In this monologue Kelly Alhooie explains why she left her clinical provider role to become a coach. She recounts her love for deep one‑on‑one patient connections and the rewarding outcomes that kept her motivated, but also describes growing frustration with being confined to an 8 × 10 treatment room while the business expanded. As she audited her time, she realized that treating a patient for an hour at $250 was far less financially sustainable than the $1,000‑per‑hour consulting she did through PelviBiz, yet she resisted selling that service because it felt like another form of being “stuck” in a one‑on‑one setting. She observed that both patients and some coaches mistakenly believe that only individual sessions can produce results, even though the solutions she delivered were often identical across many clients. After conducting over 200 back‑to‑back coaching calls and noticing the repetitive nature of the advice, she concluded that group coaching and peer‑supported programs would be more efficient, scalable, and beneficial for clients, allowing her to leverage her strengths without the constraints of one‑on‑one sessions.
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.
