Succeeding in Private Practice Against All Odds with Dr. Heather Stanley-Christian

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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. Welcome back to another episode of the entremdy podcast. And I have a treat for you because I have the Dr. Heather Stanley Christian in the room and I'm so excited because we've tried to schedule this for a bit and I take full ownership of that. But we're here now and she has a really powerful story, really powerful journey that I'm excited to share with you. So, Dr. Heather, welcome to the show.

Hello, Dr. Una. All right, so smile in my voice.

I'm gonna give. I'm gonna give you a moment to introduce yourself to the listener so that they get to know why I'm so excited that you're here on the show today.

Sure. So My name is Dr. Heather Stanley Christian. As Dr. Una alluded to. I am the founder and medical director of Unity Maternal Fetal Medicine specialty. I help women with complications in their pregnancy to help to help them to achieve the best outcome that's possible for them. It's often not an easy journey. When it's bad, it can get horrible, but when it's good, it's oh, so sweet. I left institutional medicine after, I think, years of frustration, basically trying to fit a square Peg into a round hole. And after dabbling and different titles and being offered a seat at the table, but then being told to go sit in the corner, I decided, well, I might as well just go out and see what I can do on my own. Now I am one of the more senior physicians. In fact, I'll date myself. I started med school when the last of the fee for service physicians bailed out of Medicine and HMO PPOs came in. So I am that cohort and that generation of physicians who didn't know anything outside of HMO PPOs working for hospitals, working for people. And yes, I take a little while to learn a thing, but I eventually learned that it really wasn't working for me. So I said, well, I'm going to hang out a shingle and see what happens. Because that's the old. That was old school thinking at that time. Unfortunately, about four months into my shingle hanging out, Covid hit. But we're still here. And so that's my story moving forward. We were making some progress, but it was uber slow. And I was learning that maybe the marketing needed to reflect the times that we're living into. And I spoke to some friend and she's listening to Dr. Uno. I'm like, no, who's she? So I went on and I found her podcast and I binged and then I did the live last June. And then I was like, Dr. Un. You think this is for me? Because I kind of had all kinds of mindset drama, including the age thing, because I was seeing a lot of younger looking people and not so many senior physicians. So I was just kind of wondering if I was out of my mind thinking about this. And I am so incredibly grateful that Dr. Una took the time to talk to me and that I listened to my inner voice because I'm having fun and I'm seeing progress. And I mean, we could spend the next two hours espousing what the last year has meant for me, but I won't take over the show.

Well, this is your spot today. And this is, this is starting off really nicely. I think I want to, I want to, to continue from where you stopped because I still remember that post in the Facebook group where you're like, okay, I was talking about the on trendy business school and is you're like, will this work for somebody like me? And I think I want you to take a moment and talk to the person who is like you, because now you're, you're a year, almost a year and a half out at this point. And, and they're now asking you, would this work for someone like me? So first of all, maybe help the audience understand what that means, someone like me and then answer that question for that person.

Well, I was just thinking the pre year and at the earlier, the younger year and a half, me would have had a completely different answer to that. I would say that if you're like me, I consider myself to be a person who, if you tell me I can't, I tend to say, watch me. My elementary school teacher told me I didn't have what it took to become a doctor. And I remember I was 8 or 9 at the time. And I was like, really? Watch this. And when I got my medical degree, I went back to that school. She never remembered what she said to me. Now I'm going to give her the benefit of the doubt that she was using reverse psychology because she saw my potential and I wasn't living up to my potential. We go. We're going to go with that because I'm in such a different mindset space now today than the gappy space that I was back in then. But I. If you feel so, I would say to the person listening, if you feel like you really have something that's of unique value, you're frustrated, you're. If you're going to work and you're parked in the lot and you're crying, it's time to kind of stop and rethink why you're in that horrible gap such that you can't even get out of the parking lot because you're crying. Figure out if this is where you need to be. Because we all have our different strengths. Maybe entrepreneurship is not for everybody. I certainly didn't think it was for me. People said when, oh, you had a. When you had us do that, you had us do some. Not the Clifton finders, but it was something to see what they were, what you were in. In the early in the school, I busted out laughing when it says you're an entrepreneur. I was like, okay, I know this is cray cray. And they likened me to that Spanx lady. It was then I said, okay, I need to explore that. So if you have a yen or something that you haven't explored, I think you owe it to yourself to explore it.

And I like that. Right. There's no pressure here. Explore it. What could that be?

Right, Correct.

And so for you, at this point, you're over a year into your journey and everybody, you're in for a treat because she's had quite the journey and when you think about it, I was reviewing your debrief post from the end of Q2, right when we're looking at, okay, what are your Q2 wins and all of that. And it was so fun to see. I met my three goals, met my three goals, three for three. And, and that was so exciting. But I want to start from this point of what do you think brought you to that point? And we're going to talk about the wins in a second where you're really in this place where you're a goal crusher, you're a person who is doing the difficult things, but you're bringing these big shifts to your business and to your life. What are some of the things that you think are responsible for that?

Categorically, that mindset shift? Without question, because we, you've, you, you've really sort of assisted us with a lot of really good quality, great quality mindset books that forces a person, if you're really reading it and getting into it, it forces you to stop and take inventory at almost every point in time. And I won't say that I was arrogant enough to think that I was. I'm a senior physician. You kind of feel like at a certain time, you kind of like, if I figured it out, it was clear that I still had some more figuring out to do. But I had no idea the amount of figuring out that that happened pre ebs and during ebs. It's mind blowing for me personally. And so with the Q2 that happened, it was completely mindset because one or two things I knew I needed to do, but I wasn't doing it. And I couldn't figure out why I was doing it, why I wasn't doing it. But in reading the books, Positive Intelligence, that first book in June was so it shone a light on the pathway for me. And it just started, it just continued from there.

Love it. And so if you're listening here and you're like, I know the things to do, I know what to do, but I just can't bring myself to it, right? So it's time to stop and think about the conversation, the chatter that's going on between your ears, because a lot of times that's what stops us. And sometimes if you're a very tactical person, and I don't know, Dr. Heather, I think you're that kind of person, person like you, you can think strategically, you can decide on this is where I need to go and all that. Sometimes you get to this point where you're like, I have my mindset Stuff figured out. Right. And all of those things. And I've come to the conclusion that this is not something you figure out, this is something you continue to figure there's no end to it, because then you're going to take on bigger things and it's going to show up again. And ignoring the mindset piece is really setting yourself up where you're either not going to accomplish or you're going to have to settle. Because if you don't confront it, you're not. You're not ascending. That's just not happening.

So.

So that's. That's really powerful. Really, really powerful. Okay, Dr. Heather, talk to us about this. This Q2. So what were. What were these three wins that you.

Three for three. Okay, so I have to set the background a little bit. So I had a practice management system that, let's just say for the sake of conversation, went glitchy. And it was glitching and seriously glitching for a year or more. And the whole problem collectively was getting kicked down the road. That can was getting kicked down the road. I take ownership in some of that because I think some of my mindset work wasn't in place for me to overcome the fear of changing systems. Anybody who has even entertained a thought of that, just know you want to hide under the covers and not even deal with it. But it became pretty clear that I really didn't have a choice. So I made a strategy to change the practice management Systems during that Q2 time, which meant when we were doing the mindset challenge, I was fretting about it because Q1 was good. Q2 meant that I was holding claims and not submitting them, so there was no revenue to. To tap into on the profits and loss sheets. Now I also was doing locums so that I put that I brought some of that money into the business. So going back into Q1, so. Yes. But we started our EBS like in October. So to be fair, Q1 wasn't really Q1. Q1 was really technically Q4. We kind of didn't. We did a different fiscal year. So I started doing a deep dive into every expense, every cent, every penny, every dollar, and honed that in, reeled that in, got the expenses down to bare bones. Stopped drinking Starbucks, which I didn't do much of, but not even the business was paying for my Starbucks. So when I was doing locums and the business was paying for it, I was on the austerity plan. So I did. Started that through Q1. So coming into Q2 now we were able to meet the revenue thousand dollars, but hey, it's a win. I took it. And that startled me because when I looked at my profits and loss, I was for sure, I was like, oh my, go write this on Facebook now. And oh, I'm such a failure. And when I looked, I was like, wow. And when you looked, I, I was surprised by your response because I guess it was a thing, huh?

It was a thing because it was supposed to be a month that was going to, it had the potential to be a disaster, right? And, and this is the thing about entrepreneurship, and this is why I'm very grateful that you're vulnerable enough to share your story. Right? Because the thing is that there, there are going to be ups and downs and that was supposed to be a hold down quarter, right? You're holding claims, you're doing all of these things, but still you are able to hit your revenue targets because you put some strategy behind it and you're like, okay, this is what is going on. This is what my response is going to be. Now what gets me so excited about that is because the systems that you've built and the strategies that you've used, now when all your payments start coming in after they've held the claims and processed it, then your profit margin is still so much better, right? And so that also brings us to this concept that everything, there are things that are a disadvantage, but if you look carefully, you also see how they are an advantage, right? And so if you think about this situation, put you in a position where, okay, I'm digging into my profit and loss, I'm looking into my expenses, there may have been, this happens to entrepreneurs all the time, things that you pay for that you haven't used in two years, right? You would have optimized your team. These are all things that you did. And guess what? When the claim started going, you don't go, oh, now we're back to this place and you throw away all of those things, you have them to keep. So it was a disadvantage, quote, unquote, in one quarter and you still thrived in the midst of it. But then when everything settles, you have all of those things too. So the advantage is now your profit margin is so much better, so much healthier, and you build this muscle where, when, when they're challenging times, I know I can respond to it and we'll be okay, right?

Such a yes. And that, that I think of all of the tangibles that my new or my improved response to winds in the depths of despair is so 180 degrees different than how I would have handled it before. I would have my health. I've lost weight. I promise you, I would have gained every bit back, but I haven't. In fact, I'm still losing weight. Go figure.

Go figure.

That's mind blowing. That's even bigger than the revenue achievement. Yeah.

I love it. I love it. That's great. I think the second one you talked about there was your team, which you've even taken it to Q3. And Donald Kinds of wild things with. And this is an area of a huge struggle for entrepreneurs as a whole. Right. Like how do I find the team, how do I train the team, how do I build team culture? And it's something that I've watched you over the last year like intentionally and consistently continue to work on and up level your capacity. So inquiring minds want to. Want to know. Talk to us a little bit about that.

Oh, team. Yeah, I need to figure that out completely. However, I will say that I'm incredibly slow to hire and I try very hard to look in between the lines and I will listen to my instinct. I know that my natural bent is not to suffer fools easily. I suffer them a little bit easier now. Thank you, Dr. Uno to the mindset, but the space for which we're providing our care, it's a team. It's not Dr. Stanley, it's a team. And so if I'm not there, they're going to represent. They're running the clinic and I'm not there. But they are my representative. I am their representative. And whenever we get accolades, everybody gets accolades. And so one thing is in the selection, but then the other part is the onboarding and the meshing. The. We almost have team retreats, but every day. And communication, effective communication. Use of the English language. English is a code. So you can't tell me a thing is black when it's really red. So I make it a point for myself. If I'm going to tell you an apple is an apple, I'm going to tell you it's an apple. It's round, it's green, it's tart, and it looks like it might be a Granny Smith. So there is no confusion. And so if I'm going to take the time to do that, then I'm going to teach you how to do that with expectation, is that you're going to assimilate the lesson and integrate it into your workplace.

Yeah. So for everyone listening, you can hear the intentionality behind this. Right. So slow to hire. And the Whole concept of having a lot of conversation. Because I know Dr. Heather, she has meetings with them. I mean like she's almost saying, it's almost like retreat daily. And these are daily meetings. And we're talking vision, we're talking culture, we're talking how to represent the brand, we're talking how to do what you do with such detail, right? Like not this is an apple, like breaking it all the way down. And she's really good at that. And her team has bought into her vision. So the few times we've talked about your team, Dr. Heather, and you're like, this is what we want with the schedule. We got it. This is what you want with these patients. We got it. It's been really to, to, to see. And I think the reason why sometimes as entrepreneurs, entrepreneurs run away from it is like, it shouldn't take all that. Like I should just hire the person. Person should know what they need to do. And for you, you take the time to do that. It does take all that and it's work. But what kind of freedom has investing in a team made possible for you? Right? Like what, what? Because I'm sure you're experiencing the return on investment of the time and the effort and being sl and all of that. Paint a picture. Maybe somebody would be like, forget, I'm going to figure this out.

So for example, my patient, my patients are being seen. I am in Missouri taking care of other people's business. The communication. We have almost all of our. We've used the digital world and to our advantage. We. I always thought mindset piece wise. I was wondering, am I micromanaging historically? But no, I just, I spent the time on the front end and it is work, I'm going to tell you. Sometimes I was tearing out the gray hairs, but persevered. So now as it stands, I actually have a practice that can run periodically without me.

Okay, if you're, if you're listening.

Challenge.

If you're listening. I'm like totally rooting arms in the air. Yes. A practice that can run without me.

Yes. When you had that Askathon challenge and we were in meeting, I was like, yeah, they doing that. They're doing the marketing thing. We have a whole Excel spreadsheet system. Da, da, da. They're coming up with ideas like, okay, let's hit these people who are not doing these things. They're coming to me before I even have the idea. So now I'm going, if, if I continue, if they continue to spoil me like this, I'm gonna have to fight laziness.

Oh, Dr. Heather, you're in the entremd business school. We will figure out what will keep you busy. We'll just up level your 20%. Don't worry about it.

I had to sit down and go, okay, I need some 20% things because I can't. I. I'm doing some 20 things, but they're kind of in process. So, like Sunday, I met with my. My biller. We found a task. I delegated them. I'm like, okay, now what?

And this is such a. This is such a beautiful thing. I didn't experience it till I really started leaning into team. You get to a point where you're like, okay, I'm gonna. We need to find some things to do.

Right?

Because the capacity of our teams are so high. And. And now that we're talking about this, right. It's not only that you do all of these things. Your team is better for it, right? So I saw a post that almost made me cry. I'm sure you know what post I'm referring to, right? So I want you to talk to the people because this. Because our businesses are designed to primarily change lives. So the lives of our patients, our clients, the lives of the people who work with us, our lives. And then do it in a profitable way, right? So talk to us about the post that I'm talking about.

Okay, so background on that, peeps. You can find your work. Tribe. Maya came to me with zero medical experience. She came out of some retail store, didn't even know what an LMP was, but there was just something about her. And I looked through and I did my due diligence and I actually sat and meditated on the energy, the tangibles, the intangible, and we communicated. And I'm like, you know what? I'm going to take a chance on this child. She's been working with me since. It's been. It's going to be coming up almost two years. And she came in and I could see that her intention to just be better. And so I just let her do her thing. I said, let her make her mistakes. And if she had her trends, I would say, can I offer some feedback? And then there came a point where I said to her, girl, you need to go get that paper. Go to ma school. I said, it's not for me, it's for you. I said, you are. At this point, she was already doing ma work, but she just didn't have the certification behind it. Well, she took me at. She took me up. She went to ma School. While she was working with me. We made accommodations for her, and she had her graduation on Friday. I was there, and she presented me with a rose. I was tearing up, but, God, I'm so proud of her. I told her, mama, I said, if she weren't your child, I would take her, but I might still take her, even though she's your child.

Wow. I mean, and that there. There are things we chase down, but that right there. Because think about it. What difference does that make in her family? What trend did she just set in her family? What difference does that make for her kids? When you trace it, you probably touch the whole community by doing that. Right? That's really your business, leaving a legacy and not in a way you'd expect. You know what I mean? And so that's really, really powerful. When I saw that, I was like, oh, my goodness, this is. This is so good. So good. Okay.

So proud of her.

Yeah. Yeah. I was just like, man, that's. That's life change right there. Right. And that's. That's why we're here on the planet. But so when you think about maybe Q2, maybe this year, and you think about the biggest lesson you learned, Right. I want you to gift that to. To the person listening, biggest lesson you learned. And let's have some conversation around that.

Okay. That's. That's like a whole lot of topics, but let's talk about the mindset piece.

Okay.

There is so much that, I don't know. We just. That I still need to know. The maximum achievement book. That's going to be my new. I don't want to say Bible, but it's going to be. There's just. And as I'm reading it, chapter seven touched a raw nerve. And so I'm going to have to come back to it because it's unearthed for me so many things, like another layer of the onion. At this point, I don't think I'm ever going to reach the core of the onion. But there's plenty more to go from the business perspective. We need to learn about that part that's been never taught, and we don't have to go to an MBA school for that. I have learned that. Thank you, doctor. Because I was like, what? I need to know what financials. I told you that was a frog. That was a problem for me. Now I'm eating that with ketchup and mustard. And if next year works through, I might actually like. You might like frogs. Possibility.

Yes, it is. Yes, it is. I think. I think you're gonna fall in love with eating frogs because of what happens after you eat them. Right. The frog may not be delicious, but what happens after it is. So for. For someone who's listening and wondering, the Entrepreneur Business School, we have a book of the month. And so she was referring to one of the books of the month. And really, I don't know if you can hear this in Dr. Heather's conversation, but there is a certain level of intentionality, discipline, consistently consistency around doing what is required. Right. Like, when I hear you talk about the mindset, it's not a haphazard.

It's not.

You're like, no, I read the book. There's this layer. I have to come back to this chapter. I need to work on this. There's a level of intentionality, and for me, I find it so inspiring because you are at a stage in your career where most people settle is, I'm just. I'm just gonna wait every time I go do my own thing. But it's so inspiring to watch you work on yourself that much. And the thing about, you know, this is what I didn't. I didn't want to learn. I didn't want to do with my business, look into financials and all of that. But I watched you week after week go, okay, I didn't want to. I was almost having nausea. But I went to look at the statements and I looked again, and I had this meeting and I looked at my pnl. I think you talk about PNL in the school more than anybody else. Like, when I think about it, I don't think anybody talks about piano as much as you do. And that's just. It's. I just want to give you that feedback that is very inspiring to watch because you're very intentional, you're very committed. You're like. It's like a bulldog to a bone. Like, you're not going any. You know what I mean? Like, we're going to figure this out. And that's a compliment, by the way, the bulldog. It looks the way it looks. But this is a compliment. And. But it's so good to see because it says okay to everybody else who's just starting out or in the middle of a career, what are you doing? You know what I mean? And so that's. That. That's beautiful to see. Really beautiful. That's the reason why you won the Dr. Rosemary Thomas Award. We have onto every business school. We have a vision retreat once a year, and we had a doc. She was a guest on the podcast, Pediatrician from Trinidad Amazing. Doctor, Senior physician as well. And during the pandemic, it was just so inspiring to watch her, how she fought through that and made her practice work and was innovating in the midst of it. And unfortunately, we lost her to pancreatic cancer. Cancer last year. And I always looked for a way to honor her memory. I was like, what will I do? And I was like, I'm going to create an award. And it's just to you. Just to carry on that legacy of that attitude of resilience. And we're going to make this work, and we don't slow down, and we take challenges in stride. And, you know, when it came that time, there's. I couldn't think of someone better than you, Dr. Heather, to get.

Well, you surprised me. Nobody has ever surprised me. Because when you were talking about Dr. Rosemarie, I was thinking about her. I was so blessed to have known her for that quarter before she left us. And the time that we were talking, I don't think I knew she was ill, but at some point I did. And as you were. We were remembering her, I was actually crying, and I almost missed my name because I was thinking. I was like, no, if I can be like Dr. Rosemarie, she was. I mean, I'm just gonna be blunt. She was dying. She was dying weeks before, and she took the time to mentor me. I will never. I'm like, if I were having my last breath, can I honestly say that I'm going to be talking to some stranger in the United States?

That was her face.

That was her.

That was her.

So when you call my name. And that's why I fell out. I was like, okay, girl, get it together. I almost missed my name, but thank you so much. Now I feel that obligation to give, to walk that in her. In her footsteps, which is another. I can do that. I'm gonna do that. Because that is selfless, unconditional love for humankind.

Yeah.

That you can take your last breaths and be selfless. I mean, damn.

Yeah, she. She was something. She was something. But thankfully, she lives on. Right? Like, she lives on. I'm so glad you got to have that kind of meaningful interaction with her. I didn't even know that you got to do that. That's. That's super powerful. Super powerful. Okay. So people want to know. They want to be able to follow you. They want to know where they can find you. Some of them may be in Florida, and they want to refer to you. Where can people find you?

So our brick and mortar office is in Clermont, Florida. We have a website, unitymfm.com and on the social media, we're @unitymfm.

All right, so, guys, we always support physicians. If they're gonna come here and tell all their business, we're gonna support them. And so follow her on Facebook and if you are in the Florida area, make some noise, share about what she does and things like that. She, you'll get to see if you look on, on, on Google, you'll see her reviews are fantastic. You'll see testimonials, video testimonies from our client, from our patients, all of that. So it's really. Yeah, she's a, She's a real deal, like, for sure. Dr. Heather, there, there's somebody who's listening to this and they have their version of is this for me? Right? Their version of is it entrepreneur business school for me? I'm too young. I'm older. I have kids. I have. I don't know anything about business. I don't know if I can afford it. I don't like so many different things. Right. What would you tell that person now that you've, You've. You've been in the school for over a year, you're one of the masters now?

Oh, wow. I would say that all those things are reasons not to dig deeper into why you want to do it. You have to want to do it for yourself. Your kids watch you, so if you have children for whom you want to leave some positive influence, what they see their parents doing, they are going to initially mimic. There is no selfishness to pursuing your dream. And yes, those other things about too old to this, too young. And I'm talking to myself as I'm talking to you. You just kind of have to figure out if this is really for you. If, do you want to do this? Do you want to do this? Then if you want to do it, you can do it. The road is going to be not cookie cutter. It's not algorithmic. It's not do A, then do B and then automatically C equal D. You're going to have to find the pathway that works for you. And it's your pathway. It's nobody else's pathway. I went to med school when My son was 11 months old. Just FYI. Made it happen.

Made it happen. Oh, my goodness. Dr. Heather, I knew this was going to be really good. I didn't know it would be this good. I can't wait another year from now. We're like, okay, we're going to do an update on that call because that Call that interview is going to be wild. Like, completely wild.

You have a way of pulling things out because you know, how many people know me and don't even know that I. My child was 11 months old when I started med school.

Well, I didn't know either, but now I know. And now. And now thousands of other doctors know.

You know, that's not right.

Yeah.

Somebody has to pass.

Yeah. I mean, thank you so much for really taking the time to share. I'm so glad this is not a highlight reel polish thing that's not going to change lives. This is a real story with real challenges and real wins and real lessons. And I truly. I truly appreciate. In a world that's the way our world is, authenticity is not something people put on display. We talk about it, but we don't put it on display. So thank you for doing that. I just want to say to everyone who's listening, the whole reason behind Entre MD is a movement of change. Right. We are the Calvary. Nobody's coming to save us. And if this has been a gift to you in any way, I want you to take this, I want you to share it on social media, say, hey, I listened to this episode with Dr. Heather Stanley Krishna. You absolutely have to listen to this. And you can tag, or tag me, tag hashtag ENTRE MD and share it with the doctors in your world. Don't keep it to yourself. The way we change is we create examples of what is possible and we keep putting them on display because once we see them, we can't unsee them. This is how the change happens. Once we see you're like, this doctor is not stuck. This doctor does not have a loss of autonomy. This doctor is in control. And even for the things that she doesn't yet have control of, she has a system for transforming herself to become that person who can control that. Right? So it's just. It's like freedom. Right? It's like freedom. She is. She's leveraged the team to the point that she's. So what's left to do? I mean, can you imagine that this is really living life and practicing medicine on. On. On her terms? So share it with another doctor. This is how we change medicine. And Dr. Heather, thank you. Thank you, thank you. I probably can't say thank you enough. Thank you so much for coming on the show so much.

Thank you so much. And thank you so much for your mentorship. I am so glad that I took a chance on. On for md. It's. It's changed and rocked my world.

I like the now I'm gonna have to clip that version play to myself every morning. All right, I'm gonna see you guys on the next episode of the Entremdy podcast. Go share this away. If you enjoy listening to the On Trendy podcast, you have to check out the On Trendy 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 best next step, book a call with my team on trend.com forward/call. That's onchaimd.com/call. I can't wait to celebrate all the wins we can create together.