> 00:05:02,640 it. And so that's embarrassing. 102 00:05:02,640 --> 00:05:04,680 You know, she called me out. I was like, oh, you know, just a 103 00:05:04,680 --> 00:05:06,320 little stick. And she said, oh, I think we 104 00:05:06,320 --> 00:05:07,960 should do the tests. And I'm like, I don't have 105 00:05:07,960 --> 00:05:09,280 anything. I asked her, you have anything 106 00:05:09,680 --> 00:05:11,440 like bad. Do I have anything? 107 00:05:11,760 --> 00:05:15,520 And so maybe I think next time, regardless, I would, I would get 108 00:05:15,520 --> 00:05:22,080 the the stick training or whatever that's called because 109 00:05:22,080 --> 00:05:23,440 it's happened in in. So I don't think it happened 110 00:05:23,440 --> 00:05:24,600 with me. Happened with my resident in 111 00:05:24,600 --> 00:05:26,120 surgery that they stuck themselves. 112 00:05:26,720 --> 00:05:29,240 But so anyway, it was kind of an embarrassing situation, but 113 00:05:29,240 --> 00:05:32,800 we're going to get that taken care of next time. 114 00:05:32,800 --> 00:05:35,440 Like I said, I'm going to report it right away and get it taken 115 00:05:35,440 --> 00:05:38,960 care of. I also picked my dad up that day 116 00:05:39,600 --> 00:05:42,280 from my his daycare and he just reamed me out. 117 00:05:42,280 --> 00:05:44,560 So I'm still dealing with this dementia. 118 00:05:44,720 --> 00:05:47,360 And the nice thing is my wife found this like levels of 119 00:05:47,360 --> 00:05:50,480 dementia or in Alzheimer's, like mild, moderate and severe. 120 00:05:50,480 --> 00:05:55,160 And he's like in the moderate phase and he just wasn't happy 121 00:05:55,160 --> 00:05:57,480 to be at this day program. But we have to be firm bringing 122 00:05:57,480 --> 00:06:01,040 him there. And my wife kind of exaggerated, 123 00:06:01,040 --> 00:06:02,720 but she's probably good that way because I'm not. 124 00:06:03,000 --> 00:06:06,280 She got in this like I, I, I iPhone tracker or I, whatever 125 00:06:06,280 --> 00:06:08,880 this thing is called, this disc that you put in your shoe insert 126 00:06:09,560 --> 00:06:11,600 and she's just going to put it in his shoe inserts. 127 00:06:11,600 --> 00:06:14,360 So if he runs away, we can find him. 128 00:06:14,360 --> 00:06:17,160 So that was kind of an eye opener because he tends to be 129 00:06:17,160 --> 00:06:20,080 nice to me because I'm, I'm with him, what, an hour or two a day 130 00:06:20,320 --> 00:06:22,480 when I get home. But my wife's with him most of 131 00:06:22,480 --> 00:06:25,160 the time and picking them up and dropping them off and by me 132 00:06:25,160 --> 00:06:27,000 picking them up, I, I could see this outburst. 133 00:06:27,040 --> 00:06:29,160 I don't know if he was tired or what, but then he forgot about 134 00:06:29,160 --> 00:06:31,440 it after like he said, I want to go home and then now he's fine. 135 00:06:31,920 --> 00:06:34,680 So the, the, he has his outbursts and then he's fine 136 00:06:34,680 --> 00:06:36,960 afterwards, like the next day or even a few hours later. 137 00:06:37,480 --> 00:06:40,560 So we're kind of learning to deal with the, with these things 138 00:06:40,920 --> 00:06:42,760 and, and with parents. It's a hard thing. 139 00:06:44,400 --> 00:06:46,720 And so I think having that list of the stages was really eye 140 00:06:46,720 --> 00:06:48,080 opening and actually seeing this. 141 00:06:48,680 --> 00:06:53,120 And then finally, I, I was listening to this peaks and 142 00:06:53,120 --> 00:06:55,200 valley that's been helping me out and I've been getting back 143 00:06:55,200 --> 00:06:57,240 to doing the podcast, even though this isn't, this isn't 144 00:06:57,240 --> 00:07:02,000 like the, the $1,000,000 stuff. It's kind of a life, the life, 145 00:07:02,280 --> 00:07:05,000 the life, life stuff right now. But I hope it's beneficial to 146 00:07:05,000 --> 00:07:06,560 you. There have been some good 147 00:07:06,560 --> 00:07:08,680 patience. Shock waves are getting a little 148 00:07:08,680 --> 00:07:11,000 bit easier. I saved some protocols within 149 00:07:11,000 --> 00:07:12,280 Modmed. So it's making it a little bit 150 00:07:12,280 --> 00:07:14,400 easier from Raleigh. It's going to get better. 151 00:07:14,840 --> 00:07:16,760 But I just like to share kind of what's what's going on here. 152 00:07:16,960 --> 00:07:19,800 OK. If you guys want to reach out 153 00:07:19,800 --> 00:07:22,840 or, or anything, e-mail me at don@podiatrypracticemastery.com. 154 00:07:23,000 --> 00:07:25,480 If you got the e-mail, the newsletter, if you have any 155 00:07:25,480 --> 00:07:28,560 input, like what would make it better, shoot that out to me. 156 00:07:28,560 --> 00:07:32,000 If you don't get the newsletter, sign up for anything on that Web 157 00:07:32,000 --> 00:07:33,840 page and you'll start getting my newsletter. 158 00:07:33,840 --> 00:07:35,680 It's coming out once a week. I'll help me with it. 159 00:07:36,200 --> 00:07:38,080 And this is something, this whole perfectionism thing. 160 00:07:38,080 --> 00:07:39,560 I was like, we have to fix this and this. 161 00:07:39,560 --> 00:07:41,280 And I'm like, OK, wait, let's just get the first one out. 162 00:07:41,280 --> 00:07:43,520 You do it and then we'll improve it after that. 163 00:07:43,520 --> 00:07:45,680 I think kind of getting going and fixing things is a better 164 00:07:45,680 --> 00:07:47,400 way to do things. OK, have a good day.