The Walk Healthy risk free turn key dispensing program improves conservative care for patirents and increases the practice bottom line.

1. Protocol Driven Innovation Improving Patient Outcomes And Practice Profitability

2. The Walk Healthy Point of Difference: Walk Healthy has achieved a new standard in the field of Podiatry that provides improved patient outcomes, reduced recurrence and intrinsic financial benefit for practicing podiatrists. The Walk Healthy approach to patient care has been adopted as the teaching protocol for the Temple University School of Podiatric Medicine. This treatment protocol is managed exclusively through the Podiatric Physician channel to ensure its efficacy and compliance standards.

3. The Walk Healthy Protocol Superior conservative foot care is achieved by a combination of active and preventative condition management in 3 critical steps (A-HA!): Solutions are designed to stabilize the acid mantle of the skin Normal footwear and all current insole products do not address required hygienic environmental control in combination with proper stability and impact shock Anti-microbial orthotics which deliver biomechanical alignment and impact shock

4. Bugs You Can See! 6

5. Bugs You Can’t See! Opportunistic Flora Mold, Yeast & Viruses Bacteria Fungus Invasive Pathogens

6. The Science Behind Proper Foot Hygiene The primary thing we are taught about skin care is: “when skin is wet, dry it” and “when the skin is dry, wet it”. The skin is covered by an acid mantle, a very fine, slightly acidic film on the skin’s surface formed by the secretion of sebum and sweat which act as a barrier to bacteria, viruses and other potential contaminants. The acid mantle disappears when the skin’s pH balance falls outside the pH range of 4.5 and 6.0. Pathogens are at the highest concentration on the bottom of the foot. A regimen of hygienic care, which requires proper pH balance, is needed to deliver improved patient outcomes.

7. pH Assessment and Walk Healthy Treatment Protocols Too Acidic Too Alkaline Normal pH Level for Human Skin Ave. 5.5 14.0 1.0 Opportunistic Flora Aerobic/Anaerobic Bact. Fungal Yeast Mold Opportunistic Flora Aerobic/Anaerobic Bact. Fungal Yeast Mold 7.0 4.5 6.0 Acid Mantle Normal pH Level Treatment for Wet Feet Walk Healthy Drying Agent Walk Healthy Foot Powder Walk Healthy Nail Formula Treatment for Dry Feet Walk Healthy Moisturizer Walk Healthy Exfolliant Walk Healthy Nail Formula 4.5 6.0 14.0 1.0 Treatment for All Feet Walk Healthy Anti-Microbial Orthotic Insole Walk Healthy Hygienic Spray Walk Healthy Bath and Shower Cleansing Spray

8. Normal Opportunistic Flora Of The Lower Extremities Distribution Of Pathogens In Acquired Infections: Escherichia coli 20.2% Staphylococcus aureus 16.1% Klebsiella 11.0% Enterococcus 5.3% Pseudomonas 8.9% Staphylococcus epidermidis 3.6% Streptococcus 3.1% Proteus 0.9% Serratia 0.9% Candida, diptheroids, bacteriods, anerobiccocci, 15.1% baccilli, cell-wall deficient variants, viruses and fungi

9. Why It Matters More To Us Than Any Other Medical Field: Body Part Contamination: The feet are the most contaminated part of the body. 250,000 sweat pores on each foot contribute to rapid increase in the # of potential pathogens and increase the acidity of the skin, breaking the acid mantle. Geometric mean count of normal flora per square centimeter of skin surface (endogenous aerobic flora) Site: Thigh upper front 325 Thigh lower front 350 Shin 190 Calf 173 Dorsum of foot 80 Plantar Surface of foot 22,750 Strict Hygiene is essential to prevent “Normal Opportunistic Flora” from becoming potential Pathogens.

10. The Hygienic Protocol Efficacy Superior foot care cannot be achieved In the presence of active contaminants without proactive condition management of the foot environment: HYGENIC REFRESHSER SPRAY + ANITIMICROBIAL ORTHOTIC INSOLE 12

11. Proper Hygiene Influences Outcomes + = Pathogens In All Insoles, Braces & Shoes in Active Use Apply Walk Healthy Hygienic Spray Daily The Walk Healthy Foot Environment Protocol Walk Healthy Anti-Microbial Orthotic Insole in Active Use

12. Treating The Most Common Conditions The 35 Walk Healthy Products improve care for 135 different medical applications. They are now organized by the 8 most common conditions we treat every day to provide simplicity and practical application Diseased Nails (35% of cases seen every week) Plantar Fasciitis “Heel Pain” (27% of cases seen every week) Integument Hyperkeratosis Integument/ Infections/ Perspiration Surgery Diabetic Foot Care Trauma Shoe Modifications

13. Treating Patient with Diseased Nails

14. Diseased Nails

15. Diseased Nails Treatment Protocol Step One (1) Before

16. Contaminated Insoles Prevent Healing And Drive Recurrence

17. Hygiene Determines The Quality Of Diseased Nail Outcomes + = All Insoles & Foot Braces in Active Use Apply Walk Healthy Hygienic Spray Daily The Walk Healthy Protocol Removes Contaminants Walk Healthy Anti-Microbial Orthotic Insole in Active Use

18. Insert Walk Healthy Antimicrobial Orthotic Insoles Step 2: Create a controlled, clean environment for the foot

19. Walk Healthy Shoe & Insole Hygienic Refresher Spray: Apply Daily Step 3: Spray Insoles daily to maintain contaminant free environment for the foot

20. Wash As Directed By Your Physician Step 4: Use wash bag to clean insoles every 2 Weeks to control environment for the foot

21. Diseased Nails Before and After Treatment: After Before

22. Total Patient Cost $78.00 Practice Profit Per Patient $39.00 Products For Treating Diseased Nails

23. 23 New Practice Income From Diseased Nails 2008 Median Income for Podiatrists = $115,000 Improved patient care for diseased nails by using the A-HA protocol will deliver a 22.8% increase in bottom line profit to the practice each year

24. Nail Surgery Incurvated Hallux Nails

25. Pre Operative Scrub

26. Chemical Matrixectomy

27. Post Operative Scrub

29. For General Surgery: American College Of Podiatric Surgeons Recommendation: “The American College of Podiatric Surgeons recommends that a Pre Operative Scrub be utilized 3 days prior to surgery and the morning of surgery for all patients.”

30. Pre Operative Scrub – 3 Days Prior

31. General Surgery

32. Hygienic Refresher Spray Apply Daily To All DME’s Post Surgery

33. Spray Daily

34. Spray Daily & Balance Hips Add ¼” heel lift to opposite extremity to balance the hips

35. Arnica Ice 2 Weeks Post Surgery For Pain, Bruising & Swelling

36. Scar Reduction 6 Weeks Post Op

37. Moisturizing Creme

38. Application Of Moisturizing Creme

39. Cross Fiber Massage

40. Cross Fiber Massage

41. Pre-Op Post-Op Shoe Mgmt Total Patient Cost $108.00 Practice Profit Per Patient $54.00 Products For Improved Surgical Care 41

42. 42 New Practice Profit From Better Pre & Post Surgical Care 2008 Median Income for Podiatrists = $115,000 Incremental Practice Income From Improved Patient Care By Using A-HA Protocols: Diseased nails - $26,206 increase in practice profit Surgeries - $14,256 increase in practice profit Heel pain - $16,236 increase in practice profit (Then add Heel Pain Protocol) Total Profit - $ 56,698 in increased profit by providing better care for just 3 of the most common condition we treat everyday

43. 43 Simple Accounting For Just The Top 3 Protocols The best part is our system does all the accounting for you… More on that in a minute…

44. Fully executing all 8 protocols can deliver over $90K to the bottom line for the average practice. 44

46. Automated Inventory Management Does The Work For You

48. Patient Transactions Are Managed In Seconds From The Extremely Simple Shopping Cart Taxes and Totals Are Applied And Calculated Instantaneously

49. Simply Select From Your “Drop Down” To Auto-populate All Fields Select The Patient’s Method Of Payment And Click “Place Order” You’re Done

50. A Real Look At A Patient Receipt From Dr. Borreggine’s Practice Which They May Submit On Their Own To Insurance As Applicable

51. The System Captures Each Transaction In Real-Time And Creates Turn-Key Financial Reporting For Your Practice Weekly Like This:

52. You Set The Re-Order Trigger Levels And The System Will Manage The Rest Ensuring You Never Have Too Much Inventory… And Only What You Need When You Need It.

54. Superior Product Solutions

55. Turn Key, Automated Dispensing System

56. A $56,000 Increase In Practice Profit Annually Per Doctor, Delivered From Just Three Of The Most Common Patient Conditions Seen Everyday.

59. Free 26 Inch Flat Screen TV For Your Waiting Area To Drive Patient Education For Each Office Location You Set Up On The Program

61. Automated Inventory Management; You Set The Triggers And Our System Does All The Work So You Can Focus On Providing Better Care

63. The Result… Better Outcomes… And A More Profitable Practice...

64. APPENDIX

66. Nail Surgery Checklist Conservative Care Condition Essentials: Hygiene Care Pre & Post Surgery Pre / Post Op Scrub Post Op Hygienic Refresher Spray Anti-microbial Orthotic Insole Environment Control In Shoe Pad Protection Diabetic Care Checklist Conservative Care Condition Essentials: Moisturizer Skin Hydration Anti-microbial Orthotic Insole Environment Control Hygienic Refresher Spray Hygiene Restoration Exfoliant Skin Restoration At Night Arnica Gel Plus For Neuropathy Nail Formula Ailment Prevention

67. When Hyperhydrosis Is Present… Moisture In Shoes Wet Socks

68. …Apply Walk Healthy Drying Protocol To Improve Treatment Outcomes Spray closes the 200,000 pores with potassium alum Powder seals pores and absorbs moisture 62

69. Hygienic Refresher Spray Apply Daily To Diabetic Insoles & Dispensed Orthotics Diabetic Shoes Orthotics Platazote 63

70. Walk Healthy pH Levels In Target Range: Exfoliating Lotion 4.5 - 5.5 Deodorizing Drying Spray 4.5 - 5.0 Hygienic Refresher Spray 5.0 - 6.0 Moisturizing Creme 5.5 - 6.5 Arnica Gel Plus 6.5 - 7.0 Arnica Ice 6.5 - 7.0 Pre & Post Op Scrub 6.5 - 7.5

71. Diseased Nails

72. Deodorizing Drying Spray & Foot & Shoe Powder Warts Tinea Pedis 66

73. Diseased Nails

74. Surgery

75. Plantar Fasciitis (“itis”)