In the Part 1 of this interview, Kate Prouty shared some of her strategies for growing a practice from scratch to a full-time, busy practice. In one year, she implemented a lot of ideas. Some of them landed in the last post, and the rest are featured here.
Here in Part 2, we continue the conversation about Kate’s outreach to local hospitals and medical professionals. She tells us about studying hospital-based massage therapy at the Mayo Clinic, and how she used her studies to grow her practice. Kate shares her practice-building advice for other massage therapists and specifically for oncology massage therapists. She tells us about the materials she created for outreach to physicians’ offices.
Tracy: From what you have said, it seems like you created a real partnership with your clients.
Please tell me about your partnership with hospitals, a work in progress.

Kate: Well, first I found a nurse navigator at a hospital, while doing research for your mentorship program homework. I put together materials from the mentorship program to bring them, and I gave them a lot. They seemed eager, but in the process of negotiating, they set up terms that weren’t so favorable, given where I would be working.
Then I found a nurse navigator at a second hospital. I also found that there were two oncology social workers on staff there who had received an award. When she mentioned them, I responded, “Oh, wasn’t that the person who received that award?” She seemed impressed. I asked her to write a quick email saying I would contact them, so she wrote me an intro.
Then I emailed the oncology social workers. I heard back and they invited me for a meeting.
Tracy: What did you bring to that meeting?
Kate: I had learned not to show my whole hand at once. She asked me what I had in mind for their hospital. I said the more important question was, “What do you need?” Tell me and I’ll tell you what I’ve got. I don’t want to present all sorts of stuff your hospital doesn’t need. We went back and forth with meetings and calls and brainstorms, then she invited me to give a couple of presentations. I did one at a breast cancer fitness group luncheon. With the other oncology social worker, I gave a class on self-massage or friend massage, techniques you can use to lower stress levels when anxiety hits.
To that second hospital, I brought the updated research on massage therapy, what you reviewed in the oncology massage therapy mentorship course. And I gave them info on fee-for-service vs. other funding, the different methods I have learned about from other hospitals. I knew I couldn’t scrounge up funding for them, but I was perfectly happy passing along useful information. Now they are working on a grant, using those materials.
And then I told them about wanting to go to the Mayo Clinic course in hospital-based massage therapy. There were other similar courses, but I really wanted the weight of the name “Mayo.”
Tracy: While you were taking the Mayo Clinic Hospital-Based Massage Therapy Course, you blogged about it. I notice you posted on Facebook about the lessons you were learning. How did that help your practice?
Kate: Well, actually, I started the blog so that my parents could see what I was doing!
But also, I had run a “before-and-after” Mayo special. It was two massage sessions for $100. They would receive one massage before I traveled to take the course, and one after. Those clients paid ahead of time so I could pay for my housing at Mayo.
This required seeing new clients—people I’d never seen before. I did specify that this was ideal for someone with a complex condition. Cancer, recent surgery, others. As I promoted it, I said, “If this doesn’t apply to you, please pass along this special to someone you know.” So I got a ton of referrals for that program.
Tracy: How did you work with those clients?
Kate: I did a comparison of my own decision-making processes before and after. I asked the client if they noticed anything. I would ask them in-depth questions. Healthy or with medical conditions. I also asked, “Let me know if the technique feels different now, after the course.”
Offering this special gave me many chances to tell my Mayo Clinic story. I wanted to get the Mayo Clinic training out there.
I scheduled the first session when I was taking the online portion of the Mayo Cliniccourse. I said, “These are the conditions I’m learning about at Mayo Clinic. The next time you come in I’ll use all the decision-making processes I’m learning there, and I’m going to compare my notes and see who are the clients who got the biggest benefit and how did things change.”
I did about 40 of these sessions, and each time, I got to share a bit of my story of the Mayo course. I got to repeat my story of a practice client at Mayo Clinic, whose post-surgery pain dropped from 8 to 2 after a massage session.
It was a great training, as I describe in my blog. But studying at the Mayo Clinic also lent my practice a certain credibility. It has been fun to spread the news about it in different ways.
Tracy: What advice would you give to other MTs about building a successful practice?
Kate: I would say be careful of how you choose your continuing education. Because you can study and spend a lot, and it may make you feel like you are doing a lot. But you might not be gaining what you can use or gain you credibility. Research who is teaching, and their background.
Also, from my marketing friend: Do everything as cheaply as possible unless you have to spend money. To decorate my office, I grabbed things from my house. It wasn’t the right time to spend money.
I have done all the free advertising I could. I have talked to a lot of people, then I have looked back at what worked.
I loved writing down my marketing efforts every month. With that practice, I made sure I was doing marketing efforts every month! I have a record of what I actually did. It’s garbled and gibberish but I love looking back at it.
Tracy: How about oncology massage therapists? What advice would you give them in building a practice?
Kate: Obviously, take the mentorship program.
But also: Hunt down the queen bees. Find out who is actively serving oncology clients in your area. There are people who are creating fitness programs for breast cancer survivors. Or they have survivors’ meetings. They hold bereavement classes. Connect with them! They are deeply invested in helping their people. They think of them as their people. One person said to me, “I’m very picky about who I introduce to my groups.”
Also remember that people love to be asked for advice. For every contact you make, ask them who else you should be talking to. Humbly request an email introduction.
Be sure to use the word “oncology” and “cancer” in your advertising up front. Not all over the place, but up front. That is all I need sometimes. It catches people’s eye.
And remember: You’re not necessarily marketing your work to the person with cancer. You are also marketing yourself to her 46-year-old daughter, the one in charge of her appointments. I’ve gotten possibly more people from that than anything else. People coming to try me out “before I bring my mom in.” Market to the person who loves the person with cancer.
Use local referral groups. Facebook is your friend. It’s cheap. It’s free.
Tracy: And what about those info sheets? You’ve created an info sheet for each of several medical conditions! Some research about massage therapy benefits, along with your contact information. What do you call those things? Info sheets?
Kate: Informational sheets! They are info sheets I created and I post as graphics on my Facebook page. I don’t have a better name for them. I came up with them in January, when I saw that my schedule was lighter. Out here in Michigan, people go into hiding. I realized, “This is a time for me to go out and talk to doctor’s offices, because I have time.”
I also realized: I can’t go in empty-handed. I can’t afford to bring them lunch.
A SCORE (Service Corps of Retired Executives) counselor (I still keep up with her) suggested this: GIVE THEM DOCUMENTS. Something to read. A single page glossy.
Then hand it to whomever is in charge. Hope that it gets pinned to the break room wall.
Tracy: How did you choose the medical conditions to feature on each info sheet?
Kate: I struggled to figure out what to put on them.
I googled the most common causes of doctor’s appointments and chose from that list.
For topics so far, I’ve chosen fibromyalgia. Low-back pain. Migraines. Anxiety. Cancer gets several different ones, each with a different focus. And another, very different info sheet that describes how my practice grew!
Tracy: What is the format? Where can people find them?
Kate: It became so much easier once I developed the format. I finally made a template. A couple of text boxes. Some graphics. For each one, a single citation. All citations come from medical journals, non-massage sources. I know a physician is more likely to respect a clinical trial of massage published in these sources. I know their time is important and tight. So for these info sheets, I do the work and research and get the citation and make it easier for them to have a reason to recommend massage therapy.
(I learned something about making flyers. Don’t ask everyone for advice. I got too much conflicting advice. Fewer fonts. More fonts. Don’t ask everyone to evaluate everything you print. At some point you have to just print it.)
Look on my Facebook page, “Patient Relaxation LLC.” You can find examples there.
Tracy: That reminds me: How did you choose your business name, “Patient Relaxation LLC?”
Kate: I chose “Patient Relaxation” very carefully.
First, the idea of patience. No rush. That kind of patience.
But when I was coming up with the name, I knew that eventually I wanted to be working in hospitals or at least coordinating with medical practices. I wanted the patients to know I was focused on them. That I wasn’t just looking for “people off the street,” but that I was specializing in people who were medical patients.
I didn’t call it “Patient Relaxation Massage Therapy” because I may someday incorporate other modalities into my business. In my area, there was recently a research study done on the effects of reflexology and cancer patients. That was a huge success and spread information about reflexology to the community and created a market for it. While I personally do not do reflexology, and I don’t plan on it, I might hire a reflexology provider someday to work in the hospitals. I didn’t want to limit my growth by including “massage therapy” in my name, once I’d established it.
Tracy: How long have you been a massage therapist, and how did you get into it?
Kate: I’ve been a MT for … hmm. 5 years? 5.5. I went to Lansing Community College, where I now teach. I went there — honestly– because I was intellectually frustrated after being a professional musician for 25+ years (orchestras, teaching privately and in colleges, judging, etc).
I literally googled “Return on investment careers” and it was either massage therapy or radiology support.
Tracy: No WAY. You didn’t! You did NOT just google “Return on investment careers.”
Kate: Seriously, I did. I wanted financial independence and schedule independence. Massage therapy is growing, especially in my area. I looked at the department of labor statistics, and decided it was the best choice. I could do massage school while still teaching and playing, and in 1 year I could be working.
But it took some serious thinking, and asking actual experts for help, to make the music-to-massage-therapy transition.
Tracy: After you graduated, did you ever start a serious private practice before this past year? Or did you go straight into working for others?
Kate: Just employment. I tried one time, for a few months, to be both employed and have a private practice, but back then I knew nothing about how to market massage. I was so hopeful, but also so … directionless. I didn’t know my niche. I didn’t know how to get anyone’s attention. So I had my 11 faithful followers, but that was it.
Tracy: How much music are you playing and teaching these days?
Kate: I have cut down my music teaching to almost nothing. But I am playing more. Not necessarily to make money. I’m saying yes to things that I want to do.
Tracy: What drew you to study oncology massage therapy, then our mentorship program, back in 2017?
Kate: Well, I researched who Tracy Walton was. Your education, background, writings, associations, and colleagues. I wanted to make sure your training was credible, fact-based, well-trained in science, well-regarded by physicians, oncologists, and scholars. I felt sure that you and these courses were the very best I could do. Now that I have the two courses under my belt, I am confident that the information I have gained is true, factual, and well-reasoned.
It was delightful to find that in addition to all of this science and reason, there was as beautiful heart, a sweet soul, and an inspiring fire. I personally have struggled with the dichotomy of science vs intuition and heart, and it was nicely embodied in you and your teaching.
Tracy: Thanks for that. Kind words, for sure! Yet I see that combination of qualities in your work, your marketing materials, your social media presence. Also, in the trajectory of your practice. Many congratulations for your success! Thank you for sharing everything you’ve shared with us.
Kate: Thank you!
Oh, Tracy! This is wonderfully done. Every so often in life, we meet someone who we can look back on as a living sign to “TURN HERE!” “GO HERE!” “DO THIS THING!” You are definitely one of those in my practice, and in my life.
If anyone ever is on the fence about working with you or yours (your colleagues at your business are amazing), they should just do what I did. Research the heck out of it first, scrape together some funding, then close your eyes and click “Register.”
This was great! Really awesome stuff! God bless both you ladies and thank you for sharing the wealth, in more ways than one! God bless.