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Hi Don here. 
Welcome to Podiatry Practice 

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Mastery where we're helping you 
bring your practice to the 

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$1,000,000 mark and beyond in 
your individual production. 

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This is a recording of a 
Thursday here in the office. 

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OK, so first patient was a 
matrix follow up. 

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They also had some peroneal 
tendon pain. 

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That's why I did this follow up.
So usually it's a three-week 

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follow up. 
I'm starting to use these in 10 

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minute slots versus the 20 
minute slot. 

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But this is a quick follow up. 
She's doing fine. 

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Her proneal tendons are doing 
fine. 

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Next patient came in, she had a 
painful neuroma and we did staff

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did an X-ray, we did a 
ultrasound, and we did a neuroma

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injection for this patient. 
She'll follow up as needed if 

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needed for that. 
Next patient was a 42 year old. 

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She had Achilles tendonitis. 
She's going to do the initial 

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treatments, foam rolling, 
morning stretch, shoe changes, 

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things like that. 
If it's not better in three 

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weeks that I discussed with her 
about doing an ultrasound and 

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doing shockwave. 
She did not jump directly to 

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shockwave because she really 
hasn't had pain that long. 

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It's only been about 3 weeks. 
Next patient was a 14 year old, 

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came in, brother and sister. 
They both got matrixectomies, 

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left toes, both edges, both of 
them. 

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So I did both of them. 
Next was a 68 year old female 

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plantar fasciitis. 
They did a foam roller morning 

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stretch and she'll be coming 
back in three weeks to see how 

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she's doing with that anti 
inflammatories. 

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Next patient was a 34 year old 
guy. 

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He came in for a wart that's 
been there for years. 

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He did #3 out of 3 for swift, 
it's totally gone. 

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So I'm not doing the 4th one 
that I usually do a Swift. 

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I'm going to do a three a three 
month follow up in a 10 minute 

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slot. 
Next patient was a three-week 

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matrixectomy follow up. 
She's doing fine. 

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Next patient was a patient with 
some FHL kind of pain, 

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tendonitis, 71 year old kind of 
pain, a little bit distal to the

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kind of the heel kind of arch 
region, and in that I did was 

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proximal to the first Med head 
region, kind of weird type of a 

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pain. 
So I did an ultrasound guided 

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cortisone in that area to see if
it'll kind of calm it down for 

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him. 
So I'm going to see it back as 

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needed. 
Next patient is 69 year old E 

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pad follow up. 
Her heel is doing much better. 

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She did have a neuroma on the 
right third and I did an 

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ultrasound guided cortisone for 
her. 

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She's going to follow up as 
needed. 

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Next was a 62 year old. 
She had a lateral heel pain 

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which is not all that common, 
but there was really no medial 

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heel pain. 
So we did the Pelto special 

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night. 
Spent foam rolling, morning 

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stretch, cortisone injection 
laterally with ultrasound. 

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There was some thickness and 
that. 

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And also she was a patient that 
I saw her a while back and she 

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did bilateral ANI fixes and it's
been about nine months since I 

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seen her and her nails look 
really, really good. 

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So she did it more because they 
were ingrown and a little 

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onycholytic and they're looking 
good now. 

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So I took off those ANI fixes. 
So they usually don't last that 

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long, but hers did. 
I don't do a ton of ANI fix. 

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I'd love to know if someone else
does a lot more than I do. 

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I do it occasionally for 
patients, but I'm tending to 

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still do the the procedures 
versus the the little pieces of 

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plastic thing I put on the toes.
Next patient was a 64 year old 

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Achilles tendonitis Aquinas shoe
recommendations Pelto special, 

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which is night splint, morning 
stretch foam rolling 

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anti-inflammatory shoes. 
She'll be back in about 3 weeks,

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if not better. 
We'll go ultrasound and then 

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shockwave. 
Next patient was this is a 

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patient. 
This is kind of the stressful 

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one of the day. 
She tried to call multiple times

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in the morning, didn't get 
through, went to voicemail, 

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right. 
And then it transcribes and 

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their staff never got back to it
for a couple of hours. 

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And so did she did come and I 
have Holst her toenail. 

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She's going to go on vacation 
tomorrow. 

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She needed to be seen. 
And unfortunately, this is the 

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challenge we're having. 
And actually the real challenge 

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is that I think I told you, my 
staff are turning down the 

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phones so they don't want to 
answer the phone. 

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So they're turning them down. 
It's not a good solution, but 

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they it bugs them too much, they
say when they're with other 

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patients, but we're like, how do
you how do you do this? 

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So one of the solutions is we 
might not have enough staff 

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answering the phones in busy 
times. 

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So we're going to have a virtual
assistant, we're training them 

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right now. 
They're going to be answering 

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the phones, but they're also 
going to be answering all these 

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like virtual messages as well. 
Next patient was a 29 year old. 

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She had, she's a rock climber 
and she had a fall and kind of 

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impact pain. 
And so she has pain around a 

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subtalar joint. 
Nothing really showed up on 

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X-ray, but I'm going to get an 
MRI to see if there's any bone 

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marrow oedema in that region. 
Next patient was a Lamisil 

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follow up. 
She's doing fine in her 

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toenails. 
No need for follow up for her. 

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Next was a patient that I did 
Kantharadin on and she wanted to

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know something else you could 
do. 

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So for her I gave her a Nyquil 
mod as a prescription as well so

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I added that on. 
Just give another office visit. 

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With that. 
I tend to do combination, so 

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something topically like 
Kantharadin along with something

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topically. 
Just let the patients feel like 

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they want to do something. 
So I did that. 

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Next patient was a 52 year old 
that had a tineopedis. 

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I did ketoconazole and I'll 
follow up with them as needed. 

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Next patient was a gout follow 
up. 

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I did a cortisone injection 
about 3 weeks ago. 

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He's feeling much better, really
happy. 

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Next patient there are a couple 
of other patients. 

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So there's one patient that 
interesting he had before an 

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exhaust ectomy, exhaustosis 
between the 4th and 5th toes 

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before he had a callus. 
This time he didn't but when I 

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fell between the head like an in
duration of skin. 

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So I explained again, the 
anatomy, the need to potentially

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take out that bone, the 5th, the
proximal failings of the 5th 

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digit. 
He didn't want to do that. 

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He's been doing anatomic shoes 
and kind of lamb's wool. 

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He's been doing better with 
that. 

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But he is now he is, he's, he's 
feeling better for that. 

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So that was kind of the, the day
I'm still kind of working on and

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I mentioned before kind of 
utilizing my time in the office 

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to make YouTube short videos. 
So, so short videos, one minute 

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videos are like 1 to 2-3 minutes
for YouTube shorts. 

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And then I'm they're, they're 
working well. 

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My staff is, or my virtual 
assistants are putting them up 

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on YouTube, but I'd like to 
repurpose them to like Facebook,

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Instagram, other places like 
that. 

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I'm not doing that currently. 
I would love to know if anyone 

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else is doing that. 
If you're getting success and 

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getting patience in that way, 
that's something I'd like to do.

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So I'd love to know and if also 
if someone is really good at 

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doing ads and stuff like that, 
I'd like to learn a little bit 

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more about that. 
I'm, I'm kind of following this 

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Alex Hermosian. 
I feel like to fill up the, the,

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the, the new Doctor, I'd like to
do more ads to get patients in. 

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My struggle right now is if, if 
they're not answering the phones

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and I'm going to be paying for 
ads, then I'll be just be ads. 

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I'm paying for that they're not 
answering the phone. 

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So I feel like I have to fix 
this phone thing first. 

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OK, you guys have a great day. 
Shoot me an e-mail 

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don@podiatrypracticemastery.com 
if you have any great ideas, 

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tips. 
OK, till next time.