Having Staff Understand Your Method

What's up, guys? Welcome to Pelli Biz Podcast. I'm your host, Kelli Eloey. Today I'm going to talk about those people that have a staff on board, and you're trying to get other therapists or providers to understand the reasoning why kind of the method. Right. So you really want to get them to understand how to show patients the pathway. As we know, when people call a clinic or an office, what happens? The first thing that people say is, hey, do you take my insurance? Well, what the problem is, is most of us are not showing the actual patient that's calling, hey, this is actually how we're going to help you, and this is why you should come see us. And this is what makes us different. And I think more and more, as we kind of progress throughout the next couple of years, it's going to be very imperative when you have competing clinics by you or competing offices by you that actually are taking insurance. And of course, a patient, when they see that, they're going to be like, hey, I'm going to go for the lower cost or the one that takes my insurance over the one that doesn't. So how are you going to stand out? I think that's the biggest thing. How are you going to stand out? So, for instance, I have a little story here. I went in to my office and I was working with one of my therapists, and it was really interesting to hear their perspective on it. So she was working with a marathon runner, and this marathon runner was peeing four times before she had to go out for a run. And then on race day, of course, it was worse. And then during the race, she was also peeing, like, six different times. So we were working with her on how to stop using the bathroom, you know, so frequently and get her to be able to do her marathon without, you know, going to the bathroom so that she can have a better time. So as I'm talking to the therapist, the more and more we get into it, we're understanding that it's not so much of a physical issue. It's more of the psychology aspect of, oh, my gosh, I'm about to go for a run. And this is going to be potentially an issue that I'm going to have to deal with. So how can we look at it from the psych aspect rather from what can I do with my hands? I think most therapists and providers have been trained, hey, they have to come into the office. I have to touch them, I have to put my hands on them. And that's where the magic happens. The reality is that's just not the case. If we can learn to get to the deeper why, which is. Okay, Sally, so let me give you back to this runner. Okay, Sally, if you were just to be able to walk out this door and go for a run, how scary is that for you? And I'm assuming this patient would be, like, terrifying because I run in public places and I'm going to have to pee. I think she even stated she runs in public places so that she can find bathrooms at certain, you know, locations and stuff like that. Okay, well, how can we decrease that fear? So I don't care what manual muscle test or what manual maneuver we did or what strengthening program we did. More than likely it's not solving the problem because we are not addressing the fear aspect, the deep fear. So where is that coming from? Did she have an accident before? Was she stuck somewhere in the middle of the woods or in a public place where she couldn't use the bathroom? Where's the underlying issue there? And that's what we gotta address. So when I'm trying to address this patient, if I was treating her, I would go back and look at a digging for the deeper why. What is it that triggers her? Is it just literally walking out of her house without her peeing? I think so, yes. Okay, so can we give her little baby steps? So instead of me telling her, hey, hey, go do five quick flicks to stop your urgency or do calf raises to stop your urgency. That's not going to work. It's not going to work. So in my head, what I'm thinking is, for her, I would give her something like, hey, Sally, today I want you to put on your tennis shoes. I want you to wear your race outfit like you would be going to race day. And I literally just want you to walk out your door and go sit in your car, and I want you to do that for five minutes. Just sit in your car five minutes, and I want you to come back in. And you cannot pee before you walk out the door. And you have to wait five minutes when you come back in the door to go pee. That is going to be terrifying for her. But it's a doable step that. Can someone wait 10 minutes to go pee? Yes, they can. So that's a step in the right direction to prove to herself and her body that. That she can sustain not going to the bathroom. Then what I would do is say, okay, if you feel that you need a safety net, because maybe they feel that way. If you Feel that way. Then what I'm going to need you to do is maybe put on a pad. Sometimes these clients really like to have a pad because they feel it is their safety net. Now I'm going to have you wear a pad and I'm going to now have you go for a 10 minute walk down the street. And then I want you to come back. But here's the rules. You, you cannot go pee at least an hour before you walk out that door. And when you come back, you can pee within 10 minutes of coming back in. Does that sound good? Okay, Kelly, I guess I'll go try. Alright, cool. So she's gonna go try to do that. If that's too much, have her go for a five minute walk. We're not even running yet by the way. This is a marathon runner, right? We're not even running yet. Okay. Can she do it? Okay, great. Now can we do that without the pad? Okay, great. She's gonna try that. She goes and does it. Now let's actually go for a run. One mile run, no peeing beforehand. And now let's do it. Do you see how I'm kind of building up her confidence? Okay. And as a therapist, instead of thinking what's the best strengthening exercise, what's the best manual technique? I'm trying to get on the level where she's at and meet her where she's at. And it's all about communication and asking the right questions. So that leads me into if you're struggling, if you guys are struggling with therapists or providers, okay, that's on your team. And you're like, why are people dropping off? Or why are people not getting the results that you guys are wanting for your clinic? I really want you to kind of write down these things. Number one, like I said before, it's finding the deeper why and saying, so why is that important to you? So tell me what this would mean if we were able to solve it. And again, the therapist has to put it in their own words. But I'm just kind of giving prompts of like how this, what this actually looks like. The next thing is I find that's a big issue is time management. So what we've done at clinic is we've taken a clock and not the pelvic clock, but we've taken a clock and basically the 12, 1, 2 and 3. So 15 minutes, okay. Of the clock, that is for subjective of initial evaluation. So they have 15 minutes to get to the person's deeper why, figure out what their issue is. Okay. And then figure out how they're going to solve that problem for them and then explain how they're actually going to solve that problem. How we explain it is based on our method. So we say, sally, hey, you're here and now we're going to take you here. We don't know 100% yet, but what we're going to do is evaluate this in a minute to see. But this is what it's sounding like to me. Based on this objective, we. We know about 80% of time we can figure out what's going on based on someone's subjective. So then after the 15 minutes, we're at the three now on the clock. We're going to move to the 4, 4 and 5. And we're going to take 10 minutes to do the objective part. So what we would do on initial evaluation, we'd take them out to the gym and then we would have them do squats. Heavy. Squats, heavy. Deadlifting. Maybe they were having problems with yoga. So we would take them to and do like a yoga class. Maybe they had problems sitting on the floor. Okay, let's go through how you would sit on the floor with a yoga class. Show me where your impairments are at. Basically, that's what we're trying to say. Getting them to understand that they have a problem, recognizing that there's a problem, showing us that they have a problem, not just telling us. Because when they show us, then we can see other impairments potentially that come out. Then once we do that for 10 minutes, then we're going to go right into treatment. So as we're treating, we're also assessing as well, still. So we do 10 minutes of assessing. So that leads us from 6 to 7 o'. Clock. So that leaves us at the 35 mark on the clock. And from there we're doing visceral mobilization, potentially we're doing maybe hip mobilization. We're testing out the tissue and the. And also the joints. So now we've collected our data. Then from the 35 to 40, we're doing a recap. Okay, so now we're on the eight of the clock, we're doing a recap and saying, hey, this is what we're finding, this is what we understand. Okay, great. So now from the eight to nine, we have five minutes to then go over what we're going to give them for their home exercise program. Typically, it's going to be belly breath because we don't want to overwhelm them. Okay. And we need something to calm the nervous system and get them to understand the connection of the pelvic floor and going from there. So we're going to do that. And then from the 15 or the 45, I'm sorry, the 45 at the 9 to, you know, the end of the hour, we are taking 15 minutes to book them out for 12 sessions so that they can complete their plan of care and be able to have the results that they desire and want. Because we know it takes three, three months to truly have a muscular skeletal change, if that's what we're going for. So that's kind of the big thing we had to break down is time management and why people, if they're not getting to their results, maybe time management could be in your clinic, a big issue. The other thing that I find is a big issue or can be a big issue if is not setting the expectations correctly. So we do telehealth. We have a fair amount of people that do telehealth. And with that, we have patients that call and are like, what can you do to my vag on telehealth? I don't. I mean, how are you going to treat my vag over telehealth? Well, if you're not setting expectations up front that, you know what, we can do so much actually on telehealth, so there's so much talking there that we can do, and problem solving and planning doesn't mean that we're actually treating your vag on telehealth. But really kind of explaining that to the patients, I think is huge. Also setting the expectations of, hey, you're gonna be. We have to be consistent here. The more consistent we are, the better results that we're going to get. So recently we know this article came out with stressing urinary incontinence, that if they were consistent, they. They had a 75% chance of getting their problem solved. They're not, which means once a week, if they are not consistent, they had 11 to 16% chance of actually getting their problem solved. That's a massive difference. So consistency is key. Not spreading out the visits is huge. And you being able to articulate effectively to the patient and how you're going to get them better and what progress each time that they come in for that visit. Hey, Sally, you're here on our method. We're going to take you to here. Can't wait to see you next week and then keep telling them where they're at. That's why a lot of patients will just come see us, because they just want to know Am I progressing? Am I not what's happening? So I think that's big as well. So to recap this all, it's the biggest thing you can do to increase the outcomes in your clinic when it comes to therapists and even yourself, if you're a solopreneur, is number one, knowing your time management. Number two, digging into the deeper why and truly understanding why they're there. And it doesn't necessarily have to be a muscular, skeletal or a joint issue. Number three, you got, you have to have some pathway of how you're going to show them that you're actually going to help them and, and not be like all the other eight doctors that they've seen that they've gotten zero results from. And number four, you have to set the expectation expectations that consistency is key and that you can actually solve their problem. So I would say that's the biggest things that if you guys are like, hey, how do I keep improving my clinic? Especially if you have therapists or even if you're a solo, this is the way to do it. And these are the biggest mistakes that I typically see when we're in clinic. So hopefully you guys enjoyed and we'll talk soon. Bye guys. So much for listening to the podcast. This podcast is sponsored by Jane. There are the people that are going to have amazing scheduling system for your patients. They're going to provide you with a super bill, they're going to make templates for you. They're going to provide you with the best customer service. And because of that, they allowed us to have a code for one free month for those that are wanting to try Jane for their scheduling, checking out super bills, telehealth, all the different options. That code is Kobe biz1mo we'll put in the show notes, but hobby biz1mo that is the code for Jane. And thank you so much, Jane for sponsoring this podcast. If you guys want more information and want to learn how that you can keep bettering yourselves, go ahead, click the link down below and make sure that you book a call. And we love to provide any clarity questions on any follow ups. Bye guys.