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Perfect Practice Web - John Hayes Jr MD

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John Hayes Jr MD
*This Page Is For Licensed Professionals
Private Practice Consulting
Training Healthcare Pros To Practice Independently
Founder of NeuropathyDR® & Perfect Practice Web

10/12/2026

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.

10/12/2026

Every setback is a setup for a comeback. Trust the process, stay patient, and keep moving forward. 🔥

10/12/2026

In medicine, experience is valuable but expertise is what sets you apart. Expert knowledge doesn’t just come from years in practice; it comes from intentional learning, reflection, and sharing what you know with others.

Every week offers an opportunity to sharpen your expertise:
-Review one complex case and extract a lesson you can apply elsewhere.
-Revisit your treatment protocols and update them with the latest research.
-Teach something to a colleague, a student, or even your patients. Teaching is one of the fastest ways to deepen your own mastery.

True expertise isn’t static. It’s dynamic, built through curiosity, humility, and a commitment to continuous improvement. The clinicians who lead their fields aren’t necessarily the busiest; they’re the most deliberate learners.

As you wrap up your week, take a moment to ask yourself: What piece of expert knowledge did I refine, share, or build on this week?

Then carry that momentum forward into next week, because the more we elevate our knowledge, the more we elevate the quality of care, and the profession itself!

10/11/2026

If you're in private practice and currently are looking to help more patients with peripheral neuropathy and chronic pain, think about this clearly, and very carefully.

Before you jump on board on buying expensive devices, calling yourself an expert, talking about peripheral neuropathy like it's one illness or making your main focus just about your practice income...don't think this goes unnoticed.

If you understand me, you 𝙢𝙖𝙮 have a choice. See if you qualify to join our team.

DM me next, lets see if there is a possible fit.

10/11/2026

Your only competition is the person you were yesterday. Strive for progress, not perfection. 🚀

10/11/2026

Sunday Reflections: Take a Moment to Recognize Your Progress

As another week comes to a close, take a few minutes to recognize the small wins.

Every walk you took.
Every healthy meal you chose.
Every time you listened to your body.
Every moment you stepped away from stress.
Every time you made your health—or someone else’s health—a priority.

Whether you’re a patient working toward better health or a healthcare professional who spends much of the week caring for others, it’s easy to focus on what still needs to be done and overlook how far you’ve already come.

Health and wellness aren’t about perfection. They’re about consistent progress.

This Sunday, ask yourself:

What went well this week? What am I grateful for? And what is one healthy intention I can carry into the week ahead?

Give yourself credit for continuing to show up—for yourself, your family, your patients, and the people who depend on you.

Rest. Reflect. Recharge.

Then begin again tomorrow.

10/10/2026

"𝗘𝘃𝗶𝗱𝗲𝗻𝗰𝗲-𝗯𝗮𝘀𝗲𝗱 𝗮𝗹𝘁𝗲𝗿𝗻𝗮𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲?
Borgerson K. Evidence-based alternative medicine? Perspect Biol Med. 2005 Autumn;48(4):502-15. doi: 10.1353/pbm.2005.0084. PMID: 16227663.

Abstract

The validity of evidence-based medicine (EBM) is the subject of ongoing controversy. The EBM movement has proposed a "hierarchy of evidence," according to which randomized controlled trials (RCTs) and meta-analyses of RCTs provide the most reliable evidence concerning the efficacy of medical interventions. The evaluation of alternative medicine therapies highlights problems with the EBM hierarchy. Alternative medical researchers-like those in mainstream medicine-wish to evaluate their therapies using methods that are rigorous and that are consistent with their philosophies of medicine and healing. These investigators have three ways to relate their work to EBM. They can accept the EBM hierarchy and carry out RCTs when possible; they can accept the EBM standards but argue that the special characteristics of alternative medicine warrant the acceptance of "lower" forms of evidence; or they can challenge the EBM approach and work to develop new research designs and new standards of evidence that reflect their approach to medical care. For several reasons, this last option is preferable. First, it will best meet the needs of alternative medicine practitioners. Moreover, because similar problems beset the evaluation of mainstream medical therapies, reevaluation of standards of evidence will benefit everyone in the medical community--including, most importantly, patients."

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𝗪𝗵𝗮𝘁 𝗮𝗿𝗲 𝘆𝗼𝘂𝗿 𝗰𝗼𝗻𝗰𝗲𝗿𝗻𝘀 𝗮𝘀 𝗣𝗵𝘆𝘀𝗶𝗰𝗶𝗮𝗻𝘀 𝗮𝗻𝗱 𝗣𝗮𝘁𝗶𝗲𝗻𝘁𝘀?

10/10/2026

Success doesn’t come from what you do occasionally—it comes from what we 𝗱𝗼 𝗰𝗼𝗻𝘀𝗶𝘀𝘁𝗲𝗻𝘁𝗹𝘆. Keep showing up, even on the hard days. 💪✨

10/10/2026

The Lifestyle Flexibility of Direct Care Models

Medicine doesn’t have to be all-consuming. The traditional practice model has convinced many physicians that exhaustion, packed days, and missed family events are simply part of the job. But physicians in Direct Primary Care (DPC) and other direct-pay models are discovering something radically different: lifestyle flexibility without compromising care.

Independent, direct care practice isn’t just about freedom from insurance—it’s about freedom to design your life.

Want More Control and Less Chaos?

If your current practice model doesn’t support your life, it’s time to consider one that does.

📅 Book a strategy session with John Hayes Jr., MD

Let’s talk about how a direct care model can bring the flexibility and freedom you’ve been missing.

10/09/2026

𝗣𝗿𝗲-𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 - 𝗟𝗶𝗳𝗲𝘀𝘁𝘆𝗹𝗲 𝗶𝘀 𝗘𝘃𝗲𝗿𝘆𝘁𝗵𝗶𝗻𝗴 𝗧𝗿𝘂𝗲 𝗦𝘁𝗼𝗿𝘆

"𝗣𝗿𝗲𝘃𝗮𝗹𝗲𝗻𝗰𝗲 𝗼𝗳 𝗽𝗲𝗿𝗶𝗽𝗵𝗲𝗿𝗮𝗹 𝗻𝗲𝘂𝗿𝗼𝗽𝗮𝘁𝗵𝘆 𝗶𝗻 𝗽𝗿𝗲-𝗱𝗶𝗮𝗯𝗲𝘁𝗲𝘀: 𝗮 𝘀𝘆𝘀𝘁𝗲𝗺𝗮𝘁𝗶𝗰 𝗿𝗲𝘃𝗶𝗲𝘄

There is an enormous global burden of pre-diabetes, currently estimated to affect 374 million people worldwide and projected to increase to 548 million (8.6% of the global adult population) by 2045.1 For pre-diabetes alone, the economic burden in the USA is greater than $43 billion. 𝗣𝗿𝗲-𝗱𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝗶𝘀 𝗮𝘀𝘀𝗼𝗰𝗶𝗮𝘁𝗲𝗱 𝘄𝗶𝘁𝗵 𝗮𝗻 𝗶𝗻𝗰𝗿𝗲𝗮𝘀𝗲𝗱 𝗶𝗻𝗰𝗶𝗱𝗲𝗻𝗰𝗲 𝗼𝗳 𝗱𝗶𝗮𝗯𝗲𝘁𝗲𝘀-𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰 𝗺𝗶𝗰𝗿𝗼𝘃𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗮𝗻𝗱 𝗺𝗮𝗰𝗿𝗼𝘃𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗰𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀,𝟮 𝗮𝗻𝗱 𝗮𝗻 𝗶𝗻𝗰𝗿𝗲𝗮𝘀𝗲 𝗶𝗻 𝗰𝗮𝗿𝗱𝗶𝗼𝘃𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗲𝘃𝗲𝗻𝘁𝘀 𝗮𝗻𝗱 𝗮𝗹𝗹-𝗰𝗮𝘂𝘀𝗲 𝗺𝗼𝗿𝘁𝗮𝗹𝗶𝘁𝘆,𝟯 𝗰𝗼𝗺𝗽𝗮𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗮𝗴𝗲-𝗺𝗮𝘁𝗰𝗵𝗲𝗱 𝗮𝗻𝗱 𝗯𝗼𝗱𝘆 𝗺𝗮𝘀𝘀 𝗶𝗻𝗱𝗲𝘅 (𝗕𝗠𝗜)-𝗺𝗮𝘁𝗰𝗵𝗲𝗱 𝗽𝗲𝗼𝗽𝗹𝗲 𝘄𝗶𝘁𝗵 𝗻𝗼𝗿𝗺𝗮𝗹 𝗴𝗹𝘂𝗰𝗼𝘀𝗲 𝘁𝗼𝗹𝗲𝗿𝗮𝗻𝗰𝗲 (𝗡𝗚𝗧). 𝗜𝗻𝗱𝗲𝗲𝗱, 𝘁𝗵𝗲 𝗲𝘅𝗰𝗲𝘀𝘀 𝗿𝗶𝘀𝗸𝘀 𝗼𝗳 𝗮 𝗺𝗮𝗷𝗼𝗿 𝗲𝘃𝗲𝗻𝘁 (𝗱𝗲𝗳𝗶𝗻𝗲𝗱 𝗮𝘀 𝗳𝗮𝘁𝗮𝗹/𝗻𝗼𝗻-𝗳𝗮𝘁𝗮𝗹 𝗰𝗮𝗿𝗱𝗶𝗼𝘃𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗱𝗶𝘀𝗲𝗮𝘀𝗲 𝗼𝗿 𝗮𝗹𝗹-𝗰𝗮𝘂𝘀𝗲 𝗺𝗼𝗿𝘁𝗮𝗹𝗶𝘁𝘆) 𝘄𝗲𝗿𝗲 𝟭𝟳% 𝗮𝗻𝗱 𝟭𝟮% 𝗯𝗮𝘀𝗲𝗱 𝗼𝗻 𝗪𝗛𝗢 𝗮𝗻𝗱 𝗔𝗺𝗲𝗿𝗶𝗰𝗮𝗻 𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝗔𝘀𝘀𝗼𝗰𝗶𝗮𝘁𝗶𝗼𝗻 (𝗔𝗗𝗔) 𝗰𝗿𝗶𝘁𝗲𝗿𝗶𝗮, 𝗿𝗲𝘀𝗽𝗲𝗰𝘁𝗶𝘃𝗲𝗹𝘆.3 End-organ complications of hyperglycemia may therefore be apparent prior to the diagnosis of type 2 diabetes.4 Unfortunately, people with pre-diabetes and concomitant microvascular disease are also more likely to develop type 2 diabetes.5 Furthermore, the prevalence of diabetic peripheral neuropathy (DPN) has been reported as high as 35% (95% CI: 15% to 55%) at the time of diagnosis of type 2 diabetes, suggestive of an early subclinical disease phase." Link In Comments

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475 School Street STE 7 2nd Floor
Marshfield, MA
02050

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 1pm

Website

https://neuropathydr.org/apply

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10/12/2026

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