Podiatrists

Flat arches, again, is a little controversial, so to speak.

Podiatrists might have a different opinion on this.

I've found that people with congenital flat arches, so arches that have been flat their whole life, really don't have too much of an issue.

But especially older runners who have fallen arches, so arches that were fine and then over time have become flat, they have more issues.

Hello and welcome to episode 205 of the Podiatry Business Podcast with myself, Lorcan O'Donnell-Latt.

So today's podcast title is Chat GPT Ads for Podiatrists, a guide.

So if you've noticed that you're starting to get patients that are turning up that are more informed, maybe they're a little more confused because it may be too much information but they're more informed and it's because what they're doing is they're searching for a solution that you're offering in an entirely different way Because of AI.

Now what I'm going to do in this podcast is I'm going to explain to you what ChatGPT ads, paid ads in ChatGPT are.

Psy- psychotherapist, he has an episode.

Podiatrist, pediatrician.

This one is so, uh, I don't even know how to say this, medical esthesian? I've never even heard of it, and I work with so many doctors.

I don't even know what a medical esthesian is.

So just so everyone knows, there's obviously no podiatry schools in Puerto Rico.

Anybody who practices and is a DPM in Puerto Rico did their schooling and training in the U.S. How, if that's the case, how did you even find out about podiatry to know there was even a thing down there in Puerto Rico?

Very, very interesting.

I went to college at Duquesne University.

We had foot doctors.

Podiatrists? Podiatrists, yeah.

We had some – there were actually a lot of – there were a lot of specialties that came in there.

So you got to see different aspects.

Like hand, wrist, and-

Pa- pa- podiatrist?

Podiatrist is feet.

Oh.

[laughs] Uh, ophthalmologist? [laughs]

Today, I am continuing on with a topic I spoke two weeks ago.

It was episode 433, Why Podiatrists Play It Safe.

That was part one.

It was sort of the subtitle was The Fear of Trying Something New.

This episode, sticking on the same title, Why Podiatrists Play It Safe, but this is actually part two.

And the subtitle is The Hidden Cost of Staying Comfortable.

I'm going to share 13 more reasons on why podiatrists play it safe.

did, I did.

So my name is Dr. Iggy DPM is what people probably know me as online, but I'm from Dallas, Texas.

I went to the Texas A&M University.

and then uh did my medical school at barry university school of podiatric medicine and then um did my residency out in aca west houston so and now i'm doing a fellowship out in dallas with um dr calvin rushing

So it's dr.iggy.dpm. You may see me, you may see my brother, but you'll get one of us.

All right.

Dr. Iggy DPM.

Check him out on Instagram.

It hurts a lot, right? But so when your podiatrist is looking at your skin, we're not just checking to see if it looks nice, right? We're checking for dryness, fissures, callus, blisters, pressure points, erythema, wounds, and any other signs that the foot is at risk, okay? So in podiatry, we're pretty much detectives.

We're doing a lot of detective work.

Podiatrist isn't simply asking, "Does this patient have a ulcer?" Podiatrist is asking, "Why did this ulcer happen? Is there neuropathy? Is there a loss of protective sensation? Is there a deformity? Is there repetitive pressure? Is there a callus? Are they in the appropriate footwear? Do they have peripheral arterial disease? Is there infection? Is there chara- charcot neuropathy? Is there a history of previous ulceration?" That is something that you always have to ask patients.

"Is there a previous amputation? And what can we change today to prevent this from becoming the next problem?" Now, that's where offloading becomes such a big key, okay? If a patient cannot feel excessive pressure, mechanical management becomes extremely important.

Where is the pressure? Is it underneath the first metatarsal, underneath the fifth metatarsal, underneath the heel, underneath the hallux, the prominent deformity? Is there a particular shoe we can put them in? Is there a particular activity that the patient does? So offloading attempts to reduce repetitive mechanical stress plays a huge role in limb preservation, okay? Now, when it comes to calluses, re- I did a whole episode on calluses, okay? Calluses is not just a cosmetic problem.

That's a clinical observation.

Podiatrists look at callus patterns the same way.

It's not complicated.

You