Follow-up vs more ad spend.
Stuck revenue with rising ad bills usually means one thing: bought demand slipping away faster than new spend pours in.
The math decides. Count one week of enquiries and how many got a fast reply. That gap is cheaper than any campaign.
| Area | More ad spend | Kept recovery |
|---|---|---|
| Response | More clicks, same slow replies. | Every enquiry answered in under a minute. |
| Booking | More chances to fumble. | Same chances, answered fast. |
| Follow-up | Still nobody following up. | Follow-up and win-back included. |
| Reviews | Unaffected. | Timed asks running from day 7. |
| Implementation | Budget increase, same day. | 7 days to live. |
| Management | Agency percent of rising spend. | Flat $497 regardless of volume. |
| Reporting | Clicks and impressions. | Recovered patients and show rate. |
Fair verdict.
Spend more when follow-up is tight and the schedule still has gaps: sub-minute replies, healthy show rate, compounding reviews.
Until then, recovery first.