Perfect Practice Web - John Hayes Jr MD

09/10/2026

Have you read the bestseller that started it all? It even has an intro chapter for your Physician Grab a copy of the latest edition in print or Kindle! Learn much more on the page linked in comments below.

09/10/2026

Epidemiology Linking Prediabetes, MetS and CSPN

"Prediabetes represents the earliest stage of glucose dysregulation, and precedes the development of overt type 2 diabetes. Prediabetes can be divided into impaired fasting glucose (IFG) or impaired glucose tolerance (IGT). The American Diabetes Association defines prediabetes as a hemoglobin A1c of 5.7–6.4%.

MetS is the aggregation of dyslipidemia, particularly elevated serum triglycerides and reduced high‐density lipoprotein cholesterol, central obesity, insulin resistance (diabetes or prediabetes), and hypertension (Table 2). There are several sets of criteria for MetS, which generally require three of these five criteria be present. MetS is a major worldwide problem, with 22% of the adult USA population fulfilling formal MetS criteria. The prevalence increases with age; over 43% of Americans over the age of 60 years have MetS"...

Read the full Pub-Med reference. Link in comments for you

09/10/2026

You do not need to change everything overnight. One better choice today can lead to a stronger tomorrow.

09/10/2026

𝗬𝗼𝘂 𝗖𝗮𝗻 𝗟𝗲𝗮𝗱 𝗪𝗶𝘁𝗵𝗼𝘂𝘁 𝗮 𝗧𝗶𝘁𝗹𝗲

Physicians in private, direct-pay are leading in quiet but powerful ways:

-Creating innovative care models that restore trust and access
-Mentoring young doctors who want out of the burnout cycle
-Publishing, teaching, and advocating in digital spaces
-Modeling work-life alignment, financial literacy, and sustainable practice

We aren’t waiting for a promotion to lead. We're doing it through action, every day, right in our own exam rooms.

~

Independent physicians have a unique opportunity:Your practice isn’t just a business it’s a platform for influence.

When you:
Practice medicine on your terms
Prioritize patient experience
Build systems that put people over paperwork
…you become an example that inspires others—patients and peers alike.

Leadership That Heals Systems
The healthcare system doesn’t just need more administrators. It needs clinically grounded, mission-driven leaders—and independent physicians are filling that gap in a way no title ever could.

Want to Lead Without the Politics?

If you're ready to lead in a way that aligns with your values—not someone else's agenda:
Book just DM Me.

Let’s talk about building the kind of influence that heals you, your patients, and the system without waiting for a title.

09/10/2026

John Rob Hakala and I today at 9:22 AM ET Today as we discuss together "Warning Signs of Mild Cognitive Impairment (MCI): What to Watch For" on 95.9 FM WATD or livestream at 959WATD.com Catch the podcast later too on our sites! 📡🎧

09/09/2026

𝗧𝗵𝗲 𝗜𝗺𝗽𝗮𝗰𝘁 𝗼𝗳 𝗟𝗼𝗰𝗮𝗹 𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗣𝗿𝗼𝘃𝗶𝗱𝗲𝗿𝘀 𝗶𝗻 𝗥𝘂𝗿𝗮𝗹 𝗔𝗿𝗲𝗮𝘀

Rural communities across the country continue to face unique healthcare challenges—limited access, long travel distances, and a shortage of available care. As larger healthcare systems consolidate and rural hospitals close, many small towns are left underserved. One solution that is making a meaningful difference is the return to the private practice model—independent clinics owned and operated by local physicians.

Read much more on our website blog link.

09/09/2026

09/08/2026

𝗧𝗿𝗮𝗶𝗻𝗶𝗻𝗴 𝗮𝗻𝗱 𝗗𝗲𝘃𝗲𝗹𝗼𝗽𝗶𝗻𝗴 𝗬𝗼𝘂𝗿 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗧𝗲𝗮𝗺

A thriving private practice is built on more than great clinical care—it depends on a well-trained, unified team working toward the same goals. Whether your practice is large or small, investing in the growth and development of your staff strengthens both patient care and internal operations.

Read much more on our website blog link.

09/08/2026

Owning Your Schedule: A Prescription for Physician Wellness

What would your life look like if you controlled your time again?

In traditional healthcare settings, physicians are often reduced to slots on a calendar overbooked, double-booked, and squeezed into ever-shrinking timeframes. This lack of control doesn’t just drain energy it erodes mental clarity, relationships, and overall wellness.

But for independent physicians, the ability to own their schedule changes everything.

Take Back the Clock

You don’t have to live at the mercy of someone else’s calendar. You can create a model of care, and a schedule, that aligns with your wellness and your values.

Book a strategy session with John Hayes Jr., MD

Let’s talk about designing your ideal practice schedule and building a healthier, more balanced life in medicine.

09/07/2026

𝗠𝘂𝗹𝘁𝗶𝘄𝗮𝘃𝗲𝗹𝗲𝗻𝗴𝘁𝗵 𝗜𝗻𝗳𝗿𝗮𝗿𝗲𝗱 𝗧𝗵𝗲𝗿𝗮𝗽𝘆 𝗮𝘀 𝙋𝙖𝙧𝙩 𝗼𝗳 𝗣𝗮𝗶𝗻 𝗮𝗻𝗱 𝗡𝗲𝘂𝗿𝗼𝗽𝗮𝘁𝗵𝘆 𝗖𝗮𝗿𝗲

Chronic pain and peripheral neuropathy are rarely one-dimensional problems. Effective care often requires addressing nerve function, circulation, inflammation, mobility, metabolic health, and the underlying cause—not simply suppressing symptoms.

Multiwavelength infrared therapy, also called photobiomodulation, uses selected red and near-infrared wavelengths to deliver light energy to tissues at different depths. Depending on the equipment and treatment parameters, this therapy may help:

Temporarily reduce pain and discomfort
Support local circulation
Decrease inflammation
Promote cellular energy production
Support tissue healing and recovery
Improve comfort during movement and rehabilitation

Research into photobiomodulation for diabetic peripheral neuropathy is promising, with some studies reporting improvements in neuropathic pain and aspects of nerve function. However, treatment protocols vary considerably, and stronger research is still needed to determine which wavelengths, dosages, and treatment schedules provide the greatest benefit. It should not be presented as a cure or guaranteed method of nerve regeneration. Review the systematic review on PubMed.

𝗜𝗻 𝗼𝘂𝗿 𝗮𝗽𝗽𝗿𝗼𝗮𝗰𝗵, 𝗶𝗻𝗳𝗿𝗮𝗿𝗲𝗱 𝘁𝗵𝗲𝗿𝗮𝗽𝘆 𝗶𝘀 𝗻𝗼𝘁 𝘂𝘀𝗲𝗱 𝗮𝘀 𝗮 𝘀𝘁𝗮𝗻𝗱-𝗮𝗹𝗼𝗻𝗲 𝘀𝗼𝗹𝘂𝘁𝗶𝗼𝗻. It is however incorporated into a broader, individualized care plan that includes a thorough examination, identification of contributing conditions, nutritional and metabolic support, appropriate exercise, neurostimulation, and ongoing measurement of progress.

𝗧𝗵𝗲 𝗴𝗼𝗮𝗹 𝗶𝘀 𝗻𝗼𝘁 𝘀𝗶𝗺𝗽𝗹𝘆 𝘁𝗼 𝗽𝗹𝗮𝗰𝗲 𝗮 𝗹𝗶𝗴𝗵𝘁 𝗼𝘃𝗲𝗿 𝘁𝗵𝗲 𝗽𝗮𝗶𝗻𝗳𝘂𝗹 𝗮𝗿𝗲𝗮. 𝗜𝘁 𝗶𝘀 𝘁𝗼 𝘂𝘀𝗲 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝘁𝗵𝗲𝗿𝗮𝗽𝗲𝘂𝘁𝗶𝗰 𝘁𝗼𝗼𝗹𝘀 𝘄𝗶𝘁𝗵𝗶𝗻 𝗮 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲𝗱 𝗽𝗹𝗮𝗻 𝗱𝗲𝘀𝗶𝗴𝗻𝗲𝗱 𝗮𝗿𝗼𝘂𝗻𝗱 𝘁𝗵𝗲 𝗶𝗻𝗱𝗶𝘃𝗶𝗱𝘂𝗮𝗹 𝗽𝗮𝘁𝗶𝗲𝗻𝘁...