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In this episode, I sit down with Dr. Nicholas Hedges to walk through his journey from graduating chiropractic school to building his own practice in a new state—without a built-in network or safety net.
We talk honestly about the realities of opening a practice early, the mindset shifts required to grow, and why scaling and hiring become non-negotiable when your body becomes the bottleneck. Nicholas also shares how a serious wrist injury forced him to think differently about leverage, longevity, and building a business that doesn’t rely solely on hands-on care.
This is a real conversation about ownership, risk, leadership, and what it actually takes to build something sustainable.
- Opening a practice in a new state with no connections
- The early struggles most new owners don’t talk about
- How injuries can force smarter business decisions
- Why hiring and scaling aren’t optional long-term
- Shifting from “do everything myself” to real leadership
Want to experience these conversations live?
By Justin Rabinowitz5
3939 ratings
In this episode, I sit down with Dr. Nicholas Hedges to walk through his journey from graduating chiropractic school to building his own practice in a new state—without a built-in network or safety net.
We talk honestly about the realities of opening a practice early, the mindset shifts required to grow, and why scaling and hiring become non-negotiable when your body becomes the bottleneck. Nicholas also shares how a serious wrist injury forced him to think differently about leverage, longevity, and building a business that doesn’t rely solely on hands-on care.
This is a real conversation about ownership, risk, leadership, and what it actually takes to build something sustainable.
- Opening a practice in a new state with no connections
- The early struggles most new owners don’t talk about
- How injuries can force smarter business decisions
- Why hiring and scaling aren’t optional long-term
- Shifting from “do everything myself” to real leadership
Want to experience these conversations live?

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