Aug. 19, 2024
How This Doctor Built Her Dream Private Practice from Scratch w/ Dr. Leslie Golden
👉 Ready for the next step? Book a call: https://program.www.entremd.com/callÂ
Are you a physician longing for more freedom, money, and fulfillment?Â
Today's guest, the incredible Dr. Leslie Golden, used to feel the same way. She was frustrated with the limitations of traditional practice models and realized quickly in her career that being employed wasn’t for her.Â
She wanted more - for herself and for her patients.Â
So, she decided to open her own private practice, and the rest is history! Now, she's fully booked, running her dream practice and living her dream life.
Leslie is here today to share her incredible journey with you and give her best advice to all aspiring physician entrepreneurs who want to follow her lead. So you're in for a treat.Â
Tune in!
—
Key Takeaways:Â
- 00:00 IntroÂ
- 01:32 How it all started
- 05:56 Mindset, community and visionÂ
- 12:08 What would Leslie tell her past self?
- 15:48 The return on investment
- 19:57 The success of Leslie’s practiceÂ
- 24:20 Dream practice, dream lifeÂ
- 35:55 OutroÂ
—
➡️ Follow Dr. Leslie Golden:
• Facebook: https://www.facebook.com/weightingoldwellness/Â
• Instagram: https://www.instagram.com/weightingoldwellness/Â
• YouTube: https://www.youtube.com/channel/UCqg5qY5jC_y4V-g4uSbFAXwÂ
Additional Resources:
- Learn more about my 12-month program.
- Interested in 1-on-1 coaching? Apply here.
- Grab a copy of the "The EntreMD Method" book.
When you are ready to work with us, here are three ways:
- EntreMD Business School Accelerator - If you are looking to make a 180 turnaround in your business in 90 days, this is the program for you.
- EntreMD Business School Grow - This is our year-long program with a track record of producing physician entrepreneurs who are building 6, 7 and 7+ figure businesses. They do this while building their dream lives!
- EntreMD Business School Scale - This is our high-level mastermind for physicians who have crossed the seven figure milestone and want to build their businesses to be well oiled machines that can run without them.
To get on a call with my team to determine your next best step, go here ...
00:00 - Embracing Entrepreneurship as a Physician
04:39 - Navigating Entrepreneurial Mindset in Medicine
16:41 - Unlocking Freedom Through Team Building
20:54 - Building a Successful Medical Practice
26:38 - Balancing Entrepreneurship With Medical Practice
37:00 - Inspiring Physicians to Achieve Unicorn Success
WEBVTT
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As an entrepreneur, you're signing up to learn a lot of new things, learn a lot of new skills, try a lot of new things, take risks, and so failure is part of the journey.
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And if we don't have a mindset that can handle that, if we don't have a mindset that almost not expected, like I want to go out there and fail.
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But you know, this is a new thing that I'm trying out, so chances are I'm going to slip a number of times before I get it right, and that's okay.
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Like that mindset alone.
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Right is the difference between somebody who will quit and somebody who will keep going.
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Hi docs, welcome to the EntreMD podcast, where it's all about helping amazing physicians just like you embrace entrepreneurship so you can have the freedom to live life and practice medicine on your terms.
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I'm your host, dr Una.
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Well, hello everybody.
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Welcome back to the podcast.
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You are in for a treat of treats, because I have Dr Leslie Golden here and she's a doc that I've known for a few years.
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Knew her when she was a partner in a private practice and she's launched her own private practice and she's grown like crazy and her story is such a gift.
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I was actually telling her this before we started.
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Her story is such a gift to the physician community as a whole, but especially to doctors who are in private practice.
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So so excited we're here, dr Leslie Golden.
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Welcome to the show.
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Thank you, Dr Una.
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I'm so excited to be here.
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I'm glad you're here, okay, so I'm going to back up a little bit and I'm going to give you a moment to kind of introduce yourself, you know, briefly, let people know about your, you know your story and all of that.
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Of course.
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So, dr Leslie Golden, I am the CEO of Wayne Gold Wellness.
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So we're a private practice that helps people transform mind and body to find their health off the scale.
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So, but that's not where the journey started, right, even being able to say that was a process.
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So, you know, I was a family medicine resident, went into employee practice right away because I had this mindset of the only way to really be a good doctor is to separate myself from the financial and business end, right, and it didn't take me long at all to realize that I couldn't have the freedom, or I felt like I couldn't have the freedom, to practice the way I wanted to in that model.
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But then also, I didn't realize I had a choice, right.
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So I think nobody prepared us in training or residency.
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There weren't a lot of examples for me, especially like seeing females out there running their own private practices.
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So I, you know, I thought when I became attending an employed doc, like this is my life, why am I not happy?
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Why am I not thrilled in all these rules and regulations and people telling me how to practice and not to practice?
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And so right away, luckily, I found a group that were practicing private practice and family medicine and transitioned over to that and it was a great opportunity, learned a lot and as we grew and I found within engaging with my patients that how much I loved weight, health and obesity medicine and I was changing lives.
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I was practicing medicine the way I wanted to.
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Patients were having great outcomes.
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I found like happiness and a sense of purpose that I didn't know was possible and also, kind of within that private practice, having a little bit of ability to realize the choices that I did have to change and grow to make it work to where I could have longer appointments if I could learn the billing and learn the process and make it work.
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And then from there, just like so many other evolutions, it was like hold on, I can expand and grow this more, like in listening to my patients and figuring out what they want and how they need to be served and how I can help them and, again, having to get past that barrier of like I can create my perfect practice.
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I just have to take that leap and be willing to learn right and to take that journey.
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So a couple years ago, you know I I heard this podcast I don't know if you've ever heard of this, this Archer MD podcast, and talking about how how to do that, and I was so inspired and it was something I never believed.
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You know, I thought being a private practice physician in a big group was pretty darn brave already.
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Like there's no way I'm going to go and start my own thing.
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Are you kidding me?
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Nobody does that.
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And um, and just I realized, yeah, you make the choice, but it's not like that next day you have to be this person.
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It takes time and you just trust that you become that person over time.
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And that's hard as docs because we think we have to be perfect and luckily I found a community that guided me through that and did so much.
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Marketing, started asking, started telling people my beliefs and how I serve people and how I'm different, and launched my private practice April 2023.
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And we have been thriving ever since and I'm sure we'll get to those details, but that's been the journey.
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Like when you say I started my practice in 2023.
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And we've been thriving ever since, like I hope you, I hope you can hear that it's like who does that Right?
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Like just like you were saying, who does that?
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And it is so amazing and I know I always tell you that you know I'm so proud of you.
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We as a community, we're so proud of you.
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But it's so much fun to to watch your evolution and watch what you've created and watch how that's even expanded your mind to see what else is possible.
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So, right off the bat, let's just go into this, because we're in a time where private practices many of them are struggling.
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Some of them that look really good are still struggling.
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There's a decrease in reimbursements, there's a great resignation, there's the recession, there's all kinds of things going on.
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But, knowing what you know, what would you say are the top three things that have made it possible for you to thrive, even in the times that we find ourselves in?
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Hmm, you know uh, mindset, community, uh, and the vision and the vision.
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Okay, let's unpack that a little bit.
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I love that.
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It's mindset.
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First I'll tell you why.
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You know, I was one of those people like you guys just got to do the work, like what is this mindset thing Right?
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And I learned really quick like mindset is everything.
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And even sometimes on the podcast, people are like I don't need all that mindset stuff, I just want the strategy.
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I'm like, listen, okay, you having the strategy without the mindset is like having a Ferrari with flat tires.
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Like at the end of the day, you're not going anywhere.
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Okay, it's not, it's just not going to happen.
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So you said mindset, you said community and you said division.
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So so talk to us a little bit about that, cause someone's going like is not like hire a better biller, it's not an office manager.
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Like why did you pick those three things?
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Right, I mean mindset.
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You know it's one of those things like it involves so much internal work and you have to.
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It's complete accountability, right.
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So we don't want that.
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But I've learned throughout the whole journey it's everything right, so I can have the best strategy in the world and somebody can give me the best advice in the world, but in order to put it into practice I have to be willing to fail at first.
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If it doesn't work Like, I have to be willing to see it through and I have to be that constant learner.
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In that you know it's kind of like so many of the patients I work with, you know they're similar kind of concept, right, we all kind of understand weight health a little in terms of that of like.
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So many patients come in, they're like all right, dr Golden, tell me the calories, tell me the carbs, tell me the workout I got to do, just give it to me straight and I'm like yeah so why do?
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you want to lose weight, like what.
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What's your why, what is, what is the vision of you a year from now?
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Being successful, look like?
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And what's going to keep you there?
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And they're like what, why are we talking about this?
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Because that that makes all the difference in the world.
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Because, no matter what the steps are in the details, we have to know what we're doing it for and give ourselves the grace for the days that we're not going to want to do it and know that there's a mountain that is in front of us and we may be in a valley, but, wow, that top of the mountain is right around the corner.
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And you know, you've been along with me for so much of this journey and there's definitely been times where that, that valley and that mountaintop have been five minutes apart, multiple times a day.
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Right, and it's the mindset that gets you from that point Cause otherwise, yeah, you definitely go home and be like yeah, no.
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Gets you from that point.
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Cause otherwise, yeah, you definitely go home and be like yeah, no this is too hard.
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So, yeah, you, you unearth a lot of things, right?
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Because you talked about being willing to fail.
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Okay, we're physicians.
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Okay, that's not one of the things where you know what I'm saying.
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And, as an entrepreneur, you're, you're signing up to learn a lot of new things, learn a lot of new skills, try a lot of new things, take risk, and so failure is part of the journey.
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And if we don't have a mindset that can handle that, if we don't have a mindset that almost not expected, like, I wanna go out there and fail.
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But you know, this is a new thing that I'm trying out, so chances are I'm gonna slip a number of times before I get it right, and are I'm going to slip a number of times before I get it right, and that's okay.
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Like, that mindset alone, right, is the difference between somebody who will quit and somebody who will keep going, right, and so I love that you're not painting a picture of there are no challenges.
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It's just that you've built the mindset that can go ahead in the face of challenges, right?
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And sometimes the win and the challenge are, like you said, five minutes apart, and so the question is are you going to act like somebody who you know, like I'm happy, I'm sad, I'm happy, I'm sad, I'm happy, I'm sad?
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Are you just going to decide this is the way?
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it goes and we're just going to pedal through and I may, like a year or two ago, I remember thinking like, oh, this will be great, I just don't want to manage people.
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I just don't want to lead people.
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Oh, I hope I never have to coach someone on correcting their behavior.
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Oh, I hope someone else will come along and manage all this other stuff and you learn along the way.
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you start to be like, okay, I don't know how to do this, but do I want to be the kind of person that does?
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And let's go ahead and get to the other side of that Cause that'll be cool.
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I'd like to be her.
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I'd like to be that cool person that's like, yeah, I do this all the time and the only way to get there is to do it get it over with and and and it's so.
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it brings forward a freedom that I think is unknown to so many of us in in medicine, because you bet you can't do anything wrong.
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You've got to know it all.
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You know in in the comparitis is is so significant and and we don't realize that those are the roadblocks when we're building something incredible like this, if we let them be roadblocks.
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Oh, man, okay, you're just going into all the things, but that's the thing.
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You're a practitioner, right, like you're doing the thing, so you know.
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So you talked about like I want to get there but I don't want to have to lead people.
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I want to get there but I don't want to have to do the people thing.
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So I'm guessing that that's not just an example, that that was you right?
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Oh yes, that's lived experience.
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Right, that's lived experience.
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And the reason why I want us to talk about this is because there are so many private practices that the number one issue is there is an owner who doesn't want to do certain things that are a requirement for a successful business.
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You will hire, you will build company culture, you will fire, you will coach your team, you will lead them, you will have meetings, you will cast vision, you hold them accountable, like these are all things where like, yeah, I don't want to do that.
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Okay, that was me too, right.
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And so I want you to talk to you from before, because now you're doing all those things and you know like we still work together.
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So I see the back end and you are doing a really great job of doing those things, whether that's having, like, whether that's critical hires or difficult conversations or holding somebody accountable and all of those kinds of things.
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So what would you tell the person who is still like I don't want to touch?
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And there are people who are running multimillion dollar private practices who are still like I'm not doing any of that, right, like it's not a newbie thing, it's a decision, right?
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So what would you tell that person?
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Oh, it's time to grow.
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I mean really.
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Oh, it's time to grow.
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I mean really it.
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It is time to grow.
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It is time to explore, like, what does the person that is the version of me that that knows how to do this, how would they do it?
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But let's work through that and it's not going to be great, but you will discover so much more about yourself and there'll just be so many opportunities there.
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I mean just visualizing, okay, me, I would say 2.0, but it's probably 12.0 at this point.
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What is Dr Leslie Golden CEO, 12.0 a year from now?
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What would she do right now?
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How would she approach this conversation?
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What would she tell herself?
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What would she consider to be a success?
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And it's definitely changed.
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And there's been a lot of difficult conversations, difficult decisions, and I used to I mean I'm still anxious about them to a point, but then I go in and I get it done.
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And here, lately, more and more, the afterthought is like, okay, I think I showed up pretty good there.
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Maybe next time I could think this through.
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But but it's the experience.
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And whereas, gosh, a year ago I would have been like, oh, I can't believe I did that.
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That was terrible, right.
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And so you just learn that the only way to learn is to do and to give yourself that grace.
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And so now I feel like I'm at the take.
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I take the approach of like, hey, I haven't done that before, let's do it, so I can go ahead and get this, let's check this off so I can get that experience in, and let's see how that changes me.
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And it's an incredible experience and I remember, years ago I heard someone say you know, become a millionaire, not to become a millionaire, but because of who you have to become, to build something that gets you a million dollars.
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And wow, it's something incredible.
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It is and I say this a lot and many students in the entrepreneur business school say it as well and it's this.
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I am so grateful for the people I get to serve.
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I'm so grateful for the money we make, the freedom this has created for me.
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But the thing I love the most about being an entrepreneur is who I've become.
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That's the most rewarding, because it's like who is this?
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I mean, I like her, but who is this?
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So you had this almost trepidation about having to deal with team and all of those things, right, but you're doing it.
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So, on the other side, what has that made possible for you?
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Like now that, rather than skipping out on the difficult conversation, you're having it.
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Rather than not coaching your team, you're coaching them.
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Rather than not sharing vision, you're sharing it rather than not coaching your team, you're coaching them.
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Rather than not sharing vision, you're sharing vision.
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What has this made possible?
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What's the?
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What's the roi, the return on investment on that, I think there's so many layers there.
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I mean, like I've learned to be comfortable and vulnerability so much more like with that team, like sharing with them, learning what is a good balance between transparency and and and kind of protecting some, you know, because you can't can't share all numbers, but we got to make sure we we share enough to where everyone understands what mission we're on and we're all rowing in the same direction.
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And you know I've I mean, one of the scariest things was taking on other providers, but it creates this great opportunity of um.
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You know they, they challenge me to improve my character by, by um, engaging with them and needing to be the person that can lead them and help them along the way and and and the probably the next level is is being able to serve so many more people.
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You know, for a long time I got stuck in like it's got to be me.
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You know I'm the only one who can, you know, change the culture.
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I'm the only one who can help patients see this or treat this.
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They all have the great results if they work with me.
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I don't know if I can pass that on.
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And it's a good, humbling experience to support others and be like, oh, okay, it works for them too.
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That's great, but also it gives so much freedom, um, but uh, also, you know it does.
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It gives so much freedom and when you embrace the team and it's, it's always more and more of a challenge of of.
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Even today, I had an episode of like, oh, I feel like I'm losing a little bit of control there, but actually I have a lot of freedom from allowing that, and you just have to learn that as you bring on team members, because I have a phenomenal director of operations.
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She's incredible, but it's taken a time of me letting her learn what I do, and downloading your brain is so, so hard.
00:19:13.553 --> 00:19:44.949
But but once, once you do it and you've, you've let people learn how you process and think it just opens up so much freedom for you to where they're, they're able to make calls almost like you were there, and so it's an investment, but it just it opens up so much opportunity and you know we talk about, like freedom of my, or freedom of money, time, um, relationships and freedom of purpose, and those are all.
00:19:44.949 --> 00:19:54.241
Which one is most important is different for everyone, um, and I think it shifts over time and you're not going to get to where you want to be with all four of them.
00:19:54.241 --> 00:19:58.450
Unless you bring a team on board, you're just not, oh man.
00:19:59.172 --> 00:20:00.134
Oh, my goodness, okay.
00:20:00.134 --> 00:20:01.806
So let's talk about some stuff here.
00:20:01.806 --> 00:20:09.825
Okay, we're going to talk about the dream life in a second, but listening to you talk about freedom and all the, you know this is not conversations.
00:20:09.825 --> 00:20:12.849
People in private practice have I know Okay, cause you know this is not conversations.
00:20:12.849 --> 00:20:20.205
People in private practice have I know Okay, because it burned out and these crazy insurance companies and all this stuff, right, but I want you to give us a little bit of perspective here.
00:20:20.205 --> 00:20:22.496
Okay, because I want people to understand the kind of practice you're running.
00:20:22.496 --> 00:20:28.092
I'm still saying these things, okay, so how many clinicians do you have working in your practice?
00:20:28.092 --> 00:20:33.971
For instance, how many new referrals did you get in the last 30 days?
00:20:33.971 --> 00:20:40.452
I just need people to paint a picture so people understand how big this thing is.
00:20:40.452 --> 00:20:44.198
And you're still talking about freedom, right, that's true, that's true.
00:20:44.479 --> 00:20:48.330
Yeah, and it's always that reminder, too, of like this is April 2023.
00:20:48.330 --> 00:20:52.000
So this is what we're sitting here in August 2024, right?
00:20:52.000 --> 00:21:04.202
So there's me, of course, and then I have another physician, two nurse practitioners, a registered dietitian and two health coaches.
00:21:04.202 --> 00:21:19.354
That have all been onboarded in that amount of time, and when we launched in April, I was full by June and having to bring on more help, and so we're still say that one more time.
00:21:19.494 --> 00:21:21.741
There's someone listening to this podcast, but they are the back.
00:21:21.741 --> 00:21:26.172
She started in April and she was full by June.
00:21:26.172 --> 00:21:26.913
Okay, good.
00:21:27.099 --> 00:21:34.173
I had to bring on other providers and they've been incredible and and a lot of that is just really a part of that.
00:21:34.173 --> 00:21:41.201
Sharing what you do, sharing your vision, you know, not just to get patients, but like-minded people.
00:21:41.201 --> 00:21:44.233
See what you're doing and they're like wow, that's what I want.
00:21:44.233 --> 00:21:47.363
You've created the world that I want to work and live in.
00:21:47.363 --> 00:21:53.773
You know, and a lot of the providers that actually I think most of have like came to me.
00:21:53.773 --> 00:21:58.200
You know so, and that's that's a great opportunity.
00:21:58.461 --> 00:22:06.451
So now we have that and we have essentially I was counting it up 18, a team of 18 at this point.
00:22:06.451 --> 00:22:09.164
So it's incredible.
00:22:09.164 --> 00:22:15.481
I mean, when I started this, I was like, oh, it'll just be a front desk staff, me and a nurse, and we'll take care of our patients.
00:22:15.481 --> 00:22:20.945
It'll be a simple little practice and that's all I want, right?
00:22:20.945 --> 00:22:48.713
So we had a suite in a medical office building and luckily, the suites on each side were non-clinical space, like administrative office space that the hospital that actually owns.
00:22:48.713 --> 00:22:51.039
It was able to move them to other locations.
00:22:51.039 --> 00:22:59.772
So we tore walls down and went that way last fall and we're just finishing tearing walls down and going down the other side.
00:22:59.772 --> 00:23:11.266
So, and yeah, we, we're usually booking out for for weeks to months, depending on the provider, for new patients and referrals.
00:23:11.266 --> 00:23:19.646
I mean we we usually get double digit referrals, I'd say you know most, most double digit only double digits.
00:23:20.169 --> 00:23:25.227
Okay, and over what time period On the for the referrals.
00:23:25.227 --> 00:23:26.590
You said double digits.
00:23:26.881 --> 00:23:33.826
Yeah, it depends on the day, but I'd say there's usually at least five to seven, most days definitely double digits each week.
00:23:33.826 --> 00:23:36.449
So we have referrals coming in all the time.
00:23:36.500 --> 00:23:38.711
And what's great is so many of our referrals too.
00:23:38.711 --> 00:23:40.019
We don't even count those right.
00:23:40.019 --> 00:23:47.068
So many of our referrals are from our patients right, and so we don't have the orders coming in to track those.
00:23:47.068 --> 00:24:02.781
But so we have such a great provider community that supports the work that we do, because we take this whole person comprehensive approach and we love our patient community and they feel the difference right.
00:24:02.781 --> 00:24:11.307
And our provider community knows like if they send patients to see us, they are not going to be treated with shame, blame or bias.
00:24:11.307 --> 00:24:13.690
You know we're here to help them and it makes a difference.
00:24:13.690 --> 00:24:14.553
And then, of course, you know our patients are going to be treated with shame, blame or bias.
00:24:14.553 --> 00:24:14.978
We're here to help them and it makes a difference.
00:24:14.978 --> 00:24:18.971
And then, of course, our patients are going to share that with their family and friends.
00:24:21.915 --> 00:24:24.018
So wild, so wild, I can't say it enough.
00:24:24.018 --> 00:24:30.321
But it's such a joy to watch your journey and see how far you've come.
00:24:30.321 --> 00:24:33.564
So talk to me about this whole.
00:24:33.564 --> 00:24:34.265
You burnt out at home.
00:24:34.265 --> 00:24:49.280
Is your marriage suffering because you're pouring all this time into the practice?
00:24:49.280 --> 00:24:52.208
Do you have time for the things that matter to you?
00:24:52.208 --> 00:24:54.038
Would you do this over?
00:24:54.038 --> 00:24:59.498
Are you like, oh my goodness, I'm, you know, like I'm so burnt out and stressed out Like what?
00:24:59.498 --> 00:25:01.141
What is going on with the rest of your life?
00:25:01.161 --> 00:25:01.480
Yeah.
00:25:01.480 --> 00:25:06.930
So I would just yeah, I would do it again all over.
00:25:06.930 --> 00:25:16.544
You know, I one of my original mentors when I finished residency we were employed together and he also, years ago, launched his own practice.
00:25:16.544 --> 00:25:19.076
And he asked me the other day he's like, would you do it all over again?
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