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Hey guys, done here. 
Welcome to Podiatry Practice 

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Mastery going over kind of what 
helped get to the $1,000,000 

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mark and beyond. 
So we are on day #9 of our 

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medical record transition. 
So it's getting a little bit 

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better. 
So a few things that have kind 

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of helped with the morale. 
I've been kind of joking around 

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with the staff today. 
It's working a little bit 

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better. 
I think we're feeling a little 

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bit better about the whole 
transition. 

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I got out of the office at 5:00 
PM versus yeah, the other days 

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was a lot, a lot Later I'm 
learning more how to get the 

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level of office visit that I 
want, which I'm typical, which 

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are usually level threes and 
level fours. 

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Did a lot of E pad, was able to 
have Murali get used to the new 

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system. 
We're training the new staff. 

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So everything is kind of doing 
better. 

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I'm getting help with mod Med 
for our for our training to make

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routine care. 
So I was able to fix my notes 

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for routine care. 
So I actually was able to write 

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down what I did today. 
So that's a good sign. 

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So I'm finally able to actually 
document what I'm doing a little

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bit more to help. 
So what I did here, but my new 

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schedule doesn't have the number
of patients, so I don't want to 

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count them, but there's, I don't
know a normal amount you'll 

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you'll see as I go through here.
So the first patient was 

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bilateral carry flex. 
So they got 2 nails done. 

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So I did that. 
Next was a patient with some 

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blisters. 
So it's just a Level 3 office 

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visit with some blisters. 
Next patient was a six after six

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shockwave. 12 week follow up. 
He's doing much better. 

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He doesn't need any more 
shockwave. 

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He's doing fine. 
He's back to doing his races and

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really pleased with with the 
Achilles tendon. 

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Next patient was number one of 
three for some pain to the 

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tibialis anterior of Shockwave. 
Kind of has pain in that area, 

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kind of like nights. 
Sorry, shin splints also had 

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some Aquinas, so we put them in 
a night splint as well with an 

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office visit. 
Next was a follow up of balance 

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braces. 
They just needed some help kind 

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of how to put them in the shoes 
and things like that. 

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So I helped them just with an 
office visit with that. 

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Next was a patient that had a 
prominent first mic need form 

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joint got an X-ray patient needs
it's so large, just has a hard 

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time fitting in shoes. 
So she needs a a surgical 

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procedure. 
So I referred her over to to 

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Matt for that. 
Next was a #4 out of 6 for 1/5 

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met. 
This was that osteotomy patient 

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that had Amis osteotomy that 
didn't that's kind of slow to 

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heal. 
So #4 out of 6 for just focus 

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shockwave only. 
And she is doing better, feeling

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better. 
She's like a real kind of kind 

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of semi professional water 
skier. 

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Next patient was number one of 
three of shockwave for for 

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plantar fasciitis. 
This was a actually one of six. 

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This is a patient. 
She's actually a primary care 

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doctor. 
So I, I did the whole 

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explanation for her and she had 
a good result with one of her 

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patients that got Shockwave. 
So she came to see me for 

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Shockwave. 
So it's always a pleasure when 

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it's another. 
She's a PCP that refers to us. 

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And so we're gonna set up those 
shockwaves for her. 

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And then next one was a self pay
patient. 

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Oh, this was a patient that came
back. 

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She was a friend of mine from 
church and she was seen for 

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plantar fasciitis, didn't want 
to do anything and came in for a

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cortisone injection. 
So we did that. 

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Next was this patient. 
I don't know, we all kind of 

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have these. 
She's a 55 year old that 

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messages me multiple times, 
emails multiple times and just 

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has some kind of like she had 
heel fissures and I'm not really

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sure what's going on. 
I think it's more maybe kind of 

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a challenging just type of 
patient type more so than 

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anything. 
She's very insistent and has 

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seen multiple other opinions and
so I really said I couldn't do 

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much for her but just spend time
listening to her. 

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Next patient was a 55 year old 
man that was here for, he had 

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some 4 foot pain and he had bone
marrow edema on his on his MRI 

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that I reviewed with him and 
kind of bone marrow edema. 

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And for him, what we're going to
do is shockwave for that to kind

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of to kind of help with that to 
kind of get down the bone marrow

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edema for him. 
OK. 

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Next one was a nine year old. 
I had two sievers kids. 

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This was one that had sievers 
kind of did my typical protocol 

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for sievers for them. 
And if it doesn't get better, 

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we'll do Shockwave once again, 
Shockwave is safe receivers, but

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I'm I'm hoping we won't have to 
do that. 

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I usually use the Thule heel 
cups. 

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He already, this one already has
orthotics. 

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So I did this for this patient 
and next patient was a another 

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patient got X-rays, had plantar 
fasciitis on the left. 

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Spent kind of a lot of time. 
She had a lot of other things 

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going on with this one and this 
one I did I think for this one I

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did a cortisone injection for 
her. 

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And then the other two, there's 
a daughter and mother that came 

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in for calluses. 
So I did their, their calluses 

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for them. 
They were both self pay. 

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And next was #4 out of 6 
Shockwave for a 33 year old. 

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Next one was a six out of 6 for 
Shockwave with a Level 3 visit 

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because of the last last one. 
So it was a busy day with 

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Shockwave at the office. 
Patients are getting better. 

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I had two Seavers patients. 
It might be another one that I'm

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missing. 
And this, this guy kind of the 

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more challenging one was this, 
this gentleman with the with 

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that needed the shockwave for 
like the, the bone marrow edema 

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kind of MRI changes in in the 
area. 

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So I find that bone marrow edema
works. 

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OK. 
Actually this guy, I'm sorry, 

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just remembering here, he 
actually had a sesmoid, the 

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fibular sesmoid, he had bone 
marrow edema in there. 

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And so that's where we're doing 
the shockwave on that. 

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So it's kind of a better option 
than cortisone better option, I 

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think then surgically removing 
it. 

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OK, so that was the day once 
again, things are getting 

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better. 
I'm still doing my positive 

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focus. 
So I'm not today when I'm 

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recording the time on day #10 
morally is doing better. 

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Everything is kind of getting 
better. 

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I think this is a good idea. 
So if you guys are going through

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big changes, you know, I just 
have this piece of paper. 

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It has 10 things and I write 10 
good things each day. 

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I think it helps my my mental 
health during this this 

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transition. 
OK, have a great one. 

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Hope this is helpful.