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Hey guys down here. 
Welcome to Podiatry Practice 

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Mastery, where we're going to 
kind of go over what helps our 

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practice make it to the 
$1,000,000 mark and beyond. 

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And that's what my goal is for 
you. 

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I was having a little talk 
yesterday with Al, AL's the guy 

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that's sending out my 
newsletter. 

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You may have got newsletter #2 
and we're, we're trying to put 

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together a kind of a mastermind.
We're figuring how to, how to 

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set it out. 
I'd like to do a hot seat 

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mastermind with people that want
to help their practice to kind 

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of get to that $1,000,000 mark 
that the thought is we would 

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have a group, I don't know, 6 or
7 practices or people, and then 

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we would meet periodically. 
I'm not sure if I have the 

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bandwidth right now with 
switching this EMR, but I'm 

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thinking like once a month. 
And then each person would be 

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able to be in the hot seat and 
that just means it's about an 

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hour meeting, 2020 minutes. 
You kind of talk about your 

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practice, what's going on, 
what's good, what's bad, and 

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then you bring up an issue 
processing. 

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So like there's a certain issue 
that you want help with. 

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You kind of state that in a 
certain way. 

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And then what happens is we all 
kind of give some input for you,

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for the for the practice, the 
other people that are in this, 

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this could then be recorded and 
then it can kind of help you. 

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So this can either be via Zoom 
or simply via telephone. 

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So I'm thinking about doing a 
time after after practice to to 

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do this. 
So if you guys are interested, 

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shoot me an e-mail 
don@podiatrypracticemastery.com.

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What else is going? 
We are day #14 into the mod Med 

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transition and I just about quit
yesterday. 

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It was so it was so bad. 
I don't think it was, it wasn't 

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mod Med. 
It was that our our I just so 

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happened that our X-ray machine 
kind of stopped working. 

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So I it struck frustrating for 
me, frustrating for staff. 

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It's a little frustrating 
because I'm still figuring out 

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how to sign stuff within Athena.
It was a lot easier with mod Med

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I I almost needed to get like an
iPad to do it. 

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And and one thing I didn't like 
about the training is like they 

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give options. 
So I'm reading this book right 

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now called the paradox of choice
and, and it, and it's talking 

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about like sometimes too many 
options are actually bad for 

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people. 
So think about it, if you talk 

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about plantar fasciitis and you 
give everyone all the options, 

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even though they're not equally 
weighted, it's not, it's not 

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good for the patient because 
you're not going to, they're not

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going to get better. 
Like you say, Oh, you could do 

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like if anti inflammatories and 
icing is going to be the same as

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like shockwave or cortisone, 
It's it's definitely not home 

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stretching isn't the same as 
physical therapy. 

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And so when, when the trainers 
came, they said, Oh yeah, you 

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could do this if you wanted and 
this and that and really would 

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have been better to have a 
podiatrist as a trainer and 

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said, Hey, you guys need iPads 
at least to sign your notes or, 

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or at least to get consent. 
Otherwise it's going to be a 

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pain because you have to print 
out the papers and stuff like 

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that. 
So that's what we're learning. 

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I finally figured out how to, so
I took my, my wife's iPad and I 

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signed in and then it was super 
easy to sign some stuff. 

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So I'm still kind of learning 
that today. 

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I'm, I'm, I'm recording this and
I would love to tell you what I 

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did yesterday, but it's all a 
blur. 

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I can't remember. 
I know, I think I did 2 

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orthotics. 
I did a lot of Shockwave, but 

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I'm still kind of learning where
to put things in the notes. 

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And, and I've myself and my 
partner, we've kind of used, 

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there's an additional note 
section where are we going to 

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put the stuff we really want to 
remember next time, like the 

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stuff, you know, because a lot 
of it's fluff. 

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And then, then there's the real 
stuff you want to remember. 

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So that that's where we're 
putting that. 

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And so was we when we look at 
our future notes, I think it'll 

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be, it'll be easier. 
Also, we, I was kind of learning

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how to add in different types of
diagnosis. 

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We're saving some protocols 
making it a little bit easier 

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for us, but still not completely
there. 

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I am, I'm doing this. 
I don't usually do this. 

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I'm doing this in my car today 
only because I got a late start.

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I was, I was, I was asked to do 
a talk for, for a shockwave 

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company. 
I think I told you that I've 

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kind of politely bowed out of it
only because I didn't like the 

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way that they did the marketing.
And it kind of, I don't usually 

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get too annoyed, but this one 
did. 

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So if you got an e-mail from me 
saying that I was going to do a 

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talk on Truckwave, I'm I'm not 
only because the, the kind of 

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the way, the way it was marketed
kind of said that I am 

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switching. 
Like I made a switch to a 

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different shockwave company and 
really it was just we bought a 

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different shockwave shockwave. 
Not that I made the switch, but 

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so that was something that I 
don't usually talk about what 

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annoys me, but there's a few 
things that have been annoying 

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me lately. 
On a on a good note though, 

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today, today I'm recording this 
is going to be on a Friday, so 

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we'll see how it goes. 
I'll let you know. 

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Last Friday was kind of a bear 
because I have patients every 10

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minutes and so every patients a 
new patient. 

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So my poor scribe, he's going to
be suffering. 

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So I'm I'm working, I'm working 
on that on how to alleviate some

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of his pain. 
And also, I think I'm getting 

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better though, with determining 
about class findings and doing 

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routine care for the office, but
that's about it. 

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This is kind of a 
discombobulated episode and I 

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wish I had bandwidth to do other
things. 

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So this this mastermind thing 
probably won't start in a little

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bit. 
Some people have reached out to 

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me. 
I appreciate it. 

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So if you have any great tips, 
if you use mod Med, I think 

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we're two weeks in. 
So now, now, now I can maybe 

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understand what those tips would
be. 

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So just reach out to me, shoot 
me an e-mail down at Podiatry 

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practice mastery.com. 
I, I just think I'm still 

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writing down the the 10 good 
things everyday. 

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I think that's kind of helping 
me and I'm eating a lot so 

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that's what I'm doing to cope 
getting through this. 

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OK guys, hope you have a good 
day. 

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Sorry for the rant today. 
Hopefully I have something more 

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educational and inspiring. 
I guess I'll talk about a good 

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thing. 
So a good thing is Modmad has 

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something called Clara, which 
has a survey function which 

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basically asks people for do 
online reviews. 

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And so we're going to be able to
get rid of Swell, which I think 

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was a really good company. 
Swell was a way to ask for 

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reviews and now we can use this 
Clara thing. 

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It also has online scheduling 
because I think it's actually 

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superior this the online chat 
bot than the one we previously 

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had with Athena. 
So like the staff come in and 

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there's like 200 messages. 
So it's really easy to send 

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messages, really easy to 
communicate with us. 

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We're just getting overwhelmed 
with the phones because it 

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transcribes all the voicemails 
and it's just kind of 

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overwhelming for staff. 
So I think by making it a little

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bit easier for them to make 
appointments on their own, it's 

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going to it's going to make it a
little bit easier for doing 

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that, but there's a little bit 
of admin overload right now. 

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So we're we're still kind of 
figuring, figuring out how we're

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going to do this or if we need 
to new add more people. 

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But these are, it's kind of an 
astute thing, I think from, from

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Clara, because they give you 
Clara to talk about patients and

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then they say, Hey, if you want 
to add things like online 

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scheduling, it's going to be so 
much. 

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If you want to add online 
reviews, it's going to be so 

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much. 
If you want to do like cell 

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phone check in, it's going to be
so much. 

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So it's going to end up being 
for the four doctors about $1000

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a month. 
I think Swell itself was 

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somewhere around 2 or 300. 
And so we'll save that. 

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But I think in the end it'll 
save a lot of staff time because

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patients as long as they don't 
mess it up. 

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That's what we're not sure of if
we're going to mess up how 

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people log in or schedule 
appointments. 

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Like a lot of times if we can 
make this like certain places of

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where they can make 
appointments, that'll be a 

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little bit easier. 
And then finally, I think this 

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new Clara thing would be able to
do something that I've always 

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wanted to do, which is when 
people make reviews, they 

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confirm that they can send it to
each individual Google, my 

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business account for each 
doctor. 

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So that's going to be nice. 
So like if they go to our 

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Westboro office, I see patients 
Westboro can send to my Google 

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review in Westboro. 
If I'm in Worcester, it can send

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to my Worcester office Google 
review and so we can get 

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specific Google reviews to kind 
of dominate Google. 

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Whereas with Swell we could only
send to like the generic ones. 

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We would have to swap them 
around. 

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So it was a little bit harder. 
The other thing I'm, I'm kind of

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stoked about is I think Clara 
can do something like when 

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patients make an appointment, it
sends them the paperwork, but we

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could send them out patient 
education information prior to 

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coming in. 
So for example, I don't know, we

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have like the top 10 things that
we treat in the office and 

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before, Hey, if you want to read
up a little bit about the top 10

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things that we see here are some
information on like diabetes, 

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here's some information on 
plantar fasciitis, Achilles 

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tendonitis, you know, other 
things like that nail fungus. 

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And so you could have that all 
on one page on, on one like blog

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post and you could send that out
before. 

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So people kind of know what to 
expect. 

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What are some of the kind of the
treatments that we do in a very 

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kind of simple fashion so they 
can learn more and and kind of 

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get some of the resource that we
have prior? 

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Anyway, those are the thoughts. 
Those are the good things. 

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Sorry, I started on the bad 
stuff, but I think it'll be a 

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good day. 
I'll let you know how it goes 

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next week.