How I Built a Six-Figure Coaching Practice in One Year with Dr. Diana Mercado

If your business isn't working the way you expected, it's not because you're bad at business. It's because no one ever taught you.

How it actually works.

We were trained to master algorithms in medicine, but when it comes to revenue teams and growth, we were never taught anything. We weren't even told to figure it out. We just assumed somehow we'd know. Like it would magically make sense. But it doesn't. The era of the seven Figure Physician CEO is here. And it's not about working harder. It's about learning entrepreneurship as a system. The same way you mastered ACLs and pals, you can master the algorithm of building a profitable scalable business. That's why I recorded the seven Figure Physician CEO audiobook. Whether you're building a medical or non medical business, and whether your goal is your first million, first 2 million, first 5 million, first 10 million, this is where the journey starts. There is no Calvary coming to save us.

We are the Calvary.

So.

So go get your audiobook now. Www.entremd.com 7Figurebook. And let's rewrite the narrative for physicians starting today.

Hi, docs. Welcome to the Entre MD Podcast where it's all about helping amazing physicians just like you, embrace entrepreneurship so you can have the freedom to live life and practice medicine on your terms. I'm your host, Dr. Una.

Well, hello. Hello, everybody. Welcome to another episode of the Entre MD podcast. We are going to have so much fun today. I have an Amazing doc here, Dr. Diana McCardo. She is a family medicine physician. She is a life coach for ADHD physicians, and she's the leader of a movement, an inbox zero movement. Right. And so I'm super happy to have her on this show. To the rock star entrepreneur, we're going to talk about her journey. So many lessons to be learned. So just get ready to, you know, lean in. Enjoy this. This is going to be great. So, Dr. Deanna, welcome to the show.

Thank you. Thank you for having me.

Absolutely. And you know, Dr. Deanna had, you know, this is her second year in the Entremd Business School and she let me call her Dr. Diana for a whole year. I just recently found out I was saying her name wrong. So thank you for being gracious. I'm going to give you a moment to introduce yourself to the listeners.

Sure. So where do I start? It's been a year. It's been an amazing year. A lot of growth has happened in the last two years. I think five people knew I had adhd, and now here I am like screaming out at the top of the world to anybody who would hear. And it almost now sounds like a brag where it used to be like a topic of shame for me because all I could see was my impairment with my adhd, but I couldn't see my gifts of adhd and life coaching has allowed me to change that and to change my narrative and to help others to do the same. And now, you know, whether it's my own clients or my own patients, like when I give them this diagnosis I prophes with and so do I. And they look at me like, what you? And I said yes, because now I see ADHD as a way to do whatever you want, but with that you have to be aware that you have it because your brain is not broken. It's just different. It's like if you are a left handed person and you're not aware that all you do is live in a right handed world, they keep giving you the tools for your right handedness, but they don't quite fit. Now that I come and I give you a left handed desk and a left handed pencil, we have an awareness of, oh, okay, it's just different. It's not wrong, it's just different. And so with that being said, I'm on a mission to help other physicians be able to recognize in themselves or in their colleagues if they might have ADHD or anxiety or depression or anything else. Because mental health has been brought up to our forefront with COVID And so I didn't realize it was my ADHD that was keeping me from not spending the time that I wanted with my family and with my patients. And they always said I was just stubborn. But when you're aligned with your passion, you don't make it mean anything, that you have to take maybe five routes to finally get to the destination. And I think that's the reason why I was able to become an entrepreneur and a physician with adhd, because my purpose then became to help others prevent burnout. And so it's been a big blessing to be in this group to be able to do that, man.

So this is so good because there are a lot of businesses that start off really from us finding out we have a problem, quote, unquote, we fix the problem, we turn around and we're like, hey, hey guys. It doesn't have to be that way. It can be amazing. And how empowering it is to think about and impairment as a gift, right? This is now not a problem. This is something that gives me an advantage. And you know, there's so many people, like you said for yourself, there was shame around it that had shame. But now you flip this where now you brag about you don't have adhd, what's wrong with you?

You know?

Right. And so that is beautiful. Right. And I think having that and then being able to figure out a vehicle to convert that into a business. Right? Because no margin omission. So you can actually give your time and give your life to this mission that you have. Right. So it's beyond beautiful. So I know that you discovered this. I know that you had become a coach and you had done all of this pre ebs right before the Entrepreneur Business school. So talk to us a little bit about what business look like, what life looked like before you decided to join the business school.

Yes. So I joined Life Coach School in January of 2022, and I quote, unquote, graduated from Life coach school on July 2021. Yeah, sorry, 2021. Yes.

Okay. Okay.

Yes. Thank you for. You see all my days go together. It feels like it was just six months ago, but. No, so it was a year ago. And I joined Entra MD on June of 2021. And so it was like a month right after, or actually a month right before I graduated and got certified or whatever. And a lot of us have this thing in our minds that not until we have the degree or that not until we've gone through so. So class, are we all sudden qualified to be able to do X, Y and Z. And so this is why sometimes business can feel so scary. Because if you can imagine, most of us are physicians who are listening. I mean, we've been in this straight, narrow path, even though some of us take curves along the way for years, right? Maybe seven, ten years, who knows, depending on your specialty. And then all of a sudden, I was supposed to wrap my mind around the fact that it took me six months to all of a sudden say, I'm a life coach and this is my new business. And it felt really weird to me, but I had to understand that I was showing up as my full self, not just as the entrepreneur, but as the physician. Even though when my clients talk to me, I'm not talking to them from their physician perspective, but we are able to at least have a conversation so that then they can go and get help, whatever they need, right? So before Enter md, I was just somebody who was trying to survive, right. Just like everybody else. Through Inter md, I learned not to just survive, but to thrive and not to just to speak from a passion but with a call to action, so that I made an impact, not just quote, unquote, the bottom line, but an impact on how it was going to prevent burnout on others or encourage others to step into the role of who they wanted to become, whatever that looked like, whether it was time freedom or financial freedom or whatever it was. And so it was through being in a room of unicorns and normalizing that we were all unicorns, that we kept telling each other, you're not dreaming, dream bigger. And we couldn't see what that meant because we hadn't yet done it, but somebody else might have done it. And they were leaning into each other and saying, well, keep going, I got you. And we all know that when we are starting any endeavor, all we do is second guess ourselves, because that's what the normal brain is going to do. When you have those around you who say, yes, it's scary, but if you keep going through the river of misery, you do come out of the other side. And it was in this environment where you started to learn to unlearn things that were not helpful and to maybe not share everything until you were already really needing the help, when you were really already being successful. Granted, success looks different for everybody. It could be that all of a sudden you have international speaking gigs, right? Or it could have been that you had a. For me, it was 55 positions that I was able to help. And it was not necessarily the money that I made, although I went from 2k to 148k in the first year. But it was the fact that all those physicians decided that they were worth the investment, that they were worth a chance of a new life, of a different life, a life where they were in control instead of feeling like everybody else's priorities was what was the most important thing. And then they forgot about who they were. And so in this year, I learned to see it as having my army, right? Of having my people that if I didn't know what I needed, I just typed it in and somebody somewhere told me. And it was wonderful. It was a mastermind. It was a way to keep going and helping each other. And you don't realize how the people that you need are always presented in the right time. And how you can open doors for others without even trying, and how they can open doors for you without even trying to. And so, yeah, going to retreats, being around the energy of where add more zeros is the norm, or celebrating, oh, you got fired. Oh, that's cool. That means a bigger opportunity is coming. And of Course, we all grieve, but sometimes we have to realize that life throws us curveballs because we might have been stuck in that hamster wheel, unaware that there was something better and bigger for you, man.

And you've had quite a journey, right? Like 55 people in the first year and, you know, going from 2K to crossing six figures in the first year. So now I have questions, right? What do you think is one of the things that has helped you reach as many physicians and generate as much revenue? Like, if you could speak to coaches, this applies to, you know, all entrepreneurs, really. But if you could speak to coaches, like, after you're done, you've done your training, you've done all these things and you've identified as a coach, this is what will help you move your business forward, right? Because the act of coaching and the business of coaching are two different things, right? What would you tell that person?

So what I would tell that person is that you have to be willing to begin with a beginner's mind, that we can't expect our business to all of a sudden give us the same fruit that our current career does, that we've been training for, for so long, right? For years, we've been so patiently waiting to earn what we earn, right, with business. Because most of the time it's aligned with a passion and an act of service. You want it right away because you're so excited about it. But I keep telling people, you can't expect the toddler to start to run when it was just born. Like, you can't. But there's shortcuts. There are always shortcuts. When you surround yourself with people, you have the shortcuts because all of a sudden they're leaning into what books you might be thinking, what mindset you might be having, what questions. Course, you know, we didn't know all those, like, medicines, right? Like, we had to learn all those vocabularies. It's the same thing with business. So I think the success comes from you knowing why you're doing it. Because there are some things that are not fun and boring, and we all know that.

Say that again. They're not fun and they're boring. Okay, I am so sorry I interrupted, because that is so powerful. Because a lot of times you come into entrepreneurship expecting this roller coaster, and it should always be a roller coaster, but sometimes it's those not fun, boring things that make it work. So now I want to know, what are one or two of those boring things that you've had to do again and again? And again and again. You even got tired of doing it. It was boring, but you did it. And you can link that to success in your business.

So things that are not fun for me are sending emails. You know, oh, they're the pain of my existence. And that's why I don't have yet. Like, it's known that you're supposed to, not supposed to. It's encouraged that you have an email list that that's the fastest way you can grow your audience. To me, that's the boring part. So what do I do? I see people saying something. I go and post and provide service and. And I keep asking, hey, you know somebody who needs help? I'm here to talk about my story. I'm here to talk about my story. I'm here to talk about my story. So that's maybe boring because I don't even know how many people have heard my story or if they even want to hear the story again. But the people that need to hear it will hear it. And so the success, I think, has been from you thinking, why not me? Why can't I be the one who goes and now speaks at the events that I've been at? For example, I went and I pitched myself to the Texas Academy of Family Physicians. I had just finished a masterclass through the life coach, which was outstanding with, like, DJ and all. It's just so happened they were both in Austin the same weekend. So one finish, and I went to the other, and then I was like, oh, my God, this is so boring. CME shouldn't be this boring. Like, we're just falling asleep here. Let me go tell them how we can prevent burnout. Let me go talk about how to identify ADHD in physicians, because in identifying, they might save somebody's life, because it's a ripple effect. It doesn't just affect the individual, but it affects the relationships that they have. Because there can be so many misunderstandings that could lead to not even getting married one day or being married and ended up in divorce. Or it could lead to them speeding because they're always late. It might really save their life, and it might change their life if they just realize that ADHD is not just a kid who is upset all around, because usually females are diagnosed later on because they have the inattentive type. They're the perfect student in the back of the room who's not causing any chaos. They're the people who, if they find what they like, they're not going to be diagnosed until the birth of their first child or after they become the CEO of something, or they go into law school, med school, or something else, or even until they hit menopause. And a lot of people are like, well, why diagnose them then? Well, if you're like my grandma who lived till the 90s, I hope that you want to be at least aware of how to help yourself and improve your quality of life the last 40 years, right? And so it's so important to do the boring things, because the boring things are what gonna actually give you the freedom of time. The boring things is where I show you how to use planning and batching and timers, things that seem really boring, but they really provide a safety net because I had to learn the hard way that while medicine can help, it's one of many tools and coaching and therapy and running and low carb diet, all those are so many tools. Not medicine can help everybody. So you need to know, okay, I took the medicine, now I can focus. But why am I still irritable? Why am I still lashing out? Why am I still emotional? Well, because you're not aware that there's a two second delay in your amygdala that the people with ADHD don't have. And you already were so impulsive and said things out loud. But that's also part of the reason why you are probably a leader. That's probably part of the reason why I'm the chief resident and why I was, and I am still the clinical medical director and the chief medical officer at my hospital. So when you align yourself with your values, you stop just being reactive, but you start being proactive. And so the boring parts allow you to not get yourself in trouble, like actually having your CME in time and like not forgetting to do your oil change and paying your taxes. And so the boring parts are the parts that need to be done in a fun way in a short amount of time, not in like, let's plan everything. And then I planned, and I don't want to do anything now because I just planned everything. Not that type.

That's a. That's a whole masterclass right there, right? Doing the boring things. And it's a trap that, you know, many entrepreneurs fall into. So I'm so glad you brought that up. All right, people, embrace the board. Embrace it. Another question I have for you is I noticed that especially in the second half of the year, you were really big on putting yourself out there making offers. You alluded to it here a little bit. Putting yourself out there, making offers, putting yourself out there doing masterclasses all of that. Is that something you were always open to? Was it uncomfortable? Was it uncomfortable and boring? How did you keep going when maybe sometimes you did that and it looked like nobody responded? Talk to us a little bit about that.

Yeah, so it's really funny. I remember my first masterclass that I did. I didn't even know how to like share a screen or use Zoom. And I remember when I was trying to get people to pay, I didn't even know how to have a pay button like for PayPal or like for different things. But that didn't keep me from still asking people if they wanted to work with me. I figured, I mean we buy stuff on Amazon. I figured it was a way or another they would send me money if they wanted to. So that's part of the boring thing, doing all the little details that allows you to get that email to get everything done later on. I was very lucky to invest in Kajabi before I was trying to do it manually. You can imagine how much of a task it was for me to try to remember people's emails and send the right time zone. It was, it was a hot mess at the beginning, but you then continue to grow. And so I ended up developing three key things that they would find if they came later on into my course and rotating those so that when they came, I served. And whether they bought or not, it was not a big deal because they still would walk away with things they could implement. But just like everything, even though they're simple, you need that accountability. And that's why I'm in your school, because I need that accountability, because I know what I want to do. But when I see everybody else around me doing their own thing, I'm not envious, I'm inspired. And so that's where I wanted to provide and think outside the box because I most people, when they start coaching specifically, they're like, well, I'm just going to get 20 or 30 private clients and then I'll do a group when I get so I don't become the bottleneck. But you know, all along I was working full time and I was really doing part time coaching and I had to really tell myself, how can I do this? So my husband doesn't keep saying that this is a hobby and not a business. It's like, how can I do it so that he sees the value that how much fun I'm having in reinventing the life of everybody else and reinventing my life. And so it's funny because once you drink the Kool Aid. You keep drinking it because you keep growing. And it's so addicting because you see that you just have to go from A to B. And even though you've never been to B, you're going to get there because your success is going to happen because of the people you're surrounded with. And so I became creative. At one point, I had three groups going on at the same time. Why? It was never my intention. It was just that I saw people in November wanting to jump in before the holidays. And I was like, let's do it. And then I saw some people telling me, I want to do that after the holidays. And so I said, and somebody approached me that they were going to close their practice. Like they were two physicians who were going to close their practice so that I could coach both of them at the same time in January. And that's when I said, well, if anybody else can jump on that one on a Friday, why not? So that's how I ended up having two at the same time. But then it just so happened that three medical students reached out to me around the same time, telling me that they were about to quit medicine because of their adhd. And I said, whoa, whoa, whoa, wait, wait. Don't quit medicine. Let's talk. Let's go through this coaching. And if you then decide that you do want to, that's okay. That's not a right or wrong thing. I just want to make sure you have the tools that I have when I was going through med school. And so they didn't quit. So that's good.

Oh, man, they're doing so well. Good. So good. Look at that. Look at the significance of that. Right? Docs that are like, we're out and now they're in, and they're going to go on to touch thousands and thousands and thousands of lives because you said yes to your stuff and you kept making offers and you kept putting yourself out there. Okay, so what would you say to the doc who's like, I've started a business. Maybe I'm a coach and the business piece is not working. They've thought about the Entrepreneur Business School. They're not sure. They're not. I don't know if this is the right time. I don't know if I have time. It's expensive, stuff like that. What would you say to that document?

I would say that you should have signed up yesterday. You're kind of late, but it's okay. Everybody's on their own timeline, whenever, ahead or behind. But you cannot keep telling yourself no. Your life deserves the chance to dream it up. And not just dream it up, but make it a reality. Manifest it like we've been saying. How many years did you invest in your school? And how much is that purse that you're carrying or that car that you're driving or that house that you're living in? Do we need all that? I'm not sure yet. We invest in it. Right? So why not invest in your brain? Because it's the only thing that it's going to give you the ripple effect, not just again, financially or time wise, but in your relationships. Because all of a sudden everything's at your fingertips. Is it going to be hard? Yes. Are you going to be frustrated? Yes. Is being married hard? Yes. Is being single hard? Yes. Is it worth it? Yes. So then you decide what your yes is and that's it. And just learn to see money as an energy exchange, as a wave to Invest to. Then 10 exit and that's it.

Add the 0, 10 exit. I love it. All right, so docs, if you're listening, Dr. Deanna and I would love to invite you to come check out the ontarim d business school. It is a school by Physicians for physicians. And it's all about helping you thrive as a physician entrepreneur. So check it out on tremd.com forward/business. And Dr. Deanna, I told you before we got on here that I had a surprise for you. So for the listeners, on July 4th, I had sent out an email. I was like, you know, what about your freedom? Right? America, we're celebrating America's freedom. But what of your freedom and all of that stuff? And a doctor responded to me and it's like, hey, I don't know if you're going to get this, but I'm here. It's July 4th, I'm drowning in charts. And after I'm done with all these charts, I have to figure out these prior authorizations, refills, all this stuff. And she's like, I started listening to your podcast. I bought the book. Like, I'm starting my journey, but I'm drowning, right? And I was like, this problem. I was like, oh. And So I sent Dr. Deanna a PM on July 4th. I'm like, hey, do you have a recording for your masterclass? Because I know people get wicked results from that. You talked about it like, I serve, some will choose to work with me, some won't.

And it's fine.

And so I'm like, do you have a recording? She's like, yeah. I was like, give Me the link. So she gives me the link. She gives me the link to, you know, claim CME credits and all of that stuff. I send it to the doc. And so she responds to me, this is about 10 days later. Okay, so I'm going to read the part that's for you. So she talked about, I was at on Trend D Live. It was very inspirational. This is inspirational is an understatement. You know, I can't let go of the thoughts of what is possible. I've listened to the book, I'm listening to a podcast I found, the Doctors Changing Medicine podcast, which is our second podcast. And like, I'm listening to that too. And then she made this statement. The link you sent from Dr. Diana Taming the in basket was so helpful for the most part. My charts are now complete at the end of each visit with all these exclamation marks. And then she says, I have a better handle on the in baskets and anticipate getting that to zero in the next day or two.

What?

That's what I said. This is from a masterclass. Okay. So for you, I want you to understand that what you do is so powerful. Again, this is the thing about business. Business is not about manipulating people and taking their money. It's serving people. You get a thank you note called money, but it's about serving people. Right? And we don't in, in the entrepreneur world, we're not ashamed of it. We serve and earn. We do both. There's no. We don't say I'm sorry, I'm not. We don't do that. Okay. But I want you to see the impact of your work. I wanted you to hear that. And for everyone listening, Dr. Deanna does these masterclasses frequently. So whenever you're listening to this, we want you to go to her website. Sign up for the next one is all about inbox zero ADHD or not. So tell people your website where they can go to find you. But I really wanted you to hear that.

Thank you so much. Yes. And I want to point out that while 90% of the people that have worked with me have ADHD, some physicians that don't have ADHD have still worked for me and have told me that it is in the first time. After 15, 20 years of practicing in like internal medicine or radiology, pathology, surgery, whatever it is, they're finally like having their freedom on the weekends. Like, they didn't realize that they could take this simple systems and implement them. So in some of them, like you said, never buy the course. They just go to my masterclass and then they just send me other people because they see how helpful it could be to be in an environment for 12 weeks where you're earning CME and you are aligned with your mission and your passion. So please join me at adhd-life coach.com or come to my TikTok or my Instagram @Beyond ADHD A Physician's Perspective. And come and learn and let's do medicine in our own terms.

Yes. Oh, I knew this was going to be good. Okay. Dr. Diana, thank you for coming to share your story, taking us behind the scenes. Truly, really powerful. Thank you for the work you do. You know, I've been oohing and on about your work from the first day I met you. So glad you're doing a second year of the on Trem Business School. Of course we're going to take all of this, like, to a completely different level. And for everyone who's been thinking, say yes to yourself. Say yes to your dream. Say yes to your business. Say yes to the way you want to serve the world. It's entrepreneur.com forward/business. And be sure to go sign up for her masterclass so you can celebrate Inbox zero. You can get home with all your work done. You can do your weekends and forget there's a thing called work till Monday, because that's the reality that we can have. So thank you for coming on the show and for everyone listening, I will see you on the next episode of the EntreMD podcast.

Hey, if you love listening to the EntreMD podcast, I want to invite you to join Entre MD on demand. It is my signature subscription program that gives you access to a library of business courses designed to help you do one thing as a physician entrepreneur, and that is to thrive. Just head out to entremd.com ondemand and I'd love to have you join us. See you on the inside, Sam.