I intend to find a way to be more effective. Mostly No. 51. The long term profitability of my practice is uptrending. Communication within my practice flows smoothly and quickly to the right person with no misunderstandings. My patients get the full treatment I recommend for them.
Tax payments are usually on the late side.
Quality of service tends to collapse when I am away from the area for any extended period of time. Our staff training system is an on-going affair. We don't get much return from our promotional campaigns. I have one or more physical problems. Most people don't want to work, and do so only because of economic necessity.