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Insights

Field notes from running practices.

Written by the people who answer the phones, watch the dashboards, and ship the fixes. No listicles, no “10 tips,” no ghostwritten SEO bait. Specific things we’ve seen, dated and attributable.

Featured

Operations · 12 min read

The 8-second rule: why most new-patient calls die before they reach the schedule.

We listened to 1,200 inbound calls across nine practices. The pattern was uncomfortably consistent: by the eighth second of the greeting, most patients had already decided whether to book. Here’s what those eight seconds actually contain — and the three changes that moved booked-rate by double digits inside a quarter.

Calls reviewed
1,200
Practices
9
Booked-rate lift
+87%

Practices that optimized their 8-second greeting saw booking rates jump from ~12% to ~22% within 90 days.

The archive

Everything we’ve published, in order.

  • All
  • Operations
  • Acquisition
  • Reputation
  • Platform
  • 013
    Reputation·March 2026

    Why review velocity beats review count after the first 50.

    Once you’re past 50 reviews, average rating barely moves. What patients actually scan is the date on the most recent five.

    7 min
  • 012
    Acquisition·March 2026

    The procedures we’d run paid search for, and the ones we wouldn’t.

    Not every service has the economics for paid search. A short, opinionated list — and what to run instead when the math doesn’t work.

    9 min
  • 011
    Platform·February 2026

    Why we built our own inbox instead of stitching seven SaaS tools together.

    The integration tax on a small practice is brutal. After the third broken Zapier, we stopped trying.

    11 min
  • 010
    Operations·February 2026

    Intake forms: every question you don’t need is a patient you don’t book.

    We removed nine fields from a multi-doctor practice’s intake form. Completion rate moved 24 points the same week.

    6 min
  • 009
    Reputation·January 2026

    The review request script that actually gets a response.

    It’s short, it’s timed to the same afternoon, and it doesn’t ask for a five-star anything.

    5 min
  • 008
    Acquisition·January 2026

    Local SEO in 2026: what still matters, what you can stop doing.

    Google Business Profile, NAP consistency, location pages — and the four tactics that have stopped working.

    10 min

Older entries archived. Ask us if you’re looking for something specific.

The dispatch

One field note a month. Nothing else.

We send a single dispatch around the first of the month — what we’re seeing across the practices we run, written long. No drip sequence, no upsell.