Pelvibiz Teletherapy Webinar

Welcome to Pelby biz podcast. I'm Dr. Kelly Alhui. I have grown and established brick and mortar practice in Northern Virginia called Ortho Pelvic Physical Therapy and also founded Pelvibiz, which is an online business consulting company that helps healthcare providers make more money and be healthy while doing it, especially in the pelvic health realm. So let's get into today's episode. So I love to see everyone on tonight. I really cannot wait to do this. I know so many people struggle with this and I can't wait to kind of give you my tips and my tricks of actually how to do this because there's not a lot of information, especially the pelvic health plan and whether or not you're orthopedic, whether or not you're pelvic health. This is the webinar for you because I'm going to show you to be able how to actually be confident in television. So I can't wait to get into it. So here we go. All right, let's get started because we got a lot to talk about. So I call this teletherapy because most people that are on here are either occupational therapists, physical therapists, PTAs, lots of different therapy professions that are on here right now. So I'm calling it teletherapy. And you guys want to stay to the end because I'll answer any of yalls questions at the end of the webinar. All right, so why did I get in? Why am I doing this? Why are we going over this tonight? Well, for those who don't know, when it was March 2020, I decided to leave a practice I was at and start my own practice because I was absolutely sick. I had $800 in my bank account and I was just fed up because the company I worked for said that notes were more important than the patients. And it didn't sit well with me. And so I was like, I've got to do something about this. Whether or not I live in a tent or not, that's it. I'm leaving my job. I'm quitting today. And I quit. And literally the next day, kid you not Covid hit and everything kind of shut down. Well, I had zero patients on my schedule. And so I need $4,000 to survive that month. And I was like, how am I going to do this? And I was like, okay, I'm going to be mobile. It cost me about $200 to get my table. And it then, you know, I needed my insurance and I just Needed a little couple forms. And I was like, all right, I got a business. Here we go. I'm going to go try to find people. Well, I ended up driving for those who don't know, I live in Virginia currently. And I would drive down to D.C. so it's about a 45 minute commute down there. And I would drive all around D.C. and Virginia in that area. And I was like, all right, I gotta find patients. And so I went and I stood on a trailhead that was very popular around this area. And I didn't know anyone. It's brand new. And I was like, I'm gonna find people. And I just started calling at people saying, hey, come over here in this parking lot. I'm gonna do a movement assessment on you. And I'm gonna use these lines in the parking lot. Well, I just started getting patients from that actual trailhead, the running trailhead, because I was like, no one's out, everyone's locked away. But I know those runners and I know some of you guys on here. Like the psycho runners. Yeah, I'm talking to you guys. I had. I went and found you guys. I knew you'd be on the trailhead, so I started just talking to patients on the trailhead when they would come off. And that's how I got my first clients. And what I realized was when I was mobile, I could only see five patients a day. Five. Because what I would do is I would schedule an hour in between clients. So technically, I was gone for 10 hours a day. I didn't see my family, I didn't see my little puppy dog. And I was like, what the heck? After I started to build my clients quickly, I was just like, wow, 10 hours. And I saw five patients. I was like, something's not adding up here. And I would, you know, I was gone. I was sleeping in parking decks, no joke, because the clients were far away from my house. So I didn't want to come back to my house and then go back down there and vice versa. So I just stayed down there. Couldn't use the bathroom because every place was closed down. But I just told myself I had to make it work. So I ended up doing that, just being mobile. But then I got to a point where I was like, okay, well, I'm maxing out at 15, 20 patients a week and I need to do more. And so then I was like, oh, well, some people don't want me to come to their home, so I'll bring them into my home. So then I started bringing people into My home, I just turned a bedroom like this into an office and I just put a table literally right here in the middle of the room. And I started treating people in my house and I was like, wow. When patients come back to back at my house, this is only two hours of time. And oh my gosh, I just saved so much time and I'm getting them results like, this is awesome. Then it made me think about, well, why can't I be in my home and also see people on teletherapy and get them the same results? Because no one wanted to come leave their house. They didn't want to be touched. They didn't want to be, you know, around people. I mean, I remember a story, guys, I'm not kidding about this. This is not a joke. I treated a client in their backyard and like, I don't know, it was like 40 degree weather. I had full on coat, like massive big coat on. Doing internal exams because she was just a postpartum mom and she didn't want me entering her home. And in D.C. i don't know if you guys know, but houses like are really close together. We're all have townhomes and you guys can like see in each other's backyards so the neighbors could peek in, whatever. And I'm just there every week doing internal exams in her backyard because she wouldn't let me in her house. Okay. Like, it got crazy. But I said, you know what, I'm going to decide. I'm going to do whatever it takes to make things work. And part of that journey was learning how to do teletherapy. And that's why I'm here tonight. I want to share because I've been doing this for four plus years now, teletherapy, to share with you guys the skill set that I have developed over the last four plus years in doing this and teaching many other therapists how to actually do this. What I've also learned is my team at Orthopelvic, they also struggle. So those that don't know, I have brick and mortar practice here in Virginia. Okay. They also struggle with not knowing what to do when they can't use their hands and what I tend to see. And maybe most of you guys agree, you can tell me in the chat if you agree, you'll maybe see them for one session online, but then you don't know how to progress them and you don't know what to do with them and you're like, I don't know what the next steps. Well, that's What I'm here to teach you tonight is not only give you confidence to do the thing to start the teletherapy, but then to also be able to continue out a full plan of care so that you can get the results and be just as effective in person and also online. Because technically, anything that you're doing in person, you guys should be duplicating that and putting it out online. And that's what I coach. That's what Pelby Biz is about, is teaching you guys how to do whatever you do in your brick and mortar practice, if you have one or don't have one, but also creating it online or vice versa, if you have something online. How can you also get people in person? You don't have to have brick and mortar practice, but how can you build a community, maybe in person and online? So that's what we're going to go over tonight is I'm going to teach you actually how to help people virtually. All right, so here's my first question to you guys. How are you going to treat someone and diagnose someone that has a hypertonic pelvic floor without using these guys? How are you going to do it? So I want you guys to think right now, how are you going to do it? Or put it in the chat? How are you going to do it if you can't use these right here? Because we know in school what they teach us in school. What's the best manual techniques? What's the most best special test? Most con ed classes teach you how to do this. They don't really teach you how to actually communicate and basically try to solve people's problems without using this. And I find that there's a big disconnect, and that's what I want to go over tonight. So let's go over. What is telehealth? Telehealth, not teletherapy. What is telehealth? It's remote communication with patients, just utilizing technology, okay? That is what it is. Now, what's teletherapy? Here's the difference, okay? It's when you're able to coach someone through a problem that they actually want solved online or through video. Notice how I have emphasis on coach. They don't teach us that in PT school. I was pt, okay? They don't teach me that in PT school. How to coach someone. They teach me how to use this. That's why we all have problems with this, okay? And I'm going to teach you tonight how to coach someone not by using these guys. So the reason why every single person on this call, I truly believe, should be offering teletherapy, there's so many different reasons. And I'm going to go down the list here, number one, and tell me if this is you in the chat. Okay? Do you guys want to help more people in your state? What I realized is this, even this summer, we had so many college kids come into the office and they're like, kelly, I'm just here for, for, for the summer. And then I'm going to go back to school. And they're still going to school in Virginia. It's just two hours, three hours away. And they're like, oh, my gosh. I like, I'm not done with therapy yet. Can you please help me? I'm like, no problem. We got teletherapy. We'll just teletherapy. And they are so, so thankful for that. So if you guys are, like, struggling to get clients or struggling to get patients and you want to see more people and you want to help more people, because more people need to know our message, Please offer teletherapy because you can reach such a wider pool when it comes to teletherapy. Number two, postpartum moms. Postpartum mom, especially the day one after that they have that baby. And then really, in that six week time frame, do postpartum moms really want to be leaving their house with their baby and trying to figure out their feeding schedule? They're stressed out. If the kid, you know, hasn't eaten yet, how is this gonna work? Is the kid gonna be fussy? Are they gonna poop themselves? Like, what the heck's happening? They can't even get themselves really together a lot of times. If y' all are understanding this, let me know in the chat, okay? Like, why don't we offer teletherapy to those people? And also, why do we not hit. Why are we waiting till six weeks? Okay, why are we not waiting till six weeks? We don't have to wait till six weeks. Why don't we get on and immediately start helping them get things off their to do list? Immediately start helping them with their. Maybe their new routine, Maybe helping them with a better sleep pattern. Okay? There's so much that we can do in those first six weeks, so why are we waiting? This is when teletherapy can be massively, massively important. Number three, patients want to save time. This is massive, by the way. Okay, Maybe they don't have enough time to commute. I can tell you, for my practice being where it's at. And we get most of our people from D.C. and like, I don't know, east of us, west of us, I don't know direction. So east, west, whatever. About 45 minutes away. About 65% of our patients drive 45 minutes away to come to my practice. Now, they pass lots of other pelvic health practices, but they come and spend that time and take time because they know they're going to get the best outcomes. Okay? But to negate that, if they don't have time because maybe their kid's sick, maybe something like that, we can do teletherapy. We can see them, we can save them time. That's more valuable. Number four, we're going to help minimize cancellations. Guys, how many of you get at least five cancellations a week? Put it in the chat. Put five in the chat. If you get five cancellations a week, okay? If you guys are getting cancellations, this is the number one thing you can do to get those cancellations down. I promise you done it for years. It really, really helps. So this is another way that they don't have to drive to see you. They don't have to find child care that you can actually continue to help solve their problem. It also is easier on scheduling patients. We also are getting the results. The biggest thing I can say about seeing patients is you want to make sure the outcomes that you're getting are superb and, and they're not lower than your standard. And you can deliver that same level of service through teletherapy. Even though I know most of us are doubting that because we're not using this. But I promise you, you can get the same results, if not better, because you're saving them time and it's a quicker process. You're going to have less objection handling who's cash based on here? Can you guys put cash in the chat if you're cash based? If you guys are cash based, okay, you can handle objections with teletherapy. If they're sick, no problem. We'll just switch you over to teletherapy. Okay? On teletherapy, the next thing I like to say is we like to improve communication because the patient has to give you feedback. The patient has to talk to you because you're coaching them. You're not manually them, you're coaching them. So they have to have a response back to you. So you start to learn more about the patient actually through teletherapy than a lot of people believe. And also, too, you're bridging the Gap, you're bridging it to make sure that you can use teletherapy also in a way to have an online platform. And I'm telling you guys right now, in 2025, even going into 2024, if you don't have both, you're going to need both to help be more dynamic and more flexible when it comes to scheduling sickness. Flexibility, results, consistency, all the things. So you must have teletherapy in your pocket. So I'm so curious to see who believes this. Okay. And put number one, if this is you. Okay. Because this was me. These are all of me before I started to do this. Okay. Number one, are your hands the most valuable part of your treatment? Put number one if that's you. Come on. Don't lie. Don't lie. I'm curious to see what's happening. Okay, we have one, one, one. Okay, so, all right, who's number two? The only way you can help someone. This is what you believe. The only way you can help someone is that you provide value to physically being in front of them. Who believes that the only way that they can provide value is physically being in front of someone? Put two in the chat. Number three, are you confident enough to effectively check someone's pelvic floor without your hands? Do you believe that you are confident enough to check someone's pelvic floor without your hands? Are you? Let's see. I'm looking at the chat now. Okay. Three. No. Natalie said no. Megan said no. Okay. Jess said no. Okay. So it's great that you guys are on tonight. Okay. Number four, are you unsure of what to do with patients after two visits? Is that you? Do you quickly go, oh, my God. I just gave them all the things. I did the thing. Okay. See you later. Call me if you have a problem. Please don't be those people, Please. Okay. Okay. Lynn said, I'm unsure. All right, well, who's all of these? Put all. If you're all of. Let's see. Britta says all. Kristin says all. Okay. Yeah. I cap myself at four to six televisits at most. Yeah. So Natalie says she caps herself. Well, why do we cap ourselves? Because maybe we don't know what else to do with them. Maybe we don't have questions. Better questions to ask. Maybe we can't coach them enough. Natalie said. Yep. She doesn't know what to do. I know. So that's why I'm here. I'm going to teach you guys at least 12 sessions that you can do to complete their plan of Care for each diagnosis on how you're actually going to do this. Okay, so let me give you a fun little story. So the other day, I'm just going to say her name's Sally, because, you know, for those people that know me, I love Sally. I always use the name Sally. That's always a patient, okay? We had this patient. She came in person for six visits. She was sick, and she wanted. So we switched her to teletherapy. Now, here's the first thing. The only reason why we were able to switch her like that to teletherapy is because we set the expectation ahead of time, because we already. She already understood what the benefit was of teletherapy. If my admin over the phone was like, oh, Sally, you're sick. Okay, see you next week. A, Sally's not getting better. And B, Sally, if they offered teletherapy, Sally's like, what's teletherapy? That's not valuable because the therapist normally works on me. So she's not going to see any value in that. But here was the biggest value that we saw with her. So she came in, she had leakage, okay? And the main thing that she was saying in the session was she got her leakage solved with sneezing, coughing, laughing. But she had leakage when picking up her white little doggie. This little doggie right here. And by the way, this doggie had a diaper on because it would pee all over the house. And so she had to put a diaper on it because every five minutes it was like lifting up its leg, okay? And she would also pee. The person, not the dog. The person would also have leakage when she was pulling out, like, the dog's bowl to feed the dog. So over teletherapy, I said, okay, let's position your phone, and I want you to see you bend down and lift up your dog. So she bent down and lift up her dog. She was like in a. Let me see if you guys can see me. She was in a squatting position like this as she picked up her dog, okay? So she was in that position, and I was like, okay, okay, we got to correct that. We got to correct it. So we just corrected how she was going to pick up her dog. And because I could see the environment that she was in, I was able to just correct that movement. And from then on out, she has not had leakage since picking up her dog. And the reason why this was so important to her, guys, she was a psychologist, and she brought her dog to the office she really wanted to bring her dog to the office so. So that patients can, like, hold the dog, cuddle the dog, all the different things. But she was so afraid that if the dog jumped off the couch or wherever the dog went and she had to pick up the dog, that she was going to have leakage with the client right in front of her and it was limiting her from actually enjoying. What she wanted was this cute environment with her dog in it and talking to patients. And so because we are able to, and I was able to see her environment and able to see how she fed her dog, just by looking at that, I was able to stop her leakage. And she now was able to take her dog to work and not feel that she was going to be embarrassed because she had leakage. And the only reason why that happened was because beforehand my therapist and my admin were able to communicate the effectiveness of teletherapy. That's the only reason why she said yes to it. And it actually was really beneficial because we saw her setup because we didn't. We couldn't solve that in clinic. We couldn't solve her leakage in clinic because we didn't see her environment. And she wasn't doing the thing that she normally did with her dog. She could say, well, I squat down and pick up a dog. But you guys may think, and this is where we go wrong. We may think, oh, squatting. Like squatting looks like this. She squats down and gets her dog. We're not thinking she's squatting down with her legs open. Right? So until we actually saw her pick up her dog, we couldn't really solve the problem. That's the beauty of teletherapy. So what are the benefits of teletherapy? You get to see patients in their environment, just like I talked about. And it's more effective for their whole plan of care. It really, really is. Because I can use their environment to then be able to coach them to do things throughout the day. Guys, I say this all the time. You cannot out clamshell eight hours of sitting. I'm sorry if you guys give them tons of exercises, but I truly believe you cannot out clamshell someone. Sitting 30 clamshells is not going to help someone that sits for eight hours a day. Just saying so. And that's what they teach us in school. They teach us, give them this whole exercise routine. Exercise, exercise, exercise. Exercise is great. Trust me, I love exercise. But the problem is I don't think we're doing enough of looking at their environment that actually caused the problem in the first place. And looking at what they're doing daily and seeing how can I just tweak it? I'm not trying to add anything. Do you think all these postpartum moms want another 30 minute exercise routine? Please tell me yes or no in the chat. And by the way, do any of us want an extra 30 minute exercise routine? I mean, maybe if you're a little psycho, I don't know. I don't have time for an extra 30 minute exercise routine. So why do we think it's okay to give patients that? It's not. We've got to look at their environment. They got to take me all around their house, I've got to see or their desk set up or whatever else. And I'm telling you, if you do this, you will change, you will change your practice, you will change your online company. I'm telling you, if you do this right, you will change your. It will be life changing. Because number one, you're not overwhelming the clients. That's number one. By giving them 30 exercises or 15 exercises or whatever. Number two, you are literally looking at something that they're already doing. So I don't have to then create another habit for them. I'm just revising a habit that they're already actually doing. And so when my compliance goes up, it's because of those two things, guys. And I can effectively do it because of teletherapy, because I can truly see their environment. Because in the office it doesn't. They'll tell me all day long, but until I actually see it, then I don't really get the full picture. Number two, it saves them time. Again, they don't have to drive to and from. They don't have to drive to and from the office. And they can sit at home with maybe their child that may be sick, or maybe the child's just screaming or they have to, you know, not have to worry about childcare. And here's the best part. I like this part. Number three, they have to communicate with you more. I'll tell you guys a little fun story in a second. But they have to actually communicate with you more. And some of you guys are like, I don't want them to communicate with me more. But you learn so much about when they are communicating with you that maybe they didn't tell you in person. And that's what's also cool. It's really fascinating. You'll find that. Number four, it promotes patients to actually actively participate in their plan of care. So instead of them thinking that it's all on us for these things to fix their problem. They actively are involved and be able to actually say, you know what? I, I am going to change this little thing that they just recommended. That's an easy change. I can do it. And when you guys give them little things like this, like little bite sized things they can do, what do you think that does? It builds confidence in them that they can now understand and start to believe that they can get better, that they are going to get better. So you want the patient to actively participate. Otherwise you, you got Sally over there on the table, like, work on me, fix me, come on. And that's the only value that you're bringing is then this. And then you got yourself in a hole. Don't do that to yourself. There's so much more than our hands. I probably should have painted my nails tonight if I'm showing you guys all my fingers. Always. Okay, but it's okay. All right, so number, what are we on? 5? They can make more progress with different environments. What happens when they travel? What happens with our IC patients? Endo patients? How are they going to be able to feel confident enough? Guys, you know, this happens. How are our urge patients going to feel confident enough to leave their house without knowing where every single bathroom is? Wouldn't it be cool if you can go on the journey with them and be like, hey, so you are traveling and by the way, we're going to talk and I want you to walk down, come out of your room, walk down in the hotel. You're going to go down to the gym area or take a walk around the resort, whatever. And I want you not to go to the bathroom. And I am doing this while they're on the zoom with me or the. Or Jane with me or whatever else. Okay. See what they're like in their environment. What strategies are they using? Are they freaking out? Are they not freaking out? You can help coach them through that. And when you have someone by your side or there, it makes it so much more. It makes it better. You can also use this when they're sick. So they're like, kelly, I don't want to come to the office. I got Covid I want to get you sick. And I'm like, it's okay, it's fine. You can come in. They're like, no, I'm not coming in. I want to get the whole staff, you know, sick. I'm like, okay, great, we'll just switch it to teletherapy. And they're like, okay, but there's a reason. There's a reason why they say, okay. Some will be like, no if you don't set it up right. And then also child care. Okay, so who's a good candidate for pelvic floor therapy? Guess what? Everyone. Everyone is a candidate. Okay, let's talk about price because I know you guys had some questions about price. Okay, so. So what do we charge? Well, guess what? I charge the same exact price as I do in person as I do online. And the reason why is because the results that we get are the same whether or not they're in person or online. So what I want to tell you guys is please do not discount your services. If you're not using your hands, you're just as valuable. Because what makes us valuable is our head, not our hands. It's the knowledge that you know that you can coach, keyword, coach people through. Not that this is going to do the work. So please keep your prices the same, no discounts. And here's the best thing, it's actually more valuable because you're saving time. So think about this, guys. If I told you guys today and everyone on this call, if I told you guys it's gonna take you six weeks to get a six pack, or if it's gonna take you 12 weeks to get a six pack, like an actual six pack, like abs. Okay, which one would you guys take? Please put it in the comments. I want to see if everyone's following. But would you want the six weeks or you want the 12 weeks? Which one? Okay, so you guys want the six weeks. Great. What am I doing? I'm saving you time. I'm saving you time. So this is why teletherapy is actually more valuable than in person. We just all got to know how to position it better. So here's an example. We charge $230 a visit, okay? In person, by the way. So in person we charge 230 visit. Now here's how we do teletherapy. We do 45 minute sessions. And by the way, our in person is an hour long session, but our teletherapy is 45 minutes. And then we spend 15 minutes doing a custom treatment program for them that we send because A, I don't want my therapist having to spend extra time trying to send an hep, send an email and all that kind of stuff. It's too much. It's too much. So we do 45 minutes. We feel like that is very efficient enough that we can actively communicate with the client and they can communicate with us back and we can really help progress them through whatever they're struggling with. And again, we're actually, we're charging the same amount as in person. Okay. We're shortening the time online and we're also shortening the time that they, that it takes to actually do the whole visit because in person takes about 30 minutes to drive there and an hour to do the session, 30 minutes back. That's a three, wait, two, no, two hour commitment guys. That's two hour commitment. A telesession is 45 minutes. 45 minutes and I can get the same result compared to a two hour long appointment time basically. So don't you think people gotta pay for that? People pay for time, people pay for speed. And yes, I charge the same for follow ups and evals. Whether or not it's an eval follow up, it's the exact same price. The reason why I do that is because I don't want patients to get confused and I don't want then the conversation to be around money. It's one price for any service that you have teletherapy. Because if you also value it, guys, if you value it differently, okay then you're going to confuse the customer. The customer is going to go well why did she value this more and this less? So if you're, if you're evaluating your teletherapy less, let's just say you guys are charging $200 a visit in person and teletherapy was 100. They're going to go, well I don't want that. It's even be harder to sell them. Okay, I don't like using that word. But to offer teletherapy to them because they're going to be like well it's $100, what am I going to get out of that? You're already telling the client indirectly that it's not worth it for them. I just want to let you guys know, okay, so you're already indirectly telling that client, hey, you know what, it's probably not for you. I would still come in person. Okay. And yes we do packages and packages are 100% included in teletherapy and we do not take insurance. We're a cash based practice. Okay? We're a cash based, all cash based practice. Thank you guys so much for listening to the podcast. This podcast is sponsored by Jane. They 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 10 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 pelvis1mo we'll put in the show notes, but pelvibiz1mo 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.