8 Years, A Taco Truck, and The Practice I Actually Built
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In this episode, I’m celebrating eight years in private practice—and sharing the real story of how I built the practice I actually have today.
When I opened my doors in 2018, I definitely did not have it all figured out. I started with an insurance-based model, struggled financially, navigated the pandemic, dropped Medicare, and eventually opted out of all insurance. Along the way, my practice, and my life changed in ways I never planned for.
I’m also sharing some of the unexpected challenges I faced in 2026, including major personal changes and uncertainty about my office space. And yes, there was a taco truck involved.
This is the final episode in my three-part series on building a profitable direct specialty care practice. My biggest takeaway? You don’t need to have everything figured out before you start. You just need to take the next step, stay flexible, and keep moving forward.
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