How we are scaling with virtual assistants

Could a $4,000/month virtual assistant team from the Philippines outperform a $30,000 U.S. hire? And how do you track ROI when scaling ads and online marketing in podiatry?In this episode of Podiatry Practice Mastery, Dr. Don Pelto shares: • How he uses a virtual assistant (VA) to run websites, blogs, YouTube, email, SEO, and referral tracking inside ModMed • Why he’s investing in ads + proactive patient follow-up (phone calls from VAs to book appointments directly) • Insights from Alex Hormozi’s $100M Leads on patient acquisition cost (CAC) vs lifetime value (LTV) • Clinical pearls from the day: matrixectomies, ulcers, nail procedures, shockwave, Swift wart therapy, orthotics, and more • Why it pays to invest in better products and systems (orthotics, cam boots, treatment sheets) to reduce headaches and increase patient satisfaction👉 If you’re a podiatrist serious about scaling with smart marketing + operational leverage, this episode shows what’s possible.Keywords: podiatry virtual assistant, podiatry marketing ROI, podiatry SEO, podiatry practice growth, podiatry patient acquisition cost⸻📝 Show Notes with Timestamps (~18 min episode) • [00:00] Intro – Why I’m testing a bigger marketing spend with my VA team • [02:15] How our VA supports: SEO, urgent care page, blogs, patient emails • [04:00] New strategy: ads + proactive patient calls to book appointments • [06:10] Offshore vs U.S. pricing – $4K vs $30K for the same support • [07:20] Applying Hormozi’s CAC vs LTV framework to podiatry • [09:00] The “courage factor” in increasing ad spend and filling doctor schedules • [11:00] Clinical day highlights – lamisil booster, IPK, orthotics, nail samples • [12:30] Multiple matrixectomies + ulcer management in elderly patients • [14:30] Why I give treatment sheets (and now planning one for KeryFlex FAQs) • [15:50] Orthotics talk: Forward Motion vs Northwest, and why Aircast boots win • [17:10] Wrapping up: Swift case, wart care, and invitation to the 6-month challenge