A lot of physicians think that they have entrepreneurial experience. After all, they started or ran a medical practice, and isn't that what a physician entrepreneur does? Maybe, depending on your own definition. Well, here's mine. These are not all necessarily descriptive of the current situation, and they are not all things I'm proud of or would recommend. Most of them certainly were not intentional, but they are all taken from my personal experiences. Some are humorous, some are not.
These days I'm happy to say that the vast majority of these things are behind me. Much of what is detailed below was brought about by the speed with which we are/were growing. Nowdays I'm usually home at night,Surface clinics have excellent staffs that I adore and count as friends, and I'm starting to have some free time again to devote to other persuits. Life is good.
And now, without further ado...
You might own a Medical Spa if...
You've 80k in credit card debt from cards you never knew you had.
You've averaged 60-80 hours per week of work for the past seven years.
You can personally have the most advanced medical treatments available but receive the poorest quality care.
You've found yourself at 2am painting treatment rooms in your underwear.
You spend two days without sleep because you know you're going to have to fire someone even though you're firing them for stealing from you.
You're accountant calls while you're leaving for vacation to tell you that your newest location is 25k in the hole so far this month and checks are bouncing.
You have employees that make five times what you do.
You eat all of your meals off of paper plates using plastic utensils.
Without trying you've succeeded in convincing all your employees to never try to start their own business.
When someone asks you what you're doing this weekend you say "Working, of course, just like any other day."
You go to the gym once every six months and kid yourself that it makes a difference.
Every six months you see the same guy at the gym who's obviously in shape and think "How in the world does anyone have time for that?"
6pm feels like 1pm.
Your staff clocks out while you're having lunch.
You drive home in the dark every night of the year.
You drive 60k miles between clinic each year.
You're ear aches at the end of the day from having a cell phone pressed against it for hours.
When people ask what you do you answer," I answer questions all day".
You have a bet with yourself on how long after meeting a woman and telling her what you do she asks, "What do you think I should have done?"
You learn never to answer the above question.
You have the most overwhelming sense of Deja Vu every time a physician with any type of rinky-dink cosmetic practice tells you that he's thinking about franchising his business.
Your wife is reduced to tears at a fourth of July parade when a patient accosts her demanding to know why your physician, Dr.Y, has ruined her life.
The physicians complain that the front desk is booking too much time for something and changes the default in the schedule. The front desk complains that the physicians take that much time and change it back.
You've closed, locked the doors and gone home leaving a patient still sitting in a treatment room.
You walk into the clinic kitchen while the staff is discussing horror stories of performing Brazilian hair removal in graphic detail.
You wonder if the computers ever actually work when you're not there.
You have to chase down a woman who's attending a free seminar and trying to make off with $600 in product samples.
You feel almost euphoric just thinking about what it would be like to not owe anyone any money.
You develop a deep and abiding hate of yellow page salesmen.
You wonder why, when every salesperson on earth is deeply committed to helping you 'grow your business', they're never around when you're signing payroll checks.
You've told someone not to start a new medical spa on their own because you sincerely can't bear the thought of someone going through what you've been through.
Just closing the doors and moving to South America seems like a perfectly viable option.
You've worked multiple Christmas days.
A physician you've trusted and put in a position of power starts having patients pay him directly inside the treatment room and sets up a secret merchant account so that he can swipe a card and have the money deposited directly into his personal account.
After you fire the above physician, he breaks into the clinic and steals equipment. While you're on the phone the next morning with the police, his wife calls and leaves a hysterical message asking 'How you could do this to us?" and threatening to sue you.
A patient asks "Why is ________ at the front desk insisting that she deliver deliver products and take payment at my house?"
You've paid the federal government more in business taxes than you've paid yourself.
A physician calls you and asks for your help since American Laser Clinics has an armed guard in his waiting room to prevent him from seeing his own patients while at the same time their performing treatments using him as their medical director.
The same physician tells you that he's been doing this for thirty years and know how to run a clinic better than anyone while dismissing reports showing his declining performance as a 'computer problem' and asking you for money so that his kids can continue to go to private school and he doesn't have to sell his airplane.
The same physician thinks that all his new patients are coming through excellent word of mouth and his superior charisma while dismissing the $16,000 you spent last month advertising his services.
You have to deal with this physicians office manager who's decided to get even with you for not hiring her so she takes every opportunity to sabotage you.
You find yourself expanding to a physician why you can't advertise in a fashion magazine using before & after images of extremely unattractive sagging bellies and thighs from 80 year old morbidly obese patients even though 'the results are good'.
You don't worry about filing taxes late because you know you're not in a situation where you could possibly owe the government any more money.
You've felt a sense of relief when an employee has quit because now you don't have to lay them off.
You're an expert on what does and doesn't count as a business expense.
You've slept on the floor of your office or on the couch in a waiting area more than once.
You've seriously considered buying a cot for your office.
You wonder where the last five years went.
You realize your wife must be a very special person because what other woman would put up with all this and still like you?
You have 6 horses you never ride, a gym membership you never use, children you hardly see, and family vacations you don't go on.
You look at every medical spa you drive by in your car thinking, "I bet the guy running that medspa is making a lot more money than I am."
You have a surge of bile when you're at a medical convention and a consultant says to a packed room of physicians, "Of course you can make $250,000 per treatment room right now," and then proceed to tell everyone that the key is to 'not let any patient leave until they've bought product and booked another appointment.
You wonder how the above consultant got anyone to listen to her, ever.
You're able to write a list like this in a half hour right off the top of your head.
This just a partial list of course. I may add to it. And of course these are all in the past.
JAMA has released an abstract showing that the doctor in Florida who injected himself and three others with botulism, may have used enough to kill himself 2857 times. They also state that "no cases of botulism with detectable serum toxin have previously been attributed to cosmetic or therapeutic botulinum toxin injections."
Take a look at the picture to the left, you will 'know' that this is a very beautiful face. But why? Finding answers to why we regard one face as being more beautiful than another is actually not as easy as it seems. 
Who is the most beautiful woman in Germany? An official jury tries to answer this question each year. In January 2002 it chose Miss Berlin to be the most attractive woman (left picture). But is she really the most beautiful one? The results of our study suggest - at least in theory - to be far from the ideal. 
