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“Success is not always about greatness. It’s about consistency. Consistent hard work leads to success. Greatness will come.” - Dwayne Johnson I almost quit six months into building my first practice. Not because it was failing. Because I’d lost momentum. The initial rush of opening had worn off. The honeymoon period with new systems had ended. I was grinding through the messy middle where nothing felt exciting anymore. Revenue was plateauing around $150,000 monthly. Not terrible. Not great. Just stuck. I had the skills. I had the systems. I had the patient base. But I’d lost the one thing that actually drives growth: forward motion. Every day felt the same. Wake up. See patients. Go home. Repeat. No sense of progress. No feeling of building toward something. Just maintenance. And here’s what I didn’t understand then but know with absolute certainty now: momentum is a more valuable asset than skill. You can be incredibly talented and go nowhere if you lose momentum. You can be moderately skilled and build an empire if you maintain momentum. Because momentum creates energy. Energy creates action. Action creates results. Results create more momentum. It’s a self-reinforcing cycle that compounds faster than any skill development ever could. But most dentists kill their momentum without even realising it. They make small decisions that seem insignificant in the moment but completely destroy their forward motion. They take three days to respond to a referral inquiry instead of immediately. They postpone starting the new marketing system for “just one more week.” They avoid the difficult conversation with staff because “it’s not urgent yet.” Each delay feels minor. But momentum doesn’t work on major decisions. It works on velocity. And velocity is determined by how quickly you move from decision to action, from idea to implementation, from challenge to resolution. The dentists crushing it aren’t necessarily smarter or more talented than you. They’re just moving faster. Making decisions faster. Implementing faster. Adjusting faster. That speed creates momentum. Momentum creates energy. Energy attracts opportunity. And before you know it, they’re operating in a completely different universe than the people who are “waiting for the right time” to act. Let me show you how this actually works. The Momentum Equation: Why Some Practices Accelerate While Others StagnateThere’s a mathematical reality to momentum that most people miss. Momentum isn’t about massive actions. It’s about velocity multiplied by direction. Momentum = Mass × Velocity In physics. And in practice building. Mass is the size of your actions. Velocity is the speed at which you take them. Most dentists focus exclusively on mass. They want to make big moves. Launch major initiatives. Implement comprehensive systems. But they take forever to actually do it. They plan. They research. They wait for perfect conditions. Huge mass. Zero velocity. Net result? No momentum. Elite performers flip this. They focus on velocity first. Small actions. Implemented immediately. Adjusted quickly. Repeated consistently. Lower mass. High velocity. Net result? Unstoppable momentum. I learned this the hard way during that six month slump. I was trying to plan the perfect marketing system. Researching every option. Comparing every platform. Waiting until I had the “complete strategy” before launching anything. Three months passed. Zero implementation. Zero results. Zero momentum. Then I talked to a mentor doing $4 million annually. Asked him how he approached new initiatives. His answer broke my brain: “I implement immediately at 70% ready. Then I iterate based on real results rather than theoretical planning.” Seventy percent ready. Not perfect. Not complete. Just good enough to start getting real feedback. I launched a basic Instagram strategy that week. Imperfect. Incomplete. But live. Started getting results within days. Adjusted based on what actually worked rather than what I thought would work. Built momentum through action rather than planning. Six months later, that “imperfect” system had generated over $200,000 in new patient revenue. Not because it was brilliant. Because I started moving and kept adjusting. Velocity beats perfection. Every single time. The Micro-Win Architecture: How Small Victories Compound Into Massive EnergyHere’s something that changed everything for me. Your brain doesn’t differentiate between big wins and small wins when it comes to dopamine release and motivation. A small win, clearly recognised and celebrated, creates the same neurochemical momentum as a large win. Which means you can engineer momentum by deliberately creating and capturing micro-wins. Most dentists wait for major victories to feel successful. Completed full arch case. Month hitting $100,000. New practice acquisition. But those are rare. And in the gaps between them, momentum dies. Elite performers create micro-win systems that generate daily forward motion regardless of major outcomes. My Daily Micro-Win Protocol: Every morning, I identify three micro-wins I can achieve that day. Not big projects. Not long-term goals. Wins I can complete in 15 to 30 minutes. Reply to that referral inquiry. Update one page on the website. Have that three minute conversation with the team member. Small. Specific. Achievable. By 10am, I’ve logged three wins. My brain gets three dopamine hits. I have momentum before I’ve even started clinical work. That momentum carries into patient care. Into case presentation. Into team leadership. And at the end of the day, I document those wins. Not just mentally acknowledge them. Actually write them down. “Responded to implant inquiry within 30 minutes.” “Updated service page with new before/after photos.” “Addressed scheduling concern with receptionist.” Three documented wins. Every day. 365 days. That’s over 1,000 wins per year. Each one creating a small momentum boost. Compounded over time? Unstoppable forward motion. Compare that to the dentist waiting for the big win. The major case. The perfect month. They might get 10 to 20 real wins per year. Long gaps between dopamine hits. Constant momentum loss in between. Same starting point. Different micro-win architecture. Completely different energy and trajectory. The Energy Killers: How You’re Destroying Momentum Without Knowing ItLet me tell you about the invisible momentum assassins that destroy most practices. These aren’t obvious failures. They’re subtle energy drains that kill forward motion so slowly you don’t notice until you’re completely stuck. Energy Killer 1: Decision Delay Every decision you postpone creates cognitive load that drains energy. That staff issue you’re avoiding? It’s taking mental bandwidth every single day even when you’re not consciously thinking about it. That equipment purchase you can’t decide on? Background anxiety constantly. That marketing initiative you’re “still researching”? Persistent guilt undermining your confidence. Each delayed decision is a slow leak in your energy tank. I used to have 15 to 20 delayed decisions running in the background at any time. Wondering why I felt exhausted despite not working unreasonable hours. Now I have a rule: any decision that can be made in under 10 minutes gets made immediately. Any decision requiring more consideration gets a specific deadline and calendar block to make it. Zero delayed decisions running in the background. Massive energy recapture. Energy Killer 2: Incomplete Systems Half-built systems are worse than no systems. The patient communication protocol you started but never finished? Creates more chaos than before you started. The inventory tracking spreadsheet you set up but don’t maintain? Generates confusion and errors. Every incomplete system creates friction. Friction kills momentum. Either complete it or delete it. The in-between state is pure energy drain. Energy Killer 3: Toxic Tolerations These are the things you’re tolerating that you know you shouldn’t. The team member who’s underperforming but you haven’t addressed it. The supplier who’s unreliable but you haven’t switched. The equipment that’s malfunctioning but you haven’t fixed it. Each toleration sends a subconscious message: “I accept mediocrity.” That message bleeds into everything else. You start tolerating mediocrity in clinical outcomes. In patient communication. In your own performance. I made a list of everything I was tolerating. Thirty-seven items. From major (underperforming associate) to minor (broken chair in the break room). Eliminated one per week for 37 weeks. The energy recapture was staggering. Not just from solving the actual problems. From the message I sent to myself: “I don’t tolerate things that aren’t working.” That standard elevated everything else automatically. Energy Killer 4: Ambient Anxiety This is the constant background worry about things you can’t control. Market conditions. Economic uncertainty. Competitor actions. Regulatory changes. It’s different from productive concern. Productive concern identifies actual problems and creates solutions. Ambient anxiety just burns energy without producing anything. I used to spend hours per week thinking about what competitors were doing. Checking their social media. Analysing their marketing. Worrying about losing market share. Pure energy drain. Zero productive output. Now I have a rule: I only think about things I can directly influence. Everything else gets dismissed as soon as I notice it arising. Competitor doing something interesting? Note it quickly. Decide if it’s relevant. Implement if yes. Forget if no. Move on. Five minutes versus five hours per week obsessing. Massive momentum recapture. The Counterintuitive Growth Framework: Why Non-Work Habits Drive Work ResultsHere’s where most dentists get this completely wrong. They think growth happens through dental work. More patients. More procedures. More hours. But the actual growth catalyst? Non-dental habits that create the mental and physical environment where high performance becomes inevitable. The Elite Performer Pattern: I’ve studied hundreds of high performers across industries. Dentists doing $2 million+. Entrepreneurs building $100 million companies. Athletes at the Olympic level. Clear pattern: their non-work routines are more rigorous than their work routines. They treat sleep, exercise, nutrition, recovery, and mental state management with the same intensity that most people reserve for their actual job. Why? Because they understand that work performance is downstream from mental and physical state. Show up depleted? You’ll produce depleted results. Show up energised? You’ll produce energised results. The work quality isn’t determined by effort in the moment. It’s determined by the state you arrive in. My Non-Negotiable Momentum Builders: These aren’t optional nice-to-haves. They’re the foundation that makes everything else possible. Morning Movement (30 minutes) Heavy resistance training or high intensity cardio. Not for aesthetics. For neurochemistry. Exercise floods your brain with BDNF (brain-derived neurotrophic factor), essentially fertiliser for neural growth. It primes your nervous system for peak performance. The days I skip this? Measurably worse clinical performance. Lower case acceptance. More decision fatigue. The mechanism isn’t mysterious. It’s biochemical. Movement creates the internal environment where high performance is natural rather than forced. Morning Silence (10 minutes) Meditation or simple silence before any inputs. This isn’t spiritual. It’s practical. You’re training your nervous system to operate from calm rather than reactivity. The dentists who skip this start their day reacting. Email. News. Social media. Someone else’s agenda immediately colonising their mental state. Ten minutes of silence creates space. You choose your state rather than inheriting it from external inputs. Measurable difference in decision quality throughout the day. Evening Documentation (5 minutes) Writing down three wins from the day before anything else. This isn’t journaling therapy. It’s momentum engineering. You’re training your brain to scan for wins rather than problems. Most people end their day reviewing everything that went wrong. Training their brain to see obstacles. I end my day documenting what went right. Training my brain to see opportunity. Same day. Different focus. Completely different momentum trajectory. Weekly Planning (60 minutes) Sunday evening. Complete shutdown of everything else. Design the next week with absolute clarity. What are the three major outcomes I’m creating? What are the highest leverage activities? What needs to be eliminated or delegated? What momentum builders am I locking in daily? Sixty minutes of focused planning saves 10+ hours of reactive scrambling during the week. Most dentists start Monday morning reacting to whatever arrives. I start Monday executing a predetermined plan. Reactive versus proactive. Chaos versus momentum. The Athlete’s Mindset: Reframing Dentistry as Elite PerformanceHere’s the shift that unlocked everything for me. I stopped thinking about dentistry as a job and started thinking about it as elite athletic performance. Sounds dramatic. But consider what elite athletes understand that most professionals miss: Performance Is a Product of State, Not Just Skill An Olympic sprinter doesn’t just train sprinting. They optimise sleep, nutrition, recovery, mental preparation, and environmental factors. They understand that race performance is determined by state on race day, which is determined by preparation in the preceding weeks. Most dentists think clinical outcomes are determined by clinical skill alone. Elite performers understand that clinical outcomes are determined by the state you bring to the clinic, which is determined by your preparation and habits. Recovery Is as Important as Work Elite athletes schedule recovery as rigorously as they schedule training. Because they understand that growth happens during recovery, not during work. Most dentists work until they collapse. Then wonder why they’re not progressing. I schedule recovery blocks. Actual calendar appointments where the only objective is restoration. Not vacation. Strategic recovery. Designed to restore the physical and mental resources that work depletes. Since implementing this? Measurably higher performance during work blocks. Because I’m arriving restored rather than depleted. Marginal Gains Compound Faster Than Major Breakthroughs British Cycling’s approach to Olympic dominance: improve everything by 1%. Bike design. Nutrition. Sleep. Travel logistics. Massage technique. No single change was dramatic. Compounded together? Complete dominance of the sport. Most dentists are searching for the one big breakthrough that changes everything. Elite performers are implementing 1% improvements across 100 variables. I optimised my chair position. My instrument setup. My communication scripts. My scheduling protocols. My team briefing format. Each change was minor. Compounded? Completely different practice performance. The Environment Determines the Outcome You can’t perform at elite levels in an environment designed for mediocrity. Olympic training facilities are engineered for peak performance. Everything is optimised. Nothing is tolerated that doesn’t serve the outcome. Most dental practices are environments of accumulated compromise. Nothing is quite right. Everything is “good enough.” I redesigned my entire practice environment with one question: “Does this support or hinder peak performance?” The break room with uncomfortable chairs that discouraged team connection? Rebuilt. The scheduling system that created daily chaos? Replaced. The equipment that worked “okay”? Upgraded to what actually eliminated friction. Not for luxury. For performance. The environment shapes everything else. The Daily Momentum Lock: Rituals That Make Forward Motion InevitableHere’s your practical implementation framework. These aren’t suggestions. They’re the non-negotiable foundation that makes everything else possible. The Morning Lock (First 60 Minutes) 0600 to 0630: Movement Heavy training or high intensity cardio. Flood the nervous system with performance chemistry. 0630 to 0640: Silence Meditation or stillness. Choose your state rather than inheriting reactivity. 0640 to 0700: Planning Review the day. Identify three micro-wins. Clarify highest leverage activities. Set intention. This 60 minutes determines the next 12 hours. Non-negotiable. The Midday Lock (12:00 to 12:30) Lunch isn’t about food. It’s about reset. Protein and vegetables for stable energy. Nothing that creates afternoon crash. Ten minute walk outside regardless of weather. Movement and sunlight reset focus. Five minute review: morning wins documented. Afternoon objectives clarified. Most dentists use lunch to collapse. I use it to reload. The Evening Lock (Last 30 Minutes) No work inputs after this point. No email. No messages. No problem-solving. Ten minutes documenting three wins from the day. Ten minutes planning tomorrow’s three micro-wins. Ten minutes complete shutdown. Reading, family, whatever creates restoration. This separation between work and recovery is what allows the next day’s momentum. Most dentists blur the boundary. Work anxiety bleeds into evening. Evening depletion bleeds into morning. Clear lock. Clean separation. Protected recovery creates next-day performance. The Weekly Lock (Sunday 1700 to 1800) Complete isolation. Phone off. Door closed. Zero interruptions. Review last week: wins, failures, patterns. Plan next week: three major outcomes, daily micro-wins, momentum builders. Identify energy drains to eliminate. Sixty minutes that create seven days of momentum versus reactivity. The dentists who skip this spend their weeks responding to chaos. I spend my weeks executing predetermined plans. The Collapse Prevention Protocol: What to Do When Momentum BreaksEven with perfect systems, momentum will break sometimes. The question isn’t if. It’s how you respond when it does. The Three-Day Rule: If I go three consecutive days without achieving my micro-wins, I know momentum has broken. Not judging it. Not catastrophising. Just recognising: momentum needs restoration. The Reset Sequence: Day 1: Identify the energy killer. What actually broke momentum? Decision delay? Incomplete system? Toxic toleration? Ambient anxiety? Day 2: Eliminate it. Not plan to eliminate it. Actually eliminate it. Make the decision. Complete the system. Address the toleration. Cut the anxiety source. Day 3: Three micro-wins. Rebuild momentum through immediate action. Document each win. Feel the dopamine return. By day four, momentum is restored. Not through massive action. Through systematic reset. The Monthly Momentum Audit: First Sunday of every month. Sixty minutes reviewing momentum. How many days achieved three micro-wins? Which energy killers emerged? Which momentum builders were inconsistent? What needs to be locked in for next month? This audit prevents slow momentum degradation. You catch small breaks before they become complete collapse. The Compound Effect: What One Year of Momentum Looks LikeLet me show you the actual numbers from implementing this system. Year One, Month One: Average three micro-wins per day: 15 wins total Major outcomes achieved: 1 Revenue: $42,000 Energy level: 4/10 Year One, Month Six: Average three micro-wins per day: 78 wins total Year One, Month Twelve: Average three micro-wins per day: 89 wins total Major outcomes achieved: 12 Notice the pattern? Micro-wins increased. Major outcomes multiplied. Revenue nearly tripled. Energy improved dramatically. Not through working more hours. Through systematic momentum building. Over 1,000 documented wins in year one. Each one creating small momentum boost. Compounded over time? Complete practice transformation. Year Two: With momentum locked in, the acceleration was exponential. Month twelve: $127,000 Year two, month six: $164,000 Not linear growth. Exponential growth. Because momentum compounds. And the energy cost? Lower in year two than year one despite higher revenue. Because I wasn’t forcing results through effort. I was channelling momentum through systems. The Choice PointYou’re at a decision point right now. You can continue operating the way you have been. Waiting for big wins. Reacting to daily chaos. Letting energy drains kill your momentum. In a year, you’ll be exactly where you are now. Maybe slightly worse as accumulated tolerations compound. Or you can start building momentum systematically. Three micro-wins tomorrow. Morning lock implemented. One energy killer eliminated. Small actions. High velocity. Compounding momentum. In a year? You’ll be operating at a level you currently can’t imagine. Not through talent. Through momentum. The question is whether you’re willing to protect your energy and engineer forward motion as seriously as elite athletes protect their performance. What’s the one energy killer that’s destroying your momentum right now? The decision you’re delaying, the system you’re leaving incomplete, the thing you’re tolerating that you know you shouldn’t? I’m genuinely curious what you’re recognising as your momentum leak. Message me on Instagram @waleedarshadd or reply to this email. Sometimes just naming the energy drain is the first step toward eliminating it. Waleed |
There's a fundamental difference in how top performers think about practice growth. Based on real-conversations with high-performing individuals.
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