Hi Don here. Welcome to Podiatry Practice
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This is a recording of a Thursday here in the office.
OK, so first patient was a matrix follow up.
They also had some peroneal tendon pain.
That's why I did this follow up. So usually it's a three-week
follow up. I'm starting to use these in 10
minute slots versus the 20 minute slot.
But this is a quick follow up. She's doing fine.
Her proneal tendons are doing fine.
Next patient came in, she had a painful neuroma and we did staff
did an X-ray, we did a ultrasound, and we did a neuroma
injection for this patient. She'll follow up as needed if
needed for that. Next patient was a 42 year old.
She had Achilles tendonitis. She's going to do the initial
treatments, foam rolling, morning stretch, shoe changes,
things like that. If it's not better in three
weeks that I discussed with her about doing an ultrasound and
doing shockwave. She did not jump directly to
shockwave because she really hasn't had pain that long.
It's only been about 3 weeks. Next patient was a 14 year old,
came in, brother and sister. They both got matrixectomies,
left toes, both edges, both of them.
So I did both of them. Next was a 68 year old female
plantar fasciitis. They did a foam roller morning
stretch and she'll be coming back in three weeks to see how
she's doing with that anti inflammatories.
Next patient was a 34 year old guy.
He came in for a wart that's been there for years.
He did #3 out of 3 for swift, it's totally gone.
So I'm not doing the 4th one that I usually do a Swift.
I'm going to do a three a three month follow up in a 10 minute
slot. Next patient was a three-week
matrixectomy follow up. She's doing fine.
Next patient was a patient with some FHL kind of pain,
tendonitis, 71 year old kind of pain, a little bit distal to the
kind of the heel kind of arch region, and in that I did was
proximal to the first Med head region, kind of weird type of a
pain. So I did an ultrasound guided
cortisone in that area to see if it'll kind of calm it down for
him. So I'm going to see it back as
needed. Next patient is 69 year old E
pad follow up. Her heel is doing much better.
She did have a neuroma on the right third and I did an
ultrasound guided cortisone for her.
She's going to follow up as needed.
Next was a 62 year old. She had a lateral heel pain
which is not all that common, but there was really no medial
heel pain. So we did the Pelto special
night. Spent foam rolling, morning
stretch, cortisone injection laterally with ultrasound.
There was some thickness and that.
And also she was a patient that I saw her a while back and she
did bilateral ANI fixes and it's been about nine months since I
seen her and her nails look really, really good.
So she did it more because they were ingrown and a little
onycholytic and they're looking good now.
So I took off those ANI fixes. So they usually don't last that
long, but hers did. I don't do a ton of ANI fix.
I'd love to know if someone else does a lot more than I do.
I do it occasionally for patients, but I'm tending to
still do the the procedures versus the the little pieces of
plastic thing I put on the toes. Next patient was a 64 year old
Achilles tendonitis Aquinas shoe recommendations Pelto special,
which is night splint, morning stretch foam rolling
anti-inflammatory shoes. She'll be back in about 3 weeks,
if not better. We'll go ultrasound and then
shockwave. Next patient was this is a
patient. This is kind of the stressful
one of the day. She tried to call multiple times
in the morning, didn't get through, went to voicemail,
right. And then it transcribes and
their staff never got back to it for a couple of hours.
And so did she did come and I have Holst her toenail.
She's going to go on vacation tomorrow.
She needed to be seen. And unfortunately, this is the
challenge we're having. And actually the real challenge
is that I think I told you, my staff are turning down the
phones so they don't want to answer the phone.
So they're turning them down. It's not a good solution, but
they it bugs them too much, they say when they're with other
patients, but we're like, how do you how do you do this?
So one of the solutions is we might not have enough staff
answering the phones in busy times.
So we're going to have a virtual assistant, we're training them
right now. They're going to be answering
the phones, but they're also going to be answering all these
like virtual messages as well. Next patient was a 29 year old.
She had, she's a rock climber and she had a fall and kind of
impact pain. And so she has pain around a
subtalar joint. Nothing really showed up on
X-ray, but I'm going to get an MRI to see if there's any bone
marrow oedema in that region. Next patient was a Lamisil
follow up. She's doing fine in her
toenails. No need for follow up for her.
Next was a patient that I did Kantharadin on and she wanted to
know something else you could do.
So for her I gave her a Nyquil mod as a prescription as well so
I added that on. Just give another office visit.
With that. I tend to do combination, so
something topically like Kantharadin along with something
topically. Just let the patients feel like
they want to do something. So I did that.
Next patient was a 52 year old that had a tineopedis.
I did ketoconazole and I'll follow up with them as needed.
Next patient was a gout follow up.
I did a cortisone injection about 3 weeks ago.
He's feeling much better, really happy.
Next patient there are a couple of other patients.
So there's one patient that interesting he had before an
exhaust ectomy, exhaustosis between the 4th and 5th toes
before he had a callus. This time he didn't but when I
fell between the head like an in duration of skin.
So I explained again, the anatomy, the need to potentially
take out that bone, the 5th, the proximal failings of the 5th
digit. He didn't want to do that.
He's been doing anatomic shoes and kind of lamb's wool.
He's been doing better with that.
But he is now he is, he's, he's feeling better for that.
So that was kind of the, the day I'm still kind of working on and
I mentioned before kind of utilizing my time in the office
to make YouTube short videos. So, so short videos, one minute
videos are like 1 to 2-3 minutes for YouTube shorts.
And then I'm they're, they're working well.
My staff is, or my virtual assistants are putting them up
on YouTube, but I'd like to repurpose them to like Facebook,
Instagram, other places like that.
I'm not doing that currently. I would love to know if anyone
else is doing that. If you're getting success and
getting patience in that way, that's something I'd like to do.
So I'd love to know and if also if someone is really good at
doing ads and stuff like that, I'd like to learn a little bit
more about that. I'm, I'm kind of following this
Alex Hermosian. I feel like to fill up the, the,
the, the new Doctor, I'd like to do more ads to get patients in.
My struggle right now is if, if they're not answering the phones
and I'm going to be paying for ads, then I'll be just be ads.
I'm paying for that they're not answering the phone.
So I feel like I have to fix this phone thing first.
OK, you guys have a great day. Shoot me an e-mail
don@podiatrypracticemastery.com if you have any great ideas,
tips. OK, till next time.