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

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📝 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