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I have had this conversation more times than I can count. A doctor reaches out. They joined a DSO two years ago. They were told they would have clinical autonomy, a supportive team, and real income growth. They were told the organization cared about doctors. Then the first major business decision came down the line. And the doctor was not in the room. This is the most common friction point I hear. Not because DSOs are inherently bad. But because there is a gap between what gets promised...
There is a moment that happens in almost every aligner case. The patient leaves your office motivated. They have their trays. They know the rules. Twenty-two hours a day. Remove to eat. Clean before reinserting. And then real life happens. They grab lunch at their desk. They do not have a toothbrush. So they rinse with water, put the tray back in, and keep going. Happens at dinner. Happens at happy hour. Happens every single day for the length of their treatment. You already know what that...
When I was in dental school, success looked like one thing. Own a practice. Fill your schedule. Build a loyal patient base. Work hard for 30 years. Retire. That was the plan. That was what we were all quietly working toward. Nobody told me that owning a practice would feel like running a small business with no business training. Nobody told me that insurance reimbursements would keep shrinking while overhead kept climbing. Nobody told me I would be working harder than I ever imagined and...