Managing 23 Diverse Podiatry Cases in One Day

Hey guys down here, welcome to Podiatry Practice Mastery, where we're trying to help you get your practice to the $1,000,000 mark and beyond. And I'm just going to share the kind of the things that we we were working on in the office today, 23 patients here on this day that I'm recording. So our first patient was a patient with Gaudi Tofi in the toe. So it's just basically an office visit for this patient. No, no follow up for this unless

it becomes a problem next. So with my new medical record here, I have these 10 minute appointments I'm starting to use. So this is a 10 minute slot. I'm putting in matrix follow-ups in there.

Next patient was a 56 year old that had pestplanus that got orthotics. Next was a 44 year old that had some good results with Lamisil which we had Lamisil booster for them. Next patient was a 86 year old female. She had a bunion so we gave her

just an older female, so a bunion spacer and she had one thick toenail. So we talked to her about nail, nail fungus. No follow up next was a 50 year old, this female, this patient had right plantar fasciitis.

They got the the planter at the Pelto special. So if you don't know, my staff know the Pelto special is the basically the the morning stretch foam rolling and then the night splint. And she also has some left 4 foot pain with the recommended shoe changes. She'll be back in about 3 weeks for a possible ultrasound and then going into shockwave if the pain's not better. Next would be a 67 year old female. They got X-rays, kind of bilateral foot arthritis.

And she was here actually for a follow up of an ingrown. So she was here for an ingrown could have been a very kind of low value visit. But she also, I always ask patients, do you have any other things? And she had, oh, I have this foot pain. I said let's get X-rays and, and then we looked at that showed the, the arthritis and we talked about like orthotics for that or cortisone injections for her. I find I've been having a lot of

patients coming in and I think it's because I have a new staff, but the they're, they're coming to me and they say, oh, the patient doesn't want X-rays or the patient maybe doesn't want the post op kit. I think a lot of times it's how staff explain it to the patients so that I have to sit down and do kind of role-playing with the staff and kind of explain how how to explain it the proper way. The problem with not getting X-rays before they see me is

that it just delays things. It's not so much that I don't mind. They'll usually I'll just explain it to them and they'll get the X-rays. But in this case, just the delay, the delay of time of going from from one room to the other. I tend to as much as possible stay in the same room I'm at until I get everything completed. I try not to go out and the only reason I would go out and in is if I'm doing like a numbing up a toe and then I'll go do another

room and then come back. But I try to stay in the room as much as possible. Next patient is a 77 year old. He had a follow up with Lamisil booster.

He's doing well and he he had an ingrown toenail that I took care of. So a lot of these patients, I think this day, it was the day that I was recording a lot of videos of what I've been, what I've been trying to do lately is so there's this idea of like, like in sawmills, they take sawdust. And I've talked about this before, you take sawdust and you make it into plywood. And So what is the sawdust we have? Well, it's all these patient interactions.

So can I take these patient interactions and make videos out of them? The rationale for that is then the best producing videos, then you can make those into ads. So the best producing videos that have the most views, most interest, then you can add a little call to action at the end of it for your ad. So that's kind of why I'm making more videos recently. I'm using something called Sub Magic. It automatically adds subtitles.

So what I do is I just take my phone and I upload it directly into that and then a virtual assistant takes those and puts those on my on my YouTube. So that's kind of how it works. And then based on the best ones and we can turn those into ads. I'm not to the ads portion yet. So I'm in the first video portion. So I'm still figuring out the

ads portion. Just so you guys know. OK, Next was a left plantar fasciitis did an ultra ultrasound and this patient have quite a bit of thickness and this patient is going on vacation. So I did a cortisone injection. A lot of patients if they're going on vacations or trips, I'll do I do a cortisone with this thing. She would have better benefited better from shockwave and she may do that in the future.

Next was a patient that had somehow gotten to my schedule, but she had nail care and but she also had like a right second toe kind of an ulcer. I think that's why she came in. She should be coming in like every three months, but she wasn't. So she got it my non my other days. Next was a patient that was a 76 year old that had a pain to the navicular tuberosity and posterior tibial tendonitis. I did an X-ray.

I did an ultrasound. They're going to do the normal things, kind of the resting anti inflammatories, icing. They did not want the tin Cam boot to rest. It just wasn't comfortable. They're going to be back in three weeks and if not better then I'll most likely recommend Shockwave for that. Next was #2 out of 6 for Shockwave for plantar fasciitis. Next was #5 out of 6 for

posterior tibial tendonitis for shockwave. Next was a a 54 year old that had a left first met cuneiform joint pain and I did orthotics for this patient to help stabilize the joint. Next patient was a nail sample follow up and they got the fungal kit. Next patient was a 63 year old that had an ingrown lateral side. They also had right Achilles pain. So this was an interesting one.

This is a 63 year old guy. He he very successful in life went to see another another orthopedist in a group in our hospital here. I was talking to my buddy like he is single handedly the best referral source for us to our offices. This orthopedist because just some some types of the treatments that he does kind of jumps into surgery for like everyone with Achilles tendonitis or you shaving down the back of the bone and reattaching it and just having difficult results with that.

And so he a lot of people come over here for a second opinion. So for him he had this like ingrown toenail with with some swelling. It wasn't infected and he was like is there anything you can do about this? I said sure And I said the reason you have this is because

the callus and the nail edge. And I know you guys all know this, but I take it out and then I, when I pull out the callus, I actually show him because the ingrown toenail didn't look bad, but it was because it was built upon a callus in there. So I showed him that and that he's like, wow, that's cool. And then the other side, he had insertional Achilles tendonitis. And I and I did an X-ray and I said, Hey, what we have to do here is the shockwave. And so he did shockwave.

Now this guy is very successful. He has multiple businesses and he travels a lot. So he's like, I'm going to be traveling. I said OK, well some patients, they do Shockwave every week. That's like 6 weeks. But if you want to like what the research says is every 72 hours, we can do this. So this was I think a Tuesday. So he's going to come in on a Friday afternoon. So he's going to come three days later.

Every three days he's going to come in till he gets his six sessions done so he can kind of jump start on it.

So that was like my MVP patient of the day. That second opinion next was a patient. This is kind of an interesting one. He's a 62 year old male. He was lifting a really heavy cabinet and he whacked his fifth toe and dislocated. And The thing is like kind of brawny swelling and kind of dislocated laterally. I couldn't relocate it with my

hand and I wasn't sure if I would just leave it because it didn't look all that bad when I saw him on the X-ray. It looks a little bit off, off kilter. But if it if it calms down, he might not have to do anything. If it, if it doesn't, then we're going to have to pin it in place because I think he kind of ripped some of the, some of the soft tissue that was holding everything in place. So next patient was a 51 year old. This is swift #5 And I set up number six and seven.

So this guy has had warts for years and years and years. I, I, I, I record the number of Swifts just like I do chocolate. So I know what actual number I'm at. So this he is, he is more than normal, but I scheduled those for him. Next was a 24 year old girl. She's a little girl that ends in PT school. And I treated her mom. She sent her daughter. She has bilateral bunions, but at this young age she has like a hypermobile kind of first Ray and this and the bunion that

she's going to need a lapidus. So I referred her to one of my colleagues here that's going to do that for her in the future. And then next was a 37 year old female for a Lamisil booster. And then finally there was a, a patient that was a 42 year old that's been kind of dealing with some plantar fasciitis, had done shockwave in the past, was concerned about some tarsal tunnel. And I think this end of the day, I think I was hungry and I just wanted to get out of there.

And I think I just, I was going to have her get a second opinion with one of my buddies to see kind of if there was any like anything else going on that I was missing. So that's what I did. But as I was thinking back about this, I think really the, the, the reason I was like hungry and tired. I don't know if that happens to you at the end of the day. And I just didn't have as much patience as I probably as I probably should.

And then finally, there was a rusty nail, a little girl, 18 year old that stepped in a rusty nail at a bonfire.

She had already been prophylaxed for tetanus. She's placed on an antibiotic. And this one, I'm just doing a tight call on her, like calling her, making sure she's OK because she was having some guarding. And so I was just really concerned about a deeper infection that might not have gotten better. I told her if it does get worse, she just have to go to the Ed. OK. So anyway, I hope you guys found

this beneficial. If you don't know, there's a website called Podiatry Practice Mastery on there. I have this $1,000,000 practice blueprint that you may be interested if you haven't downloaded. I think it would be good open up some insights to how kind of our practice, what worked for us to get to the $1,000,000 mark for the providers. OK, thanks.