Hey guys, done here. Welcome to Podiatry Practice
Mastery going over kind of what helped get to the $1,000,000
mark and beyond. So we are on day #9 of our
medical record transition. So it's getting a little bit
better. So a few things that have kind
of helped with the morale. I've been kind of joking around
with the staff today. It's working a little bit
better. I think we're feeling a little
bit better about the whole transition.
I got out of the office at 5:00 PM versus yeah, the other days
was a lot, a lot Later I'm learning more how to get the
level of office visit that I want, which I'm typical, which
are usually level threes and level fours.
Did a lot of E pad, was able to have Murali get used to the new
system. We're training the new staff.
So everything is kind of doing better.
I'm getting help with mod Med for our for our training to make
routine care. So I was able to fix my notes
for routine care. So I actually was able to write
down what I did today. So that's a good sign.
So I'm finally able to actually document what I'm doing a little
bit more to help. So what I did here, but my new
schedule doesn't have the number of patients, so I don't want to
count them, but there's, I don't know a normal amount you'll
you'll see as I go through here. So the first patient was
bilateral carry flex. So they got 2 nails done.
So I did that. Next was a patient with some
blisters. So it's just a Level 3 office
visit with some blisters. Next patient was a six after six
shockwave. 12 week follow up. He's doing much better.
He doesn't need any more shockwave.
He's doing fine. He's back to doing his races and
really pleased with with the Achilles tendon.
Next patient was number one of three for some pain to the
tibialis anterior of Shockwave. Kind of has pain in that area,
kind of like nights. Sorry, shin splints also had
some Aquinas, so we put them in a night splint as well with an
office visit. Next was a follow up of balance
braces. They just needed some help kind
of how to put them in the shoes and things like that.
So I helped them just with an office visit with that.
Next was a patient that had a prominent first mic need form
joint got an X-ray patient needs it's so large, just has a hard
time fitting in shoes. So she needs a a surgical
procedure. So I referred her over to to
Matt for that. Next was a #4 out of 6 for 1/5
met. This was that osteotomy patient
that had Amis osteotomy that didn't that's kind of slow to
heal. So #4 out of 6 for just focus
shockwave only. And she is doing better, feeling
better. She's like a real kind of kind
of semi professional water skier.
Next patient was number one of three of shockwave for for
plantar fasciitis. This was a actually one of six.
This is a patient. She's actually a primary care
doctor. So I, I did the whole
explanation for her and she had a good result with one of her
patients that got Shockwave. So she came to see me for
Shockwave. So it's always a pleasure when
it's another. She's a PCP that refers to us.
And so we're gonna set up those shockwaves for her.
And then next one was a self pay patient.
Oh, this was a patient that came back.
She was a friend of mine from church and she was seen for
plantar fasciitis, didn't want to do anything and came in for a
cortisone injection. So we did that.
Next was this patient. I don't know, we all kind of
have these. She's a 55 year old that
messages me multiple times, emails multiple times and just
has some kind of like she had heel fissures and I'm not really
sure what's going on. I think it's more maybe kind of
a challenging just type of patient type more so than
anything. She's very insistent and has
seen multiple other opinions and so I really said I couldn't do
much for her but just spend time listening to her.
Next patient was a 55 year old man that was here for, he had
some 4 foot pain and he had bone marrow edema on his on his MRI
that I reviewed with him and kind of bone marrow edema.
And for him, what we're going to do is shockwave for that to kind
of to kind of help with that to kind of get down the bone marrow
edema for him. OK.
Next one was a nine year old. I had two sievers kids.
This was one that had sievers kind of did my typical protocol
for sievers for them. And if it doesn't get better,
we'll do Shockwave once again, Shockwave is safe receivers, but
I'm I'm hoping we won't have to do that.
I usually use the Thule heel cups.
He already, this one already has orthotics.
So I did this for this patient and next patient was a another
patient got X-rays, had plantar fasciitis on the left.
Spent kind of a lot of time. She had a lot of other things
going on with this one and this one I did I think for this one I
did a cortisone injection for her.
And then the other two, there's a daughter and mother that came
in for calluses. So I did their, their calluses
for them. They were both self pay.
And next was #4 out of 6 Shockwave for a 33 year old.
Next one was a six out of 6 for Shockwave with a Level 3 visit
because of the last last one. So it was a busy day with
Shockwave at the office. Patients are getting better.
I had two Seavers patients. It might be another one that I'm
missing. And this, this guy kind of the
more challenging one was this, this gentleman with the with
that needed the shockwave for like the, the bone marrow edema
kind of MRI changes in in the area.
So I find that bone marrow edema works.
OK. Actually this guy, I'm sorry,
just remembering here, he actually had a sesmoid, the
fibular sesmoid, he had bone marrow edema in there.
And so that's where we're doing the shockwave on that.
So it's kind of a better option than cortisone better option, I
think then surgically removing it.
OK, so that was the day once again, things are getting
better. I'm still doing my positive
focus. So I'm not today when I'm
recording the time on day #10 morally is doing better.
Everything is kind of getting better.
I think this is a good idea. So if you guys are going through
big changes, you know, I just have this piece of paper.
It has 10 things and I write 10 good things each day.
I think it helps my my mental health during this this
transition. OK, have a great one.
Hope this is helpful.