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Hey guys down here, welcome to 
Podiatry Practice Mastery, where

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we help you get to the 
$1,000,000 mark and beyond. 

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I'm going to record this is a 
recording for a Monday. 

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Now this Monday I had a doctor's
appointment with my dad and I 

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think I told you he's been kind 
of dealing with some some 

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dementia, so I brought him to 
the neurologist. 

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So it's always weird when you go
to see another doctor in their 

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office. 
And so we got in, it was a, they

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have E clinical work. 
So it was a kind of a nice 

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system of, of logging in. 
I could make the appointment. 

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He recently switched insurances.
You have to put the insurance 

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card there and then they have 
these nice little signs up there

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that said in the waiting room 
and in the room where I was 

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waiting. 
If you've been waiting more than

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15 minutes, you know, please let
us know, 'cause I think that 

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must be something that's common.
So we got there and we were 

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seeing like 45 minutes later. 
And so it's, it's different 

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being on the other side of the 
waiting and we're just kind of 

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sitting there waiting. 
It was over 15 minutes, but I 

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didn't want to bug them. 
So I waited for half hour and 

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then waited for 45 minutes. 
And eventually I went and told 

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some and then then the doctor 
kind of popped in. 

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So I think it, it's, it's good 
sometimes to almost secret shop 

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or go to other doctor's offices 
to see what it's like. 

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So it wasn't a good feeling 
waiting there. 

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At least having someone in say, 
hey, the doctor's on the way or 

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he's aware that you're, you're 
there. 

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That's something that we try to 
do. 

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I try to just pop my head and 
say, hey, you're going to be 

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next. 
This is a little kind of a, a 

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nuance that I do. 
So if I'm running behind, we 

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have a flag system. 
So if there's one flag out with 

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my name, it's that's the next 
patient. 

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Then there's two, then there's 
three. 

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And so that's how we have this 
flag system to know which room 

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to go into. 
So sometimes if I know I'm going

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to be a little bit longer with a
longer procedure, I'll go to the

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number 2 or #3 that's waiting 
there and I'll say, hey, you 

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know, just just so you know 
you're going to be next, I'm 

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going to get you in there. 
I'm just going to take care of 

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this other patient. 
I think patients like that and 

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it's just something, I think 
it's a good thing to do. 

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So then it was 1/2 day, right? 
So I've, I've some of my, my 

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production is going down. 
But like, this is what you have 

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to do. 
This is the right thing to do in

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life. 
And you know, I'll still make it

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to the $1,000,000 mark. 
I'm pretty sure with these extra

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days off. 
So we just can't have my wife do

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all of these visits. 
So kind of a heavy E pat day. 

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So this was #7 for E pat. 
So this is a patient that had 

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six originally, six week follow 
up, she's still having a little 

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bit of pain, a little bit of 
thickness to the fascia with a 

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little bit of a fusion. 
And on the ultrasound, I did 

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another ultrasound, I did 
another shockwave and I'm going 

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to see her back in six weeks and
she's going to get a 

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prescription for PT. 
So she's going to go to PT and 

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then I'm going to see her back. 
So I did not do the PT 

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originally. 
I'm not doing as much PT 

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anymore, but in this case, she 
is going to do that and then I'm

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going to be seeing her back. 
She already has orthotics, she 

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has everything else. 
So I'm just letting you know the

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number because I don't always go
to seven. 

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Very rarely I do, but this one I
did. 

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Next patient was a 55 year old 
guy. 

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This guy's got a sesmoid 
fracture. 

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He got #3 out of 6 for this 
fracture. 

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And so he'll be back next week. 
So a couple more left. 

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Next was a patient that had a 
tailor's bunion, had pain. 

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Most of my time was spent on 
shoe recommendations for this 

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for this person. 
OK, so shoe recommendations, 

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anatomic shoes, things like 
that. 

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Next patient was a 85 year old 
female. 

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This is a hard one. 
She has a lot of bad midfoot 

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arthritis, bone marrow edema. 
And so for her, I did shockwave 

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#4 out of four to this area of 
arthritis, not so much to bring 

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the cartilage back, but to help 
with the bone marrow edema. 

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And she's also being fit at 
hanger for a some type of like a

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miso type of AFO because I could
not do it due to her insurance. 

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So she's going to be getting 
that brace soon to help that. 

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She's not interested in a 
midfoot fusion, but she's going 

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to give me this AFO. 
So I'm going to see her six 

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weeks after she gets her AFO. 
She should get her AFO next 

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week. 
Next was patient #3 out of 6 for

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plantar fascial pain and so 
she'll be back next week. 

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Next was a Matrix follow up. 
Actually it was a a matrix and 

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I'm going to do a follow up in 
three weeks and I'm and I'm 

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specifying here now with our new
medical record, I can use my 10 

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minute slots. 
I don't think I was using my 

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like these shorter double book 
slots very well. 

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So I'm going to I've started to 
teach my staff like these little

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10 minute matrix follow-ups, 
nail fungus follow-ups. 

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These ones can tend to be 
quicker. 

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So I'm trying to add add a few 
more extra patients in those. 

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Next patient was a fungal nail 
follow up where I they got the 

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fungal nail kit that I do and 
then the next patient was a 82 

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year old that came in for nail 
fungus with A and I did a nail 

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sample. 
This page came in 'cause we did 

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an article recently in a local 
newspaper called the Community 

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Advocate and it had my beautiful
face on there and everything. 

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And so I've had multiple 
patients come in from that. 

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What a lot of patients come in 
after being on like Formula 7 

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from another doctor and they're 
not getting better. 

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And, and the one thing that I 
kind of asked them is like, have

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you had a nail sample first? 
I always tend to, I think you 

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can look a little bit better 
than the one that they've seen 

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before only by doing a nail 
sample. 

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And also just being honest with 
them. 

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I don't think that the topicals 
work all that well. 

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And so I tell them that I'm not,
I don't, I don't do that many 

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topicals. 
Maybe other people do. 

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And if you love them, if they 
work great, please let me know 

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and what, what you're doing, But
I don't find it works great. 

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I, I tend to most people if they
don't want to do the oral 

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medication, they just have them 
to live with it. 

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And then this patient's going to
come back in three weeks for 

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this nail sample. 
But I really explained to them 

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you might not have to have 
treatment. 

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She's like, she was all worried 
that, you know, it potentially 

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could have a systemic effect on 
her, like it would go into her 

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bloodstream or something like 
that. 

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And I said, no, that's not going
to be the case. 

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And then finally, and the the 
last was a non op fracture care.

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This was one that I didn't see 
two weeks ago on the X-ray from 

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2 weeks ago. 
And I did see it today. 

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So I, I actually did the 
fracture care today, even though

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they were seen a couple weeks 
ago. 

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I saw the metatarsal head stress
fracture for this patient. 

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And then I want to share one 
other joke here with, you know, 

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we're kind of dealing with in 
life. 

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We found a new little candy 
store. 

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It's called Parker's candy store
here locally. 

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And I brought my kids there to, 
to go there 'cause they, they've

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been asking me forever to go 
there. 

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And they have these really weird
hours. 

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They're like only open from 
like, I don't know, like 10 in 

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the morning till like 2:00 in 
the afternoon. 

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And we went in there and this 
was just an amazing candy store.

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It's like the old fashioned 
candy store, like like 500 types

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of candy. 
I'm wondering how these, how 

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many of these candies get 
expired? 

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And we were looking around, they
had like now and later is the 

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Charleston Chew. 
And my kid, my boy got a, a huge

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Tootsie roll. 
This was like a three, three, 

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$3.50 Tootsie roll. 
So he brings the thing home and,

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and I said, you gotta, you gotta
hide this stuff from grandpa 

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cause grandpa, he likes sweets 
and he's got good eyes. 

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Like he doesn't, his memory 
isn't there, but he can see 

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anything he has like he has hawk
like eyes. 

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And so my boy, he was, he was, 
he hid it under his like little 

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Lego table. 
And I'm like, is that, is that 

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the best place to hide? 
So he gets home and my, my dad 

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has opened up his, his, his 
Tootsie roll and like ate a 

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piece of it. 
He was just devastated, 

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devastated. 
And because like, they're afraid

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that grandpa's going to steal 
all their sweets now. 

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And but what happened is that 
then grandpa said, well, yeah, 

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that's right. 
I'll buy you 2. 

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So he might buy some. 
Hey, that's not that bad. 

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I'll start giving it to grandpa 
and then I he'll buy me two 

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more. 
So we have to go back to the 

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candy store to get a couple 
more. 

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Anyway, that is the day and I 
hope you guys enjoy this. 

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Have a great one.