Hello and welcome to Podiatry Practice Mastery.
My name is Don Pelto, helping you to get your practice to the
$1,000,000 mark and beyond in your personal production.
So that ends up being about $80,000 in production per month.
So I can kind of give you my tips today.
I want to start out talking a little bit about ChatGPT.
This is something that's quite popular these days.
Many people are using it in their practice.
I've recently been kind of discussing with some people.
They're saying, oh, you have to use ChatGPT or AI for notes.
I still use old fashioned scribes.
I like my scribe. He becomes a friend.
We're about the same age and I pretty much tell him we're going
to retire about the same time. And but there are some uses for
for ChatGPT. I want to share a couple of the
my favorite uses number #1 is I had to redo my, I did my web
page. I added this urgent care web web
page. Now I always like to, whenever I
change something, I like to not just, well, I guess one of the
problems I made in the past, I used to kind of skim the surface
and I used to, OK, I made the urgent care page and I didn't do
anything else with it. Now what I try to do is I think
of, OK, I made the urgent care page, but what else can I do
that would accommodate this urgent care page?
What other things can I do that'll even help it grow even
more, help get more patients? And so thus far, I, we made the
page, actually had a virtual assistant make the page.
I have a something through our medical record, which is Mod Med
and Clara where they can make an appointment just for urgent care
slots. So urgent care is ambiguous of
newer established patients because they're usually pretty
simple patients and we want to get them in as soon as possible.
So I'm pretty much trying to guarantee 2024 to 48 hour
appointments. And that's mostly because we
have a new 4th doctor that has some opening.
So that may change a little bit the way I'm marketing it.
But right now that's what we're doing.
And so, but with ChatGPT, I wanted to add something to our
Google business. So Google My Business, we have
these locations and I wanted to change a little bit of the
description. So I had ChatGPT help me to make
one that would kind of publicize and help with keywords for our
urgent care. So I just asked it and it made
it so it was pretty easy to do. And I took it and I copied and
pasted into each of our Google My Business profiles.
These are our Google business profiles.
Now we have, we have 10 of them and you might think, wow, 10s a
lot. It is a lot.
They're all under my like I have like managerial access to them.
So we have one for each office and then for each of the four
doctors, there's 4, they have one, one in each location.
So they have we have 4IN Worcester, 4IN Westborough, one
for each doctor, the four doctors and then a main
Westborough and a main Worcester.
And what when we send out reviews, we send it specifically
to where that doctor is. So if I'm in Worcester one day
it'll send ask for reviews from that one.
If I'm in Westborough, it'll ask for reviews to the other one.
That is part of the way we kind of get more traction within
Google that the Google business type of thing and on the maps.
And then I, so I did that and then I also added into each one
of those pages a you can add like the main category would be
the podiatrist, the sub there, I think they're called accessory
categories or subcategories. Surgeon is 1.
I added sports medicine clinic and then I added an urgent care
clinic. So I added that in there and
then the keyword search description.
So I think I'm hoping that is going to increase even more the
people coming in for urgent care appointments in the office.
And I, and I think I was, as I was thinking about this, I was
reading recently about like it's called the unique selling
proposition. And I think this whole like
quickness or getting people in for urgent care, I think that's
a pretty nice unique selling proposition because patients
want to get in, they want to get things better faster.
And I'm even finding that with, with Shockwave, for example, if,
if patients, they're given the option to come in 6 * / 6 weeks
or they can come in six times within three weeks, doing it
every like 3 days or 72 hours. I'm finding that some patients
are choosing that. I think they just want to get
the treatments done faster. So they can get, either get it
done with or they can kind of get better faster.
I don't know if it gets them better actually a little bit, it
might be a little bit faster, but I don't think much.
But I, I think they just, people just want to get things done.
So I think speed of service I think is something that we have
to offer. So that's one way I've been
using ChatGPT. Another way that I've been using
ChatGPT is then now I'm taking, if you notice each of these
podcasts, I used to just call each of the podcasts $1,000,000
minute and in the description I just put $1,000,000 minute.
And well, that didn't work too well for SEO because frankly, I
have very few people listening to this.
I'm trying to figure out how to get more listeners.
So if you listen to this and you like, excuse me, if you like
this, please put a review on it. And wherever you're listening to
it, if it's Apple, put a review. I have a few reviews, but I need
more. And then more importantly, like
share this with others because I feel like a lot of people don't
know about this podcast. And so I'm trying.
What I do now is I take the transcript.
So the kind of the workflow is I do this with like a handheld mic
in my car before work. I, I do it on my phone in the
recording section. So I just take the transcript
and I paste in the ChatGPT and it gives me like 3 little posts
for LinkedIn and it gives me a description and a title
suggestion for the actual podcast.
And it can do more too. I just, I don't personally want
to do that. Eventually I might do that with
my, my virtual assistant, such as like doing a, A blog post on
each one or like a, you know, a separate web page for each of
the ones with the transcript and things like that.
So I'm not specifically doing that yet, but that would be
something that would help increase this podcast.
So that's another way that I'm using ChatGPT.
I'm not usually using it a ton in the clinic yet, but I'm using
it for like AdWords. So I had to make some Google or
actually Facebook ads for the urgent care.
And so I put it in there. Can you give me some good
Facebook ads, ad copy and suggestions for like pictures,
right? What could I use?
And so it didn't. It did make some it has an
integration with Canva. I didn't think it was that
great, but it had it has kind of good ideas.
So those are anyway, those are some ideas about using AI and
ChatGPT in the practice. So let me go now into the day.
This is a recording from a Monday 1st patient, 12 year old
for flat feet. He was here for an orthotic
follow up. He had a little bit of pain on
the medial aspect and so I heated it up with a heat gun and
I dropped it down and he was fine.
I'm going to see him back in one year.
Now this type of thing, it's very simple for us, but this is
something that I think that patients like to see.
So I made this into a YouTube short.
I'm starting to kind of tell you which ones I make into YouTube
Shorts. So you get an idea of kind of
what my, my, my thought is. So I made it into a YouTube
short because I think they like to see patients, like to see
behind the scenes, something that's pretty obvious to us, but
it's something that's kind of new to them.
Next patient was a 35 year old that had a poorokeratoma on the
foot, so like an IPK. And I always say that kind of
that my explanation is, you know, this possibly could be a
wart because it could be most likely it's like a big deep
callus and I'm going to treat it kind of as a wart.
So that way I can get the lesion destruction and office visit.
And she also had some issues with her kids, some nail issues.
So I, what I said is I said, would you please just send me a
picture? So I offered you this is
something I just kind of do to patients.
If it, if they have a just a quick question, they can text it
to me via the office texting message.
Next patient was a 55 year old female shoe status post left
bunionectomy and she developed pretty much arthritis in the
first time PJ and I think it was because I tried to shift and
Austin a little bit big because I do not do Lapidus.
I just don't that's just something I don't I don't feel
comfortable. I didn't really get as much
training in it. And so I'm going to send this
patient over to my colleague for kind of a second opinion.
I'm afraid that she might need a fusion, but potentially he could
do something else for that for that patient.
Next patient was 75 year old man.
He had bilateral plantar fasciitis and he had equinus
bilaterally. So I started out doing once
again, my dynamic demonstration. I take this ore ball, put it on
the back of their leg, roll it around, and then all of a sudden
his heel pain reduces. And I think the heel pain of him
is is mostly due to Aquinas. So I'm not going to start with
with everything. I'm going to start out with the
night splint foam rolling in morning stretch, and he's going
to get bilateral night splints. So that was a good thing.
And then I, I got an X-ray and I'm going to get an ultrasound
next time. And so I got meloxicam.
So that got me to the level 4 visit and I'm going to see him
back in four weeks. If it's not better, then we're
going to go to the next step, which is going to be an
ultrasound. Next patient was a 66 year old
female status post metatarsalgia.
She had six sessions of shockwave.
She's doing much better. And she said, oh, by the way, I
have these nail issues weren't really that bad, but she's
feeling better after the shockwave.
I'm not going to see her back. The next was a 5051 year old
female right, Plantar fasciitis #5 out of 6 of Shockwave, she's
already starting to see some improvement.
I tend to find if you do 6 sessions you you start to feel
better about the fifth session. 5th to 6th session.
It's nice to be present for that.
Next was a 36 year old man. He had a right.
He had a split nail on the 4th digit.
So basically just a split that goes down the kind of the
lateral aspect. I talked about trimming it
short. That's the easiest way of
putting super glue on it and then possibly doing a
matrixectomy if it continues to bother him.
And then he also had a wart on the left 4th metatarsal head.
I did canthered on that. And I think he got, yeah, he got
Aldera as well. And I'm going to see him back in
in two weeks to do it. So when I see warts, I give him
the option. You can either see me once a
month, but if you want to get better faster I can see you back
every every two weeks. And he opted to see me every two
weeks once again. I think the patients like these
things about speed right? So like to get better faster.
Next was a 56 year old man. He had to write a sesmoid
fracture status post 6E pads. I did a 7th today at no charge
because it was the follow up in six weeks.
I looked at his X-ray and I ordered him a bone stem.
He had a gap at that fracture site.
I talked about removing it but he still wasn't interested.
So I'm going to try to get a bone stem covered and I'm going
to see him back in in two months.
Next was a 59 year old female status post a second MET
fracture. She's doing fine.
I'm not going to see her back. Next was a 59 year old.
She had a bunion. I had a couple of these patients
today that came in for bunions and they did not want surgery.
So when they don't want surgery, I do, I do a long spiel.
I take off my shoe, take off my sock liner, show them what a
sock liner should look like with the space in the front.
That's the first thing I do. So I talk about shoes.
Second, I talk about orthotics to help.
If there's like first ray Elevatus on the X-ray.
And then third, I talk about correct toes.
That's what I say. I, I, I give them my, my
treatment sheet on, on bunions. And actually I have a page on my
website on bunions and I send that if they want to learn more.
So I did that a couple of times today for some patients that
didn't want surgery. Next was a 20 year old female
who had an ingrown toenail. I did an Ind.
Next was a 56 year old. This is that was the morning,
this is the afternoon. Next was a 56 year old that a
fourth toad non union that's been not healing.
It's been about over a year. Still swollen.
So I did shockwave #3 out of 6 with focused only.
So when it's a non union, I tend to do focused only.
Shockwave next was a 18 year old man.
He had a granuloma status post Ind that was recurrent.
So I did another Ind, took out a little bit more nail.
Next was a 37 year old female for a right carry flex #3 so
this one had fallen off. Now carry flex, I probably
should stop doing it, but patients really like it.
So I'm trying to get more my nail tech to do them more
because it doesn't really reimburse that much.
We charge 125 for the first nail and 50 for the other nail.
So it's much more I guess, profitable to do Shockwave, but
there's not always Shockwave to fit in there.
So I think it's an OK procedure and patients like it.
Next was a 72 year old female for a right poro keratoma or
IPK, got X-ray, did the lesion destruction as we talked about
before. Next was a 68 year old man for
PTTD with tendonitis on the right #5 out of 6 for shockwave
and he is already starting to feel better.
Next was a 38 year old female bilateral E pad for the heel #2
out of 6 starting to feel a little bit better.
This is actually my my kids Taekwondo instructor who had a
Achilles rupture. Next is Q tenza #3 for a
gentleman that was 77. He has a little bit less
shooting pain and he was wondering if he should stop.
And So what I'm saying currently for Cutenza, I recommend doing 4
sessions and if they're seeing improvement, they can continue.
But if they're unsure, they can stop.
And then if the pain comes back or the symptoms come back, they
can come back. But the way I understand Cutenza
is it's like Chili Peppers and it kind of burns and
hyperstimulates the nerves. So the nerves will come back
after about 3 months. But he wasn't wanting to
continue forever. And also this guy, he actually
came from a local podiatrist that was doing the nail care and
came from me for Q Tenza probably, I don't know, from an
AD he saw. I started the Q 10's and I also
reached out to this other doctor and I said, hey, you know, you
guys do contended you want to take this over for I think it'd
be better for you because you're doing the nail care there as
well. I don't do a ton of Qutenza, but
I know some people do and it's a it's pretty, it's reimbursed
pretty decently for your time for applying it.
Next was a bunion with a tailor's bunion.
I had that shoe conversation that I talked about before.
Next was another bunion discussion, talked about the
shoes again. Both of those got X-rays.
Next was a 57 year old female for #4 out of 6 for Achilles
tendonitis. Next was a A5 year old little
boy with a right heeled wart. And we talked about Katherine
and we gave Aldera and they got the office visit from that.
And the last was a 55 year old for a right Achilles.
There they after the My Pelto special, which is the night
splint foam rolling in morning stretch and the other things
about 50% better. So I think it's mostly due to
the Aquinas or the tightness. And so I'm going to see her back
in eight weeks. And if it's not better, we'll do
the ultrasound. And then I talked to her about
either physical therapy or shockwave.
So that is the day. Once again, hope you guys
enjoyed this. I'm putting together a
challenge. If you want to learn more about
it, you go to put out your practice mastery.com challenge.
It's a kind of helping you to challenge to get you to the
$80,000 mark per month in production.
I know a lot of you may be there, but a lot aren't.
And if you're in the 5060 realm that this would be a perfect
thing for you. I think you can add a good 10 to
15, maybe even $20,000 per month in your production just by kind
of implementing the things that we're going to be talking about
in the practice in your in your personal practice.
OK, Once again, I hope you enjoyed this.
We'll talk to you tomorrow.