“Ben, I just wanted to send you a thank you and a report from my practice here. I have been with PBA for right at a year I believe. It didn't happen overnight (I don't believe anything with lasting success does) but I am up about 30-40% in total visits from last year to this year. Specifically I went from 106 visits in Jan '11 to 166 visits Jan '12. From 132 Feb '11 to 200 Feb '12 and from 192 Mar '11 to 232 Mar '12. I attribute the improvements both to the PBA as well as the fact that I will have been in my current location 3 years on 4-15.

For the record I have only made the following small changes.

1. White clinic jacket and tie when I used to wear scrubs. I actually fought this and only started implementing in late December 2011. Coincidence with my success in 2012? Probably not. Wish I would have done it sooner. I went through a company called Tom James and had a few suits and french cuff shirts tailor made for me. Never thought I would give a shit about the shoes or ties I wear, but after all the comments you can bet I will never own a cheap tie or pair of shoes again. It actually helps me personally as much I it has the practice. Feels damn good to have people tell me how sharp I look. And its true. I look good in a suit!

2. Lowering my initial visit fee from $160 to $65 per Stepanek method.

3. And providing walk in hours Mon - Thurs from 9-11 and 3-5.

I have always been more of a visit by visit guy and try to get them well as fast as possible so that didn't really change just the way I went about it. I do ad lib some of the things I learned from reading the Stepanek stuff and I think that has helped.

I do send the email communications and always put new patients on my list. I also post on facebook, twitter and linked in our blog topics, newsletter stories and interesting facts from the weekly health updates. I know you are not big on social media but I do have people tell me they have seen my posts and like them.

Not sure if there is really much else I have implemented, but I wanted you to know that I believe this process has created an elegant and lasting improvement in my practice. So thanks again.”