Helping Healthcare Pros Practice Independently with Proven Systems for Chronic Illness, Pain & Neuropathy Care. Perfect Practice Web, LLC | NeuropathyDR®
Marshfield, Massachusetts, USA
Joined September 2009
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Living and Practicing By Design™ - Not Default dpcnews.com/practice-tip/liv…
I’m down here in Fort Lauderdale today, and I just spent the entire day with some incredible businesspeople. Literally, I am learning from some of the smartest and biggest businesspeople in the world. Millionaires and billionaires.
There are three things I want to tell you that are takeaways from things I’ve known for years, but they were just driven home today.
Number one is you’ve got to design your life first.
What do you want your life to look like? What do you want to do with your recreational time, your downtime, et cetera? That’s huge. You see, when we feel like doing this lacking, a real purpose behind what we do, life and practice becomes so much more difficult. And it doesn’t have to be that challenging. My biggest motivation has always been and will continue to be personal and financial freedom.
Number two Is to have longevity In your practice, you need to simplify everything. Healthcare especially can get absolutely crazy. Especially today. Unless you have a proper design to make you the unique physician for your community you’ll always struggle.
And this changes over time especially if you want to continue to grow and expand and serve more people which is the reason I came here for three days!
Number three, rather than delegating all tasks to everybody else, which ultimately, you may end up doing a large portion of, you’ve got to know what the key steps, components and operational systems are.
For example, one of the biggest mistakes that oftentimes gets made with practice marketing is that you hire a marketer. What happens? You don’t even know the basics. You have no idea what they’re doing. You spend an absolute fortune and have little or nothing to show for it. Because you can’t even ask them the right questions.
Next, apply this strategy to almost everything else that it takes to run a private practice successfully.
Guys, listen up. It doesn’t have to be that hard. I first started to talk about this in 2007 when I published Living and Practicing by Design, Saving the Hearts that Care for Our Lives, which I’m currently rewriting and updating.
The takeaway is this. Spend time learning these, even just a little bit every day, and dive in deeper when you need. You’ll ultimately have a lot less stress, much better income, plus the ultimate freedom and joy that come from running your own show.
Remember, this is a choice, too
You weren’t always just a doctor.
Before the pager. Before the notes. Before the relentless schedule, the night shifts, the checkboxes, and the protocols—there was you. A whole person, full of interests, curiosity, humor, and vision.
But in the process of becoming a physician, too many parts of you were set aside. Pushed down. Delayed until “someday.” And for many physicians, that “someday” never comes.
Unless you decide it does.
What Gets Lost in the Process
Medical training teaches focus, sacrifice, and resilience—but it rarely teaches balance.
And so, over time, you may have lost:
•The hobby that used to bring you joy
•The friendships that once grounded you
•The spontaneous laughter that used to come easily
•The sense of identity outside your clinical role
You became efficient, reliable, respected—but maybe also tired, disconnected, and unsure who you are when the white coat comes off.
You Can Reclaim What You Put on Hold
Here’s the good news: those parts of you aren’t gone. They’ve just been quiet. Waiting.
Reclaiming them doesn’t mean giving up medicine—it means living it from a fuller, more human place.
Start by asking:
•What did I used to love before this pace became normal?
•What kind of person do I want to be outside of work?
•What would it look like to prioritize even one small part of that?
You don’t need a full reinvention. You need a reconnection.
“You are allowed to be more than your productivity. You are allowed to be whole.”
Reflection Prompt
What’s one part of you that’s been on hold—and what’s one thing you can do to bring it back this week?
Ready to Rediscover Who You Are—Outside the Exam Room?
If you’re craving more clarity, energy, and identity beyond your professional title, now’s the time to start.
perfectpracticeweb.com/post/…
John Hayes Jr MD retweeted
Direct care and direct insurance are the future of outpatient medicine as the health insurance bubble continues to burst.
Fixing health insurance premiums will help restore the middle class.
As health care grows more complicated and insurance prices continue to rise, some patients are turning to a different model for routine medical care: direct primary care.
More:
bit.ly/3VYDb5w
Join Rob Hakala and I at 9:22 AM ET Today as we discuss "No Gym? No Problem: Home Workouts That Work" Livestream at 959watd.com or tune in to 95.9 FM locally. @watd @robhakala @johnhayesjrmd👨📡⚕️
Join Rob Hakala and I at 9:22 AM ET Today as we discuss "October = Fall Fitness + Breast Cancer Awareness: Move With Purpose This Season" Livestream at 959watd.com or tune in to 95.9 FM locally. @watd @robhakala @johnhayesjrmd👨📡⚕️
Join Rob Hakala and I at 9:22 AM ET Today as we discuss "Exercise Is Brain Fuel: Move More, Think Sharper This Fall" Livestream at 959watd.com or tune in to 95.9 FM locally. @watd @robhakala @johnhayesjrmd👨📡⚕️
Join Rob Hakala and I at 9:22 AM ET Today as we discuss "Fall Into a New Routine: Why Autumn Is the Perfect Time" Livestream at 959watd.com or tune in to 95.9 FM locally. @watd @robhakala @johnhayesjrmd👨📡⚕️
John Rob Hakala and I today at 9:22 AM ET Today as we discuss together "How Pets Support Mental & Physical Health in Older Adults" on 95.9 FM WATD or livestream at 959WATD.com Catch the podcast later too on our sites! @robhakala @watd @johnhayesmd📡🎧
John Rob Hakala and I today at 9:22 AM ET Today as we discuss together "Can Diet Reverse Nerve Damage? What the Evidence Says" on 95.9 FM WATD or livestream at 959WATD.com Catch the podcast later too on our sites! @robhakala @watd @johnhayesmd📡🎧
John Rob Hakala and I today at 9:22 AM ET Today as we discuss together "Warning Signs of Mild Cognitive Impairment (MCI): What to Watch For" on 95.9 FM WATD or livestream at 959WATD.com Catch the podcast later too on our sites! @robhakala @watd @johnhayesmd📡🎧
Independent Physicians Sleep Better—Here’s Why
It’s 2 a.m. You’re wide awake again.
Running through tomorrow’s schedule. Worrying about unfinished charts. Dreading morning clinic.
If this sounds familiar, you’re not alone. Chronic sleep disruption is common among physicians especially those stuck in high-pressure, system-driven models of care.
But here's the good news: physicians in independent practice report significantly improved sleep quality, energy, and emotional recovery.
Why Employed Doctors Can’t Rest
In traditional settings, poor sleep often stems from:
Long clinic days with back-to-back patients
After-hours charting on EMRs not designed by physicians
On-call demands that disrupt circadian rhythms
High stress loads from lack of control over time and decisions
The result? You leave work, but your mind doesn’t.
Independence = Better Rest
Physicians who run their own practices, especially in Direct Primary Care, concierge, or micro-practice models, experience a dramatic shift:
No late-night charting after 30 patient encounters
Control over their schedule, allowing time for rest and recovery
Less administrative tension, leading to calmer nervous systems
Fewer sleep interruptions, as many opt out of hospital call
They’re not just sleeping more—they’re sleeping better.
“I didn’t realize how much the system was costing me until I got my first full night’s sleep in years.”— Dr. M., Independent Internist
Why Better Sleep Matters
As a physician, quality sleep supports:
Clinical judgment and focus
Emotional regulation
Hormonal balance and cardiovascular health
Long-term cognitive performance
It’s not a side benefit, it’s a medical necessity for your well-being and your patients.
Want to Sleep Like a Human Again?
If poor sleep has become your normal, it’s time to question the system not your resilience.
Let’s explore how independent practice can restore rest and revive your quality of life.
perfectpracticeweb.com/post/…
John Hayes Jr MD retweeted
A focused mind cuts through distraction like a blade through fog, revealing the path forward.
Great study... Bergerot: Vincristine/Dexamethasone Pulses Reduces Neuropathy Burden in Childhood ALL oncodaily.com/voices/cristia…
John Hayes Jr MD retweeted
If every doctor understood how this feels… To practice medicine freely… Under your own roof with your own patients and how much you care for them when you’re not part of the system that poisons everything…
The system would likely collapse and need to be rebuilt. By physicians and patients.
I think this has to happen anyway. 🥲
Peripheral Neuropathy and Conservative Care: a common outcome with the correct ... - YouTube - goo.gl/alerts/vu3xPW #GoogleAlerts
Join Rob Hakala and I today at 9:22 AM ET Today as we discuss together "Integrative Care Options for Pain" on 95.9 FM WATD or livestream at 959WATD.com Catch the podcast later too on our sites! @robhakala @watd @johnhayesmd
John Hayes Jr MD retweeted
The same MRI is $300 in one building and $4,000 across the street.
Same machine.
Same images.
Same radiologist.
The only thing that changed: a hospital bought the building and tacked on a "facility fee."
You're paying rent on a room you sat in for nine minutes.
Ask for the cash price before you ever schedule one.
FYI: This is the 9th time in 9 years that I have posted this exact message.
😊
Join the Growing Network of NeuropathyDR® Licensed Centers 100% DPC & Direct ... - Instagram - Direct primary care physicians are in perfect position to help the 30 million patients who continue to suffer, relentlessly...
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