Hello and welcome to Podiatry Practice Mastery. My name is Don Pelto, helping you to get your practice to the $1,000,000 mark and beyond in your personal production. So that ends up being about $80,000 in production per month. So I can kind of give you my tips today. I want to start out talking a little bit about ChatGPT. This is something that's quite popular these days. Many people are using it in their practice. I've recently been kind of discussing with some people.
They're saying, oh, you have to use ChatGPT or AI for notes. I still use old fashioned scribes. I like my scribe. He becomes a friend. We're about the same age and I pretty much tell him we're going to retire about the same time. And but there are some uses for for ChatGPT. I want to share a couple of the my favorite uses number #1 is I had to redo my, I did my web page. I added this urgent care web web
page. Now I always like to, whenever I change something, I like to not just, well, I guess one of the problems I made in the past, I used to kind of skim the surface and I used to, OK, I made the urgent care page and I didn't do anything else with it. Now what I try to do is I think of, OK, I made the urgent care page, but what else can I do that would accommodate this urgent care page? What other things can I do that'll even help it grow even
more, help get more patients? And so thus far, I, we made the page, actually had a virtual assistant make the page. I have a something through our medical record, which is Mod Med and Clara where they can make an appointment just for urgent care slots. So urgent care is ambiguous of newer established patients because they're usually pretty simple patients and we want to get them in as soon as possible. So I'm pretty much trying to guarantee 2024 to 48 hour
appointments. And that's mostly because we have a new 4th doctor that has some opening. So that may change a little bit the way I'm marketing it. But right now that's what we're doing. And so, but with ChatGPT, I wanted to add something to our Google business. So Google My Business, we have these locations and I wanted to change a little bit of the description. So I had ChatGPT help me to make one that would kind of publicize and help with keywords for our
urgent care. So I just asked it and it made it so it was pretty easy to do. And I took it and I copied and pasted into each of our Google My Business profiles. These are our Google business profiles. Now we have, we have 10 of them and you might think, wow, 10s a lot. It is a lot. They're all under my like I have like managerial access to them. So we have one for each office and then for each of the four doctors, there's 4, they have one, one in each location.
So they have we have 4IN Worcester, 4IN Westborough, one for each doctor, the four doctors and then a main Westborough and a main Worcester. And what when we send out reviews, we send it specifically to where that doctor is. So if I'm in Worcester one day it'll send ask for reviews from that one. If I'm in Westborough, it'll ask for reviews to the other one. That is part of the way we kind of get more traction within Google that the Google business type of thing and on the maps.
And then I, so I did that and then I also added into each one of those pages a you can add like the main category would be the podiatrist, the sub there, I think they're called accessory categories or subcategories. Surgeon is 1. I added sports medicine clinic and then I added an urgent care clinic. So I added that in there and then the keyword search description. So I think I'm hoping that is going to increase even more the people coming in for urgent care appointments in the office.
And I, and I think I was, as I was thinking about this, I was reading recently about like it's called the unique selling proposition. And I think this whole like quickness or getting people in for urgent care, I think that's a pretty nice unique selling proposition because patients want to get in, they want to get things better faster.
And I'm even finding that with, with Shockwave, for example, if, if patients, they're given the option to come in 6 * / 6 weeks or they can come in six times within three weeks, doing it every like 3 days or 72 hours. I'm finding that some patients are choosing that. I think they just want to get the treatments done faster. So they can get, either get it done with or they can kind of get better faster.
I don't know if it gets them better actually a little bit, it might be a little bit faster, but I don't think much. But I, I think they just, people just want to get things done. So I think speed of service I think is something that we have
to offer. So that's one way I've been using ChatGPT. Another way that I've been using ChatGPT is then now I'm taking, if you notice each of these podcasts, I used to just call each of the podcasts $1,000,000 minute and in the description I just put $1,000,000 minute. And well, that didn't work too well for SEO because frankly, I have very few people listening to this. I'm trying to figure out how to get more listeners.
So if you listen to this and you like, excuse me, if you like this, please put a review on it. And wherever you're listening to it, if it's Apple, put a review. I have a few reviews, but I need more. And then more importantly, like share this with others because I feel like a lot of people don't know about this podcast. And so I'm trying. What I do now is I take the transcript. So the kind of the workflow is I do this with like a handheld mic
in my car before work. I, I do it on my phone in the recording section. So I just take the transcript and I paste in the ChatGPT and it gives me like 3 little posts for LinkedIn and it gives me a description and a title suggestion for the actual podcast. And it can do more too. I just, I don't personally want
to do that. Eventually I might do that with my, my virtual assistant, such as like doing a, A blog post on each one or like a, you know, a separate web page for each of the ones with the transcript and things like that. So I'm not specifically doing that yet, but that would be something that would help increase this podcast. So that's another way that I'm using ChatGPT.
I'm not usually using it a ton in the clinic yet, but I'm using it for like AdWords. So I had to make some Google or actually Facebook ads for the urgent care. And so I put it in there. Can you give me some good Facebook ads, ad copy and suggestions for like pictures, right? What could I use? And so it didn't. It did make some it has an integration with Canva. I didn't think it was that great, but it had it has kind of good ideas.
So those are anyway, those are some ideas about using AI and ChatGPT in the practice. So let me go now into the day. This is a recording from a Monday 1st patient, 12 year old for flat feet. He was here for an orthotic follow up. He had a little bit of pain on the medial aspect and so I heated it up with a heat gun and I dropped it down and he was fine. I'm going to see him back in one year.
Now this type of thing, it's very simple for us, but this is something that I think that patients like to see. So I made this into a YouTube short. I'm starting to kind of tell you which ones I make into YouTube Shorts. So you get an idea of kind of what my, my, my thought is. So I made it into a YouTube short because I think they like to see patients, like to see behind the scenes, something that's pretty obvious to us, but it's something that's kind of new to them.
Next patient was a 35 year old that had a poorokeratoma on the foot, so like an IPK. And I always say that kind of that my explanation is, you know, this possibly could be a wart because it could be most likely it's like a big deep callus and I'm going to treat it kind of as a wart. So that way I can get the lesion destruction and office visit. And she also had some issues with her kids, some nail issues. So I, what I said is I said, would you please just send me a
picture? So I offered you this is something I just kind of do to patients. If it, if they have a just a quick question, they can text it to me via the office texting message. Next patient was a 55 year old female shoe status post left bunionectomy and she developed pretty much arthritis in the first time PJ and I think it was because I tried to shift and Austin a little bit big because I do not do Lapidus. I just don't that's just something I don't I don't feel
comfortable. I didn't really get as much training in it. And so I'm going to send this patient over to my colleague for kind of a second opinion. I'm afraid that she might need a fusion, but potentially he could do something else for that for that patient. Next patient was 75 year old man. He had bilateral plantar fasciitis and he had equinus bilaterally. So I started out doing once
again, my dynamic demonstration. I take this ore ball, put it on the back of their leg, roll it around, and then all of a sudden his heel pain reduces. And I think the heel pain of him is is mostly due to Aquinas. So I'm not going to start with with everything. I'm going to start out with the night splint foam rolling in morning stretch, and he's going to get bilateral night splints. So that was a good thing. And then I, I got an X-ray and I'm going to get an ultrasound
next time. And so I got meloxicam. So that got me to the level 4 visit and I'm going to see him back in four weeks. If it's not better, then we're going to go to the next step, which is going to be an ultrasound. Next patient was a 66 year old female status post metatarsalgia. She had six sessions of shockwave. She's doing much better. And she said, oh, by the way, I have these nail issues weren't really that bad, but she's feeling better after the shockwave.
I'm not going to see her back. The next was a 5051 year old female right, Plantar fasciitis #5 out of 6 of Shockwave, she's already starting to see some improvement. I tend to find if you do 6 sessions you you start to feel better about the fifth session. 5th to 6th session. It's nice to be present for that. Next was a 36 year old man. He had a right. He had a split nail on the 4th digit. So basically just a split that goes down the kind of the
lateral aspect. I talked about trimming it short. That's the easiest way of putting super glue on it and then possibly doing a matrixectomy if it continues to bother him. And then he also had a wart on the left 4th metatarsal head. I did canthered on that. And I think he got, yeah, he got Aldera as well. And I'm going to see him back in in two weeks to do it. So when I see warts, I give him
the option. You can either see me once a month, but if you want to get better faster I can see you back every every two weeks. And he opted to see me every two weeks once again. I think the patients like these things about speed right? So like to get better faster. Next was a 56 year old man. He had to write a sesmoid fracture status post 6E pads. I did a 7th today at no charge because it was the follow up in six weeks. I looked at his X-ray and I ordered him a bone stem.
He had a gap at that fracture site. I talked about removing it but he still wasn't interested. So I'm going to try to get a bone stem covered and I'm going to see him back in in two months. Next was a 59 year old female status post a second MET fracture. She's doing fine. I'm not going to see her back. Next was a 59 year old. She had a bunion. I had a couple of these patients today that came in for bunions and they did not want surgery.
So when they don't want surgery, I do, I do a long spiel. I take off my shoe, take off my sock liner, show them what a sock liner should look like with the space in the front. That's the first thing I do. So I talk about shoes. Second, I talk about orthotics to help. If there's like first ray Elevatus on the X-ray. And then third, I talk about correct toes. That's what I say. I, I, I give them my, my
treatment sheet on, on bunions. And actually I have a page on my website on bunions and I send that if they want to learn more. So I did that a couple of times today for some patients that didn't want surgery. Next was a 20 year old female who had an ingrown toenail. I did an Ind. Next was a 56 year old. This is that was the morning, this is the afternoon. Next was a 56 year old that a fourth toad non union that's been not healing. It's been about over a year. Still swollen.
So I did shockwave #3 out of 6 with focused only. So when it's a non union, I tend to do focused only. Shockwave next was a 18 year old man. He had a granuloma status post Ind that was recurrent. So I did another Ind, took out a little bit more nail. Next was a 37 year old female for a right carry flex #3 so this one had fallen off. Now carry flex, I probably should stop doing it, but patients really like it.
So I'm trying to get more my nail tech to do them more because it doesn't really reimburse that much. We charge 125 for the first nail and 50 for the other nail. So it's much more I guess, profitable to do Shockwave, but there's not always Shockwave to fit in there. So I think it's an OK procedure and patients like it. Next was a 72 year old female for a right poro keratoma or IPK, got X-ray, did the lesion destruction as we talked about
before. Next was a 68 year old man for PTTD with tendonitis on the right #5 out of 6 for shockwave and he is already starting to feel better. Next was a 38 year old female bilateral E pad for the heel #2 out of 6 starting to feel a little bit better. This is actually my my kids Taekwondo instructor who had a Achilles rupture. Next is Q tenza #3 for a gentleman that was 77. He has a little bit less shooting pain and he was wondering if he should stop.
And So what I'm saying currently for Cutenza, I recommend doing 4 sessions and if they're seeing improvement, they can continue. But if they're unsure, they can stop. And then if the pain comes back or the symptoms come back, they can come back. But the way I understand Cutenza is it's like Chili Peppers and it kind of burns and hyperstimulates the nerves. So the nerves will come back after about 3 months. But he wasn't wanting to
continue forever. And also this guy, he actually came from a local podiatrist that was doing the nail care and came from me for Q Tenza probably, I don't know, from an AD he saw. I started the Q 10's and I also reached out to this other doctor and I said, hey, you know, you guys do contended you want to take this over for I think it'd be better for you because you're doing the nail care there as
well. I don't do a ton of Qutenza, but I know some people do and it's a it's pretty, it's reimbursed pretty decently for your time for applying it. Next was a bunion with a tailor's bunion. I had that shoe conversation that I talked about before. Next was another bunion discussion, talked about the shoes again. Both of those got X-rays. Next was a 57 year old female for #4 out of 6 for Achilles tendonitis. Next was a A5 year old little
boy with a right heeled wart. And we talked about Katherine and we gave Aldera and they got the office visit from that. And the last was a 55 year old for a right Achilles. There they after the My Pelto special, which is the night splint foam rolling in morning stretch and the other things about 50% better. So I think it's mostly due to the Aquinas or the tightness. And so I'm going to see her back in eight weeks. And if it's not better, we'll do
the ultrasound. And then I talked to her about either physical therapy or shockwave. So that is the day. Once again, hope you guys enjoyed this. I'm putting together a challenge. If you want to learn more about it, you go to put out your practice mastery.com challenge. It's a kind of helping you to challenge to get you to the $80,000 mark per month in production. I know a lot of you may be there, but a lot aren't. And if you're in the 5060 realm that this would be a perfect
thing for you. I think you can add a good 10 to 15, maybe even $20,000 per month in your production just by kind of implementing the things that we're going to be talking about in the practice in your in your personal practice. OK, Once again, I hope you enjoyed this. We'll talk to you tomorrow.