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What health conditions affect our feet? What treatment options are available to help with issues for our feet and ankles? We asked podiatrists Dr. Nephi Jones and Dr. Ryan Prusa these questions and more.
Dana Cardinas loved podiatry, and she was damn good at it. But a surprise diagnosis of idiopathic ulnar neuropathy, followed by a shocking discovery of Stage 3C colon cancer, forced her to step away from the profession she adored. In this episode, Dana opens up about how she handled early retirement, battled cancer, and found purpose again through helping others and launching a new business, 1 Stop Promotional Products. From laughing down clinic hallways to launching a neuropathy support group that's changing lives in Colontown, Dana proves that purpose doesn't end with a job title. If you're a podiatrist, business owner, or just someone navigating life's curveballs, this conversation is for you. Please visit the Podiatry Legends Podcast website to read more and see photos. If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing. If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I offer three coaching options: Monthly Scheduled Calls. Hourly Ad Hoc Sessions. On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Have you grabbed a copy of one of my books yet? 2014 – It's No Secret There's Money in Podiatry 2017 – It's No Secret There's Money in Small Business Un-edited Transcript Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. The podcast designed to help you feel, see, and think differently about the Podiatry profession. With me today is an old friend, well...not that old. We've only known each other for about 12 years. It is Dana Cardinas, and we met in 2013 in Nashville, Tennessee, at REM Jackson's top practices. But our friendship got bonded even more from about 2015 onwards, when we were at Dave Free's business Black Ops event, which people have heard that I go to on a regular basis. So Dana, how you doing today? Dana Cardinas: I'm so good. I'm so happy to be here, Tyson. Thank you. Oh my gosh, I'm so excited. Tyson E Franklin: I knew you'd bring the energy and I should mention to people that Dana lives in Texas, so there is a slight accent. Dana Cardinas: Yes, most definitely. And I apologize for my attire today. I literally just got out of the pool. It's hot and it's summertime and it was pool time tonight, so, yes. Tyson E Franklin: [00:01:00] So are you born and bred Texan? Dana Cardinas: Yeah, I was born and raised in central Texas. Yes. On a ranch. 300 acre ranch? Tyson E Franklin: I have seen photos of you driving tractors. Dana Cardinas: Yes. Yeah. So most recently convinced my dad to teach me how to drive the bulldozer. So finally was able to get on that machine after 50 something years. Tyson E Franklin: He wouldn't let you drive it? Dana Cardinas: No. He's very protective of that thing, so understandably he didn't want me to take it out any fences, but I did pretty good for my first go. Tyson E Franklin: So what we're gonna be talking about today, I'm gonna tell give people a bit of a rundown. We're gonna talk about what got you into Podiatry and also what got you out of Podiatry and what you're currently doing now, which I think is pretty cool. So yeah, let's go to that first question. Why Podiatry? How did you get into Podiatry in the first place? Dana Cardinas: So I always, my entire life, since I was wee little, I wanted to be a doctor. I didn't have a specific profession. I just knew I wanted to be a [00:02:00] doctor. But as I went through undergrad and spent time shadowing different professions I narrowed down things that I didn't wanna do. I knew I didn't wanna do certain things, and after I graduated from undergrad I needed, I just needed some time to figure out what was gonna be next. While I was studying for my MCATs, getting ready to, try to get into med school. And I worked in a large Podiatry practice in Carrollton, Texas. And I loved it. I absolutely loved it. And I started, just in their front office answering phones. I needed a job to pay bills, and I went from answering phones to being a medical assistant because I was very interested in what they were doing back there. And at one point, one of the docs pulled me aside and said, Dana, you need to do [00:03:00] this for a living because you're diagnosing and treating my patients. And really, you should be paid for it if you're gonna do it. And I, and we had a long talk about it, and I really picked his brain about why he wanted to be a Podiatry. Yeah. What did he get outta it? Why did he like it? And what was happening in Podiatry that I didn't see and what did I not know? I really wanted to know about it. Tyson E Franklin: That's a really good question though that you asked because Yeah. I do think sometimes when people are choosing careers or even when they're in Podiatry now and they may have only been in for a couple of years and go, oh, I don't know if I should keep doing this. They need to talk to people. Yeah. Even if they'd send an email and say, can we jump on a Zoom call with someone like myself, it's been in the profession for well over 30 years is reach out to those people and say, why are you, why did you stay in this profession for so long? When I feel like giving it away after two or three years. Dana Cardinas: Right. And he and that is key, honestly for any profession. Honestly. I think it's reaching out to people in your [00:04:00] profession and asking them, if you're burned out, find out, what's the other person doing that They love it so much, that they can help you. But this practice had seven docs in it. I talked to all of them and they all had such good things to say about the specialty. They loved it. And that from a doc that had been out for two years to, I wanna say, the one doc that started the group had been out for 30 something years. So at the time, so like they were in it, they loved it, they loved the business side of it, but they loved treating the patients. Just the whole aspect of it. Yeah. So that's when I said, okay I'm doing this because I really liked it. I just, I loved the idea that you could see a patient. And maybe fix their problem right away. Maybe it was just a simple ingrow toenail boom, you fixed it and they feel better. Or you could offer them something that wasn't [00:05:00] surgically, related like orthotics or just talking to them about improved running, anything like that could just make them feel better almost instantly. But then there was also that other side of it for me that really grabbed my attention was. Taking something structural that wasn't working right and fixing it so that they could function either without pain or more appropriately. So, that, that was a big draw for me. That was my draw. Okay. 'cause that was, I loved working with my hands. Again, I grew up. That way. I didn't grow up in the city. I grew up on a farm and we fixed things and so I, that was my track. And so that's how I got into Podiatry. So I applied to four or five different schools. And so I ended up going to Temple University of Philadelphia. Which blew my mind. I was not from a [00:06:00] size of a city that big, so that was like, a culture shock for this West Texas girl. But I loved it. I loved every bit of it. I just soaked it up. I traveled while I was there a ton, but I also made such great friends, but I really. I really just dove right in it, man. I dove right in it. I wanted to know everything about Podiatry and loved it. Went to residency back here in Texas, so a year in San Antonio, and then two years with lake Great Sam Mendocino in Houston. God rest that guy. But from that point knew that, okay, this is where I was supposed to be. Yeah. This is what I was supposed to be doing. And then ended up in practice in Grapevine, fantastic practice in Grapevine and we grew that practice to two locations actually. So we had one in Grapevine and one in Keller. So I joined Foot Ankle Associates of North Texas and then ended up [00:07:00] becoming a partner there about a year and a half after I joined. So yeah, it was awesome. Loved it. And that's Tyson E Franklin: where you were, right up through to you finishing? Dana Cardinas: Yeah. Yeah, absolutely. And I really didn't have plans of retiring when I did, yeah. I just didn't have an option. Tyson E Franklin: We'll get to that in a sec. But the one thing I noticed when I first met you too and why we've probably remained friends is I've always loved your energy. And if, and I'm sure people whether watching the video on YouTube or they're listening to the podcast, they can pick up your energy. Yes. And I would say that was a big part of what made you a good Podiatry too. You took that energy into the room. Dana Cardinas: I did. I who I am is exactly who I was when I walked into a patient's room. It didn't matter if you were three years old or 103 years old, you got the same me. And we smiled and we laughed and we talked about [00:08:00] your life not mine. And we talked about your kids and your family and I got to know you. And when some of my patients hit huge milestones in their treatment, whether that be my diabetic patients when we healed ulcers or we saved limb. Or my ankle fracture patients, when they could actually put their boots back on and go back to work. We would dance down the halls. Yeah, we would party down the hall. That's who I was. And that's, you got this when you came to see me, which was usually quite a mess, let me tell you that. It was fun. Tyson E Franklin: I just love it. And you worked for a couple of years at the practice that you ended up becoming a partner in, was that always part of your plan to become a partner or you never even thought about that? It took you by surprise that they wanted this loud text and, Hey, by the way, is everyone in Texas loud? Dana Cardinas: No. Tyson E Franklin: No. Okay. Most Dana Cardinas: of us are. Yes. [00:09:00] Yes. Most of us are. There are just some that are a little louder than others. But yeah. Yes. Tyson E Franklin: Are you one of the louder ones? Dana Cardinas: Yeah. Tyson E Franklin: Yeah. Okay. Just checking. Just wanted to check, just see. So I'm prepared in December. Get ready man. Tyson E Franklin: So, so when they approached you by buying in the practice, were you sort of like, yeah, that's great. That's what I was hoping would happen. Or did it take by surprise? Dana Cardinas: I think timing wise took me by surprise 'cause it happened a little sooner than what I thought. But the way the three of us at the time, there was only three of us. We just were, we jelled so well together that it just seemed like a natural fit for that to happen. And so it, it was perfect timing. And I, in residency, you always heard, oh, you wanna be a partner in a practice, that's where you wanna head. And now looking back on it and talking to other, my residency mates that were not partners in a [00:10:00] practice because they chose not to go that route, that it didn't fit their lifestyle. So I would say anybody listening, you don't feel like if you're not a partner, you're not successful by any means. Yeah. It just might not be the track that it fits your life for us. In that particular moment, it was perfect. It was the right scenario for us to do that. And it worked out phenomenal. Tyson E Franklin: Yeah I think that's a really good point because I think some people meant to be business owners, like I was always meant to work for myself . I just always knew that was gonna happen. And the funny part is. Neither of my parents owned their own business. Nobody in my family that I even know had their own business. So why I was that way. I have no idea that was just me. Yeah. But I think there's certain people that they should never own their own business. They should stay as employees because they are really good employees. Yeah. And what, like you said too, it's a different level of pressure you get when you are actually the business owner that when you're an employee, [00:11:00] you go away on your four weeks holiday, you don't have to think about anything. Dana Cardinas: Yeah, right. Tyson E Franklin: Two weeks in America, you only get two weeks holiday in America, don't you? Dana Cardinas: It depends on how much you negotiate, man. Tyson E Franklin: But in general. In general, in America, two weeks is all you get. Dana Cardinas: Depends. Most of the docs that we, you know, when we brought in docs as associates, we gave them three weeks in the beginning. So I, that's pretty good. Tyson E Franklin: But yeah, two weeks in, in Australia. In Australia, mandatory, four, four weeks holiday. Dana Cardinas: I honestly, I'm not gonna lie, everybody should move to Australia. Numerous reasons just to like hear you guys speak all the time. But if you can get four weeks automatic man, sign me up. Tyson E Franklin: Being an employer, you used to sometimes go, god dammit, when people are on holidays. But as a society, I think it's a fantastic thing because you need to have those mental breaks away from your business. And this is a problem that business owners don't do, is they work from morning [00:12:00] till night. They don't take holidays, they do it year after year and they burn themselves out. And I think you've gotta have that break. Dana Cardinas: Right. And it's hard as a business owner to take the break. It's hard to walk away 'cause you're you get in this, in your mind that, I'm not making any money if I'm not there and if I've got to have the money so I can't take off. You just get into that cycle, but when you take the time away is when you have clarity and you can think, and then you usually end up making better decisions, which make you more money in the long run. Tyson E Franklin: Yeah I remember my first, we, I'd take a week off here and there but it wasn't until, I think it was 2012. I took my first three week break. Away from clinic, went overseas, went to America, did the trifecta of Disneyland, Las Vegas, and then San Francisco. Dana Cardinas: Oh my gosh. That's amazing. Tyson E Franklin: And I had a daughter with us and my wife and [00:13:00] we went with another family. Had such a good trip. I came back to work and nothing had changed. Everyone was still working, in fact. Right. They were probably enjoying me not being there better. And from that year onwards, I realized I can take time off. So I was taking two, three week holidays a couple of times a year. Never looked back. Right, right. So I think you gotta trust, you gotta trust your team. Dana Cardinas: Yeah. And that's it too, like. If you build a team that you've trained well, they know what they're doing. They know how to handle the situations, and they know how, like who to call when they don't know the answer. Like that situation's gonna come up. But when you've got that training in place. Oh, you can leave. Trust me. They want you to go, they want you to go. They do, but you're getting cranky and you're getting agitated and they want you out as much as you need to take a [00:14:00] break. Tyson E Franklin: Oh, yeah. But I totally get it. And I totally understand if someone is a solo practitioner and they feel that they can't do it. But I think if you're a solo practitioner, go back to one of my earliest episodes on this podcast. It was episode 10 with Andrew Snyder and it's running a successful solo practice. This guy is the most relate. He's been doing this for 30 years or something. Now. Love that guy. Solo practitioner. Tyson E Franklin: Has never employed another Podiatry. He goes to Disneyland more often than anybody else I know, right? Right. Tyson E Franklin: If you're a solo practitioner, go back and listen to episode 10 because it will change the way you think about having a solo practice. Dana Cardinas: Yeah. Oh yeah. A super good friend of mine that we went to residency together, he was a solo practitioner for, gosh. At least 10 years before he brought on an associate. Tyson E Franklin: [00:15:00] Yeah. Dana Cardinas: And in the beginning he was this, I can't take, I can't leave, but once he figured out, okay I've got someone local that can cover my call if I'm out, they can take phone calls for patients that, call in after hours or have an emergency, whatever it might be. So he had coverage for that. They didn't come in the office, but it was just a quick phone call if necessary. He, when he figured that out. He would take vacation about once every eight weeks. It might be a short little, like four day or thing. Yeah. But he was gone somewhere and his practice grew immensely. Just simply because he was getting that mental break because it, let's just get real, it's not easy, Tyson E Franklin: no. To Dana Cardinas: do what we do. It's Tyson E Franklin: not. And it's one of those things too. Every patient that comes through the door could be a potential lawsuit. [00:16:00] And that's something that's, and that's why we have insurance and that Right. But we choose this profession and Right. And you know that 99.999% of patients come in. That is never going to happen. Dana Cardinas: No, it's never gonna happen. Right. And majority Tyson E Franklin: of patients are nice. Dana Cardinas: Right. Majority or. There's always a potential that patient's gonna walk in your front door that you don't know is going to absolutely kill your day. Just kill it. It's over done. There goes the schedule. Forget it. You're not getting home till way late because that one person entered your office, but it's what we signed up for. Yeah, and honestly i'm not gonna lie, I don't think I'm not different than anybody else. I think we thrive on that a little bit. I think we do love that little bit of excitement it's like you get excited about walking in that door to the patient room of, okay, what kind of shit am I gonna see on this one? Yeah. Like, what crazy crap did this guy just do that I'm [00:17:00] gonna have to fix? And that was always my favorite. Tyson E Franklin: That's the thing I think in life in general you, everybody wants a certain amount of certainty, which you need. It makes you feel comfortable and secure, but you also need that little bit of uncertainty to keep life interesting. And I, yeah, and I feel when I hear someone's, oh, I'm bored with Podiatry, I wanna leave. It's the same thing, day in, day out, I'm going, we need to, you need to change things up. Yes. Tyson E Franklin: It's obviously what, however you are running your day, you've got too much certainty. You need a little bit of uncertainty to spice things up a little bit. And that doesn't mean just going walking into work and sack somebody and create chaos. It's just your approach to work. Dana Cardinas: Yeah. Tyson E Franklin: Hey, make it a little bit different. Dana Cardinas: I totally agree. And that might be why you're bored. Tyson E Franklin: Yeah. Oh yeah. I like, if I wanted to, I could pick a certain part of Podiatry, keep doing that, and I would be bored, senseless. I needed different types of patients coming through with different types of injuries to make it interesting. Yes. But some days I did wanna just switch my brain off. Yeah, [00:18:00] I did wanna to use it. Yeah. Tyson E Franklin: So, okay, I'm gonna pivot slightly because you love Podiatry so much. Everyone must be listening to this. You hear your energy, your enthusiasm, you loved it, and why'd you leave? Dana Cardinas: So, in December about mid-December of 20 2015, and I thought I had carpal tunnel. I, my hands were just killing me at night. In, in, in here, in the us. The end of the year is always slamming busy because everybody's met their deductibles. They want everything done before the end of the year. Okay? And so we are all just maxed out. We've had surgery schedules full for three months or more. Patients are just like, I gotta get in, I gotta, again, I got it in. So we're busy and we make it happen. That's what we do. We make it happen. So I would go to bed at night and , wear these wraps on my [00:19:00] wrist because it just felt better. I kept thinking, all right, I gotta go get this checked out. My hands just really hurt. But the next day I was like, it's okay. It's not hurting as much. But by the end of a long surgery day, they were just, it was pain and it was pain, especially on my right that was going up to my elbow. And I was like, all right I just gotta go get this checked out. So get through December, I'm in the first week. January and I, it was fairly quiet, which was unusual, and I had one case booked on a Friday afternoon, and it was a tiny fifth toe arthroplasty. Literally anybody that does these on a regular basis, skin to skin, you're looking at max. Six minutes to me. Yeah. That was me, max. Boom. It's not hard. And it took me 20 minutes and I couldn't feel [00:20:00] what I was doing and I was terrified. And I, it had, I had another case, I would have canceled it. And I left, I got in the car and I called the office. Canceled all of my cases that were coming up. Put 'em onto one of the other partners and called my friend, who's a neurologist and said, I'm coming over something's wrong. And she was awesome. I had actually done surgery on her two, two years prior because she had some really cool ganglion cyst on her foot, which was amazing. But another story. And so she's yeah, come on over. She did a, what is that nerve conduction study? Yeah. On me. And she's Dana, how long have you had this? And I was like, this week, like today, like I today. And she's like, how did this not, how did you not see this happening? Because as she showed me at the time, and I'll show you my hands in the camera, all I had [00:21:00] lost the muscle mass on both of my hands. Along my thumb, especially along my ulnar side on my right, a little bit more or a little bit on my left. And the nerve conduction study showed that I had severe ulnar neuropathy on both sides. She's like, that doesn't just happen overnight. I'm like, I'm telling you. I had pain, but I could feel until today. And so, we did some further studies and over the next, the course of next two to three weeks and then really realized that what I had was not gonna be reversible. I had severe loss of my muscles in my hands, but also nerve damage. I didn't have an option, but I had to retire. If you Tyson E Franklin: had picked it up earlier, could you have prevented this from happening or was it inevitable that it was going to happen? Dana Cardinas: Well, it was inevitable [00:22:00] because I didn't know what I had at the time. Yeah. Which as we'll continue the conversation you'll hear. At she diagnosed me with idiopathic ulnar neuropathy. Because we went through all the tests, all the blood work tests, the MRIs of my neck, you name it, trying to find a reason for this to have happened suddenly , which we never came up with a reason. I ended up getting an ulnar release on my right side that helped the pain. And, but I was officially retired March 31st. Of 2016. So within 90 days I found out I had basically permanent neuropathy in my hands. That was with a sudden onset and I was retired, but out. Tyson E Franklin: How old were you then? Dana Cardinas: I was, at the time I was 46. Tyson E Franklin: Unexpected. Yeah. Dana Cardinas: Very unexpected. That was not on the [00:23:00] bingo card for that year, Tyson at all. Tyson E Franklin: It's, yeah, it's like those yeah, one of those things like death pill, you people bet on who's gonna pass away that year. You never would've thought in 2015 and we had caught up in October, 2015. Yeah, within six months you'd be retired. That'd be it. And I still remember the photo of us in 2015 where I had my cactus shirt on. Remember before, before we went out into the desert and you thought it was hilarious. Dana Cardinas: I just, that photo just popped up on my phone as a memory the other day. Yes. Tyson E Franklin: It is a great photo. Dana Cardinas: It's the best. Yeah. And Tyson E Franklin: I always tell people that too, that it's one of those things, just life in general, you don't know. What's going to happen. And it's, and you can't sit there in fear thinking, oh, is this going to happen? But every now and then you will be thrown a, a curve ball and it's how you bounce back. Dana Cardinas: Right. It's true. I I was not expecting the curve balls that would happen [00:24:00] after that. Tyson E Franklin: Yeah, for sure. I know there were more curve balls. Dana Cardinas: And they kept coming for a while. But, so here I am, I'm done. I had no idea what I was gonna do next. So tried a few things here and there, but it just didn't, that, it just didn't, wasn't supposed to pan out, to be honest. It just wasn't supposed to because. In January of 2018 I was having some pain in my abdomen, my lower abdomen like right lower quadrant pain, and I kept putting it off to, oh, it's probably gas. It's probably this, it's what we all do as physicians. Ah, I'm fine. It's whatever. Yeah. We think we know. And so, my wife Becky said, will you just go get it checked out? You are really complaining about it, you should actually get it checked out. So I go see the GI doc, explain what I've got going [00:25:00] on, and he was like, you know what? It sounds like it's nothing because I did have a history of like acid reflux and some GI stuff. And he is like, it's probably nothing but let's just do an upper or lower endoscopy and let's just see. Tyson E Franklin: Yeah. And were you the, and were you the windy one in the relationship? Dana Cardinas: Yes, most definitely. Tyson E Franklin: And that's why always when you had that pain, first thing you think, oh, it's just gas again, right? Yeah. Dana Cardinas: Just gas, whatever. Yeah. And so, I won't ever forget January 8th, 2018, I have my scopes and as I'm laying in recovery, waking up, I hear the GI Doc tell Becky. The upper is fine. She has colon cancer though. She has a large tumor in her colon. And I was like, and I just remember laying there thinking what the, [00:26:00] I have cancer. Tyson E Franklin: Yeah. Be thinking of the same thing. Dana Cardinas: I have cancer, like the real cancer. And so, Tyson E Franklin: the real one. Dana Cardinas: Yeah, like the real one. So I ended up he couldn't complete the colonoscopy because the tumor was too big for him to pass it. So, that, that day was a blur. And then the next day I called my friend, who was a colorectal surgeon that I sat on a board with at one of the hospitals. And said, cliff guess what? I need you. And he basically said, I'll see you in the morning. And then right after that phone call, I called my good friend who is an oncologist who I used to call. When I got those reports back, you know when you do biopsies in the office and it comes back melanoma and you're like, oh shit, melanoma on a [00:27:00] toe. I don't need to be seeing this. Yeah. This is not my, she was the one that I would call to say, Heidi, who's the best oncologist? Oncological surgeon that needs this. She was my sounding board when I got those strange things back, and so I called her and said, Heidi. Guess what? I need you. And she said, okay, I'll see you when Cliff is done with you. And they literally became my team overnight. And they talked to each other before I even got to the, his office the next morning. They had a plan in place for me. And so I had CT scans. The next day saw him. I've come to find out I had a very large tumor that was over 10 inches long, and it was almost 99% occluding in my colon. So likely had I gone another couple of weeks, a month I probably would [00:28:00] not be here. Yeah. Because Dana Cardinas: it, it would've just ended me. So, then. Fast forward after that, he did surgery. I lost 27 inches of my ascending and transverse colon, but he was able to reconnect re anastomosis both ends so that I did not end up with a bag, which I wasn't excited about, if I was gonna have to have one. But if it kept me alive, okay, fine. Me, I would've made a ton of jokes out of it, and it would've been like, Tyson E Franklin: Oh, you've carried around like a handbag. Dana Cardinas: Oh God, yes. It would've happened. Yeah. But for me it did not have to happen. So, once I healed from that, six weeks later started chemo, went through eight months of chemo that was probably the worst thing I've ever been through. Because now let's flash back a little bit. Yeah. On the neuropathy part. [00:29:00] Okay. We didn't know at the time in 2016 why I had neuropathy. But after I retired and before I found out I was diagnosed with cancer, I kept breaking out on these full body hives. And I don't mean like itty bitty tiny hives, hives, massive four six inches hives all over my body. I was going through the treatment of trying to figure out what environmental food, what allergy did I have that was causing this. But in talking with my oncologist, she put all of my picture together. And what I had was perine neoplastic syndrome, which is rare. But it's the cancer that I had growing in me that I didn't know I had. Was causing the hives that gave me the wonderful neuropathy and a few other things. And so that's so that Tyson E Franklin: there are all signs of something else was actually happening anyway. Dana Cardinas: Yes. I just didn't, I just didn't know that's, and per neoplastic syndrome is something that is diagnosed. After the [00:30:00] fact. It is rarely something that some physician would put together and say, oh, you have cancer because you have all these things happening. Yeah. It just doesn't work that way. Yeah. Tyson E Franklin: Real cancer. Dana Cardinas: Real cancer. Yeah. Tyson E Franklin: A another friend of mine exactly the same diagnosis around exactly the same time and that's why I, I. Way back. I wanted to get you on here way, way back. And I said the same thing to him. I wanted to get him on the podcast as well. And he's not with us anymore. Right? Tyson E Franklin: He didn't, he he got the bag and last time I saw him was actually on my birthday. I had to make him breakfast on my birthday. At his house? Yeah, at his house. 'cause he said, I want your favorite breakfast that you make. And I saw him then. He said, oh, they've told me I've got heaps of time. I'm gonna beat this. Everything's gonna be absolutely fantastic. And five weeks later he passed away. Dana Cardinas: Yeah. Tyson E Franklin: [00:31:00] And so, yeah, that, and that's why, Dana Cardinas: and I'm, I'm sorry, I'm sorry to hear that. Tyson, I, that breaks my heart, Tyson E Franklin: but Oh geez. That's why I think it's important to talk about this. Dana Cardinas: It's hugely important because I'm lucky. Tyson E Franklin: Yeah. Dana Cardinas: I know I'm lucky. I, when I was diagnosed stage three C. So I only had one more stage to go before I was stage four, and I was lucky that it had not spread to any other organs. But that was that I'm lucky in two regards in educating myself on colon cancer because as I was diagnosed, yeah, once you get past that first initial part of it and you get a plan. Once you get a plan, it's almost, that's when you can breathe. You can't breathe until you get a plan. But once you know [00:32:00] the, these, X, Y, and Z need to happen, and this is when we're gonna do it. That's when I started researching and and finding out more about the diagnosis and what does it mean and what does treatment mean and what am I looking at here? What, where am I gonna be here? And so, I was lucky enough that, someone else who had a family member that was going through colon cancer. She this wonderful person connected me with her and through her I got connected with a wonderful organization called Colon Town. And Colon Town is an online um, resource for patients that are going through colon cancer, but it's also for the caregivers and the, your, the spouses, the friends, anybody who is either affected by it, is a patient, any of [00:33:00] that. You can go to colontown.org to get more information about it. But I dove into it and it's right now it is on online, on Facebook. It's private. So you, everything we discuss in there, you, nobody else is gonna see it. It's just us. They are working their way off to a separate platform. That's even better, to be honest. But so I dove into it. And it made me feel better because I could talk to other people that were just like me, that were going through exactly what I was going through. But what the crazy part Tyson is while I'm going through chemo and my dang numbness is getting worse because the chemo that we have to go on that keeps us alive. Its number one side effect is peripheral neuropathy. Okay. And cold sensitivity. Oh God, it sucked. Oh, so my neuropathy went off the charts. Like, Tyson E Franklin: I shouldn't, I shouldn't be giggling when you say that. I, but you Dana Cardinas: [00:34:00] can because you, I mean you, oh God. The stories. But I would have my, had I ended up with full facial numbness, my tongue was numb most of the time. My, my chest was numb. Just there wasn't much of me that wasn't numb except my butt. Go figure. So there were so many questions that would come up in this group about how to deal with neuropathy that I noticed I was answering them because it was what we treated. And I knew the answer and I knew what could help. 'cause I was helping myself. That I reached out, eventually reached out to the creators of Colontown because in Colontown there's these little neighborhoods. So if you're stage four, you're in a certain neighborhood, so you can just have those specific conversations. Or if you are a certain genotype, then you have those conversations in that trials group maybe. And so I said, Hey, can I start a group for neuropathy? And they were like, yes, please, because we all have it. [00:35:00] And so I started a group inside Colon Town that is only for neuropathy and I it. Warms my heart because we have, within that group now created some treatment processes for those that are now going through chemo with the certain drug that we have to take where we now ice our hands and our feet so that it's reducing the neuropathy that people are getting now. And we started that as a patient led. Research project basically, and it is now becoming standard of care and it's the most fucking awesome thing I think I've ever done in my life. Tyson E Franklin: I think that is absolutely fantastic and what I like about it is you've used your knowledge in your experience as a Podiatry to actually help this group of people. Dana Cardinas: Yeah. Tyson E Franklin: I didn't see [00:36:00] that Dana Cardinas: coming. Tyson E Franklin: Yeah. Right. Dana Cardinas: Unexpectedly. I didn't see it coming. Tyson E Franklin: Yeah. I always say everything's supposed to happen for a reason. Exactly. And sometimes I do question a lot of things that happen and I like to think there's a reason behind it. Yeah. My dad passed away when he was 49. I was only 17. I kept thinking, where's the reason? And that, yeah, Tyson E Franklin: there's certain things I changed in my life around that time afterwards that I wouldn't, probably wouldn't be doing what I'm doing now or had the career I had if. I hadn't got that kick back then. Yeah. I would've had a different path that I was on. So I think it's the same with you. You've had a few crazy things happen and now you're on this completely different path. So when did you get the the tick, the all clear Dana Cardinas: so I got the all clear? October of 2018. That we call it no evidence of disease. Yeah. Because I'm a stage three CI never get cured. I, I will forever, my whole life be monitored. [00:37:00] But I've been clear ever since. I just saw the, my oncologist, in fact, I retired, my friend she left me to go travel the world and so I'm working, I'm breaking in a new one, and I like her a Tyson E Franklin: lot. So how often needs to get checked? Dana Cardinas: So now I just graduated, so once a year. Woo. It's awesome. Tyson E Franklin: That is good news. Dana Cardinas: I know it is. Tyson E Franklin: So now, now you've got through all that and retired from Podiatry, your Helping ColonTown I, oh, by the way, I love that t-shirt. Was that your design? That t-shirt? Dana Cardinas: The. Tyson E Franklin: The one I read out before that says colorectal cancer awareness, because that shit matters. That shit matters. Yes. Tyson E Franklin: That's a great t-shirt. And then you've got, on the t-shirt, you've got all the names of what people who have had colon cancer, what they would call their poo. Dana Cardinas: Yeah, their poo. And Tyson E Franklin: I like dookie. I haven't heard dookie for a while. [00:38:00] Dana Cardinas: Oh my gosh. The stink pickle. That's my favorite one. Tyson E Franklin: That's my favorite one. I like the Corn Eyed butt snake that this is all by the way. People just let you know this is all on a t-shirt, which I think is very funny. Um, Code brown goat pellets nuggets. Dana Cardinas: I did, I asked all of my friends, okay, what do you call it? And I had my good friend Lauren, who is a graphic artist I said, okay, Lauren, here's all the name here. Here's what we call it. And I used the poop emoji and put it all in there. And he did a phenomenal job. Tyson E Franklin: In the show notes, I'm gonna put a copy of this shirt, the front and back because it is a hilarious shirt. And I think you give everyone a bit of a laugh too. I like the head of, they have put here turd. It's basic. It's basic. It's very basic. And somebody else did put shit. Dana Cardinas: Yes. Tyson E Franklin: Basics. I dunno what a shoey is. That's a little bit weird. In Australia shoe's called a [00:39:00] Completely a shoey is drinking a beer out of a, out of a jogger. That's called a shoey. Oh Dana Cardinas: No. A shoe chewy that, yeah, that's a stinky one. Yeah. Whoof, that's That's a big one. Tyson E Franklin: Yeah. Ah, that's like shoe fly pie. Dana Cardinas: No, Tyson E Franklin: No, that's completely different. That's actually quite nice. Dana Cardinas: Good. That's awesome. Have you had Tyson E Franklin: that? Have you had shoe fly pie? I Dana Cardinas: did when I was in Philly. Yes. Yeah. Tyson E Franklin: Yes. That's pretty good in the I got it. Good. I got it from this town called Intercourse. Dana Cardinas: I, that's where I had it too. That's right next to Birden hand. Tyson E Franklin: Yeah. Where the arm where the Amish. The Amish had the shop there. Yes. And they were selling shoe fly pie where I Dana Cardinas: had it. Yeah. That's awesome. Tyson E Franklin: And people don't think this podcast is education. Dana Cardinas: There's so much education here. Tyson E Franklin: Some people think this show's not educational. Dana Cardinas: Tyson, I could go on and on about poop. Tyson E Franklin: So now you have your own business. You've set up something else called One Stop [00:40:00] Promotional Products. And if people are looking for it, it's one. The number one. One stop promotional products.com. Dana Cardinas: Yes. Tyson E Franklin: People can go check it all out. Actually, Dana Cardinas: either way, you can put one, the number one or spill out one both ways. We'll get you there. Tyson E Franklin: Oh, cool. Okay. I wasn't quite sure. So OneStop promotional products.com. So this is your business that you're doing now. All promotional products? Yeah. You are servicing mostly America. Do you ship it overseas or anything like that? Dana Cardinas: No. Right now we're not doing anything overseas 'cause it's a little too crazy for that right now. Yeah. But we do we are. Mostly 95% B2B. And we love it. We love it. We have two airlines and 175 active companies that we work with monthly. Oh, cool. And adding more, we add more weekly. It's a lot of fun. Tyson E Franklin: Who? Yeah. Well, I'm gonna order something and pick it up when I come over. In December. Dana Cardinas: Oh my God. Oh my God. And I'm gonna put [00:41:00] a big stink pickle on it. I'm gonna say you that right now, Tyson E Franklin: but the get ready. So how did you get into this? What was the OO Obviously like you retired young. Dana Cardinas: Yeah. Tyson E Franklin: And you, did you end up selling the practice? Dana Cardinas: I sold my shares in the practice. So the other docs were still there practicing. Yeah. And so they were not ready to retire yet, obviously. No, they were still doing it. They were, they, we were all pretty much the same age, so they were still doing their thing. So I, I sold my shares and got out. Tyson E Franklin: Okay. And then being young, as you still are. In my eyes Dana Cardinas: absolutely Tyson E Franklin: is this, how, why you, we gotta do something else. And that's how this came about. Dana Cardinas: It was totally by accident, a hundred percent accident. I go going through the cancer thing. I didn't do anything that year. Obviously. Yeah. Dana Cardinas: But in 2019 my wife and I were. Talking about, well, you know, let's, let's do something for fun. I'm getting bored. I need to do something with my hands. I like building things. [00:42:00] And somebody said, Hey, what, why don't you get one of those cricket machines and make signs? And a cricket machine is like a machine that you can send a design to. And it'll cut it out for you and then you can, put the vinyl or whatever Yeah. On side. Okay. That sounds fun. Yeah. Yeah. Yeah. And so, I was just doing it for fun and our local Mexican food restaurant that we go to entirely too much. But I refuse to stop going. They were like family and they said, Hey, you're doing some fun stuff. Do, can you make t-shirts? Because their staff, their shirts were horrible. They were truly horrible. And I, that night, we said, you know what? We don't know how, but we'll figure it out. Yeah. Dana Cardinas: 'Cause they needed shirts, so we went home. We bought a cheap Amazon press. I watched about 10 YouTube videos and was like, screw it. Let's make some shirts. And so we literally did their, that year it was their Cinco de Mayo shirts and they all it said was [00:43:00] Margarita's Mexican restaurant on it. That's it, that's all it said. But we made them and they could not have been happier with them. And. Customer said, Hey, where'd you get your new shirt? And they said, Dana. And Becky. And then next thing you know, they, we got more business and more business. And it got to where we said we might need to figure out how to do this with more professional equipment. Yeah. And Dana Cardinas: so we upgraded to more professional equipment, as you can see behind me. Tyson E Franklin: Yep. You can see it all there. Dana Cardinas: And now we run two heat presses, two professional heat presses on a regular base daily and just added this fabulous two head embroidery machine behind me. So we didn't have to outsource that anymore. And so, we do apparel, no minimums in house, which is awesome. But then if you need things like pens or name badges or you name it, literally anything you can think of, [00:44:00] lip balm. Lip balm. Yes. Lip balm. Lip balm. Dana Cardinas: We work with wholesalers for that and so we can, we have access to over 2 million products, which is fun. Tyson E Franklin: I know when I was on the website having a look around there was, it was so much fun looking at everything. And I was think as a Podiatry business, and I've got some Podiatry. One particular Podiatry friend called Carly who just loves swag. But Tyson E Franklin: anything that's branded and got names on it. Right. Just, Tyson E Franklin: and I must admit, I've got so many t-shirts, I've got like 200 t-shirts that I won't part with half my t-shirts. I've picked up at events, podcasting conferences and I just love, I'm the same thing. I just love that sort of stuff. Dana Cardinas: Right. Well, and the so again. Something I didn't see heading my way was all the things that I learned at top practices in day freeze and reading Jim Palmer, all those things. That is [00:45:00] now what we do. Tyson E Franklin: Yeah. Dana Cardinas: So we are that, that aspect of your business that keeps people top of mind. And that's the fun part because I have a little different spin on how we present products. I'm not gonna present you just a cheap cozy which a lot of companies will do because it's a cheap, cozy. Yeah. I'm gonna, if you are an electrician, I'm gonna present you something that is for your field that a customer is gonna want for the rest of their life they're never gonna get rid of. They're gonna keep it, and they're gonna call you over and over again. And that's why we keep getting business. Tyson E Franklin: Yeah that's a really good point. I've been to places where they'll have promotional products and it is cheap. I mean, You'll, you're trying, it's cheap. You're write with the pen and you've got RSI before you've written about the fourth word. 'cause it's just, there's so much resistance against the paper. Yeah. Or you'll bring something home [00:46:00] and your first time you use it, it just breaks. And to me, that makes a business look bad when they hand out crap swag. Exactly. Whereas if they hand a quality swag that you use again and again, then all of a sudden it, it actually puts that business in a positive light in your mind. Dana Cardinas: Right. And it keeps them top of mind. Yeah. Like, it truly does. Give them that up. Advantage over maybe somebody else. We and a lot of times I talk to customers, potential clients that say, okay, I want five different things. And I'm like, well, what's your budget? And they made me say, 500 bucks, $500. I'm like, all right, let's get one really good quality. Swag item. Yeah. For $500, let's not get a hundred of all these other little things, because all those other little things are gonna go in the trash. But this one really cool thing is gonna sit on somebody's desk and they're gonna look at it every day.[00:47:00] Tyson E Franklin: Yeah. I, well, I got stubby holders done stubby coolers. Your coozies as you call 'em over there 15 years ago before I sold the clinic. And I've still got a number of 'em here at home that I still use, and I've gone to people's places and I've seen them sitting with their stubby holders. Right. With a stubby in it. 15 years, after having them made. And they are still looking solid. They're still, yeah. Right. Dana Cardinas: Yeah. That's Tyson E Franklin: quality. Dana Cardinas: That's what we're all about. And that's one of our taglines is quality products only. That's the focus. Tyson E Franklin: I don't Dana Cardinas: want just walking around with a bunch of cheap shit. Let's go with some something good quality. Tyson E Franklin: Well think everyone listening to this, they that. To me that just applies to everything in life. Even your Podiatry business is provide a quality service. If you are gonna buy machinery, get the best that you can. Just get the best. Exactly. 'cause it will last longer. Give the patients the best. Whether it's covering [00:48:00] material or what you're getting the orthotics made of, just do, I think just always do the best you can. Dana Cardinas: Right, right. And if it costs a little bit more, explain to the patient or the customer who, whoever you're talking to. Tell them, okay, it's, it costs more because there's more going into this one. I've there's more time. The product's better. The craftsmanship is better. There's education behind it. It's not just, oh, I went online and ordered a pin from I don't know where, and I don't know who makes it and whatever. Spend the time and talk to your patients, especially because if there's something that you should be offering, but you're not because you don't think they'll buy it, they're buying it on Amazon, so why can't they buy it from you? But it's a better product if you're getting it from a reputable vendor or you know that, okay, this product is a better product than what they're getting on Amazon. Why can't they spend money with you versus Amazon? [00:49:00] Tyson E Franklin: It's true, and even the pen that I use most. This one is from a Podiatry clinic friend of mine, sole focus in Toowoomba. Nice. Dana Cardinas: Ooh. It is a, it is my God. SAT is my top seller. This is a Tyson E Franklin: beautiful pen to write with. And whenever I run out she usually sends me a few more. Dana Cardinas: I'll get you some. Tyson E Franklin: Just, they just really good pens. It just the feel of it. And because, and she got the whole pen done, like in her corporate colors, what her clinic is all about as well. And yeah. And she said the same thing. Wanted a quality pen, wanted something. When people write with it, they go, I want another one of these pens when they run out. And that's exactly what I do. But I do see it so she doesn't have to send it to me. I'll just pick some up next time I'm down there. So on. On that note, I want to thank you for coming on the podcast, sharing what got you into Podiatry, what got you out of Podiatry, which I think is just as important and what you're doing there. And like I said at the start, I just, I've [00:50:00] always loved your energy. Love chatting with you. You're so much fun to be around. Dana Cardinas: Thank you, Tyson. I, well, same is right back at you. I think as soon as we met. There was no doubt we were going to be destined to be lifelong friends because we laughed too much together. For sure. So, and before we get off, I will just say this if you are 45 or older and you haven't had a colonoscopy, please get one. They're not scary. All you do is poop the night, the day before and everybody poops. So it's, that's not scary. But get it done. And if you are not 45, but you're having symptoms force your doc to get you in to get it done you really just need to get it checked out. So, it'll save your life. Tyson E Franklin: That is fantastic. So I look forward to talking to you again soon. Oh, and I'll see you in December anyway. Dana Cardinas: Yes. Can't wait. Tyson E Franklin: Okay. Talk to you later. Bye. Dana Cardinas: Bye.
Dean's Chat hosts, Drs. Jeffrey Jensen and Johanna Richey, welcome Dr. Katerina Grigoropoulos to the podcast! This is a Part 1 episode, we hardly touched on Podiatry! This episoed is sponsored by Bako Diagnostics! Dr. Grigoropoulos is a board-certified podiatric physician specializing in diabetic limb salvage and wound care at the Weil Foot and Ankle Institute in Illinois. She completed her fellowship in Diabetic Limb Salvage at UT Southwestern Medical Center and her residency at Loyola University Medical Center/Hines VA Hospital. Dr. Grigoropoulos currently serves as a board member and executive secretary for the American Board of Podiatric Medicine, where she also contributes as social media sub-chair and sits on the public outreach and member newsletter committees. She is the founder of Sole Fit, a nonprofit initiative dedicated to providing new shoes to underserved children. Outside of medicine, Dr. Grigoropoulos blends creativity with service as the founder of MediThings, a medical-themed Etsy shop, and is a recent graduate of Chicago's Second City improv comedy program. Enjoy!
Do you have associates working for you? Did you take on associates because thats what everyone else does? Could it be ruining your business? In Ep 174 of the Podiatry Business Podcast Lorcan discusses why in most cases having associates instead of employees is a fatal error and how to know if its ruining your business.
In this episode of the Optimal Body Podcast, Dr. Jen and Dr. Dom welcome Dr. Courtney Conley and Dr. Jen Perez, co-founders of Gait Happens, for an insightful discussion on health optimization through foot health. They explore how foot health impacts overall well-being, exercise performance, and movement longevity, with a special focus on plantar fasciitis and other common issues that impact foot health. The conversation dispels myths about orthotics and highlights the importance of functional foot strength. Listeners receive practical health tips and learn how exercise and a holistic approach can optimize health and prevent pain.Movement Rx Program:Looking to make sure you are moving well at all stages of life?! That is why Doc Jen teamed up with Dr Courtney from Gait Happens and created the Movement Rx program with movement longevity in mind. It is never too late, or too early, to start focusing on this! We will all be starting as a community on August 1st! Also, as our special podcast listeners, you can still get the early-bird pricing using code OPTIMAL at checkout!LMNT Electrolytes: Free Gift with Purchase!Stay hydrated and energized with LMNT electrolytes—sodium, potassium, and magnesium for brain and body. Get a free gift with every purchase and try new flavors! Get your Free Gift now!Gait Happens Resources:Gait Happens WebsiteGait Happens InstagramGait Happens YoutubeGait Happens FacebookWe think you'll love:Get A Free Week on Jen Health!Jen's InstagramDom's InstagramYouTube ChannelFor full show notes and resources, visit: https://jen.health/podcast/419
In this episode of the Med Nation podcast, host Dr. David Faman interviews Dr. Peter Wishnie, a renowned podiatrist known for transforming his practice into a multimillion-dollar business. Dr. Wishnie shares insights into his early career decision to purchase a practice instead of working for someone else, his challenges, and the strategies that led to sustained success. Leadership, systems, and key performance indicators (KPIs) are highlighted as critical elements in building a thriving medical practice. Dr. Wishnie also discusses his transition to coaching and mentoring healthcare professionals after selling his practice.Dr. Peter Wishnie: Website: https://www.peterwishnie.com/Instagram: @coach_peterwishnieCutting Edge Foot and Ankle: Website: https://cefootandankle.com/ Instagram: @cefootandankle
In this episode, I sit down with Dr. Patrick DeHeer, who shares his incredible 33-year journey in podiatry, from treating NBA players with the Indiana Pacers to performing life-changing surgeries in Haiti and the Philippines. We talk about innovation in podiatry, global medical missions, and why teaching the next generation keeps him inspired. We also explore leadership, international outreach, his invention of the Aquinas Brace, and why he's more excited than ever to lead the profession forward. If you're a podiatrist or healthcare professional looking for a dose of purpose, passion, and perspective, this one's a must-listen. “My goal is to leave the profession better than I found it.” If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing. If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I offer three coaching options: Monthly Scheduled Calls. Hourly Ad Hoc Sessions. On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Have you grabbed a copy of one of my books yet? 2014 – It's No Secret There's Money in Podiatry 2017 – It's No Secret There's Money in Small Business (Un-Edited Podcast Transcript) Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. With me today is Dr. Patrick Deheer, DPM from Indianapolis, Indiana. Now, if you recognise the name, 'cause it wasn't that many episodes ago, episode 373 when Patrick was on here with Ben Pearl, and Patrick Agnew. We were talking about Podiatry, student recruitment, research, and unity. So if you missed that episode. You need to go back and listen to it. But I picked up pretty early, , when I was talking to Patrick that he's had a pretty amazing Podiatrist career, which is why I wanted to get him back on the podcast. And when I looked through his bio and I saw how much you have actually done, I started to question how many podiatry lifetimes have you actually had? It's I'm looking through your BIO and I've gone. Where, how, where did you find the time to do all this? It's amazing. Patrick Deheer: Thank you. I get asked that question a lot, but I think it's just, I really love what I do and I have a hard time saying no. Tyson E Franklin: It has [00:01:00] to be because I picked that up when we were, did the other episode and you said that towards the end you said, I just love being a Podiatrist. Mm-hmm. And it was actually refreshing to hear someone say that, especially. How many years have you been a Podiatrist for now? Patrick Deheer: So I graduated from Podiatrist school at the Shoal College in 1990. I did a one year residency back then I'm from Indiana. I wanted to come back. All the residencies in Indiana were just one year. And then I did a fellowship with, which there weren't even fellowships after at that point, but I did a fellowship for a year after that. So I had two years of training and so I've been in practice for 33 years in total. Tyson E Franklin: Okay. I've gotta ask a question. Why Podiatrist? How did you get into Podiatrist in the first place? Patrick Deheer: Yeah, that's interesting. I went to Indiana University and I went to school as a pre-dental major and I was gonna be a dentist. And somewhere in my second year, I visited my dentist and I realised that was not a good choice [00:02:00] and, there were several things that didn't resonate with me, and at that point I wasn't sure what I wanted to do. So I was considering marine biology and some other things, and my counselor at IU actually recommended Podiatrist and I didn't know anything about it. And I was, had a, I was talking on the phone with my dad who played golf with a Podiatrist, and he said, well, I know Dr. Ralph Gibney, and he would, I'm sure you could visit him. I did and he loved his job. His patients loved him. He did surgery, had a normal lifestyle. I saw patients leave his office happy, like immediately feeling better. Yeah. He was very successful, just kind and generous and I was like, I can do, I could do that. That looks like a great career and I think. Being really involved with student recruitment, the secret sauce for sure is when a prospective student visits a Podiatrist, just like my experience was so many years ago. They see people who are happy, who love what they do, whose patients appreciate them, who they can help immediately. Feel better. And then, you have the [00:03:00] whole gamut of things you can do within Podiatrist, from diabetic limb salvage to sports medicine to pediatrics to total ankle replacements. So it really gives you a wide range of subspecialties within the profession. So you said you Tyson E Franklin: went Patrick Deheer: to Indiana University, is that right? Yes. Okay. Did you play basketball there as well? I didn't, my dad did. My dad was a very well known basketball player. I love basketball and I'm six foot five, but he was six foot 10 and oh geez, I'm not, I'm not as athletic as he was, but I love basketball. Basketball's been a big part of my life. And that's one of the reasons I was really excited to work with Indiana Pacers, which I was there team podiatrist for 30 years. Tyson E Franklin: I saw that. So you finished in 1990 and from 92 to 2022. You were the Podiatrist for the Indiana Pacers. Yes. How did you score that gig? Patrick Deheer: Well, there's a couple things that happened that led to that. One my mentor was Rick Lde, who was a really big name in [00:04:00] Podiatrist at that point in time nationally and internationally for that fact. He brought arthroscopy into Podiatrist. He was doing it unofficially. And then my dad, like I mentioned, was a big time basketball player. He was actually drafted by the Indiana Pacers in the late 1960s. Oh. And so they knew the name and they worked with Rick Lde and they wanted somebody in more of an official capacity than he had been doing it. And I was in the right place at the right time and I got along really well with the trainer, David Craig. And it just was a great relationship for 30 years. And I take it, you still go to the games? Occasionally. So, they made a change on the orthopedic whole team back in 2022 and they're like, well, we're gonna change everything. And I was like, okay, that's fine. I've done it for 30 years. That was enough. And they had a really nice on the court celebration for me where they recognised me before a game and gave me, I have a couple different jerseys that they've given me, but they gave me one with the number 30 on it to celebrate my 30 years. Oh, that's cool. It was really cool and [00:05:00] it was really fun working with professional athletes. There's a whole sort of nuance to that that I, a lot of people unfortunately don't get experience, but it is it can be challenging. It can be very hectic at times. There's, there can be a lot of pressure involved with it also but it's also incredibly rewarding. Tyson E Franklin: So as, as the Podiatrist for like. Uh, a basketball team at that level. What was it? Was it a a, a daily contact you had with them or was it something once a week you caught up with the players or they only came into your clinic when there was an issue? Patrick Deheer: More the latter, I would say, but I usually would see them at the beginning of the season, help with our orthotic prescriptions and evaluate them, and then as needed. Oftentimes the trainer would call me and ask me to either come to a game or practice and then occasionally they'd have the players would need something more urgent and they would come to my office. But it varied from year to year quite a bit on how much I did on just based on how much they needed me. Tyson E Franklin: Did you go along to the games when you [00:06:00] were the team Podiatrist at the time? Patrick Deheer: Yeah. Not all of them, but definitely some of them. And, they would, the Pacers are such a great organization. They actually had. Every medical specialty as part of their healthcare team and including like, pediatrics for the players kids. And so at the beginning of every year, they would have a a sort of a team doctor reception dinner, and then we would, they'd have a lottery for tickets for us for the games. They would have usually the general managers there and the coach and a player too. And we gotta interact with them and talk with 'em and hang out with 'em. It was just always really fun and the Pacers are just a first class organization and they were great to work with. Tyson E Franklin: What made you decide it was time to. Hang up the boots and not do that. Honestly, Patrick Deheer: it wasn't my decision. It was theirs. They were changing the whole orthopedic team, and yeah, and that's, that happens in sports and especially high levels like that. And initially I was a little bit caught off guard. I can't lie about that, but once I came to terms like, I've done this for a long time Tyson E Franklin: it's okay. [00:07:00] Yeah, I know because we have the Cairns Taipans where I live in the National Basketball League, and it was interesting when they first kicked off 20 something years ago, I was the Podiatrist for the team. Did that first two years. Then all of a sudden there was a change of coach. And they dropped us and just went with another. Podiatrist and we went, well, what the, and we're talking to the team doctor go, what happened there? He goes, oh, I had no control over it. This person knew this person and they've made that decision. I went, oh, okay. Anyway, it only lasted about five months, I think, with the other person. The next minute the coach was ringing up saying, please, we need you to come back. And I'm like, ah, I don't wanna do it now. And they're going, please. So we did, and we did it for the next 15 years. It was a long period of time, but we had a really good arrangement with them. Same thing, doing screens at the beginning of the year and we end up having a, like a corporate box at the game. So we were at every home game and we did a bit of a deal with them to actually get that, [00:08:00] which would be a lot cheaper in the NBL than in the NBAI bet. Yeah. Their budget would be a lot, a lot smaller too in the NBL over here than the NBA. It's crazy sports money over there. Yes it is. Had you worked with other sporting teams as well, or basketball was Patrick Deheer: the main sport you were involved in? Basketball? I worked with the women's. We have A-A-W-N-B-A team also, so I worked with them for a few years, not nearly as long as the Pacers but I worked with them. And then we have a college in Indianapolis called Butler University. I worked with 'em for a few years, but it was again, the basketball team. But I will say. Because of working with professional athletes, I do tend to get athletes from all different types of sports coming to my private office but now official capacity with another team. Tyson E Franklin: So with your career after you graduated and then you did your residency, which was one year back when you did it and you decided you were gonna stay in Indiana, what was the next stage of your career? Patrick Deheer: I've had a [00:09:00] interesting employment history. I worked, went to work for a large group where Rick Lundine, who was my mentor, was one of the owners, and then he left the group after about three years and then went to work for a hospital. So then I followed him and went to work for a hospital for a few years, and then we formed a multi-specialty group. Then I worked in that for a few years and I was like, I think I can do better on my own. So then I was out in practice private practice by myself for several years. And then about four and a half years ago or so the private equity involvement in medicine in the United States has really taken off. And it started in other specialties in medicine, but it hit, it was ha happening in Podiatrist then and still is for that matter. And I was approached by three or four different private equity firms that wanted to buy my practice and have me be involved with their company. And I enjoy, I sold my practice to Upper Line Health back then, and I've been part of that group since. Tyson E Franklin: With um, that transition into private practice, did you, did your practice cover all aspects of [00:10:00] Podiatrist or did you specialize in particular area? Patrick Deheer: I've done everything and I really enjoy all components of Podiatrist. My the things that I'm probably most known for. I'm a big reconstructive surgeon, so I do a lot of reconstructive surgery and I do a lot of pediatrics. Those are probably the two biggest things that I'm most, known for I'm also a residency director in at Ascension St. Vincent's, Indianapolis. And, but I've worked with residents my whole career. I've been a residency director for about six or seven years now. And but I've enjoyed teaching residents for, 33 years basically. And also you go to Haiti and do reconstructive surgery there. So, international medicine has been a big part of my career. I've been on 30 trips total around the world. I've been to several countries. The first one was in 2002. I went to Honduras. One of my former residents that I became really close to he was practicing in Little Rock, Arkansas in a large group there, asked him to go with them and he asked me if I [00:11:00] would join him. And so we went to Trujillo and which is on the eastern coast of Honduras. And, that was in 2002. It was a really kind of small hospital. There was about a hundred people on the, in the group that went there. Not all medical, but most medical we would actually take over the whole hospital. And it was something that just like, I just knew that was like me, like that was so, I just loved it so much and I had such an amazing experience that. I went back there twice and the third time I went, I actually brought with my daughter is my oldest child. She was in high school at the time and watching her go through that experience was probably one of my most favorite international trips. She worked in the eye clinic and just seeing her, see her experience and doing international medicine was really rewarding. Then I wanted to start to go to some other places, and then I stumbled on Haiti. And I really got involved with Haiti. I've been there by far the most, and started working in Haiti, [00:12:00] primarily doing Clubfoot. And in Haiti. I met Kay Wilkins, who was a pediatric orthopedic surgeon from Texas, San Antonio. We started working together on the Haitian Clubfoot project. I also, through my experience in Haiti, my first trip with one particular young man who I did surgery on. Who had a really difficult postoperative course. He was about a 12, 13, or 12-year-old boy who I did clubfoot surgery on. And after that first trip when I came back home, about a week later, I called down to the orthopedic surgeon who was covering our cases and taking care of the patients postoperatively. And we did several cases. I had my good friend Mike Baker, who's a Podiatrist residency director in Indianapolis also. And then we had an anesthesiologist from the. Hospital and Steve Offit, who's a Podiatrist who was a resident at the time, we went down together. So I called and asked how everybody was doing. We did maybe 30 surgeries or something, and they said Everybody's fine except for the kid. He had a really bad wound, dehiscence and infection we're gonna have to amputate his leg. And I said, well, [00:13:00] how long can you wait? And yeah, they said Could maybe wait a week or so. This young man, his name is Wilkin. He lived in the middle of Haiti and he had no paperwork, nothing. I was fortunate. I was in a fraternity at Indiana University and two of my fraternity brothers, their dad was our state senator, one of our state senators, and working through his office. In the Haitian embassy in the US we were able to get him a passport and visa. Within a week. There happened to be a group called the Timmy Foundation from Indianapolis and Porter Prince. They brought him up to Indianapolis. I got the hospital where I worked at that time to admit him. And I got a whole team of doctors involved, pediatricians, infectious disease, plastic surgeons, and we got his wound stabilized. Then one night we were going to do this big massive surgery on him and I fixed his other foot and then the plastic surgeons came in and they did a rectus abdominis flap from his stomach and connected it to fill in. He had a big [00:14:00] wound on his medial sort of heel area, and then they did a split thickness skin graft over that. We had to wait until all the regular surgeries were done 'cause everybody was doing it for and then he stayed in the hospital for about a month after that. And then there were some other people from a church who went with us too here. And one of them brought him into his home with his family and they took care of him for about three months while he rehab. And he was on the news, the story was on the news and in the newspaper. And then he some he became a little celebrity and, then some local people helped put him through a private school in Port-au-Prince, and he ended up healing both feet really well and moving on and living his life. And it was a long journey, but through that I really thought there has to be a better way of dealing with Clubfoot. So I started going to the University of Iowa and met Dr. Ponseti and I went out there several times and I got to know Dr. Ponseti pretty well. And I just loved working with him and learning from him. And he was the kind most kind, gentle man I've ever met [00:15:00] in my life. He was in his like 92, 93, somewhere early nineties. Oh, right. At that time, seeing patients and. A quick story. One of the most surreal nights of my life, the last time I was there, he invited me to his house for dinner, and his wife was equally famous in her profession. She, they were from Spain and she was a Spanish literature teacher, a professor. And so I go to their house and I'm having beer and pizza with these two 90 year olds who are incredibly famous respective professions. And it was just, I was just like, I cannot believe this. And then he asked me if I wanted to go up to his office and look at his original Deco Dega paintings. I'm like. Yes, let's go do that. That's, I mean, I still kind of get goosebumps thinking about that because , he is the biggest name in pediatric orthopedics, and being able to learn from him and spend as much time as I did with him was really influential in my career. And to still be performing at that age is incredible. That is incredible. Yeah. [00:16:00] His hands were arthritic at that point, but they were almost in the shape of the way he would mold the cast, the clubfoot cast on children. Yeah. 'cause he had done, the thing I loved about him is, he started. His technique in the fifties and everybody thought he was crazy and nobody understood it, and he just kept putting out research and research. In the sixties it was kites method. In the seventies it was posterior release in the eighties. Everybody's like, we don't know what to do now because none of this stuff works. Maybe we should look at that guy in Iowa. And they started looking at it as research. He just kept putting out research and they're like, this may be the answer. And now it's the standard of care according to the World Health Organization. And his story is just really amazing. I have other colleagues here in the US who spent time with him, like Mitzi Williams and learned from him. He didn't care about the initials after your name, if he wanted to help children and put in the effort to learn his technique and he wanted to teach you. And, he was such a kind gentleman. Like I mentioned before, I've never seen a [00:17:00] 90-year-old man get kissed by so many women in my life. People would just be so, I mean, these moms would be just overwhelmed with their appreciation for him and what he did for so many kids. So Tyson E Franklin: the young boy you were talking about before, who went through all that surgery and eventually you saved his limbs, did you ever catch up with him Patrick Deheer: later years? Yeah. I did. I went back several times and to the school he was at, and then the earthquake happened in 20 10 I think it was. I was, uh, I was signed up for this international mission board and I got called about a week after the earthquake in Porter Prince. And they said, you have to be at the airport and you have to bring your own food, your own water and clothes, and we don't know how long you're gonna be here. And so I had my family meet me at the airport and brought as much to as I could, and I flew from Indianapolis to Fort Lauderdale. And then I was in a small airport in Fort Lauderdale and I got on a private plane with two NBA basketball players in a famous football player [00:18:00] who were going down for the earthquake literally a week after. Desmond Howard Alonzo Morning in Samuel Dallen Bear. And so we went, we were on the same flight together and got into Porter Prince and the, there is like a filled hospital at the UN and a big tent. And I get there and they ask me what I do and I say, I'm a Podiatrist, foot and ankle surgeon. And they're like, what else can you do? And I'm like. I go, I can do wound care. And they're like, okay, you're in charge of wound care for the whole hospital. And so, and they're like, and these guys are gonna help you. And they had these Portuguese EMS guys who were there, there were people from all over the world there helping, and everybody was staying in the airport property, which was adjacent to where the UN was. And, they didn't speak any English. I didn't speak Portuguese. And but we would every day go around and premedicate all the patients in the hospital because they had really the, painful wounds, severe crush injuries, massive wounds all over. And then we'd go back through and I would do [00:19:00] wound debridement and do their dressing changes. And these guys helped me. We developed our own sort of way to communicate with each other. And I ended up being there for about eight days and sleeping on a cot with, no bathrooms available that, we just had to makeshift and eventually they got things set up for all the volunteers. And then I went home and through that I met, and one of my other heroes in medicine was John McDonald and he was. Down really the day after the earthquake from Florida. He was a retired cardiothoracic surgeon who got into wound care and he set up the wound care clinic that I took over. And then after I got back, John asked me if I would work in the wound care clinic that he was starting in Porter Prince and if I'd be in charge of the diabetic limb salvage part. And I said that, I said I would. So then I started working with him in Porter Prince at this Bernard Mes Hospital wound care center. So. Tyson E Franklin: Doing this overseas aid work, you must get a lot of enjoyment outta doing it. Patrick Deheer: I love it. I love it. It's not easy. My last trip last late fall was to the Philippines [00:20:00] and I had some travel issues. My total travel time to get to Manila was about 32 hours or so. And but you know, it made it worth it. The it was such a great experience Tyson E Franklin: do you normally go with a team of podiatrists when you. Go and visit Haiti. Do you have a group of podiatrists you go down with? Patrick Deheer: It varies from trip to trip. The more recent trips I've been on to Kenya and to the Philippines, I've gone with steps to walk, which Mark Myerson, who's a orthopedic foot and ankle surgeon, I've gotten to know real well from lecturing together and teaching together. And he started this nonprofit. And I think there, there aren't many podiatrists that are involved with it. There are a few. But he and I have really bonded and gotten to know each other and he asked me if I'd participate in, I really love how they set up their program 'cause it's very much educational based. And one of the things I learned from Kay Wilkins who I went to Haiti with is it's more about. Teaching and sharing your knowledge and experience instead of just what I call parachute medicine, where you go [00:21:00] in and you do 20 or 30 surgeries. It's really about teaching the teachers, especially if you can teach the teachers. Then it's gonna have a mushrooming effect. So you're gonna help, thousands of people instead of 10 or 20 people. Tyson E Franklin: So you are teaching other surgeons down there how to perform these procedures the right way, or? Patrick Deheer: Yes. Well, just, it's not so much that it's my experience in a lot of developing countries is. So for like, reconstructive type stuff, it's gonna be orthopedic surgeons. If it's more wound stuff, it'll be general surgeons. But it's, they just don't get the specialized training that we have. And so that's one of the things that we can bring is we have this knowledge base that they just haven't been exposed to. There are great, like orthopedic surgeons and do a lot of trauma for example, but they maybe don't do a lot of reconstructive flatfoot surgery or Yeah. Or any, yeah. Sarco or something like that where we can give them the, our share, our experience and knowledge and with steps to walk. I really love it [00:22:00] because there's usually five or so faculty and it's mostly foot and ankle orthopedic surgeons, and then myself and from all over the world. And the first day is. And it's all the orthopedic surgeons and residents from pretty much the whole country come in for this program. And so the first day there's a conference where we as faculty present the next day, they line up these patients for us to evaluate. So we evaluate them. They're actually interviewing us. Why we're evaluating, we're telling them what we think and what we would recommend, and then. The so that's on Tuesday. Then Wednesday and Thursday there are surgeries. And then Friday it's either like a cadaver lab or review the surgeries and it's just really great there for the surgeries, there's two faculty nurse, there's a lead surgeon and an assistant surgeon, and then usually two of the orthopedic residents are also on the case too. So there's usually four people on the case. It's really interesting since I have a strong background in pediatrics this year when we were in Manila, there were a lot of pediatric cases. More than half the cases were pediatrics. And the foot and [00:23:00] ankle orthopedic surgeons really don't do a lot of pediatric stuff. They're usually adults. They, usually it's the pediatric orthopedic surgeons who are doing the kids. And so they made meet the lead surgeon on all those cases which was really interesting. Tyson E Franklin: So are they different groups and organizations reaching out to you or are you searching for areas that you feel may need help? When Patrick Deheer: I first started, I was more me searching and trying to find opportunities. Now that I, my name is known people will approach me. For example, I've been working with a colleague in Barbados. She's a she graduated from Podiatrist school in England, and there are seven podiatrists in Barbados who are all non-surgical. And the country actually has a really high amputation rate. And one of the things that they determined, despite everything else that they're doing to try to help reduce that amputation rate, they just needed surgical Podiatrist to be part of it. And we talked at one of the APMA national meetings a couple years ago, and she asked me if I would come down to Barbados. And so I took two of my residents down a CO about. That was [00:24:00] about a year and a half ago and met with her and went to the hospital and I, I was like, yeah, we could definitely help here. There this things like, if a patient has a bunion, a diabetic patient has a bunion that nobody is fixing that, that then leads to an ulcer because it's such a bad bunion that could have been prevented. And. The problem, and this is pretty common in a lot of countries, is they really don't recognise surgical Podiatrist from a credentialing standpoint. And much so in countries like that, were under the English system, they have to change the law. So the government has to change the laws and a force in of nature. Simone McConney is her name, and she's been working with the government to try to give me an exemption so I can start coming down and demonstrating that we can influence the amputation rate and hopefully reduce that significantly. On that Tyson E Franklin: first trip that you just did, was that more of a reconnaissance trip? It was more to go down there and evaluate the area and what is [00:25:00] actually needed. You couldn't actually go down there and perform surgery. Patrick Deheer: Correct. We did see some, we did see patients at a diabetic center and did some minor things like some and things like that. But yeah, it was more, it's more about, and one of the things I've learned is and people ask me about international medicine all the time. It's not going down and saying, here's what I can do. It's about going somewhere and saying, how can I help? What do you need? And then if you can help fulfill the need. Then great. And really, and especially if that can be centered around teaching the local doctors and working with them. And again, it's not that I know anything that I'm a better surgeon than anybody there. It's just I have this really super sub-specialized training that they haven't been exposed to. And then I can share that with them. Tyson E Franklin: Yeah. I've had a few Podiatrist on the podcast who have done some overseas work and there was one Australian Podiatrist and he's been traveling through South America for the last couple of years. Not doing surgery, but just making up inserts or whatever he can get his hands on. And just [00:26:00] doing general routine foot care on people. Mm-hmm. And educating 'em about footwear and protecting their feet. And he's been doing it for a couple of years now and absolutely loves it. Patrick Deheer: I I mean, I've made some maybe not the best decisions. Like I went to Iraq twice in the middle of the Gulf War, for example. Not this. Up in the world. But and Haiti, I've been in Haiti at times when Haiti was in total civil unrest. But I love it so much that the risk is worth it for me to be able to make a difference in people's lives, but also to share the knowledge and experience that I have accumulated over my 35 years and to pay it forward. Tyson E Franklin: So over this period of time you've done a lot of work overseas and, but you've been on a number of different boards and associations. How important is it is it for you to actually be involved in the profession in that way? Patrick Deheer: Well, when I [00:27:00] finished my residency I was at our state meeting and I was complaining about the quality of the meeting and they were like, okay, that's fine. You can be on the CE committee now, the continuing education committee. I'm like, okay, I'll do that. But don't ask me to get involved in politics 'cause I'm never gonna be doing that. I'm gonna be more in the educational stuff. Look at me now. I'm President elective, at APMA and I've had several board positions and i've been on a million committees. And I will o once I got on the board for our state association and went through all those stages or positions on the state board I really started to enjoy the leadership part of that. I liked trying to help direct where the profession is going and in. My whole thing is to leave it better than I found it. My father-in-law was also a Podiatrist and he passed away about a year and a half ago and is mid eighties. He worked in my office until he is like 82 or 83 and I loved Podiatrist, but he really loved Podiatrist and people like [00:28:00] him. My mentor, Rick Lde. I can, Teddy Clark, who was the a president of APMA from Indiana. He was the first African American president of APMA Earl Kaplan, Dalton Glary, who just recently passed away. All those people paved the way for us who are practicing now, and it's our responsibility to pay for pave the way for those people following us and to continue to advance the profession. And I can really do that at a high level. Being involved in a national organization like APMA. Tyson E Franklin: With the national board in the United States, do you connect with associations in other countries a lot or you don't have much to do with them? Patrick Deheer: N not a lot, somewhat, but I do think there's opportunity. It's been interesting to lecture internationally, like at the International Federation for Podiatrist meetings the global health or the global Podiatrist meetings. Yeah, I'm gonna be the speaker next year for it. And, seeing Podiatrist [00:29:00] grow all throughout the world in the different stages that it's in, in different countries is really encouraging. But I think that we need to first work on the lexicon so everybody's usually in the same. Terminology and then start to, to set some like qualifications to what those things mean. I really think they're, the two terms that need to be used, especially on the international platform, are podiatrists and podiatric surgeons, because yeah they're totally different. And you know what the qualifications are for those, I have my own opinions about, but I think the standards need to be set. And then all the countries who want to see Podiatrist flourish within their country need to figure out a way to meet those standards that have been set. Uh, Feel free to share your opinion, tell us what, what, how you think it should be. Yeah, I mean, I think that to be a Podiatrist, it should be a graduate degree, not my, not an undergraduate degree. And then I think to be a pediatric surgeon, you should have a postgraduate medical educational experience, like a residency program. [00:30:00] And I think those are the two qualifiers. I think board certification should be part of that too to be a pediatric surgeon. But the word, podology is used a lot. Chiropodist has still used some in some places. Yeah. And some of 'em are just like almost a technical degree versus a graduate degree. So I think if everybody could start to agree on some standards and some terminology, then everybody can work towards a common goal and help each other. Tyson E Franklin: , Some part of that I agree. And other parts I can see how other people be going. It's gonna be so confusing to try and get it standardised everywhere. Yeah. It's even the UK system they've started introducing. And if there's anyone from the UK listening this, and if I'm wrong please let me know. But they've introduced like apprenticeships where you don't have to be at the university for the whole four years. You can be doing a lot of your education in the clinic itself, and you go to university at different times and they're calling it like an apprenticeship program. Which [00:31:00] is a completely different pathway again. Patrick Deheer: Right. And in, I think in Canada it's more like an undergraduate degree too. I don't know the speci remember the specifics, but I've lectured in Canada and I've talked to a lot of Canadian podiatrists over the years. But again, not a lot of Canadian podiatrists are doing surgery. Kind of varies from province to Tyson E Franklin: province. Well, in Australia we pretty much finish high school and it's an undergraduate degree. We just go straight in, do Podiatrist. Four years later you come out and you start working. Patrick Deheer: Yeah and may maybe that some sort of hybrid model of that would be great. I just think that. It's an evolving profession and it's such an impactful profession on the healthcare system for all these countries that can improve patients' quality of life, keep people walking, keep people active and healthy dealing with problems like. Diabetes and obesity that are gonna lead to foot problems and reducing the complications associated with those [00:32:00] systemic diseases can really impact the overall healthcare system for countries. So I think it's so important for Podiatrist to be part of that equation, but we, we need to establish what the standards are to really have an impact in those healthcare systems. Tyson E Franklin: Yeah, and even if everybody got together, had a big meeting and you're all agreed, it would still be. Generations for, yeah, for it to roll out completely, because you'd have people that are just graduating now, so they've got a 30, 40 year career ahead of them. Patrick Deheer: For sure. And I think the US has set the standard and I think that, people, something along that line with Australia and England and what you've done and Spain now too, looking at all those models and trying to find something that is everybody can say, okay, this is what it means to be a Podiatrist and this is mean, what it means to be a pediatric surgeon. And then. Work with the support the country's podiatric associations to try to work with their [00:33:00] government to, to make that happen. Tyson E Franklin: This is what I found interesting doing the podcast and what I've enjoyed a lot is where I've had Podiatrist from India, from the UEA, from Mauritius, uk, Canada, South Africa, so many different parts of the world. When you talk to 'em and you go through the processes, everyone goes through. There's a lot of similarities between a lot of countries and then, America is on its own in the way that they actually do things. Patrick Deheer: For sure. I mentioned I graduated from Podiatrist school in 1990. To see the evolution of Podiatrist in the United States, even during my career is really amazing. I'm really proud of where we've. Gotten to, we still have things ways to go to really get to where the profession should be, but I'm really proud of the progress our profession has made during my career. Tyson E Franklin: What would you say has been the biggest change you've seen over your 30 years? Patrick Deheer: I really think [00:34:00] that the diabetic limb salvage has integrated Podiatrist into hospital healthcare systems. And then that has expanded, into things like trauma and into reconstructive surgery. Even more so, I think like in the 1970s here in Indiana, there was only one hospital in the whole state that would let podiatrists operate in the hospital. And that was here in Indianapolis. And now to think that, we can admit our own patients and do total ankle replacements or take trauma call or I'm doing pediatric surgery it's just an amazing how far it's come and, to see that progress. I think a lot of it was led by the diabetic limb salvage component of the profession and integrating that, and that helped to integrate Podiatrist into just the healthcare system and it became a key player and amputation prevention. Tyson E Franklin: So it wasn't one significant moment in time where things changed. It was progression over that period of time. [00:35:00] Patrick Deheer: I think guys like Larry Harless David Armstrong, Larry Lavery Robert Feinberg, Lee Rogers. Those people have really help from a diabetic limb salvage part, integrate the whole profession, I think. Tyson E Franklin: I wanna move ahead a little bit. You invented a thing called the Aquinas Brace. Patrick Deheer: Yeah. So I was running to try to lose weight and I got poster tibial tendonitis and I didn't wanna stop running. And I was wearing orthotics. I was taking some steroid pills but it still was really hurting. And so I realised I had Aquinas like everybody. I needed to stretch, so I was wearing a night splint at night to try to stretch out my calf, and I woke up at two in the morning because they're uncomfortable to sleep in. I looked down, I'm sleeping on my side with my knee bent, and I'm like, this is a complete waste of time. Has to go above your knee, or this is doing nothing. And so that was the genesis of it. I realised the brace needed to go above the knee, and then I also realised the foot position mattered too, that you need to have the foot [00:36:00] supinated so that you can lock them in tarsal joint. And then all the force is gonna be in the hind foot. But also when you supinate the foot, you externally rotate the tibia, which locks the knee. You can't lock your knee into full extension unless your tibia externally rotates via the screw home mechanism. So, that's where the idea came from. I had a friend who was a sales rep. I told him about it and he goes, I know the guy that can help us make this come to reality. So the three of us formed a company called IQ Medical Ricky Heath and John Moore. And I. And then we got brought the brace to market. It was really a learning experience for all three of us. It, like anything took much longer than we thought and cost a lot more money than we thought it would, but it's pretty amazing to see something that you dreamed up in your head, come to life into a real thing. Did you use it on yourself and did you get back running? So this was, it took us about five years from, it really took about five years to get it actually in production. I kept [00:37:00] running though. So Tyson E Franklin: did you end up, being one of your own patients testing this out on yourself. Patrick Deheer: Oh, yeah, I was testing all the sort of different versions of it coming up on myself for sure. I have a size 14 shoe, so it's really pushing the limits on the size of the brace, but I was able to try 'em out as we were going through different ideations of it. Tyson E Franklin: And this is what I was talking about when I did the introduction with you. Where you've had a very successful Podiatrist career. You've been on so many boards and associations and held so many different positions. You're gonna be the next president of the APMA. You've done all this volunteer work overseas, you've invented the Aquinas Brace . with all that going on, what's next? You must have other things in the pipeline you're going, I'm gonna do. I've got more to do. Yeah. Patrick Deheer: I, my favorite thing that I do in Podiatrist is being a residency director. I love it. Okay. I have we have [00:38:00] 12 residents at our program, so we have four per year, or it's a three year residency, and I've become really close to the residents. We have a great program and I just love teaching. I, I love watching the residents develop. We just had a new group start a week ago. So watching 'em develop from July 1st when they start over three years to the June 30th of their third year when they graduate, and I've seen them out. We always have our graduation party in kind of mid-June and it's a kind of a running joke at our residency program that. I cannot get through my speech at their graduation party without getting very emotional because they become like my kids. And yeah I'm so close to them and I'm so proud of them, and I can see what they have to offer to not only their patients but the professional also going forward. And just, it really, it's really something that I love doing and I feel honored to be able to teach them. Tyson E Franklin: So when somebody does Podiatrist in United States, they go to Podiatrist [00:39:00] school, they finish? They get their degree. They've done an undergraduate degree beforehand, haven't they? Then they, yeah. Go to Podiatrist school. If somebody doesn't do residency, they can't work as a Podiatrist. Patrick Deheer: Right. They can't get licensed in the Tyson E Franklin: states Patrick Deheer: any longer Tyson E Franklin: without doing a residency. Yeah. So they do the Podiatrist school. Are there enough positions around the country residencies for everybody who graduates? Patrick Deheer: Yes. There are actually more residency spots now than students. Okay. That's good. Because I'd Tyson E Franklin: heard years ago that sometimes it was a struggle. People would finish and then it was difficult to try and find a residency. I mean, when I was going through it, that was the case. Yeah. And I take it all residencies are not equal. Some are better Patrick Deheer: reputation. Tyson E Franklin: Well, Patrick Deheer: they're all standardised. They're all three year residencies and they're all hold all accountable to the same standards by our governing organization, the Council in Podiatric Medical Education. With that being said, yes, there are some residency [00:40:00] programs that are the leading residency programs for sure. So you Tyson E Franklin: have 12 residencies spots in your program. So there'd be a lot of podiatrists if they really wanted to work with you. Do they contact you while they're in Podiatrist school and start reaching out that way? How do you actually select. He does nce. Yeah. So in, Patrick Deheer: in the US the, and the students during their fourth year rotate through different hospitals. Some, most of the time they're for one month rotations, some are for three month rotations. And it's a little bit of a getting to know each other. It's also part of their educational experience. So they're getting that practical experience and getting out of just the book experience from learning. So we have probably, around 50 to 60 students through the year coming through our residency program as externs. Somewhere between four and or so a month. And then the interviews for residency are always in January, mid-January. And then you rank the students how you like them and they rank the residency programs, how they like them. [00:41:00] And then there's a match that comes out in mid-May and then you find out who you match with. Tyson E Franklin: Okay, so it's not your decision on who actually gets the position. So it doesn't come down to anyone's personal preference that it's an external body that puts them all together. Patrick Deheer: Well, it's not so much an external body it's just you rank your top students and the students rank their top programs. If you pick student, a number one and student a picture, residency, number one, then you're gonna match and they're gonna be one of your residents. Tyson E Franklin: I get It's good to get some insight on how that process actually works, and it's also good knowing there's more residency spots than there are students Patrick Deheer: graduating. Yeah. And while they're here for a month, we get to know them, they get to know us. And then the interviews are part of the mix too. But really, while they're rotating is probably the most important part of it. Because I've had students who were number one in their class who wanted to do our residency, but. It wasn't necessarily a good fit from a culture [00:42:00] standpoint. We are very protective of our culture and sometimes maybe the, top students aren't the be the best fit. I've also had students who were number one in their class who are a great fit, who have been residents at our program too. But we are very protective over the culture. So we wanna look at the the perspective resident global, from a global standpoint and looking at them in the entirety of how they fit in the program. Tyson E Franklin: I think there's a fantastic point that anyone listening to this, even when you were just employing a team member, is you've gotta make sure they fit the culture of your business. Doesn't matter how qualified they are, doesn't matter how many other boxes they tick if they don't fit. It's always gonna be difficult, long term to make it work. Patrick Deheer: Absolutely. I talk to other residency directors and they talk about their challenges with certain, with residents. I never really have any issues with our residents. I think. Part of that is the culture we've established. And part of it is I have two chief residents that are in their third year. The third year residents, two of 'em are [00:43:00] chiefs. I rely really heavily on them. We work very closely. And then I have a program coordinator her name's Carrie and the four of us run the program together. And we all work together. And but everybody is part of it though. We're all, all, so. It would be 12 plus the program coordinator plus me, and we have a clinic, a Podiatrist who runs a clinic. So the 15 of us are all working together, plus we have about 50 podiatrists who are attending surgeons, who our residents work with. So we have a really. Big group of people that we work with, but our residents I, nothing really ever escalates to my level where I've gotta intervene. They just, they all work hard. They all come as willing, eager learners, and I always ask the new residents the same thing to leave the residency program better than they found it. Tyson E Franklin: Have you had anyone that's done the residency that it, they've got halfway through it and just went, this is not working out. We made a mistake. You're not the right fit. Patrick Deheer: Nope. [00:44:00] I, it's interesting I'm known for not being a big fan of fellowships. I think fellowships in the United States have needs to be reigned in. That's another year after training, after residency program are doing, and I think unfortunately, a lot of 'em have become, almost like a fourth year of residency. And fellowships really should be for really specific specialized training. Like if you wanna do diabetic limb salvage or you want to do pediatrics or whatever. But I tell our residents, if you think you need a fellowship because you didn't get adequate surgical training while you were at our residency program, that is my fault. I failed you. And so, in the case that you brought up, that would've been my responsibility. Not the problem of the resident. Tyson E Franklin: So before we wrap up, is there anything else you would like to talk about ? Patrick Deheer: Well, I think one of the other things you asked me about, what excites me now is I started, I invented a surgical a kit for Aquinas surgery for the bowel and gut. And I started a company with three of my sons. [00:45:00] So that's been really fun working with my sons. One of my sons also has a brace company where he sells AFOs and sells the Aquinas brace that I invented. But starting this company with my sons and working with family has been really fun. It some of my most cherished memories were working with my father-in-law when he was still alive and practicing. Even if he was just doing routine care, just hanging out in the office with him and talking shop over dinner and was fun. But I just, i'm really excited about the profession. It's been really great to me and that's why I feel a responsibility to pay it forward and to try to see that it's in a better place than when I entered it. And so that's why I put so much effort into it. I've been in charge of the student recruitment, which we talked about last time, which is another big, yeah. I'm working on right now and I'm really excited about that. And we're looking at expanding that into a branding campaign for the entire profession and getting all the key stakeholders in Podiatrist in the United States involved in that. And it's interesting 'cause osteopathic [00:46:00] medicine to that about. 15 years ago, and it had a really significant impact on osteopathic medicine. I think we can have the same impact on Podiatrist with a national branding campaign where we just elevate the awareness of Podiatrist so people understand what we do and understand that as a potential career for people who are in high school or undergraduate trying to figure out what they want to get into. And it's interesting, we work at a big, our residency's at a big teaching hospital and still their residents in general surgery or neurosurgery who don't really understand what we as podiatrists do, and our residents are interacting with them and say, yeah, oh yeah, we can work on that. And trying to save that limb from being amputated. And they're like, wow, you guys really do that? Tyson E Franklin: And that doesn't surprise me. 'cause nearly anyone I ever talk to when I tell 'em I was a podiatrist and you just explain. What you do, and they go, well, I didn't know you did that. That sounds really interesting. Patrick Deheer: Sure. And I do all parts of Podiatrist and I like all of it. I'm [00:47:00] not above trimming a 90-year-old lady's toenails. I mean, if I can trim a 90-year-old lady's toenails in a corn on her little toe and she walks outta my office and feels immediately better that's an honor for me to be able to help somebody like that. And I take that very seriously. Tyson E Franklin: Okay. Well, on that note, Patrick, I wanna thank you for coming back on the Podiatry Legends Podcast. Sharing part, Oh geez. You sharing part of your story. It's gonna be a smidgen of what you've done. You have done so much. This has been it's been a pleasure having you on here, so thank you very much. Patrick Deheer: It's been awesome having a conversation with You're such a great interviewer. Thank you for having me on. Well, thank you. I'm gonna take that, I'm gonna take, that's a big compliment. Thank you very much. You're really good.
Has your Podiatry Clinics revenue hit a plateau despite working longer and squeezing in more patients. Ep 173 of the Podiatry Business Podcast explains why and how in install systems and resources in a way that scales the business and removes the bottlenecks in the clinic
Dr. Douglas Tumen of Hudson Valley Foot Associates joins us to take your foot health questions. Ray Graf hosts.
IS THE LET THEM THEORY RIGHT FOR YOU? In this episode of the Podiatry Legends Podcast, I host an open debate about The LET THEM Theory by Mel Robbins. I'm joined by Carly O'Donoghue, who loves the book, and Elan Silver, who has a few issues with it. Together, we unpack the real-world relevance of this viral mindset theory for podiatrists and business owners alike. ORDER The LET THEM Theory. What is the LET THEM Theory? At its core, Robbins encourages us to stop trying to control other people's reactions. Whether it's a patient, staff member, or family member—"let them" react how they want. It's not your job to manage their emotions. Instead, you focus on your own intentions, values, and next actions. The Clinical & Business Application Carly shared how the book can help you have difficult conversations with confidence, whether with a colleague or a parent at school. Elan, however, raised a valid concern: the theory might be misapplied by those lacking emotional intelligence or maturity. For example, avoiding hard conversations altogether under the guise of “letting them” could actually harm relationships or performance. Leadership Through Boundaries As business owners, we often avoid giving feedback to staff or raising issues with patients because we fear conflict. The LET THEM Theory reminds us that their reaction isn't ours to manage; we just need to communicate with kindness and clarity. Letting go of that fear can significantly reduce stress and increase productivity. The Other Side of the Coin: Let Me We also explored the often-overlooked "Let Me" side of the theory. Let them behave how they want, but let me decide how I respond. Let me reset expectations. Let me move on. Let me lead. This is where the real power lies. It's not about passivity; it's about reclaiming your focus. Should You Read the Book? Carly says yes, especially if you're constantly people-pleasing or feeling emotionally drained. Elan recommends it too, but with caution. Not every reader will interpret it in a healthy way. As for me, I deliberately did not read the book before this episode, so that I could stay neutral, but now I'm convinced it's worth opening up, even just one page at a time. Listen now, and let us know if you are on Team Carly, Team Elan, or somewhere in between. If you have any questions for Carly or Elan, please email me at tyson@podiatrylegends.com. ORDER The LET THEM Theory HERE Don't forget to look at my UPCOMING EVENTS. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I now offer three coaching options. Monthly Scheduled Calls, Hourly Ad Hoc Sessions, and On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Visit my YouTube Channel - https://www.youtube.com/@TysonFranklin Order My Books It's No Secret There's Money in Podiatry It's No Secret There's Money in Small Business
Choices and consequences for college student health is a real thing! Dr. Glen Robison is a Diplomate of the American Board of Multiple Specialties in Podiatry, Board Certified in Primary Care in Podiatric Medicine. Dr. Robison is a Jin Shin Jyutsu practitioner and certified Myopractor, trained in releasing deep restrictions of motion in the body that resides at the root of our symptoms and ailments. Having applied the principles found in his book called “Healthy Dad Sick Dad” for over fifteen years, he has expanded his practice to include dietary approaches that address everything from fungal infections to diabetes. In episode 588 of the Fraternity Foodie Podcast, we find out how Dr. Robison kept going towards college even though he only scored a combined 7 points on the ACT exam, how he was able to improve his test-taking skills and study habits, what are some practical tips for college students to adapt and build strong relationships with their professors, what are the top 3 study strategies to improve your academics, what drew him to medicine as a career, what are the differences in health outcomes from the two dads in his book called "Healthy Dad, Sick Dad", and what are the choices in diet, exercise, and stress management in college that can impact our health decades later. Enjoy!
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In this personal episode, I share how I went from taking just 4 hours off when my first child was born to being fully present for all the moments that matter. You'll learn the 4 pillars of work-life integration that let you grow a thriving practice without sacrificing family time, plus real stories from a Podiatry client who took a full month off for his new baby while having a record revenue month. Stop choosing between business success and being the parent/partner you want to be.
In this episode of the Practice Acceleration Podcast, Jess O'Neill shares how she and her business partner Sarah added $500K in revenue in just 12 months by reducing consulting hours, improving team performance, and following a clear 90-day plan. She reveals how stepping into a true CEO role helped them work smarter, boost retention, and rediscover the joy in running their practice. In this episode you'll learn: Why more leads aren't the answer—better retention is. Stepping back from patients helps you step up as a leader. Structure creates freedom. You don't need to hustle harder—just focus smarter. If you want to scale your practice, reclaim your time, and lead with confidence without working harder, then this episode is for you. P.S. If you want to learn more on how to scale your healthcare practice, chat with one of our expert coaches at https://practiceacceleration.com/application and see how we can help you! Thanks so much for joining us this week. We hope you love it! Have some feedback you'd like to share? Leave us a review on iTunes! If you enjoyed this episode, please subscribe and leave an honest review for The Practice Acceleration Podcast on iTunes. Ratings and reviews are super helpful and greatly appreciated as it helps us expose this show to a wider audience- plus, we read each one of them! If you're looking for ways to grow your healthcare practice even faster, join our free Facebook group Scale Your Practice.
Regardless of the country you live in we all face the same inssues. What does the future of podiatry look like? In this episode, I speak with three influential podiatrists from the US, Dr Ben Pearl, Dr Patrick Deheer and Dr Patrick Agnew, about the profession's past, its current challenges, and how we can inspire more students to choose podiatry as a career. We delve into marketing strategies tailored towards potential students, the importance of ongoing research, and how to silence internal negativity and foster a more unified profession. 7 Key Takeaways Podiatry is facing a global student recruitment challenge driven by poor public awareness, not a lack of value. A $1.5 million marketing campaign, Podiatry Moves the World, aims to change the narrative. Key target groups for recruitment in the US include MCAT takers, pre-health majors, and college athletes. The opportunity to become a surgeon before the age of 30 was a major motivator for students. Internal bickering and public negativity are harming the profession's appeal. Lifelong learning and mentorship are essential for long-term satisfaction in the profession. Research is vital for innovation, and solo practitioners should find collaborative partners. If you have any questions about this podcast episode or are looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I now offer three coaching options. Monthly Scheduled Calls, Hourly Ad Hoc Sessions, and On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Visit my YouTube Channel - https://www.youtube.com/@TysonFranklin Order My Books It's No Secret There's Money in Podiatry It's No Secret There's Money in Small Business
Bongani Bingwa speaks to Nedbank Business Ignite finalist Garyn Cohen who is a Podiatrist about his business and their proactive approach to foot care.See omnystudio.com/listener for privacy information.
In this episode of the Podiatry Legends Podcast, I sit down with Dr Emily Splichal to explore the neurosensory foot and how it's revolutionising podiatric care. Emily shares her incredible transition from traditional surgery to functional, sensory-based podiatry, revealing powerful insights about the role of nerve stimulation, fascia, and patient empowerment. Whether you're a seasoned podiatrist or just curious about the future of foot health, this is one conversation you don't want to miss. "You don't need to be barefoot all the time. You just need to wake up your feet every day." Emily's new book Sensory Sapiens dives deeper into these cutting-edge topics. Emily's website - https://www.dremilysplichal.com/ Who is Dr Emily Splichal? Dr Emily Splichal, Functional Podiatrist and Human Movement Specialist, is the Founder of EBFA Global, Creator of the Barefoot Training Specialist® Certification, Author of Barefoot Strong and CEO/Founder of Naboso Technology. With over 20 years in the fitness industry, Dr Splichal has dedicated her medical career towards studying postural alignment and human movement as it relates to barefoot science, foot-to-core integration and sensory integration. If you have any questions about this podcast episode or are looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I now offer three coaching options. Monthly Scheduled Calls, Hourly Ad Hoc Sessions, and On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Visit my YouTube Channel - https://www.youtube.com/@TysonFranklin Order My Books It's No Secret There's Money in Podiatry It's No Secret There's Money in Small Business
Throwing money at Google Ads with nothing to show for it? You're bleeding cash on clicks that never convert to patients. Today we're exposing the costly mistakes podiatry clinic owners make with their Google campaigns and sharing the proven framework that turns your ad spend into a patient-generating machine.
In this episode of the Podiatry Legends Podcast, I chat with Abid Ali, a musculoskeletal podiatrist from Coventry, UK, about his journey from the safety and predictability of the NHS to the unpredictability of private practice. Abid is the owner of the Biomechanix Clinic and also runs online courses for podiatrists. Takeaway Points: Embrace biomechanics for better patient outcomes and a holistic approach. Mentorship is crucial for professional growth and avoiding common pitfalls. A successful practice depends on combining clinical skills with sound business knowledge. Innovation and keeping up with new treatment methods are essential in today's podiatry world. Be open to learning from other disciplines (physiotherapists, chiropractors) to expand your treatment options. (There's an easter egg at the end of this episode, so make sure you listen to the end) Don't forget to look at my UPCOMING EVENTS. If you have any questions about this podcast episode or are looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I now offer three coaching options. Monthly Scheduled Calls, Hourly Ad Hoc Sessions, and On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Visit my YouTube Channel - https://www.youtube.com/@TysonFranklin Order My Books It's No Secret There's Money in Podiatry It's No Secret There's Money in Small Business
Stuck at the same revenue level month after month? You're not alone. Most podiatry clinic owners hit a plateau because they're working harder, not smarter. Today we'll uncover the hidden barriers keeping your practice trapped and reveal the systematic approach successful clinic owners use to break through to financial freedom.
In this episode of the Podiatry Legends Podcast, Tyson Franklin dives deep into the crucial topic of managing stress as a podiatry business owner. As many podiatrists juggle patient care with the demands of running a practice, stress and burnout can quickly take a toll on both health and business performance. Tyson shares his personal experience and offers practical strategies to avoid burnout, including time management tips, the importance of work-life balance, and how to build a strong, supportive team. Whether you're struggling to manage your workload or simply looking for ways to stay energised and focused, this episode is packed with actionable insights to help you thrive. Tune in for valuable advice on how to protect your well-being and keep your passion for podiatry alive! If you enjoyed this solo episode, please consider writing a review. If you need some assistance growing your podiatry business and reducing stress, please reach out to me and let's talk. You can visit my website, www.tysonfranklin.com or you can email me at tf@tysonfranklin.com Also, don't forget to check out and support the Podiatry Legends Podcast Sponsors at www.podiatrylegends.com
In this week's episode of the Podiatry Legends Podcast, Tyson Franklin sits down with Simon Bartold to explore the unique features of VIMAZI Footwear. Do we need another running shoe brand? Yes, we do! Learn about how VIMAZI's scientific approach to footwear design is revolutionising how we think about running shoes and helping athletes of all levels prevent injuries. VIMAZI Footwear is designed based on the physics of running, making it different from traditional shoe brands. To learn more about Vimazi footwear, visit https://vimazi.au/ (There's an easter egg at the end of this episode, so make sure you listen to the end) Don't forget to look at my UPCOMING EVENTS. If you have any questions about this podcast episode or are looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I now offer three coaching options. Monthly Scheduled Calls, Hourly Ad Hoc Sessions, and On-Site TEAM Training Days around communication, leadership and marketing. But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club Visit my YouTube Channel - https://www.youtube.com/@TysonFranklin Order My Books It's No Secret There's Money in Podiatry It's No Secret There's Money in Small Business
In this week's Podiatry Legends Podcast, I had the pleasure of sitting down with James Ferrie, a sports and musculoskeletal podiatrist from My Sports Podiatry in Docklands, Victoria, to discuss point-of-care ultrasound and its benefits for our patients. Whether you're just starting out in practice or looking to enhance your existing clinic, this episode will give you the tools and knowledge to incorporate ultrasound into your diagnostic toolkit. Nine Key Takeaways from the Episode: Point-of-care ultrasound enhances diagnostic accuracy by providing real-time imaging of soft tissues and bones. Ultrasound helps podiatrists make clinical decisions immediately during patient appointments. It's a powerful tool for ruling out common diagnoses, such as plantar fasciitis, and identifying rare conditions like stress fractures or DVT. Ultrasound improves patient outcomes by helping podiatrists tailor treatments to individual needs. The learning curve for ultrasound can be steep, but with practice and proper training, it becomes an invaluable skill. Podiatrists can use ultrasound for more than just musculoskeletal injuries, including nerve assessment and injection guidance. The handheld ultrasound devices are a good starting point, but may not be sufficient for complex procedures or advanced diagnostics. The ability to visualise structures during patient care makes ultrasound an extension of the clinical exam. Proper training and practice are essential for interpreting ultrasound images accurately and avoiding common errors. If you want to know where and when James Ferrie's workshops are being held, I suggest contacting him on LinkedIn. My Upcoming Events - https://www.podiatrylegends.com/upcoming-events/ If you have any questions about this episode or want to contact me, please email me at tyson@podiatrylegends.com. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Yes, I Do Business Coaching I offer three coaching options: Hourly Sessions, Monthly Ongoing Sessions, and On-Site Training Days. But let's have a chat first to see what best suits you. ONLINE CALENDAR Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
This episode of the Podiatry Legends Podcast discusses the often-overlooked benefits of buying an established podiatry business. Tyson Franklin and Jonathan Small explore why acquiring a practice could be a game-changing move for aspiring podiatrists. If you're interested in growing your career without the typical start-up headaches, this episode offers practical advice on how to make a successful transition into practice ownership. Ten Key Takeaways from the Episode Buying an established practice gives you immediate cash flow. Systems for patient management, billing, and operations are already in place. You inherit an existing patient base, saving time and effort on marketing. With a profitable business, you have a better chance of securing a loan. Buying an existing practice reduces the risk of starting a business from scratch. Established businesses have learned from past mistakes, which helps mitigate risk. You gain the opportunity to enhance and improve systems that are already working. Business owners often lack business training, and buying a practice gives you more support. Acquiring a practice helps avoid the common challenges of building from the ground up. You can focus on growth and profitability rather than foundational challenges. If you want to contact Jonathan Small, his email is footmanj@aol.com Upcoming Events - https://www.podiatrylegends.com/upcoming-events/ If you have any questions about this episode or want to contact me, please email me at tyson@podiatrylegends.com. Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Yes, I Do Business Coaching I offer three coaching options: Hourly Sessions, Monthly Ongoing Sessions, and On-Site Training Days. But let's have a chat first to see what best suits you. ONLINE CALENDAR Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
Ever calculated how many potential patients slip through your fingers when calls go unanswered? Here's a shocking stat: missing just two calls a day costs your podiatry clinic over 146K profits annually. In today's episode, I'm pulling back the curtain on how AI reception technology is revolutionising podiatry practices, ensuring you never miss another opportunity
Have you ever wondered if semi-custom orthotics could improve your practice? In this week's episode of the Podiatry Legends Podcast, I chat with MSK Podiatrist Steve Jackson from Western Australia about the benefits of shifting from custom to semi-custom foot orthotics. Steve shares how this shift has revolutionised his practice and patient care, leading to quicker treatment times, better results, and an overall more efficient workflow. Don't miss out on these game-changing insights and learn why semi-custom orthotics could be your secret weapon. If you have any questions about this episode or want to contact me, please email me at tyson@podiatrylegends.com. Consider coming along to my Next Event Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Yes, I Do Business Coaching I offer three coaching options: Hourly Sessions, Monthly Ongoing Sessions, and On-Site Training Days. But let's have a chat first to see what best suits you. ONLINE CALENDAR Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
Cash flow tight & think you cant afford to market your Podiatry Clinic. In episode 163 of the Podiatry Business Podcast Lorcan shares how to get start at zero or minimal cost and scale your marketing efforts from there. Dont wait for things to be perfect to improve your business... start today.
In this episode of the Podiatry Legends Podcast, Tyson Franklin sits down with Lucinda Mercer, owner of Poized Podiatry in the UK. Lucinda shares her inspiring journey from the NHS to launching her own practice and how she found success in musculoskeletal podiatry. Learn how Lucinda navigated the challenges of starting a business, including financial hurdles and the importance of systems and self-care. If you're thinking about opening your own podiatry practice, this conversation is for you! If you have any questions about this episode or want to contact me, please email me at tyson@podiatrylegends.com. Consider coming along to my Next Event Do You Want A Little Business Guidance? A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call. They were so happy that they surprised me with a beautiful bottle of bourbon; this is not something you have to do, but I will also never say no. Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Business Coaching I do offer three coaching options: Hourly Sessions, Monthly Ongoing Sessions, and on-site visits and training days. But let's have a chat first to see what best suits you. ONLINE CALENDAR Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
In this episode of Coaching In Session, host Michael Rearden sits down with Dr. Roberto De Los Santos, a leading foot and ankle specialist, to discuss the critical role of foot health in overall wellness. Dr. De Los Santos shares insights on preventative care, the impact of diabetes on mobility, and the importance of early diagnosis in avoiding serious health complications. He also covers injury recovery, maintaining mobility as we age, and how education plays a key role in health awareness.Beyond medicine, Dr. De Los Santos opens up about his inspiring journey from being the first in his family to complete college and medical school to becoming a top specialist in his field. With a passion for movement, motivation, and making a difference, he is dedicated to empowering others to take charge of their health and well-being.Tune in to learn how small changes in foot care can lead to significant improvements in mobility, longevity, and overall quality of life!Key Takeaways:✅ Preventative foot care is essential for long-term health. ✅ Diabetes can drastically affect mobility and quality of life. ✅ Early diagnosis leads to better treatment outcomes. ✅ A sprain can sometimes be more painful than a fracture. ✅ Strong legs are crucial for maintaining mobility as we age. ✅ Health education should start young to prevent future complications. ✅ Regular check-ups help catch issues before they become serious. ✅ Lifestyle choices have a lasting impact on foot and overall health. ✅ Injury recovery varies—seeking a specialist ensures proper treatment. ✅ Bilingual medical professionals help bridge healthcare gaps.Guest Links:
Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Guest: Stanitia Davis, DPMTopic: Feet & podiatry. Email the show any time women@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
In a recent conversation a podiatrist told me that discounting will devalue their Podiatry Clinic. In episode 162 of The Podiatry Business Podcast I argue why if done properly this is not the case and in fact can help you fill those white spaces in your teams diary.
In today's episode, we dive into the benefits of staying fit and healthy as a podiatrist with special guest Zain Hussain. Zain, the owner of Heaton Podiatry in the UK, talks about how his passion for fitness has shaped his career and enhanced his ability to care for his patients. Tune in to hear his insights on balancing health, fitness, and podiatry to achieve success both professionally and personally. Here are five reasons to listen to this episode: Inspiring Health and Fitness Journey – Zain Hussain shares his personal story of how fitness has shaped his podiatry career, offering valuable insights on the importance of staying healthy to perform at your best both professionally and personally. Practical Advice for Podiatrists – Learn how prioritising health and fitness can enhance your energy, resilience, and focus, allowing you to better serve your patients and manage the physical demands of the podiatry profession. Relatable Experiences with Injury and Recovery – Zain's background in sports and rehabilitation makes him relatable to athletes and active individuals, offering firsthand knowledge on how to recover from injuries and maintain long-term physical health. Boost Your Career and Patient Relationships – Discover how staying fit can help you connect better with patients, create trust, and provide more effective treatment by leading through example. Actionable Health Tips for Busy Podiatrists – Whether you're looking for simple exercises to add to your routine or ways to incorporate fitness into your busy schedule, Zain offers practical, easy-to-follow advice that can transform your health and professional life. You can follow Zain and Heaton Podiatry on Instagram @heatonpodiatry If you have any questions about this episode or want to contact me, please email me at tyson@podiatrylegends.com. Consider coming along to my Next Event FREE Business Guidance Do you have a business question? A podiatrist I spoke with in 2024 made an extra $40,000 by following my simple advice from a 30-minute FREE Zoom call. Think about it – you have everything to gain and nothing to lose. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
Dean's Chat hosts, Drs. Jensen and Richey, welcome Dr. Narenda Patel to the podcast! Narendra Patel, DPM is a highly skilled podiatric foot and ankle surgeon based in the Northwest Suburbs of Chicago, Illinois. He is a partner surgeon at Barrington Orthopedic Specialists. He is known for his expertise in diagnosing and treating a wide range of foot and ankle conditions, including sports injuries, fractures, peripheral nerve injuries, ankle replacement, and Charcot and Trauma expert. Dr. Patel earned his Doctor of Podiatric Medicine degree from the New York College of Podiatric Medicine in New York City and completed a comprehensive three-year post-doctoral surgery residency. He has been in practice since 1997. Dr. Patel is Faculty Attending Surgeon for the Ascension St. Joseph's Surgical Residency Program and Fellowship Trainer for the Complex Deformity Correction & Microsurgical Limb Reconstruction at Ascension St. Joseph. Dr. Patel has built a reputation for providing compassionate and personalized care to his patients. He is committed to staying up to date with the latest advances in foot and ankle surgery and uses state-of-the-art techniques and equipment to ensure the best possible outcomes for his patients. Dr. Narendra R. Patel, DPM is a skilled and compassionate podiatric foot and ankle surgeon who is dedicated to providing the highest level of care to his patients. With his expertise and commitment to excellence, he has become one of the most trusted foot and ankle surgeons in the Northwest Suburbs of Chicago, Illinois. When he's not seeing patients, Dr. Patel enjoys photography, traveling abroad, and electronic dance music. Dr. Patel enjoys going on humanitarian mission trips. https://bakodx.com/ https://bmef.org/ www.explorepodmed.org https://podiatrist2be.com/
Send us a textDr. Jeffrey Hammond, a Podiatrist who specializes in helping long distance athletes, joins the show and dives into the intricacies of foot health, particularly for runners. Jacob, Melody and Jeff discussed common foot issues, the importance of choosing the right shoes, and the ongoing debate between barefoot and cushioned running. Dr. Hammond shares his journey into podiatry and offers valuable insights on injury prevention and effective exercises for runners.Other topics discussed in this conversation was the complexities of running injuries, particularly focusing on when to seek medical advice, the importance of proper footwear, and effective self-care strategies for runners. They discuss common issues such as plantar fasciitis, blisters, and calluses, providing insights on prevention, treatment, and the significance of stretching. Dr. Hammond emphasizes the need for runners to be proactive about their foot health and to seek professional help when necessary, while also encouraging the use of reliable online resources for information.If you have any questions for Jeff, you can find him at the following links.Hammond Foot and Ankle - (801) 377-2274InstagramFacebookIf you would like to support the show with purchasing something from our online store, you can do that HERE!Thank you listening and remember if you want to run 100 miles, MAKE IT HAPPEN!Support the show
I never thought HR could be remotely interesting, BUT I can honestly say I was wrong. In today's episode, I'm joined by HR expert Phoebe Kitto, owner of HR Dynamics, to talk about the often misunderstood world of Human Resources. Most people think HR is boring-as-bat-shit, but after you listen to this episode, you will see how HR can be very exciting, and it can also cover your arse in so many areas of small business. Phoebe explains that HR is not just about rules and compliance, but about creating a thriving, high-performing team. We discuss key strategies for managing staff effectively, the importance of clear contracts, and how to foster a positive workplace culture. Key Takeaways from this Episode: HR is about managing your most valuable asset – your team. A strong HR foundation includes clear contracts and staff handbooks. Managing staff performance effectively requires regular feedback and KPIs. The probationary period is crucial for assessing the right fit for your team. Micromanage during the probation period to ensure expectations are met. Once probation ends, shift from directing to inspiring your team. Clear communication and understanding are key to avoiding conflicts. Set realistic KPIs and use them to measure and improve staff performance. Don't avoid tough conversations – frame them in a way that invites collaboration. HR is not just about compliance; it's a tool for improving your practice and team dynamics. If you have any questions about HR, you can contact Phoebe directly by email at phoebe@hrdynamics.com.au or if you'd like to contact me, please email me at tyson@podiatrylegends.com. Consider coming along to my Next Event FREE Business Guidance Do you have a business question? A podiatrist I spoke with in 2024 made an extra $40,000 by following my simple advice from a 30-minute FREE Zoom call. They were so happy they bought me a $400 bottle of bourbon. You don't have to do that, but if you do, I won't say no!!! Think about it – you have everything to gain and nothing to lose. Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. MY SCHEDULE Subscribe to my YouTube Channel – Tyson E Franklin FACEBOOK GROUP - Podiatry Business Owners Club MY BOOK is available on AMAZON - It's No Secret, There's Money in Podiatry
Limb salvage can prevent amputation in patients with complex lower extremity conditions, including diabetes and peripheral arterial disease. Kyle Mauk, DPM, discusses how UAB's limb salvage program integrates podiatry with vascular surgery to improve coordination of care. He also explains podiatry's evolving role in surgical treatment.