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Troy Cole

Sales Coaching for Refractive & Cataract Surgery Teams

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How Getting More Patients is Like Baking a Cake

Refractive surgeons reach out to me when they decide they want to do more surgeries.

And usually, they tell me something like:

  • “We need more marketing.”
  • “We need better marketing.”
  • “We need more leads.”

(I had calls with 3 practices last week that started exactly like this.)

Now, all of these things are most likely true. And all of them are important to filling your surgery schedule.

And most marketers, agencies and ad folks will say, “We can help with that! Sign here please.” We used to do the same thing.

But is that really the best idea? In my experience, no. It’s actually irresponsible. And more often than not, it’s a waste of money.

Why?

It comes down to Sequence, a vital yet often overlooked aspect of practice growth.

Better marketing is an important step to take. But it’s rarely the first step to take. And this is where sequencing comes in.

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Consider your favorite dessert. I’m a Lemon Cake guy.

Del Frisco’s Double Eagle Steakhouse has an amazing layered lemon cake. It’s the perfect recipe, and when followed to a T, produces an unbelievable treat that hits the spot after a nice 16-oz medium-cooked ribeye with sautéed spinach.

But let’s say they take the recipe… and decide to shake things up a bit. For example, they take the baking soda, and rather than mixing it into the cake batter, they leave it to the end and sprinkle it on top of the icing.

Is it going to be as tasty? No. It might actually be disgusting.

But why? Baking soda is part of the recipe, after all.

It’s because this key ingredient was added out of sequence.

The same thing happens in your practice. The first ingredient – the first step – is not to pour all of your hard-earned money into paid marketing or lead gen efforts.

Because if you don’t have your sales / consultation / fulfillment / conversion processes nailed down, more marketing will do you little good. In fact, it can actually hurt you – drain your funds, result in a poor patient experience, and lead to net-negative word-of-mouth.

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So if you want to grow your practice, make sure you’re following the 3 Practice Growth Steps in sequence.

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Step 1 – Make sure you have a weapons-grade sales team and process. If you don’t, train your people or hire better ones (or both).

This is your biggest point of leverage within the practice. A sales team with excellent skills will convert more surgery patients, and they can do it at a premium price point.

Many practices have “good people” in their organization, but they haven’t been trained in the specific processes and mindset of moving a person from Lead to Prospect to Consult to Patient. This needs to be priority #1. You’ll make more money just doing this.

(And for anyone reading this who thinks “sales” is a dirty word – that’s a whole other essay. I’ll just say that if you’re the best surgeon in town, and you truly believe you can help people, then you have a moral obligation to do just that. Which means having an excellent sales team that can communicate clearly and help prospects make the hard decisions they need to make to better themselves.)

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Step 2 – Make sure you’re optimized to convert as many patients as you can from those who are already interested in your services.

There are people out there who are actively researching you and/or your procedures.

Without getting too far into the weeds here, you want to:

– Add multiple “engagement assets” to your website.
– Make sure you’re ranking on page 1 in search engines for your specific key terms.
– Put a plan in place to get 5-star reviews from every happy patient.
– Optimize your paid search (AdWords) campaigns.

These are all avenues where people are actively looking for your solution, and you want to give yourself the best opportunity of engaging and converting them.

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Step 3. Then you can move out into lead generation – advertising to cold audiences via social media ads, radio and whatever other avenues you deem appropriate.

At this point, your foundation is in place, and you can start to reach new audiences through marketing.

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There are obviously sub-steps to each of these, but this big-picture overview gives you the lay of the land. You should be able to better navigate your surgery volume challenges with this sequencing framework.

Even knowing the sequence, some practices aren’t clear on whether they’re ready to move from step 1 to 2 to 3. This is another reason they call me. So we can assess and steer them in the right direction.

If you’re stuck in your practice growth, it’s likely you’re out of sequence. Just like a Lemon Cake with a baking soda topping, you’re not nearly as amazing as you could be if you were in sequence.

If you want help with this, give me a shout. We can take a look at where you are, your challenges, your bottlenecks, and where you need to focus right now.

Maybe you need a robust communications/sales training for your team. Maybe it’s time for you to plug in a bunch of battle-tested lead generation campaigns.

We don’t know until we dig in (just like you don’t know if a patient is a candidate for sx until you deep dive into their scans and find out what’s going on with their eyes).

Don’t waste time, energy and budget fighting an uphill battle out of sequence.

Reply to this email, and we’ll help you figure our your sequencing plan. We’ll also share what’s working right now to get more patients in each of the steps I outlined above.

Talk soon,

Troy “Sequence is the Shortcut” Cole

[🔥VIDEO] Follow Chipotle’s lead to add another 30-40 eyes next month

It’s time for the Thursday Thunder, my friend! Got a 🔥 video for you today, featuring the King + Cole Boys.

In today’s episode…

Troy thinks Chipotle holds the key to refractive success, Michael talks about gamifying frozen yogurt toppings, and the guys finally come up with a name for the show.

In addition, you’ll discover:

– COVID’s Fast-Forward Effect on consumer behavior (and why this is important to your practice)

– Chipotle’s Hybrid Model of customer acquisition that you can use to attract more surgery patients now

– The hidden limitations of only doing consults “the old way” (even if you’re busy, you’re still capped)

– The “first mover advantage” that’s out there for the taking (if you take action immediately)

– And more…

​Go watch it now.​

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– Troy “Double Steak Burrito Bowl” Cole

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PS – You don’t actually have to watch it unless you just wanna see our handsome mugs.

​Turn on the video and listen in your car or during your workout. You’ll still get the full benefit of the content…

Is the Old School “Mindset of More” keeping you stuck?

I had a call yesterday with a practice that was “interested in doing some marketing.”

An acquaintance put us in touch, and I told them we could talk to see if they might be a good fit for us.

Pretty quickly into the conversation, I realized they are not our ideal client. Several flaws in the surgeon’s thinking jumped out at me. I wanted to share those with you today to make sure you aren’t making the same mistakes.

I call this the Old School “Mindset of More.” Old School is great if we’re talking about hip hop, classic cars or work ethic. Not so much when we’re talking about refractive surgery.

Here are 3 ways the Old School Mindset of More doesn’t serve you in the modern marketplace…

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1. A desire for more “Marketing” (with a capital M)

Mad Men. Slick suits. High rises. Think back to the days of Don Draper delivering his pitch for Lucky Strike cigarettes.

The flash. The flair. It’s fun to watch on TV, but not necessarily tied to the mission at hand – filling your surgical suite.

This big, ambiguous concept of Marketing is what the doctor had in her head.

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Dr: We want to do more Marketing for our practice.

Me: Ok, tell me more about that. Do you want to do more refractive surgeries?

Dr: Well yeah, but we need branding and Marketing.

Me: That’s fine. But I’m just making sure that your goal is to do more surgeries. Because that’s what we do.

Dr: Well yes, but what about our other Marketing?

Me: We aren’t worried about other Marketing. We have a proven product and process to get you more surgeries. That’s the play. We just run variations of that play over and over and over to fill your schedule.

Dr: But but but Marketing.

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This Old School “More Marketing Mindset” stifles growth and sucks up budget.

Uncommon opinion – you actually don’t want marketing. You want a full surgery schedule.

Just like your patients don’t want LASIK. They want the results LASIK can give them.

Don’t get fixated on more Marketing. Get fixated on more new patients.

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2. A focus on getting more “stuff” vs getting more results

There’s this horribly flawed idea that getting more “stuff” is automatically better in life.

This doctor told me, “We need to work with someone who will do everything – posters and brochures and commercials and signs, all that.”

We don’t do those things. And it’s not because they don’t need to get done. You need good brochures and materials and signage.

We don’t do them because when it comes to resources and opportunity cost, we focus 100% of our time and effort onto the plays that we know get surgery patients for our clients. Namely, our E3 Sales Training Workshop and our Patient Prime System to generate more consults that turn into surgeries.

Why? For the same reasons you probably don’t treat every different eye condition on Earth.

Why wouldn’t you just do “everything eyes”? Because of the massive resource allocation, the distractions, the lack of effectiveness that come with such a ridiculous model.

You offer a few specific solutions, you’re amazing at them, and your patients love you for it.

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Take fitness for example. Would you rather:

A. Have a gym with access to every piece of equipment known to man, or

B. Have a trainer give you the exact exercises, exact workout plan, exact training and accountability you need to hit your goals?

Most people would say B and even pay a premium for it.

Yes, A has more “stuff.” But it’s also more overwhelming. It’s more complicated, and more confusing. Option A is a distraction standing between you and your goal.

This Old School idea that “more is better” is ridiculous.

There’s a practice in your city with more office space than you. Does that make them better?

There’s a practice in your city with more collective years of experience that you. Does that make them better?

Doing “more” is not necessarily better, and in many cases, it’s actually worse. Streamlining, simplifying, and taking the proven path to results without any fluff or distractions – that’s what’s better.

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3. A fixation on more volume (at all costs)

I was glad to hear this practice is priced higher than their market average for LASIK.

​I’ve talked plenty of times about the many reasons you are obligated to charge premium prices for your procedures.​

Poblem is, they were ready and willing to give up their premium pricing for the sake of volume.

She told me, “We’re willing to go significantly cheaper to get more prospects in the door.”

You can imagine my response. “Yeah, don’t do that. Some small savings programs for specific groups is fine, but you should not do market-wide mass discounts.”

Her response? “Well, we’ve been told by cutting our price in half, it’ll be attractive for more people. I don’t really want to do that, but we’re considering it.”

She was so fixated on volume, she was willing to sacrifice her profit to get there.

“Volume volume volume at all costs! Brand be damned. Premium positioning be damned. Profits be damned. We’re going after volume!” 👈 This is an old school way of thinking.

Don’t get me wrong – more surgery volume is great. And we grow volume with our programs.

But sacrificing profit? I hate that. You hate that. My humble but accurate opinion – you’ve worked too hard for too long and put too much on the line to be the Wal-Mart of vision correction.

This Old School “more volume at all costs” mindset needs to die.

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In conclusion, this practice – and many others like it – are too stuck in the old school mindset of “more” to take advantage of today’s opportunities in the marketplace.

But practices who are of the New School mindset…

That are interested in actual results vs “more Marketing”…

interested in doing what works vs doing more “stuff”…

and interested in profit (while also increasing volume), are in a much better position to achieve the success they say they want.

If that’s you, and you want more surgeries, reply to this message.

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Have a helluva Tuesday,

Troy “Less Talk, More Rock” Cole

[VIDEO] – Refractive Growth Mindset, #1 Cost, Fishing Poles, Sporting Goods, Fast Lanes

Piping hot Thursday Thunder video for you today, my friend. The Michael King and I rap about:

  • The #1 biggest cost in your practice (the equivalent of taking stacks of $100 bills and throwing them in your fireplace)
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  • The type of “Growth Mindset” that is required to increase refractive volume
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  • How your practice is not like a sporting goods store, and the challenge that represents for you (and what to do about it)
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  • The problem with relying too much on your “pretty website”
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  • Limitations around the current opportunity in the refractive space​
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  • A few of the best “fishing poles” we use to hook more prospects from of our clients’ websites
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  • The “smart cut” to get more patients now (the fast-lane roadmap)
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  • And more…

​Watch it here​

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AND if you aren’t doing the consistent surgery volume you want – you owe it to yourself to jump on the call with one of us and figure out why.

Stop beating your head against the wall and get some clarity. Now.

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Talk soon,

Thunder Troy & Magic Mike

Case Study FAIL (can’t believe I missed this)

If you’re frustrated about not having the bandwidth to grow your refractive volume right now – because you’re still short-staffed or for any other reason – Read on to find out exactly how to do it… 👇

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Last week, I sent you a case study of a client who used our Patient Prime System to generate an extra 7 figures in quarterly revenue, year over year.

And that’s awesome. More revenue is awesome. More surgeries are awesome.

Sitting in the refractive suite for an extra 3 hours on surgery day because you’re so darn booked up… awesome.

But there’s one other awesome thing I completely failed to mention when I sent this over to you.

And that is efficiency.

See, there are many practices out there who see the big opportunity right now. The “Refractive Wave” that is happening.

People have a renewed interest in LASIK. They don’t like the foggy glasses, they don’t like spreading germs to their eyes by touching their contacts. And they’re ready to make a change.

It really is a massive opportunity. And you want to take full advantage of it.

Heck, you deserve to take advantage of it, in my humble-but-accurate opinion. As hard as you work, as much as you’ve put on the line to open and grow a practice.

Not to mention the fact that you had your entire operation shut down last year, for goodness sakes. But you persisted, you pivoted, you survived. And now it’s your time to prosper.

(And let’s be real – patients need you to prosper. They need the solutions you have. Don’t get all “I feel bad making money during a Pandemic” on me. Making money is the only way you keep changing lives. Do it proudly.)

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Here’s the common challenge I’m hearing:

In talking with many practices over the last few weeks, the #1 reason they feel like they can’t go full-out and really capitalize on the Refractive Wave opportunity…

Is a lack of bandwidth. Many practices haven’t fully staffed back up from COVID. Team members are spread thinner than they were pre-shutdown.

They’re short-handed. Short-staffed. And sure, they’re moving in the direction of a full roster… but they aren’t there yet.

Unfortunately, opportunity waits for no one. It’s not gonna wait for you to staff up. It’s not gonna wait for you to feel comfortable pushing the gas pedal. It’s here now, and you have to take advantage of it now.

So how do you do it?

This was the thing I completely failed to point out in the case study I shared.

If you go back and watch the video, I want you to pay attention to these points. Read the rest of this message first, then check out the video again (I linked it at the bottom of this email).

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Point 1 – The practice spent less time following up with leads.

Year over year, the practice in the case study generated about the same number of leads for the 3-month period in 2020 as they did in 2019.

On average, a lead takes X amount of time for your team to engage. (That’s not a typo. “X” is whatever that average is – 5 minutes, 10 minutes, etc.)

So if they generated the same number of leads, it would have taken about the same amount of time and effort to follow up with them, right?

Actually, no. The practice spent significantly less time on lead follow-up. Because about 25% of the leads were for virtual consults, which are self-scheduled appointments.

In fact, the practice didn’t have to spend any time or bandwidth on those particular leads prior to them showing up for the consult. We qualify, educate and do all the appointment reminders for them.

Math: Same # of leads + less time spent working the leads = More Efficient.

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Point 2 – The practice booked more consults from the same number of leads.

42% more consults booked, to be exact. In 2019, 40% of their leads converted to consults. In 2020, 57% of their leads converted to consults for the same time period.

Again, this is due in large part to the way we have set up the self-scheduler/qualifier/reminder flow of our virtual consult funnel.

Math: Same # of leads + Higher conversion rate to consult = More Efficient.

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Point 3 (The Big Takeaway) – When you’re running lean and mean, the only way to grow your volume is to become more efficient.

For anyone whose team is stretched thin, who doesn’t feel like they have the bandwidth to take full advantage of the Refractive Wave… this is how you do it.

You increase efficiency. Less time chasing down leads. More time focused on prospects who show up to consults and are ready, willing and able to book treatment.

Math: Reduced team + massively increased efficiency with new patient opportunities = net positive practice growth.

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The best way we’ve found to increase efficiency is through our virtual consult system that’s been tried, tested, tweaked and perfected by multiple practices and thousands of prospective patients.

You don’t have to write anything, build anything or figure anything out. We have the whole process packaged up, and we plug it right into your practice. It’s that simple.

So if you don’t want the Refractive Wave to pass you by, reply to this email ASAP and let’s talk.

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– Troy “Ride the Wave (Efficiently) Cole”

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PS – Almost forgot the video link to the case study. Check it out here.

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