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Portrait of Jimenez Julien

The person behind the product

Jimenez Julien

I build PelvicPath, and I answer the support email. If something in the product frustrates you on a Tuesday afternoon, the reply comes from me.

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Why I built a tool for pelvic health caseloads

I did not come to pelvic rehabilitation through a clinical route. I came to it through a spreadsheet. In 2023 I was building small operational tools for independent healthcare businesses, and a physical therapist in Portland asked me to help her figure out why a third of her plans of care were closing without a discharge note. We spent two evenings going through her schedule, and the answer was not complicated: the patients who stopped coming were the patients who had stopped doing anything at home weeks earlier, and she had no way of knowing that until they were gone.

What struck me was how much clinical judgment was being spent on reconstruction. She was one of the most skilled clinicians I had ever watched work, and she was burning the first ten minutes of every visit asking a woman to remember, out loud, what she had done with her body over twenty days. The information existed. It simply had no route from the patient's kitchen floor at nine at night to the treatment room on Thursday morning.

So I built the shortest possible route. A link, a tap, a slider, and a summary. Everything else in PelvicPath grew out of conversations with therapists who told me plainly what was missing. The symptom flag threshold exists because a therapist in Tennessee wanted to know about a rising heaviness score before her patient's next visit, not after. The per exercise completion view exists because two clinicians independently told me the useful question is never "did she do the program" but "which movement did she quietly stop doing, and why". The wordless sliders exist because the first version asked for free text and adherence to the logging itself collapsed.

What I learned about this trade

Three things, mostly. First, pelvic health therapists are more careful with patient dignity than any other group I have worked with, and any tool that treats intimate symptoms as data points to be harvested will be rejected within a week, correctly. Second, the practices in this field are small, often one or two clinicians, and the owner is also the treating therapist, the biller and the person who orders the bolsters. Anything that requires a project plan will never be adopted. Third, adherence is not a compliance problem. It is a communication problem, and it improves when the patient knows that a specific person she respects will look at the record.

I work with operators in this vertical the same way I would want a vendor to work with me: I show up on a call with the product open, I build something on your real caseload rather than a demo account, and I tell you when PelvicPath is not the right fit. That has happened. A large hospital outpatient department needed deep EMR integration we do not offer, and I said so on the first call rather than the fourth.

What I am accountable for

I am accountable for uptime, for the accuracy of the summaries, for the handling of every record you and your patients put into the system, and for the honesty of every number on this website. If a statistic here is wrong, that is my error and I will correct it. If your account has a problem, the escalation path is one email address and it reaches me.

Experience and expertise

  • Eleven years building operational software for small and independent service businesses in the United States and Europe.
  • Four years focused specifically on outpatient rehabilitation workflows, including home program delivery, adherence measurement and patient messaging consent.
  • Direct working relationships with 168 US pelvic health practices, from single therapist studios to eight clinician clinics.
  • Founder and publication director of MLJ, SASU, the company that publishes PelvicPath.
  • Hands on responsibility for security review, data retention policy and the business associate agreement offered to every customer.

How this product is built and maintained

PelvicPath ships changes on a two week cadence, and every change that touches the patient facing experience is tested with at least three practices before it reaches everyone. Clinical content in the exercise library is reviewed by licensed pelvic health physical therapists, and every exercise entry carries the date of its last review. When a therapist tells me a cue is wrong, the correction goes out that week and the reviewer is credited in the change log.

Editorial standards on this site are the same as the product standards. Every number published here comes from aggregate usage data or from customer reported figures we have verified, and the measurement window is stated wherever a result is claimed. Testimonials are published with the named person's written permission and are never edited beyond removing a patient identifier. Nothing on this site is written by someone who has not watched the product being used in a clinic.

Support is handled by email, in English, with a target first response of one business day. There is no chatbot and no ticket queue that loses you. If your practice is down, write to me and say so in the subject line.

Contact the author

The fastest way to reach me is jimenezjulien42@gmail.com. I read everything, including the messages that begin with "this is probably a stupid question". If you would rather see the product first, the demo request form puts you on my calendar directly.

Page written and maintained by Jimenez Julien, publication director of MLJ, SASU. Read more on the author page or review the legal notice.

Published articles

These nine pieces make up the first issue of Pelvic Practice, the magazine written for pelvic health physical therapists who own the clinic they treat in.