Retrospection is Key in Memoir Creation

Part three of a three part series. 
“Writing memoir is like preparing yourself to go to confession,” says Frank McCourt, who didn’t publish Angela’s Ashes until he was 66. “You have to examine your conscience.” And that entails honesty. You can’t write an effective memoir if you’re worried about family and friends looking over your shoulder. Even if the truth hurts, if it is truthful, then there’s no other way to present it. At the very least, readers will recognize the courage in that and respect you for it.
The most integral part of successful memoir writing is retrospection. It’s not enough to just chronicle your life as if you were a newspaper reporter. Memoir demands that you write about what you’ve learned from your experiences. For instance, Jeannette Walls, author of The Glass Castle initially wrote about her childhood as a detached observer, and the result, her literary agent told her, was a story that read like it was “wrapped in cellophane.” Only when she assumed the persona of herself as a little girl did it become real and powerful.
In many ways, writing a memoir is like painting. You slap some words on a blank canvas, take a few steps back, look at how they’re coming together, then refine things further. That step back is retrospection. It’s thoughtfulness. It’s an attempt to figure things out. It’s the search for your truth.
“A smart therapist once told me that what I had done in this book was exactly what he tries to get patients to do, and that is confront the truth,” says Walls. “For many years I was running from it, but the truth has a way of catching up with you, and this was my way of coming to terms with it. The things that haunt you, the things that have power over you—once you confront them, they lose their power. So many people ask me, ‘How can you forgive your parents for treating you that way?’ Well, actually, the person I had to forgive was myself. By sitting down and telling what really happened, I was able to understand it for the first time.” 

6 Tips for Starting Your Memoir

Part II of a III part series
1. Write a memoir, not an autobiography
An autobiography is the story of an entire life, but a memoir is just one story from that life. You can only ever write one autobiography, but you can write countless memoirs. It’s a much less intimidating project if you view it that way.
2. Diagram your life
Some people have one burning story to tell. Others find it difficult to immediately pinpoint anything. Tristine Rainer, author of Your Life as Story, recommends diagramming your life to gain perspective. To do this, get in a retrospective mood, enlist the help of a friend or spouse, and map out your life’s six most significant moments. When you do it thoughtfully and honestly, there will usually be one pivotal event that stands out as particularly  meaningful. If there isn’t, don’t worry. There are many different ways to map out a life. Try categorizing  yours by challenging choices, powerful people, conflicts, beliefs, lessons learned, even mistakes repeated. Experiment until you find the one story that wants to be told, the one experience that really shaped you.
3. Don’t begin at the beginning.
Don’t tell your story chronologically. That’s too predictable. Think of your favorite books. Most don’t start at the beginning. Instead they grab you with instant action and intrigue. A good beginning is a tease. It will give your readers just enough action to hook them without divulging the outcome. Then it flashes back to the real chronological beginning and fills in the holes.
4. Use all your senses.
The best writers create vivid new worlds for readers to inhabit. Yet most budding memoirists produce first drafts that are flat. To transport readers, write in great detail. This is done through deep descriptive vocabulary and by using all your senses to fully re-create a moment in time. You can teach yourself to do this. The next time you’re waiting in a restaurant, a doctor’s office, or even in traffic, notice the various sights, sounds, smells, and textures. It’s what writers do, both in reality and in their stories.
5. Build your writing muscle.
You have a writing muscle, and it needs exercise to perform well. Set a daily goal of writing 200, 500, or even 1,000 words. Set aside a regular time, like early morning, and be disciplined. Don’t worry about making what you write perfect. Just focus on getting the story out.  Above all, relax. Memoir is the easiest type of writing to do well. You’ve already done the research and are intimately familiar with every character. Now you just need to paint a picture of it with words.

Do You Have a Memoir in You ?

Part I of a III Part Series
You don’t need to have had a hardscrabble youth in order to write a memoir. You don’t need eccentric parents. Believe it or not, you don’t need anything dramatic. And you certainly don’t have to publish it. It's a sad but true truth, 99.9 percent of people lead boring lives. But every single one of them is trying to make some sense out of his or her existence, to find some meaning in the world, and therein lies the value and opportunity of memoir. It’s therapeutic for the writer, and it eventually even helps his or her descendants understand themselves better.
“Memoir is about handing over your life to someone and saying, This is what I went through, this is who I am, and maybe you can learn something from it,” says Jeannette Walls, author of Glass Castles. “It’s honestly sharing what you think, feel, and have gone through. If you can do that effectively, then somebody gets the wisdom and benefit of your experience without having to live it.”
Writing about your life is also about coming to a fresh understanding of it at an age when you probably think you know yourself pretty well. Novelist Stephen King has said, “I write to find out what I think.” He means that until you set an experience down on paper, until you ponder the perfect words to describe it, you can’t fully appreciate or understand it. When you weave related experiences together, you will see a pattern in the quilt of your existence. It’s about creating a legacy that doesn’t have dollar signs in front of it but has far greater long-term value for those that know and love you.
There are as many different types of memoir as there are people. Like Walls you can write about your childhood. You can write about places you’ve visited, as Elizabeth Gilbert did in the blockbuster memoir Eat Pray Love. You can write about a crime or injustice you encountered, as Mary-Ann Tirone Smith did in Girls of Tender Age, which traces the murder of a classmate. You can write a memoir about anything, no matter how small or seemingly inconsequential. Everybody has stories shelved in his or her subconscious, awaiting translation.
The challenge is getting started, coaxing the story out. (Indeed, there are those who say beginning is half done.) Since there is inherent worth to the endeavor beyond public acclaim, you don’t have to be a professional writer or someone with connections in publishing to succeed. You can write it for yourself and truly enjoy the process. 

Considering Launching a Medspa out of your Current Medical Practice?

 
You’re a physician with a healthy practice, but you’re interested in adding Med Spa services and products. You are suddenly looking at line extension marketing and increasing awareness. Two strategies for growing your practice you, perhaps, have never had to do.

As a medical professional, your practice is defined as a service business. Pretty clearly, service businesses are defined by the American Marketing Association as enterprises that are established and maintained for the purpose of providing services (rather than or in addition to products) to private and/or commercial customers. The AMA defines those services as “activities, benefits, or satisfactions which are offered for sale or are provided in connection with the sale of goods.”

Entrepreneurs engaged in medical-based service businesses must recognize how service marketing differs from product marketing, especially if their growth includes products. Service marketing can be far more challenging than the marketing of products because of these three distinctive characteristics of service offerings:  1) Services are intangible; 2) Services are perishable; 3) Services cannot be separated from the provider.

This all changes when you add a line extension that puts you into a product-driven market and has many aggressive competitors. That’s not to say that you don’t compete with other service providers, but at the risk of sounding silly, the points of difference are, well…they are entirely different.


So, up until considering the addition of non-medical procedures to your menu of offerings, such as those that are cosmetic or product related, you’ve probably never thought of how you compete for market-share in your local/regional markets. All of that changes when you offer a competitive service that’s outside the range of insurance-covered medical procedures and care.

Since 1996, there’s been tremendous expansion in the number of medical spas available to consumers. See, right there. Did you catch that? Your patient just turned into a consumer.

What’s important to realize is that everyone is opening Med Spas, from dentists to general physicians and internal physicians to OB/GYNs. And even though you may want to enter the market, how will your medical spa differentiate itself from the one down the hall or next door, or near the supermarket?

First things first: If you are considering adding Med Spa services, create a survey to give your new patients when they are filling out their health background forms asking whether they would be interested in receiving medical esthetic services, such as injectables, skin rejuvenation and laser hair removal from you. When asking them, be sure to list all the services that you are thinking of offering and don’t forget to ask them if they want to be included in the grand opening celebration and offers.

It’s imperative that you check out your state’s medical and cosmetology boards to make sure you are in complete compliance before you invest anything in overhead expenses or marketing dollars. Many details and legalities must be considered, like making sure you have the right experience to determining the scope of practice for nurses and estheticians. Be cautious and invest time and money in knowing the legalities in your state. Smart money spent now saves headaches later.
  
Your second step is to develop a concept for your new line extension that is unique. If it isn’t something someone else has, even if only by the way you bundle, offer memberships instead of a la carte or exclusive products. It’s important to create a facility that will be easily separated from the competition. From the color you paint your walls and the décor you place in the waiting room to the retail product you offer for sale, you are establishing yourself as a unique facility. There needs to be consistency and professionalism. 



·         Make sure that you choose to offer a product line that supports its claims and is results oriented
·         Offer the most utilized treatments (botox, injectables, microdermabrasion, and skin rejuvenation treatments top the list)
·         Watch the trade magazines for new and updated technologies in skin care
·         If space allows, consider adding body contour device


Your third step is to create a unique personalized consultation process during which your potential customer is fully educated about the options that are really right for them, and why one service is recommended over another. After the consultation, clients should leave with a totally unique, personalized treatment plan listing all potential services—invasive and noninvasive—from which they can benefit from. Also, the treatment plan should outline the financial aspect of the services recommended should be covered so your customer can make an informed decision on next steps to take.

Once patient interest has been researched, legal and medical details have been ironed out, a concept has been determined and the Med Spa’s grand opening has been arranged, it’s time for your marketing to kick in. Here are fifteen marketing tips and strategies that will help increase your Med Spa’s visibility without eating up your entire budget.

·         Include a complete educational consultation to help patients understand the different available treatment options.
·         Organize seasonal promotions to encourage clients to try different services.
·         Organize weekly promotions to create excitement.
·         Host educational evenings twice a year to introduce your patients to all the services you offer.
·         Hold anniversary events every year and invite the local paper in order to make it a VIP event.
·         Send birthday cards to your clients that include a gift certificate or discount on Med Spa services.
·         Perform community service in your area to create branding while helping a good cause.
·         Produce a loyalty program that offers Med Spa dollars and discounts.
·         Create a Med Spa service menu and keep it visible for anyone and everyone to take.
·         Direct mail to your clients twice a year to promote events and special promotions.
·         Create an e-newsletter to educate your clients about your services and products.
·         Make sure you dedicate virtual space to your new line extensions on your website and in social media. Offer incentives to “like” and “follow” your business online.
·         Donate to different charity events.
·         Participate in women’s trade events.
·         Organize evenings of education in golf clubs and gyms.

So many marketing tactics can be created without spending too much money; however, if you have the budget, you should seriously consider investing in a public relations firm that will prepare a yearly marketing plan for your Med Spa facility.
  
There are endless details involved in transitioning into or opening a Med Spa as a line extension to your medical practice. However, if you do your due diligence, research the market, consider your competition, stay visible in your community and exceed patients/customers’ expectations, you’ll be the proud owner of the most popular new Med Spa in town!


This article was written exclusively for Medmonthly Magazine.. The original article can be viewed here.

Why Zen Works in Website Design

WebZenWEB
There’s hardly anything as corny as a marketing riddle, but here goes. Responsive web design isn’t a website that gets you referrals nor is it a website that drives new patient traffic but both are outcomes of having a website that features responsive web design. So what is it? Did I get you curious?
Well first of all, let’s do an experiment. Pull your site up on your desktop or your laptop. I’m assuming you have a screen at least 12-15” wide. Can you see your whole page? Do you have to scroll down to see the content on your home page? How about your other pages? Can you see the tabs for your site’s main pages at both the top and the bottom of the site? Is the font crisp and clear? Is there reverse type? Do you have flashing elements loading?
Now, grab your phone. Whether it’s an android or an iPhone, you’ll note that the screen fits in the size of your palm. Now, pull up your website. What do you see? Are you looking at a 2X4 version of your whole home page in an unreadable font size? Or, are you looking at a miniscule piece of the left hand corner of your home page? Do you have to scroll down and across just to see the name of your business? Is the sunshine or the light above you making the screen so dark you can’t read the letters anyhow? Do you see funny shapes where the flash was unable to load?
Ok, ok…just to prove my point. If you’ve got one, pull out your Ipad. Try the exercise again. What elements do you see in a warped presentation on that screen?
Websites that were designed as recently as three to five years ago were not designed as responsive. Yes, what I’m getting at is that they were designed for desktops and laptops. Where a mobile site was launched as a .mobi it was a separate site from the original site, and even so, it wasn’t a particularly intuitive design model.
With the popularity of multiple mobile devices of different shapes, sizes and resolutions comes the advent of responsive web design; really out of necessity rather than form.
It originated because designers had to physically re-write their sites to adapt to each new platform.
Specific phones and tablets needed uniquely formatted websites, and companies struggled to keep multiple sites for their products working right.  As a result, web design became time-consuming, costly, and just darned tedious.
Zen works across platforms! Responsive web design contains a set of techniques that adapt website features for each platform automatically, making the site functional, practical and user-friendly regardless of what device the user chooses to use to access it.
Responsive web is zen. Zen is simple. Zen works.
• Gives you increased flexibility
Websites will be able to fit any screen size on any device, ensuring that brands can reach consumers effectively. That means people will be able to look you up anywhere. Even when they are waiting in their doctor’s office shopping for a new doctor that won’t keep them waiting so long.
• A better user/prospective patient experience; Reaching more people in more places.
The designs are highly adaptive and will optimize website content for each device in its own way. The site will look great, be intuitive, and be help your prospect find what they are looking for easily. A happy prospective patient is a happy long-term patient.
• Reducing your bounce rates
In the past, bounce rates were high for mobile devices, largely due to functionality issues from websites that hadn’t been optimized for that particular device. They’ll find your site, no problem. No bouncing. Your site will come up under your domain name on any device. ANY DEVICE!
For more information on cross-platform compatibility, AKA, a simple, zen design that is beautiful on any screen your patients and prospective patients use, contact a strategic website design company that knows a site can be beautiful and effective in today’s multi-screen world.
This article was written for exclusively for Medmonthly Magazine (December 2013) by Lori Gertz, Chief Freakin' Genius at Freakin' Genius Marketing. The article can be viewed here. 

How to Grow Your Practice

How to Grow Your Practice


or Why I Care Enough to Tell Others about My Amazing Doctor

Not too long ago, my family and I moved across the country. We settled in a wonderful little beach community where every day is paradise and first world problems are tempered by the scenic views and fresh salty air. That said, the flu still rolls in annually and the kids get sick and need preventative care, a mole removed here and a referral for something there. So, what’s a marketing strategist mom to do in an entirely new community?
Oddly enough, it wasn’t a rush to the internet. I create websites for professionals. I know that the content is direct and on point, albeit a bit contrived. However, I also know that what they sell is not what I am shopping for. I’ll write about that when I cover creating a website that works to grow your practice.
As a parent or a potential patient, I’m shopping for expertise, kindness, responsiveness, intuitiveness, and someone I can like as well as trust. Oh, did I mention that they have to be on my insurance plan? The Affordable Care Act should give that one a run for its money very soon!
Actually, the first place I turned to were the parents of the kids my kids attended school with. Chances were anything my kids caught would come from that source anyhow, so I might as well have them cared for by the same professionals.
“Oh sure,” I could imagine hearing our new providers say, “I saw Jimmy with this virus yesterday, aren’t they in the same class?”
So I rang a parent or four.
“Jill, I hope you don’t mind me asking, but I’m looking for a pediatrician for Olivia. Preferably someone that takes my insurance, but more importantly, I want someone who has walk-in acute care services, convenient hours outside school and one who returns phone calls promptly. Do you love your doctor?”
Approaches like those inevitably opened the floodgates to some of the most valuable Word-of-Mouth references and recommendations as well as, a finely detailed list of who-to-avoid’s I have ever culled.
As a marketer, I couldn’t help but want to template Word-of-Mouth, akin to catching lightning in a bottle. How can a medical professional initiate Word-of-Mouth when it seems so counterintuitive to manipulate something which should arise out of a natural satisfaction for their service?
Now I want to preface all of this by sharing that I believe that Word-of-Mouth is neither a panacea nor a magical alternative to a well-considered marketing plan, but it’s definitely an important part of the 1:1 relationship building that can help you grow your medical practice beyond your wildest dreams.
The terminology alone can stir up false impressions because there are really two, entirely different, meanings attached to the concept of Word-of-Mouth.
Inbound referrals that are the result of Word-of-Mouth are often pre-conditioned to already need and want to hire you. I was shopping for a pediatrician. Jill led me to one she loved. Scenarios like mine are a major appeal to the whole concept. All you have to do is show up to the consult after one of your patients like Jill sells you to me and you’ve got me in your pocket. I’m already inclined to try your services so it’s almost like you’ll have to un-sell me to make me go away.
Now, this technique of Word-of-Mouth mustn’t be confused with the need for a deliberate program to generate referrals and fill your pipeline with prospects. You don’t want to rely solely on your current client base because if you do, you will be disempowered to grow your own practice. You want to promote referrals to your existing clients so they will refer spontaneously but you also want to pursue other mechanisms of getting people to talk about you.
The reason that Word-of-Mouth advertising is increasingly important in healthcare marketing is because patients are increasingly proactive about their healthcare.
Patients have a strong voice in making health and medical choices for themselves and their families and even more to that point, 1:1 Word-of-Mouth references of a patient are being amplified in social media comments via Facebook, Twitter and others. Don’t even try to guess how many clients I get who are trying to recover their reputations from one unfortunate YELP campaign by a disgruntled client.
The question remains, how do you inspire positive Word-of-Mouth advertising in your patient roster? What can you do to ignite commentary? As wonderful as it would be if it did, it generally doesn’t happen spontaneously. People need a reason to talk about you, your staff, the service they received and/or the overall patient care experience they received in your office.

Here are a few techniques that can inspire some deeply valuable Word-of-Mouth juju:

Understand your patient’s motivation for making a referral
People will tell others about you because:
  • You did or said something that was amazing.
  • They look well informed by sharing information about you.
  • They feel compelled to share your wisdom because they trust and value what you have done for them.
  • They want to be associated with you.
  • Something you just wrote or said will be of great value to someone they care about, who needs that help right now.
Some of the impetus for Word-of-Mouth is similar in Entrepreneur’s list of WOM “trigger” activities. A few are here:
  • Word-of-Mouth is triggered when a customer experiences something far beyond what was expected. Slightly exceeding their expectations just won’t do it. You’ve got to go above and beyond the call of duty if you want your customers to talk about you.
  •  Don’t depend on your staff to trigger Word-of-Mouth by delivering “exceptional customer experience.” Deep down, customers know service comes from an individual, not from an establishment. And even the best people have bad days.
  • Physical, nonverbal statements are the most dependable in triggering Word-of-Mouth. These statements can be architectural, kinetic or generous, but they must go far beyond the boundaries of what’s ordinary.
At some point you might need to budget to deliver the experience that will trigger Word-of-Mouth. Heck, it might be by adding a play area for the children of adults who come to see you, or it might be to develop a targeted newsletter or e-book as a free giveaway. Although Word-of-Mouth is (mostly) free, some activities that inspire WOM may need a budget in time and/or dollars.
The take-away? In my case, Jill’s expectations were regularly exceeded by her doctor who is now happily our doctor. I tell others about professionals I love to use even when not asked specifically because I am ever impressed by the deepening relationships I have with them. Now mind you, if I am disappointed, I will also share that.
Positive Word-of-Mouth advertising and patient referral is inspired when expectations are surpassed. The ordinary and every day patient experience will never be anything to talk about and is quickly forgotten, so don’t count on it filling your prospective patient pipeline. When your current patient is motivated to share their experience and put their own reputation on the line in making a referral it’s never ordinary and neither are you. Go the extra mile to strategize it and reap the benefits of a healthy, growing practice.
This article was written exclusively for Medmonthly November 2013 by Lori Gertz, Chief Freakin' Genius, Freakin' Genius Marketing. The original article can be viewed here. 

Skype makes monsters of us all

Reprinted from the LA Times OP-ED; July 10, 2013

To many of us of a certain age, Skype is an answer for which there was no question.

By Jack Shakely
 
When God saw that our egos needed deflating, he invented Skype.
Skype is the 21st century invention that sci-fi movies had been predicting for decades: phonavision. Actually it's "computavision," with a tiny camera at the top of your computer screen. Very "Futurama." But what "Soylent Green" and other futurist movies didn't tell us is that this new invention makes you look like you died a week ago Thursday.
I enthusiastically signed up for Skype a few years back when my grandchildren were still toddlers. The idea of being able to talk with and see my grandsons was very appealing. But reality trumped the ideal.

The 2-year-old resolutely refused to sit in front of the computer screen and screamed and clawed his way up his mother's arm like a skittering spider monkey. The 4-year-old was more benign, but after wiping peanut butter and jelly all over the screen and pounding on the computer keyboard, he too lost interest and started wrestling with the dog.

I initially chalked this up to short attention spans until I looked down at the far right corner of my computer screen and saw staring back at me the grimacing death mask of a character out of the cast of "Marat/Sade." I had Skyped my grandchildren, pulling back the curtain on a bed-headed, stubble-chinned lunatic of a grandfather. Nobody, including me, had any use for this person.

I'm not trying to finger Skype as the sole perpetrator of this cruel technology. I'm sure there are many equally mean-spirited phonavision variations out there, all with the same design flaws. For one, because the camera is at the top of the screen and the image of your unlucky caller is mid-screen, it is impossible to maintain eye contact. Looking at the person on the other end of the call makes you look like you are talking to your lap. The only way to remedy this is to look directly into the camera, which means you can't see the other guy.

Which may be just as well. Because the other design flaw, and I'm not quite sure how they do this, is to make everybody over the age of 50 look a decade older on the spot. I've read that television adds a few pounds to you, but decades? And pounds? And where are my friends buying their clothes? Ratty Bathrobes 'R Us?
I have an old friend, an editor and teacher, who lives halfway across the country. Every few weeks for the last 20 years, we get together by telephone to discuss everything under the sun. Just before Christmas, she told me she was getting a new computer and suggested we jump headlong into the new century via Skype.

My friend is a true beauty, with a mass of blond, cascading hair framing an intelligent and inquisitive face. Or she was until she got Skyped. The poor creature I gazed on looked like Jane Wyatt the day after she left Shangri-La.

My friend looked pretty rough, but at least she didn't make me gasp, as I did her. Talking to her lap, she recovered enough to laugh and say, "Well, Jack, I guess we can stop calling you the Gray Fox, huh?"

To many of us of a certain age, Skype is an answer for which there was no question. And the telephone, which is still in play, thank God, has a built-in design superiority. Every telephone is a time machine. Leaning back and looking out the window with the phone in my ear, I notice that my male friends have regained their flat stomachs and lost their bald spots. My female friends don't wear much makeup because they don't need it, and somehow they all seem to be wearing those starched cotton shirtwaist dresses I so admire.

And I can peek in on my grandchildren every day on Facebook without scaring the bejabbers out of them. Forward into the past.

Jack Shakely is a novelist, a former newspaper editor and president emeritus of the California Community Foundation.