Boosting Podiatry Care with YouTube & Google Reviews

Welcome to Podiatry Practice Mastery, where we're trying to get you to the $1,000,000 mark and beyond in your personal production in your Podiatry clinic. Want to talk today about how a recent patient found me? I had two patients today that came in because they found me with my YouTube videos and I had one patient that Googled my name and all she what she said was funny. She said put she put in like a podiatrist with the best or the

most reviews. And when she did that, my name came up probably because I was in her vicinity. So one thing I want to share kind of our little secret for getting online reviews. So our practice has about 1000

or a little over 1000 and everyone else has maybe a couple 100 reviews. So the first thing I'm going to share about that. And then the second thing, I'm going to share my my little log algorithm for doing YouTube videos. And, and yeah, so first thing,

how we get reviews. We've tried a couple of things, but what works best for us is we have an automated system that we used to use called Swell. And so swell after every patient comes in, it integrates with your medical record and it sends them a review request about 5 or 6 in the evening and they give a review. It's a really easy one step process. Hey, did you have a good visit and then would you give us a review?

That's pretty much it. The newer system we have right now is a little more cumbersome with Mod Med. It is with Clara and it asks first it sends something that says you have a message, so you have to put in your date of birth and things like that, which makes it that's one difficult step. Then when you read the message,

it says did you have a good experience? And depending if you say yes or no, either one, it'll ask for a review. So I think that two step adds a little bit more of complexity into the system and that's why I don't think it's working as well. So we are considering switching back to swell because the current one, even though it's less expensive, who cares how expensive it is if it doesn't work as well.

So that's the first thing. The second thing is how how does content work for me? So I am not a influencer on YouTube by any means, but I like to create content to make my life easier and I'd like to make use the best use of my time in terms of efficiency. So the the YouTube videos that have the most traction, I know this is obvious, are the oldest

ones. OK, so the oldest ones, the longer they've been up there, the more traction they pull and the more revenue they bring in. I used to do kind of ugly ingrown toenail videos. I got a little bored after doing

like 15 or 20 of those. So they do produce some revenue, but I don't really enjoy doing them. The full length version videos, which are basically recordings of my patient presentations. So if you're not familiar with what a patient presentation is, you can go to patientpresentations.com. You can kind of learn about how I make patient presentations. So basically they're PowerPoints, and I would share these PowerPoints on a screen

with my little head talking. Those are the ones that have the most traction because they're really, really comprehensive and it explains exactly how I treat those conditions. So those are the ones that have the most traction. What do I do today? Well, today basically the issue is I don't have is I don't, I don't have like a schedule for recording these longer videos. So I do YouTube shorts and I do that in between or during patient visits.

So I have a cell phone on me. I have two phones. So one phone is with my scribe. That's that's listening to me. And the other one I use something called Sub Magic SUBMAGIC and that automatically puts subtitles, but not by me. So what I do is on there you can upload a video or record a

video. I record a video on the device, it automatically uploads it to the cloud and then my virtual assistant goes in there and puts subtitles and puts the and it automatically gets some really good type of titles and descriptions and things like that. And then they post one per day. And this is how many patients

are coming in now for my YouTube videos, because I'm consistently posting YouTube shorts once a day. I think patients their their attention span is lower and then the then I re can re utilize those videos. Then for the best videos for your your ads for like your Google ads, your Facebook ads, you can re utilize them by putting a call to action at the end. So that is not my idea. I did steal it from Alex Harmozzi. So it's a it's a good idea. And that's kind of what's working right now.

And that's how I make videos in the office. I don't want to always just go over the good things. I want to go over some bad things today with with the office. So the bad thing is I came back

from a little like 12 days of vacation. And one of the challenges with Mod Med is the paperwork. So the, the signing of paperwork in fax, this is kind of a pain. It's laborious. It's not there's not really a lot of efficiency in it. And you have to kind of like use like a, which one of those pens, right? You can, it only works on the iPads. You have to have a separate iPads because I don't do all my

work on iPads, separate iPad. I, I log in and it always logs me out because although otherwise you do everything else on the desktop, but you can't sign documents on the desktop. So I have to sign them in and some documents I have to sign, other documents I have to review and send to my staff. So it's just a cumbersome process. It's not the best feature in my opinion. In modved. I always like to be clear of like what are the good and the bad?

And So what I ended up doing today is I just the ones that were kind of a pain, I just printed out. I printed out, gave it to my staff and had them sign. I know some other doctors, they have them print everything because the amount of time and frustration that it took me was not worth it. Same thing with refill requests. Refill requests for like medication sometimes can be a pain because they're sending me these ones to actually fill out.

So I usually just delete those and I put in a new prescription for the patient. So that is something that's a

challenge. Another challenge today was a patient asked for a refund for six sessions of Shockwave. And I don't usually have this that much. I had AI called them. I didn't get a chance to talk to them, but their thought was they saw three other specialists for their sesmoid pain and I don't know if it got better. That's what I want to ask them and they're there. They said, well, you shouldn't use shockwave or shockwave doesn't work on sesmoiditis. Now I find it does work on

sesmoiditis. Maybe in her case it didn't. And you know, I'd like to know what you guys would do. I, I, I may just because I don't like headaches, I may just refund it. I may refund a part of it, I may not refund anything really. I just want to see if she got better and and kind of see what was going on and I'd like to see who said that shockwave doesn't work for sesamoiditis. That's what I'd like to know. Most likely would be someone that does not do shockwave therapy.

That's another bad thing for the day. Another bad thing. A patient came in and asked for a refund of her orthotics. So she had shockwave for her foot pain, for her Achilles pain. She is totally better but she still has pain. Now to her actually she's not paying. She just can't wear her orthotics. And So what I did with her is I actually sent them back to the lab to have them redo because I think the arch was just in the wrong spot for this patient and this is something I may refund

her. So I tend to refund if they ask minus the lab fee for orthotics. I don't have a ton of refunds,

maybe one or two a year. So really I'm OK with refunding it because she got better and she also did 6 sessions of Shockwave. That was another kind of a negative thing. Another last negative thing was AI had a lot of my first day back, I had many routine patients. I'm like what the heck is going on with all these routine patients? I didn't understand why because it's not my routine day.

We ended up looking into it and we have a new virtual assistant making appointments for us. So they are just answering questions and then just fitting them in. But I guess they didn't know or they didn't get the memo or they forgot. For routine appointments, they're not supposed to do them otherwise at any time except a Friday morning. So this is kind of a challenge, frustrating thing. But I didn't know the answer to

that. And so I asked my staff to look it up and they said, oh, it was the virtual virtual Podiatry assistant and they put them in the wrong place. OK, so that was the kind of the good, the bad and the ugly for the for the day. OK, in terms of patients, once again, because of the routine, it didn't make the day too great. So let me go into this. So first deation was a least LVPLVP, least valuable patient was a routine patient. Next patient was a 52 year old

man with Kanthordin. I did a wart. Now this was a a couple of things I wanted to talk about our add-ons for office visits. So when you change the the course of treatment, you can add an an office visit. So this one since I added a Mikkelmod, he had done 4 sessions of Kanthridin was not seeing much progress. We added a Mikkelmod to that I I think that condones for an

office visit. But I also talked to him once again about Swift. So I think in his case he already did 4 treatments like once every 3 or 4 weeks and so he may have been better off if he did swift because it may be gone by now. So I did remind him of that but he didn't he wasn't ready to go to that yet. Next was a 76 year old male who had this was a newer patient so we did a diabetic foot exam and we did nail care for him. So this wasn't because of the the Podiatry assistant

scheduling. Next was a patient with a 64 year old female with bilateral IPJ hallux ulcers.

Debrided those going to see her back in about 6 weeks. She these are chronic ulcers that just really almost never heal. I think she really needs some work on the 1st MPJ to help the the bunion slash hallux lumitus in that area that she has. Next was a 40 year old man with a follow up for peroneal tendonitis. This is a good patient. He's a young man, he was in a Cam boot, took some meloxicam foam rolling. He's 100% better so not so much LVP I call LVP is basically

level 2 visits which very rare. So he was like a just a follow up next was a 79 year old female had a poor keratoma or IPK on the 3rd digit hammer toe with a treated with a Crest Crest pad and new peroneal tendon pain. So she did. I gave her a physical therapy prescription so she had the office visit that lesion destruction for that and I'll be seeing her back in in after the PT if her foot pain doesn't go away. Next was a 31 year old for an orthotic follow up. She's doing much better.

She had some Achilles tendonitis that's feeling better for she is APA and so I think she might need a little bit more shockwave but she can't afford it right now. She may do that in the future. The next patient was a fifth toe. She has pain in the lateral 5th digit and we ended up doing a actually the medial 5th digit and we'd end up doing a matrixectomy on the 5th toe. I don't do many 5th toe matrixes but I I I originally thought it

was due to her tighter shoes. She said she's tried wider shoes. I somewhat wonder because there's very few reasons we do these but we did a matrix for her. Unless you're back in three weeks. Next was a nail care patient. Next was a 85 year old female. This is the one I've been seeing. She's on 6 of 6 of shockwave for the mid. Really big mid foot arthritis. Now last visit I did a sinus tarsi injection and it made most of her foot pain go away. So I wonder if the midfoot pain

really isn't the isn't the culprit and it's more the sinus tarsi or the subtalar joint pain. And I don't mind doing cortisone in a different place in my doing shockwave. I think it that's fine. But then again, I'm just she's not a good surgical candidate. She's got this huge dorsal spur on the midfoot that I I thought it was like bone marrow oedema from that. But really if the cortisone helped her, I just going to she's 8080 some. So I just see her back as needed

for cortisone. Next was a fungus follow up where I did a booster dose. So those are always easy follow-ups. Next was a 42 year old female for an orthotic. This was that redo that I had to do. Next was a 64 year old female for right Achilles follow up. She wasn't really able to do anything that I recommended and these ones are kind of frustrating. So what I, what I tend to do now

is since she didn't do what I recommended, I told her again to do it. I gave her meloxicam, I gave her foam rolling. She already has a night splint, talked about the morning stretch, talked about shoes that UFOs, which she didn't get. And I'd said, well, why don't you just give me a call if you want either physical therapy or if you want to do shockwave. Though I think really shockwave

would be the best thing for her. But I find patients that don't want to do anything, I, I tend not to see them back. I tend not to make follow-ups for them because they're not really wanting what what I think would help them to get better. So this one I just kind of left it open-ended for her versus like what seeing them back at a certain time and then kind of trying to talk them or you know, educate them into doing what would help them get better. Next was a 55 year old man.

He had bilateral tineopedis, bilateral fungus.

So he did the fungus kit and LFTS and he also had a mild haglunds on the right, which wasn't painful for him and I'm going to see him back in three months after that. Next was a 78 year old man with an ulcer of the IPJ hallux, kind of a a fissure that he has going on there due to a a previous first MPGA fusion. So he has a fissure at the distal tip because of the the way it was fused and it's just

not healing. He's been using collagen using a lot of things I recommended like a carbon fiber inlay. I recommended a rocker bottom shoe. I've recommended an ortho wedge, orthoed shoe. So and I recommended him go to the wound center, but but this guy didn't want to go to the to the wound center. There was another ulcer as well of another patient with an IPJ and he did go to the wound center.

I try to send as many wounds just because I don't do a lot of wounds as you if you're listening to this anytime you realize. And so I try to have them go to the wound center. I just think they'll get better faster there. And so that one I sent to the wound center. I did add an office visit even though I've been riding the ulcer for a while because I think it's appropriate considering that because of the medical decision making. The next patient was a 76 year

old for right hallux. Limitis recommended the fiber, carbon fiber insert anatomic shoe and possible fusion. And then the next was a 65 year old man within that ulcer, another ulcer. Next was a 75 year old female for a fracture. Follow up for the hallux, it's much better. Got X-rays. That's the least valuable patient because all I got was the X-ray. I did not even do an office

visit because it was a fracture. Follow up next was a 55 year old for left Achilles. So this is number 2 out of 6. And then next was a 50 year old man with Lex left hallux Limitis only had pain when he was like kind of down on like kind of doing like a forward lunge and putting his weight on there. But I explained it was more for functional hallux Limitis. So I talked to him about that. So that was the day once again, if you guys have any other thoughts, shoot me an e-mail.

I would like to hear from people kind of what's working for your practice. I'll be happy to share it here. Any other things that are working? OK Don at Podiatry practice mastery.com. OK, thanks.