In this candid monologue, Kelly Alhooie explains why she left her role as a clinical provider to become a coach and why she would make the same choice again. She describes her initial love for one‑on‑one patient connections and the deep satisfaction of seeing transformative outcomes, but as her practice grew she felt trapped in the physical treatment room, unable to attend to business needs and employee support. Kelly audits her time and pricing, noting she charged $250 per patient visit while consulting could command $1,000 per hour, and she questions the prevailing belief that effective care must be delivered one‑on‑one. After conducting over 200 back‑to‑back coaching calls, she realized the solutions she offered were largely identical across clients, leading to burnout and the insight that group coaching—leveraging peer support and shared solutions—offers a more scalable, efficient, and fulfilling model. She advocates moving away from isolated sessions toward group formats that provide community, reduce personal overload, and maintain the deep connection she values.
Chapters
why I gave up my provider title to become a coach. So when I was a provider, I realized I love treating patients at first, and then I became— as the business was growing, I became more and more frustrated with being stuck in an 8 by 10 room with the patient. Because, A, I realized I had so many other things I could be doing to run the business, like to keep it afloat. I needed to support my employees, but I was busy treating. I needed to, you know, get back to patients over the phone, email, whatever, but I again was in the treatment room. And I started to realize this actually pretty early on that I didn't like to be stuck in a room with a patient. However, what I did like about it is I could connect like one-on-one with this patient. I can, I can really get deep with them. I felt like every single patient was my best girlfriend or my best guy friend, right? And I just absolutely loved connecting with people. And then also seeing the outcomes that we got were just amazing. When you have so many stories of changing people's lives, it, that That is the best part. That is what actually keeps you going and being like, yeah, I'll stay stuck in an 8 by 10 room for another 8 hours today. Oh, and then go home and do notes at night. Yeah, I'll do that. It's because of those stories. It truly is. And so from the provider heart inside, it's like, I love that because when you get those wins, that's every single day, like what you're like, yes, I'm so grateful. I'm going to keep doing this like forever because this is awesome. But then at the same time, like I said, as the business starts to grow, you just start to see things from a different light and you start to really audit your time. And for me, I was like, wow, I am treating this patient for 1 hour, we were charging $250. And at the same time, I was also growing PelviBiz. And for those that don't know, I charge $1,000 an hour or consulting and one-on-one. And by the way, I don't even sell that because I don't, again, want to do that because to me it's the equivalent of being stuck in a treatment room for an hour period of time. And I don't believe people need that even though they think that they want that. Same thing for patients. And so I started to make this correlation. Patients believe— some patients believe that they only can see a doctor one-on-one and that's how it is. And I don't believe that that's actually true. Just like Some people in the coaching space believe that they have to see someone one-on-one to get the results. And I don't believe that that's accurate either. I can tell you, you know, being on— I used to do when I started Pelvic Biz, I used to do over 200 coaching calls on Zoom for an hour, back to back to back to back to back. I couldn't even think straight by the time I was done. And I recognized and realized while doing that is, oh my God, the person just had a little bit different scenario. But guess what? The solution that I gave was actually the same thing. And then I get on the next call. The solution I gave was actually the same thing. The solution I gave was actually— and then I started to realize the solution is the same thing, even though the scenarios are slightly different. And I was like, wow. And then I was like, so why am I doing these one-on-ones? I should be doing this group. Because when you have someone to lean on and support you, it's like so much freaking better.
