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September 23, 2026 · Articles

The Clinic She Wanted to Build.

This is the last of these twelve, so let me drop the composite clinics and just tell you what I actually found. Over two…

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September 23, 2026 · Articles

She Was Trying to Save Time. She Found Growth.

The clinic in this story is a composite, built from recurring operational patterns rather than one specific practice. During the clinic observations, I saw…

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September 23, 2026 · Articles

The Clinic Accelerator.

In the last piece, I asked what would have to change for a clinic to carry more without asking more of the people inside…

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September 23, 2026 · Articles

What If We Stopped Working Harder?

When demand goes up, you do what any capable person would do. You add a slot to an already full afternoon. You stay later.…

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September 23, 2026 · Articles

Maybe We Need Another Secretary.

Maybe We Need Another Secretary. Maybe you do need another secretary. The phones may be relentless. Patients may be waiting. Your front desk may…

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September 23, 2026 · Articles

The Patient Who Disappeared.

When I asked doctors in Manila why they’d built their own practices, they talked about helping people. That stayed with me. But a clinic…

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September 23, 2026 · Articles

The Tuesday That Looked Fine From Outside.

During my Manila clinic visits, I started noticing the things that don’t look like problems. One was time. I watched one intake take twenty-nine…

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September 22, 2026 · Articles

The Clinic Grew. The Way We Work Didn’t.

A composite pattern, informed by something we noticed across the clinics we visited. Ask enough questions inside a clinic, and eventually the answers start…

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