Advanced Medical Practice Business and Marketing Ezine        Apr. 2016 

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Are you losing your private medical practice because you can’t earn enough to keep it open? It’s because you were never told you needed a formal business education to
reach your peak performance!
  “They” taught you how to practice medicine, but not how to
run a medical practice business, let alone a profitable one.

"We are talking here about your need for implementing OFFENSIVE financial business weapons to earn
what you want whenever you want."

 You discover these proven and effective business
 weapons and how to use them on this site!

Article #73 -  Apr. 2016

“Resolving the Conflict between Your
Medical Practice and Your Home Life”

In clinical medical practice married physicians are forced to
compromise their time and energy of varying degrees
to maintain a reasonable balance between their obligations
and responsibilities inherent to their profession
and to their families.

     The life style of work/home balance is so limited to personal conscious and subconscious influences that the integration of such a complex issue into your professional lives often
becomes a task relegated to a time after a tragedy has already occurred.

     It’s a tragedy that results from the imbalance in the equation, commonly ascribed to an increasing distance between home responsibilities and obligations verses the intense desire
and need to reach your highest level of competence, skills, and knowledge in your profession… no matter what it takes.

     There is, however, a way to look at the issue and to resolve it for you if both participants
can conquer two primary issues…     

  1. The mutual depth of love and commitment to the marital relationship
  2. The belief that the greatest happiness comes with an agreement
    by both marital partners to provide enough time and energy to the relationship and the profession to satisfy the both of your needs.

     The problem then is how to accomplish it without a wrestling match or worse. Either
you agree to change a few things permanently or you get a divorce.

     First, as a professional, you need to make some tough decisions about your relationship
with money, your medical career objectives, and where you find your greatest and enduring satisfaction. Yes, you are the professional that rides on the heavy end of the stick.

     Second, you have been the victim of the extensive subconscious impact on your place in
the practice of medicine. Everything fed to your mind during the medical school years, and specialty training after that, serves to brainwash you into the need for maximizing your capabilities. You reach a point when nothing else matters… you have no choice and you just
have to do it. That imbedded emotion continues to persist from medical school on into your medical practice years… a time when earning money drives you even more.

     Third, your new professional credo in the beginning becomes your standard for your professional life and your relationships with your family. Is it easy to change? Hell no. At this point you expect your spouse and family to agree with your thinking and actions and must go
along with it. Why would they disagree when you are providing everything for them that is
needed or wanted? Unfortunately, your spouse will only take that for so long… following you
into your goal-driven paradise… not hers (or his).

     You may be thinking that your spouse must be happy having all the advantages of a doctor breadwinner and career social order, income, upper middle class position, and the social
position your spouse is raised up into. At first, satisfaction with the arrangement seems
important and contributes to the welfare of both people. But it doesn’t last longer than a
cigarette or bottle of tequila… seems like.

     For a spouse who also has a real job and is earning money and gaining the advantages of
their position both in the workplace and home, the widening distance issue starts immediately.

     As a professional, you have your fulfillment, satisfaction, joy in what you do and is fed to
you in daily doses in your medical practice mode, while your homie spouse spends the day in relative isolation working on chores without a real paycheck… at least none that he or she ever sees. Have you ever considered becoming invisible and following your spouse around for 12 hours a day in your absence, to see what your spouse is really doing, feeling, and confronting.
If you could do that, it might make you somewhat more considerate of their situation.

     You may think you’re providing the family with continued huge benefits so there shouldn’t
be any complaints. Your spouse doesn’t perceive your formidable “benefits” as anything more than normal life experiences showing up now and then. It’s a different world on the other side
of your dollar bill.

     What you have now is, more often than not, a complete lack of communication in the areas
of personal wants and desires. You may believe, “She already knows me, what I’m trying to do
for the family, and why it’s important.” The truth is that both you and she are silently making personal sequential adjustments to your goals, desires, and, most important of all, your expectations of what your future will be like.

     The verbal updating of the changes that you both hold in your own minds never seems to be important enough at the time, so the conversation never happens. Ask yourself, when was the
last time you both sat down and discussed what new issues are, or will be, now starting to affect your relationship? It’s so easy to avoid a serious conversation and so hard to bring up potential problems that might cause friction.

     Your wife will never admit, or tell you, that she is unhappy. Why? Because she’s supposed
to be happy in that environment while you are at the office, so she pretends… until the
frustration bubble eventually bursts.

     Some conclude that it would be much better if medical professionals never got married or
had families of their own. But we all understand the innate nature we were born with that invites
us into family relationships. Most of us start out with a loving marital relationship which over time becomes a burden. No one has been able to come up with a set of guidelines for wives or husbands to follow to maintain the work/life balance. The strategies for doing so are numerous.

     There are some things that professional husbands or wives have to do for themselves… and
one of them is to actively keep the family circle tight. Doctors usually have a big advantage over their spouse because you can fall back on your medical practice for support, validation, and self-esteem. Housewives don’t or can't.  

Now it’s time for a calm level headed discussion with your spouse…  

     First, you have to learn to recognize the symptoms of an impending clash with the home-boss. Of course, you won’t be able to do that unless you are looking for the right signals. All medical professionals at home should be paying attention to one of many leading tip-offs of pending trouble. If you’ve already made the unilateral decision to split, then don’t continue to hang
around pretending to enjoy home-life… get out. Otherwise the torment and anguish within the family will persist.

     Pretending doesn’t last for long. It becomes obvious to the spouse simply by intuition… yes, you just talk and act different. Body language, even without opening you’re your mouth, unveils your mood and temperament.

     Do you “know” when you are irritating your spouse or even your medical patients? Most doctors recognize it happening. You also quickly recognize when your spouse is worried, irritated, and short tempered.

     Often both your spouse and you are aware of a disintegrating relationship, but both refuse to bring up the problem for fear of the many consequences that can  occur as a result… just better
to stay silent and pretend as long as you can. And one day in the future something, some words, some event, some activity, some upheaval, will trigger a cleansing of the mind. Think of a mind that has been heaping up piles of frustrations, blame, torment, and anger just waiting for the
trigger to explode.

     It seems normal for people to avoid the final clash as long as they can because there is always the possibility that things will magically be rectified without a battle. That thought can be the
thing that precipitates a reconciliation or restoration of the relationship. Nothing will change by getting back together again unless both agree to changes they have to make, or at least work on over a short trial period of time.

     Second, by recognizing the problems early enables time to face them and intelligently work
out the solutions so both end up happier and more satisfied with the relationship. Your children often recognize what’s going on sooner than the adults. Prolonging the agony and insecurity of your children impacts their emotions forever.

     Third, your discussion with your spouse must be only between you two, isolated from interruptions, and at a time when thoughts about recent conflicts have dissipated. Either person must make a decision, not just intend to, to start the conversation and choose the right time
to do it.    

The best approach to the problem relationship between doctor and spouse

     Many couples contact their minister or other religious leader to use a counseling approach
that is framed around Biblical admonitions. If both doctor and spouse are strongly into their religious beliefs there is a better chance that a pastor can really help them mediate
their differences.

     The majority of professionals, doctor or not, seem to have a greater resistance to counseling and counselors. Understandably, doctors are quite adept at counseling their patients which may create in their minds the belief that they are just as qualified as a pastor or other outside person
to resolve their own issues. That’s the way I
with my first wife felt about our pastor's counsel.

     I’m not an expert on this topic but I believe that marital counseling with individuals outside
the family only helps to persuade the two people to look at the positive possibilities available to them. Then they can decide between the two of them what to do about their situation.

     I also believe that religious leaders are not qualified to counsel professionals about marriage, because their solutions are based on their religious beliefs in one way or another. During such highly emotional and potentially explosive sessions, the religious elements being introduced
just seem to add fuel to the fire.

     If one or both of the couple being counseled are deeply religious, then the introduction of religious references only serves to create even more self-induced criticism, humiliation, depression, and self-destructive thoughts… contrary to the intended result of counseling. Like, "I'm a complete failure in the marriage relationship and haven't had enough self-discipline to approach my spouse about resolving issues, so better to just dump it all."
     I’m not saying that a pastor’s counseling is unproductive, only that their limited span of knowledge and experience outside of religion, compromises their thinking and advice. It’s no different than a doctor counseling their patients, because their solutions to their patient’s
medical problems may not be what the patient wants or needs. Just try to talk a patient out of
not needing narcotics for treatment of their pain.

     In the case of a patient, the consequence of losing the patient by refusing to prescribe medication has to be considered. And in this day and age loss of a good but demanding patient
hits at the core of a doctor's money problems, might be self-destructive motivation compared to your obligation to serve your patients the best you can. The same fear is present in the marital situation with comparable consequences. The question that arises is, "Which action is more important to me?"

     Doctors are unlikely to discuss their marital problems with their peers. And if they do, the advice they get is somewhat inappropriate or twisted by their own poor marital experiences.

     Before I get to the meat of this article… I want you to be aware of a few of the facts from a recent survey of “doctors vs. divorce.”        

     The divorce rates in a 2015 report, a large study done at Harvard of 40,000 physicians and 200,000 other health professionals, provided some interesting results. ( )

     The study included a wide range of health professionals. Physicians had the
lowest divorce rate among all of the medical care professionals. The rates were
for dentists 24%, healthcare executives 31%, nurses 33%, pharmacists 23%,
lawyers 27% (for comparison), and physicians 24%. The overall divorce rate in
the USA has dropped over the last two decades seems to indicate that less of them
are getting married and are simply living with their partners.

     Considering that about 50% of physicians in the U.S. are in private medical practice today… about 500,000 in number, leaves 125,000 that do get divorced.
That means about 125,000 practices are essentially destroyed or severely compromised, moved, or sold. Additionally, the same numbers of families
are disrupted.     

     Because so much of medical care is reduced during those instances, many in
the profession are looking for a means to reduce the incidence of divorce among health professionals. No doubt those who are divorced are wondering who was responsible for causing the divorce and how the divorce could have
been avoided if that was the intention.

     Good honest communication between marital partners, regardless of fear of consequences, is by far the most satisfactory and important factor in resolving marital issues. Otherwise, the relationship will always become worse with time
and results will commonly be the same as they would have been way back then. The difference is that the months and years of delay in having that conversation increasingly effects all aspects of your medical practice.

     That's because over time, your irritation turns to frustration, frustration turns to anger, anger turns to abuse, and abuse turns to actions that you will always regret.

     Now back to the most successful means for physicians to remain married and maintain their families while continuing to practice medicine. Dr. Andy Stanley, well known pastor, on You Tube, on TV, Internet at and highly regarded in the business industry as a motivational speaker and writer lays it all out for you to use effectively yourself. Rev. Robert Morris also teaches about marriage exclusively, on "DAYSTAR" channel on Sunday TV.

     Dr. Stanley calls the process “Breathing Room.” 

     All medical professionals understand that they will, for as long as they practice medicine, primarily in private medical practice, be spending much more time with their medical practice than a 9-5 job requires. The problem is that their medical professional duties may require hours, days, and sometimes weeks away from their families well beyond the 40 hour work week.
Spouses need to be reminded about that obligation to your profession, should success be
your goal.

     I believe strongly that before marriage the non-physician spouse must be made fully aware of what disruptions will be occurring in the marriage as a result of your thankless job of trying to balance your profession with your family life. For most physicians that are married early before the full gamut of medical education has been completed, sex, companionship, and emotional needs usually obliterate any attempt at being honest with their spouse about the challenges he
or she will face later. Likely, most wives have no idea about what may happen later to their
marital relationship.

Resolution thoughts

     The first question to ask is, “What would be the ideal situation/solution that would prevent the increasing antagonism and unhappiness between the two of you?”

This avoids starting out with a list of mistakes, abuse, faults, irritations, lack of concern for, and neglect of the spouse.

     Since the spouse is usually riding on the high end of the stick and more vulnerable, the doctor should begin with the sentence above. It opens doors and permits discussion on the critical
things first. Most often the critical issue is that you are not spending enough time with the
family. In effect it says that you have transferred all responsibility for the family to her/spouse.

     Most wives/spouses accept that because they assume that you will come back home and take back the responsibilities at home… but you never do. The promise to do better never happens
and things don’t ever change.

     When excuses, reasons, delays, and promises to do better routinely continue, then trust is
lost in the doctor by the spouse for the relationship ever to get better. This relationship will
then become irreparable.

     Doctors love progress. When you get home there is not much chance for progress. Your
need to make more progress in your practice and career eventually will become out of your control… maybe so automatic that you don’t recognize it.

     Your wife may ask you to come home at 4 PM instead of 6 or 8 PM every day. If you agree, then you are giving up your emotion and drive to do more in your practice. You then have your own fear of what will happen to your medical practice if you actually trade office time for home time. It becomes a big obstacle for you. Your employees can handle your office for short
periods of time and you know that’s true.

     As a physician there are two keys that spouses require above all others…

  1. Be a husband to your wife (or visa versa) in real terms
  2. Be a dad (or mom) to your kids, something she (he) can’t do

     Dr. Stanley’s advice is to trust God completely to resolve your absenteeism with your family. When you do, then the elasticity of your limits becomes compatible with spending more time with your family. If not God, then activate your due diligence to your marital contract.

     I believe that this is the same magic or supernatural experience that happens to those who
step out of their box or comfort zone in spite of their skepticism. This experience is something that has been confirmed by neuroscientists and brain function researchers. Maxwell Maltz, MD, discusses this concept in his book, Psycho-Cybernetics, written back in 1960. It has been read
by 30 million people and remains a standard classic still applicable today.

     The experience goes like this…

     When you finally decide to step out of your comfort zone, vault over top of all of your self-induced limitations, and step into the mist of entrepreneurism, something very unexplainable happens to your mind.
     Suddenly, you discover that new ideas, thoughts, solutions, and information flow into your mind spontaneously. This has been explained to be the result of the subconscious mind being given the order to search the memory banks of the brain and pulling out any and all information that might have to do with resolving the issue that pushed you our of your comfort zone in the
first place.

     This activity goes far beyond the capacity of the conscious mind to get access to.

     Millions of people have confirmed that it has happened to them. It’s the factor that enables entrepreneurs to accomplish more than most can and do it much faster. One just has to believe that it will happen. Once you experience the triggering power of stepping out of your "self-limitations," belief follows. 


      Most physicians don’t seem to understand where true happiness originates. You may think that the accomplishments you make in the practice of medicine is what drives your satisfaction, happiness, and fulfillment. But your greatest and enduring happiness originates in your relationships with our families. Medical practice can disappear suddenly for many reasons, but families continue on for a lifetime.

      Being successful in medical practice and your career helps, but is prone to be victim to destructive governmental and societal changes such as we are seeing today. A loving
relationship with your wife/spouse is perpetual and enduring regardless of external
circumstances, quite opposite of a medical practice.

     Remember, medical research scientists report today that about 10% of the brain function is allotted to conscious thinking. The other 90% is managed by the subconscious mind. The secret about using the subconscious mind is that it has to be "asked" to do its part and may need a
trigger to make it happen.

handwritten signature Dr. Graham


"Professional Nudge"  

Now, if you add the number of sensory intakes estimated to be around 5 billion per day, how can the brain have enough room for all these intakes daily?

That's where the subconscious mind becomes important, storing all the data and images. And it's why the subconscious mind
never sleeps.

 Article #73 - A

The #1 Thing Holding You Back From 7-Figures

By: Dan Kennedy on: October 31st, 2014


Personally, I’ve never liked it.

But I realized early on, it was irrelevant whether I liked it or not.

The question wasn’t, “Did I like it?”

The real question was “How much money did I want to make and how much freedom did I want?”

Kind of like dieting and exercise, the question isn’t “do you like to exercise and eat right?” No the real question is do you like the alternative if you don’t exercise and make the right food choices?

So it’s important, although again, not something I particularly like.

What I’m about to tell you is a transcendental factor in income.

And if you listen to what I say, you could find yourself making a lot more money across every communication channel.

You see, for at least the past 30 years or so, I’ve been teaching that the one thing that usually gets people who are earning below six-figures or a low six-figures in any business up into a high six-figures is the quantum leap of shifting from being the “doer” of your thing to the “marketer” of your thing.

That is still true.

Shifting from being a fitness instructor to a marketer of fitness training. Changing from being a veterinarian to marketing veterinarian care.

Switching from a photographer to marketing photography services, and so on, will carry you a pretty good way.

I mean, most people locked into relatively low incomes, regardless of their level of expertise or excellence that they deliver, are stuck there because their primary view of their business is the doing of the thing.

The cooking of the food, the cracking of the bat, the fixing of the tooth, the waxing of the car, the styling of the hair, the – whatever. And when you shift out of that so that you’re actually now in the marketing of that thing, that’s a pretty good income leap.

But truth be told, it has its limits.

It’s NOT the thing that gets you to a 7-figure income.

And it is questionable whether it will give you the exact freedom you are seeking. Because although you are making more money, you are also most likely still working a lot of hours for it.

Let me show you what making the next shift can do.

I make 7-figures from copywriting alone. That is only partially the way I make money though. I only spend 20% of my time writing.

Imagine making that leap in your business and only working at your “thing” 20% of the time. How would THAT change your life?

So here’s the thing you must do to make the next quantum leap.

As I mentioned, personally it is a thing I never really liked, but I do it because the alternative is worse. So this really is pretty important.

You must shift from focusing on being the “marketer of your thing” to focusing on “the status of the individual providing the thing.”

Because even when you are the marketer of your thing, the focus is still on the thing, not on the greatest possible point of differentiation, which is the status of the individual providing the thing.

Increasingly all other options for differentiation are becoming harder and harder to use and sustain. But one thing that will always make you different is who you are.

The easiest place to look for examples of this is with celebrities and professional athletes.

There are professional football players who make a good six-figure income. They are elite athletes who reach an income level that many never will. But, unless you are a diehard fan, you likely wouldn’t recognize their name even if they offer big contributions to the team.

As an example, NFL player Ryan Taylor is probably a name you aren’t familiar with. You probably don’t even know what team he plays for, but he makes a solid 6-figure income and is in his 4th year playing professional football.

In comparison, Johnny Manziel better known as Johnny Football is in his rookie season. He has less experience than Ryan Taylor, yet Manziel makes $2 million a year not including endorsement deals. You probably also recognize the name Johnny Manziel or at least have heard the name Johnny Football even if you aren’t a fan. .

The big difference is that Manziel knows how to market his personal brand. That, more than his ability or experience, has put money
in his pocket.

For instance earlier this year, prior to knowing whether or not Manziel would be a boom or a bust in the NFL, Nike signed him to the largest endorsement deal from this year’s NFL rookie class. It had nothing to do with experience or even how well he plays.

So if you want to join the 7-Figure club, then you’ll have to get out of the business of marketing your thing and get into the business of marketing you, even if you dislike doing it as much as I do.



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In Every Issue...

My desire is to always offer you the business and marketing strategies that
you will need if you ever
wish to reach your maximum potential in the practice of medicine whether you are employed or in private practice.

My New  Book

"The Wounded Physician Project"

photo of the cover graphic for the wounded physician project
 Click on the image... for details

Do you really know
the core cause of the medical profession crisis we are in today?

No, it's not the

 What are you willing to do to save your private medical practice?

The average medical doctor in the US practices medicine for 12,617 days and leaves a million dollars on the table during that time.

They never are able recognize that it was available to them during all those years because they lack a business education.

This book is unique because no other author has ever written about the primary cause and solution to today's increasing attrition of physicians and the demise of private medical practice.

Once the reader becomes exposed to the extreme and relentless series of strategic moves organized and implemented by our government to control healthcare, the reader will understand why all physicians must be provided with an academic
business education.

Secondly, the reader will discover the critical importance and practical value of a business education for practicing physicians. Today, most physicians struggle financially while running their medical practice business because of their reliability on their own
business ignorance.

The contents discuss all the benefits and advantages of business knowledge, how to get  it and use it, and quickly reverse the money crunch you are experiencing today.

You probably won't get much benefit from an MBA degree because it's not oriented to medical practice business that demands special knowledge, implementation, and decisions.
     The success principles of all businesses are the same, but the management of those business strategies have to match the passions, objectives, and diligence capabilities of each  physician.

The content is meant not only to inspire physicians to gain business knowledge, but also to get a very clear understanding about how fragile their medical career is to present day economic, political, and social threats.

The ultimate goal of all medical doctors should be to use their business knowledge as a offensive weapon against predators, both economic and governmental, to survive and grow using the business tools I continue to throw at you. It's the only offensive force that physicians have to use to remain in private practice.

I truly believe this is the one and only solution for maintaining solo medical practice. This is especially critical to the most popular option... cash only practice... for practicing medicine outside the government healthcare system.

  Order the book 

Available through your local bookstore's order desk or at these online bookstores...

Amazon .com
or by phone
1-888-795-4274 x 7879

I guarantee that the content will stick to your mind for as long as you practice medicine.

Show the world what you are capabable of doing... not what you were expected to do.


Connect To A
Higher Power

"God calls us to a special service."
---Acts 13:2

"He that hasteth to be rich hath an evil eye, and considereth not that poverty shall come
upon him."

---Proverbs 28:22

Borderless Humor

"I stayed up all night to see where the sun went, and then it dawned
on me."

Inspiration Time

"Who aims at excellence will be above mediocrity: who aims at mediocrity will be far short of it."
---Burmese Saying

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What my medical career taught me...

Click Here ... and how it can help you manage your medical practice business at the highest level of expertise.

 Facts And Stats

"Peanut oil is used for cooking in submarines because it doesn't smoke unless it's heated
above 450F."

 Important Notices

Protect your private medical practice income using the strategies in this eBook, which  contains the keys to your medical practice survival.

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 Invest in the most extraordinary experience of your medical career.

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"How To Rapidly Propel Your Medical Practice Income To Unlimited Levels
In 6 Months"

Click Here When you need expert help and advice, and when...

red arrow pointing to rightyou just don't know where to turn to get honest and reliable help with your battle to fight the external forces that compromise your practice revenue and growth.

red arrow pointing to right you want to improve your medical practice income dramatically in a short period of time.

red arrow pointing to right you prefer to find the means to reach your highest level of practice income
and productivity.

red arrow pointing to right you demand effective and reliable means for preventing the financial collapse of your
medical practice.

red arrow pointing to right you are determined to find ways to combat govt. fee restrictions that continue to increase.

red arrow pointing to right you recognize that what you are missing in your medical business are implementation of business principles and marketing strategies.

red arrow pointing to right you want to do it yourself and save a bunch of money.

red arrow pointing to right you are sick and tired of putting up with what you are being forced into doing with your practice to stay afloat.

red arrow pointing to right you are aware that no other physician author is making any effort to tell you what to do and how to do it effectively to reach your expectations you had for your medical career when
you started.

red arrow pointing to right you understand the severity of being in a business without ever being taught the business knowledge to run it profitably.

red arrow pointing to right you insist on having a blueprint for your medical practice business that provides every key to your practice success at the
highest level. 

References For
Maximizing Your

 Read every article published on my website
(over 80 medical practice business articles)
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 photo of Dr. Graham and his two corpsmen in Vietnam 1965    photo of Dr. Graham early in medical practice    photo of Dr. Graham and his wife Linda     photo of Dr. Graham later in medical practice        photo of Dr. Graham with his medical practice associates

Marine Flight Surgeon Vietnam

1973 Private Practice

 Wife Linda 1985

1994 My office

My Medical Practice Group ...
Graham, Mayo, Kaplan, Seibert,
DelValle, Chuba

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2404 Mason Ave.  Las Vegas, NV 89102
E-mail = cgmdrx(at)
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