The Paul Gough Show

In today's episode I answer:“How Do You Judge Your Success As A Dad?”“What Are You Most Proud Of As A dad and or business?”

In this fired-up rant, I break down what it really means to become a "unique self-creation" — and why your tattoos, car, and haircut don't count. I challenge the idea that following society's rules about marriage, routines, and success will ever make you happy, using the classic fisherman parable to drive it home. It's a wake-up call to stop living by everyone else's blueprint and start designing a life that makes you say "I wasn't supposed to do this."

In this episode, I go deep on something that most clinic owners get completely wrong - what your patients are actually paying you for. Spoiler: it's not the treatment.I get asked:"Why will a patient pay you $350 when they can get the same treatment for $150 around the corner?""What did Mr. Gucci understand about his customers that most clinic owners completely miss?""Why do some clients disappear for nine months, never use a single thing you offer, and still happily keep paying you?""How did the UCLA "See I Care" model completely change the way I think about patient experience?""What's the difference between good customer service and the kind of experience people will pay a premium for?""How do you know when your business is built to last — and how do you know when it's in trouble?"Register Now: https://cashpaysummit.com/

In today's episode I answer:“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” “My Business Coach Told Me To Stop Taking Medicare Patients If I Ever Want To Be Rich. Is It Wrong to Deny Them?” "A Competitor Is Offering Free Evals And Undercutting Every Clinic In Town. Do I Match Them Or Hold My Price And Pray?" Register Now: https://cashpaysummit.com/

Insurance-based clinic owners are calling me reckless. They say cash pay is a fad. So I decided to answer them live on air.Here's what gets thrown at me and how I answered:Insurance-based clinic owners are calling you reckless - they say cash pay is a fad. What do you say to their face?People are calling your cash model a scandal - charging patients directly and cutting out insurance. How do you sleep at night?How do you convince someone whose entire identity and family are built around the insurance model to make the shift?If 90% of the profession is insurance-based, why should anyone listen to someone pushing cash pay?Register Now: https://cashpaysummit.com/

On this episode of Coffee with Goughy, we go over some comments left on my social media:The viral post that sparked massive debate — "I Missed My Baby's First Year Building The Clinic. Was I Wrong?"Why people react so emotionally and quickly when I question how we think about parenting on social mediaThe comment that said "You have the rest of your life to make money — you can never get that time back" and why I disagreeThe commenter who called my perspective "atrocious" and the person who fired back with "That's why you'll never make it — you wouldn't date a broke man"Why people view money and family as an either/or choice instead of figuring out how to have bothThe difference between physical presence and emotional presence with your childrenWhy I believe 45 minutes of fully conscious time with your kid beats 4 hours of distracted, phone-addicted "quality time"The hypocrisy of people who judged me for working late with my first child — then told me "You're lucky because you've got the money" when my fifth child came alongWhy I think parenting is the last thing insecure people cling to as proof they're a success — and why that makes it such a hot-button topicThe difference between good guilt and bad guilt, and how I use guilt as fuel instead of letting it hold me backRegister Now: https://cashpaysummit.com/

In this episode, I sit down with an insurance-based clinic owner who's running at 90% insurance and 10% cash pay. He wants to shift gears but he's scared. He doesn't know how to make the transition without blowing up what he's already built.Here's what gets asked and answered:How do we shift from 90% insurance to more cash pay without risking the business we've already built?Do I need to close the doors on insurance and start fresh — or is there a smarter way?How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?What's the difference between taking risks and managing risks — and why does that matter for this transition?5. How do I get patients to buy more when they don't even know what else I offer?How long does this realistically take — and why do most clinic owners get the timeline wrong?How do I run multiple things at once without losing my mind?Register Now: https://cashpaysummit.com/

In this episode, I sit down with a clinic owner Craft Castrall who's got all the assets in place — red light therapy, neurofeedback, shockwave, whole body vibration, body composition analysis — but he can't figure out how to get it all up and running in the next 30 days while he's still treating patients 25–30 hours a week.Here's what gets answered:How do I get all of my services up and running in the next 30 days when I'm still treating full-time?Why do clinic owners happily spend $150K on equipment but refuse to invest $4K/month in marketing?What does it actually look like to sacrifice short-term income to build long-term revenue systems? How do I scale from one-to-one treatment to one-to-many without burning out.How do I make sure every patient knows about everything my clinic offers?How many times do I really have to repeat the message to my staff before it sticks?How do I get all of my services up and running in the next 30 days when I'm still treating full-time?Register Now: https://cashpaysummit.com/