In this episode of PT Breakfast Club, the team gets into the weeds of modern clinic operations — from pricing dilemmas and payer limitations to creative ways to scale without hiring. Topics range from Medicare regulations and concierge models to hilarious but real tactics like dry needling for dogs and influencer-style job posts.

Topics include:

• The truth behind “booked but broke” clinics
• Growing revenue with leverage (not headcount)
• What PTs need to understand about their contract with insurance
• How to ethically add premium services in a Medicare model
• Memberships, marketing hacks, and maximizing each patient hour
• Parody, content creation, and why your funniest idea might be your best ad

Featured Segments:

• Mailbag: “Why am I busy but still broke?”
• “Martha” and Medicare: The ethics of add-on fees
• Marketing that doesn’t feel like marketing
• Creative ways PTs are monetizing beyond the clinic

Mentioned in this episode:

• Dry Needling for Dogs™ (it’s fake… or is it?)
• RTM, telehealth, and weekend visit pricing
• LinkedIn as a job-market weapon
• Chronic Pain Candles (yes, again)

Pelvic health physical therapist Faith Stokes brings the ???? in this candid conversation on treating the misunderstood — from Hard Flaccid Syndrome to trauma-informed care. She shares her unique journey from reptile medicine to healthcare, her CSM 2025 talk, and how she handles the hard cases with heart and humility.

In this episode:

• Her journey from snake handler to pelvic health PT
• What PTs need to understand about Hard Flaccid Syndrome
• Why mentorship isn’t always formal
• Clinical reasoning when you don’t have all the answers
• Using compassion when the textbooks fail
• How to grow as a communicator, even when you miss the mark

Featured at CSM 2025:

???? “It’s Not That Hard: Clinical Reasoning in the Management of Hard Flaccid Syndrome”

????️ Guest: Phil McKelvy, DPT

???? Topics: Parkinson’s care without neuro certs, RTM implementation, digital health, and balancing clinical work with creative PT projects.

What you’ll learn:

• Why intensity matters more than certifications in Parkinson’s care
• Free tools to treat movement disorders without overwhelming your practice
• The truth about RTM: what it is, how to do it, and why it’s here to stay
• How to think differently about burnout, energy, and filling your cup in PT
• Why APTA isn’t just about CEUs — it’s about connection

???? Resources Mentioned:

• Rogue Physical Therapy YouTube
• Power for Parkinson’s
• Matt Jurek on RTM
• Prompt EMR, Orva Health
• One More Wave - Adaptive Surf Therapy

???? Phil’s Contact:

• ???? philmckelvey@gmail.com
• LinkedIn: Philip McKelvey
• Instagram: @philmckelvey.dpt