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Hello and welcome to Podiatry 
Practice Mastery. 

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My name is Don Pelto, helping 
you to get your practice to the 

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$1,000,000 mark and beyond in 
your personal production. 

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So that ends up being about 
$80,000 in production per month.

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So I can kind of give you my 
tips today. 

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I want to start out talking a 
little bit about ChatGPT. 

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This is something that's quite 
popular these days. 

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Many people are using it in 
their practice. 

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I've recently been kind of 
discussing with some people. 

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They're saying, oh, you have to 
use ChatGPT or AI for notes. 

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I still use old fashioned 
scribes. 

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I like my scribe. 
He becomes a friend. 

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We're about the same age and I 
pretty much tell him we're going

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to retire about the same time. 
And but there are some uses for 

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for ChatGPT. 
I want to share a couple of the 

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my favorite uses number #1 is I 
had to redo my, I did my web 

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page. 
I added this urgent care web web

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page. 
Now I always like to, whenever I

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change something, I like to not 
just, well, I guess one of the 

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problems I made in the past, I 
used to kind of skim the surface

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and I used to, OK, I made the 
urgent care page and I didn't do

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anything else with it. 
Now what I try to do is I think 

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of, OK, I made the urgent care 
page, but what else can I do 

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that would accommodate this 
urgent care page? 

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What other things can I do 
that'll even help it grow even 

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more, help get more patients? 
And so thus far, I, we made the 

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page, actually had a virtual 
assistant make the page. 

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I have a something through our 
medical record, which is Mod Med

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and Clara where they can make an
appointment just for urgent care

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slots. 
So urgent care is ambiguous of 

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newer established patients 
because they're usually pretty 

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simple patients and we want to 
get them in as soon as possible.

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So I'm pretty much trying to 
guarantee 2024 to 48 hour 

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appointments. 
And that's mostly because we 

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have a new 4th doctor that has 
some opening. 

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So that may change a little bit 
the way I'm marketing it. 

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But right now that's what we're 
doing. 

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And so, but with ChatGPT, I 
wanted to add something to our 

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Google business. 
So Google My Business, we have 

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these locations and I wanted to 
change a little bit of the 

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description. 
So I had ChatGPT help me to make

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one that would kind of publicize
and help with keywords for our 

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urgent care. 
So I just asked it and it made 

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it so it was pretty easy to do. 
And I took it and I copied and 

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pasted into each of our Google 
My Business profiles. 

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These are our Google business 
profiles. 

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Now we have, we have 10 of them 
and you might think, wow, 10s a 

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lot. 
It is a lot. 

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They're all under my like I have
like managerial access to them. 

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So we have one for each office 
and then for each of the four 

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doctors, there's 4, they have 
one, one in each location. 

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So they have we have 4IN 
Worcester, 4IN Westborough, one 

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for each doctor, the four 
doctors and then a main 

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Westborough and a main 
Worcester. 

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And what when we send out 
reviews, we send it specifically

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to where that doctor is. 
So if I'm in Worcester one day 

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it'll send ask for reviews from 
that one. 

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If I'm in Westborough, it'll ask
for reviews to the other one. 

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That is part of the way we kind 
of get more traction within 

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Google that the Google business 
type of thing and on the maps. 

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And then I, so I did that and 
then I also added into each one 

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of those pages a you can add 
like the main category would be 

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the podiatrist, the sub there, I
think they're called accessory 

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categories or subcategories. 
Surgeon is 1. 

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I added sports medicine clinic 
and then I added an urgent care 

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clinic. 
So I added that in there and 

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then the keyword search 
description. 

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So I think I'm hoping that is 
going to increase even more the 

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people coming in for urgent care
appointments in the office. 

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And I, and I think I was, as I 
was thinking about this, I was 

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reading recently about like it's
called the unique selling 

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proposition. 
And I think this whole like 

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quickness or getting people in 
for urgent care, I think that's 

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a pretty nice unique selling 
proposition because patients 

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want to get in, they want to get
things better faster. 

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And I'm even finding that with, 
with Shockwave, for example, if,

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if patients, they're given the 
option to come in 6 * / 6 weeks 

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or they can come in six times 
within three weeks, doing it 

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every like 3 days or 72 hours. 
I'm finding that some patients 

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are choosing that. 
I think they just want to get 

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the treatments done faster. 
So they can get, either get it 

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done with or they can kind of 
get better faster. 

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I don't know if it gets them 
better actually a little bit, it

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might be a little bit faster, 
but I don't think much. 

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But I, I think they just, people
just want to get things done. 

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So I think speed of service I 
think is something that we have 

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to offer. 
So that's one way I've been 

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using ChatGPT. 
Another way that I've been using

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ChatGPT is then now I'm taking, 
if you notice each of these 

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podcasts, I used to just call 
each of the podcasts $1,000,000 

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minute and in the description I 
just put $1,000,000 minute. 

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And well, that didn't work too 
well for SEO because frankly, I 

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have very few people listening 
to this. 

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I'm trying to figure out how to 
get more listeners. 

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So if you listen to this and you
like, excuse me, if you like 

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this, please put a review on it.
And wherever you're listening to

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it, if it's Apple, put a review.
I have a few reviews, but I need

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more. 
And then more importantly, like 

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share this with others because I
feel like a lot of people don't 

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know about this podcast. 
And so I'm trying. 

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What I do now is I take the 
transcript. 

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So the kind of the workflow is I
do this with like a handheld mic

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in my car before work. 
I, I do it on my phone in the 

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recording section. 
So I just take the transcript 

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and I paste in the ChatGPT and 
it gives me like 3 little posts 

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for LinkedIn and it gives me a 
description and a title 

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suggestion for the actual 
podcast. 

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And it can do more too. 
I just, I don't personally want 

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to do that. 
Eventually I might do that with 

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my, my virtual assistant, such 
as like doing a, A blog post on 

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each one or like a, you know, a 
separate web page for each of 

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the ones with the transcript and
things like that. 

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So I'm not specifically doing 
that yet, but that would be 

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something that would help 
increase this podcast. 

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So that's another way that I'm 
using ChatGPT. 

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I'm not usually using it a ton 
in the clinic yet, but I'm using

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it for like AdWords. 
So I had to make some Google or 

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actually Facebook ads for the 
urgent care. 

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And so I put it in there. 
Can you give me some good 

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Facebook ads, ad copy and 
suggestions for like pictures, 

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right? 
What could I use? 

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And so it didn't. 
It did make some it has an 

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integration with Canva. 
I didn't think it was that 

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great, but it had it has kind of
good ideas. 

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So those are anyway, those are 
some ideas about using AI and 

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ChatGPT in the practice. 
So let me go now into the day. 

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This is a recording from a 
Monday 1st patient, 12 year old 

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for flat feet. 
He was here for an orthotic 

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follow up. 
He had a little bit of pain on 

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the medial aspect and so I 
heated it up with a heat gun and

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I dropped it down and he was 
fine. 

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I'm going to see him back in one
year. 

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Now this type of thing, it's 
very simple for us, but this is 

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something that I think that 
patients like to see. 

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So I made this into a YouTube 
short. 

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I'm starting to kind of tell you
which ones I make into YouTube 

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Shorts. 
So you get an idea of kind of 

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what my, my, my thought is. 
So I made it into a YouTube 

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short because I think they like 
to see patients, like to see 

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behind the scenes, something 
that's pretty obvious to us, but

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it's something that's kind of 
new to them. 

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Next patient was a 35 year old 
that had a poorokeratoma on the 

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foot, so like an IPK. 
And I always say that kind of 

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that my explanation is, you 
know, this possibly could be a 

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wart because it could be most 
likely it's like a big deep 

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callus and I'm going to treat it
kind of as a wart. 

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So that way I can get the lesion
destruction and office visit. 

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And she also had some issues 
with her kids, some nail issues.

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So I, what I said is I said, 
would you please just send me a 

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picture? 
So I offered you this is 

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something I just kind of do to 
patients. 

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If it, if they have a just a 
quick question, they can text it

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to me via the office texting 
message. 

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Next patient was a 55 year old 
female shoe status post left 

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bunionectomy and she developed 
pretty much arthritis in the 

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first time PJ and I think it was
because I tried to shift and 

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Austin a little bit big because 
I do not do Lapidus. 

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I just don't that's just 
something I don't I don't feel 

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comfortable. 
I didn't really get as much 

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training in it. 
And so I'm going to send this 

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patient over to my colleague for
kind of a second opinion. 

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I'm afraid that she might need a
fusion, but potentially he could

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do something else for that for 
that patient. 

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Next patient was 75 year old 
man. 

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He had bilateral plantar 
fasciitis and he had equinus 

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bilaterally. 
So I started out doing once 

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again, my dynamic demonstration.
I take this ore ball, put it on 

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the back of their leg, roll it 
around, and then all of a sudden

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his heel pain reduces. 
And I think the heel pain of him

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is is mostly due to Aquinas. 
So I'm not going to start with 

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with everything. 
I'm going to start out with the 

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night splint foam rolling in 
morning stretch, and he's going 

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to get bilateral night splints. 
So that was a good thing. 

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And then I, I got an X-ray and 
I'm going to get an ultrasound 

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next time. 
And so I got meloxicam. 

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So that got me to the level 4 
visit and I'm going to see him 

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back in four weeks. 
If it's not better, then we're 

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going to go to the next step, 
which is going to be an 

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ultrasound. 
Next patient was a 66 year old 

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female status post 
metatarsalgia. 

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She had six sessions of 
shockwave. 

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She's doing much better. 
And she said, oh, by the way, I 

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have these nail issues weren't 
really that bad, but she's 

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feeling better after the 
shockwave. 

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I'm not going to see her back. 
The next was a 5051 year old 

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female right, Plantar fasciitis 
#5 out of 6 of Shockwave, she's 

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already starting to see some 
improvement. 

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I tend to find if you do 6 
sessions you you start to feel 

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better about the fifth session. 
5th to 6th session. 

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It's nice to be present for 
that. 

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Next was a 36 year old man. 
He had a right. 

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He had a split nail on the 4th 
digit. 

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So basically just a split that 
goes down the kind of the 

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lateral aspect. 
I talked about trimming it 

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short. 
That's the easiest way of 

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putting super glue on it and 
then possibly doing a 

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matrixectomy if it continues to 
bother him. 

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And then he also had a wart on 
the left 4th metatarsal head. 

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I did canthered on that. 
And I think he got, yeah, he got

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Aldera as well. 
And I'm going to see him back in

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in two weeks to do it. 
So when I see warts, I give him 

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the option. 
You can either see me once a 

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month, but if you want to get 
better faster I can see you back

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every every two weeks. 
And he opted to see me every two

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weeks once again. 
I think the patients like these 

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things about speed right? 
So like to get better faster. 

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Next was a 56 year old man. 
He had to write a sesmoid 

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fracture status post 6E pads. 
I did a 7th today at no charge 

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because it was the follow up in 
six weeks. 

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I looked at his X-ray and I 
ordered him a bone stem. 

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He had a gap at that fracture 
site. 

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I talked about removing it but 
he still wasn't interested. 

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So I'm going to try to get a 
bone stem covered and I'm going 

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to see him back in in two 
months. 

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Next was a 59 year old female 
status post a second MET 

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fracture. 
She's doing fine. 

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I'm not going to see her back. 
Next was a 59 year old. 

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She had a bunion. 
I had a couple of these patients

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today that came in for bunions 
and they did not want surgery. 

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So when they don't want surgery,
I do, I do a long spiel. 

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I take off my shoe, take off my 
sock liner, show them what a 

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sock liner should look like with
the space in the front. 

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That's the first thing I do. 
So I talk about shoes. 

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Second, I talk about orthotics 
to help. 

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If there's like first ray 
Elevatus on the X-ray. 

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And then third, I talk about 
correct toes. 

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That's what I say. 
I, I, I give them my, my 

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treatment sheet on, on bunions. 
And actually I have a page on my

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website on bunions and I send 
that if they want to learn more.

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So I did that a couple of times 
today for some patients that 

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didn't want surgery. 
Next was a 20 year old female 

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who had an ingrown toenail. 
I did an Ind. 

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Next was a 56 year old. 
This is that was the morning, 

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this is the afternoon. 
Next was a 56 year old that a 

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fourth toad non union that's 
been not healing. 

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It's been about over a year. 
Still swollen. 

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So I did shockwave #3 out of 6 
with focused only. 

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So when it's a non union, I tend
to do focused only. 

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Shockwave next was a 18 year old
man. 

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He had a granuloma status post 
Ind that was recurrent. 

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So I did another Ind, took out a
little bit more nail. 

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Next was a 37 year old female 
for a right carry flex #3 so 

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this one had fallen off. 
Now carry flex, I probably 

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should stop doing it, but 
patients really like it. 

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So I'm trying to get more my 
nail tech to do them more 

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because it doesn't really 
reimburse that much. 

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We charge 125 for the first nail
and 50 for the other nail. 

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So it's much more I guess, 
profitable to do Shockwave, but 

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there's not always Shockwave to 
fit in there. 

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So I think it's an OK procedure 
and patients like it. 

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Next was a 72 year old female 
for a right poro keratoma or 

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IPK, got X-ray, did the lesion 
destruction as we talked about 

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before. 
Next was a 68 year old man for 

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PTTD with tendonitis on the 
right #5 out of 6 for shockwave 

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and he is already starting to 
feel better. 

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Next was a 38 year old female 
bilateral E pad for the heel #2 

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out of 6 starting to feel a 
little bit better. 

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This is actually my my kids 
Taekwondo instructor who had a 

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Achilles rupture. 
Next is Q tenza #3 for a 

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gentleman that was 77. 
He has a little bit less 

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shooting pain and he was 
wondering if he should stop. 

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And So what I'm saying currently
for Cutenza, I recommend doing 4

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sessions and if they're seeing 
improvement, they can continue. 

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But if they're unsure, they can 
stop. 

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And then if the pain comes back 
or the symptoms come back, they 

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can come back. 
But the way I understand Cutenza

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is it's like Chili Peppers and 
it kind of burns and 

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hyperstimulates the nerves. 
So the nerves will come back 

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after about 3 months. 
But he wasn't wanting to 

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continue forever. 
And also this guy, he actually 

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came from a local podiatrist 
that was doing the nail care and

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came from me for Q Tenza 
probably, I don't know, from an 

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AD he saw. 
I started the Q 10's and I also 

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reached out to this other doctor
and I said, hey, you know, you 

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guys do contended you want to 
take this over for I think it'd 

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be better for you because you're
doing the nail care there as 

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well. 
I don't do a ton of Qutenza, but

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I know some people do and it's a
it's pretty, it's reimbursed 

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pretty decently for your time 
for applying it. 

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Next was a bunion with a 
tailor's bunion. 

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I had that shoe conversation 
that I talked about before. 

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Next was another bunion 
discussion, talked about the 

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shoes again. 
Both of those got X-rays. 

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Next was a 57 year old female 
for #4 out of 6 for Achilles 

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tendonitis. 
Next was a A5 year old little 

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boy with a right heeled wart. 
And we talked about Katherine 

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00:14:34,720 --> 00:14:37,560
and we gave Aldera and they got 
the office visit from that. 

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00:14:37,560 --> 00:14:40,400
And the last was a 55 year old 
for a right Achilles. 

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00:14:41,680 --> 00:14:44,800
There they after the My Pelto 
special, which is the night 

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00:14:44,800 --> 00:14:47,560
splint foam rolling in morning 
stretch and the other things 

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about 50% better. 
So I think it's mostly due to 

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the Aquinas or the tightness. 
And so I'm going to see her back

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in eight weeks. 
And if it's not better, we'll do

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the ultrasound. 
And then I talked to her about 

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either physical therapy or 
shockwave. 

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So that is the day. 
Once again, hope you guys 

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enjoyed this. 
I'm putting together a 

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00:15:03,440 --> 00:15:04,800
challenge. 
If you want to learn more about 

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00:15:04,800 --> 00:15:07,560
it, you go to put out your 
practice mastery.com challenge. 

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00:15:08,400 --> 00:15:11,160
It's a kind of helping you to 
challenge to get you to the 

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$80,000 mark per month in 
production. 

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00:15:14,920 --> 00:15:17,080
I know a lot of you may be 
there, but a lot aren't. 

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00:15:17,440 --> 00:15:20,960
And if you're in the 5060 realm 
that this would be a perfect 

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00:15:20,960 --> 00:15:22,760
thing for you. 
I think you can add a good 10 to

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00:15:22,760 --> 00:15:27,320
15, maybe even $20,000 per month
in your production just by kind 

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00:15:27,320 --> 00:15:29,440
of implementing the things that 
we're going to be talking about 

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00:15:29,720 --> 00:15:32,080
in the practice in your in your 
personal practice. 

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00:15:32,360 --> 00:15:33,680
OK, Once again, I hope you 
enjoyed this. 

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We'll talk to you tomorrow.