1
00:00:01,360 --> 00:00:03,440
Hi, Don here. 
Welcome to Podiatry Practice 

2
00:00:03,440 --> 00:00:05,720
Mastery, where we're going to go
over the things that help get 

3
00:00:05,720 --> 00:00:08,039
your practice to the $1,000,000 
mark and beyond. 

4
00:00:08,760 --> 00:00:11,440
I want to share kind of one of 
the challenges and kind of a 

5
00:00:11,440 --> 00:00:13,400
potential solution for something
in our office. 

6
00:00:14,360 --> 00:00:17,760
What we're, what we're finding 
is as we do more and more 

7
00:00:17,760 --> 00:00:21,360
shockwave therapy, it's taking 
up more and more spaces in the 

8
00:00:21,360 --> 00:00:24,360
office. 
And, and sometimes patients are,

9
00:00:24,360 --> 00:00:26,680
are used to seeing us and they 
maybe don't want to see another 

10
00:00:26,680 --> 00:00:28,560
provider. 
I'm kind of preparing myself to 

11
00:00:28,560 --> 00:00:32,680
say, hey, if I have, let's say I
don't know 15 or 20 patients a 

12
00:00:32,680 --> 00:00:36,200
week that I'm doing shockwave 
on, is there a way that a 

13
00:00:36,200 --> 00:00:37,840
portion of those would see 
someone else? 

14
00:00:37,840 --> 00:00:40,240
And I want to take an analogy 
that I heard recently for like a

15
00:00:40,240 --> 00:00:41,960
restaurant. 
So some restaurants, let's say 

16
00:00:42,480 --> 00:00:46,120
they are busy on the weekend, on
Saturday and Sunday, Friday, 

17
00:00:46,120 --> 00:00:48,640
Saturday, Sunday, but there 
there's less time during the 

18
00:00:48,640 --> 00:00:51,760
week. 
And so one option is to charge 

19
00:00:51,760 --> 00:00:53,560
20% more Friday, Saturday, 
Sunday. 

20
00:00:53,560 --> 00:00:56,920
But it's all how you frame it 
like charging 20% more to use it

21
00:00:56,920 --> 00:00:59,320
on the weekends isn't a good 
idea, but you could do it just 

22
00:00:59,320 --> 00:01:00,880
the opposite. 
What you could do is you could 

23
00:01:00,880 --> 00:01:05,440
charge 20% less during the week.
And that way people think, well,

24
00:01:05,600 --> 00:01:07,400
if I go on the weekend, I'm 
going to pay normal price, but 

25
00:01:07,400 --> 00:01:11,920
I'll get it 20% less if I do it 
on on during the weekday. 

26
00:01:12,280 --> 00:01:15,560
So a way that we could institute
that in our office would be 

27
00:01:16,160 --> 00:01:19,760
charging, let's say 20% less for
the shockwave by having a 

28
00:01:20,280 --> 00:01:23,280
certain trained assistant do it 
for us. 

29
00:01:23,960 --> 00:01:27,720
That way, my thoughts are I 
could do the 1st and the 6th, 

30
00:01:28,000 --> 00:01:30,960
but then I could have the other 
medical assistant or other 

31
00:01:30,960 --> 00:01:34,200
person that would be doing it. 
They would charge a little bit 

32
00:01:34,200 --> 00:01:36,360
less. 
You would just pay them whatever

33
00:01:36,360 --> 00:01:39,840
their hourly rate is and then 
they could do the shockwave or 

34
00:01:39,960 --> 00:01:41,920
they could do other things for 
us in the office. 

35
00:01:41,920 --> 00:01:44,760
So it's a way of getting the 
patients would maybe want to see

36
00:01:44,760 --> 00:01:46,360
someone else like that. 
You could say, oh, you could see

37
00:01:46,360 --> 00:01:49,000
doctor Pelto for these or you 
could see this other person. 

38
00:01:49,000 --> 00:01:53,360
And if they do that, you could 
get a discount for for doing 

39
00:01:53,360 --> 00:01:55,480
that because I'm it's not up 
taking my time. 

40
00:01:55,600 --> 00:01:57,640
OK, So what what's happening 
today? 

41
00:01:57,640 --> 00:02:00,080
One thing I always like to say 
kind of things that embarrass me

42
00:02:00,080 --> 00:02:01,960
as well. 
So I got caught not wearing 

43
00:02:01,960 --> 00:02:03,200
gloves. 
So let me explain what this 

44
00:02:03,200 --> 00:02:09,000
meant in when I make my videos 
for my YouTube shorts, I I 

45
00:02:09,000 --> 00:02:12,400
usually do the whole treatment 
process and then I will get out 

46
00:02:12,400 --> 00:02:16,560
my phone and I'll record a 
YouTube short for that patient 

47
00:02:16,560 --> 00:02:17,800
encounter. 
If you go, if you want to see 

48
00:02:17,800 --> 00:02:20,840
them, you can go to my YouTube, 
which is doctor Pelto dot doctor

49
00:02:20,840 --> 00:02:23,840
Pelto at YouTube, or you can see
it on LinkedIn or other places 

50
00:02:23,840 --> 00:02:26,440
where I do these shorts. 
But usually I do it with a glove

51
00:02:26,440 --> 00:02:28,520
off only because I've already 
done all the treatments and I'm 

52
00:02:28,520 --> 00:02:29,600
just kind of pointing out 
things. 

53
00:02:29,600 --> 00:02:34,280
But someone poked, poked fun of 
me on, on LinkedIn. 

54
00:02:34,280 --> 00:02:36,440
They said, called me out on it 
and they said, hey, doc, you 

55
00:02:36,440 --> 00:02:38,800
should be wearing gloves. 
So a little bit of embarrassing 

56
00:02:38,800 --> 00:02:41,000
moment, but I, I just want to 
say I'm going to start now when 

57
00:02:41,000 --> 00:02:43,320
I do videos, I'll start wearing 
gloves for that. 

58
00:02:43,840 --> 00:02:45,760
OK, so let's, let's do my 
recording. 

59
00:02:45,760 --> 00:02:48,800
This is a recording for a 
Tuesday in the office. 

60
00:02:50,280 --> 00:02:52,720
And I'll kind of explain the 
rationale between some of these 

61
00:02:52,720 --> 00:02:54,560
patients. 
So the first patient was a 58 

62
00:02:54,560 --> 00:02:59,200
year old female. 
She had anterior calcaneal 

63
00:02:59,200 --> 00:03:06,400
fracture that was noticed and 
she was kind of overweight and 

64
00:03:06,400 --> 00:03:07,960
wasn't really a good surgical 
candidate. 

65
00:03:07,960 --> 00:03:09,920
And really there wasn't a great 
surgery for that. 

66
00:03:11,240 --> 00:03:14,880
I did 6 sessions of Shockwave 
and now she's about 80 to 85% 

67
00:03:14,880 --> 00:03:18,080
better. 
I got X-rays now comparing it to

68
00:03:18,080 --> 00:03:21,560
like 6 weeks or actually more 
than like more like 3 months ago

69
00:03:22,120 --> 00:03:25,840
and it's there's still there's 
healing in crossing over over 

70
00:03:25,840 --> 00:03:28,040
that fracture site. 
So I did that. 

71
00:03:28,040 --> 00:03:30,040
That was I didn't do another 
session of Shockwave. 

72
00:03:30,040 --> 00:03:33,440
This was a follow up I did. 
She also asked for nails and 

73
00:03:33,440 --> 00:03:35,160
callous care so I did that. 
I'm going to see her back in 

74
00:03:35,160 --> 00:03:36,760
three months, get another X-ray 
at that time. 

75
00:03:36,760 --> 00:03:38,760
But this is really just the 
shockwave follow up. 

76
00:03:39,320 --> 00:03:42,640
So she was a a success and she's
feeling so much better. 

77
00:03:42,640 --> 00:03:46,800
She's out of her Cam boot. 
Next was a 56 year old male. 

78
00:03:46,800 --> 00:03:52,320
He's a orthotic A6 week follow 
up and he also had a question 

79
00:03:52,320 --> 00:03:54,400
about one of his nails. 
So I debrided that nail so it 

80
00:03:54,400 --> 00:03:57,560
would be an office visit. 
His orthotics are feeling good. 

81
00:03:57,880 --> 00:04:00,320
No follow up, but I did debride 
that thick nail. 

82
00:04:00,320 --> 00:04:03,520
So I think a lot of times if you
see a patient, for example, with

83
00:04:04,120 --> 00:04:06,640
with a callus or with a thick 
nail, you're not going to see 

84
00:04:06,640 --> 00:04:10,120
them back for for for a long 
time or you maybe not seeing 

85
00:04:10,120 --> 00:04:11,680
them back. 
But I think just adding that on 

86
00:04:11,680 --> 00:04:15,160
can add, can it do a bump up in 
your in your office charge? 

87
00:04:15,160 --> 00:04:18,240
I'm always an advocate of what 
you can do that provides value 

88
00:04:18,240 --> 00:04:21,079
to the patient, but then we'll 
also increase the per visit 

89
00:04:21,079 --> 00:04:23,800
value for that specific visit 
for the patient. 

90
00:04:23,800 --> 00:04:27,240
So just adding simple things 
like adding a callus and maybe 

91
00:04:27,240 --> 00:04:29,520
they even know it's not covered 
so they'll charge for, you'll 

92
00:04:29,520 --> 00:04:34,640
charge for that or adding a foot
cream or adding something else 

93
00:04:34,640 --> 00:04:37,400
like that just can increase that
amount for the visit. 

94
00:04:37,680 --> 00:04:40,160
So it would be something that's 
a typical normal office visit. 

95
00:04:40,160 --> 00:04:42,120
It can increase that amount and 
that and that's one of the I 

96
00:04:42,120 --> 00:04:44,560
think the easiest low hanging 
fruit to get to the $1,000,000 

97
00:04:44,560 --> 00:04:46,760
mark. 
Next patient was an 83 year old 

98
00:04:46,760 --> 00:04:48,440
female. 
She had bilateral hallux 

99
00:04:48,440 --> 00:04:50,280
rigidus. 
We did X-rays bilaterally. 

100
00:04:50,680 --> 00:04:52,720
We talked about that. 
So we had the office visit for 

101
00:04:52,720 --> 00:04:54,800
that Level 3 visit and then we 
did nail care. 

102
00:04:54,800 --> 00:04:57,360
She also wanted nail care and so
she's going to be seen back in 

103
00:04:57,360 --> 00:04:59,080
three months by my nail 
technician. 

104
00:04:59,080 --> 00:05:01,360
So I also introduced my nail 
technician saying that she would

105
00:05:01,360 --> 00:05:03,400
be the one that would be doing 
the care. 

106
00:05:04,200 --> 00:05:06,080
Next patient was a 45 year old 
female. 

107
00:05:06,080 --> 00:05:09,000
She had bilateral insertional 
Achilles tendonitis. 

108
00:05:10,240 --> 00:05:15,080
I did bilateral shockwave for 
her combo which is radial and 

109
00:05:15,080 --> 00:05:17,960
then non radial and that was #2 
out of 6. 

110
00:05:18,240 --> 00:05:20,120
Now I want to explain about this
patient. 

111
00:05:20,120 --> 00:05:24,640
So she, she originally last 
session I only did one side and,

112
00:05:24,640 --> 00:05:26,000
and both sides were bothering 
her. 

113
00:05:26,000 --> 00:05:29,280
And this is kind of a kind of a,
not a kind of an ethical and 

114
00:05:29,280 --> 00:05:31,600
financial dilemma. 
So I feel bad for this patient. 

115
00:05:31,600 --> 00:05:34,520
I did bilateral ultrasounds 
today for her and it showed that

116
00:05:34,520 --> 00:05:37,560
they were both there's a fusion 
and swelling at the insertion. 

117
00:05:37,560 --> 00:05:41,600
She has a spur on the on the 
good side, there was a kind of 

118
00:05:41,600 --> 00:05:45,160
normal thickness, but on the bad
side, she's had 10 jet on that 

119
00:05:45,160 --> 00:05:46,640
before and it's just really 
thick. 

120
00:05:47,080 --> 00:05:49,680
And I couldn't in good 
conscience only do the only do 

121
00:05:49,680 --> 00:05:51,120
one side because that's all she 
could afford. 

122
00:05:51,120 --> 00:05:53,400
So what I told her is I'll do 
both sides. 

123
00:05:53,560 --> 00:05:55,920
I'll kind of chalk it up as a 
pro bono. 

124
00:05:56,520 --> 00:06:00,120
And she she works at like a 
urgent, a convenient urgent care

125
00:06:00,120 --> 00:06:02,520
as a rad tech. 
And so I said, you just, you 

126
00:06:02,520 --> 00:06:03,680
know, try to refer more 
patients. 

127
00:06:03,680 --> 00:06:05,160
I think that's going to create a
lot of goodwill. 

128
00:06:05,840 --> 00:06:08,120
Some patients that can't afford 
the bilateral, a lot of times 

129
00:06:08,120 --> 00:06:10,920
I'll add it in because it 
doesn't take me much longer and 

130
00:06:10,920 --> 00:06:12,520
I just feel better about doing 
that. 

131
00:06:12,520 --> 00:06:15,080
And I think from that goodwill, 
many other patients will be 

132
00:06:15,080 --> 00:06:18,320
referred to the office. 
Next patient was a 79 year old 

133
00:06:18,320 --> 00:06:21,240
man. 
He had sciatica and he came in 

134
00:06:21,240 --> 00:06:23,600
from his primary care. 
I looked at his X-rays, he has 

135
00:06:23,600 --> 00:06:26,320
some foot manifestations and 
he's already going to PT. 

136
00:06:26,320 --> 00:06:30,400
He's already on gabapentin. 
I talked to him about doing an 

137
00:06:30,400 --> 00:06:33,800
orthotic and that's something 
that he he wanted to do. 

138
00:06:33,800 --> 00:06:38,120
So we did orthotics for him. 
Next patient was a fracture of 

139
00:06:38,120 --> 00:06:42,000
the second metatarsal and she 
also had a bunion. 

140
00:06:42,040 --> 00:06:45,960
So for her she had a stress 
fracture in that area from doing

141
00:06:45,960 --> 00:06:48,480
a lot of walking while she was 
on vacation. 

142
00:06:48,480 --> 00:06:50,080
I gave her a Cam boot and an 
even up. 

143
00:06:50,440 --> 00:06:52,680
So once again, as we're talking 
about increasing the per visit 

144
00:06:52,680 --> 00:06:54,080
value, anytime you can add 
something. 

145
00:06:54,080 --> 00:06:56,520
So one thing we always add when,
when patients get a Cam boot is 

146
00:06:56,520 --> 00:06:58,320
they say you're going to get an 
even up. 

147
00:06:58,320 --> 00:07:00,840
So even up is something that 
evens up the the height so it 

148
00:07:00,840 --> 00:07:03,000
doesn't throw their hips off. 
Another thing that patients get,

149
00:07:03,000 --> 00:07:04,800
so when they're doing matrix 
ectomy, they're always getting 

150
00:07:04,800 --> 00:07:06,840
the post op kit. 
So these are things that you're 

151
00:07:06,840 --> 00:07:08,840
adding on to things that you're 
already doing. 

152
00:07:08,840 --> 00:07:12,200
I think this is obvious, but I'm
just kind of being clear to to 

153
00:07:12,360 --> 00:07:14,640
kind of instruct on how to get 
to the the $1,000,000 mark. 

154
00:07:15,560 --> 00:07:19,000
Next patient was a 75 year old 
female hallux fracture follow up

155
00:07:19,480 --> 00:07:22,240
and X-ray only. 
So if I'm talking about least 

156
00:07:22,240 --> 00:07:24,080
valuable patient, this is 
probably the least valuable 

157
00:07:24,080 --> 00:07:27,160
patient of the day. 
She had a fracture. 

158
00:07:27,160 --> 00:07:29,280
It's doing better. 
I only got the X-ray. 

159
00:07:29,280 --> 00:07:31,600
I didn't get any office visit. 
She didn't really have any other

160
00:07:31,600 --> 00:07:33,800
issues. 
I don't know any other way 

161
00:07:33,800 --> 00:07:36,640
except just reducing the amount 
of follow-ups for these that you

162
00:07:36,640 --> 00:07:38,160
can reduce the low value 
patients. 

163
00:07:38,160 --> 00:07:40,960
I guess one option would be, I'm
just thinking about it out loud.

164
00:07:41,160 --> 00:07:45,120
The same way that I see my 
matrix follow-ups in a 10 minute

165
00:07:45,120 --> 00:07:48,120
slot in three weeks. 
If it's going to be a simple 

166
00:07:48,120 --> 00:07:53,040
fracture, I could do my fracture
follow-ups with X-rays in my 10 

167
00:07:53,040 --> 00:07:55,000
minute slot. 
So kind of reserving those 10 

168
00:07:55,000 --> 00:07:58,840
minute slots in my schedule to 
accommodate the things that 

169
00:07:58,840 --> 00:08:02,800
wouldn't, you know, relegate to 
a higher level visit and we'd be

170
00:08:02,800 --> 00:08:04,640
just only an X-ray. 
So that would be something that 

171
00:08:04,640 --> 00:08:07,320
I can also do in the future. 
So I'm, I'm starting to develop 

172
00:08:07,320 --> 00:08:09,200
as a list of like 10 minute 
appointments that are going to 

173
00:08:09,200 --> 00:08:12,200
be quick and usually easy. 
So I can add this to this. 

174
00:08:12,200 --> 00:08:14,080
Like usually it's a matrix 
follow up. 

175
00:08:14,080 --> 00:08:17,160
Apparently I'm not even seeing 
back maybe even like a simple 

176
00:08:17,160 --> 00:08:19,880
orthotic follow up, putting 
these in these 10 minute slots. 

177
00:08:19,880 --> 00:08:22,880
I think that might be a good 
reason to, to do the to do 

178
00:08:22,880 --> 00:08:26,760
those. 
Next patient was a 60 year old 

179
00:08:26,760 --> 00:08:30,800
female, had bilateral ankle 
replacements and this was done 

180
00:08:30,800 --> 00:08:35,400
by another person in Boston and 
she was here to see me to get 

181
00:08:35,400 --> 00:08:38,000
the orthotics afterwards. 
So she currently has orthotics. 

182
00:08:38,000 --> 00:08:39,600
I did a new pair of orthotics 
for her. 

183
00:08:40,159 --> 00:08:43,799
We scanned her and then she will
be seen for follow up at the six

184
00:08:43,799 --> 00:08:46,360
week follow up. 
Now even even I'm just thinking 

185
00:08:46,360 --> 00:08:48,120
out loud here. 
So even some of these patients 

186
00:08:48,120 --> 00:08:50,400
that I always see for six week 
follow up for orthotics, in this

187
00:08:50,400 --> 00:08:52,400
specific case, if she's been 
used to them, they're fitting 

188
00:08:52,400 --> 00:08:54,280
fine. 
She might not need that six week

189
00:08:54,280 --> 00:08:56,560
follow up. 
The next patient was a 84 year 

190
00:08:56,560 --> 00:08:58,640
old man. 
He was here for after his 

191
00:08:58,640 --> 00:09:02,040
Lamisil booster. 9 out of the 10
toes got better. 

192
00:09:02,040 --> 00:09:05,360
I think that's considered 
success and he has one toe that 

193
00:09:05,360 --> 00:09:07,040
has something. 
I could potentially switch him 

194
00:09:07,040 --> 00:09:10,320
to something else like a 
Diflucan or a Sporinox. 

195
00:09:10,320 --> 00:09:12,840
But in his specific case at his 
age, I'm just going to call good

196
00:09:12,840 --> 00:09:14,320
enough alone and I'm going to 
leave it. 

197
00:09:14,320 --> 00:09:15,800
So just the office visit for 
that one. 

198
00:09:16,640 --> 00:09:18,720
Next patient was a 73 year old 
female. 

199
00:09:18,720 --> 00:09:21,760
They had calluses. 
I trimmed those calluses and 

200
00:09:21,760 --> 00:09:23,920
there was just like a self pay. 
I don't know how she got into my

201
00:09:24,440 --> 00:09:26,920
my non routine day, but I think 
it's because she was just saying

202
00:09:26,920 --> 00:09:28,640
she had painful feet, maybe a 
wart. 

203
00:09:28,640 --> 00:09:31,440
That's what she called it. 
But when I looked it was a 

204
00:09:31,640 --> 00:09:34,080
little over a year. 
She was here for those calluses.

205
00:09:34,080 --> 00:09:36,240
So I did counseling for 
calluses. 

206
00:09:36,240 --> 00:09:38,400
So that was a level 2 office 
visit. 

207
00:09:38,400 --> 00:09:41,920
I don't do many of those level 
twos, but level 2 office visit 

208
00:09:42,160 --> 00:09:44,760
counseled about calluses, 
orthotics, and then I did the 

209
00:09:44,760 --> 00:09:47,200
calluses which were $75.00 for 
that patient. 

210
00:09:47,760 --> 00:09:50,720
Next was a 85 year old with a 
matrix follow up. 

211
00:09:51,440 --> 00:09:53,040
That was a quick one. 
Once again, these are my 10 

212
00:09:53,040 --> 00:09:56,440
minute slots that I'm using. 
Next was a kind of an 

213
00:09:56,440 --> 00:09:58,680
interesting patient. 
This was a 42 year old female 

214
00:09:58,680 --> 00:10:01,760
that likes to do a lot of 
running and she had an MRI done 

215
00:10:01,760 --> 00:10:06,760
in a tibialis anterior tear, 
tear at the insertion and we 

216
00:10:06,760 --> 00:10:08,080
talked about different treatment
options. 

217
00:10:08,080 --> 00:10:11,040
She's already been in a Cam boot
for about two months and it's 

218
00:10:11,040 --> 00:10:13,520
still not better. 
So we set up number one out of 

219
00:10:13,520 --> 00:10:17,720
six of her shockwave. 
So she did shockwave today and 

220
00:10:17,720 --> 00:10:21,880
she also has a wart on the right
foot so the tib Ant tear is on 

221
00:10:21,880 --> 00:10:24,840
the left and for the award we 
did kanthridin on the right 

222
00:10:24,840 --> 00:10:25,800
side. 
So we were able to get the 

223
00:10:25,800 --> 00:10:30,120
kanthridin bill and as well the 
follow up MRI and the shockwave 

224
00:10:30,120 --> 00:10:33,080
for her next patient was a 65 
year old man. 

225
00:10:33,080 --> 00:10:36,000
He had a recurrent ulcer on the 
tip of the hallux due to a 

226
00:10:36,000 --> 00:10:40,960
previous first MPJ fusion where 
it caused a kind of a cocked 

227
00:10:40,960 --> 00:10:43,080
down hallux. 
I'm going to see him back in 

228
00:10:43,080 --> 00:10:45,560
three weeks and I debrided it. 
So I got the office visit, the 

229
00:10:45,560 --> 00:10:50,120
debridement and the and the 
follow up and I have a, a short,

230
00:10:50,240 --> 00:10:53,720
how do you say a short referral 
patients. 

231
00:10:54,000 --> 00:10:56,160
So if he's not better in a few 
weeks, I'm going to send him to 

232
00:10:56,600 --> 00:10:58,440
the wound care center. 
I don't do a ton of wounds, as 

233
00:10:58,440 --> 00:11:01,440
you can tell by my these little 
discussions we have here. 

234
00:11:02,320 --> 00:11:05,000
Next patient was Swift number 
six. 

235
00:11:06,000 --> 00:11:11,200
He I usually do for swift, but 
today he needed another one. 

236
00:11:11,200 --> 00:11:17,320
So he was number six and I'm 
going to see him for a one month

237
00:11:17,320 --> 00:11:19,160
follow up. 
I did Kanthordin as well. 

238
00:11:19,160 --> 00:11:26,880
So one other thing about Swift, 
usually I do Swifts and if I add

239
00:11:26,880 --> 00:11:29,280
on Kanthordin, I'm not billing 
for the Kanthordin and the 

240
00:11:29,280 --> 00:11:31,400
Swift. 
I just sometimes feel like it's 

241
00:11:31,400 --> 00:11:34,200
double dipping and Catherine 
doesn't really take that much. 

242
00:11:34,280 --> 00:11:36,800
Yes, you have the liquid you put
on there and the bandages, but 

243
00:11:36,800 --> 00:11:39,480
in his case he's already on #6 
so I will just do the Catherine 

244
00:11:39,480 --> 00:11:41,520
without charging it. 
I guess one other option is you 

245
00:11:41,520 --> 00:11:43,360
could do the Swift without 
charging it, but I tend to do 

246
00:11:43,360 --> 00:11:44,640
the Catherine without charging 
it. 

247
00:11:45,440 --> 00:11:48,080
One other option I've kind of 
thought about if you do use 

248
00:11:48,080 --> 00:11:53,880
Swift, I know they have a, a 
benefit, I guess they say like 

249
00:11:53,880 --> 00:11:57,880
if you do a video about your 
Swift, they will give you, they 

250
00:11:57,880 --> 00:12:00,960
will credit you, I think a box 
of Swift tips. 

251
00:12:01,240 --> 00:12:02,720
So I'm just thinking about this 
out loud. 

252
00:12:02,720 --> 00:12:07,440
So potentially if, if, if you do
videos on some of the patients 

253
00:12:07,440 --> 00:12:10,440
that maybe can't afford Swift, 
you could theoretically not 

254
00:12:10,440 --> 00:12:14,360
charge them because they would 
get the, the the box that comes 

255
00:12:14,360 --> 00:12:16,080
with the Swift. 
It's one of the added benefits 

256
00:12:16,080 --> 00:12:19,400
of of making video or doing 
social media stuff for them, 

257
00:12:19,400 --> 00:12:23,680
like sending them the video that
you did and then and then doing 

258
00:12:23,680 --> 00:12:26,040
it kind of pro bono for some of 
these patients that maybe can't 

259
00:12:26,040 --> 00:12:27,160
afford it. 
I thought it's kind of a neat 

260
00:12:27,160 --> 00:12:29,400
idea and just say, hey, if you 
do this video, we can do it for 

261
00:12:29,400 --> 00:12:31,640
free because they're going to 
give me a free box and a box 

262
00:12:31,640 --> 00:12:33,320
will have so many, so many tips 
in there. 

263
00:12:33,720 --> 00:12:36,160
That was just an idea I had 
today. 

264
00:12:36,880 --> 00:12:46,040
And then the final follow up was
the 65 year old for a right 5th.

265
00:12:48,000 --> 00:12:51,000
I'm trying to read my 
handwriting fifth met resection.

266
00:12:52,440 --> 00:12:56,480
I think what I did that for this
one here is I did canthered in 

267
00:12:56,480 --> 00:12:58,680
on this one. 
So it like a fifth met canthered

268
00:12:58,680 --> 00:13:01,320
in for this patient. 
OK, that was the day. 

269
00:13:01,720 --> 00:13:06,280
Once again, I have a, a practice
like $1,000,000 practice 

270
00:13:06,520 --> 00:13:09,200
blueprint on our on my website 
Podiatry practice master. 

271
00:13:09,200 --> 00:13:12,080
If you found this beneficial, I 
kind of do a deep dive into all 

272
00:13:12,080 --> 00:13:14,640
these topics that I'm talking 
about here, you might find it 

273
00:13:14,640 --> 00:13:16,520
beneficial. 
I'd love to share that with you.

274
00:13:16,520 --> 00:13:20,320
And also if you want to do my 
see my daily treatment tracker, 

275
00:13:20,880 --> 00:13:23,560
This is what I use every day to 
to kind of track what I do. 

276
00:13:23,560 --> 00:13:25,280
And I think it keeps it to front
of mind. 

277
00:13:25,280 --> 00:13:28,080
So even if you're like not going
to record your own podcast, I 

278
00:13:28,080 --> 00:13:31,320
think recording it and kind of 
keeping value the most valuable 

279
00:13:31,320 --> 00:13:32,920
patient out there is a is a good
thing to do. 

280
00:13:33,080 --> 00:13:34,600
OK, until tomorrow. 
Thanks guys.