"You can get past the dead end. You can break through the ceiling. I did and so have countless others."
In this episode, Justin sits down with a chiropractor who is preparing to become a nurse practitioner and is looking to expand his existing practice by integrating medical services.
They walk through how to approach this transition strategically, including how to introduce services like hormone therapy and injections, how to ease into a new scope of practice, and how to use an existing patient base to build momentum.
The conversation also highlights practical ways to grow without relying on paid advertising, focusing instead on word of mouth, patient experience, and simple content strategies that build trust and visibility over time.
Overall, this episode offers a clear and grounded look at how to expand a practice step by step while creating new opportunities for growth and long-term success
00:00:02:12 – 00:00:24:07
Speaker 1
Greetings. This is just an hour for nurse practitioner. Welcome to the Elite Nurse Practitioner Show podcast dedicated to nurse practitioner entrepreneurism and achieving financial freedom, where I talk directly with nurse practitioners who need help. Listen up. Our market is saturated. Jobs can be scarce. We are underpaid. We are undervalued. We are taken advantage of by the sharks within the healthcare system.
00:00:24:07 – 00:00:47:14
Speaker 1
And frankly, screw that. Sick of it. It’s time for a change. And listen, I’m here to help make that happen. We are powerful. We can forge a path. We are in control of our career and ultimately our financial and personal well-being. You do not need to submit to healthcare ministry and your doctor who you don’t have to take the easily salary.
00:00:47:16 – 00:01:08:22
Speaker 1
You do not have to work 50 to 60 hours a week. There is a different way. I’m here to show you that path. This podcast is written for. I have not talked to the nurse practitioners of this podcast prior to the call. Outside of an email exchange to schedule the episode. What you’re about to listen to is a consultation session between the nurse practitioner and myself.
00:01:09:03 – 00:01:31:00
Speaker 1
It is real. Is it scripted? It is unplanned. I have no idea what we’re going to talk about. Anything and everything can happen. During our conversation, the nurse practitioner. These episodes are struggling with an issue in their professional or financial life. They have reached out to me for help. My goal is to help the nurse practitioner with actionable advice that will enhance their professional, business and financial life.
00:01:31:01 – 00:01:52:20
Speaker 1
My other goal is to hopefully help my nurse practitioner, sisters and brothers build a more productive, powerful and free life. So I hope the content information within these podcast episodes does just that. All right unto the Amazon everyone. Today we’ll be talking to Tom, who is a chiropractor that will become a nurse practitioner here in about five months.
00:01:52:22 – 00:02:07:02
Speaker 1
Tom owns two chiropractic practices where he provides a variety of services, but is looking to integrate medical services once he graduates in school and is looking for strategies on how to do this the best way. Mario.
00:02:07:04 – 00:02:09:03
Speaker 2
Hey, thanks for having me, Dustin.
00:02:09:05 – 00:02:26:03
Speaker 1
Yeah, for sure, man. Thanks for being on here. I haven’t talked, I think I talked to Marty. I think I’ve talked to maybe one other chiropractor who was also an NP before on this podcast. So, so yeah, I think, yeah, pretty rare thing. So I guess. Tell us about yourself. How long you been, a chiropractor for?
00:02:26:03 – 00:02:30:02
Speaker 1
And I guess what made you want to also go the NP route?
00:02:30:04 – 00:02:54:01
Speaker 2
Yeah. So I’ve been a chiropractor for four years now. I love what I do, but I also see its limitations. I work in a multidisciplinary practice where I saw the benefits, reach and Matt, I saw where an ortho comes into play. I saw when something as simple as a mental those back comes into play. And, again, it’s sometimes it can be difficult to, treat a disc and just get genetic pathology if you can’t even write a match of those back.
00:02:54:01 – 00:03:16:06
Speaker 2
Right. So, so basically, I, contemplated going back to med school and, like, I don’t want to do all that. So, in the state of Florida, you’re fully autonomous after 3000 hours under, under a medical doctor, nurse practitioner. So I saw that as the best way to integrate, medicine with conservative care.
00:03:16:08 – 00:03:36:03
Speaker 1
Yeah. Make sense? I mean, I don’t blame you, dude. You know, I used to work at an urgent care, and there was a chiropractor right down the street. He would send his patients all the time for a dexamethasone shot or something. You know, like they got L4, L5 disc herniation with some inflammation. Having some, you know, Radicular symptoms and stuff.
00:03:36:03 – 00:03:39:21
Speaker 1
And then you need a steroid like, you know, and and we.
00:03:39:23 – 00:03:41:05
Speaker 2
Had simple, you know.
00:03:41:07 – 00:04:04:21
Speaker 1
Yeah. Yeah. So yeah. So no, I totally get it, man. And plus, as a business owner, too, I mean, it just diversifies your, your service lines, I mean, significantly, you know? So, so, yeah, there’s, there’s, you know, there’s quite a few chiropractor NPS out there. Not a whole lot of them, but, you know, there are they you know, they are out there and, the ones that, the ones that I’ve talked with tend to do pretty well.
00:04:04:21 – 00:04:14:00
Speaker 1
So, so I think it’s a smart move. So I guess tell us about, your practice right now. I know it’s it’s just predominantly chiropractic services, correct?
00:04:14:02 – 00:04:31:19
Speaker 2
Yeah. So I don’t even do a whole lot of chiropractic adjustments. I do adjust patients as well, but, I do a wide variety of services. So dry needling, acupuncture, the big one I do is active release technique, which is kind of like a combination between, massage and stretching. And it really yields quick and effective results.
00:04:31:21 – 00:04:52:09
Speaker 2
Most of my patients that come in and, and they’re like, I, I don’t want to see a chiropractor, but Susie referred me. It’s for the active release technique. And, that’s been that’s been where a lot of my referrals have come from. In fact, almost all of them, but I do I still do some chiropractic, but it’s not the only thing I do, but I really want to take that to the next step.
00:04:52:09 – 00:05:08:15
Speaker 2
And as I mentioned, if a patient needs it, you can write them a steroid pack or if they’ve got a partially torn rotator cuff I can do up here for the injection. Maybe adding some peptides, a little bit of men’s health. Well, and just being a more well-rounded, physician.
00:05:08:17 – 00:05:25:10
Speaker 1
Yeah, yeah. Makes sense. I mean, it totally makes sense. Yeah. You know, sometimes as an MP myself, I wish I knew some of the things that, you know, as a chiropractor. Like, it’d be kind of nice to be able to do some of those things, you know? You don’t want to have me read. Try to readjust your neck.
00:05:25:12 – 00:05:26:09
Speaker 1
Yeah.
00:05:26:11 – 00:05:49:07
Speaker 2
Yeah. Well, I guess let me tell you a little bit more about myself, too. So, I’m also NP school right now. I finished in September, and I just have this, call it five ish months to ramp up and kind of get a solid game plan for what I want the practice to look like. Right now, I am renting space, at two different locations.
00:05:49:09 – 00:06:16:10
Speaker 2
My overhead is very low. And. I’m generating between 3 to $5000 a week, doing two and a half days a week. Gross. So because my overhead so low, I’m. I’m making pretty, pretty. Okay money right now. But once my overhead becomes a normal person’s overhead, I think it it probably will not look so great. So I’m trying to I’m trying to put everything in play now.
00:06:16:10 – 00:06:25:03
Speaker 2
So when that when I get the MP degree, when I decide to sign, a long term lease or potentially buy an office, I have everything in play. But.
00:06:25:05 – 00:06:32:10
Speaker 1
So. So you work two and a half days a week. I’m assuming that’s because you’re going to NP school and and clinicals and stuff. Correct.
00:06:32:12 – 00:06:54:15
Speaker 2
That’s exactly right. And then I’ve been I really should open more days. Just because I’m so busy right now. But I just don’t have the capacity to. So, depending on any given week and what patients are dealing with, I, I have been in as much as a four week waitlist at one location, so I, I need the ability to add more, but I can’t because I have to get clinicals done and finish up in school.
00:06:54:20 – 00:07:14:00
Speaker 2
So I’m kind of in the stage where I’m trying to lay a really good foundation. But I also can’t grow too much because I don’t have the capacity to see more patients right now. So, as it is, I’ve spent $0 on marketing. Everything is word of mouth. And it’s I’m doing well. Like I said it, I it’ll be one year.
00:07:14:02 – 00:07:20:20
Speaker 2
Your April 9th. And, you know, I’m proud of where I’m at, but I also want to ramp up for the future.
00:07:20:22 – 00:07:28:01
Speaker 1
Yeah. I mean, dude, it sounds like you’re making quite ten grand a month profit work in two and a half days a week, like that’s.
00:07:28:03 – 00:07:38:12
Speaker 2
Yeah. No, I, I my overheads right around 20,000 a year. So we just hit the first quarter and I think I gross like 49,000.
00:07:38:14 – 00:07:54:20
Speaker 1
Yeah. That’s good money dude. You’re making really really good money. So, it’ll be really interesting to see what happens once you finish NP school. You can open up to four days a week or whatever. You know, I would say that, you know, if you enjoy your free time or, you know, I would say just stick to four days a week.
00:07:54:20 – 00:08:15:08
Speaker 1
That way you can give yourself three day weekends or whatever, you know, but but yeah, you’re going to, you’re going to do very, very well, which, you know, once you graduate high school and, yeah. So, so I guess what your what’s your biggest concern here? What are you wanting to strategize about in terms of like, you know, once you finish in school, what do you want to do?
00:08:15:10 – 00:08:33:11
Speaker 2
So I definitely want to add in European injections region region med a little bit of testosterone. I want to be able to use my MP degree, but I guess let me first start with everyone I know that’s a chiropractor. That’s also a nurse practitioner. Not everyone. Almost everyone runs an insurance based model and they have seven figure practices.
00:08:33:11 – 00:09:05:06
Speaker 2
And, I really don’t want to deal with insurance. So I’m kind of in this crossroads of, do I do I keep it a cash based model and and go from there or do I go to the insurance route. Just because I know it’s proven to be successful also, also keeping in mind that as a chiropractor, if you take advantage, you know, in the state of Florida, you might be making, you know, $50 a visit where as an MP you can make, depending on how you build it, you can make 150 to 250, right?
00:09:05:06 – 00:09:22:02
Speaker 2
So, the, the potential is so much more there for NPS as it is for Kairos, but it’s like, do I even want to do I even want to make that switch, since I already have kind of lay the foundation for a cash practice.
00:09:22:04 – 00:09:42:20
Speaker 1
What kind of practice do you want? Do you want to practice? That is more patient centered, where you can deliver a lot of value and take your time with your patients and whatnot? Or do you want something that’s quick visits, like, you know, you said that’s chiropractic office that does that takes endurance, does, you know, does does seven figures.
00:09:42:22 – 00:09:58:18
Speaker 1
Like you said, they build 50 to $100 visits or whatever. It’s just at that point it’s a volume game. They’re working. They’re off seeing a lot of patients you know. Do you like do you want that kind of model of high value model like that where it’s a it’s it ends up becoming a conveyor belt?
00:09:58:20 – 00:10:26:11
Speaker 2
Yeah. No, I definitely don’t want that, kind of practice model at all. And let me clarify, as a chiropractor, you’re making $50 a visit. As an MP, you can make 3 to 4 acts that, once you get the the pedigree because you can start billing, you can start to build Medicare, for example, codes. And you can get bill for you bill for things that you can’t bill for as a chiro, which is crazy, but, it just opens that door for reimbursement, but it also opens that headache door of, of, do I want to deal with the insurance companies?
00:10:26:11 – 00:10:44:13
Speaker 2
But to answer your question, I definitely want to keep the quality high. But if there’s a way that you can keep the quality high and, you know, Suzy can come in more often than she would like because you now afford more of that, that’s kind of cool, too. I just want to get your thoughts on thoughts on it.
00:10:44:13 – 00:11:12:16
Speaker 1
Yeah. You know, billing ENM codes and for procedures and stuff, you know, on the medical model side of it. Yeah. I mean, it’s definitely a hell of a lot more lucrative than a $50 chiropractic visit, for sure. But, you know, a lot of people listening to this are probably, you know, probably laughing. I mean, $200 a visit like that, that that’s not very normal.
00:11:12:18 – 00:11:41:02
Speaker 1
You know, it’s just not I mean, you would have to be billing level five visits to justify that much, or you’re doing a ton of procedures, injections and just maximizing the billing as much as possible. While, I mean, you can do that, but it definitely increases your risk of audit, definitely increases your risk of chargebacks and then just not paying things and that sort of a thing.
00:11:41:02 – 00:12:05:14
Speaker 1
So, I mean, like I said, it is possible, but you’re going to be doing a lot of billing and are doing a lot of code manipulation, lots of procedures. Everyone who comes in your office ends up getting an injection or something, but, you know, 150, $200 visits. Like I said, that’s like a level five visit and most patients do not justify an ENM code of A of A9920599215.
00:12:05:16 – 00:12:12:14
Speaker 1
They just don’t. And if you’re billing a lot of those, you’re going to get audited. You’re going to get hit. And then they’re going to then they’re going to want their money back.
00:12:12:16 – 00:12:22:17
Speaker 2
So I don’t think there’s so much billing. Oh five says they are just they’re known for doing injections in town. And they get they get those patients. They built their brand around that.
00:12:22:19 – 00:12:44:17
Speaker 1
But right now if you’re doing joint injections and things like that, then sure, right. I mean, you can definitely get some decent procedural, reimbursement for that. So, so I guess my question for you then is, is that. Yeah, sure. I mean, most insurance based practices typically will make more money than cash based practices. Just because everyone has insurance, they want to use it.
00:12:44:19 – 00:13:10:14
Speaker 1
That’s just kind of the fact of the matter. But I do know plenty of cash based practices that do well over seven figures a year, and it’s cash only. No headaches with insurance. You know, it just takes a few years to get there. You know, you you got to be patient, but, but, yeah, I don’t, I don’t if you want to deal with the headaches of insurance and go down that route, then do it.
00:13:10:14 – 00:13:34:18
Speaker 1
It’s just it adds another it adds another layer of complexity to your business. That, for me, is not worth the extra money. It’s to me it’s not worth it, because I do value my peace of mind more than I do money. So yeah. I prefer to be independent when you accept insurance. Now a third party is in control of your money.
00:13:34:20 – 00:13:56:06
Speaker 1
It’s no longer your money anymore. It’s a third parties. They are in control of that. You are not. So therefore, you have to follow their rules. You have to follow their regulations. You got to play by their rulebook. You gotta deal with their bolt. You gotta just deal with all of that. I personally want a business where I am free and I am independent and I am autonomous.
00:13:56:12 – 00:14:04:07
Speaker 1
When you accept insurance, you are not. You simply just are not. Okay, so so just terms of what you would, you know, cash based price, whatever you want.
00:14:04:09 – 00:14:16:21
Speaker 2
Yeah. No I appreciate it. Just kind of comments. It helps type things out out loud. But yeah I mean it’s kind of like it’s it’s going smooth right now. Why why, throw a wrench in that kind of a thing. But, right.
00:14:16:22 – 00:14:41:14
Speaker 1
Man. It’s not. Yeah. It’s working pretty well right now. You’re only open two, two and a half days a week. You haven’t even begun integrating the NP medical side of this yet. You’re just doing chiropractic stuff. So it’s like I mean, once you open the floodgates up open, you know, and you’re open 4 or 5 days a week and providing a bunch of other things, I mean, this could easily become something that, you know, could generate $500,000 a year, right?
00:14:41:14 – 00:14:43:17
Speaker 1
So, so yeah.
00:14:43:17 – 00:15:04:00
Speaker 2
Yeah, yeah, yeah, they call it a, loss leader where they, they’ll basically get patients the door with the adjustment, and then, and then they will, have the ability to have those patients in front of them, and then they can market testosterone or PRP or whatever else it may be.
00:15:04:01 – 00:15:23:05
Speaker 1
Yeah. Yeah. I mean, I think that’s a pretty decent lead generator. I mean, it’s definitely it’s a it’s a decent lead magnet. I mean, it’s pretty much the same thing as with anything else, you know, free, free consultation and B12 shot or, you know, whatever just to get someone in the door to try to sell them on something else.
00:15:23:07 – 00:15:44:01
Speaker 1
So you definitely could try that. I’m curious, though, you said that you’ve only been open for a year. You haven’t marketed whatsoever. And it’s just word of mouth, and it’s growing. And your four week wait list kind of a thing. This is. This is a good thing. Do you think that you think you do even.
00:15:44:01 – 00:15:53:08
Speaker 1
Do you, like, do you think you would even need to do that with the current patients that you have, the type of patient that you, you know, that you’re getting right now? Do you think that you’d be able to sell them on this stuff?
00:15:53:10 – 00:16:11:02
Speaker 2
Yeah. I mean, a lot of them are that I yeah, that joke is I have like a running with waiting list of patients that are wanting to get injections. They have partially torn rotator cuffs and we’ve gotten their shoulder pads moving again and they’re like, who do you do you recommend it? When are you done? And there’s like, oh, we’ll just wait until you’re done.
00:16:11:04 – 00:16:34:00
Speaker 2
So I know that I patients that want to, utilize services, but I at the same time, I right now I’m only pulling from referrals and I know there’s so many other ways that we can all patients and, I, I just want to make sure that I’m getting leads from many different, places.
00:16:34:01 – 00:16:55:09
Speaker 1
Yeah, yeah. Maximizing as many referral sources as you possibly can. I get it. So this would be my advice for you is that once you get out of school and you begin doing the PRP injections, and you begin doing the hormone replacement therapy, or maybe peptides or doing some growth hormone or whatever, you know, these the various wellness service kind of things.
00:16:55:12 – 00:17:21:01
Speaker 1
My advice would be, is to not really do a whole lot different than what you’re doing now. So I would just ease into this over a period of 3 to 6 months and maximize your current patient base. First off, get used to it and get comfortable with this stuff right. And get comfortable seeing men’s health patients and doing follow ups and readjusting dosages and that sort of thing.
00:17:21:03 – 00:17:44:02
Speaker 1
Get used to doing the PRP, injecting joints and like slowly go into this and start getting used to these things over a period of 3 to 6 months. That way, you know, the last thing you want to do is to over marketing under the liver. You don’t want to ever do that. A plus from a medical standpoint, malpractice standpoint, liability standpoint, risk standpoint.
00:17:44:04 – 00:18:11:19
Speaker 1
You don’t want to do too much. You don’t want to like overwhelm yourself especially you just finish in school, you know? You sure? You’re probably very competent in a lot of different areas, but, you know, you kind of want to maybe ease into it just to sort of limit any kind of liability or risk and just over 3 to 6 months, just ease into it and just dip your toes in, jump in once that 3 to 6 months ago, you know, goes by.
00:18:11:21 – 00:18:39:06
Speaker 1
You obviously can make it really good working at a four day basically double triple making. Now, and you’ll be able to get a good feel of what services are hitting, which ones are not. And from there you can then do, more of an intelligent pivot into where you really want to take this thing. You know, maybe the PRP just absolutely takes off and that’s where you put your energy in.
00:18:39:08 – 00:19:00:23
Speaker 1
Maybe the men’s health test replacement therapy takes off, you know, like, who knows? You really don’t know until you begin doing it. So, that would be my advice for you is to kind of just take it a little bit slower, be a little bit patient with it, because I’ve seen people who open up, you know, it’s maybe not be specific to, you know, your situation exactly.
00:19:00:23 – 00:19:24:04
Speaker 1
But, you know, an NP will open up their own practice and 2 or 3 months will go by. It’s a little slow. And then they just like that spend a shit ton of money marketing and advertising and then all of these patients begin, you know, knocking on the door, and then they just get overwhelmed on what to do, you know, because they just they just did too much at one time.
00:19:24:04 – 00:19:44:08
Speaker 1
So that would be my advice for you. I don’t think you probably will have to do that lead generator sort of thing, but you might not ever have to, depending on the type of quality a patient you’re getting. But, you know, I think you’ll know if you have the bandwidth to be able to do something like that. But if you’re booking out 2 to 4 weeks in advance, do you really need to be doing something like that?
00:19:44:08 – 00:19:46:09
Speaker 1
Is it is it necessary?
00:19:46:11 – 00:20:08:11
Speaker 2
Yeah. No. That’s true. And keep in mind it’s 2 to 4 weeks with, you only working part time, right. So once I go full time, I feel like it’ll just be like a normal, full schedule. So. Yeah, I’m just trying to kind of get a feel for that. What? That what that looks like. And again, I with clinical hours and discussion post still I’m so sick of this by the way.
00:20:08:12 – 00:20:47:20
Speaker 2
And school, you know, I just, I it’s just I’m, I’m getting pulled in a lot of different directions right now, so, I just once I have the ability to do more, I, I will, as far as you know, seeing more patients going. Yeah. Yeah. Well, I had a thought, too, so I know a ton of Paris in the area, and, Iris typically like to do more of the region side of health care, and, I was thinking about marketing, you ERP injections for different career offices where I’d go in one day a week and I, you know, they line up 4 or 5 shoulders or whatever it may be.
00:20:47:22 – 00:20:57:18
Speaker 2
And I’d go in there and do that, what I needed. Would you recommend getting a separate LLC for that or a DPA or.
00:20:57:20 – 00:21:13:23
Speaker 1
And I would operate I just operate at your same deal and I don’t I don’t see a point. I mean, you’re still taking on the exact same amount of liability and risk if you if there’s if you saw them in office versus somewhere else, it would just I think even just keep your they would keep your books cleaner.
00:21:13:23 – 00:21:25:12
Speaker 1
It would keep taxes cleaner. It would keep you wouldn’t have the name two different entities on your malpractice policy. I feel like it’s completely fine to just do that out of the same. Yeah, I have the same entity.
00:21:25:14 – 00:21:45:05
Speaker 2
I think that the main reason was I could name it, you know, PRP of the city that I’m in. And then then on the Google search, it’s like, oh, this is, you know, instead of it being something that has nothing to do with PRP, I can be of of where it where I’m at, and then I’m just that much more findable on Google that you’re right, more leads.
00:21:45:05 – 00:21:53:11
Speaker 2
So that was where my head was at. Not so much from okay, back to is my the name of the practice as it is doesn’t really say ERP anywhere in it.
00:21:53:13 – 00:22:14:16
Speaker 1
Yeah. No, I like that idea. I think it’s I think it’s a smart move. I think if that’s your goal with it, then absolutely I’d say do that. I, I like that idea. And then that way you can also associate that business with the same, you know, same address that your chiropractic practice practices at. It’s just a separate business, you know, but in reality it’s kind of the same thing.
00:22:14:16 – 00:22:34:12
Speaker 1
But, you know. Yeah, but from an outside perspective, it looks like it’s specifically for PRP. And then the patients, if people call you directly, you would just see them in your chiropractic office as is. And then if you went outside of that to other places, then you’d function that LLC be. Yeah, I mean, I’d say that’s I think it’s a smart marketing move.
00:22:34:14 – 00:23:00:04
Speaker 2
Okay. Okay. And then another question for you too. When should I don’t just give you a background of the situation I’m in. I’m subleasing from buddies of mine at their offices, so I can’t add another day at, at, both of the locations just because there’s already other, positions that are going to be there. So.
00:23:00:06 – 00:23:17:16
Speaker 2
When do I sign the lease on my, right now it’s 100 bucks a day. Every time I go in, it’s the sweet bit, the handshake deal. When do I. I mean, I’m thinking in my head. I’m thinking when I get minor’s practitioner degree. But when do I go ahead and sign a Big Boi lease file?
00:23:17:16 – 00:23:40:08
Speaker 1
Your objective here is to make money. Correct. Like that’s that’s the objective is to make money. You obviously want to build a business that can scale and grow so you can make more money. So, you know, you can’t scale and grow this with what you’re doing right now. I mean, you can up to a certain point, and it’s just going to plateau.
00:23:40:10 – 00:24:05:12
Speaker 1
So I think what I would do is, I would probably continue doing what you’re doing for a little while, you know, again, get used to maybe providing some of these new services and get your feet wet or whatever, and saving up some money, you know, on the side, you know, this new income that you have coming in, basically live the same way that you’re living now.
00:24:05:12 – 00:24:26:01
Speaker 1
Don’t change your lifestyle whatsoever. Just live off the same amount of money that you’re making. And then the rest I would save and invest. That way you can then use that money to then get a Big Boi lease and a nice office somewhere, that sort of thing. So that way you can just avoid debt. I mean, I’m assuming you don’t want to take a business loan out if you don’t, if you have to, if you can.
00:24:26:03 – 00:24:27:13
Speaker 1
Are you considering it or.
00:24:27:15 – 00:24:42:23
Speaker 2
Yeah, I don’t I really don’t want to take out a business loan. The one thing that keeps dancing in my head is, do I want to buy a building? Everyone I know that’s been in practice for 20 years, they’re like. It just seemed out of reach when I wanted to do it. Now their rent is, you know, they could have paid.
00:24:43:01 – 00:24:57:15
Speaker 2
He could have paid the whole mortgage by now. So I, I’m trying to listen to others, but I also don’t want to get myself into so much debt where I’m, I’m drowning. And you know, I as I’m trying to figure it out the smart way, I also don’t want to buy an office that’s too small. And then I outgrow it.
00:24:57:15 – 00:25:13:12
Speaker 2
And now I own the office, and that creates its own headache, too. So I, I think the end goal would be to buy an office. I just don’t know. When I do, I take a massive do I just live on, you know, ramen noodles right now and stack a bunch of money away? And then I put 100 grand down on a on a building?
00:25:13:12 – 00:25:27:07
Speaker 2
Or do I just, you know, lease for now or what are your thoughts on that? If the end goal is to buy a building? You know, I, I just, I just yeah. I’m. What are your thoughts on that dude?
00:25:27:07 – 00:25:51:20
Speaker 1
I mean, it’s it’s it’s a huge decision. Like it’s going to be one of the biggest business decisions you make, right? Like it’s a big decision. You know, buying your house is a big decision is one of the biggest decisions you make in your life. So, like, I think it’s probably not a bad idea to take your time with making such a big decision because, you know, buying commercial property is not cheap.
00:25:51:20 – 00:26:21:05
Speaker 1
If you want it somewhere decent, you know these things can run anywhere between 500 to $1 million plus, depending on what it is. So, I would say that in my opinion, my honest opinion is I would have a proof of concept in terms of your business goals. Prove to yourself that it is something that has long term scalability to it and sustainability to it.
00:26:21:07 – 00:26:42:16
Speaker 1
And once you prove that over a period of three years. Right, okay, I’m making good money. Is it this is sustainable. I have a pretty consistent, you know, patient flow coming in very low turnover rate. We have new patients coming in every single week okay I have a solid business here. I feel pretty comfortable with it. I don’t see any huge risks on the horizon coming up.
00:26:42:18 – 00:27:08:09
Speaker 1
Regulatory risks or anything like that that could potentially jeopardize my entire business. Right. The last thing you want to do is, you know, people who went all in on weight loss two years ago, well, you know, there’s bricks now, basically like it’s so saturated now, you know what I mean? They didn’t make a very good decision. They didn’t they they couldn’t foresee that.
00:27:08:11 – 00:27:29:15
Speaker 1
Right. Yeah. So once you can actually foresee what the future will look like it’s realistic. You’ll see very you see very little risk. I think that’s probably when I would buy the building. I don’t think I would jump into that quite yet. I think it’s probably too much risk. Then again, like you said, you know, other people that you’ve talked to said, I wish I would have bought the building because now I’m paying this ridiculous amount in rent.
00:27:29:15 – 00:27:49:18
Speaker 1
I could just end up paying the mortgage or whatever. That is true. But you also, have you heard from anyone who did, who or who did buy a building and the business close and they’re paying. They’re paying a payment at their own pocket, and it’s just sitting there and they have to try to rent it out, be a landlord, just just to cover it.
00:27:49:18 – 00:27:50:08
Speaker 1
You know what I mean?
00:27:50:08 – 00:28:15:03
Speaker 2
Yeah. Is there is there a dollar amount that you would say, you know, if the building cost 800 grand, I would need that gross X number of dollars to justify the cost of the building. Or is there is there any kind of. I know you said once you have a feel for where the practice is going, but, in terms of numbers, is there more of a objective?
00:28:15:05 – 00:28:47:06
Speaker 1
I will say that my objective would be if I was buying a commercial piece of property, because the interest rate on a commercial loan like that are really high. You know, it’s not just your standard 5 or 6%. You’re taught your ten, 15% like they’re expensive, and they will probably remain that high for a while. I do not think the Federal Reserve is going to be cutting rates significantly anytime soon, so you’re going to be stuck in a very high interest rate loan for a little while.
00:28:47:08 – 00:29:06:02
Speaker 1
That might not have the option to refinance. All those commercial loans are built in a way where you can’t refinance it until you’re five years down the road or something like that. So this so so this would be my rule is that I would want to pay that thing off as fast as I possibly can. Right. That would be my objective.
00:29:06:04 – 00:29:17:03
Speaker 1
And so for me, the number that I make revenue wise would need to equate out what I can put towards this to pay it off in five years. Okay, five years.
00:29:17:05 – 00:29:17:09
Speaker 2
Yeah.
00:29:17:13 – 00:29:37:04
Speaker 1
In five years. I think that’s a pretty reasonable amount of time. You know that that’s that I that’s my opinion. So let’s just say it was $800,000 and let’s just say your business is generating let’s just call it let’s just, let’s just say a year goes by, two years go by and it ends up doing pretty well.
00:29:37:04 – 00:29:59:11
Speaker 1
And you end up making, let’s say, $400,000 net a year. Okay, good money for two grand a year. Good money. Right? Yeah. Good money. Do whatever you want. Basically. I would say, can I live off of 202 50 and throw the rest at that payment if I can? Then there you go. I would have it paid off in five years.
00:29:59:11 – 00:30:27:08
Speaker 1
And then once it’s paid off, then just imagine the influx of cash that you would then end up getting. You would then have all of that money now straight to you with a paid off office. Now your expenses are so much lower, right? Yeah. Yeah. But I think one thing that you need to consider, though, too, is what’s the functionality and the long term potential of that actual office itself?
00:30:27:10 – 00:30:49:22
Speaker 1
Is it in a good location that is not going to be at risk of turning to do it? Whole area? Yeah. I mean, like, is this kind of on the edge of that, you know, like, is it on the edge of the new part of town and the really old part of town? Is it kind of right in between you know, is there a lot of new development in the area?
00:30:50:00 – 00:31:13:04
Speaker 1
You know, I would really be doing some significant research and really figuring that out because you do not want to buy something that’s $800,000 and ends up being in a kind of a crappy part of town ten years down the road. Right? Yeah. And then can you buy a place where it where you can sublease a section of it to see if you can pay for it.
00:31:13:04 – 00:31:33:05
Speaker 1
Right. So like, let’s say you bought let’s just say you bought an empty shell strip mall kind of situation sort of thing. Right? Let’s say you bought an empty shell that was 6000ft² and you bought it for a million bucks, or could you put a wall in between it? You have 2000ft, and then you have another 3000ft that you can lease out that would essentially pay for your mortgage.
00:31:33:07 – 00:31:36:11
Speaker 1
Situations like that could be extremely lucrative, right?
00:31:36:13 – 00:31:59:06
Speaker 2
Definitely. No. And I’ve even thought about that myself. But I think with where I’m located, that would be like a $2.5 million to buy. Just the things so expensive, with, with with where I’m at. But I definitely have thought about that, as well. So but yeah, no, that’s good to know about five years. But if you can pay it off five years, then it’s kind of a go.
00:31:59:08 – 00:32:05:06
Speaker 1
I think two and a half, I think to $2.5 million, man is.
00:32:05:08 – 00:32:05:18
Speaker 2
Yeah.
00:32:05:20 – 00:32:09:14
Speaker 1
That’s that’s that’s it.
00:32:09:16 – 00:32:23:05
Speaker 2
I know I thought I can’t stomach that, but I, you know, I can’t even stomach 800. But you know, I saw I have a commercial real estate guy that just sent me a couple of properties for fun, and he’s like, the cheapest one was 600 grand, and it was an absolute beast.
00:32:23:06 – 00:32:24:06
Speaker 1
Like. Yeah.
00:32:24:08 – 00:32:29:08
Speaker 2
Like, you know, you got to spend an extra 200 just to have something that’s going to be functional. So.
00:32:29:10 – 00:32:29:19
Speaker 1
Yeah.
00:32:29:19 – 00:32:42:12
Speaker 2
But yeah, I just want to get your thoughts on that because I feel like everyone I know that owns around, medical practice, you know, 20 years down the road, they’re like, man, why don’t I pull the trigger on it? I, I would have owned the thing, but now, you know. Yeah.
00:32:42:14 – 00:33:03:11
Speaker 1
It’s true, but the thing is, man, you know, the thing is, is that 20 years from now, you know, what’s the real estate market going to look like? I mean, is stuff going to appreciate significantly or is it going to stay about what it is now? Who knows? You know, I mean, everything is so overinflated at this point.
00:33:03:13 – 00:33:26:15
Speaker 1
When will the actual market catch up with prices? Because right now, with with the price of things, it simply just doesn’t make sense. With what? Yeah. With what businesses generate. It’s so overinflated. So like, when does the economy actually catch up with the housing market? This isn’t something that happens over a year. It’s something that happens over a decade.
00:33:26:17 – 00:33:48:06
Speaker 1
Right? Yeah. No I like yeah. You know there’s people who bought in 2007, 2006 and it took 20 years to break even, you know. Yeah. Like that can happen. And people don’t realize 2006 was 20 years ago, right? Yeah.
00:33:48:12 – 00:33:48:17
Speaker 2
Yeah.
00:33:48:17 – 00:34:01:08
Speaker 1
It’s crazy to people 20 years to break even because it was yeah huge crash in the economy. So like, stuff like that can happen man. So you know there, there is that risk involved too.
00:34:01:08 – 00:34:03:10
Speaker 2
So it’s. Yeah.
00:34:03:12 – 00:34:04:10
Speaker 1
No question.
00:34:04:12 – 00:34:20:07
Speaker 2
No, I appreciate it. Also, what are your thoughts on, getting a medical director? Tell them autonomous. Is it as simple as paying someone or how does how does that really work? I tell me more.
00:34:20:09 – 00:34:41:12
Speaker 1
Yeah. All right. I hope everyone’s enjoying the episode so far. I just wanted to take a quick break to thank everyone listening, and also give a big thank you to all of my social media followers and email subscribers. If you haven’t done so yet, please subscribe to our email list WW lead np.com and make sure to follow us on Facebook, Instagram and LinkedIn.
00:34:41:14 – 00:35:06:06
Speaker 1
Email subscribers will receive updates on new weekly podcast episodes, multiple weekly articles, we publish, new courses and everything else related to helping you succeed. Remember, all elite Nurse Practitioner courses are designed to help you build in each practice, increase your financial strength, and to break free from the rat race. If I can break free and the other countless nurse practitioners can break free and so can you.
00:35:06:07 – 00:35:24:14
Speaker 1
Additionally, please share this podcast with your other nurse practitioner sessions with others out there. The more NPS that venture out on their own, a stronger our profession will become. Now let’s get back to the episode. So in Florida, you have 3000 hours before your autonomous for primary care, correct?
00:35:24:16 – 00:35:25:14
Speaker 2
Yeah.
00:35:25:16 – 00:35:50:15
Speaker 1
Right. Yeah. So primary care services is a pretty broad term. You know, most NPS that I talk with anyways offer HRT and offer PRP in weight loss, but they offer it within their primary care office in quotations. Right? Yep. So you got 3000 hours before you can hit that? It’s a lot of hours, man. It’s a couple of years practice, really.
00:35:50:18 – 00:36:13:11
Speaker 1
You know, realistically. So. Yeah, it’s it’s it, dude. It is, it’s it’s a pay to play sort of a thing. You just pay in every single month and they just sign off on your stuff. It’s it’s it’s a total money racket. So. Yeah, if you can find someone, you know, man, 1000 bucks a month, 1500 bucks a month.
00:36:13:11 – 00:36:28:07
Speaker 1
Shouldn’t really be much more than that. So that’s going to be an expense that you’re going to have to factor in is going to be, you know, it’s to be a thousand $5,000 a month to pay for this guy to, you know, be your medical director to supervise you for 3000 hours. Right? Yeah, we all know it’s called it.
00:36:28:08 – 00:36:29:09
Speaker 1
Yeah.
00:36:29:11 – 00:36:36:09
Speaker 2
Got it. Is there how do you obtain one of your actors? Is there like a website or.
00:36:36:11 – 00:36:58:23
Speaker 1
Yeah, you can go. Yeah, yeah. There’s there’s a bunch of collaboration network kind of things out there you can go with like Guardian Medical directorship. Physician collaborators. So, I mean, there are companies out there that do specialize in this, and they have it pretty streamlined. I mean, they have it pretty down pack, in terms of, you know, how it works in the pricing of it and stuff.
00:36:59:00 – 00:37:27:18
Speaker 1
So you could go with one of those places. They do tend to charge a little bit more than if you found one yourself. Okay. So what you can this is what a lot of people do, and it tends to work pretty well, is you can just post. You literally make a job posting for one. So you post a job, you know, for on on Indeed.com or ZipRecruiter or whatever, you just literally post a job looking for medical director for chiropractic wellness wellness clinic.
00:37:27:18 – 00:37:38:11
Speaker 1
I’m a chiropractor nurse practitioner. I like the integration of these services. I do need a medical director or whatever. Do. You will get dozens of applications from medic.
00:37:38:11 – 00:37:39:02
Speaker 2
Got it from.
00:37:39:07 – 00:37:57:22
Speaker 1
Who’s out there who are just milking to make a little side income doing nothing. There’s actually doctors out there that do this full time for a living. They’ll get like 20 or 30 people that they supervise, you know? Yeah. I’ve talked to some of these guys. I talked to one one time. He was licensing like 35 states or something like that.
00:37:58:00 – 00:38:05:18
Speaker 1
He had like 60 NPS. He was supervising all at like 500, 1000 bucks a pop for doing nothing.
00:38:05:20 – 00:38:12:04
Speaker 2
Wow. Crazy. Making more than, Sergeant, just that on his on the couch.
00:38:12:06 – 00:38:29:10
Speaker 1
Right. Doing nothing? Pretty much. Yeah, exactly. So you can find guys like that, man. I mean, there’s a lot of them out there that, you know, there might be a lot of doc there. You might find a doctor out there that just got in trouble for prescribing too many opioids or something like that. And his license is kind of on, you know, he just got fired.
00:38:29:10 – 00:38:37:09
Speaker 1
His license is under review. He’s just looking for some quick money or whatever. Dude, that’s a perfect medical director. Yeah. You really want.
00:38:37:11 – 00:38:56:12
Speaker 2
That’s hilarious. Let me ask you as well, what what marketing would you say has been worth your time? Or have you seen be be worth it? I, as I mentioned, I haven’t spend a dollar on marketing, and I don’t plan on spending it until the program ends. Because I just don’t have the ability to take on more patients right now.
00:38:56:12 – 00:39:01:20
Speaker 2
But what have you seen works well, what do you recommend? Or just continue what the word of mouth.
00:39:01:22 – 00:39:13:00
Speaker 1
I’m going to say. Well, let me ask you, what are you doing now? Because something’s working like, like like what do you do now? Like, I mean, I know you said, you know, you don’t advertise, but but, like, what are you doing? You’re doing something.
00:39:13:02 – 00:39:33:06
Speaker 2
Yeah, I just I just, take care of the patient front of me. I’m a firm believer. Take care of them, and they’ll. They’ll tell friends and family, and it’s, you know, coming up on a year, and it’s. It’s been working out so well, working out well so far, though, you know, it’s a blessing, but I also know that I’m only tapping into one one potential way to hit patients.
00:39:33:06 – 00:39:57:10
Speaker 2
And I know that there’s Facebook ads, there’s Instagram, there’s social media. There’s I mean, I haven’t posted ever. I’ve never posted on social media. I have a social media page and it’s completely blank. I even need to get my Google reviews up because you don’t focus on Google reviews much. Me a patients coming in through the door, you know, but I know I need to get I’m just I guess for me, I’m kind of in this ramp up period where I want everything to look really kosher.
00:39:57:10 – 00:40:16:05
Speaker 2
So once once I get the NPE degree, I have the ability. I can’t take on more right now. So I almost don’t want to advertise really much at all right now because I can’t take on more patients. But once I’m done, I definitely want to advertise, and I want this thing to grow, and I’d like to hire an associate down the road.
00:40:16:06 – 00:40:23:17
Speaker 2
So I just, I yeah, that that’s kind of where I’m at, but it’s all been word of mouth to answer your question.
00:40:23:18 – 00:40:37:04
Speaker 1
Well, you know, I mean, I agree with you. You don’t want to have, you know, you don’t want advertise right now. It’s not a good idea. Like, yeah, don’t bite off too, you know, don’t don’t bite off or you can chew. Right. Just don’t do it. It’s not a good idea. So so what you’re doing now is completely fine.
00:40:37:04 – 00:41:05:12
Speaker 1
Now word of mouth is I mean, you’ve heard this before. It is. It is the most powerful marketing channel there. Is. It just it just is. Especially for a service based industry. You have service based business like this. The majority of practices man that you know I’ve helped sales I broker practices on the side. The practices that I’ve sold that do million dollar plus net a year.
00:41:05:14 – 00:41:28:15
Speaker 1
Okay, are all word of mouth based. The people that I’ve talked with who have million seven figure businesses net when I talk about seven figure gross, seven year gross is a mean thing. Seven figure net impressive seven figure net businesses are predominantly word of mouth based businesses. Okay, so you need continue to focus on that. All right. It’s free.
00:41:28:17 – 00:41:51:10
Speaker 1
You deliver good care. It’s a good thing anyways right. Like you take care of them. They take care of you. Now you then want to obviously still maximize the, the other marketing channels that I would say still fall into that social realm of word of mouth and review base and stuff. So your Google business listing that you said you do need to prioritize reviews on there.
00:41:51:10 – 00:42:19:16
Speaker 1
For sure. You need to get as many reviews as you possibly can on your on your, Google business listing between now and, you know, October or whatever. Just November once you get licensed, you know. Yeah. Prioritize that until then. Like strive to get 50 to 105 star reviews on there. And then that way when you launch this thing or when you really decide to pull the trigger on scaling this, you have so many reviews on there.
00:42:19:16 – 00:42:51:16
Speaker 1
Look, it’s legit business, right? So I prioritize that, if you don’t have if you’re not utilizing social media, I think that because you do some interesting things in terms of like PRP and injections and procedural things, I think that creating videos that you post on YouTube, and your social media pages, just post them, create, you know, video, post them on those channels, post them on to your website.
00:42:51:18 – 00:43:09:08
Speaker 1
You will get patients that way. It build your social authority, it build your credibility. People who end up going to your website will watch some of these videos and be like, okay, you know, I like Thomas. He’s he seems like a pretty cool guy. He seems like he knows what he’s doing. He seems knowledgeable. He seems competent.
00:43:09:10 – 00:43:34:22
Speaker 1
So you will get more patients that way. Also improves your SEO also improves your geo, your general engine optimization. So people find you on ChatGPT and Gemini and those sorts of things. So I would focus more on those free avenues that, you know, tend to maybe take some time recording videos takes a little time, especially if to edit them and whatnot, but they can pay off big for you over the long run.
00:43:35:04 – 00:44:04:08
Speaker 1
You know, kind of a video that you record about a frozen shoulder. You post it on YouTube, you talk about how you manipulated it or whatever to unfreeze it, and then you did a PRP injection to heal it. Something like that. Man, a video that you post like that on YouTube might only get 500 views the first week, but the thing is that videos out there and someone might find it a month from now and be like, oh, okay, well, I mean, I, you, I happen to be in the same areas.
00:44:04:10 – 00:44:32:22
Speaker 1
And as Tom called your office up, you know what I mean? So it’s these little things like that that just compound and for free. I think that advertising this is really I don’t think it’s necessary. I advertising on social media, you’re sending out a message to a bunch of cold leads and hoping someone you know actually needs the service that you’re, that you’re providing.
00:44:33:00 – 00:44:33:22
Speaker 2
That.
00:44:34:00 – 00:44:55:04
Speaker 1
That’s a big if, right? Like, you know, like I said in other podcast episodes, people generally are looking for these services. They they’re looking for help. So make yourself as easily found as possible. Right. Like that’s that your goal hit like target those warm leads. People are looking for this. So make them find you as easily as possible.
00:44:55:04 – 00:45:00:05
Speaker 1
If you focus on that dude, you probably will never have to spend a dollar marketing problem.
00:45:00:07 – 00:45:10:02
Speaker 2
Okay, now I love that. Okay, I know consistency is the number one thing with social media. How consistent should I post once I get started.
00:45:10:04 – 00:45:12:08
Speaker 1
Twice a week? Spotify.
00:45:12:10 – 00:45:12:23
Speaker 2
Yeah.
00:45:13:01 – 00:45:36:02
Speaker 1
Yeah, especially if they’re high value videos, you know, especially if they’re like, you know, a 10 or 15 minute video where you’re talking about a specific condition, you know, you probably really only need to post a video like that once or twice a week. Now, the thing is, you could post daily, but you can just break the you can break that ten 15 minute video down into five 32nd reels.
00:45:36:04 – 00:45:56:00
Speaker 1
Yeah. Every single day. Right. So you know, your receptionist or whatever, you know, they that’s something that they could do for you. You know, you record the video and you’re like, okay, make sure you post the main video on Monday and then, you know, Tuesday, Wednesday, Thursday, Friday, just, you know, break it down into five reels and go ahead and post them or whatever.
00:45:56:00 – 00:46:10:07
Speaker 1
You know, that way you’re posting content fairly regularly. People will start following you on Instagram and TikTok and YouTube and Facebook and stuff. And then, dude, you’d be surprised, man. How many people like how many pieces that actually get turned into.
00:46:10:09 – 00:46:28:15
Speaker 2
Really? Okay, you wouldn’t recommend doing that until October or November or once a month because I yeah, again, it’s a good problem to have, but I don’t want to I don’t want to I don’t want patients. I don’t want to turn them away. And now they’re now they found somebody else down the road. I, I don’t know.
00:46:28:17 – 00:46:55:04
Speaker 1
Well, I mean, yeah, you’re right. You don’t want to over market an under under delivery. You never want to do that. Right. So you could start that process if you wanted to. Because that process usually takes six months to really start seeing any kind of results from it. Yeah, it takes a little while. Okay. Most people stop doing it because they start.
00:46:55:04 – 00:47:17:23
Speaker 1
They don’t see any results after two months, so they stop. Yeah. And that if they only knew, they might have been only two more months away from actually. Yeah, some significant results. You know what I mean. So most people just give up on it. So if you started it now, then by the time October November comes around in your licensed, you know, it actually could start gaining some traction and whatnot.
00:47:17:23 – 00:47:26:16
Speaker 1
But I would be very hesitant in terms of creating videos about stuff that requires your MNP license.
00:47:26:18 – 00:47:30:08
Speaker 2
That’s. Yeah, that’s what I was thinking as well, I don’t yeah.
00:47:30:10 – 00:47:59:10
Speaker 1
Yeah. So focus more on videos talking about what you what’s what’s within your scope now. Right. And then once October comes around then you can start doing the stuff about PRP and HRT and peptides or whatever mixed in with some of this chiropractic stuff. And then it becomes a lot more diverse. And by the time that comes around in October, you know, maybe your Instagram has 2 or 3000 followers now, you know, maybe your YouTube channels gained 1000, 2000 subscribers.
00:47:59:12 – 00:48:13:12
Speaker 1
And then, you know, just make yourself just look a hell of a lot more legitimate. Right? So I would say probably would be a bad idea to start doing that because I, I doubt if you’re doing that now, you’ll get a whole lot of patients from it over the next 3 to 4 months. You probably really won’t.
00:48:13:17 – 00:48:16:16
Speaker 1
It takes time for that stuff to pick up.
00:48:16:18 – 00:48:34:15
Speaker 2
Got it. Okay. And then I have a thought as well. It’s when I run it by you. So as far as Google reviews are concerned, I saw that you can get t shirts for. I think they’re like $5.60 a shirt and you can put your company logo on there on the website and hey, leave a review, get a shirt now.
00:48:34:15 – 00:48:46:00
Speaker 2
They’re now they’re wearing your shirt outside of it, the brand recognition. And for five bucks you just got a Google review. You get 100 of those. You know, for 500 bucks, you’ve got, 100 Google reviews, you know?
00:48:46:01 – 00:49:11:23
Speaker 1
Yeah, yeah. I mean, if you give away anything for free for a Google review, man, it’s it’s you’re going to get better results. Now, does a t shirt work I don’t know I don’t know I have a patient I have, you know, like I know my men’s health clinic. If I gave everyone a, you know, a workout, you know, shirt or, sleeveless shirt, tank top or something like that.
00:49:11:23 – 00:49:32:01
Speaker 1
Had my men’s health, you know, logo on it. And testosterone therapy on the back or something like, yeah, here’s a workout shirt or something. I’m sure a lot of guys would love that, you know? So, so, I mean, you’ll, you know, your patients if a t shirt is valuable enough for them. Cool. Also, another thing too that works really well, man, is 5% off your next visit.
00:49:32:06 – 00:49:33:13
Speaker 1
Items are pretty good too.
00:49:33:18 – 00:49:40:14
Speaker 2
Yeah, yeah. It’s funny, just and not you. You’ll get patients that were for like 4 or 5 people, but they won’t ever go for.
00:49:40:15 – 00:49:41:16
Speaker 1
You, you know, like, you know what.
00:49:41:16 – 00:49:57:09
Speaker 2
I mean? It’s it’s it’s funny that way or that, you know, like the great aunts coming in, but I’m like, well, can you leave a review? I’ll do it. You know, I feel like some people just need like that incentive. So I just thought that might be a good way to incentivize the market, the company as well.
00:49:57:11 – 00:50:15:22
Speaker 1
Well, the thing is, man, you got to remember to, like, get in their car. Life happens. Yeah. And then they completely forget about you. You know what I mean? So like, what I do with Google reviews is, is that they have to give me the review right then and there. Here’s a QR code to scan and make it as easy, easy as possible for you.
00:50:16:00 – 00:50:24:03
Speaker 1
Boom. Give me the review. Great read down. Yep. Perfect I see it. Perfect. Five star review 5% off the visit right now.
00:50:24:05 – 00:50:25:20
Speaker 2
Yeah. Before they got it you know got it.
00:50:25:22 – 00:50:28:01
Speaker 1
That’s that’s that’s what you gotta do.
00:50:28:03 – 00:50:50:19
Speaker 2
Yeah okay. No I love that. Yeah. What are your thoughts on, getting a membership where it kind of blends chiropractic with with, percentages off of, and once I get the degree, so, like, yeah. Readjustment a month and and percent off men’s health or whatever it is. And it’s it’s a passive way that, make some money, but also keep people healthy.
00:50:50:21 – 00:51:17:10
Speaker 1
Yeah. I know, man, if you know, I got I’m dealing with a shoulder problem myself right now. I impingement kind of thing going on. It’s kind of driving me nuts. And, you know, if I knew of a chiropractor or a, you know, a solid physical therapist or, you know, physiologist or whatever in the area, and they had some kind of package where it was like two months, you know, $500 a month or whatever.
00:51:17:10 – 00:51:38:20
Speaker 1
And I get to go in for, you know, whatever manipulation therapies every week, etc.. I would okay, I would pay for something like that. I have a friend who is at a physical therapist right now in my city, cash only physical therapy. But she’s like, she knows. Or she’s a solid physical therapist. All kinds of certifications and stuff, cash only.
00:51:38:20 – 00:52:04:21
Speaker 1
And it’s like 2500 bucks for, you know, a ten session, you know, package or whatever. So, yeah, things like that definitely work. Well, now, if you also put in a discount, you know, if you get this package, then we also will discount you on PRP or you get a discount on men’s health or whatever. Then yeah, that not only like it incentivizes them to consider doing that.
00:52:04:21 – 00:52:19:14
Speaker 1
Right. Like, yeah, it’s almost like a marketing strategy as well. You’re kind of putting it in there whispering in their ear, maybe, you know, maybe you should get a PRP injection. Maybe you should get men’s health, do some HRT or consider weight loss or whatever. So I mean, I think it’s a good I think it’s a good marketing play, man.
00:52:19:14 – 00:52:22:19
Speaker 1
I mean yeah. Free to you try.
00:52:22:21 – 00:52:37:14
Speaker 2
Yeah. I mean I never want patients coming in more than they need to come in. So it’s kind of like a balance between I’m not trying to be a slimy salesman at all. In fact, I funny, I’m known as the guy that will be like, hey, don’t come in. You’re good at the bad guy. They’ll schedule online, like, the next week, you know?
00:52:37:14 – 00:52:52:09
Speaker 2
So I’m not trying to be like that. But for the people that are going to come in every month anyway, you know, I can, I, I can give them a discount is like, hey, thank you. But then also that opens them to do other services that might benefit them too. So that was kind of my thoughts on that.
00:52:52:09 – 00:52:53:18
Speaker 2
But yeah.
00:52:53:20 – 00:52:59:15
Speaker 1
That sounds strategy. Like think think it through. Just make sure it’s valuable. Make sure it’s necessary.
00:52:59:17 – 00:53:15:08
Speaker 2
Yeah. And then what what are your thoughts on some of the new trends here in the next 3 to 5 years? You think there’s anything kind of coming down the pipeline? I know GLP ones were, you know, have kind of come and gone. Men’s health, I feel like is is dwindling a little bit because they’re everywhere.
00:53:15:08 – 00:53:22:01
Speaker 2
At least near me. They’re everywhere. But what are your thoughts on that?
00:53:22:03 – 00:53:51:07
Speaker 1
Man, it’s hard to tell. I mean, I still think that, there’s a lot of buzz and interest in longevity medicine right now. You know, actual true longevity stuff. Not just, you know, here’s your HRT to keep your testosterone levels good while, you know, as you age. But I’m talking about, like, things like hyperbaric oxygen chambers and red light therapies and various sort of therapies, cold plunge.
00:53:51:09 – 00:54:21:04
Speaker 1
And then on top of that as well, more diagnostic. Preventative kind of stuff. Like I personally just had, I’m kind of going through an executive physical sort of thing myself right now with someone here in Colorado. And, I just had a, CT angiogram. My heart done. It’s just part of. It’s just part of it, cost it cost $2,000 cash to get it done.
00:54:21:06 – 00:54:34:08
Speaker 1
But I had it done. And, like, my calcium score is zero. I had literally have zero zero plaque. My heart is essentially that of was 18 year old. So it’s like, well that’s cool. You know, like you.
00:54:34:10 – 00:54:36:02
Speaker 2
Yeah yeah yeah yeah for sure.
00:54:36:02 – 00:54:58:06
Speaker 1
Don’t gotta worry about a heart attack for 20 more years. I’m good to go, you know? So like, but yeah, so, like, you know, full body MRI, so it’s like, you know, the executive physical that, that longevity medicine kind of stuff, I think is, I think it’s going to be something that’s going to be pretty trendy for, for a while in terms of like a medication goes, some kind of therapy like that.
00:54:58:08 – 00:55:20:09
Speaker 1
I haven’t really seen anything new down the pipeline right now. I think it’s just it’s just gonna be kind of a waiting game. I mean, I know peptides are going to be coming back soon. GLP ones kind of just came out of nowhere, you know? So we were kind of surprised by that. No one really foresaw that when it happened.
00:55:20:11 – 00:55:36:17
Speaker 1
So. So, yeah, I don’t really have a specific answer for you. It’s just let’s just keep an eye on it. But I think the longevity medicine stuff is kind of kind of where it’s going towards. I also think a lot of people are really looking more in this integrative stuff to integrative medicine, the functional medicine sort of stuff.
00:55:36:19 – 00:55:58:11
Speaker 1
I know especially in psych, that’s kind of where it’s going from. A lot of what I’ve talked with is more of an integrative psych approach to stuff versus just giving people meds. So, yeah, that’s kind of my main, I mean, and then the regenerative stuff as well, you know, the exosomes in the stem cells, I think those sorts of things will probably evolve as well over 3 to 5 years.
00:55:58:11 – 00:56:00:12
Speaker 1
So. So we’ll see what that looks like.
00:56:00:14 – 00:56:20:12
Speaker 2
Yeah. Awesome. Another question I have for you is, what what would you say made you the most successful? You know, if you were to go back and, you know, everyone makes mistakes in business, I’m about ready to finish up my first year. I try to learn mistakes of others. Then, is there any advice you’d have on what?
00:56:20:13 – 00:56:26:16
Speaker 2
What you wouldn’t do or what what worked really well for you?
00:56:26:18 – 00:56:53:19
Speaker 1
I think the biggest thing that worked the most for me was a combination of persistence and patience. You know, I never gave up, I never stopped, you know, there was days I would wake up and I’m just like, I don’t want to do the day. I just don’t want to, you know? I mean, I was just gonna sit here and watch a movie, you know, like.
00:56:53:21 – 00:56:54:04
Speaker 2
Get it.
00:56:54:05 – 00:57:14:10
Speaker 1
You know, go for a walk and watch a movie and, like, but I never I never got lazy like that. I still continue to push forward and stuff. You know, I sacrificed a lot of things I probably shouldn’t sacrifice, but I did, so I stayed persistent regardless of what my brain was telling me to do, you know?
00:57:14:10 – 00:57:35:18
Speaker 1
Oh, you could be lazy today. Or, you know, I. Why don’t you quit this? It’s not. It’s not working out very well. And then just being patient and long. That giving stuff time. One of my weaknesses, one of the mistakes I made was being impatient at times as well. You know, maybe I launch things too early that, you know that I shouldn’t have.
00:57:35:18 – 00:58:00:06
Speaker 1
I might have invested money in things too early. I was little too impulsive when it came to certain things. So, So I was impatient, especially when I was, you know, let’s see here. It’s 20, 26 now. I’m 41. I’ll be 42 here a few months. When I was like 35, I was I was extremely impatient individual, very impatient.
00:58:00:08 – 00:58:31:08
Speaker 1
And it took me six years to eventually learn how to just be patient with things and me being persistent was forced patience, essentially. You know what I mean? Yeah. So so that’d be my biggest piece of advice for you there. And then also another thing is, don’t be scared of what? Don’t be scared of things that are completely out of your control.
00:58:31:10 – 00:58:59:04
Speaker 1
You know, I would worry and be anxious about so many different things throughout my throughout my journey. You know, it’s the economy going to do this or that. I chart right on this patient I gave this patient this or that or, you know, how are people going to perceive me publicly? You know, especially with like the elite employee when I was put myself out there alive, you know, a lot of things I was I was really worried about how I would be perceived and, putting my foot down and stuff like that.
00:58:59:04 – 00:59:10:12
Speaker 1
And, anyways, though, yeah, don’t worry about it. If it’s out of your control, just just stop worrying about it. Just do it. Just do it, you know?
00:59:10:14 – 00:59:28:20
Speaker 2
Yeah. No, I appreciate it. The patience definitely resonates with me. I’m, I’m 30, so I, I’m kind of. I feel like I’m always trying to be be get on the next thing and be better. And sometimes I feel like that’s great advice. Just, just to be okay with where you’re at and keep working towards your goals.
00:59:28:20 – 00:59:31:23
Speaker 2
But, you know, not to yourself over it.
00:59:32:01 – 00:59:46:22
Speaker 1
Dude, you’re 30 years old, man. You’re still. I mean, you can’t believe I’m saying this, but you’re baby, man, you know? I mean, I’m only like you know, 12 years older than you are. You know what I mean? But, like, you know, I remember when I was your age, you know, someone in their 40s would tell me the same thing.
00:59:46:22 – 01:00:14:07
Speaker 1
Oh, you’re just a baby, you know, like, you have a lot to learn over the next 10 or 15 years. And you doing this at the age that you’re doing it at, at 30 years old is pretty impressive. So, I mean, I mean, you’re you you will be wealthy, you will be successful. It’s just maybe not next year, you know, maybe not in three years, but like five years from now, you probably will be doing very, very well.
01:00:14:07 – 01:00:27:14
Speaker 1
So just be patient, man. Just let things kind of roll out. You don’t have to. You don’t have to always do something. Okay. Like this is don’t.
01:00:27:14 – 01:00:28:20
Speaker 2
Feel that way.
01:00:28:22 – 01:00:53:16
Speaker 1
Okay I know I know man I know, I know and and entrepreneurs in general. And I’m still guilty of this sometimes we always feel like we have to be doing something. Sometimes the best thing you can do is nothing. Sometimes the best thing you can do is just sit back. I built this thing and it’s working. It’s a machine now.
01:00:53:16 – 01:01:11:08
Speaker 1
It’s doing its thing. Sometimes it’s best to just stand back and let it do its thing for a while. It just put the inputs into it, necessary to keep it operational. But you terms, you don’t. You don’t have to add a bunch of new things and that sort of thing. Right. Just sometimes the best thing to do is just nothing.
01:01:11:08 – 01:01:30:06
Speaker 1
So be patient. That’s what I was telling you, man. Six months from now, just be patient with this. Just slowly dip your fingers into it. You know, just there’s no reason to advertise this stuff right now. Like, be patient over a period of 3 to 6 months. Man, you I wouldn’t be surprised next year. Like, let’s just say starting October.
01:01:30:06 – 01:01:40:05
Speaker 1
Okay. October 27th. I would be surprised. One bit of your practice does half $1 million. Like I really wouldn’t. And you probably won’t have to do a whole lot. Just be patient with it.
01:01:40:07 – 01:01:57:11
Speaker 2
Yeah, well, I appreciate you saying that. And I think I think you summed up pretty well. So here I am calling you six months before I have the ability to do some of these things. And I’m already kind of help a business plan around it and everything. So, thank you for that. Yeah, I think that I think that pretty much sums up everything I have.
01:01:57:12 – 01:02:16:23
Speaker 2
Do you just kind of look in it based off everything I said? Any advice you have? I mean, I would say be patient, but just kind of, given what I everything, I just kind of disclosed to you, on what to do. I know we, we hit a bunch of things, and if you don’t, that’s perfectly fine. But just given the situation I’m in, as in, any advice, any other advice?
01:02:17:00 – 01:02:18:07
Speaker 2
Open it up.
01:02:18:09 – 01:02:34:12
Speaker 1
Yeah. I think, the biggest thing coming to my mind right now is, is that you have a lot of transitions coming up in your life, you know what I mean? You know, you’re going to finish in school, then you have to pass the certification, and then you’re gonna have to get licensed, and then you have to get your DEA.
01:02:34:14 – 01:02:58:08
Speaker 1
You’re going to have to find a medical director. You’re going to be implementing a bunch of different services into your practice. You’re going to go from chiropractor to chiropractor in hybrid, like there’s a lot of transitions getting ready to come up in your life. So the next 12 months for you are going to be stressful. You know, the next 12 months for you are going to be a lot of unknowns.
01:02:58:08 – 01:03:21:14
Speaker 1
You’re going to be uncomfortable a lot of the times, you know, and I think that just be prepared for it. I would only focus on what you have right in front of you at the moment. You know, when you’re finishing in school up the last month or two, that’s what you need to be focused on. I don’t think I would be focusing on a bunch of other stuff in your business at that point.
01:03:21:16 – 01:03:56:06
Speaker 1
Get the A and past, pass that thing, get your licenses and stuff like focus on those things that are right in front of you. I don’t think in the for the next 12 months, I don’t think it’s necessarily a good idea for you to be thinking really far ahead in the future. I don’t think it’s necessary because I think you have so many different changes coming your way that you need to navigate those changes tactfully and with, you know, patience and with perseverance and with being levelheaded and calm.
01:03:56:08 – 01:04:22:14
Speaker 1
So focus in on that instead. And as those transitions begin to unfold, you will then get to a point, probably 8 to 12 months from now, where you will then begin just feeling comfortable in your new skin. Once that happens, once you feel comfortable in your new skin, that’s when I think I would start that. That’s when I would start thinking more about, okay, the six month goal here, the 12 month goal here.
01:04:22:18 – 01:04:46:10
Speaker 1
Okay, what should we begin doing here to grow this service line, that sort of thing? Because you’re not going to really know what that is. When your head is clouded with all that you’re going to have to get done in the next year. You know what I mean? So that’s why I said for the first 3 or 4 months, 3 to 6 months after you graduate, man, take your time with this stuff, okay?
01:04:46:12 – 01:05:10:00
Speaker 1
Don’t get in over your head with implementing a bunch of different things. It’s not a good idea. All right. Like, the last thing you want to do is your six month, your sixth men’s health patient comes in, who was an absolute trainwreck of a patient. And you decide to take them on because you want the income, you want the revenue.
01:05:10:02 – 01:05:27:06
Speaker 1
And then you have all this stuff going on. Peptides over here. Maybe you’re decided you are going to manage someone’s blood pressure over here. Plus you have all the chiropractic stuff you’re already doing, you this train, you decide to take them on and they become an absolute time sink. And you’re stressed out about this patient all the time.
01:05:27:06 – 01:05:33:07
Speaker 1
When you could have just told them to go to your PCP, get your taken care of first, and come back to me later, you know?
01:05:33:09 – 01:05:33:17
Speaker 2
Yeah.
01:05:33:17 – 01:05:39:19
Speaker 1
So like, just be just be careful, man. Just go into slowly. Yeah.
01:05:39:21 – 01:05:47:17
Speaker 2
Yeah. No I really appreciate it. I think that I think that wraps up all my questions. Yeah. Thank you for having me on. Okay.
01:05:47:19 – 01:05:58:12
Speaker 1
For sure, man. Well, I, I mean, you kind of asked me this question already, but I don’t if you have another one. But like the in the episode, you asking me a question, you have a question for me, a curiosity or something just specific for me.
01:05:58:14 – 01:06:03:04
Speaker 2
Yeah, well, I know you like to fish, so the question I had for you, when is your next fishing trip?
01:06:03:06 – 01:06:21:20
Speaker 1
Well, I just got back from Belize. Okay. I got back from Belize. Literally, like a week, not even a week ago. Like, what is today? Friday? I got back on Monday, so. Yeah. Yeah, yeah, yeah, I just got back from Belize. I mean, I caught over 100 fish. I mean, it was it was fun. I caught a lot of fish.
01:06:21:20 – 01:06:47:10
Speaker 1
It was just nothing really big. The weather down there was it was like a once in, five year event, sort of a thing. And like, the guides were like, dude, it should be like 90 degrees out here and sunny. Oh, like it was raining. The high was like 75. Most days it was windy. I’m in Belize fishing and I’m wearing a jacket.
01:06:47:12 – 01:07:05:22
Speaker 1
Like hell is this weird pants. Like, I brought one pair of like, you know, like you’ve, you know, like pants you would wear outside when you’ve, you know, if you’re just walking along the bank or something. Yeah. I had to wear those for five days. I was down there. Let’s just say by the end of the trip, those things didn’t smell that great.
01:07:06:02 – 01:07:08:08
Speaker 1
Yeah. Oh, yeah. Well, hopefully.
01:07:08:08 – 01:07:13:21
Speaker 2
At least caught something. Man. That’s unfortunate. I was I was trying to ended on a good note and talk about something exciting.
01:07:13:21 – 01:07:33:01
Speaker 1
I didn’t I don’t know, I mean, for fun I mean, don’t get me wrong, I still had a blast. I caught 100 fish. I just, you know, I just wasn’t able to hit those tarpon, you know, you know, I, I went down to fly fish for trophy tarpon or like a trophy bonefish or something. And it was just like the seaweed blew in from the ocean.
01:07:33:03 – 01:07:51:06
Speaker 1
And the seaweed was just along the mangroves and stuff. And it’s just sitting there rotting, killing the baitfish. So now the tarpon and the big fish are going deep, and we couldn’t go fishing in the deep water because there was ten foot swells out there. So it’s like, you know, but I made the best of it, man.
01:07:51:06 – 01:08:00:11
Speaker 1
But we’re gonna I’m gonna be I’m gonna I’m gonna be in Florida here in about a month and month and a half. So that’s when I plan on, I mean, I’ll do a little fishing while I’m down there, so. Yeah.
01:08:00:12 – 01:08:06:02
Speaker 2
Yeah. Well, hopefully if we. If I get back on the show, if I ask that question again, hopefully it’s not ten bucks.
01:08:06:02 – 01:08:14:23
Speaker 1
Well, it’ll be better. Maybe I’ll be able to share screen with you with a 400 pound marlin or something. Yeah, exactly. Cool, man. Appreciate your brother.
01:08:15:01 – 01:08:16:04
Speaker 2
Thank you. Have a good one.
01:08:16:04 – 01:08:37:14
Speaker 1
I mean, thank you. Thank you for listening to the show. The legal disclaimer. The content of this podcast has been for informational entertainment purposes only and should not be used as legal, financial, medical, regulatory or practice specific advice for information pertaining to your specific legal, financial, medical, or practice specific needs. Please be sure to consult with your lawyer, CPA, medical director, and or your state’s practice laws and the most up to date clinical guidelines.
01:08:37:14 – 01:08:49:09
Speaker 1
As always, do your due diligence when it comes to any other information found online in podcast. The content of this podcast is copyrighted by Galaxie Medical Southwest 2023 and it cannot be duplicated, rebroadcast it, or reproduced without our written permission.
