Hey guys down here. Welcome to Podiatry Practice
Mastery. I'm going to go over the
$1,000,000 minute, the things that helped me get to the
practice to the $1,000,000 mark and beyond.
So we are starting week four of our medical record, trans,
trans, translocation, moving from Athena to mod Med.
A couple of the snafus are which I think are going to be good in
the end like billing for Q Tenza.
So there's a is something in there, but there's not the code
for the actual doctor doing it code.
There's the code for the the buy and bill, but sometimes they're
doing it through a third party like Walgreens or something like
that. Also things that are kind of
messing me up a little bit are like in office dispensing.
It's not a great way of doing in office dispensing and
communicating to the staff or something like in house
purchases. So we have to make those up for
what things patients buy. The Shockwave is going well and
it puts in the cash pay as well. Swift is going well, but we're
still kind of working on it. I really do like Clara, though.
Clara is the way of communicating with patients, but
as well communicating with patients before their
appointments and after their appointments and asking for
online reviews and also for scheduling the appointments.
So it's kind of making it much more available.
So we're excited about that. I was talking to my, my virtual
assistant that's working on a new web page, like a urgent care
web page she's working on. And on there we're going to have
this link so patients can see who's available that day.
And then making a make an appointment.
We're not going to have like an actual walk in.
That's not really going to be feasible for us because
otherwise they'd just be waiting a long time.
I don't think that's going to be possible.
But I, I think the, the making the same day appointments is
going to work well. OK so today I'm recording this
is for Thursday and first patient was a 61 year old
female. She had a nail sample.
She had failed Lamisil and Diflucan and I did a nail sample
for her but these were like a lot of years ago that she did
that. So I took a new nail sample.
Next was a 71 year old male with an orthotic follow up.
Doing much better with the orthotics.
No follow up for him. 68 year old female had lesion
destruction nails debrided and I did a nail sample.
So they're going to come back in three weeks to go over that nail
sample. Next was a 71 year old male with
an orthotic follow up doing well, the goods and the bads of
doing orthotics. There's a lot of orthotic follow
up appointments. Usually they're pretty normal,
but they're tend to be lower level visits.
I've always, I've almost thought of doing my orthotics kind of
like my paranoia follow-ups, doing them in a 10 minute slot
and then double booking them with other ones because they're
kind of quick. Next is a 55 year old #2 out of
6 for a sesmoid fracture. He's not really seen much
improvement yet. I usually tell patients they
tend to start seeing improvements about week 5 or 6.
Next was a 47 year old male for right bunion.
He wanted to schedule surgery so that was scheduled for him.
Next was a 34 year old male for swift #2 out of four seeing a
little bit of improvement. Next was a 55 year old female
for a lamb missile booster. Next was a 68 year old female
that had mid foot injection. She had a second met cuneiform
joint pain and we also scanned her for orthotics.
Next was a 55 year old female that had bilateral Aquinas.
Did a injection foam rolling for this patient and they're going
to come back as needed if the pain comes back, most likely
doing shockwave. Next was a 88 year old female,
had callus care and nail care. Just as somehow they got it on
my schedule for nail care but I think it was a new patient.
New new patients can kind of find their way in.
Next was the 66 year old female that had a right medial 5th
digit toe exostectomy. So I did that in the office.
That's one of my favorite little procedures to do where I take a
little blade and then I take a rasp and rasp it down in the
office. Next was a 67 year old female
that had arthritis on the on the 2nd digit and I'm not sure what
I did. I can't really I can't read my
handwriting. I'm I'm not used to this new
tracking system here. My other one had when I printed
it out my daily sheet I could see what they were here for but
this new one I can't do that. So I figured out a different way
and I can't read my handwriting. Next was a 31 year old female
with an Ind for bilateral big toenails.
Next was a 68 year old male for nail care, 37 year old patient
that was on Sporanox and it was getting better.
So etraconazole getting better and so I'm going to keep him on
it for a little bit longer. Next was a 18 year old bilateral
matrixectomy. Then there's a one of my last
patients was a 77 year old had a dislocated 5th toe.
I don't really see this but I guess he dropped like a file cap
and he said on his fifth toe and it dislocated.
So I used a toe fracture code, this fracture dislocation.
And so I got that and then I just had them tape it together,
but I didn't really want to pin it in place because it didn't
look all that bad. It was just swollen.
And then the next was a second met fracture and this one I did
AI couldn't really tell. Actually, no, this was the one
that was a bad 1 and I actually thought he needed surgery, but
he was like a one of these hard working men.
He dropped something on his foot.
It was a fracture. I told, if you're listening, I
told it a while ago, but it was almost like dorsally dislocated
and it kind of peaked dorsally and there's almost like sticking
up in the skin. But it did, it formed a huge
callus formation around it and it's starting to heal.
So it's just amazing. No matter how bad these
fractures are, most of them heal pretty well.
So this is a lot of callus formation around.
It's doing well. And so that was kind of the day.
So it was a busy day. I was able to get out of the
office by 5:00. So that is a big win.
And then today was that I'm recording, this is on a Friday.
So I had a morning without Marjorie.
Marjorie had her birthday with my nail tech.
And so I had a couple of patients.
I did a nail sample callous care.
She had a rash on her foot, so I did a clobetasol.
Another patient did AB is I'm starting to reorder the AB is
I'm not quite there yet. What I what I usually do is if
they haven't done in a year, I can put it in the, the medical
record to do an ABI and a, a diabetic foot exam with the ABI.
The nice thing about a mod Med is it has this, this designation
of why they need it and it has it like over the age of 50 with
diabetes or over the age of 65. And that's usually what I'm
doing it for yearly. And so it's in there.
I also did a swift today woman with bilateral ulcers in her
toes and then a patient that wanted Lunula, but I kind of
talked her into doing Trabefen because that's just kind of what
I do. I think Lunula gets them in the
office because they search for us online.
But then I don't do that much of it because I don't think it
works that great in, in my experience.
So that was the, the day things are, are going well.
I'm, I feel more confident with Mod Med Murali, my scribe is
getting the hang of it. So it's giving me a little bit
more time to work on work on other things and kind of focus
on perfecting the notes. And within mod Med, there's a
lot of these stickies, they call it.
So these are written verbiage that you can change and save.
So we have we're trying to kind of fix those Morali my scribe
can't do that. I have to fix them, but then he
can he can use them in the future.
So that's what it is. So I hope you guys have a good
rest of the week and thanks for listening.
Have a good one.