​I only very recently started using Twitter. Late to the party? Yup, oh well.

As I was attracting new followers, Twitter was sending email notifications to me. Since I was getting 52, 77, 109 or more new followers a day I was getting a LOT of email.

Pain in the inbox?

At first I thought so... then I started putting these little pieces of gold to good use. 

Each email included a graphic that included the new follower's Twitter handle and image. I created personalized "thanks for the follow" messages with them. I'd screen shot the image embedded in the email, draw on it a little, add a hand-written message, and tweet the new follower a personalized graphical "thank you" card. 

They were simple little tweets, and I figured they'd serve as warming plates for future dishes. There was nothing genius about them, but people loved them. I got all kinds of notes back... "Wow, what app did that?!" they'd ask, and we'd chat a bit about sending these little one off tweets with handmade graphics. Sure, it took a little time to create each one, but I met some very cool people tweeting them. The conversations we had were warm. If any of these folks reached out to me again I'd certainly remember them. 

​From a marketing and networking perspective, warm is gold. From a human perspective, warm is priceless. In this fast paced, automated-everything world, we NEED more warmth.

I tried to get those email notifications resumed. I emailed Twitter. Crickets. I tweeted them @twitter. I did get some retweets, but nothing from Larry. Not cool. Don't they read their own stream? I guess they don't.

Feeling sad, lonely and ignored (sniff), I decided to figure out another solution. New followers were piling on, and I hadn't greeted anyone in days. I needed a solution!

DMs.

Not perfect, but ok. DMs (direct messages) are Twitter's solution to chat. When my email notifications dried up my DMs exploded. So I guess that's what everyone else turned to as well.

As I was busy juggling other work, I was trying to decide how to use the feature to say hi to folks in a personal way. I hadn't come up with a message I liked. Additionally, I was frustrated that I couldn't do anything graphical, short of emoji which only make me a little insane. I'd spend a few moments on the project, get frustrated, and go back to other work.

Somehow basic common sense and copywriting skills had fallen out of the back of my head, too. I blamed distraction and overwork. Hey, it happens.

And then I received a message that was different from all the others.

There it was... one tranquil voice in the sea of insanity. 

No strings of emoji on this DM.

One well-crafted message among the piles of pitches I'd received in the past few days. 

How had I forgotten all of the years of good manners training (thanks, Mom), and the practice of copywriting I'd lived through?

The message simply read, "Hi Amy, can I send you a copy of our content marketing best practices guide? Based on some of your recent tweets I thought you might be interested.  Let me know (including which email address to send it to)!"

Oh my gosh. I felt I was standing on a mountain top, the cool breeze of a York Peppermint Patty blowing through my hair. I heard choirs of angels singing.

OK, maybe it wasn't quite that exhilarating, but still, the message was refreshing.

This DM came from Matt Heinz of Heinz Marketing in Seattle, WA. The sincerity and warmth of the message made it stand out as if it had been written in gold leaf raised lettering on my screen.  

​I've worked online in various capacities since 2001. I've worked in sales and marketing in some form most of my adult life. I know that Matt has asked for my email address, but listen: his message wasn't pitchy. It was warm. I felt he was speaking to me. Maybe he had actually seen, or even read some of my tweets. Matt's simple message was unlike any other I'd received. Which is why I responded, and which is why I am writing this article.

Matt's colleague, Kailee, sent the guide Matt offered me later that day. I read it, and responded with thanks, and referred to my favorite section. There were some great points in the report, and I'm sure I'll turn to it again. 

We had a genuine and warm human exchange. Six or seven messages in all, over the course of two days. This whole message thread between us probably took less than three minutes in the aggregate (including Kailee's time to email me the report). But I feel I have a business friend in Matt, and I hope he knows he's got a friend in me. 

Matt had something of real value to give and he had a very classy way to ask for something in return: my email address. He wasn't slick. He gave first. I was happy to give my email address, and happy to read the guide. 

Marketing is about making an impression and telling a good story, with a purpose. Networking is about making a friend, also with a purpose. And at the end of the day, what's more genuine and human than stories and friends?

And let me tell you, when Matt Heinz's emails show up in my inbox, you can bet I'll be opening them.

In 1936 Clarence "Pappy" Hoel bought the Indian motorcycle franchise in Sturgis, SD. And the rest is, as they say, history.

That little town in the middle of vast prairies, at the edge of the Black Hills in South Dakota is a remarkable model of marketing ingenuity. And it's the site of an event that's the perfect model for marketing your healthcare practice or wellness business.

Sturgis is a town of fewer than 6900 people near the southeast corner of South Dakota. It's a quiet, rural town that has more head of cattle than human residents. If you're driving through the area you'd miss it if you didn't know it was there. You'd miss it that is, unless it's August, in which case you'd wonder about the thousands upon thousands of motorcycles zooming toward it from every direction.

In 1938, the Black Hills Classic (as it was then called) was started by Clarence "Pappy" Hoel's Indian motorcycle club (called the Jackpine Gypsies). Seventy-nine years later the annual Sturgis Motorcycle Rally is still going strong.

For one week of the year, the Sturgis Motorcycle Rally is the gathering place of bikers who come from all 50 U.S. states, Canada, and many other countries as well. It's the one week of economic boom for the area (clearing over $800 million one year).  Attendance is between 400,000 to 600,000 each year (over 700,000 in 2015). Imagine that!

You'd think that Sturgis, South Dakota was the center of the universe for over 100 miles around the town before and after Bike Week. Every gas station and road side restaurant has a tent set up in their parking lot, selling Sturgis t-shirts, Harley Davidson gear, key chains, can cozies, and motorcycle parts and accessories. Temporary spray booths are set up and vendors do custom paint jobs and decals. And sell they do. The parking lots are seas of bikes, riders checking out vendors' wares.

On every road there are motorcycles and riders of every kind and configuration. Clubs and independents. Bikes with side-cars. Singles. Packs of bikers. Bikes with bedrolls lashed to them. Bikers riding in tandem with a truck. Bikes on trailers. Honda, Harley, Indian, Triumph, and all the rest.

They all have one thing in common: these are serious bikers heading to Sturgis, SD.

To anyone in a private practice or wellness business... take a lesson from Sturgis. Better yet, take a lesson from Pappy Hoel.

Sturgis could have been just another prairie ranch town. So part of the lesson here is that location isn't everything.

If that had been the case, there would have been no injection of cash once a year into the economy. Maybe another town would have become the Meade County seat. Maybe it would be famous for something else: a cattle convention, maybe, or a rodeo... or tumbleweeds.

But Sturgis is linked with motorcycles, and its yearly rally.

To me, this is a powerful lesson in marketing, and here are my top takeaways from Pappy Hoel's legacy.
​

2) Give it a Theme
The event doesn't even have to be about your business, directly. In fact, some of the best business ideas ever have come from combining odd ideas, or seemingly unrelated niches. That an enormous rally of individualists and loners coming together is kind of a odd combination if you think about it. So why not pull the same odd configuration off in your event?

Dentist? How about an art event or photo contest? You can start with your own anonymous patient photos of their newly straightened or whitened teeth, and then morph to other kinds of photos or art. Then see where participants take the art from there. How do they make the art their own? Can they do it in different media, large and small? Can they play with the art in groups of people and make something new with it?

Surgeon? How about a music festival, to add to your playlist for your office or surgery? Ask people what they like to listen to, and turn the event into a dance party, or a way to showcase musician-patients' music. "Battle of the Bands" (any lap-band surgeons out there?) or any play on words makes the event that much more fun.

You get the idea. You have your day to day, and you rock 'n' roll around your interests (or more importantly, your clients' or patients' interests) at your yearly event.

Then, do it again. Do it every year. Invite local media. Invite other local stores and vendors. Make it something people talk about all year long. Heck, you might even earn the nickname "Pappy" if you build it big enough.

​

3) Make it Social
You can actually build an event so colossal that it lasts all year 'round. You can do it bigger and better and faster than Pappy Hoel, too. Back in 1936, Pappy didn't have a computer, or the internet. But you sure do.

Have your live event once a year, and engage with people all year long as they continue to participate in the online version of your party all the rest of the year.

Think you can become famous for being the BarBQ cook-off allergist all year long?

4) Keep it Local
People travel hundreds, even thousands of miles to spend a week in far away Sturgis, SD each year. The event isn't franchised. The show doesn't travel. There aren't in-between parties (unless you go to Daytona Beach in March or October, but these are altogether different events in the biker world). Sturgis is a once-a-year extravaganza that attendees talk about as insiders speak in reverent tones about their club that has a secret handshake.

How about your practice? Maybe it's not as fun to go to the chiropractor as it is to a major bike rally. But you can put your local business on the map by creating your own hullabaloo.

​And (here's where I get to smear some geek on this article) using local search in your website and social media (think Twitter, Snapchat, Yelp, and others) can really help rocket the event's success, too, while it's going on.

​

5) Repeat
Pappy Hoel could have just invited the town to his new Indian motorcycle store, had a pig roast, sold some hogs, and called it a good day. But he went overboard... WAY overboard. Each year's rally was bigger and better than the last.

You can certainly build your event with all of the seriousness you want, or have all the fun you want. Maybe you host the best health fair in your state, to keep things professional and serious. But think about how to make it bigger and better next year.

Talk it up all year. Give people a reason to say to their neighbors and friends (on Facebook and over the fence), and to tweet, "Hey! Did you go to Dr. Sam's health fair? No? You missed the best party all year. I can't wait until the next one!"

http://sturgisareachamber.com​
https://en.wikipedia.org/wiki/Daytona_Beach_Bike_Week
https://en.wikipedia.org/wiki/Sturgis_Motorcycle_Rally​
https://en.wikipedia.org/wiki/Sturgis,_South_Dakota
http://www.city-data.com/city/Sturgis-South-Dakota.html

​Recently I ran a survey to 625 local business owners and managers. These were businesses of a wide variety, and the survey was short -- and probably not perfectly scientific -- but the results absolutely blew me away.

The businesses surveyed were local, meaning that, like many of you reading this article, they served a specific geographic region such as a town, a city, an area.  People get in their cars to go to these businesses, or the businesses travel to the client. Like you, they’re chiropractors, dentists, acupuncturists, massage therapists… professionals who work in a geo-targeted area.

Here’s some of what I learned.

First, I was shocked to learn that 37% of those businesses surveyed expected only a 2X return on their marketing budget.

Spend $1 and get $2 back.

OK. Maybe good, and if I were trading dollars that might be all right, but consider that other kinds of investments (your retirement investments or your office equipment purchases, for example) you're expecting 5X or 10X or better return, right?

Why not expect a better return with your marketing dollars as well? After all, there is a direct correlation between marketing expenditure, and your bottom line.

Let's look at some examples.

Massage therapists: that new massage table you got? It cost $1500, but it improves how you can treat clients and enables you to give a better massage, and you can show that your clients are getting X, Y, and Z benefits after you upgraded tables, and therefore added new treatments?

Fantastic. Do you think that with that expense of a $1500 table you could increase your bottom line by $7500 (5x the cost of the table) because you can show that your clients will get such great benefit from your wise purchase? Pretty easy to make that leap, right?

Or, how about that $50,000 piece of equipment you got for your dental office? You want it to help you to make an additional $400,000 over the next 12-36 months, by improving the treatments, or the types of treatments, or the frequency of treatments you can give your patients. That's 8X return on that investment.

Demand that your marketing expenditure pay you as well.

Here’s my point with these simple examples: if you don't control your marketing and if you don't know where your business is coming from, you don't control your business. Period.

What really struck me, though, was that the business owners I surveyed, 50.2% of them had a monthly marketing budget only up to $2000, and as I described above, only expected to double their money.

That's it.

What that tells me is that they aren't marketing, really. If they spent $2000 and only expected a two for one return on their dollars, these businesses are not maximizing their marketing budget.

They might be buying traditional advertising. Maybe they have really, really good referral marketing in place and don’t feel they need to do actual marketing (I have a strong opinion about this by the way because there isn’t a business on the planet that doesn’t need to be marketing in this day and age -- it’s a buyers’ market and businesses that aren’t marketing are NOT staying in the game), or they're skating along in some kind of a bubble that they may or may not have any control over.

How does your practice compare?

Recently, Entrepreneur Magazine published an article explaining the return on investment of content marketing. Hat tip. I found this explanation to be clear and helpful. Especially since another detail that the survey uncovered was that 68.9% of responding businesses shared that they handle their marketing in-house. They do the work themselves, rather than hiring it out.

That’s fine, if it’s working. I personally don’t think 2:1 is working maximally, but it’s not a loss. There’s plenty of room for improvement.

Additionally, too many businesses see the potential speed of the internet and figure their online marketing should move at the speed of light. My response to this? The best marketing uses long-term online engagement with your patients and prospective patients, your clients and prospective clients.

In other words, to be a market leader, to be THE go-to doctor or dentist in your town, you have to go to the virtual coffee shop that is Facebook, or Twitter, or Instagram, or YouTube, or wherever your patients hang out. Listen to and talk with them in the way that they want. And you have to do it more than once. And in all of the talking, you have to listen. And you have to listen well. And it takes a while.

For businesses producing your own content, here’s an article from Forbes that details this long-term path.

Back to expectation on return. The reason I would expect more than 2:1, the reason that I would want something closer to 5 times or 10 times return on dollars spent on marketing, is that a) I’ve gotten it myself and b) if you’re going to spend the time or if you’re going to have your employees or yourself spend the time, you should value your time more and do it right.

Don’t worry about if what you’re doing is social media marketing, or content marketing, or blogging, or vlogging, or whatever else. Actually, do all of this and do it often. You can call me if you need help with execution or strategy.

The trick of it is this: we’re in a buyers’ market. Buyers for all products and services can talk with each other, and share reviews and tell stories about their experiences, and can shop value in ways they just couldn’t eight or more years ago. Sellers now have to respond or fail.

With the right engagement, you’re in.