09/18/2026
"More patients required more patients"
One of the strangest things I’ve learned running a medical practice is how easy it is to accidentally build yourself into a machine that requires more and more volume just to keep itself alive.
You get busier, so you need another employee. Now you have another employee, so your expenses go up. So you need to see more patients. Now you’re seeing more patients, so the schedule gets harder to manage. So you need more help. Then you need more patients to pay for the additional help.
Eventually you look around and realize you’re running really fast just to keep the machine running.
That’s pretty much where I found myself. At one point I had three staff members helping me operate a relatively small independent medical practice, and somehow everything still felt harder. More patients. Shorter visits. More administrative work. More things falling behind.
Growth isn’t automatically bad. But I’ve learned that I need to be really careful about what I’m actually growing. I did not open Starlight so that I could build myself another job where the answer to every problem is “see more patients.” I'm much more interested now in building something that gest better without necessarily getting bigger.
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