How to Change Your Business One Decision at a Time with Dr. Hokehe Eko
30 Jan 2026 · 23 min
Dr. Hokehe Eko, a pediatrician, left her job to start a home-visit practice focused on ADHD and autism evaluations. She credits joining EntreMD Business School with shifting her mindset from clinician to CEO, using small daily decisions and consistency to build her business over 90 days.
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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. Umna. Well, hello. Hello, everybody. Welcome back to the ontremd podcast. I have a rock star EBS student. She's been in the ontremity business school for about 90 days at the time of this recording. Her name is Dr. Hoke. We're gonna have a very interesting conversation. I'm really glad that she could make out the time to come here, and I'm grateful for her and all the students in the school who come and really take you behind the scenes, because a lot of times on Instagram, you see the highlight reel of entrepreneurship, and here you get to hear real stories of real doctors who are doing real things, and it's. It's always a joy. So, Dr. Hoke, welcome to the show.
Yay. Thank you so much for having me. Such a pleasure to be here. Thank you.
The pleasure is all mine and the listener. Okay, so now I want to give you a moment to introduce yourself. People can see why I'm so excited that you're. You're on here. So you can go ahead, do that.
Okay.
Hi, everyone.
I'm Hoke Echo. I'm a pediatrician in Oklahoma. I specialize in helping children with ADHD and autism. Like, really Boost their brain health and thrive in every area of their lives. So that's my mission, and I'm grateful you do that.
That is something that, as a pediatrician, that is something that we're always looking for resources. We're always looking for who are compassionate, like, who are passionate about doing that. So I'm really grateful for what you do, and I'm sure all the families you serve are as well. So let's kind of talk about how your journey as far as entrepreneurship goes. Right. So are you one of those who came from a family of 72,000 entrepreneurs? And you're always going to be an entrepreneur and the drama we deal with as physicians when it comes to entrepreneurship. You had none of those, right? Tell us what happened.
Nope, not at all. I wish. My parents are both college professors, and they're like, go to school. Go to school. School. So no talk of business here. So, of course I did that. And I went to med school and entrepreneurship. I fell into it because I was being harassed at work, and I was like, I can't do this anymore. So I decided to choose between. I decided to choose my life, being alive in every sense of the word, mentally especially, and so I could take care of my kids. And I walked out of my job with no job. And I said, wow, what just happened? So that's my introduction to entrepreneurship.
Oh, wow. Okay. And. And I just want to stop in and really reflect on this whole concept, because I've interviewed a lot of doctors, and it's amazing how many times the issue of mental health. Right? Like, either I was so stressed out. I was so burned out. I was so devalued. The doctor was like, I'm so. I was so devalued that I didn't see any value in what I was doing. Like, I walked away from medicine. Like, my power of contribution is not. And it's beautiful to see that a lot of times, entrepreneurship is the answer. I'm very biased. Right? Of course. I think entrepreneurship is the fix for many, many, many things. But. But yes, it is, because it gives you that. It makes you aware of your power of contribution. It puts you back in the driver's seat. You are free to do what you really want to do. Right. Cause you've learned to build a business system around it. And so what you essentially said is, entrepreneurship is the answer. And, yeah, that. That rocks my world. So you quit, though. So you quit and. And then what happened? Business fell in your lap or. Nope, I wish I quit.
And I. I definitely felt like I fell Off a cliff. That's how I used to describe that time. And that was last year, actually in October of last year. And I was like, what did I just do? Who walks off a job with three kids and has no job? Who does that? But I did it. So, no, what I did was I started applying for locums positions, and I started doing locums. And I already had the idea that I wanted to open a pediatric practice, but not like a typical one. So I was like, okay, what do I do? So I was like, okay, so nobody goes into the homes and see babies, and we all know how important the postpartum period is. So I was like, okay, that's my practice. Because I had in my head that I wanted to keep things really low because I really didn't have that much backup financially. And I was. I was like, okay, well, this is low. I can drive, go to their home, see the babies, and leave, right? But, you know, I had no clients. Like, zero. I said, oh, my God, this is not working. So I continued to do locums, but then I found myself, like. Because before this, while I was employed, I had started talking, learning more about ADHD and how to treat kids as in a holistic way, not just here, fill out the form, and here's some medication. Like, how do we really look at all the areas in a kid's life, right? And I did this whole TEDx talk on it and all of that. So I was like, why don't I just start helping kids with adhd? And then I was like, wait, There is a huge problem in our states, our autism evaluations. There's a wait list of two and a half years. Like, how is that even conscious? How's that even possible? Right? Because knowing it's so important. First five years of life with brain health, like, if you're going to do anything with your child, you need to do it in that time, right? Because it's easier. Not that it can't happen after, but we need therapies or changes made. That's the best time. So I decided to create training for myself instead of going to three years of fellowship to be a developmental pediatrician. So I contacted one, and I shadowed him for about seven months while I was still doing locums. And he trained me on how to do the evals, which really, as a pediatrician of, like, more than 10 years, I already have the clinical background to do it, because it really is a clinical diagnosis. And so that's how I decide. I found the need and found my training and started. And then started trying to figure things out. Like, how does this whole insurance, the whole thing, how does that work? And. Yeah, yeah.
And what you describe is. And this is the reason why I love these conversations. It really is the journey of an entrepreneur, right? People are like, the reason why I haven't started anything is because I'm not very sure of my idea. I'm like, oh, my goodness, just get to 70%. Let's keep it moving. Right? Because it's in the process of doing that. You're like, I want to do this or I want to, like, rethinking the newborns. And you're like, wait a minute, adhd. They're like, wait a minute. My state has this whole problem. And there businesses that solve problems that a lot of people have. And it's your zone of genius. That's like a match made in heaven, right? Because they're happy, you're happy, everybody's happy, right? So you're doing all of this and then. So at some point about 90 days ago, you decided to join the Entrepreneur Business school. So what. What was that turning point for you? What made you make that decision? What made you decide to join a bunch of unicorns doing unicorn things? Like we like to say.
So, yeah, I. Because over the last year, I've had an identity shift, right? I actually left my job and had no job that made me face my identity as a physician. Because now I'm like, I actually don't have a job. So what happens to the physician who doesn't have a job? What. What's that person called? Right. And Al. And then I've had some changes in my family life as well. So it made me question who I really was. So at this point, I was like, I am a child of God and I'm going to learn as much as I can about being a business owner. And I decided that was the identity I was going to take on and not. And even though I was afraid, I didn't know how to run a business, really, honestly, but I found you and I'd been listening to you for over a year, actually more than that. And then I was like, well, why not? We're just going to jump off another cliff. Since I'm the cliff jumper lady, I just keep jumping up. Literally in the last few years, that's all I've done. It's like really scary things. So I was like, yeah, I'm just going to join them. I'll figure it out as I go. So, yeah, here I am, Effy.
Wow. Okay. So inquiring minds want to know, right? So when I talk to, when I talk to people or when I listen to people as they make this decision, there are a number of things that come up, right? This is not the right time. I don't have the time. I can't afford it. And all of those things. So did any of that come up for you? If those things did, how did you, how did you navigate that?
So, yes, the big one for me was, can I afford it? Right. Because I just said, I just started a practice, right? And then my locums had slowed down, but I decided that I would find a way. And so I trusted that every month I would be able to make my payment and I will do it. And so I decided if I keep waiting, I won't learn what I need to learn. And I know there's power in community. I know there's power in learning from people who have gone before you and actually know what they're doing. So I just took the leap and I was like, well, I'll figure it out the same way I got here all of this time. So.
Yeah. And so it sounds like for you it was a decision, right? So we say this will make the decision, then make the decision, right? And it sounds like that's what you did. Like those reasons were still there, but you decided, I'm going to, this is what we're going to do and I'll figure it out why. Which is really, I like that because that's, that's what I do. It's super powerful. Okay, so then you joined and then what makes me so excited about your stories as things started shifting? So talk to me about some of the transformations in your business. We can even take it further and go to, in your life since you, you started. And I think for, for the, for the one listening, I really want you to see the power of 90 days. So for instance, at Entrepreneur Business school, we live 90 days at a time, right? So we, we live by the quarters and it's, it's mind boggling when you put your mind to it how much of a change you can experience in 90 days. You can experience more than most people experience in a whole year. So. So talk to us about your 90 days.
Yes. So my first 90 days in EBS, I joined and I was like, first of all, I had to confront the thought about, oh my goodness, they're so far ahead of you and you're just here. But then I decided that I was going to keep telling myself that I'm only Competing with myself. As long as I'm better the next day than I was yesterday, that's what I was to go with. So I crossed that hurdle. And then I. I decided to take on the identity, which Dr. Una teaches about all the time, of a business owner, right? I'm not just in here, like, walking away. I have to think of my business as a big business, even though it's not necessarily a big business. But if I make. If I make those kinds of decisions for my little business, then as it's growing, because it will grow, then I would already have set the foundation. And so that's really what. What that was. One of the biggest transformations was for me to accept the identity as a CEO and a business owner. Not just, oh, yeah, I'm just the pediatrician who does the evals.
Oh, my goodness me. And just a pediatrician. Like, there's nothing just about a pediatrician. Stop saying it.
Yes. And so, yeah, that was. That was one big thing. And then I decided to go on the retreat, right? And I was like, oh, my goodness. And I met all these amazing doct in person, and I learned to not be afraid to ask, right? I don't. I. I mean, I don't know how to run a practice. So I asked, I asked, I asked for mentorship, I asked questions, I asked, I listened to the answers, and I took action. I think that's the biggest thing. Dr. Una always says, we have to take action, right? We can. We can get all the ideas and the strategies, but if we don't take action, then nothing will happen, right? So, yes, I am still getting better, but I have definitely become a frog eater. So for those listening who don't know what frogs are, they are the types that are unpleasant, but we have to do it, right? And so as business owners and not just physicians, we embrace the task of eating the big frogs, like the important things we need to do for our businesses that we may not necessarily like. So, for example, I did the summit in my first three months in evs, right? I. I'm a recovering introvert, in fact, but I decided I was going to do it, so I did it. And so those are the kinds of things. And just recognizing the things, the areas I need to focus on in the practice and implementing those ideas and not being afraid of them.
So I hear you use this word a lot. I decided, I decided, I decided. And I want to make sure nobody misses that, because that is so powerful. Our lives really are at the mercy of. Of our decisions. Sometimes not. We may have the Setbacks, or we may have the deficiencies, or we may not have all the connections, we may not have all the capital, but what we do always have is the opportunity to decide. And when we do that, wild things start happening. You know what I mean? So I just like how even in just this last question, the number of times you said that, that's. That's powerful. So you did this whole identity shift. Like, I'm a business owner. I'm a CEO. I'm the business. Like, I'm the owner of a big business. I'm the CEO of a big. And then you start taking massive action. You start eating frogs, as we like to talk about. So what are the kind of ripple effects that is created, the kind of results that's created in your business? And I would say so far, because you know how it is, is the gift that keeps giving.
Yes, absolutely. So I went from hiding from social media for a while and being back on it, but not just randomly, right. I was. I started. I decided to just use the gifts I've been given, right. And to share with the parents who are really struggling with their kids who have ADHD and autism. Ripple effects. My. I started seeing more patients. I remember the first patients I saw, I took pictures and I was like, yeah, in my office. Oh, my God, I just saw a patient. But definitely. And then I started finding multiple streams of income to keep me going while I was figuring out the whole insurance thing, like seeing people for immigration services, like the immigration health. That I didn't think I could do as a. As a pediatrician, but it turns out I can. Then I'm meeting all these interesting people. So the more I open myself up to learn and to ask and to meet people, I start finding out ways to grow my business. So, yes, and trickle effects. I mean, even to my children, right? They see mommy starting a business from scratch, and I call them my partners. I have three kids, and so I get them to help me with different tasks, like the teenagers good with social media. So I'm like, okay, can you create this for me? So it's like teaching them as I'm. As I'm learning, right? And they attend EBS classes with me, especially my son. He's sitting there, okay, mommy, I'm a businessman. I need to learn. So it's. It's so amazing. And I mean, the peace I have. Even though. Yes. I mean, I have not gotten to where I'd like to, but I have. I've accepted where I am, and I have peace and I'm growing Daily. And I think that's the most important thing is that we're in competition with ourselves. And as we keep opening ourselves up to what's possible and stretch and stretching our minds and the books we're reading and all of that, it really helps us. It helps us get to a place where we didn't even dream was possible, at least for me. Yeah, that's great.
And she's being so humble, y'. All. She had her biggest revenue month, too. I just go ahead, put her all the way out there. I'll put her all the way out there. But, you know, I mean, like, you're, you're doing, you're doing so amazing, and I think I'm gonna. Okay, so I say this to be funny, but I think that for every parent in ebs, I need to start charging a fee for what we call EBS Junior.
Right.
We call it Entrepreneur Business School Junior because it's amazing the number of transformations that are happening in the kids. Like, you talk about your, your kids sitting there. I mean, I didn't start learning these things to my 30s, right? And now you have a teenager who's learning these things. And a lot of people have kids even younger, and they're part of the family business. Like, they're, they're helping you with. It's. It's wild because that's the true legacy, right? Like money you give your kids, I mean, it's money, but giving them the thing that created the money, the thing that created the impact now that's, that's true legacy, right? Because then they can transfer that to their kids and their kids, and all of those things live on. So this is, this has been, this has been so good. If you're talking to somebody, this could be at any level, right? So some people listening to this, their goal is, I want to cross my six figure, my first six figures. Somebody else listening to this is, I'm on my way to eight, right? And really is this concept of taking the opportunity that is right in front of you, taking the blocks of time that you do have and making it work, right? So we have. We're in the middle of a quarter now, but there's another 90 day mark coming. Someone's listening to this. If you could tell them, whatever you do, do this over the next 90 days, what would that be?
Be consistent. Like set goals and be consistent with taking action on them every day. Even if it's just a little bit. I mean, every little thing adds up and it's not, it's not. I mean, I've, I've stopped the habit of let's do it further away. I mean, let's start now. Let's start now. And just taking that small step one day at a time, not beating yourself off. If you fall down, get up and take the step again and then move on. So that's what I would say.
I love it. Set the goal, take the action. Set the goal, take the action. If you fell down, get up. That's what a one year old would do. Get up.
Right.
And that's really, that's really powerful. Thank you for sharing that. Okay, now, the gifts we give to the people who come on the show to tell all their business like you did is that the entrepreneur community comes out to support you and things like that. So where can people find you? Where can they find you? And you have a whole book. So tell them where they can get the book as well and things like that.
Okay. Yes. Thank you for that. My book is called children's love letters, Pediatrician's guide to how your child spells love. It's on Amazon. It's also my website, which is globepediatrics.com. so my name means Light of God. So Glow is a play on that. And so because I want children to glow with health from the inside out. And so, yes, I'm on my website, glowpediatrics.com on Instagram, at the Happy brain Pediatrician, and on Facebook, I'm @GlobPediatrics.
Yeah, there you go. So, guys, go follow her. If you're a parent, get a copy of the book. If you are not a parent, parents get a copy of the book. Give it to them. But doctor. Okay, thank you for, for coming to share this again. I. It's really important that we have these real stories out there. And I think we were talking about this before we, we got, we hit record. And I'm like, I'm so excited about what you've been able to do in 90 days because you're building a muscle and the more you do it, the bigger that muscle gets. The bigger that muscle gets, the bigger the results are. The longer you do it, the more you run into a snowball than an avalanche. And this is how this is. This is how it happens. So get ready. I'm already celebrating in advance, but, you know, you get ready. So thank you so much for, for coming on the show.
My pleasure. And my honor. Thank you so much for being an amazing leader, teacher, and showing us by example what's possible.
So you're trying to make the Doctor cry. Don't do it.
Let's cry together.
All right, so, you know, for everyone here, I hope you heard what she said. I hope this was an inspiration to you. I hope you would look at the next 90 days, say, okay, this is a picture of where I'm going. This is what I need to do to go there. Dr. Hoke is in my head. She's like, rooting me on, rooting for me. Let's do this. I hope that's the way you would treat your next 90 days. Doing that will absolutely change your life. And take this episode, Take a screenshot of it, share on social media, your biggest takeaway from it. Tag us in it. Then tell your friends, hey, go listen to this podcast. Go subscribe to it. Go listen. Because this is what we do to change the narrative. In the physician community, there is some person who is, like, going through so much mentally because they think they're stuck. This episode is what they need. There's somebody in business who's in cruise control and can't figure out what to do. This is the episode that they need. And so share it with them. This is how we change medicine. We don't do it by complaining. We do by spreading the light. I will use Dr. Hokehe, whose name means light.
Right.
Light of God. And we spread the light and show physicians there's an alternate reality. It does. It doesn't have to be the way it's always been. So share it and I'll see you on the next episode of the OnTarimd podcast. If you enjoy listening to the Ontremity podcast, you have to check out the Ontremd Business School. It's the number one business school for physicians who want to build six, seven and multiple seven figure businesses. You get the coaching, the accountability, and the community you need to do the work so you can thrive. To find out if this is your your best next step, book a call with my team, entremd. Com call. That's entremd.com call. I can't wait to celebrate all the wins we can create together.
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