Hey guys, welcome to Podiatry practice Mastery Don's here, I'm
going to talk about D number two, in the Shockwave course
here in in Boston. This was a good day day.
Number two is only a half-day. And so I wanted to share a
little bit about what the experience was.
This was more about practice management and really, when
you're coming to any of these types of events, I think the
practice management is the is the best part had some great
speakers. Those that follow Chris milky,
he is a podiatrist, he talked. And then some of the other
podiatrist as well, gave some ideas or some other Specialists
as well. There's a local guy here in
Massachusetts that I want to go visit his practice as well.
So what are the what are the kind of the takeaways were the
general flesh Impressions, going through the experience,
Transformer what worked kind of what didn't work and what would
I do differently. So what worked is it was great
to see how other people are using.
Shockwave in their private practices, especially they
really explain how anyone can use it.
Especially if they're just starting out with just the
radial device. And then switching adding the
focus device and then adding to the EMT and then they were also
talking about low level laser or laser laser therapy.
And so, the big takeaway the big thing I learned is I do have a
couple of lasers. I have a Remy laser And I have a
cute era as well, and, and I have a lunula.
And so I have a lot of lasers, the main one, I use that the
cute era for is for warts. And I think it does work.
Well, the, the the lunula I use for nails.
I don't think it works all that well, so I don't use it that
much. And the Remy, I don't use really
at all, because it's in my other office.
For I'm only there once a week, but the takeaway from this is,
if you could, you could potentially get a synergistic
approach. Ouch using all three types of
treatment, so that's kind of my, the conversation in my head is
potentially, if let's say I have a slot of 20 minutes for
patients and I'm going to be doing the Shockwave, I have
radial, I have focused, I'll do both of those.
And then if I have 44, 27 minutes, I can add in the Remy
as well. So that's that's kind of my
thought. As I was talking to someone
there, they were saying, well, you know, Don since you don't
see a lot of arthritis, they're kind of saying that the where I
do see, you know, mid-foot Arthur, Things like that.
But they're they're saying that the the EMT T is a little bit
better for that. So I'm still unsure I was I was
thinking more about it last time and I'm not sure right now sorry
for anyone from Kira Medics that is listening to this but I'm
just kind of saying what the impression was.
I'm considering just adding a little bit of that Remi since I
got that time with the patient or even just talking to the
staff. I was talking to one other
doctor that uses the Remy and has it, and they have their
staff, do it. And what I liked about this
conversation is they said, well, I have an acute.
And I have a chronic type of treatment package.
So for an acute, let's say it's, you know, four to six treatments
and then the The Chronic might be six to eight treatments or I
think she said 8 to 8 to 10 or 10 to 12, something like that.
But anyways, so they're coming packages and would be like I
think 297 or 397, something like that.
But the nice thing is is these are all things that are done by
the staff. So in their practice, they teach
the staff where to put it And then they, they do that Remy.
And that's the nice thing about. I think Remy or other types of
lasers. As you can have staff, I haven't
really bought into it. I want to be frank, I am kind of
skeptical to say, you know, do I need to really add this to the
other two things that I'm doing for these conditions?
But I really I think that's the same thing with anything.
Do you really need to add an additional treatment?
Like, is what we're working. I think the biggest problem with
with adding modalities like shocked, Wave or anything like
that is because like, is what I'm working, what I'm currently
doing enough, right? Is what I'm currently doing.
It going to be sufficient enough for the majority of my patients
and do. I need to add anything.
And I think that's the biggest the biggest drawback to any, any
anything new in your practice is what you're currently doing.
Right? So if you're currently doing
something and it seems to be working, why do you need to add
it? I think that's the that's the
big question when it comes down to it.
So the way I'm treating plantar fasciitis.
Now was it working? Was I doing a good job before
and I think the best one that explained that his name was Paul
hobro and I really like Paul's Paul's approach and I'm going to
ask him if I can use his audio because I did record his lecture
and I might include it into the podcast, but he had a great
explanation of kind of A few questions that you ask patients.
And for those of you that haven't downloaded my patient
presentations tool in there, you're going to see these
questions and make a my modifying based on what he said.
But these are questions I specifically put in my
presentation so I'm going to stop and I'm going to ask
patients so I'm going to have them see and feel kind of what
they're feeling and like and these are questions like why do
you how long have you had the pain and how does it affect your
life and things like that? These are important questions.
Ones that I think many times we just speed on over and this is
something that he really made a approach in his talk where you
said, you know, you have to ask these questions, you have to
figure it. Pretty much figure out the pain
and then kind of instigate that pain and then you can go and
solve that pain. If you're just telling them,
it's so much different than if they tell you what's going on.
Another thing that Paul said is he gave them options and he does
not push them. And he says, basically, you're
going to have these three options, one option is through.
Additional treatment where, you know, we don't do any of the
shock wave or anything like that.
The second type of sheep treatment is with shockwave and
then the third one is with the EMT T and the way he explains it
is the traditional way, is the regular treatment.
Educating people things like that, which you're going to do
anyway. The second treatment is radial
and focused shock wave, and The Supercharged approach is with
the EMT T and the way he does it, he does six treatments.
Pants and I think he charges 200 or something like that.
I think it is a package six treatments for like two thousand
dollars or something like that. I think that's what he charges.
So, if you're doing, let's say, Six, 300 treatment, that would
be six. Treatments would be 1800.
We currently do 200 to treatment and based on everyone's
conversation there, we all could increase the price.
As long as you're sharing the value and as long as you believe
in, it does work for your patience.
And so, One. Pretty much charges charges cash
for these things. These aren't covered by
insurance so I really like Paul's that approach of saying,
but what I really liked what he said is he said, you know, he
presents the three options and basically you're going to, we
can do the traditional approach, we can do the shock wave
approach, or we can do the supercharged approach, which is
better than anything. Right?
And then he goes, and he says, we're going to start with the
traditional approach. I'm gonna explain everything for
you and then you can make a decision.
Afterwards. This is what I really like about
his presentation. So basically he says if we do
the Shockwave you're going to get better 50% faster and
there's an 80% success rate that's always has a 50% better.
80% success rate. I really like that approach of
explaining, you going to get better faster and it's going to,
it's going to work better and then you can decide after.
So, then you go and through. And I may even switch the place
where I talk about these. These three options because in
the past, I used to talk about the options, you can do nothing
or Doing what you're currently doing, you can do a
conservative, or you can do surgical, but I like his
approach with with offering these three types.
So, when you look at the patient presentations tool, you might
see that I'm going to change it, okay?
I might change your to tradition traditional treatment Shockwave
or Shockwave or like Advanced Shockwave, Plus other
regenerative modalities type of thing like that.
So that was the my biggest takeaway today is this idea of
communicating these three options to patients and Offering
them to the patients and then doing more of your presentation.
So the conversation my head is well, I'm going to talk about
these three ways of treating, then I'm going to continue to
show my slides of explaining everything like that.
And then I'm going to come back around and say, okay, mrs.
Jones, what type of treatment option do you want?
And and the other thing that Paul says, when you're answering
like the phone or explaining, you can say, you know, and this
is very expensive. So actually, instead of hiding
how much it cost, really be frank.
And and this is expensive. I'm the most expensive and it's
expensive because it works it. So I really like that idea.
That was a good take away a couple of the other.
Good things I liked about listening to other people's
marketing. Were the use of like a frequent
email messages about having like a weekly email that kind of puts
content out there, whether it be in a newsletter fashion or some
other type of fashion. This is very helpful for our
patients as well and kind of keeping front of mind for them,
kind of A Conversation Piece here or thought is if Kira
Medics for as an added bonus, they could even have instead of
having just a doctor email. They could make one.
And this is for you, at least. If you're listening, they could
make a patient specific email. List.
So let me explain what that what that would be it would basically
if a for us for example Foot and Ankle we would have a special
autoresponder foot and ankle and when patients get Shockwave or
people that are interested in shock wave or interesting
getting information on Shockwave for the Foot and Ankle, let's
say they go to their website and they getting information on on
Shockwave for the Foot and Ankle, then it would add them to
like a weekly email that even could be Evergreen, meaning you
would be on plantar fasciitis. Be an Achilles tendonitis would
be on bone marrow. Edema would be some webinars and
these would be kind of pretty much repeating themselves and
going on forever as an educational component for our
patients. So those are, those are kind of
just the, the, the high points. It was a good social time.
The food was okay. I liked it.
Then a couple of the other doctors are also using.
This is something that I kind of like it's the intermittent
fasting. So they're they're working with
weight loss, there's something called Pro Lon.
That's called a fasting mimicking diet.
It, if you followed any stuff from Jason Fang, Fu NG, or any
of these other ones, there's a fasting mimicking diet.
And so, if you order it as a doctor, I think it's about $100
for this fasting mimicking diet. It's a five-day course of
fasting with very, very low, low calorie stuff.
And it's kind of as if you're, if you're fasting and you get
some teas and some other types of stuff like that, I think if
you're going too fast, you might as well just fast.
You don't need that, but it's another option and that's
something that doctors can buy and then they can resell to
their patients if they're working with way.
It's not that I work with weight loss.
But I do talk to my patients about this because it can help
their help their health. I was talking to another doctor
as well about laser treatment for fungal toenails.
I know I was at a Shockwave course but we're, you know,
talking about other Podiatry stuff.
And they said they had a way of explaining it where they can
treat it from the inside out and the outside in using topicals
and using laser and other stuff like that.
I'm still not sure if you guys are really passionate about
this, send me an e-mail. I'd like to know what other
people's thoughts are done at Podiatry, practice Mastery.
I'd like to know why I still have a hard time and I've
mentioned this before, like if the Lamisil is going to work,
why add the laser to it? Because I laser by itself, I
don't find works as well at all. And that's why I'm not doing
much laser. I do find the oral works well.
But I guess if you, if you could extrapolate that, why I'm not, I
just why don't I Treat everyone with plantar fasciitis with
cortisone injections and why do I need the Shockwave right?
If courtesans working, why do I need other stuff?
Well, and it didn't work for everyone.
So I guess you could extrapolate that into the, the nail fungus
treatment as well, right? So, that was a one thing that
got me, Pete. I was talking to this other
doctor about a fo and Orthotics and just a just want to throw it
out here for those that are listening.
Because if people have some people have been wondering and
I'd like to know your thoughts, those are listening but For
posterior tibial, tendon dysfunction, typically, a Richie
brace, but there is something called a medial Blaze afo by
insightful products that I recommend much of the time.
If I'm embracing them. And then also I talked about for
mid-foot arthritis and me so brace, but I was talking to some
of the doctors about using for arthritis, the EMT T and also
the Shockwave to help them to feel better.
Once again, it's not going to want to be clear.
It's not going to keyer the the mid-foot arthritis, but the
thought Is, can you then with their mid-foot arthritis, make
them feel much better and be able to functional be able to
function at a better level and that and that's the thing.
When we talk to people it's the pain level.
Let's say their pain levels is 6 but before they couldn't walk it
out and now they can do like two walks a day or something like
that. So they're functionally, they're
doing much better and this may be an option to avoid some
mid-foot mid-foot fusions. So anyway that is that are the
thoughts from it, please. If you haven't got my patient,
presentations tool, they are within that free free, download
within Podiatry, practice Master e.com, also the practice Mastery
Academy is there? I would, if you want my 30-day
practice blueprint, if you want. Actually all my PowerPoint
slides that you can make your own patient, presentation tool,
and all the webinars. Everything is right there within
Podiatry. Practice met the practice
Mastery Academy right now. I think it's a single price.
I'm wanting to switch it to a subscription model.
Model for $97 a month because that's eventually where I want
to get to, as a $97, a month. I don't know where it's going to
be out when you go there right now.
But you can go, look, you would get all the content that I have.
But, once again, I love this. I love helping you guys, and
please send me an e-mail some of your thoughts.
Okay. Until next time.
Thanks guys. Have a good one.