Maybe you're not stuck because you need another marketing funnel. You're stuck because you're still doing the CA's job. Dr. Matt Hill sits down with Sadie Smith — office manager at Living Water Chiropractic and PX team member — for the conversation every maxed-out doc needs. Sadie went from part-time CA to running the entire operations side of a practice that scaled past 1,000 visits a week. In this episode, she breaks down the systems Living Water handed off first (hint: it's not what you think), the culture shift that made delegation stick, and why "Don't Bother the Bersanis" became the phrase that changed everything

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Key Moments:

2:00 Sadie's origin story, patient, to CA, to office manager

11:00 The ceiling every practice hits before they bring on operational leadership

14:00 "Don't bother the Bersanis," how one phrase reset the whole team's decision-making

20:00 Working Genius and why culture change starts with naming the gap

28:00 The case for taking everything else off the doctor’s plate first

29:00 Scanning: the first system every growing practice should hand off

38:00 Switching EHRs without stopping the practice, how Sadie led the project the Bersanis didn't have bandwidth for

41:00 The Italy test, what happens when the docs fully step back

45:00 Sadie's encouragement for docs and CAs who feel stuck in the mud

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