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Growing an online rehab practice from Instagram to clinic space

Episode 177

63 Minutes – Feb 5, 2020

0:00 / 63:15

Chapters

Questions this episode answers

Can an online consultation actually help my low back pain?
Grant's experience is that a week of texting never shows what's really going on. An hour where he can watch you move gets you on a far more effective plan.
How many visits do I need for back pain?
It depends on your goals. Someone fearful of movement might reasonably come 20 or more times over a year, while someone who knows a lot may need one or two touch points.
Why is it bad to stop care as soon as my back feels fine?
Feeling fine isn't the same as being ready to deadlift or play your sport again. When I hurt my back in baseball, I felt fine but was afraid to feel it again, and I call that incomplete care.
Why do some clinics not take insurance?
Grant decided against insurance once he started helping people. I see both sides, and sometimes using someone's benefits early is a way to meet them where they are and get them to the movement they need.

Growing a following is step one, not the finish line

Grant Elliott runs RehabFix, a social media brand and online low back program. He was a chiropractic student at Logan University when he rebranded at about 2,000 followers. One year later he had 141,000.

His biggest lesson was not how to grow. It was what to do with the following once he had it. Around 70,000 followers he realized he was getting nothing from it. No email list. No clear way to get people to his website or into his door.

The change that worked for him was simple. He posts a yes or no poll in his stories, then messages every single person who votes yes. Personal. First name when he has it. That drove his online consultations and enrollment in his program.

I pushed him to try sending personalized videos instead of typed messages. It has worked well for me and for my girlfriend. Grant sent about 50. Almost everyone watched. About 90% didn't reply. His take: try it again before calling it quits.

The name matters less than the work behind it

Grant spent years picturing a white coat clinic with a proper name like a spine and sport institute. When he sent me names like South Tampa Spine Clinic, my reply was blunt. Why throw away the reputation you built under RehabFix?

I told him about two hospitals near me. The close one has a proper name. The far one has a silly name. People drive to the far one because of its reputation. Grant added his own examples: Apple is a fruit, Uber is just a word.

He landed on RehabFix Low Back Experts. Low back pain is the niche because, in his words, it's the number one disability in the world and everybody has it. Now about 90% of what he sees is low back, and people reach out from as far as Sweden.

His rule now: pick a name people remember that tells them what you do. Then let your opinion change as you hear from people you trust.

Asking to be paid is about better care

For a year Grant gave everything away. Week-long text conversations, videos, try this, try this. All free, because he felt a student didn't deserve to be paid.

Then he realized he could text someone for a week and never really understand what's going on. Or he could book an hour, watch the way they move, and get them on an effective plan. Better care than thumbs on a phone.

His reframe is worth repeating. You are not asking for money. You are asking for the opportunity to help someone better than you could otherwise. People are happy to pay for that.

Let people choose how much help they want

At our clinic we've been role playing these conversations. After the first visit, ask: do you have everything you need, or do you want more help? If more, a template program or customized help?

We recently saw someone who was fearful of movement. Over a year, 20 or more visits would be reasonable for her. After a couple she was already walking and moving better. But if I force that plan on her instead of letting her choose it, she won't be as happy.

I've made the opposite mistake too. Four visits and done. That ignores what happens when you want to deadlift again. When I hurt my back playing baseball, I felt fine but didn't want to feel it again. That's incomplete care, in my opinion.

Insurance, Medicare and your own space

Grant planned to take insurance because everyone does. Now he's not. My view is more mixed. My parents are Medicare age, and I've been thinking about how to meet people where they are so they can get to the movement they need.

On space: I rented a room in a dentist's office for about $400 a month for roughly two years. Nobody cared. Once my weekly volume held steady for about a year, I looked for a lease, and it took me over a year to find the right one. I kept being willing to walk away.

If I did it again, I'd look at about 1,000 to 1,500 square feet. I'd prioritize the weight room over treatment rooms. I've had four extra rooms for three years and one holds a ping pong table.

Key takeaways

  • A following only matters once you know how to reach people and help them.
  • Responding personally to every yes on a story poll drove Grant's online consultations.
  • A name people remember beats a name that sounds clinical.
  • Ask for payment as an opportunity to give better care, not as a favor.
  • Let people choose how much help they want, and watch for care that stops before their real goals.
  • Commit to your own space only after your volume has been steady for a while.

At a glance

Treatments and exercises
  • Online consultations
  • Six-month online low back program
  • Active care with verbal cueing
  • Template versus customized programs
Episode Transcript

This transcript was generated automatically (whisper.cpp large-v3-turbo) and may contain errors.

So when someone would reach out with a personal question about, hey, I have this ache and pain, or hey, it hurts when I do this, I mean, I was holding on week-long conversations with people, sending them videos, giving them advice, saying, hey, try this, try this, try this, all 100% for free. And that's what I got used to, because I was like, oh, you know, I'm still a student, like, I don't deserve to get paid for any of this, and whatever, like, I'm just trying to do good right now. Now, they did that for basically a year straight, and, man, if I got paid for that advice, oh, my gosh, that would have been nice.

You're listening to the Restoring Human Movement podcast, where movement experts discuss the latest evidence-based practices to help you and your clients move with mastery. And now, your host, Dr. Sebastian Gonzales. Hey, guys, it's your host, Sebastian Gonzales from the Restoring Human Movement podcast. Thanks for joining the Movement Movement. Today, we have a next special guest, extra special guest, I guess I should say it that way. It is Grant Elliott from Rehab Fix. He's been on before about a year ago. This is a two-part series. Again, it seemed like I've had long conversations with people just meriting two-part series, but Grant did it.

So, we actually came back on late in the second quarter there, and I decided to add another 10 minutes or so, just because there was a couple nice talking points I think that we needed to add when we started to come off air. So, if it's your first time in the podcast, welcome. You are part of the Movement, if you are a dedicated listener. Thank you for being part of the Movement. I'm stuttering today. The point of this podcast is to blend the line between clinician and patient. Think of all, we're having a beer. I'm going to have a Pacifico today, and you decided that you're going to have a Corona Lite, and someone else decided, this is our friend who is a fire station, let's go with a fire truck repairman.

I guess that would be a fireman, maybe. He decided to get a PBR. What a hipster. So, we're all having a beer at the bar. We're just hanging out, and we're talking about clinical stuff. And so, hopefully this blending of the line between communication between patient and doctor will help patients get better, help clinicians explain better what we expect from people and how to get them better, and then everyone's happy. So, before I actually go into the podcast, just know the rough format is about an hour-long format, and it is, I tend to share a little bit of a short story about myself in the beginning, just so you guys can get an idea of who your host is, hopefully like your host, and share this journey that has been over two years long now about learning via podcast.

And I actually feel like I've learned a lot about how to communicate better because I've got to speak through the entire podcast. So, we'll get right in that story and get right into the first part of the two-part series with Grant Elliott at RehabFix on Instagram. Make sure to follow him. He has tons of gems to share in this one. So, when I grew up, we actually, we had a lot of paper plates. I don't know if you guys had them too, but we had not just like the nice paper plates. We had those, like not the thick ones, the ones that would support themselves. We had those shitty ones, those ones that had the ruffles around the side, and you had to buy like the special like paper, like straw things to put underneath it to support it, or the plastic ones when you really got into it.

But you couldn't put it in the microwave. If you had to put it in the microwave, they would melt too. A whole different story. I don't have a microwave anymore, by the way. I don't know if you know that. How many of you can say you don't have a microwave? There's so many other heating devices we have in the kitchen, the stove, the oven. Why do you need a microwave? You can just easily put it in a pan. Anyways, I recently started making some burritos in my parents' house because they have all the paper plates. I don't really have any other than the garage for the garage parties, but I don't tend to use them actually during the week.

But I was making breakfast burritos. And for some reason, having a breakfast burrito on a paper plate, it reminded me of childhood, right? Just nostalgia. So paper plates, though, so damn easy, right? And the thin ones, like you don't end up wasting too much. I feel a little different about plastic silverware because I feel like I'm contaminating the planet. However, the paper, you can recycle it, so I feel much better about it. But paper plates, styrofoam plates, like those are the devil. So just get rid of those things. But paper plates, I think everybody needs a little bit of a paper plate.

However, if you make it in a burrito, if you do the burrito on it, you don't actually need the plastic utensils. So it's like you're saving the planet. Now let's get on to the show. How's it going? Oh, look at all that. You got the RehabFix little thermos thingy that is not a Yeti. It's a protein shake. It's a cyclone cup, shaker cup. All the paraphernalia is – you got all the paraphernalia now? You got everything? No, I just have shaker cups. I'm about to order some quarter zips, though. I'm going to get some quarter zips from – it's called Jiffy Shirts. It's a super cheap and, like, literally, like, one-day shipping, like, wholesale T-shirt website.

And then I'm going to send those shirts to a local embroidery to get them heat transferred. So I'm going to get some quarter zips for this, you know, chilly Florida winter. Yeah. By the way, a couple things. Number one, I'm surprised that you picked this shitty room. But the lighting is good. For such a famous dude on video, I don't know about all this. And I don't know about this audio. What's the audio you got going on? Oh, is it not good? It's just for my Mac. Is that not good? I think you could do better. How about I go grab some headphones and you can tell me if it sounds better or not? Oh, this is the critique thing.

Yeah. Okay. I'm game. Let's try it. Okay. Well, it's just some old, like – I mean, they connect and they have a mic on it. So I'm actually going to call my wife because she knows where they are. And then we'll try those. I figured you'd have something to say about the audio. Yeah, that audio. That's the thing about audio format is there's only – you can't skimp on that audio. You need one of those Zoom – oh, they're one of the Rode mics, bro. I didn't think the lighting would matter, but I guess it does. No, it doesn't matter. You know those weird headphones that you packed for me? Do you know where those are now?

All right. I have two options. Let's see if this improves. Okay. I'm just giving you shit. Hey, I want it to sound good. I don't want you to waste your time. No, I'm not going to waste my time. I think the Echo will still work. It's not a big deal. I'm going to keep all this, by the way. Show how unprepared Rehab Vicks is. Okay. You're keeping this. That's going to make for a boring intro. No. What is it? Oh, no. What does it sound like now? Oh, it's better. You do that. Is that better? Yeah, it's better. You can still hear background echo, but I know since we're going to be nerds about video and audio equipment and shit like that, this is just completely unacceptable.

Okay. I could attempt to go into a different room so you can listen to the reverb and see what it's like. No, no, no. Let's take it. I think what you need is a bunch of soft throw pillows right by your face. I know. I could literally grab pillows. I could hold two pillows just like this. Just earmuffs. You should have like a Mickey Mouse hat that is just the ear part is just plush. Yeah, yeah, yeah, yeah. I'll get one. Buy me one. I'll buy a Rehab Fix one. Rehab Fix Mickey head thing. Let's not go there. I think you already burned all that money on those shirts. Did you get those shirts out? What money?

I mean, wait, I don't even know what your question was. No, you had all those shirts. Remember we talked about the shirts that you were going to – so you ordered a bunch. You took a tally of who would buy it, and then people said yes, and then they didn't buy it. Oh, yeah. So I had 250 people that said, yes, I'll buy it. And I even had like a double check. So like one story said like, would you support me? And like 400 people said yes. And then the very next one said, no, seriously, will you buy a shirt? And 250 people clicked yes. And then like 30 people bought shirts, and about 10 of those purchases were just for my mom.

How many people do you get to actually – they sent the shirt back, or they said, hey, can you send another shirt? This shirt doesn't fit. It's not the right size and cut. Actually, the only feedback I got was, hey, I want to buy more shirts because I love the way it feels, and I love the way it fits. Really? Yeah. And then I said, hey, sorry, I'm not selling any more shirts. Yeah. The shirt venture is over. So these shirts, actually, and if you see this shirt I'm wearing right now, it's Compliment Coffee Roasters. I had a friend come in actually yesterday. I haven't seen him in years because he wasn't living around.

He wore this shirt in, and it just tattered, torn to bits. He's like, dude, this is my favorite shirt. I love this shirt. And so I have a whole like area back there with – it's just like, again, too many damn shirts. I think I have about like 100 of these left, and so I gave them like three more. Oh, my gosh. Yeah. Why do you have so many shirts? Ah, same thing. Like people say, oh, I'll buy the shirts, and they don't buy shirts, you know. But they're soft. I love them. But there's all these sizes I'm not even going to touch. And surprisingly, when you buy women's shirts with the women's cut, it seems like a lot of the women's that took – the women's shirts, they took small and medium.

And then when you got into large and extra large of women's cut, they didn't want them anymore. They wanted the men's cuts. And so I have a bunch of like those sizes, which no one wants, you know. Yeah, you got stuck. So just a word of the wise in case you do T-shirts again. Okay. Yeah, I'll just – or if I do any T-shirt stuff, it'll be through – I think it's called Teespring. It was some online thing that Jeff Lamey, Dr. Jeff Lamey actually told me about where like I basically just don't have to worry about any of it. Like people just purchase straight through the website and, you know, if they buy one, they get one.

I don't have to worry about bulk buying or anything like that. So that will keep me not in a mess. So if I do it again, I'll do something like that for sure. Good. I'm very happy for you. Thank you. Don't do that again. I'm learning. I'm not. Yeah, you had some wisdom there and I didn't listen to you a lot and I probably should have. Well, it's a good learning experience. I mean the cool thing is like you have the cheapest T-shirts that you ever – I mean like you can wear – you have so many T-shirts you can wear now. Rags. And they're probably like – what were they like? Ten bucks a shirt, 12 bucks a shirt.

No, it came out to – what was it? I think it came out to like – or 12 bucks a shirt because – I mean I both purchased them so I don't have a million in my house. But I had originally submitted an order like, okay, we're going to have at least 150 shirts and so they were basically like, hey, you know, I would have gotten them for like $9.50. But then since I didn't get as many, I was charged like 12 bucks a shirt and I sold them for $25 and then I still had the shipping on top of that as well. So it's not bad considering like you could – like so these shirts I have, this one cost me $7.50. It's still the softest, best, coolest shirt that I have could ever buy for $7.50 and I just have way too many of them.

I see. So you can do that with those. That's what I'll have to do then. That's what I'll do. I'll take your advice next time. Oh, good. Can't wait. So I don't know if everyone knows. This is Grant Elliott. He's been on before. He's the Mr. Rehab Fix guy which exploded on Instagram. We don't know why. I think it's because he points at the camera a lot and he does like every single – every thumbnail has you with flexing your bicep. Maybe it's that. That's right. And my quads. You just can't see those though. They're not very big. Well, I saw on the actual – on your six-month low back plan, you actually wore pants.

Interesting pick. I did. Yeah. I thought as I was copying you on mine, I thought, should I wear pants? Is Grant more professional than me? No, screw it. I'm just going to wear shorts. But what you don't see on that six-month low back program videos is that I'm sweating like none other because that was in the middle of the summer in Tampa. And we were in a – basically just imagine just imagine – for those of you guys listening, just imagine like a CrossFit gym essentially, no AC, no nothing, and no airflow at all. So it was probably – it was probably 96 degrees outside and I was in a metal box.

And that's what I was recording my six-month program in. So in between every single video, I was chugging water and wiping my forehead. It was a long day. Yeah. It was a long day. Oh, my gosh. Yeah, you did all of it, so probably if you'd be interested – I guess we should at some point go back into who you are in case people don't know. But you recorded the six-month program in a day, right? Yep. Did the entire thing in a day. Okay. So how long did it take you to write it? To write it? It took me – I mean I didn't sit down and bust it all out in a single sitting. I kind of like – like one day I thought of the first four weeks.

The next day I thought of the next four. So I mean realistically, it probably took me – it probably took me a solid five days to organize kind of my thoughts and organize everything. So maybe like an hour or so each day. And then I wrote out like a draft. I wrote out a draft on a Microsoft Word document, rearranged a few things. And then once I thought I had a good final product, then I contacted a good filmer in the area. And I was like, hey, let's schedule something. I'm ready to go. So maybe like five days, maybe a week. That's not too bad. Okay. Just curious. Okay. So I guess real quickly, tell everyone who you are because in case they don't know and they haven't heard your podcast.

The other podcast we had I think was – was it about a year ago now maybe? Oh, yeah. That was probably right around a year ago. Okay. So it's about 100 episodes back. If you can't find it on iTunes, iTunes only carries the last 100. So go to Spotify or go to my website and type up Grant Elliott. You'll probably find it. Who is Grant Elliott? Grant Elliott is a guy that really likes to look at cameras and talk really fast and loud. That's who Grant Elliott is. I can see that. I'm – yeah, part of it. So I am a chiropractic student, still a student for another three weeks, I think. Yeah, about three, four weeks.

I'm still a student at Logan University. So tried 10 in my last trimester, finished my clinical rotations and all that jazz. I started Rehab Fix, which is a social media brand and online low-back program website. I started that around a year ago when I did my first podcast ever with you, with Sebastian. And at that time, I had just hit 2,000 followers. Was it really 2,000 at that time? 2,000. That's why I couldn't believe you contacted me because I – it was right when I – I was getting ready to rebrand because it was still my personal account. It was Grant underscore Elliott. And you would contact me and you're like, hey, let's record a podcast.

And I couldn't believe it. And I was like, I'm a freaking nobody. And I was like, hey, but wait. Like, give me like a week. Give me a week because I was going to rebrand. Oh, yeah, I do remember. Yeah, yeah, yeah. I was like, okay, let's wait a week. I rebranded and I launched that and I did the podcast with you like two days after I rebranded. So I rebranded right around 2,000, 2,100 followers, something like that. And yeah, now, one year later, I have 141,000 followers. And I have a website and I'm just kind of just learning so much every single day and getting advice from you weekly. And I'm residing now in Tampa, Florida.

I currently work out of a gym, a private group class gym. And I get to see people in there during the off hours, which is just awesome. It's absolutely awesome. I get all the equipment and everything. There's turf and bars and there's everything. It's really, really sweet. Nice. You're spoiled with that. I am spoiled. And yeah, then just continuing to develop content every day, continuing to learn how to build my website better every day and just learn how to build an online brand. That's Grant Elliott. Oh, good. And yeah, actually, I think if I recall back, I think it was Mark Murdoch that suggested, hey, you should talk to this guy, Grant.

And then I think that was the reason why. Mark's a good guy. I think it was Mark. Or else it was Chris Dominick. I don't remember who it was, one of them. Have you met Chris? I have talked to him over email, but I haven't had a chat with him yet. But he's an R2P-er, so he's got to be a good guy, right? You think so. I don't know. He came to visit me a couple times, so he's always good to bro down. We went and had a couple beers after. I remember we got a free flight one time when we were out. You should always go when someone new is working at Bordenbrew. A free flight. Yeah, I was on it. That's legit.

It's a double order. Nice. Well, congrats on the, yeah, you come a long ways. I know that we've talked a lot over the year or so, and you've had a lot of interesting questions, I guess, and you've had a lot of problems that probably a lot of other students aren't going to have had yet. You know, I don't even know if I should include you as the student interview right now, since you've already done one. It was before student interviews were a thing, so we might keep this later. But what questions do you have? Actually, over the past year, what do you think was the most aha moments that you had that you said, shit, I got to fix this.

I got to address this now. I got to learn this now. And you didn't think you were going to learn it maybe beforehand. Because carrying all those people and you have unique problems that other people don't have right now, what do you think? I mean, it's tough because, I mean, that question encompasses the last, literally the last year of experience where I'm learning new things every single day. So first off, that's a tough question to answer. But if I could think of one thing, it would simply be the systems behind what to do with what you have. So my initial goal was, all right, I'm going to grow as much as possible and as fast as possible.

And I don't know what I'm going to do with it, but I'm just going to grow my social media and I'm going to use that as my platform. And then I'll just cross the bridge when it comes to it in regards to what to do with it. Well, it's hard to figure out what to do with your account and with your following. That was the biggest learning curve for me, which was, okay, maybe once I hit around 70,000 followers or something, I was like, all right, I should be figuring out what to do with this because I was getting nothing from it. I didn't have an email list. I didn't have, I still don't even have a really good Facebook page, but I still post there anyway.

But I just, I didn't know what to do with things and I didn't know how to actually get people to my website or into my door, so to speak. I just kind of had this following. I didn't know what to do. So listening to podcasts from you, listening to other marketing podcasts and just learning, okay, I have a following, like I figured out how to grow it. That's the first step. You got to figure out how to grow it. And now what do I do with it? There's so many different ways you can utilize your following and target and figure out how to grow. And there's so many different ways. And I didn't know anyway, I didn't have a, I didn't have a single good choice.

So I guess figuring out how to, all right, how do I finally? How do I reach these people effectively? Is it through email? Is it through stories? Is it through Facebook? Is it through, I'm not doing podcasts, but you could say is it through podcasts? Figure out how to effectively actually reach them and get them into your door so that you can effectively help them was the biggest aha thing for me. Believe it or not, I don't know if this is along the lines of your question or not, but one of the biggest things that was a game changer for me was actually doing story polls, like a yes or no poll, and then responding to every single person that voted on that poll.

That was an absolute game changer for me in regards to online consultations and getting people to hear about my program and enroll in my program. And that was like the, the biggest thing in the last few months. The biggest thing I changed was that. And it was, it's huge, a huge change. Did you happen to try that? Remember we were talking about, I said video. I know it's not sustainable for you. Did you happen to try that? I did not. No, but what I did do, I did like a, I did like a mixed version. Point at the camera again. So what I did was, you know, so for instance, I'll post, I'll post a poll on my story and it'll say, you know, Oh, here's a before and after.

So when I recently worked with, do you have an issue like this? Or, Hey, have you struggled with, you know, a discrimination in the past that has left you with some restricted mobility? Like this person was showing whatever. And every single person that clicks, yes, I will reach out to you. What I tried to do one time is, you know, normally it's just like, Hey, Sarah, I saw you voted yes to my poll. You're struggling with some low back issues. Is there something I can do to help? What I did instead is I utilized your video technique. So instead of typing the message out, I just sent a personalized video to each person instead.

And, um, well, my phone was messing up a lot of the time. I have an old iPhone seven. I was screwing with me that I'm replacing, hopefully Friday, black Friday. Uh, but that's it. It didn't actually give me any crazy response. Like I thought it was going to, like I hoped it was going to, I probably set 50. Uh, personal, uh, video messages and, you know, almost everyone watched it. And then, you know, like 90% didn't reply. Did you, did you say their name in it too? Or did you just say, yeah, I said their name. Oh, interesting. It's funny. I've been, I've been, I've still been doing it every once in a while because I get, um, obviously I'll just do followers, like new followers.

Cause there's not as many every day. And so I had my, I had my girlfriend do it too. And it's, she had a good response and it's funny. She just went to a, not a symposium, let's just say a seminar. She went to a seminar, she flew out there and it was just a bunch of, uh, women entrepreneurs who want online businesses and blah, blah, blah. And so, um, she suggested it to some of the people there with Instagram followings, like blew their damn mind. Like they're like, holy shit, that works. And, uh, so it's, I, I'm surprised it didn't work for you actually, because I've had an overwhelmingly positive response.

But in case everyone's wondering, like just reaching out and say, Hey, Grant, I saw you started following my page. Is there anything I can help you with and find and blah, blah, blah. And so Grant took it a different way. He went down the route of, uh, you narrowed it to a specific poll. So I like your idea better, especially if you have a big audience. Yeah. I'm going to try it again when my phone actually cooperates. Um, but I mean, yeah, I need to try it again. I can't call it quits. I'm just trying it one time, but I mean, yeah, I do love the personal touch whenever you can throw that in and whenever I do respond with just a, Hey Sarah, Hey Mike, I always do try to use their first name if they have it listed on their Instagram, uh, for sure.

Just to help, you know, develop a conversation. Now, really quick break from the show. I want to invite you guys to check out a series, a clinical series that I just put together. It is the five steps of patient care series. We start with the hip and we'll go all the way through referred symptoms. Um, it's a step-by-step exam through loading type of workshop. East workshops about two to three hours. There's videos. You will get access to it, um, for quite a bit of time, uh, in the hip one. I cover labral tears, FAIs, referred, uh, referraled symptoms, uh, referred symptoms. Gosh, as you guys can tell, I don't do some severe editing in the show, which is okay.

I know I've gotten a lot of feedback that you guys like the conversational tone. We also cover rehab options. And I know that a lot of things that I've heard from, uh, interns and, uh, young clinicians that have come out of school. They said, and we know a lot of, we know a lot of rehab. We know a lot of exercises. I know the dead bug, but how do I use it? When do I use it? What patient do I use it on? Can I use it on a hip? How do I cue it to use it on a hip? Cause it, with this hit, this hip case that I'm, I'm using it on, it's not working. It's making their hip clunk. Well, so we go over cueing in there and we also cover loading based upon the pathology.

It's not just your standard crap. Like, Hey, here's how to teach a barbell squat. It's stuff that is based upon how clinicians can teach loading to get the person where they need to go. Cause we know, we know their case better than their strength coach does at this point in time. Yet later, their strength coach will be the one that who will, who will do a better job of coaching that for performance purposes. Cause that's not our job. So I want to invite you to go through the step of the series one through six in order. Numbers five and six will absolutely blow your mind. Absolutely blow your mind.

And the intention that I had was that we would stop treating, um, inefficiently. Our patients don't want us to treat inefficiently. Sure. Our pocketbooks do. Our businesses do. It'd be nice to get 30, 30 visits out of every IT band that comes in because it just won't stick. But why don't we just get it to stick? And so in five and six, I, I present the idea of pseudo syndromes and different types of the hand, wrist, elbow, shoulder, hip, knee, foot, ankle, pseudo syndromes, the things they don't teach you in school. So please go through there. Every intern that I have is required now to go through all of this video content before I will even work with them because it is that important.

This is what I hope for you. I hope you interns or you young docs are better than I am. And I'm in my 12th year, 12th year, 12th year of practice. I want you to be better than I am. Cause how are we going to improve this profession and improve the knowledge that we have? If we don't learn from people who have already been there first, I learned from other people who have been there first too. So don't reinvent the wheel every time. And please take this, um, in the light that it was intended. You need to get this course. P2sportscare.com slash products or products or get the product tab and go down and get number one of six.

Now back into the show. You know, and, uh, probably another point with talking point. I know that, uh, we, you covered it about three months ago, four months ago. It sounds like is, so we were talking about what should you name your practice? Because you were going to be, should I be rehab fixed? Should I be rehab fixed chiropractic? Should I be grand Elliot chiropractic? Should rehab fixes feed grand Elliot chiropractic? And so you had a lot of input on that. What's your, what's your thoughts on, uh, on branding, uh, collectively? So for the longest time when I was in school, I was like, you know, I took a lot of pride in the amount of extracurricular, extracurricular, can't talk today, education that I pursued.

And, you know, uh, you know, I'm in school to be a physician. I'm in school to be a doctor. I'm clinical. I study all these things. And, and I wanted my practice to be clinical as well. You know, I want people to understand and know that I'm a doctor. So like when I was, you know, maybe the last year or so where I was envisioning was a very clean, very proper clinic. Um, was probably wearing a white coat for the initial exam, uh, which I don't, which I don't really think there's anything wrong with that, but this is just my vision. Um, and then, you know, something like a spine and sport or, um, spine Institute, something with a name of that, of that line.

So that when people were hearing about my practice or talking about it, it just sounded nice and professional and like a clinic. And that's what I had in my head for a very long time, for probably a couple of years. That's what I was thinking. And then finally I moved to Florida to Tampa to finish my clinical rotations. And I was like, okay, I'm going to, you know, work for someone and, uh, whatever they name, whatever name they have, that's, you know, that's what I'll be doing and blah, blah, blah. So first I had to make the decision to no longer work for anyone. So first I had to decide, okay, I'm going to work for myself.

And, um, then the conversation came up in regards to, okay, if I am going to create my own place, what do those plans look like? Well, step one, as, as you know, I, I want to, I want to build a brand. I want to get all that set in stone before I do anything. So I was like, okay, well, if I want to start my own, what should I call it? And I was thinking, you know, South Tampa spine clinic or South Tampa, um, low back center or, or South Tampa spine and rehab center and all these things. When I was talking to you and I, and I sent you those ideas and basically you said something along the lines of, all right, so you're just going to, you know, you're just going to throw away your entire portfolio under rehab fix.

I think I was, I was with Jeff Langman at the same time too. And we were just laughing because we had the same text. I texted both of you. Cause I was like, I was, I was, I was probably in my room, like in the dark, just like, why do I need to name this thing? Like really, really stressed over it. And yeah, I texted you both and I didn't, I didn't get with Jeff until he got back, but I got a text from you. And it basically was just like, all right, yeah, just throw away your entire reputation you've built so far. That's a good idea. And I was like, ah, you have a, you have a good, you have a good, good idea.

And basically you told me a story about a couple of hospitals that are nearby where there's one that's really close and there's ones that farther away, the ones that the one that is close has a nice proper name. And the one that's far away has a silly name, but people go to the hospital with a silly name purely because it has a great reputation. And that gave me a really, really good, you know, concept of what you were trying to say. And I was like, huh, that's, that's a good point. Um, you know, companies or businesses that are really popular, they're not popular for the name. Um, I mean, Apple, it's the name of a fruit, right?

But everyone in the world knows what, what Apple is. Um, so I was like, okay, I guess that's, I guess that's a good point. Or Uber, no one knows what Uber is. It's just a word and people, but people use the app and they ride in cars. It became a verb now, I think you're, cause you're Uber in that's when you know you made it. Yep, exactly right. So basically that gave me like, okay, I need to maybe not be thinking about having some prim and proper name or whatever. So then I met separately with Dr. Langmaid. That's my dog. I met separately with, with, uh, Jeff Langmaid and we had a really good talk.

I was at his place for like three hours and I was talking, talking, talking, talking, talking. And he basically just looked at, like, I talked for like maybe two hours straight and then he was just like, uh, I think you need to change absolutely nothing. And I was like, okay, uh, sounds good. So basically it was like, all right, well, I've built my name on rehab fix. Um, you know, I, at least has an essence of what I do. Rehab is at least in the name, uh, you know, helping people find their fixes or get their fixes for their bodies, at least somewhat a connotation. And then you gave me the idea of, you know, okay, well, if you want to try to target it a little bit more than just do rehab fix, like low back pain or rehab fix, low back center or rehab fix, low back expert.

So I went with the rehab fix, low back experts to try to form a niche of, uh, low back targeted individuals. Um, cause I think there's a huge need for that. And, uh, it's the number one disability in the world and everybody has it. So why would you not target it? Yeah. It seems like it's going okay then and niching's working. It's working okay so far. Yeah, it is. Definitely. It definitely is. Now I'm seeing people with all kinds of issues, but it just so happens. I mean, especially now that I, I have a low back program and everything I post about on my stories is low back. I mean, yeah, 90% of what I'm dealing with right now is low back.

Wait a minute. I didn't even, I didn't even realize that. Did you, so you started to narrow all the, all the, I got to look at this now. Are you only posting low back hip stuff? Is that why you're copying my period? No, no, no. No. Busted. No, no, no. I said to my story, to my story. Oh, a story. Okay. So on my main page, I'm still posting things all over, but I'm, I'm much more saturated with low back videos now on my main page, but my stories, the only before and afters I'm sharing are low back. Uh, so it's an every, almost every single day I share testimonials and before and after pictures and it's all low back.

And then I have the low back program. And then every single video I post in the description, it says fix your low back at, you know, the rehab fix.com. And so everything's low back and it's really, really starting to help because I'm having people from all over reach out with low back issues. It's, it's getting crazy. Just, just early today, I had someone from Sweden and he gets what you get, you get free healthcare in Sweden, but he's not, he's not finding anyone that can help him. And, uh, he reached out to me for, for his low back issues. So it's working out very well. Um, everything's starting to click, you know, better than I could ever imagine.

And, you know, I'm, I've, I've built a year up until this point. So one year of nonstop work every single day with nothing in return is basically all starting to finally compound within the last couple of months. And it's been incredible. It's been absolutely incredible. And the people I've been able to reach and the people I've been able to help has been extremely rewarding and more than I could have ever imagined at this point in my career, considering I haven't even technically started my career yet. So it's been really, really special and awesome. But in regards to the initial question about naming the brand and everything.

Yeah. The biggest thing that I had to get out of my head was like, Hey, the name really doesn't matter. The message behind it in the, in the work behind it is what matters. So, um, whether it's buying in sport or whatever, um, the name doesn't matter that much. Don't, you know, my, my opinion was always changing every single month. It's been changing throughout school and just, I would just say the best decision I made was to allow myself to change my mind and to get different perspectives from people like yourself and Jeff and other people I trust, Kevin Christie, um, and just allowing my opinions to change.

And basically I just realized, Hey, you know what, you know, I don't really care about having some, some super fancy sounding practice name anymore. If I can come up with a name that people remember and it tells people exactly what I do, that's what matters the most. I think the cool thing too, is that if you had, let's just say if it's, say if you had rehab fix versus clinical clinical, I guess I'll categorize white coat is clinical clinical. Um, is you can go to work bullshit with people. You can probably eat when you're directing them. I mean, there's, you can go in shorts. There's probably like a little bit more luxuries of being chill cause you're, you're presenting as the chill person, you know, um, also too, I've noticed that with your, most of your stories look like it's like all this without manual therapy, all this without that.

So you're just like verbally cuing them. And so, I mean, you could be kind of hands-free if you wanted to. I know that, uh, I know that you'll use, uh, you'll probably actually, I guess I didn't ever ask, you use manual therapies as well, but you're just promoting the active part. Correct. Yeah. Correct. So good. And we're on the same page here. I'll just trade you followings. I think we'll be even. Okay. Yeah. You know, I think that would be, I was telling, I was on the phone with my mom early today and, or just like while I was at the gym, she gave me a call and I was like, oh yeah, I'm just spontaneous and doing a podcast with Sebastian later.

And she was like, who is Sebastian again? And I was like, it's, it's the, it's the guy that I did my very first podcast with. Who's who I basically owe numerous thousands of dollars to for all the advice. She was like, oh, okay. Well, I think, I don't, I don't know if everyone can tell that like, if they follow yours and they follow mine, obviously you're not podcasting, but we basically like, we're kind of doing the same thing. I'm just copying what you're doing. You're copying what I'm doing. You're doing it much better. And it's Kyle, I don't know if you met my intern, Kyle, Kyle started copying, okay.

So Kyle started copying me and you, it's just a bunch of copying and it's not that it's bad. It's in your own voice, but I remember we had, I remember where I was, I was, I was having a conversation outside with you. I was pacing outside of my office here. And so I think you were, I think you were talking about like, so people ask you for all these links. Maybe I should organize all these links for people. And, uh, I, I, I started implementing this with, with my interns as their second, uh, second term with me. First term is about learning and shadowing and so on, uh, clinical skills. Second term is about getting uncomfortable and asking somebody for money.

And, and we were talking about that cause you're like, ah, I don't know how much money, right. Or something of that nature. And, uh, that's the biggest learning experience. I think that like, it's still hard for me. Uh, I know it's hard for my interns to do. I don't know if it was hard for you, but I, you look like you're much better at it now. So, but it was like a different learning, different learning curve other than just clinically throwing stuff together, you know? Yeah. Um, I, a hundred percent, it was, it was difficult for me too. And going back to the, you know, I've been building my, my social media following for the last year, I was used to giving away everything for free.

So when someone would reach out with a personal question about, Hey, I have this ache and pain or, Hey, it hurts when I do this. I mean, I was holding on week long conversations with people, sending them videos, giving them advice, saying, Hey, try this, try this, try this all 100% for free. And that's what I got used to. Cause I was like, Oh, you know, I'm still a student. Like, I don't deserve to get paid for any of this and whatever. Like, I'm just trying to do good right now. Now they did that for basically a year straight. And man, if I, if I got paid for that advice, Oh my gosh, that'd have been nice.

But anyway, another, another piece of advice, uh, a good friend of mine here in Tampa, his name's, uh, Andres Ayesta. He has a podcast, uh, BB nutrition, and, uh, he's a good guy as well. He, he gave me also some good advice, which was, Hey, if you're good at what you do and you know, you're good at what you do and you know that people need you, then don't be afraid to sell yourself, sell yourself harder than you've ever been comfortable doing. And you're going to see what happens. You're going to start helping more people than you ever imagined. So that's what I started doing with the stories and with the posts and with interacting with people.

And, um, at first it was kind of uncomfortable. Cause I was like, man, normally I would get a question and I would just answer it for free. And then once I just started saying, uh, and, and also realizing, Hey, you know what? Like I could have a week long conversation with you over text and I would never really understand what's going on. And I would never really be able to properly advise you and you would never really get effective help. Or we could schedule a long consultation. I could watch the way you move. I could learn everything about this within an hour and I could get you on the most effective plan moving forward as possible.

How does that sound instead? And people, most, I mean, most people are, yeah, that sounds great. You know, they already have, they already have developed some trust in me because they've been following me and they know me through my stories and through my videos. And it's good for everybody. It helps me get paid for my time. It helps me provide better care than I would have been able to with my thumbs on a phone. And it helps them actually finally get relief because a lot of people don't even realize I can't help through all my consultations. They're just reaching out to anyone for help because they're, they're looking for help.

And then once you give them the option, Hey, you know what? I do online consultations. I can do a lot more for you. People are appreciative of that. So I think initially I felt like I was quote unquote asking for money. But I would encourage individuals to not think of it that way and to think you're asking individuals not for money, but for the opportunity to help them better than you could otherwise and to give them better care than they've received at this point. And guess what? People are happy to pay for that. That's a win-win for everybody. I would agree. I mean, I know it's probably a common thing that, you know, we joke about, but it's like people spend a hundred bucks on a bar tab sometimes in a night, you know, like a hundred bucks, 200 bucks.

It's not for most people. It's not going to break the bank. And it, it, they just don't understand the value behind what you can do in the hour versus other things. Um, I know that with, uh, we've been trying, I actually, so I, I talked to someone who was off air and I'm going to have him on air pretty soon. So I won't, I won't release his name yet, but he's, he's done a very good job with, um, kind of what you just said there is he gives people the option. I can do this with you. Take, take a week. You might not see any results whatsoever, or you can just do this. And so giving people the power to be able to yes or no when they, it kind of that verbal commitment, I think helps them along the lines.

And so, um, this guy, which, um, you'll, you'll probably know when he, when he eventually comes up, but he basically says like, look, I say after the first interaction, do you think you have everything you need from me? Or do you think you need more help? No, I got everything I need. Great. Cool. So self-manage come in whenever you want. No sweat off my back type of thing, right? You made the choice. However, he might advise against it. Second option is do you know? So if you said, yes, I need a little help then. Okay. So what, what amount of help do you want? Do you want to come back in a month and have like a, a, a template program for this back thing?

Or do you want customized help? If you want customized help, I'm going to see you again this week. Right. Or in this case, maybe his case, maybe a customized template, customized program. So, uh, here we've been doing a little bit more of, of actually before you came on, we were doing role playing. And so different types of patients with, um, different types of severities. And we had someone came up, come on or come recently who was fearful of movement. And so this person, I would, I would honestly say over the course of the year, it would not be uncalled for me to see her 20 plus times. It would be a good thing for her.

Like after coming just a couple of times, she's already very excited. She's moving better. She can walk better. She's like a static, right? But if I, if I, uh, don't give her the choice when I force her into doing that, she might not be as happy as when she made the choice. So anyways, we've been trying to do a better job of navigating that conversation, figuring out how much assistance they want. Or, I mean, if I was advising you on your back, we can probably reasonably say you only need one, two touch points. Cause you know stuff. And on people don't tend to know all the, these things. And I think we, I used to assume that it's like, oh, they, they probably know more.

No, they, they don't. That's how they got in that position. They're asking for your help. Um, and I know that I've done the mistake over the years where it's like, oh no, no, just a couple, like four times, four times were good. Right. But that doesn't account for what if they want to deadlift again? What if they decided they want to play? Like I had this when I played baseball, like during like recovering from the back issue. Hey, do you want to play baseball this season? I don't know. I don't want to feel that again. You know? And so it's just fearful. And I was feeling fine, but I didn't want to feel it again.

And so that's an incomplete care in my opinion. Yeah. Anyways, that's a tangent conversation then. No, a hundred percent. No, I, no, I love it. And yeah, it always comes down to an individual's goal. Right. So it's like, um, for me, if, you know, we're strictly talking about online kind of stuff, online programming, since I'm the Instagram guy, uh, giving people the choice. So someone reaches out and say, Hey, I have this problem. I have this problem. He's like, Hey, you know, I have this video on it, this video on it, this video on it. Um, I'm not sure if you've tried those many, many times they'll say, yes, I have tried it.

So there's the perfect option to say, Hey, well, I help people all over the globe through my online consultations. Um, here's a couple of before and afters. Does this look like something you're struggling with? Does this look like something you could benefit from? Yes, it does. Okay. Would you like the details? Yeah, for sure. I love it. And then you send the details. Well, you know, what do you think? Does this sound like something you'd benefit from? Everybody says, yes, this sounds like something I'll benefit from. And then there you go. They made, they made up their decision, uh, for you. So then you just go, okay, let's do it then.

Let's get on this road to recovery and start getting you the results that you deserve. Yeah. And there's where it all goes to. But yeah, getting people to, uh, you know, giving them the option, getting them the ones to make the decision, but also facilitating the process in regards to helping them realize what you have to offer and what they need. There was, um, a good, a good Dan John quote from his, uh, 40 years blowing the whistle. It was, you need to get people to, this is so many words, you need to get people to verbalize and hear themselves say something like, like, oh, I want to lose five pounds to lose five pounds.

And, uh, yeah, I don't really know how to do that. You know, like they, they have to, they have to verbalize it in their head and you're just a, you're just kind of echoing them or you're dragging out the thoughts that they never really put on paper or had to say out loud, you know? Exactly right. Yep. A hundred percent. So, yeah, go ahead. Go ahead. I mean, I was just gonna, I was just gonna emphasize it even more. Okay. Yeah, it sounds good. Uh, well, I was gonna, I was gonna open up the mic to you since you always have a lot of questions and you want to like, uh, anything you want to discuss today since this is going to be student, student listeners, probably this is not as, as lay public and, uh, I apologize for that for everybody, but you should follow grant though.

If you're not at rehab fix so many free videos, what do you want to talk about? Oh man, there's so much. Um, it depends on what topics, I mean, I could, I could, I I'm in the process of, okay, I got to pick an EHR system and I got to figure out all these other things that I think, I think that would maybe be boring. EHR. Well, I can tell you for, let's just talk EHR for now. Um, are you, by the way, I don't know if you're planning on doing any insurance. I just interviewed Sam. No way. I did Sam Collins. I just interviewed Sam Collins. You probably haven't heard him. You should listen to that podcast.

It's a two part series. Okay. I'm telling, I'm telling, he paints a, he paints a big, uh, an overall picture of kind of meeting them where they're at. And if someone came to you and you could not convince them otherwise, like say that they're like, okay, my insurance, uh, covers an adjustment. It covers $40 with it. Would you not spend a couple of visits maybe just giving them the only that service in enough time to maybe draw out, like give, like you're, you're chatting at them to figure out if you can get them to do the other part, you know? So that's, that's kind of like where he, like where I would maybe use a little bit more insurance.

Okay. So, you know, utilizing their benefits for the first few, few visits in ways that benefit you both and then saying, Hey, if you want more, then we can kind of veer away from the insurance and go to more cash based approach. Well, not necessarily just cat. Like, so let's, let's just say with, uh, like say with Medicare, cause, cause I've really thought about this over the last, um, probably month or so. Cause so my mom's Medicare age, my dad's Medicare age. You can't treat anybody that is Medicare age unless you submit to Medicare. How are you going to treat your mother? You know, the cool thing with Medicare at least though, is that Medicare does it, it covers only the adjustment, right?

The other things you're able to build, you're able to charge the people separately. Yeah. Say this person came in and they needed a lumbar spine McKinsey extension and or flexion in this case cause they're, they're maybe not, um, that, that room. And then you decided to load their gluten into your wall for 15 minutes. I mean, that's still a really productive time and you can probably still make a hundred bucks. That's just all I'm kind of thinking. Think about it. Listen to that episode. I'll have to listen to that episode. Yeah. Especially everyone else that's listening. Yeah, I know it's, I've, I battle with it back and forth over years cause I don't want to like, there's like the stigma of like, I don't want to be that insurance guy, you know, like cause they, it's, it makes it a little bit more challenging.

But I think that with, uh, if I think for the greater good for like those people, I think most of them are going to respond really well to movement. And if the movement is not going to get got to, unless I address that first thing, since Medicare is the barrier, then am I doing a service, you know, and over half the U S at that point probably is going to be Medicare age baby boomers. No, geez. Yeah. So good point. Just think. Yeah. Go ahead. I was just going to say at first I was like, Oh yeah, of course I'm going to do insurance. Everyone does insurance. It's just what you do. And you're the one that was actually like, uh, rethink that.

And yeah, now after like actually started to help people and get my feet wet, I'm like, Oh yeah, no way. No way. Not a chance. Yeah. Not doing insurance. Well, you've, you've produced so much value behind it. So like there's enough proof of proof of, of, of, of outcome that it probably won't make as much sense for you. I would imagine, you know, however, like, actually it's funny. Like I've been, so we've been going around to talk to medical offices recently to medical doctors. One of the first thing that they'll ask, especially the front desk is they'll ask what insurances are your office in?

And so they kind of like, like, so as we were talking to them a little bit, I was, I was like, so why not just send based upon results? Like I'm telling you these people, these types of, so I presented types of cases, these types of cases will probably respond really good at X, Y, and Z. And so they're like, well, well, people with Aetna, we send them there. People with Medicare, we send them there. People with, you know, like, so it's, it's guided care based upon coverage sometimes. And so, well, that's, that's, it's kind of like a dictation of, of where they like foot problem podiatrists. And so they kind of, they're trying to help guide the person is what I think what's happening.

However, they don't know that you do anything different, but if you're not drawing from those referral sources, then it really won't matter. Yeah, that's, that's a whole another thing I'm going to have to learn about for sure. Once I officially graduate, trying to get in with, with other local docs and I had to network with professionals, cause I already have people in the area asking me like, Hey, like, you know, this isn't, you know, I'll agree with them. Hey, this isn't something I can help you with, but like, I don't know who to send them to. I don't know, you know, all that. So I got to start developing relationships for sure.

Another thing I wanted to talk to you about was, um, and this would be a good for all the students out here listening that want to create their own practice is. When do you know, when do you know that you're ready to open your own building in, in regards to you're able to afford it with the traffic you're bringing in? Oh, like not renting from somebody. Exactly. So first I want to, yeah, it is a tough one. So first I want to, I want to rewind a little bit to a lesson for anyone listening. One of the reasons I think it's so, so, so important for you to develop a strong social following is the leverage that you gain with that.

So for me, I'm currently in a situation where I've been speaking at numerous gyms in the areas because I contact gyms through my Instagram and they see my following and they think, okay, this guy not only knows the stuff, but he can help bring some awareness to our page and to our gym. So instant buy-in. I haven't had to convince anyone to let me talk at their gyms. So there's a reason in a way that I have leverage. Another is the gym that I'm currently working out of, I actually have zero overhead because the gym doesn't have good social media. They don't have those good online skills. So I said, Hey, you know, this is what I do.

I do a whole lot of this. How about you help me with it? And in return, I get your facility during the off hours. And guess what? They agreed to it without hesitation. So I am speaking at numerous gyms in the area with ease. I'm getting absolutely zero overhead in regards to working out of a gym because of my social media. So you gain so much leverage by having a good social media presence, as well as getting opportunities like this, being on a podcast, getting people like Sebastian as your mentor or other people that I've met. They open so many doors. So for me, I have zero overhead right now, right?

So that's a pretty sweet deal. And I have the gym from 10 to 5, Monday through Friday, and then Saturdays, I basically have it the whole day. So I just have to work with the gym a little bit. But what I'm trying to figure out is, okay, I'm starting to kind of get busy. When do I know I'm ready to buy my own place? Because I don't want to be from 10 to 5 every day. I want to have my own facility. But going from no overhead to a whole lot of overhead is going to be a big jump. So I'm trying to figure out, okay, when will I know that I'm ready? So what would your opinion be? So you're talking buy or rent?

Lease or buy? I guess either. I don't know. What would you do? I don't know. I don't know about buy. You know, like I would love to say that buy has been on my table for a long time. It's not. Okay, rent. Renting. And so I can tell you my own personal experience is I went to, I was in my PPR's office for about three months or so after graduation or after I got my license. That rent was about $1,000 a month. It was too much that I, too much and too many, there was some restrictions on time too. And so I talked to my dad and I said, hey, look, here's what's happening. By the way, I'm out 30 minutes from the house.

What do you think? Like, should I look for space? And he's like, I got a room. And I said, okay, what do you want for it? He's like, what do you want to pay? I'm like, $400. And he said, yeah. So I rented a room from a dentist. And that was there for about two years or so. Oh, wow. Okay. Yet, when leaving there, it was, there was restrictions there with, like, I had my own room. Like, I could, he had a front desk. It was all very helpful. You know, they weighed patients. And no one actually said anything. I know that, like, it seems like, damn, why would you practice in a dentist's office? No one cared.

It was kind of like, like, I remember there's a guy around here somewhere. I don't know where he's at. But they're like, okay, so there's this guy in the back of a salon. You have to go in the back. And there's a little curtain there. And it's like, you go to this guy, it's because it's like a hidden treasure, right? And so, it didn't really matter. When I started seeing a consecutive amount of the same volume every week, week after week after week for about a year, I felt much more comfortable. Even then, though, going to search for a lease, it took me a year or more long, or maybe longer than a year to actually find the lease that I wanted.

And so, every place that I went to, I remember there was, there was two places in particular where I was like, this is the place. I want this place, right? Although, it wasn't perfect. One of them was like above a bank, and you couldn't make a lot of stomping noises, right? And I have weights in the office, so what if someone puts one down too hard? Another one was, there was a big open area for like weight training if they need to. Again, second story. There's a lot of offices there. It's just, the landlord didn't feel right. He wasn't being, he wasn't meeting me halfway on things. So, I just kept being willing to walk away.

And that was probably the best, the best opportunity came later, was it was about a 1,500 square foot place. I'm currently not in it now, but the building remodeled, and so they moved me into this new building. So, I felt comfortable with the amount of money, and I wrote in some options. And so, at this point though, I would say that I would probably, if I did it again, I would go through and make sure, I would probably do industrial space based upon my clientele base. I would do industrial space. However, the only problem there is that, so with medical, I don't know about PT, I keep hearing PT was an exception to this years ago, is that you can't be industrial because it's medical.

And so, it's not zoned correctly because of parking space and so on. And so, you have to get a conditional use permit. Funny though, the city would be okay with like having a cycle place there, with like 20 cars at one time. But you, as a chiropractor, the stereotype of seeing more people didn't merit the amount of parking spots. If I were to do it again, I'd look for that, something smaller, about 1,000, 1,500 square feet, and I'd just be committed to getting a conditional use permit, and I'd make sure that permit was transferable in case I decided to sublet it or someone decided to assume the lease for me.

Okay. Got it. Is that helpful? Yeah, no, definitely. Yeah, I don't think, I think the mistake I made was that I assumed that I was going to have a lot of associates, kind of like when you had like the dream of what you wanted to do, I thought, you know what, I think the associates thing, the way to go. And I did have one at one time, it didn't work out in the long term, I'm not going to say I'm not going to, I'm not exploring it again, but I've had, I've had, let's see, one, two, three, four, I've had four extra rooms for like three years. I literally have a ping pong table in one. Like, they're not useful to me because I don't spend a lot of time in the treatment room.

Yeah. The weight room's important for me. So, I would just make sure that that space is where you got enough weight room area, and then for your exams, you have an exam room. Yeah, that's kind of, that's kind of what I was initially looking for was like, you know, a decent amount of floor space to move around, maybe get some turf in there, or at least just some rubber flooring. And as long as I realistically, as long as I have a squat rack, some doubles and some kettlebells, that's all you need. So, big enough for maybe two people to be doing some activities at the same time, and then maybe just two treatment rooms.

And yeah, I think that's all that would be necessary to start. So, I was trying to think around, yeah, the 1,500 square foot would probably be a good start. I can, I think you can definitely make a bit of money with that type of space. And, but considering like, if you have, let's just say you have an intern because you're, how close are you to the, to the, to Palmer, Florida? I'm two hours. So, I mean, you might have the potential of having interns at some point here. And, um, the intern takes up space in the weight room too, but especially when they're shadowing, but at some point that might be a very useful model to you.

If you have someone coming in that, that say, uh, someone already knows a lot of corrective exercise that came from R2P. And then, so now you can just get them in there. So, uh, you might, there might be a potential to have extra people in the weight room being, just being serviced at the same time. Yeah. That'll be, that'll be challenging and fun at the same time when I start to actually look at places and I'll, yeah, I'll definitely have to like kind of visualize and maybe I'll just invite some friends and be like, Hey, let's see how many people we can fit in this room. Yeah. Um, my goal, my goal is within a year to have my own building starting from right now.

That's my goal within a year. So, um, we'll see. I mean, things are starting to get more and more consistent. Um, but that'll, yeah, that'll be a whole nother thing. Cause you know, I'll be going from zero rent to whatever. Whatever that's going to be. Um, so that'll be something we'll have to really weigh and figure out. Well, I think if you're going to, if you're going to buy, then if you're considering if you have like adjacent units, I think you want to have the first rider refusal to buy the other units. If that's a thing. Cause for expansion, cause you're going to be stuck in like your standalone 1500 square foot place.

Then what if you actually needed another 500 square feet? You're going to tear all your improvements down and take off. Yeah, exactly. I wouldn't, yeah, I wouldn't want to have to completely relocate for 500 square feet. Yeah. It'd be a pain. I think you get a lot done with, with small square footage. Like our, our weight room is probably about like four or 500 square feet. Like we had a little workshop in here, which was, I think we had like 16, 17 people in here. It was pretty crowded, um, but you can get a lot done in that space. And if you're not, if you're not moving barbells and having like large equipment, landmines, sled pushing, like you can get a shit ton done with just kettlebells bands and like stay in your spot type of thing.

Like you don't need to be doing pushups here and kettlebell swings there or whatever. Yeah, no. Yeah, definitely. Um, yeah, I think you get a lot done as well and, uh, less is more sometimes anyway. So it might have to, it might force you to stick with the basics and stay consistent and focus on the things that actually end up matter, mattering instead of some fancy other stuff maybe. So I don't know, just kind of look cup half full, but, but yeah, yeah, I don't think you need a ton of space either. Um, you would just have to, I would, you will just have to find something that sweet, the sweet spot, not too small, not too big.

Yeah. Just right. Yeah. You can always put a boat, like maybe get 500 extra square feet and then put a boat back there, you know, so you can just back it in definitely just your own personal storage unit that you can expand into later. I would like to have a boat. I would like to have a boat within three years. Um, that's another goal. So I want to go on the water cause I drive over, there's this bridge that connects St. Pete to Tampa. It's called Gandhi. And every single time I drove over that bridge, the water's glistening. The sun is just shining off of it. I see all these people out on their boats hanging out and I'm just thinking, Oh my gosh, I can't wait till someday I can just drive out there whenever I want on my boat.

So my goal is three years, three years to have a boat, nothing crazy, just something that will not die on me in the middle of the ocean. Uh, that's really all I want. Something with two engines on it, maybe. Enough to be safe. Um, so yeah, Hey, I'll, I'll use the practice as a, uh, storage facility then. There you go. You might as well. That's what I was trying to tell Allie about. Um, uh, I'm like, if you ever get a spot cause she rents for me, she rents for me. And so I was like, let's do this. Let's just put a little area back there where I can just back the boat. And she's like, no, I don't, I don't want to be instructing and like teaching people like where this boat.

I'm like, but I'm the landlord. I would be the landlord. All right. So I can just do that. I'll curtain it off. We'll be fine. Yep. You can do whatever you want. Yeah. You can hang TRX racks from our TRX from it and everything. Yep. Strap it up. Ride it off as part of tentative improvements. Yeah. Oh my gosh. Amazing. A boat rack. That'll be perfect. Yeah. It'll become a hit. That'll, that'll be good, good marketing. Everyone takes a picture in front of the boat, right? You get it. Uh, you get some decals on it, performance place. Perfect. Yeah. Well, I'm pretty sure everybody that's there, it's like that novelty again.

It's like, okay, so I go in this rehab place and there's a boat back there. Right. And so we just do a bunch of rowing on the boat. Part of the, part of the rehab is actually get up the boat, get down from the boat. Easy stuff. Exactly. Tossing, tossing the life preserve, right? Lateral stance. Yep. That's right. Don't you, you pivot through that front post. Grant, thanks for being on for the part one of two part. That's Grant Elliott at Rehab Fix. Now, I want to thank everybody who came out to, um, the movement meeting at Sandy's recently. Uh, I am, uh, I had a, I had a good time meeting everybody and it was, uh, amazing.

I think we should do that more often. I think people would really get a lot of, I don't know about information. I just like hanging out guys. Like, why don't we just fricking hang out? So I wish I could hang out, hang out with Grant. I've actually never met Grant, but we've talked so many times over the, over the year. I feel like I, I know him pretty well now. So at some point I'm going to go to Florida and meet him or he'll come here and we'll have a tomahawk steak with me. So everybody, thanks for being part of the movement. Share this with another clinician and don't forget to review this podcast online.

Next week we have part two with Grant Elliott. Thanks. And I'll see you guys next week.