¶ How day 9 of the EMR transition is impacting workflows
Hey guys, done here. Welcome to Podiatry Practice Mastery going over kind of what helped get to the $1,000,000 mark and beyond. So we are on day #9 of our medical record transition. So it's getting a little bit better. So a few things that have kind of helped with the morale. I've been kind of joking around
¶ Boosting morale and reducing stress with team strategies
with the staff today. It's working a little bit better. I think we're feeling a little bit better about the whole transition. I got out of the office at 5:00 PM versus yeah, the other days was a lot, a lot Later I'm learning more how to get the level of office visit that I want, which I'm typical, which are usually level threes and level fours. Did a lot of E pad, was able to have Murali get used to the new system. We're training the new staff. So everything is kind of doing better.
I'm getting help with mod Med for our for our training to make routine care. So I was able to fix my notes for routine care. So I actually was able to write down what I did today. So that's a good sign. So I'm finally able to actually document what I'm doing a little bit more to help. So what I did here, but my new schedule doesn't have the number of patients, so I don't want to count them, but there's, I don't know a normal amount you'll
you'll see as I go through here. So the first patient was
¶ Writing down 10 daily positives to maintain focus
bilateral carry flex. So they got 2 nails done. So I did that. Next was a patient with some blisters. So it's just a Level 3 office visit with some blisters. Next patient was a six after six shockwave. 12 week follow up. He's doing much better. He doesn't need any more shockwave. He's doing fine. He's back to doing his races and really pleased with with the Achilles tendon.
Next patient was number one of three for some pain to the tibialis anterior of Shockwave. Kind of has pain in that area, kind of like nights. Sorry, shin splints also had some Aquinas, so we put them in a night splint as well with an office visit. Next was a follow up of balance braces. They just needed some help kind of how to put them in the shoes and things like that. So I helped them just with an office visit with that.
¶ Managing multiple shockwave therapy cases efficiently
Next was a patient that had a prominent first mic need form joint got an X-ray patient needs it's so large, just has a hard time fitting in shoes. So she needs a a surgical procedure. So I referred her over to to Matt for that. Next was a #4 out of 6 for 1/5 met. This was that osteotomy patient that had Amis osteotomy that didn't that's kind of slow to heal. So #4 out of 6 for just focus shockwave only. And she is doing better, feeling
better. She's like a real kind of kind of semi professional water skier. Next patient was number one of three of shockwave for for plantar fasciitis. This was a actually one of six. This is a patient. She's actually a primary care doctor. So I, I did the whole explanation for her and she had a good result with one of her patients that got Shockwave. So she came to see me for Shockwave. So it's always a pleasure when it's another. She's a PCP that refers to us.
And so we're gonna set up those shockwaves for her. And then next one was a self pay patient. Oh, this was a patient that came back. She was a friend of mine from church and she was seen for plantar fasciitis, didn't want to do anything and came in for a cortisone injection. So we did that.
¶ Handling a challenging patient with persistent heel fissures
Next was this patient. I don't know, we all kind of have these. She's a 55 year old that messages me multiple times, emails multiple times and just has some kind of like she had heel fissures and I'm not really sure what's going on. I think it's more maybe kind of a challenging just type of patient type more so than anything. She's very insistent and has seen multiple other opinions and so I really said I couldn't do much for her but just spend time listening to her.
Next patient was a 55 year old man that was here for, he had some 4 foot pain and he had bone marrow edema on his on his MRI that I reviewed with him and kind of bone marrow edema.
¶ Using shockwave for bone marrow edema and sesamoid injuries
And for him, what we're going to do is shockwave for that to kind of to kind of help with that to kind of get down the bone marrow edema for him. OK. Next one was a nine year old. I had two sievers kids. This was one that had sievers kind of did my typical protocol for sievers for them. And if it doesn't get better, we'll do Shockwave once again, Shockwave is safe receivers, but I'm I'm hoping we won't have to do that. I usually use the Thule heel cups.
He already, this one already has orthotics. So I did this for this patient and next patient was a another patient got X-rays, had plantar fasciitis on the left. Spent kind of a lot of time. She had a lot of other things going on with this one and this one I did I think for this one I did a cortisone injection for her. And then the other two, there's a daughter and mother that came in for calluses. So I did their, their calluses for them. They were both self pay.
And next was #4 out of 6 Shockwave for a 33 year old. Next one was a six out of 6 for Shockwave with a Level 3 visit because of the last last one. So it was a busy day with Shockwave at the office. Patients are getting better.
¶ Treating pediatric Severs, plantar fasciitis, and callus care
I had two Seavers patients. It might be another one that I'm missing. And this, this guy kind of the more challenging one was this, this gentleman with the with that needed the shockwave for like the, the bone marrow edema kind of MRI changes in in the area. So I find that bone marrow edema works. OK. Actually this guy, I'm sorry, just remembering here, he actually had a sesmoid, the fibular sesmoid, he had bone marrow edema in there.
And so that's where we're doing the shockwave on that. So it's kind of a better option than cortisone better option, I think then surgically removing it. OK, so that was the day once again, things are getting better. I'm still doing my positive focus. So I'm not today when I'm recording the time on day #10 morally is doing better. Everything is kind of getting better. I think this is a good idea. So if you guys are going through big changes, you know, I just have this piece of paper.
¶ Mental health strategies for practice owners during big changes
It has 10 things and I write 10 good things each day. I think it helps my my mental health during this this transition. OK, have a great one. Hope this is helpful.