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Troy Cole

Troy Cole

Sales Coaching for Refractive & Cataract Surgery Teams

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The high cost of nickel-and-diming

This weekend, we wrapped our last tournament of the fall baseball season. Happy to report the team really stepped up this week, and took a 3-game win streak into the championship on Sunday, where we were finally defeated.

Between our Saturday games, we had a 2-hour break. Susan took the kids and went with a couple of other parents over to a local restaurant to grab a bite, while I stayed behind to scout and game plan for our next game.

And this is where today’s Story Time Sales Lesson begins…

The tournament was in a small town about 30 minutes south of Fort Worth. After some googling, the crew headed over to a relatively fancy restaurant with a cool outdoor patio and live music. I’ll admit I was a little jealous to miss out once I saw the pics.

When they got back, I asked how it was. Susan said, “you’re not gonna believe this…”

Of course my ears perked up, because I knew a story was coming.

She pulled up a picture of her receipt (below) and said, “Have you ever seen a ‘Venue Fee’ on a ticket before?”

I’ll admit that’s a new one for me. She proceeded to tell me the story.

She got the ticket at the end of the meal, looked it over, and discovered this mysterious “Venue Fee.” So she asked the waitress.

Her response? “That’s for the ambiance.”

Yup, a fee for the ambiance of the restaurant. Um, what?

See for yourself at the bottom:

​full res pic here​

If you’ve met Susan (or if you’ve ever seen Beth Dutton on Yellowstone), you can guess how this went. “Yeah, I’m not paying for that.”

To her credit, the waitress said, “Yeah, I’m not a big fan of that. I’ll take it off for you.”

Now the venue fee was only 3%. Literally it was $2.76. We can afford to spend a few extra bucks. So it’s not a big deal right?

Wrong. Because the entire concept of charging this small fee is a great example of nickel-and-diming. A small amount of money that can make a huge difference in someone’s perception of your business and brand.

In this case, what was purported to be a nice restaurant is now seen as cheap, trying to squeeze a few extra dollars out of patrons.

And indeed that was the case even beyond this wild fee. If you look at the receipt again, you’ll see that when Susan asked for extra Tajin on the rim of her beverage, they charged her $1 for it. Essentially charging her for salt.

Want extra sauce for the $17 chicken sandwich? That was another $.50.

Susan thought she was traveling first class on American Airlines, but come to find out it was a (recently bankrupt) Spirit Airlines flight.

And what happened on Sunday when someone recommended they head back to the same restaurant? Susan said no. They went elsewhere.

$4 of extra charges resulted in a loss of $100+ they didn’t make from a return trip by our team.

What can we learn from this? A couple of takeaways today:

1. Don’t nickel-and-dime your patients

You want to be the premium provider. Premium = easy, done for you, a great experience, anticipating your needs, focused on the outcome. A couple of the hidden ways we nickel-and-dime patients:

  • Making them pay an extra $20 for a post-op kit / drops / whatever when we could easily include it
  • Charging for a pre-op and/or consults and not applying that $$ to the surgery

If you’re doing that, stop.

2. If margins are thin, raise your prices.

This restaurant could have easily increased their prices by $1 (or even less) and not have to do any of these silly extra charges.

I talked to a practice last week that hasn’t increased their LASIK prices in almost 20 years. It’s time to do it.

If you need to increase your prices, make it happen.

“But Troy, volume is down.” I know. Which is why now is the most important time to maximize your profits.

You’re worth it.

Obviously you’re worth it because people are still coming to you and spending money to get the results you provide.

You provide value, just like this restaurant provides value.

Good food, good vibes. If people want to go there, they’re gonna go there. No one says, “Oh, well their chicken sandwich is $18! If it was $17, I’d check them out, but since it’s $18 I’M OUT.”

Same for you. People come to you because of who you are, the brand you have, the reputation you’ve built, and the results you get.

The challenge isn’t your price, it’s your ability to demonstrate the value you provide.

We can’t be afraid of charging an honest price for the amazing outcomes you help your patients achieve.

Because regardless of what you charge, people are still savings THOUSANDS of dollars compared to staying in glasses / contacts. You’re the best deal in town!

“Our team already has trouble converting, and it’ll get worse if we increase our prices.”

We’ve had plenty of practices come through our coaching programs who wanted to increase their prices, and we help them do it while maintaining or even increasing their conversions.

It’s a matter of 1. How you sell it to your team (your most important marketing audience) and 2. Having a high level of belief in the worth of the life-change you create for your patients.

Bottom Line: It takes money to create a great patient experience. You pay for your office space, you pay to retain good team members, you pay to have the best technology, you pay for the decor / coffee bar / wifi. All of it. And it ain’t cheap.

So charge what you’re worth, and build the confidence / belief / skills to convey that value to prospective patients.

You’re a first-class flight. Act like it. 💪🏻

– Troy “No Fees” Cole

​

PS – If we need to have a hard conversation about this, hit me up.

PPS – BELIEF is the biggest piece of this. We’re preparing to launch the latest version of our E3 Conversion System Bootcamp for 2025, which contains an entire module on building belief in your practice. If you want your team to truly believe you’re the best option in town (like I assume you do)… and if you want to reap all the benefits that come from this rock-solid belief… this is exactly the program you need.

Tomorrow we can breathe again…

Today is the day. No, not Election Day. I mean yes, that’s important.

But today is the day that political ads come to an end.

It’s like the opposite of Game 5 of the World Series a couple weeks ago. The Dodgers overcame a 5-run deficit to beat the Yankees 7-6 and become world champions.

And while that’s great in the moment (if you’re a Dodgers fan), there’s a bittersweet feeling upon the conclusion of the World Series: baseball is now over for 6 months.

But there’s exactly NOTHING bittersweet about being on the final day of the election cycle. We’re finally escaping the advertising onslaught of 30-second doomsday dissertations about open borders, billionaire tax cuts, boys in girls bathrooms and “reproductive rights.”

Regardless of which “team” you’re on, the in-your-face, “America will end if _______” messaging is exhausting. Distracting. Depressing.

But it’s also over. Today. Election Day. The day of political ad relief.

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Folks have different opinions about why LASIK volume has trended down in a lot of areas. Some point to the economy. Others say it’s negative press. Probably some truth there.

My hot take is that to some extent, the plethora of “It’s the End of the World as we Know It” ads / posts / messages has a lot of folks paralyzed to make moves.

You see it in other industries – construction, car sales, luxury spending. All slowing down while people “Wait and see” what’s going to happen with this consequential election. Same is happening on the LASIK side.

Does that mean LASIK is gonna bounce back tomorrow? Not necessarily.

But hopefully in the next 24 hours, we’ll know who the president is. And over the next week, everyone will see that the world keeps spinning, America keeps rocking, and life goes on. (Thankfully without a scary political ad every time your favorite TV show hits a commercial break.)

So per usual, T-Cole is optimistic.

The future is myopically bright. And you hold the keys to the clarity kingdom.

Every day, someone turns 18 and needs services. Our reliance on devices means we’re seeing a massive increase in Myopia, which affects half of young adults in the US. Twice as many as 50 years ago and over 40% of the population.

On top of that, you now have a number of fantastic solutions beyond LASIK that you can present to patients. SMILE, EVO, RLE and the LAL are all gaining in popularity among consumers.

​

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You have a big opportunity to close out the year strong and start next year with a bang. But it takes creativity, perseverance and a willingness to set yourself apart in your market.

There’s a big marketing component to that. Staff coaching / development also plays a huge role. Now is the time to assess what resources you have for both, and determine what else you need in order to fortify your mission going into the new year.

And as you’re making your game plan for 2025, say a prayer of thanks that election ads are no longer infecting your prospective patients, or your team.

Let’s get out there and do the thing.

– Troy “Election Ad-Free” Cole

My favorite shows on (and OFF) Netflix…

I was off the Netflix bandwagon for several years. But we recently broke down and subscribed due to my growing affection for tennis.

Susan started playing a little over a year ago, and as a former collegiate racquetball player (recreationally), I decided to give it a spin too. Now, the entire family is playing tennis, taking lessons, and having fun on the court together.

How does that tie into Netflix? There’s a series called Break Point that follows professional tennis players through the trials and tribulations of their tournament prep and play.

I’m a sucker for mindset stuff (if you’re in our coaching programs, you know it’s the core focus of EVERYTHING we do because the right mindset is so powerful). And I had heard this series dug into the mindset of the elite tennis players, who have to be borderline crazy to do what they do day in and day out.

So we go the subscription to check it out. And sure enough, Break Point did not disappoint. Even if you’re not a tennis fan, to see the grueling mental and physical processes these players go through is as eye-opening as it is educational.

Today, I want to share a few “mindset-oriented” Netflix recommendations in no particular order:

  1. Break Point (obviously)
    ​
  2. Full Swing – a pro golf version of Break Point. These guys also require tremendous amounts of mental fortitude to grind away on the pro tour.
    ​
  3. The Comeback – about the 2004 Boston Red Sox, who were the only team in Major League Baseball history to come back from a 0-3 deficit to win the American League pennant over the Yankees.
    ​
  4. Untold: Swamp Kings – About the 2006 – 2009 Florida Gators (who won 2 national championships) and the challenges they faced to get and stay on top.
    ​
  5. Quarterback – A docuseries about NFL quarterbacks and the physical, mental and emotional toll the game takes on them.

Now these series will be on Netflix for a while.

But another great piece of “mindset” content that you need to watch NOW is NOT on Netflix. It’s the replay from the “Eyes on the Prize” webinar I did last week with Michael King.

We get into the mindset and mechanics of activating the hidden assets in your practice – your non-converted leads, non-converted consults and even happy patients – and turning them into surgery patients.

​You can find the replay here, and we drop a special offer at the 49-minute mark that frankly I thought was ridiculous but Michael wanted to do it, so we went with it.

We have 2 spots left available with the “Bonus Offer” for the first ones who claim it. And that offer ends at the stroke of Halloween, i.e. tonight at 12 am pacific.

We detail it all in the video. Check it out here. Even if you aren’t interested in the offer, the first 49 minutes are filled with pearls you can take and use in your practice. So enjoy.

– Troy “Mindset” Cole

PS – What’s your favorite Netflix show, documentary or otherwise? Always looking for hidden gems, so send me some!

Saturday Night NOT Live…

I used to be a big Saturday Night Live fan back in the day.

Now, not so much. Them making a funny sketch these days is about as rare as an Ebola outbreak.

So instead of watching that tonight, you should check out our Hidden Practice Growth Assets training replay.

Saturday Night NOT Live if you will… because it’s a recording.

You’ll learn way more than if you watched SNL and honestly, you’ll probably laugh more.

Mr. Marketing himself, Michael King, and I dive into the 4 hidden assets in your practice you can “activate” right now to book more surgeries. We even show you specific tactics you can use for each.

We’ve never taught it in this way before. Based on the feedback from everyone on the call – they loved it.

You should watch the replay if that intrigues you. Plus, we made a really good offer around the 50-minute mark.

>>> Click here to watch the replay​

Talk soon,

Troy “I miss Old SNL” Cole

​

PS – What’s your all-time favorite SNL sketch? I love “More Cowbell,” and “Weekend Update” has certainly had its share of great moments over the years…

How to “Sell Your Sawdust” in Your Practice

In the East Texas pinewoods where I grew up, lumber is big business.

And there’s a term from the lumber industry called “Sell Your Sawdust” which very much applies to your practice as well.

The idea is that these lumber mills create the initial products to be sold – planks, posts, etc. And the byproduct of this work, the pieces that were left over, it’s obviously tons of sawdust.

For the longest time, folks would simply dump the sawdust out in the woods somewhere. It was seen as waste, leftovers, useless.

But at one point, someone said, “Hey, we have all this sawdust. What if we could sell it too?”

Fast forward to modern times, and you see tons of items made from sawdust – fire starters, particle board, to soak oil spills, mulch, crafts and more.

The lumber industry figured out how to monetize the byproduct of their main production. And now sawdust it’s a multi-billion dollar industry.

McDonald’s did the same thing. The potato supplier for McDonald’s cuts zillions of potatoes into French fries for them. The result is millions of gallons of leftover bits and pieces of potato.

How did they “sell their sawdust”? By turning those bits into hash browns, which are supposedly one of the potato supplier’s highest margin items.

So the first question for you is, “Do you have sawdust?”

Yes. You’re out there generating leads for your practice with the goal of turning them into surgeries. And for some of them, you do.

But the byproduct of that – the sawdust – is a massive amount of leads that don’t book surgery, or don’t book a consult, or don’t reply to a message, or simply ghost you at some point. And for some of you, your sawdust is someone you did LASIK on 20 years ago, and now is reaching presbyopia age and needs a new solution.

OK, on to the second question – “How do you monetize your sawdust?”

That’s precisely what Michael King and I will discuss on our webinar Thursday. Over the last 2 years, Michael has been experimenting with a number of “sawdust-selling” techniques that have yielded significant revenue for his clients.

There are a few key benefits to the approach we’re going to show you:

  1. These strategies require minimal capital expenditure because you already have the sawdust (you can always market to create more sawdust, but you don’t have to)
  2. They are also scalable and highly efficient, designed specifically to require minimal time from you and your team.
  3. If you’re experiencing a downturn in your volume like a lot of places are, this can give you a fresh source of new patients.
  4. They’re repeatable. So you can do them multiple times throughout the year, and we’ll show you how.

If any of that interests you, tap here to register now.

Oh, and one more cool aspect of this – By monetizing your sawdust in the way we will show you, it actually creates another form of sawdust you can monetize as well. (We’ll get into these details on the call)

Sawdust from your sawdust. Can’t beat it.

​Register here, see you on Thursday.

– Troy “Lumberjack’d” Cole

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PS – I may or may not wear a lumberjack flannel on this webinar, that’s how bullish I am on this approach. Guess you’ll have to show up to find out…

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