Aj PakpourFounder, Business Of Modern Medicine · Aj Pakpour | The Business Of Modern Medicine |

Your Medical Practice Is Telling You It’s in Trouble. Are You Listening

8 Aug 2026 · 1 min

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1:23

In this advisory monologue, Aj Pakpour warns healthcare practice owners that a rise in revenue should not be celebrated or trigger a return to previous operating habits. He frames the post‑growth period as an "emergency" phase: the practice is doing better but remains vulnerable because its operations have not yet been hardened to handle increased demand. Pakpour stresses disciplined financial restraint, immediate operational fixes (phone systems, scheduling, AI‑driven email responses, marketing funnels, merchant accounts, and staff capability), and the avoidance of non‑essential spending. He argues that failing to secure these fundamentals can reverse the gains and plunge the practice back into danger. The speaker then hints at a future "affluence" stage, where sustained growth brings new challenges, which will be addressed later. The overall message is a call for urgent, systematic preparation before celebrating growth.

Chapters

Your numbers went up. Do not celebrate, do not start spending, and whatever you do, do not go back to operating the way you were before. Because your healthcare business may have escaped danger, but now you're in emergency. Emergency means you're doing better, but you're nowhere near safe. Your statistics have reversed. Now you promote. You change your operating basis. You economize. and you prepare to deliver. Phones working? Scheduling ready? Email and AI responding? Funnels converting? Merchant account ready? Staff capable of delivering what you're selling? Fix it now. Because growth hitting an operation that isn't prepared for it can put you right back into danger. And this is where discipline matters. You made some money? Good. Don't spend it. Someone wants something that isn't essential? No, emergency isn't the time to reward yourself. It's the time to protect the recovery. Next, affluence. Because if you handle emergency correctly, something very different can happen. Affluence. You're trending. People want what you're selling, and you might start making more money than you've ever made in your life. But affluence creates its own problems. We'll talk about that next.