Dental Start Up Unscripted

Dr. Mark Van Duker and his wife Evelyn are starting off on the venture of a lifetime together. Michael Dinsio talks to them about trials and tribulations. The upcoming challenges when first opening the doors. He also asks the questions that are important when leading up to the Grand Opening. The Van Dukers nailed this episode and were super open and great sports talking about what it takes when you decide to do a dental practice start up.

Dr. Mark became a dentist because his childhood hero was a dentist. His grandfather, a World War Two veteran from humble beginnings, became a dentist after the war. Dr. Mark has many fun memories of his grandfather, and ultimately chose dentistry to be more like him. Science was also a big part of Dr. Mark’s life because his mother was an anatomy professor, always requiring him to work extra hard in science classes.

During Dr. Mark’s undergraduate education, he became interested in working with children. At that time, his nephew was diagnosed with autism. To better understand his brother’s situation, Dr. Mark began volunteering with local programs that helped children with special needs. Through this he not only gained empathy for parents of children with special healthcare needs, but also had a lot of fun. He found that putting smiles on kids’ faces and giving them individualized attention brought meaning to his life.

Dr. Mark attended dental school at the highly ranked University of Washington School of Dentistry, followed by his pediatric dentistry residency at top-ranked Children’s National Hospital in Washington, D.C. Dr. Mark's mentor in residency served on the leadership of the Board of the American Academy of Pediatric Dentistry.

Check out SuperMouth sponsors of this week's Pediatric series
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https://www.supermouthpro.com/pro/nxlevelconsultants
They offer an amazing product that you can sell in your practice and recieve 10-15% margins on all sales for the lifetime of that customer.

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SHOW HOST:
As always Michael Dinsio your host Michael Dinsio is available to you as a Dental Practice Start Up Consultant. You can reach Michael at: https://www.nxlevelconsultants.com/start-up-practice-consulting.html

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What is Dental Start Up Unscripted?

This Dental Specific Podcast is dedicated to the Dental "Entrepreneur" Michael Dinsio, Founder of Next Level Consultants, delivers #TRUTH when starting up a dental practice. From the very first step to getting the keys of a dental practice, Michael shares his raw & unscripted playbook with you. Not only does this podcast provide you with "What To Do" but more importantly "What Not To Do". With over over 15 years of experience & over 150 past clients, Michael delivers an educational and informative program in a real and genuine way. Start w/ Episode 01 - as we go through a STEP by STEP process.

Startup Unscripted.

The questions you have with

the truths you need to hear.

Help doctors get into

practice the way they want

to get into practice.

Hashtag truth.

That's why we put it out there.

What we want to do is we

want to bring truth to the startup game.

And now your host, Michael D'Incio.

You're muted.

All right.

All right, guys.

Welcome.

Welcome back.

This is Mike D'Incio with

Next Level Consultants and

Startup Unscripted.

We're back on another

episode of Dental Kids Week.

So this whole week is about

kiddos and talking to

pediatric dentists and

startups and all kinds of fun stuff.

So thanks again for the

guests who I'm going to

introduce here in a second.

But real quick, guys,

a couple of announcements.

So Supermouth sponsored this week.

I've got

some Supermouth gear all up in here.

It's kind of a tight squeeze

in this basically closet

that I'm living in right now.

I've got the t-shirt on,

I've got the things.

And I know my guests can

talk a little bit about Supermouth,

but they sponsored this whole week.

It's a great program for

kiddos and even now adults to get on.

They've got all kinds of

options and I think you

guys should definitely check them out.

We're gonna have some details.

below for you guys to check out.

And then also if you hang a

little bit towards the end

of this episode, we'll,

we'll play a commercial.

Another little housekeeping

thing that I'm letting

everybody know that we are

consolidating brands.

So right now startup

unscripted is the brand

that you all know and subscribe to.

We have another one called

dental acquisition unscripted.

Both of those brands are

going to be consolidated to

what we call one channel unscripted.

one brand and it's going to

be dental unscripted.

So move your subscription

over to dental unscripted.

Soon we will have all of

these episodes for startups

acquisitions and practice

management tips.

And that'll be on one

channel called dental unscripted.

So enough with the announcement.

Sorry guys.

I had to get all that out.

Otherwise the producers

would get mad at me.

But without further ado,

I have a special couple on today.

One of our clients is,

and they're special to me

because they are in the

weeds right now they are

literally within weeks from

openings um well not really

but it probably feels like

it months from their

opening day and they are

literally grinding right

now as we speak and uh and

it's just a special thing

because they were our

clients and we had a blast

coaching them so dr mark

van duker and his wonderful

wife evelyn van duker

welcome to the show you two

thank you michael

Okay,

so these guys just went through the

entire process of doing a startup.

And like I said, they are in the weeds.

So we're about three months, four months.

What are we in, guys?

How many months in now?

Two months?

Yeah, only about two months.

Okay, so two, three months.

I was thinking three months,

but two months in.

And so they are literally

grinding right now to try

to find every patient they

can on the street.

They're probably shaking

hands and kissing babies

and doing all the things.

But before we even get to

any of that stuff,

I'd like to ask either one

of you and you guys,

play off of each other,

try to figure out who's

going to answer what question.

But, um, I, I,

I want to ask the very first

question to actually dark doctor.

Why,

why did you want to get into business

for yourself?

Like what,

what was the driving force

behind you doing a startup?

Cause startups are challenging.

Acquisitions are challenging too,

but startups are challenging.

Why did you want to go into

business just in general,

general question, softball here,

start us off.

Yeah, I think in general,

one of the things about

dentistry that's unique is

you still have the

opportunity to build equity,

unlike a lot of other

healthcare professions right now.

So the idea is sort of like

owning a house and paying off a mortgage.

It's like the more

Like the harder you work and

put into this practice,

you can actually get that

back on the back end other

than like your salary,

but you can actually build

like a retirement through your office.

So I think for me,

just building that equity

and then also being able to

do the dentistry that I want,

like kind of the style I like doing it.

Um, really helps versus, you know,

when you go into other offices,

I want to keep, you know,

the owner happy and,

and I've had really great associate jobs.

I can't complain.

I've had really good bosses,

but just being able to kind

of take what I learned from

each office and then put it

into my own kind of the

style that I like.

I love that.

And, and,

and one thing we didn't get out

of the way here was doc and, and,

and Evelyn, what,

what your guys' backgrounds are.

Cause I'm about to ask the

same question to Evelyn and

what you all don't know in the,

in the audience is Evans is

an accountant CPA.

That's where she comes from.

Her, her whole world is, is numbers.

So this is an awesome pairing,

which is exactly why I

wanted to interview you guys.

You got doctor husband,

and then you've got wife

who's all about the numbers.

So this is perfect.

Yeah.

Evelyn, do you, is it the same answer?

Like, as his wife, partner, and spouse,

like, is it the same answer there?

Like,

why for you as his partner in this

crazy situation?

It's very similar answers.

And on top of that,

we have a two and

four-year-old I just always admire.

Like,

I don't know if it's the right comparison,

but I really love when, like,

there's a family raised on the farm,

right?

You put your kids to work,

you always work together,

you have the same goal.

And I just really love that concept.

And because he's a pediatric dentist,

And I just feel it's the perfect,

perfect business

opportunity so that we can

work together and our kids

maybe in the future can

work with us as well.

So that's why.

Yeah.

Well, I I love that touch, Evelyn,

because you're you're absolutely right.

Like what we don't talk a

lot about on the show is kind of like.

that legacy you're passing

on to your little ones I

have little ones you guys

have little ones I think

that's also why we

connected but um them

seeing you start a business

and seeing that hard work

that you're I mean they

probably don't really

realize it right now but

they will someday and so I

think that is totally cool

family-owned business

kiddos watching you guys do

it so that's that's

definitely something to be

admired and and appreciated

I I totally feel that

Let's take a back step real quick.

Doc, where did you go to school?

Where did you get your specialty?

Give me a little bit about your journey,

how many years you associated.

Just tell me a little bit

about the journey that led

up to you getting in ownership.

Yeah, so I did dental school in Seattle.

So University of Washington,

kind of grew up in Washington State,

Gig Harbor area.

Um, and then did my residency.

I wanted to travel.

So obviously Evelyn and I

were married at the time

and she and I were both

ready for kind of a switch,

like switching it up.

So when we were applying for residencies,

we ended up going to the East coast.

So we went to children's

national hospital in Washington, DC,

which was a really fun place.

I feel like I grew a lot.

We both grew a lot,

like on a personal level,

just totally going to a brand new area,

like family and friends.

So did that residency for two years.

You came back together, not separated.

So that's, that's it.

Yeah.

It was, it was intense.

Like just uprooting ourselves.

There's a lot of stress

there moving across the

country with our son who

was like nine months old at the time,

but we, yeah, it was crazy.

So we did that.

And then broke baby, you know, together.

How,

how many years were you married at

that point or just together?

Um, we've been together like,

Five.

We were together from the

beginning of dental school.

So like we were together for

for dental school.

It's like four or five years.

OK.

But still,

I would say I'm still with me

because being broke and

moving us around for that

long while she's working

and just supporting the family was crazy.

So, yeah, kudos for everyone tonight.

jumping ship on that.

But at that point we felt pretty confident,

like, you know, we can do this.

Like we can go to other places.

Like we don't have to just

solely stay like where I grew up,

you know, or,

or just stay like in Seattle.

So we moved back to

Washington cause that's where family was.

And I associated there at a

great practice for a year.

And then we felt like we

were ready to try something new.

And, um,

I mean, Evelyn,

you can share what ended up happening.

Mark, that's perfect.

So you graduated from UW Dental School.

You went over to Washington,

not Washington State, but Washington,

D.C.,

did your pedo training there and

then moved back, correct?

And then associated for how many years?

I didn't catch that part.

So I associated for one year.

One year.

And then, well, it's kind of crazy,

but we all got COVID.

And we're like,

let's go travel now that

we've all had COVID and

we're not afraid of flights

because this was back when

COVID was a big deal.

So we flew to visit friends in Arizona.

And Evelyn's like, I want to live here.

She liked the sun.

Yeah, so we...

we kind of, um, that's when we, you know,

I took a new associate job

in Arizona and we started

getting serious about the startup.

Yeah, no, that's a perfect.

And Evelyn,

give me your background and

kind of your plug in.

I,

I'd love to hear about how you guys met.

There's always these stories

of husband and wives doing these startups,

um,

and going through dental school and

the hardship you all went through.

I think that's real.

I think, I think that's,

who's literally listening

to this show is folks that

are literally listening

in those trenches that you

were in five years ago, I'm,

I'm being dead serious.

And,

and I'm curious to hear Evelyn's

you're he's one hundred and

fifty percent.

Like it's all on your

shoulders while you get

that you got them through this.

And so totally kudos to you.

So Evelyn, what's your story on this?

Yeah.

So Mark and I met in college and we,

I will say story of that.

I grew up hating dentists

because I experience all

dentists in general, just Mark.

So I never imagined Mary and

you want in healthcare or dentistry,

but with my college, um,

And after we got married,

he started to get serious in dentistry.

So I was at accounting school at the time.

So knowing that there's so

many uncertainties ahead,

but I like to work.

I always imagine that I'll always work.

So I just went to a big four

accounting firm because

they have office everywhere.

So I can transition to whichever office.

if I need to so that's how

when he started at uw then

I worked at seattle at a

big accounting firm so we

moved around I kept the

same job as we moved and

then later on I just um

joined another big

technology firm but I work

remotely so that's how

We can't get through the

whole journey because you

just need someone who can be more stable.

How would you describe that grind?

Because I think that's a real thing,

especially for specialists.

Even GPs that maybe go down

a GPR program or whatever.

How would you guys describe

that journey of while

mark, you're like,

I'm going to double down

and go into way more debt.

And,

and we're having a baby and it's all

on my wife's back right now.

And, but it's just going to all work.

Like, is it this, like,

does someone tell you guys

this stuff in school?

Like it's going to be totally fine.

And you're going to have a

bunch of money at the end of this.

Like, what's the, no, seriously,

like what's the message there?

Because a lot of you go through this

process like what was the

hardest part of that whole

thing and I don't know uh

any bit on that folks that

are maybe gp right now

thinking specialists and

they're married and they're

thinking about family

planning any any words of

advice for from either of you um

I'm curious what you have to say, Evelyn,

but I would just say one

thing from my perspective.

My dad is an anesthesiologist.

So I think as a kid,

just hearing him tell me like,

you know what, Mark, if you go to

through medical school

because at the time I was

pre-med like before I

switched to dental but he

was like it's gonna be a

long grind like I had

friends in their twenties

who were buying boats and

buying houses and I was

still in school and it

wasn't until my mid to late

thirties that like I

finally started to have an

income but I my income was

higher than my friends who

got out earlier than me so

it's just this expectation

that like the income will

eventually be there but you

you're going to be broke for

a bit of time first.

Yeah.

Evelyn, any-

finding someone who's

willing to do that journey

with you is huge.

Like Evelyn's been, you know, by my side,

I think it's not always easy, but yeah,

I'm curious what you're like, why,

why you were willing to do it.

Yeah.

I mean, it's legit.

I mean,

of course when you fall in love

with someone,

you fall in love with them

and you just follow them.

And it's not like you're

falling in love with a bomb.

That's not pursuing a career.

So that's a little bit easier, but yeah,

from your perspective,

like what was the hardest part of that?

And, um, any, any words of,

of wisdom and how to get through that?

Cause that's, hell,

that's what this podcast is all about.

We don't talk about any of this stuff.

We talk about construction

and it and all the stuff,

but this is real stuff right now.

So like what, any,

any words of advice for those couples, uh,

dentists, you know, whatever that are,

that are getting ready to go through that,

that process.

Yeah.

I think there are,

basically two things that

helped me through it.

One is having friends who are similar.

Um, cause if you talk to,

I have a lot of friends who are,

were in the healthcare,

like who are older than me,

who went through the

journey or like in the process,

like together.

So like from what I've heard, it's just,

it's tough to start.

And so you kind of, because you're

talk to them a lot, then you're like, okay,

this is normal.

And you will get through that.

So that's definitely one

thing that helped me

because whenever I talk to them,

they're all like, yes,

like healthcare spouses are

if you put them together,

like activity can just win out of

Yeah, that's like... You're not alone.

Almost like military wives and husbands.

Exactly.

It's a whole thing.

It's a whole thing.

Well, Evelyn, you're so numbers driven,

sensitive in a good way.

We always...

Her and I joked, didn't we, Mark,

about how much she loved the numbers,

how much I love the numbers.

And that was our thing.

And then, Mark,

you had this clinical thing

that you wanted to talk to Paula about.

And so it was a great

dynamic between you two just in general.

And it's great having a partner,

not only in life like you two have,

but also a partner in the

business because so much of

all the steps that you guys

just had went through was a team effort.

You know,

back to kind of being broke all the time.

Well,

Mark was able to continue to work his

butt off as an associate

while you were building this thing.

And Evelyn really picked up

a lot of the heavy lifting

while he was clinical.

Right.

It's it's really hard to go

home and do the marketing,

which we just talked about

and and do all the things

when you're exhausted.

clinically and all the all

the other things I just

talked to another pedo

client here in washington

actually and she's working

like four and a half days

and I'm like dude you gotta

gotta start carving some

time out because this

startup isn't gonna happen

if you don't start carving

and she doesn't have

anybody like that she's a

single mom so like again

kudos for evelyn to be a part of that but

Um, you know, you guys are a great team,

but Evelyn from a, from an accounting, uh,

numbers brain,

knowing that like any tips

there on how to save or

manage this money.

Cause I'm, I'm imagining that Mark,

you were able to get college loans,

like no, no problem.

How did you guys make it financially work?

I guess you working full time,

Evelyn is a big thing.

But like any financial

advice on that front, I mean,

I I'm in uncharted territory right now.

I have no coaching to offer.

You guys offer the coaching

to these to these guys that listening.

Yeah, well, first,

I think expect that you

will be broke for a year or two.

And second thing,

I think it's expectations.

I think the best advice that

we were offered is to start

this early because it's really hard.

What we figure is it's

really hard to change your lifestyle,

right?

Once you have the money, the lifestyle,

and then you have to dial back,

it's a huge, huge risk.

But for us, it's like, oh,

like we're just going back

to dental school.

You're taking a loan and I'm

working my job.

So it's nothing different.

Like we, yes, we had,

one year where he had a good

income and I had two and it

was really nice.

And to dial back did make me

anxious for a while.

So I would say like save up,

like things helped me save

up for a whole year.

Like,

you know you have the

expenses covered for a whole year.

That gives you time so that

you don't have to focus on, oh,

like we just don't have

income or lose half of the

income for a whole year.

So that helps me.

Well said.

I mean, I'm just going to say right now,

I get clients that don't

have a savings account and

they're doing this and they

can get a loan.

And that's the thing that I

always say is like,

Just because the lenders are

saying they can give you

money doesn't necessarily

mean it's a good idea either.

When I worked for the bank, I used to say,

look,

just because I can go and finance a

Ferrari doesn't mean that I

should go get a Ferrari.

That doesn't make sense right now for me.

I could definitely qualify for one.

So to that point,

that advice that you just

gave is huge because you

guys are going into a startup

And Mark,

you're working part-time still to

this day, two, three months in.

Evelyn,

did you end up quitting your job

officially?

No.

I'm still keeping it.

Okay.

I know that was thrown

around a little bit.

We were talking about how

you guys were doing that.

But I think that's smart.

You just kind of keep the

income in and fit the

startup into your lifestyle

until the thing breaks even

and starts making you money.

But having that nest egg, that...

that egg to rely on just in case is huge,

huge, huge, huge.

So I also totally can

appreciate what you just said, Evelyn,

where it's not even the nest egg,

because the nest egg's great for sure,

but it's also keeping those

monthly bills way down.

And the lifestyle is easily,

like when you graduated, Mark,

I'm imagining you like, oh,

I'm a pediatric dentist.

Like instead of doing, oh,

let's just double down and

do a startup and be broke again.

You were probably thinking, well,

I want my boat too now.

Right.

So is it?

Yeah.

I mean, was that legit in your household?

Legit a thing?

where you were like,

do we really want to be broke again?

Like, let's go get a house.

And Evelyn,

you had just taken quote

unquote him through college.

And finally, you know,

you guys can start making

some money and having fun

and going to travel and do

all the things.

And then you're like, yeah,

let's go do a start and be broke again.

Like,

like walk me through that conversation.

Yeah, a perfect example,

when we moved to Arizona,

we're looking at houses, right?

Because it just makes sense

to buy a house in Arizona.

But Mark was like, oh,

I want to buy a big house

because now I can afford it.

And we went through the loan officers.

Yes, they're like, oh, yeah,

based on your last year income,

you can afford a million house.

It's fine.

But that's maxing out every

single dime we have.

And we know we have this

startup coming up.

So we had a hardcore

conversation at home to

like buy a small home.

But now, Mark,

you can talk from your perspective.

Now you're happy with our monthly payments,

right?

Love that.

Yeah, Mark.

I mean, trust me.

Someone that is well-educated,

has paid their dues, all the things.

You want to finally start

producing and giving a

lifestyle to your family.

You know, like all those desires.

I have an MBA,

but I didn't go through that.

That's raw right there.

Like like I was able to work

and get my MBA at the same time.

I never had to deal with

what you guys are dealing with.

So, Mark, I mean, was did that pay?

Did that pay a toll on like, I don't know,

your daddy,

your dad and your being a

husband and all that?

Like, is it was that a thing?

No,

there's definitely like a sense of pride,

like you want to be, you know,

providing and proud of that.

And so, yeah, there's definitely that.

But I didn't really,

I wasn't bothered too much

by it just because I talked

to these owners who are ten years in,

fifteen years in,

and I just see what they do it right.

And I really want that.

But, yeah, there is...

a struggle at first, like, you know,

I have that pride in me and

like that arrogance where I

want a nice home and I want to be like,

hell yeah, a little bit, show that off.

Um, yeah.

Now when I look at like,

I'm happy in our home and

our monthly payments for our car payments,

our house payments are low

enough where like,

we don't feel as much like

anxiety or stress that, and we, you know,

like we'll,

we'll get a nicer home when we,

when we can, but I love it.

I think that's gosh, that's so wise.

Like I started thinking about this,

just me even, and I'm older than you guys,

but like,

I was thinking about this

yesterday and I was like,

all the little decisions

that I made from twenty

something to today, which is,

give or take plus twenty

years like they all

compounded and the hard

decisions in the beginning

like you're talking about right now

compounded for me big time in my forties.

Right.

But I, but I absolutely did.

I want to have the best golf

clubs and buy the boats and, and,

and what I'm really

fascinated is even now,

like not to get crazy with

timestamping this, but even now,

like I'm seeing our younger people, uh,

Even if there was some

discipline with the folks,

ten years or whatever behind me,

like thirty years younger than me today,

there is zero concept of

investing in your future self.

There's zero.

It's all about experience

and I don't need to make

any money and benefits.

And what you guys are doing

is you're investing in

yourselves for your forty years.

your forty, you know,

forty and fifty future self.

And it's going to be a lot bigger.

Right.

Because you you did double down,

but it's so easy to stop

doubling down and just love life.

Right.

It'd be so easy to do that.

But anyways,

I just love this conversation.

So so let's pivot into the

the project real quick.

And I know

we're getting a little long

winded and I didn't think

we were going to go down that path,

but I just realized as I

was interviewing guys, that's like gold.

What we just went through there.

Like I have yet to have a,

doing this podcast for four

or five years.

I've yet to have that conversation.

And I think, um,

I'm on the call with people

all day long with guys just like you.

And they're talking about

this stuff to me before

they make the decision.

And so like this might be

one of my most favorite

episodes right now because

this is real stuff.

This is really real stuff.

All right.

So we've got tons of

episodes about the project

and how to manage all that.

So I don't want to get too,

too much into the weeds,

but I'm kind of similar.

Mark,

I had to fight you just a little bit

on how big we scaled the practice.

to the same conversation

about let's get a smaller house.

Yeah.

The exact same conversation.

So are you glad we didn't go

crazy now that you're in three,

three months in or two

months into your project?

Are we glad we did that?

Yeah.

Like I'm not, this isn't like,

like I'm not just saying

this just to say it,

but like you saved me a lot

of money by scaling back the lease.

Cause there was a space

available that was huge and

I wanted this massive

office and I wanted ADEC everything.

Like I just wanted this to

be like my pride and like

something that was so nice

and like state of the art.

But then like we found

another location that was a

smaller square footage in a

better demographic area.

And we did a combination of like, you know,

a little bit of ADAC with

some other brands as well

in there and didn't build

out all the chairs, you know, and like,

now when I look at the

payment and like what I

would have spent and like, you know,

the startup growth,

when you think about it,

the first six months is

just new patients that

you're marketing to.

So that first six months,

like it's literally like pretty slow.

And so how do you even survive?

Like if you do this massive

build and you're like, okay, now I'm set.

Like I never have to move

again and everything's done,

but then it's like going to

pay those bills when you're brand new.

So I feel like really like I,

again it was the pride thing

I wanted the huge one of

the huge office but I'm so

happy that you and evelyn

like kind of double team me

it was like do not do that

it was a double team evelyn

it was a double team I I

couldn't do that without

you that's right do not do

this and then she like was

like all right I need to

get mike involved and then

mike you're like okay I

guess mike said it so I

won't do it yeah was I was

I the tiebreaker was I

always the tiebreaker

If it's only me, he wouldn't trust me.

It has nothing to do with you.

It's a, it's a husband and wife.

Yeah.

Yeah.

No, like I,

I think that's really

appropriate conversation

because there's a lot of

podcasts out there right now.

And I won't name any

podcasts or names or call anybody out,

but there is a lot of

discussion about go big or go home.

And it's dangerous.

And as you know, now where you're at,

it's dangerous.

Now you could come back to

me in a year from now and say, damn you,

Mike, we should have did bigger,

but you can't forget the

moment that you're in right now,

because is it first world

problems or third world

problems to have too many patients?

And too busy, right?

A hundred percent.

That was the big,

that's what it came down to

is like everyone who's

established will say,

go bigger when you're starting out.

But it's like,

how am I going to pay the bills?

Like the demographic is

worse in that area.

I see even with better demographics here,

it's a grind to bring patients in.

So yeah,

like it's nice to have the huge space,

but for those first like two years,

how are you going to pay

that really high rent?

And like, you know, the invoices on the,

I know you've had other podcasts on this,

so we don't have to go too far into this,

but like the invoices on

like contractors and equipment,

like they just like you

think they just keep coming.

Yeah.

So we're just going to stop.

Right.

When's it going to stop?

Yeah, it's so it's so it's so true.

And again,

having that cash that you guys

save is going to help.

uh managing through those ti

allowances which we talked

about offline and just all

of it but just keeping

everything low and yes

someday I hope you call me

and say mike damn you we

should have did bigger I

hope that's the case

because at that point then

you can do the second

office and then you can go

big on that but you at

least have cash flow you

have a base to to feed off

of and to live off of and

Um, yeah, no, I, um, good,

really good advice.

I'm glad they're hearing it from you.

Not me.

I try to say it a lot.

Evelyn as a partner spouse

that was very involved with the project.

And I'm going to use the word, sorry, Mark,

dealing with a clinical

dentist trying to do this.

What like what were some of

those conservative topics

like scaling too big that

you really had to like duke it out?

And you're glad that you

kind of won those battles.

And then maybe the vice versa.

Did he challenge you on some stuff?

that you're glad that he won.

Like is, was there,

I think that's a really

good conversation because

clinicians and dentists,

it's their time at their

due their dream practice.

And they don't have an Evelyn, um,

quote unquote to level it out.

And so I think this is,

this is kind of cool.

So any, any, anything to add to that,

all of that Evelyn.

I think it's,

it's really good experience

for us to like learn.

Cause, um, there are a lot of times,

definitely he's absolutely right.

Like one of the example I

can tell you is was hiring time.

I had a good read on one of the applicant,

but Mark did not.

And he choose to not say

anything to keep me happy

because I was pretty into.

But it's because it's a dental assistant,

but I don't have the

clinical background to know what works,

what doesn't.

To me,

it's just based on whatever I

assumed it is to be.

So we actually had to let

her go two weeks in because

it's just not a good fit.

So like from then,

like we like we talk together.

If you don't have a girlfriend,

tell me like we need to talk through it,

not just like I'm making

the decision because before it's like, oh,

it's like operations.

It's on me.

Right.

Hiring is kind of part of HR.

But there are like I would

say like it's definitely a

learning process where we

should be talking and

communicating no matter

like what like the main role is for each.

Totally.

One, one hundred and fifty percent.

I it's a good balance to

have someone like that.

You guys are lucky to have each other.

Keep saying that there's

there's also some some negative to it,

too.

Let's just let's talk about that.

Having having spouses work for you,

it could it can drain the team.

It can drain your marriage.

Right.

And so how are you guys

finding that balance?

I'm this, this, this episode.

So good.

We should,

I should be wrapping it up and

you guys probably got to go.

I promise I'll wrap it up, but any,

any advice on how to make that work?

Partners, business and,

and personal making a

business work and all that, the dynamics,

any comments there?

Um, I'll go, like,

I don't know what you have

to say about Evelyn.

I'll just go first here,

but I think that Evelyn and

I's like background and

skill sets are different

and we're both very

opinionated people about

what we're good at.

And so it's nice that

they're in different things.

It might be challenging.

Trust me,

I would say the majority of

couples that do start up together,

I would say,

or I can't speak for the majority, Mike,

you could, but the ones from my class,

I do see some of them are

like two dentists, so I'm sure it works.

I'm just saying from our perspective,

our arguments are a little

bit less because we're kind

of like specializing in

different things within the business.

Yes, we still have to communicate,

but I think like if we were

both arguing on like

clinical stuff that might

be a little more

challenging but because

evelyn's coming out coming

at it more like hr

marketing and the numbers

and I'm coming at it more

from like the clinical side

um that has sort of

shielded some of the the I

guess arguments that could be in there um

but that's, that's kind of my opinion.

I love that.

I'm going to, I'm going to touch on that.

Do you guys have any rules

about not bringing stuff

home or is it all on?

Let's talk like, have you,

have you given yourself any,

any breaks at home?

You got a little one too.

Like it can't all be about

the dental office.

Yeah.

We kind of have a one kind of rule.

We're not always following it,

but I'm like, I need sleep.

But when,

When somebody's throwing me a question,

it just, my head spins.

So I, the rule I give Mark is,

Don't start to talk about

important things after ten p.m.

because then I can't sleep.

Yeah.

And like it will do it will

start to be a heated

conversation because I want to go to bed.

And yeah, he wants to talk.

So that's my role.

Yeah, that's a great role.

That's a great role.

I wanted to touch on real

quick rules and

responsibilities and partnership,

because what you guys are

doing right now is.

an undefined,

but very defined job

description for the two

partners or the two people

helping operate this business.

Right.

And it's really easy to say, okay, well,

Evelyn's got all this stuff

on this brain and Mark,

you've got all this stuff on this brain.

If you didn't have Evelyn,

you would still need to do

the same thing within your business.

And you're,

you're figuring that out with

your team members as well.

But like,

even with Paula and I as a partner group,

I know what my job is and

what her job is.

And even though I could

probably do a lot of what

Paula does and she could do

a lot of what I do,

we know that the decision maker is,

and then we of course have

to decide together,

but there's a champion for

certain things.

And that's,

Dividing and conquering and

having very defined rules.

So this is a beautiful thing

here because now Mark can

spend all his time focusing

and owning his piece and

Evelyn same thing.

And there's a lot of trust here.

And it's easy to do this

when you have two different strengths.

Right.

But you're right.

When two people have the same strengths,

I challenge you like two dentists.

I get a lot of pedo ortho

kind of combos or what?

Like you said, husband, wife,

maybe both pedos.

Like you probably have the same,

quote unquote, brain,

but you still need to have

the rules and

responsibilities and job duties.

So you guys have it naturally set up.

And I applaud you on that.

That's that seems like it's

working really well.

um all right as we kind of

lay into this last five

minutes here and and wrap

things up um give me one

thing that surprised you um

about the project and

there's stefani piping in I

love it you guys know

stefani she she helped she

helps and helped you guys

uh through the process great

Um, this is live by the way.

So she's piping in.

I love it.

Um,

so if there's one thing that you would

say that you were, um, surprised about,

and then one thing that you would,

you would have done differently.

Um,

I'll give Evelyn the one to do

differently.

What could you have done differently?

Mark,

one thing that surprised you in a

good way, putting you on the spot.

So whoever wants to go first, go for it.

Um, Evelyn,

what's one thing that you would,

would have done differently?

We,

I think we discussed it before we even

started.

What was that?

Yeah.

The biggest thing for me is

to start your like community marketing.

What I mean by that is as a pedo office,

especially your referral

comes from pediatrician, from GPs.

And as,

especially because we're new to the area,

we were,

Like we don't have people already, right?

Will come to our door.

It's purely on like how to

maximize the branding awareness.

So one thing I would have

done differently is to

start that early before we

open our doors.

Before we open,

we were just solely focused

on getting the clinic set up,

getting websites set up,

like everything logically or yeah,

just those things.

But once we open the door, it's like, okay,

now what?

When's the patient's going to come in?

So I know there are other

marketings we can do,

but like for the part that

you talk to the pediatricians in the area,

you talk to the schools,

daycares in the area,

that part can start early.

Like people,

you can start to know people

and they can start, okay,

there's a like new pedo.

in the area.

So I would definitely a

hundred percent do that so

that you don't struggle like the very,

very beginning.

Struggle is an aggressive word,

but I know what you mean

that you're never going to

be as busy as you want to be day one,

right?

Ever.

Right.

But to flip that, you're right,

like to be busier,

you have to put in more work.

And I love that tip because

and you guys probably

remember me saying this and

I feel like I say it almost

daily and it's like, OK, guys,

we're through the project.

And there's a lot more things to do,

hire and set up systems and credential,

pick your fee schedules and

start up the membership

plan and make sure the

contractor's showing up and

all the things.

But the one thing that's the

most important above all that

is,

is trying to find some patients in

between the time now to, to open.

And, you know,

imagine you don't even have an Evelyn.

It's just Mark clinical, like the, the,

the, the single mom that hired me.

I mean, she's,

Where I'm I'm struggling to

get her to find two things

because she's so busy.

Right.

It's just because she's busy.

And Evelyn,

you're one hundred hundred and

fifty percent right.

Right.

Even if all the systems

weren't ready to go, your H.R.

manual wasn't dialed,

your billing wasn't set up,

all the things that you got to get done.

OK.

If none of that was ready,

but you had a fifty patients day one,

what would be better?

It would definitely be

stressful day one because

you have no systems,

but at least you have some

patients to pay the bills.

Right.

So there's always that balance,

especially with dentists,

because they're so

checklists they're so uh

type a drive drive drive

systems let's you know and

that's what they're really

excited about because

they're leaving the

associate position because

they hate all the systems

that they're dealing with

and they want to create

their own and this is their

baby but everybody forgets

about the marketing awesome

tip mark anything that

surprised you about the

process or maybe even just

add to it and then we'll

shut this baby down

Um, I mean, Evelyn,

you really kind of that was

a big one is community marketing.

So getting like our name out

of brand awareness.

I'd say what's surprising me

in a positive way,

I would say two things that

I can think of just off the

top of my head here.

One is the brand awareness.

So yeah, first, it's like,

it's hard to bring people in.

And then as these different

marketings and then people

come in and they're like, well,

you gave a goodie bag to my

son at school that he came home with.

And then I drove past your

sign and then I saw you on Instagram.

And so I decided to call.

It's like,

you realize how many touch are involved,

but as you start to build that awareness,

like you see like, okay, last week,

you know, only a couple of people called.

And then this week, every day of the week,

like two people called, you know?

So like you see that growth,

which is really nice.

And then, um,

the team so like just

finding a good team I'm

really happy with who we

have and so it's really

cool like being in that

kind of more like in a I

guess like a boss role for

the first time but just

having a real hard-working

team that is invested in

this yeah um it was I

couldn't have asked for a

better team and I was

surprised at how how well

that came together

I love that.

That's awesome.

I have to throw this in because Abby,

one of the next level gals

that work for us,

chimed in with a question.

And I just have to because

it's a great question.

I'm going to put it up on.

It was brought in from YouTube.

And that's her question.

I think it's a great question for you,

Mark, or even Evelyn,

whoever wants to take this.

The question came in, again,

these are live.

What kind of feedback have

you received from your

first patients and how has

that influenced your

approach to your now new

patient care that you're

creating within your practice?

Great question.

And then we'll close it down

with that one.

Mark, Evelyn, anybody?

Yeah.

Evelyn,

I think you take a lot of pride in

this because you approach

our clinic from a mom's perspective,

not from a dentist perspective.

So you could answer that.

I can answer,

but I know everyone is proud of these,

like the patient experience.

That's like a big thing she harps on.

I'll say one that's positive

and one is negative in some way.

We just went through this

for one of the mom that she

has a special need patient,

a special need daughter.

And she moved to Arizona

just because of her

daughter can have more resources.

So she like,

she loved her experience here.

She loved how caring we are.

And she just like,

we're trying to refer her

to somewhere else to get

her daughter into hospital earlier.

And she's like, can we come back?

can I come back to you?

And it just shows,

it's very rewarding showing that, okay,

this is,

because my perspective is treat

the patient as how I want

to be treated because I'm a mom.

So it's really helpful to know that, okay,

this is what they want to, not just like,

oh, this is some Evelyn nitpicky thing.

So that's why I love it.

It's like, Mark is like, oh,

you're spending a lot of time.

Like, it's not the time, it's care.

So I love it.

I love it.

The second piece is kind of negative.

Like we,

at our first GA day, right?

Like we were under the assumption of like,

oh,

parents are allowed to be back like at

the beginning before kids

sleep until the night

before we were told that.

And we start to call

patients and they're very,

very mad about it.

So like we had to go through

a lot to get the first day

like eased out.

So I think for us,

the biggest lesson is like,

For us,

we need to clarify on every single

detail.

Love it.

Love it.

Great, guys.

Nailed that.

There's going to just be so

much growth and stretching

for you guys for the next

twelve to twenty four months.

So I just want to salute you both and say,

gosh, I mean,

how much of a pleasure it

was to coach you.

I know the next level team agrees.

Look,

they're they're both my team's

commenting.

I love it.

We loved working with you guys.

I couldn't be more proud.

You guys are going to be successful.

You got to keep grinding.

And we talked about this

before the show began.

And it's just every six

months compounds because

the patients you see today in six months,

you're going to see the

same people and plus all

the new patients.

And then in nine months from now,

so on and so forth.

So

So just keep staying the course.

I love it.

Without further ado,

I'm going to close this down.

Any last final things that

you had to get off the

chest before I run the

super mouth commercial?

I just got to say it was really,

obviously we still stay in

touch and everything, but no,

it was just really great

working with you and your team.

You, Paul, Stefani,

like just worked really

closely with us and being in a new area,

especially it was huge.

So just really grateful to

be a part of your team.

That's sweet.

Thanks, Doc.

Supermouth's paying for this.

I didn't pay Mark for that, I promise.

Yeah, no, the pleasure was all ours.

You guys were, I mean,

you are the reason why we

do this because of you guys.

You're great.

And it'll be awesome seeing

you guys continue to thrive.

Yeah.

Without further ado,

let's shut this down at

forty six minutes.

Sorry it was so long.

We had a great conversation.

You guys did great.

And I'll see you guys next

time in Arizona.

Sounds like a plan.

Sounds great.

See you guys.

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