The Paul Gough Show

In today's episode, I answer:"If a PT works 40 hours a week doing patient care, why does that only add up to 50K a year? Did clinical expertise stop being worth anything, or is this really about how insurance decides what your skills are worth?""My PT wants a raise to offset the increased fuel costs for his long commute."

In today's episode I answer:“I’m going through a divorce and her lawyer wants the value of my business included in the settlement. On paper, I’ve built a successful clinic worth several million dollars. The problem is, that money doesn’t actually exist in my bank account. If I have to compensate her based on that valuation, I could end up giving away most of my cash and investments — leaving me with little except shares in a company I still have to turn up and run every morning. How is that fair? And what should business owners be doing before divorce is ever on the table?”

In today's episode I answer:“I'm taking my 12 staff to Cracker Barrel for lunch. Two are refusing because they say eating there conflicts with their values — and now they're trying to persuade the others not to go. Do I accommodate them… or tell them lunch is at 12?"My 28-Year-Old Therapist Has better Clinical Skills Than My 55-Year-Old Therapist, But Patients Only Want To Book With The Older One For Their Years Of Experience. How Do I Get These Patients To Trust A Fresh Face?” - Neil, Tacoma, WA

In this episode of Paul on Fire, Paul breaks down why growing distrust in doctors could be affecting PTs, too - and why patients may be more hesitant to commit to long plans of care.Plus, why smart clinic owners need to understand the bigger market forces around them, adapt their sales process, and focus on building TRUST before asking for commitment.

In today's episode I answer:“My Staff PTs HATE Elon Musk… I Secretly Want A Tesla. Should I Buy One and risk upsetting my staff?”  I Have A Nasty Patient My Staff Wants Me To Ban, But She’s Enrolled In My Highest Paying Treatment Package And Always Pays Ahead Of Time. She’s Been Warned To Mind Her Behavior, But Nothing’s Changed. Is Keeping Her On A Mistake?

In today's episode I answer:“Two of my staff LOVE Sophie Cunningham. The other seven think she's a horrible human being. They're now arguing about her at work and it's starting to divide the clinic. Do I step in — or tell everyone to grow up and get back to treating patients?”"One Of My PTs Caught Me Posting A Job Ad For Another Physical Therapist. Now He Thinks I’m Secretly Trying To Replace Him And The Rest Of The Team Are Asking Questions. Did I Just Destroy Their Trust?"

In this episode of Paul on Fire, I'm breaking down why nobody wants to take responsibility anymore - not for their business, not for their decisions, not for anything. I'm sharing the Kevin O'Leary story that exposes why 90% of consultants have never faced a real consequence in their life, and why AI, marketing, and sales will never be the thing that changes your business.If you're still waiting for the economy, the weather, or somebody else to fix your clinic, this is your wake-up call: there is no middle ground anymore, and the only thing that decides whether you're smashing it or drowning is whether you'll commit.

Most people want the summer in Europe. The big house. The freedom. The choices.Most people won't do what it takes to get it.In this episode I'm telling you something nobody else will — dreaming about the lifestyle almost never gets you there. Committing to being the best business owner you can be almost always does.[Recorded Live from the Cash Pay Summit Intensive at PG Media HQ | Attended by 30 Clinic Owners]