¶ Making my first Facebook ad and initial challenges
Hi Don here welcome to Podiatry practice mastery we're helping you bring your practice to the $1,000,000 mark and beyond. I want to make kind of an uneasy confession. I made my first Facebook ad today. And what I, what I mean about uneasy is because it wasn't an easy process. I, I've, I've had someone doing them for me. They were basically we're doing one for warts. I had this wart page and I was
doing Facebook ads. I was spending, I think it was ending up they spent like $10 a day on these things, but they really didn't bring many patients in.
¶ Why previous Facebook ads didn't work well
Like I didn't see tons of patients get in. So I turned it off and I have been my my my favorite guy to listen to lately is is Alex Harmozzi, just my favorite podcast. I shouldn't say guy, but he talks about trying to make take the best YouTube short and then tack an ad on the on the back end of it.
¶ Learning from Alex Hormozi's ad strategies
And so that that's what I did. I took my, my, my, my best YouTube short and I put an ad on a put this. It was kind of a painful process to to figure that out. Now, mind you, I did it after surgery. So I had surgery in the morning, I had a neuroma removal and I had some time and I was thinking, well, what's the best thing in like the biggest pain that I, I can work on that I don't want to work on, but I probably have to learn how to do. So I did this started out easy
¶ Starting with a $5 daily ad budget
at $5 a day and we'll kind of see what it brings in. It's going to be going to my urgent care page. So my main focus is here is filling up this new Doctor. So there are slots every day for this new Doctor. So trying to fill up this urgent care page. So this is what I've done and it's not a comfortable process.
¶ Targeting urgent care patients with Facebook ads
Like you have to edit the video, you have to do like another 3 seconds on the end. So I just switch to move it over to cap cut and then put a little end screen on it. It kind of looks horrible. If you want to see it, shoot me an e-mail. Happy to send you the links. You can see it dot at Podiatry practice master.com. I'll share kind of as I'm going through the struggle.
¶ Using CapCut and YouTube shorts for ad creation
OK. But then the the afternoon in my office was a good afternoon. I'll kind of go over this once again. One doctor, he asked for my treatment tracking sheet. I'd be happy to send that over if you just shoot me, shoot me an e-mail. OK, so first patient in the afternoon was a 74 year old female, had right haloxlimatus. So I spent a lot of time talking
¶ Patient case: preparing a 74-year-old for a 200-mile hike
about the sperm on the top, you know, hers wasn't that painful. She's really interested in going on this, I don't know, 200 mile hike in Spain and she got orthotics and I'm going to see her back in eight weeks. So normally orthotics, they come back in about two to three weeks to pick them up and then I see them about six weeks later. So usually they make a 2 month
¶ Orthotic pickup timelines and follow-ups
follow up for them. Next was a 99 year old little boy. He was here with his dad. He had bilateral sievers and and he got. So this is funny, this is the benefit of my scribe.
¶ Treating bilateral Severs disease in a young athlete
So as I was explaining this, I, I, I have a little treatment sheet. So once again, if you want my treatment sheets, just shoot me an e-mail. I have a little treatment sheet that I go through a little patient presentation, a little PowerPoint that I go through. And so he is going to do, you know, the morning stretch, pretty much the same morning stretch foam rolling. Then you got a night splint and he's going to do the 2 Lee heel cushions and we, and he's going to start that.
I'm going to see him back in about four weeks. And if it's not better, we'll either do shockwave or we're going to do orthotics. So I, I didn't tend to do those the first visit. We're going to do those the next visit based on his, his, his improvement. And the, The funny thing is, as I was leaving, Murali said to me, he said, Don, do you want to do, you know, 1 sided night
split or bilateral? And I was just thinking about doing 1 and when I asked the, the patient or actually his father, do you want to do one of these or two of these? And the kid said, well, I just want, I want to do 2.
¶ How scribes improve treatment clarity and add-ons
So you can do bilateral night splints. And I just find that a lot of times my scribe is, is more confident than I am. He's like, he just wants to clarify for his documentation. And, and, but it, but it adds a lot of other things to me because that then I just asked the patient, Hey, do you want to do one of these or two of these? In this case, since he had bilateral severs, he did bilateral night splints. So I'm going to see him back and then we'll kind of go to the next step if needed.
The next patient was a 72 year old female. She had bilateral bunions. We did X-rays and we did shoe recommendations. So it was the husband and wife.
¶ Bilateral bunions, shoe recommendations, and newspaper ads
So we did shoe recommendations for her and she actually came from an ad in a local newspaper. So we do this weekly ad in the newspaper and then once a year they do like a spotlight of the doctor. So they did a spotlight of me and then she saw the ad and she wanted to come in and she had previously seen another podiatrist.
¶ Managing peroneal tendonitis with cortisone and shockwave
She was there with her husband who was about 10 years younger than her and he was a 62 year old man. He had a left peroneal pernais brevis tendonitis, had the insertion. We did X-ray, we did ultrasound and we did a cortisone in there. He can't came in expecting to do a cortisone and I said, well, we'll do 1 cortisone. I'm going to see you back in four weeks. If it's not better, then we're going to do shockwave. And I kind of explained what shockwave was in, in the
benefit. I think that would have been more more beneficial for him, but he wanted to do the the
¶ First session of EPAT for plantar fasciitis
cortisone. He kind of came in with that expectation on his mind. He was already in a Cam boot for two weeks before. Next was a 45 year old female. She had E pad #1 out of 6 for plantar fasciitis. Next was a 38 year old female did a left hallux avulsion and
she has been on two different types of antifungals. 1 was trybenafin and now she is on Diflucan and she is having some swelling and pain at the nail base and it wasn't getting better and I think it was due to that kind of that the nail that was there. So we did an avulsion today for
¶ Handling hallux avulsions and chronic plantar fasciitis
her. She also is dealing with some chronic plantar fasciitis. And I find that certain patients, certain demographics are don't want to pay for treatment. They especially don't want to pay full price. So in these patients, what I tend to do is I just, I don't push them. I just have them make that decision. And if they just kind of live in or sit in their pain, eventually they'll come through and want to do the shockwave. That's what she really needs and she's going to set up those
shock waves. But I, I find it's not worth it for me to say you need this, you need this, you need this.
¶ When to recommend shockwave vs. conservative care
They really have to come to the point where their pain isn't going away and they want the shockwave. And she's already failed at 2 cortisone injections. And so I just said this is this is the next thing that you need. So and I and I leave it at that. In the past, I used to try to convince them, but I don't, I don't convince anymore. I just say, OK, who's next? You'll be back when you need it. Next patient was a 58 year old female with a left fifth met.
I can't read my AH. So she has two things. She has a nerve in like almost like a neuroma on the fifth met head. The way her foot is, she's walking on the nerve on the outside of that lateral side of the 5th metatarsal head. She's already had a couple of nerves removed on her second toe of both sides and she kind of lands on the bone slash nerve and I can feel it click back and forth with my hand. So I've injected it twice.
¶ Treating lateral fifth metatarsal neuromas
She has a wedding coming up for one of her sons. So I'm going to do the cortisone today, but we're going to come back. And I've done this one other time where I thought it was a soft tissue mass actually. And I, and I removed it. So I removed it right in the office and make a, just a, just a lengthwise incision where that nerve is. And I just removed that just cut
¶ Achilles rupture recovery and shockwave therapy
out that nerve in the in the office. The next was a, this was kind of my favorite, my MVP patient of the day. She had a 57 year old female. She was seen by an orthopedist for a, an Achilles rupture. And he did a, an FDL transfer with this and he did a bone anchor and the heel. And she is seven months out. She's gone to PT and she never even saw the surgeon for the post op, just saw the P as in this big hospital system we have
here. And she came in, I know her from like my, my kids sports and, and I've been seeing her limp around. So she came in and, and she has just a lot of thickness in her Achilles tendon, certainly after the rupture, a lot of a fusion in there, some bone, bone pieces
and things like that. And she's going to be a prime candidate for Shockwave. So we did shockwave #1 out of 6 for her and she just wants to get back to a little bit more normalcy in her life and she's still kind of limping around. I told her she's still going to have tightness back there and she's been doing the grass and technique and physical therapy, but I, I think the shockwave is really going to help her. We did X-rays. We also did ultrasound for her as well. Next was a patient with
bilateral fit. OK, this is kind of a, a lot of things this patient had. So these are these ones that they just add up and up and up in terms of the office visit.
¶ Multi-treatment visit: warts, plantar fasciitis, and nail care
So first of all, she had the office visit. New patient, 77 year old female, bilateral fifth met IPKS. So I treat those they possibly could be warts and so I treat those with lesion destruction. And in my documentation I put in wart and I put in, you know IPIPK. She also had nails that she wanted done and she wants to come back for to see Marjorie, my nail tech. And then she also has right plantar fasciitis.
So we did the X-rays. We and we did the the Pelto special, which is the night splint, the foam rolling in the morning stretch along with the icing and the anti inflammator. I'm going to see her back in three weeks and see how she's doing. And then finally we had a patient that a 37 year old for a right hallux Ind. So we did that. That was the day. So it's kind of a busy afternoon after my surgery, but my kind of my big accomplishment was making that Facebook ad, which was
very, very uncomfortable. I would love to know if anyone
¶ Insights from my first Facebook ad experiment
is really great at ads and how they're working for you. I know there are certain people that have courses and things like that. I, I really just tried to muscle through it my first time. I just kind of have to figure out, I know I could pay others and I have paid others to do them in the past, but I kind of want to figure it out. So I, I, and then maybe at once, I understand a little bit. I don't mind paying someone to do it, but right now I just want
to kind of figure it out. OK, well, I'll talk to you guys tomorrow.
