Nicole Cozean, PT, DPT, WCS & Jesse Cozean public
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Pelvic PT Rising

Nicole Cozean, PT, DPT, WCS & Jesse Cozean

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Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practic ...
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In this 'sode, Nicole is challenged to give her 20 biggest pet peeves with internal treatment is done or taught in just 20 minutes! You'll have to check out the 'full sode for the list, but they include... Using too much lube. Gloving both hands. Constantly asking 'are you ok?' (there's a better way) Sitting at the end of the table And giving 'Swir…
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We pull back the curtain and talk about our love of business and helping others in their business journey in this 'sode. We know how hard it is to run a business. How much time it takes. How much mental energy. How much risk. How many evenings and nights and weekends thinking about the business. And we wanted to lighten the load for others who are …
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How can we get better buy-in from our patients, reduce self-discharges and help our people finish their full plan of care? Regardless of your work setting, getting clinical buy-in is critical to getting the outcomes our patients want. In this 'sode we go through the five biggest mistakes we see in that process of getting buy-in and keeping our pati…
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Business systems streamline the practice, save you time, ensure a consistent product and a great experience for your patients. They keep you organized. They allow you to hire. They're also chronically overlooked! Systems are what people are talking about when they say "work ON your business, not IN your business". But how do we do that? It's a reas…
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Male patients are an awesome group to work with and chronically underserved by our system. But there's also a lot of concerns and misinformation about working with men. We go through the five most common questions we get about treating male patients! With how pelvic health education has been structured, many of us don't get training in treating mal…
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Marketing is the engine that drives the business. A steady flow of leads is critical (and can often cover a multitude of sins within the business). For a cash-based practice, marketing is often the limiting factor. So why do we consistently see people getting marketing so wrong? It's not your fault - there are so many misconceptions out there. Or t…
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Often there's a rosy picture painted of business ownership, but the hidden reality is entrepreneurship is hard, anxiety-producing, and definitely not for everyone. We firmly believe anyone listening to this podcast CAN start their own business, but just because you can doesn't mean you should. There's a myth that business owners have unlimited time…
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We've been promising it for a while now, but here are 10 huge mistakes we've made as PelvicSanity business owners. As painful as many of these are to relive, we hope you learn from them. The reason we do business coaching is to create the resources and help we wish had been available for ourselves! There are always going to be mistakes in business …
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Is where you work working for you? If it is, we need to celebrate it. If not, it might be time to look for another position. Let's start with this - no position is perfect. The best setting, time with patients, flexibility scheduling, reduced documentation, stress, quality of management, job responsibilities, fun coworkers, nice treatment rooms, gr…
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We hear it from PT schools, insurance-based practices and even worry about this as cash-based business owners - are we 'decreasing access to care' by not contracting with insurance companies? The rise of cash practices has dramatically INCREASED access to care over the last 5-10 years. It's driven the rapid growth of our specialty and field. It's n…
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Continuing our series on 'Happier at Work', we have 3 easy tips to improve your work experience. If we decide work can be a source of fulfillment, growth and purpose then it's incumbent on us to do the little things to make it as good as possible! Here are three suggestions from this 'sode to get your mind working... Take the initiative and plan so…
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We dive into community workshops, a CEO mindset, leading a team and integrating your past experience into your Clinical Ethos in this 'sode! You won't want to miss this conversation with Hannah! Hannah is a member of the CEO Boardroom Program and a Rising Coach for other business owners - in this 'sode, you'll hear why her experience is so valuable…
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Is the term 'work-life balance' actually making us unhappier? This 'sode explores how to be happier at work and build actual balance into your life. The assumption when we use the phrase 'work-life balance' is that work takes away from 'life.' Every minute spent working subtracts from your happiness. The only way to be happier is to work less. Exce…
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Can you become a successful solopreneur, prioritize your family and create a business that truly works for you...all while enjoying the process? In this 'sode you'll hear from Kat Terrian, Rising coach and founder of Rythm Pelvic Health. She made the deliberate choice to stay as a solopreneur (even when she could have easily continued to grow) beca…
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This month, we're going to be doing a series on 'Happier at Work.' Our rates of stress and burnout are high. If we want long, productive careers where we help the most people we have to be taking care of ourselves! In this 'sode we go through 3 mental habits Nicole has used to practice for nearly 20 years and that we try and cultivate in our team a…
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Fascinating conversation with Rising business coach and CEO Boardroom member Brittaney Sargent! A leader in the OT space, she's built a multi-site, 5-clinician, multi-disciplinary practice in just the last three years. And all coming off maternity leave with three little ones at home! We discuss her clinical philosophy, why she works with 'clients'…
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When many of think about nervous system downregulation and treatment, pelvic pain springs to mind. But this is something that is critical for all types of patients. Nervous system safety is a prerequisite to healing! Intellectually I think we would all agree with that, but often we jump into treating diagnoses like incontinence, prolapse, constipat…
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Can't wait for you to hear this conversation with Shante Cofield (aka The Movement Maestro)! In addition to being one of the most authentic people we know, Shante is an expert in all things Instagram and online business. We cover a ton of ground in this interview. We hear about Shante's journey from from patient care to teaching to online business.…
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Where does your mind go when you have that complex patient. The one with pages of medical history. Who has a pre-written timeline for you. Or who is undergoing testing for multiple other conditions? One of my clinicians at PelvicSanity was asking me about a patient like this. And she was genuinely complex! I think often our assumption is a complex …
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What do you need in place before you're ready to hire another clinician? We always say the decision to hire - especially another clinician - is as big as the decision to start your practice. You want to make sure you're hiring because it's something you really want to do - not because you're busy, or you feel bad about a wait list, or because someo…
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Can't wait for you to hear this conversation with Carrie Pagliano, past Academy President, course creator and founder of Carrie Pagliano Physical Therapy. Clinical and business pearls abound in this conversation - enjoy! One of the most powerful points of this conversation was hearing from Carrie how she deliberately structures her business to supp…
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This is a topic we've changed our perspective on over the years of coaching - when are you ready to hire an admin? And hiring is never something to be taken lightly. It's not as simple as 'just hire an admin' and life will be better. You have to create all the systems for them. Onboard them to get them up to speed. Continue to train them, manage th…
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So excited to bring you this conversation with Dr. Jen Fraboni (aka @DocJenFit)! Jen has been a pioneer for physical therapists in the online space and finding new ways to connect and serve our people. We talk clinical philosophy, her journey from treating patients in the clinic to online mogul, the joys and challenges of motherhood while running a…
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Adding another revenue stream, 'diversifying', finding passive income, stop trading time for money....these are all becoming buzzwords in the entrepreneur world. But is the juice worth the squeeze? We dive in! There's really two different categories of possible additional revenue streams. One is to leverage your in-person business in another way. T…
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Often breathing techniques are both the beginning and end of what we focus on when it comes to 'downtraining.' But there's so much more we can be doing, especially when it comes to the vagus nerve. Breathing techniques are fantastic and important, but they also have their challenges for patients. They take time to work. They are dependent on the pa…
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Today we go into the pros and cons of having your pricing on your website. Ultimately, putting prices on your website will reduce the number of people who call, but those who do call will be more likely to book. Whenever you field calls, there are three types of people: Those who are definitely going to book (regardless of the booking experience). …
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We created the Cozean Screening Protocol because we wanted a way to help patients and other practitioners realize when pelvic floor dysfunction was causing symptoms. We first published this as a poster at IPPS. Using PelvicSanity as our site we reviewed patient intake forms and charts to see what symptoms or history were most predictive of pelvic f…
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Coming off the high of our in-person CEO Retreat, we wanted to share 5 major takeaways from an incredible group of business owners. Together this group of business owners is shattering what we thought was possible for a pelvic rehab practice. When we first started PelvicSanity, most 'experts' thought no one would ever actually pay more than a small…
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Most of us struggle to use our assessments well. This is an amazing tool to clarify your thinking and guide your care that we aren't taking advantage of. It's something I spend a lot of team teaching to our PelvicSanity staff. An assessment is not: A laundry list of impairments A single conclusion ("the pelvic floor is tight. Or weak.") So vague it…
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Whether you're an employee or business owner, finances can be challenging. They hit a whole new level of risk and uncertainty when you run your own business. All of us struggle with money mindset issues. Our conversations about money are often negative and reactive. We might not even realize what we're making until the year-end W2 or P&L. We judge …
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You're probably giving too much homework to your patients. There, we've said it! In this 'sode we dive into how to give your patient the correct amount of home exercise work. Here's one clue - have you ever had a patient come back in and complain they didn't get enough HEP? One thing to think about - you're never going to give the perfect amount of…
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It's one of the most common business questions we get asked, and it's important! Your rent is going to be one of your two biggest expenses (along with payroll). It's sometimes hard to find that 'Goldilocks' zone. If we overspend we can hurt our profit margin and have to work more hours to pay for space we didn't really need. If we underspend we mig…
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Clinical pearls, being happier as a clinician, the role of telehealth and three questions to transform your evaluation - this conversation with Susan Clinton has it all! Early in the 'sode we dive into the question of where you start with a challenging patient. There's so many different routes we can take and skills we can use, but Susan manages to…
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How long does your average patient come in for? I know, I know - but hear us out! I know you may have a deep-seated aversion to tracking our individual metrics or turning our patient visits into data. I'm sure you've had (or heard of) a terrible boss who was all about the numbers. But it's not unreasonable to know how long a patient usually sees yo…
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How would you respond to someone who told you they were only drinking 24 ounces of water each day? You might be tempted to tell them about how important hydration is. Or how more water intake can dilute bladder irritants. Or show them a cool new water bottle you bought that can help. But sometimes we're so excited to share what we know we forget to…
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**Breaking News** We dive into the controversy this week over whether or not vaginal dilators require a prescription. We've spent the better part of this week gathering facts, asking questions and helping us all understand the regulatory requirements around vaginal dilators. We need to understand what's true so we can make sure patients are well in…
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How do we stay productive and motivated without feeling burned out and overwhelmed? After running PelvicSanity for 8 years and working with 500+ business owners, we've seen all of the challenges. We wanted to bring you the idea of the Chaos Zone and Comfort Zone - it's really helped our thinking and how we coach! Based on a great framework from Jon…
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It's finally here - Cohort #2 of the IC course is now open! Can't wait for you to level up your treatment of patients with IC with all the information you need. Understand the role of a cystoscopy and bladder instillations in the medical management of IC patients is just one of the important things to know about the condition. As rehab providers, w…
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Are you trying to 'save' your way to success? We dive into the entrepreneur mindset on money in this 'sode. We've now worked with 500+ business owners. ALL OF US have money mindset issues with our business. Being a good business owner doesn't mean checking your bank account every day. It doesn't mean counting pennies on your supplies. Going without…
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Treating patients diagnosed with IC is always a challenge. They often have a complicated history. They usually have a lot of misconceptions about the condition. We get dragged in to discussing medical management. But there are also areas of our evaluation I often see overlooked in patients with IC. So when doing your evaluation, make sure you don't…
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We're going to completely change the way you think of interstitial cystitis. IC is a pelvic pain condition with bladder symptoms, NOT a bladder condition. This mindset shift completely changes how we approach our patients. How do we know IC is not a bladder condition? The definition of IC is pain or pressure perceived to be related to the bladder, …
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So excited to share our conversation with performance cash-based OG and business coach Danny Matta! In this wide-ranging discussion we touch on keys to success in business, working with a spouse, using the business to create a better life, and much more. Danny is a fantastic interview - thoughtful and passionate about helping business owners. It's …
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What do you do for clinical growth as a business owner? We get a lot of questions around this topic, and hardly anyone feels good about where they're at - we want to validate there are seasons in the business and in your clinical career! Often business owners think clinical education is going to translate to business success. "Someone dropped off -…
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In a recent survey we conducted on the State of Pelvic Rehab, we found almost half (49.7%) of you are the only pelvic rehab provider in your clinic. Nicole knows the feeling - as a new grad she was tapped to start and run a pelvic health program at a large hospital program. There are major challenges to being the only pelvic provider, for both you …
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We sometimes need to be a little more selfish as business owners. I know the word is loaded, but hear us out! When we work as clinicians, our employer often takes care of the 'selfish' parts - setting our hours, having documentation policies, etc. But when we transition to business owners, we need to get more comfortable saying 'does this work for …
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Sometimes I think our goals with our patients are too small. Either we talk about resolving their symptoms or we take their initial goal at face value. But our patients have often adapted to a sub-optimal life! Their goals are smaller than they could be. Maybe they talk about just wanting to walk without a pad, but they used to run marathons! Or th…
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Today we're diving into Medicare - should you contract with Medicare or not? As always, it's going to depend on you. Your goals, your vision for your practice, your reason for starting. But here are a few pros and cons to help you along the way. Many practices begin to take Medicare because they're afraid they can't fill their schedule. Or afraid t…
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Have you told a patient recently "you're doing a great job?" The desire for affirmation is innately human, and especially in an area - like going to a pelvic rehab provider - where we're feeling uncertain, scared or worried. If we really think about the patient journey, they're often 'failing' because they have to see us. They've probably been unsu…
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Ever feel like you're running on a treadmill in your business, working endlessly without actually growing? You may be in the 'too busy to grow' phase - and it's easy to get stuck there. There will always be challenges in business; being 'too busy' is actually a good problem to have! But it's a problem nonetheless, and it can actually harm your grow…
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We're back with a Clinical Edition of $#!t that needs to be said! Talking everything from techniques (don't "poke" your patient and you're probably doing skin rolling wrong) To philosophies (we're discharging too early, we need to get our patients up off the table) To some tough-love opinions (physicians aren't the bad guys, you don't have direct a…
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