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Hey guys, welcome to Podiatry 
practice Mastery Don's here, I'm

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going to talk about D number 
two, in the Shockwave course 

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here in in Boston. 
This was a good day day. 

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Number two is only a half-day. 
And so I wanted to share a 

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little bit about what the 
experience was. 

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This was more about practice 
management and really, when 

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you're coming to any of these 
types of events, I think the 

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practice management is the is 
the best part had some great 

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speakers. 
Those that follow Chris milky, 

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he is a podiatrist, he talked. 
And then some of the other 

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podiatrist as well, gave some 
ideas or some other Specialists 

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as well. 
There's a local guy here in 

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Massachusetts that I want to go 
visit his practice as well. 

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So what are the what are the 
kind of the takeaways were the 

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general flesh Impressions, going
through the experience, 

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Transformer what worked kind of 
what didn't work and what would 

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I do differently. 
So what worked is it was great 

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to see how other people are 
using. 

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Shockwave in their private 
practices, especially they 

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really explain how anyone can 
use it. 

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Especially if they're just 
starting out with just the 

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radial device. 
And then switching adding the 

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focus device and then adding to 
the EMT and then they were also 

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talking about low level laser or
laser laser therapy. 

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And so, the big takeaway the big
thing I learned is I do have a 

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couple of lasers. 
I have a Remy laser And I have a

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cute era as well, and, and I 
have a lunula. 

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And so I have a lot of lasers, 
the main one, I use that the 

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cute era for is for warts. 
And I think it does work. 

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Well, the, the the lunula I use 
for nails. 

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I don't think it works all that 
well, so I don't use it that 

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much. 
And the Remy, I don't use really

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at all, because it's in my other
office. 

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For I'm only there once a week, 
but the takeaway from this is, 

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if you could, you could 
potentially get a synergistic 

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approach. 
Ouch using all three types of 

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treatment, so that's kind of my,
the conversation in my head is 

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potentially, if let's say I have
a slot of 20 minutes for 

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patients and I'm going to be 
doing the Shockwave, I have 

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radial, I have focused, I'll do 
both of those. 

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And then if I have 44, 27 
minutes, I can add in the Remy 

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as well. 
So that's that's kind of my 

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thought. 
As I was talking to someone 

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there, they were saying, well, 
you know, Don since you don't 

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see a lot of arthritis, they're 
kind of saying that the where I 

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do see, you know, mid-foot 
Arthur, Things like that. 

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But they're they're saying that 
the the EMT T is a little bit 

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better for that. 
So I'm still unsure I was I was 

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thinking more about it last time
and I'm not sure right now sorry

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for anyone from Kira Medics that
is listening to this but I'm 

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just kind of saying what the 
impression was. 

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I'm considering just adding a 
little bit of that Remi since I 

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got that time with the patient 
or even just talking to the 

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staff. 
I was talking to one other 

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doctor that uses the Remy and 
has it, and they have their 

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staff, do it. 
And what I liked about this 

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conversation is they said, well,
I have an acute. 

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And I have a chronic type of 
treatment package. 

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So for an acute, let's say it's,
you know, four to six treatments

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and then the The Chronic might 
be six to eight treatments or I 

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think she said 8 to 8 to 10 or 
10 to 12, something like that. 

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But anyways, so they're coming 
packages and would be like I 

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think 297 or 397, something like
that. 

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But the nice thing is is these 
are all things that are done by 

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the staff. 
So in their practice, they teach

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the staff where to put it And 
then they, they do that Remy. 

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And that's the nice thing about.
I think Remy or other types of 

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lasers. 
As you can have staff, I haven't

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really bought into it. 
I want to be frank, I am kind of

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skeptical to say, you know, do I
need to really add this to the 

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other two things that I'm doing 
for these conditions? 

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But I really I think that's the 
same thing with anything. 

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Do you really need to add an 
additional treatment? 

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Like, is what we're working. 
I think the biggest problem with

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with adding modalities like 
shocked, Wave or anything like 

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that is because like, is what 
I'm working, what I'm currently 

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doing enough, right? 
Is what I'm currently doing. 

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It going to be sufficient enough
for the majority of my patients 

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and do. 
I need to add anything. 

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And I think that's the biggest 
the biggest drawback to any, any

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anything new in your practice is
what you're currently doing. 

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Right? 
So if you're currently doing 

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something and it seems to be 
working, why do you need to add 

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it? 
I think that's the that's the 

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big question when it comes down 
to it. 

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So the way I'm treating plantar 
fasciitis. 

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Now was it working? 
Was I doing a good job before 

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and I think the best one that 
explained that his name was Paul

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hobro and I really like Paul's 
Paul's approach and I'm going to

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ask him if I can use his audio 
because I did record his lecture

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and I might include it into the 
podcast, but he had a great 

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explanation of kind of A few 
questions that you ask patients.

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And for those of you that 
haven't downloaded my patient 

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presentations tool in there, 
you're going to see these 

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questions and make a my 
modifying based on what he said.

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But these are questions I 
specifically put in my 

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presentation so I'm going to 
stop and I'm going to ask 

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patients so I'm going to have 
them see and feel kind of what 

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they're feeling and like and 
these are questions like why do 

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you how long have you had the 
pain and how does it affect your

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life and things like that? 
These are important questions. 

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Ones that I think many times we 
just speed on over and this is 

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something that he really made a 
approach in his talk where you 

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said, you know, you have to ask 
these questions, you have to 

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figure it. 
Pretty much figure out the pain 

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and then kind of instigate that 
pain and then you can go and 

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solve that pain. 
If you're just telling them, 

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it's so much different than if 
they tell you what's going on. 

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Another thing that Paul said is 
he gave them options and he does

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not push them. 
And he says, basically, you're 

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going to have these three 
options, one option is through. 

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Additional treatment where, you 
know, we don't do any of the 

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shock wave or anything like 
that. 

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The second type of sheep 
treatment is with shockwave and 

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then the third one is with the 
EMT T and the way he explains it

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is the traditional way, is the 
regular treatment. 

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Educating people things like 
that, which you're going to do 

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anyway. 
The second treatment is radial 

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and focused shock wave, and The 
Supercharged approach is with 

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the EMT T and the way he does 
it, he does six treatments. 

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Pants and I think he charges 200
or something like that. 

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I think it is a package six 
treatments for like two thousand

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dollars or something like that. 
I think that's what he charges. 

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So, if you're doing, let's say, 
Six, 300 treatment, that would 

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be six. 
Treatments would be 1800. 

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We currently do 200 to treatment
and based on everyone's 

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conversation there, we all could
increase the price. 

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As long as you're sharing the 
value and as long as you believe

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in, it does work for your 
patience. 

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And so, One. 
Pretty much charges charges cash

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for these things. 
These aren't covered by 

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insurance so I really like 
Paul's that approach of saying, 

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but what I really liked what he 
said is he said, you know, he 

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presents the three options and 
basically you're going to, we 

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can do the traditional approach,
we can do the shock wave 

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approach, or we can do the 
supercharged approach, which is 

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better than anything. 
Right? 

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And then he goes, and he says, 
we're going to start with the 

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traditional approach. 
I'm gonna explain everything for

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you and then you can make a 
decision. 

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Afterwards. 
This is what I really like about

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his presentation. 
So basically he says if we do 

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the Shockwave you're going to 
get better 50% faster and 

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there's an 80% success rate 
that's always has a 50% better. 

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80% success rate. 
I really like that approach of 

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explaining, you going to get 
better faster and it's going to,

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it's going to work better and 
then you can decide after. 

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So, then you go and through. 
And I may even switch the place 

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where I talk about these. 
These three options because in 

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the past, I used to talk about 
the options, you can do nothing 

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or Doing what you're currently 
doing, you can do a 

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conservative, or you can do 
surgical, but I like his 

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approach with with offering 
these three types. 

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So, when you look at the patient
presentations tool, you might 

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see that I'm going to change it,
okay? 

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I might change your to tradition
traditional treatment Shockwave 

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or Shockwave or like Advanced 
Shockwave, Plus other 

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regenerative modalities type of 
thing like that. 

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So that was the my biggest 
takeaway today is this idea of 

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communicating these three 
options to patients and Offering

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them to the patients and then 
doing more of your presentation.

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So the conversation my head is 
well, I'm going to talk about 

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these three ways of treating, 
then I'm going to continue to 

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show my slides of explaining 
everything like that. 

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And then I'm going to come back 
around and say, okay, mrs. 

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Jones, what type of treatment 
option do you want? 

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And and the other thing that 
Paul says, when you're answering

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like the phone or explaining, 
you can say, you know, and this 

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is very expensive. 
So actually, instead of hiding 

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how much it cost, really be 
frank. 

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And and this is expensive. 
I'm the most expensive and it's 

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expensive because it works it. 
So I really like that idea. 

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That was a good take away a 
couple of the other. 

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Good things I liked about 
listening to other people's 

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marketing. 
Were the use of like a frequent 

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email messages about having like
a weekly email that kind of puts

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content out there, whether it be
in a newsletter fashion or some 

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other type of fashion. 
This is very helpful for our 

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patients as well and kind of 
keeping front of mind for them, 

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kind of A Conversation Piece 
here or thought is if Kira 

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Medics for as an added bonus, 
they could even have instead of 

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having just a doctor email. 
They could make one. 

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And this is for you, at least. 
If you're listening, they could 

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make a patient specific email. 
List. 

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So let me explain what that what
that would be it would basically

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if a for us for example Foot and
Ankle we would have a special 

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autoresponder foot and ankle and
when patients get Shockwave or 

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people that are interested in 
shock wave or interesting 

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getting information on Shockwave
for the Foot and Ankle, let's 

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say they go to their website and
they getting information on on 

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Shockwave for the Foot and 
Ankle, then it would add them to

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like a weekly email that even 
could be Evergreen, meaning you 

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would be on plantar fasciitis. 
Be an Achilles tendonitis would 

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be on bone marrow. 
Edema would be some webinars and

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these would be kind of pretty 
much repeating themselves and 

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going on forever as an 
educational component for our 

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patients. 
So those are, those are kind of 

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just the, the, the high points. 
It was a good social time. 

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The food was okay. 
I liked it. 

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Then a couple of the other 
doctors are also using. 

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This is something that I kind of
like it's the intermittent 

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fasting. 
So they're they're working with 

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weight loss, there's something 
called Pro Lon. 

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That's called a fasting 
mimicking diet. 

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It, if you followed any stuff 
from Jason Fang, Fu NG, or any 

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of these other ones, there's a 
fasting mimicking diet. 

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And so, if you order it as a 
doctor, I think it's about $100 

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for this fasting mimicking diet.
It's a five-day course of 

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fasting with very, very low, low
calorie stuff. 

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And it's kind of as if you're, 
if you're fasting and you get 

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some teas and some other types 
of stuff like that, I think if 

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you're going too fast, you might
as well just fast. 

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You don't need that, but it's 
another option and that's 

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something that doctors can buy 
and then they can resell to 

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their patients if they're 
working with way. 

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It's not that I work with weight
loss. 

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But I do talk to my patients 
about this because it can help 

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their help their health. 
I was talking to another doctor 

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as well about laser treatment 
for fungal toenails. 

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I know I was at a Shockwave 
course but we're, you know, 

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talking about other Podiatry 
stuff. 

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And they said they had a way of 
explaining it where they can 

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treat it from the inside out and
the outside in using topicals 

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and using laser and other stuff 
like that. 

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I'm still not sure if you guys 
are really passionate about 

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this, send me an e-mail. 
I'd like to know what other 

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people's thoughts are done at 
Podiatry, practice Mastery. 

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I'd like to know why I still 
have a hard time and I've 

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mentioned this before, like if 
the Lamisil is going to work, 

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why add the laser to it? 
Because I laser by itself, I 

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don't find works as well at all.
And that's why I'm not doing 

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much laser. 
I do find the oral works well. 

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But I guess if you, if you could
extrapolate that, why I'm not, I

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just why don't I Treat everyone 
with plantar fasciitis with 

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cortisone injections and why do 
I need the Shockwave right? 

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If courtesans working, why do I 
need other stuff? 

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Well, and it didn't work for 
everyone. 

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So I guess you could extrapolate
that into the, the nail fungus 

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treatment as well, right? 
So, that was a one thing that 

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got me, Pete. 
I was talking to this other 

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doctor about a fo and Orthotics 
and just a just want to throw it

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out here for those that are 
listening. 

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Because if people have some 
people have been wondering and 

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I'd like to know your thoughts, 
those are listening but For 

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posterior tibial, tendon 
dysfunction, typically, a Richie

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brace, but there is something 
called a medial Blaze afo by 

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insightful products that I 
recommend much of the time. 

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If I'm embracing them. 
And then also I talked about for

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mid-foot arthritis and me so 
brace, but I was talking to some

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of the doctors about using for 
arthritis, the EMT T and also 

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the Shockwave to help them to 
feel better. 

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Once again, it's not going to 
want to be clear. 

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It's not going to keyer the the 
mid-foot arthritis, but the 

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thought Is, can you then with 
their mid-foot arthritis, make 

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them feel much better and be 
able to functional be able to 

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function at a better level and 
that and that's the thing. 

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When we talk to people it's the 
pain level. 

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Let's say their pain levels is 6
but before they couldn't walk it

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out and now they can do like two
walks a day or something like 

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that. 
So they're functionally, they're

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doing much better and this may 
be an option to avoid some 

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mid-foot mid-foot fusions. 
So anyway that is that are the 

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thoughts from it, please. 
If you haven't got my patient, 

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presentations tool, they are 
within that free free, download 

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within Podiatry, practice Master
e.com, also the practice Mastery

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Academy is there? 
I would, if you want my 30-day 

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practice blueprint, if you want.
Actually all my PowerPoint 

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slides that you can make your 
own patient, presentation tool, 

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and all the webinars. 
Everything is right there within

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Podiatry. 
Practice met the practice 

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Mastery Academy right now. 
I think it's a single price. 

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I'm wanting to switch it to a 
subscription model. 

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Model for $97 a month because 
that's eventually where I want 

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to get to, as a $97, a month. 
I don't know where it's going to

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be out when you go there right 
now. 

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But you can go, look, you would 
get all the content that I have.

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But, once again, I love this. 
I love helping you guys, and 

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please send me an e-mail some of
your thoughts. 

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Okay. 
Until next time. 

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Thanks guys. 
Have a good one.