Field notes on practice growth.
Tactics, trends, and what we are learning running AI agents across dental and medical practices.
The Longevity Medicine Market: A 2026 Map for Clinics
Longevity medicine crossed from fringe to a measurable market. Here is the size, the growth, and the consumer shift across every specialty under the umbrella.
Read Article →Google Turned Social Video Into a Search Channel
Google now measures how your social and video posts perform inside Search, Discover, and News, even for creators with no website. Social content is officially search content. Here is what that means for a practice, and the one bottleneck that decides who wins it.
Read Article →After AGD2026: Dentists Meet the Agentic Practice
A post-conference reflection on my AGD2026 lecture on the agentic practice: the argument I made, the questions a room of dentists pushed back with, and where dental marketing is heading.
Agentic Marketing for Dental Practices: Why It Compounds
What agentic marketing is, and how a team of AI agents runs every marketing surface for a dental practice so the work compounds instead of resetting.
7 Dental Marketing Pain Points in 2026, and the Fixes
Most dental marketing pain is a systems problem, not a reason to sell your practice. Here are the seven costing independents patients in 2026, and the fix for each.
Med Spa SEO & AI Optimization: Getting Found in 2026
The aesthetic buyer decides across four surfaces now: search, reviews, social, and AI. Here is how med spas get found, and stay found, in 2026.
Dental Industry Statistics 2026: Where Patients Are Won
The market is growing and a third of dentists still are not busy enough. The gap is not demand, it is capture. Here is what the numbers say.
Mid-Year Check: 5 Numbers Every Med Spa Should Review
June is the moment to read the scoreboard before the second half. Five numbers tell you almost everything about an aesthetic or wellness practice's health: here's how to read and act on each before H2.
Why Your Practice Needs GEO, Not Just SEO, in 2026
Patients are asking AI engines for a dentist before they ever open Google. GEO is a different discipline than SEO, and most practices are invisible in it.
The 2026 Dental Tech Stack: What Top Practices Run
The highest-performing practices in 2026 don't have more tools, they have fewer, integrated ones. Here's why the connected stack beats the pile of parts.
The 3:1 Rule: The LTV:CAC Ratio for a Healthy Med Spa
The ratio of lifetime value to acquisition cost is the single clearest test of whether your med spa's growth is healthy or quietly burning cash. Here's how to compute and use it.
Reactivation: The Cheapest New Patient You'll Ever Get
Every practice sits on a dormant asset: patients who already know and trust it. Here's why reactivating a lapsed patient costs a fraction of acquiring a stranger, and how to do it at scale.
Biostimulators Over Fillers: The 2026 Collagen Shift
The market is shifting from fillers toward collagen stimulating treatments. Here's how to market a higher consideration category in 2026, through education and social proof, not a discount.
Reading Overhead: When 65% Is Healthy and 70% a Fire
Overhead quietly decides your take home. Here's how to read it line by line, what separates a healthy 65% from a five alarm 70%, and the hidden lever most owners miss.
The Countercyclical Med Spa: Win Share in a Downturn
Downturns are when competitors panic and go quiet. Here's how the disciplined med spa holds visibility, reallocates with precision, and takes durable market share.
39% and Climbing: Competing With DSOs
DSO affiliated offices are a fast rising share of the market. You can't out-scale them, so win on what scale can't touch: brand, identity, and a personal experience.
The 90-Day Glow-Up: Wedding & Summer Med Spa Calendar
Aesthetic results need lead time, so wedding and summer body season is won in the spring. Here's how to build a seasonal calendar that captures demand ahead of the spike.
Case Acceptance Stuck at 40 to 70%: The Fix
Case acceptance sits in a wide 40% to 70% band for most practices, and the gap is communication, not pressure. Here's how to present treatment and follow up to lift it, without hard selling.
The GLP-1 Membership Annuity: Recurring Revenue
GLP-1 weight management is usually billed as one off visits. Model it as a recurring membership and a single supervised program becomes a multi thousand dollar annuity per member that compounds.
Refund Season: Helping Patients Say Yes to Care
From February to April, patients suddenly have cash for the treatment they put off. Here's how to surface deferred plans and make 'yes' easy, without cutting your fees.
Rebook Rate: The Number That Predicts Med Spa Survival
Rebook rate, the share of visits that leave with the next appointment booked, is the clearest leading indicator of a med spa's health. Here's how to read it and defend it.
What a New Patient Really Costs: Dental CAC in 2026
Most owners can't name their true cost to acquire a new patient. Here's how to measure dental CAC honestly by channel in 2026, and lower it by killing waste, not budget.
From Botox Bar to Wellness Hub: The Whole-Person Pivot
The single service Botox bar is hitting a ceiling. Here's the 2026 case for becoming a whole-person wellness hub, and how to reposition the brand, the site, and the content to sell it.
Answer Engine Optimization: How Patients Find You via AI
More patients ask AI assistants for a dentist before they open Google. Answer engine optimization is its own discipline. Here is how a dental practice becomes the cited answer in 2026.
The $10,000 Client: Building Med Spa Lifetime Value
A med spa's real money is lifetime value, not first visit revenue. Here's the LTV math, and the retention systems that turn one appointment into a years long relationship.
The No Show Tax: Cutting Dental No Shows From 7% to 4%
Every empty chair is overhead you already paid for. Here's the true cost of dental no shows and the operational moves that drive the rate down.
The Lipstick Effect: Why Aesthetics Survives Downturns
When budgets tighten, small beauty purchases hold up: the lipstick effect. Here's why med spas are structurally recession resilient, and how to act like it.
Recession Resilient, Not Recession-Proof: 2008's Lesson
Dental demand dips in downturns and recovers. The practices that come out ahead aren't the ones that cut hardest. Here's the defensive strategy from 2008.
GLP-1 Is the New Front Door for Med Spas
Medical weight loss became the highest intent front door in aesthetics. Here's how to position your med spa for the GLP-1 patient, and the high value services that follow.
Payer Mix Is Destiny: The 2026 Out-of-Network Case
Insurance write-offs quietly cap your margin. Here's the financial case for shifting your payer mix toward fee-for-service in 2026, and how to make the move survivable.
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