Memes of Podiatry

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How @NatCh markets himself.
 
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But these lasers make a ton of money though, I know someone who charges $1k per toenail....PER TOENAIL. Dude is swimming in money and apparently "it works". I haven't tried it yet but I have had lot of patients inquire and willing to pay but I don't do them.
 
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But these lasers make a ton of money though, I know someone who charges $1k per toenail....PER TOENAIL. Dude is swimming in money and apparently "it works". I haven't tried it yet but I have had lot of patients inquire and willing to pay but I don't do them.

I could list all the easy reasons why this isn't true - because they don't work, because most patients aren't actually willing to pay, because if there was an effective laser everyone would have it including much wealthier medical specialities who would outcompete you ie. the dermatologists would simply have their NPs and PAs doing it.

The real reason though is because if you had a laser that worked - you wouldn't charge $1000 for it. You could, but if it was so "easy" you would rapidly become flexible on the pricing because if it was profitable at $1000 - I got news for you - its profitable at $500 a toe also with a much larger number of people willing to pay. $500 a toe would still be the easiest money in the world.

You know who claims he cures toenail fungus super effectively? The PM News California hackjob.. Funny story - he was just selling a bunch of lasers on PM News.
 
But these lasers make a ton of money though, I know someone who charges $1k per toenail....PER TOENAIL. Dude is swimming in money and apparently "it works". I haven't tried it yet but I have had lot of patients inquire and willing to pay but I don't do them.
FOMO like this is how you end up selling a bricked SWIFT on PM News for 60% off list.
 
But these lasers make a ton of money though, I know someone who charges $1k per toenail....PER TOENAIL. Dude is swimming in money and apparently "it works". I haven't tried it yet but I have had lot of patients inquire and willing to pay but I don't do them.
Wtf I can’t even convince my patients to do it for a hundred, and that’s all the toes!
 
I took a deep dive into laser treatments last year. Basically, podiatry is really badly situated for "laser surgery." Let's assume the demand is there...

-You're still only licensed to treat foot/leg problems like fungus and telangiectasias. You'll never cash in on the really lucrative treatments like wrinkle reduction, hair removal, or removal of pigmented lesions.
-These treatments are time consuming. It's a 15-30 min visit, and that's $100-300 of opportunity cost unless you're not busy. If you are busy, you could in theory train your assistants to do the laser treatments, which warrants a conversation about liability, certifications, how much of a premium do you pay your staff to do this, how do you handle the patient volume when--not if--they call out sick
-Unlike a swift, lasers cost a LOT. Like a mortgage payment.
-If you want to re-brand your entire practice as a med spa this can still all pay off. But now you're introducing marketing expenses on top of your labor and equipment expenses.
-Do a quick google search, there are probably a couple of NPs in your area already doing this. You want to jump from the saturated market for podiatry services into the saturated market of cosmetic dermatology?
 
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There’s a nursing shortage.

There’s not a podiatrist shortage.
That's an interesting comparison. The job market dynamics for nursing is very different.

DPMs--high cost of entry, skills not transferrable, so not much attrition. A lot of pods get in to deep and are trapped. Or maybe they love their jobs. Or maybe it's both and we get Stockholm Syndrome. But poor ROI limits entrants, hence the projected podiatry "shortage."

RNs--comparably low cost of entry, skills are transferrable but you're easily replaceable. Therefore hospitals/admins use and abuse them. High burnout. Attrition is real. You might get your $230k in San Francisco but the hospital is taking their pound of flesh out of you in return. You can unionize to push back but that's all the leverage you have. [Bedside] nursing shortage driven by high exit rate from the profession.