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What does it really take to run and grow a successful clinic? In this episode, Josiah Fitzsimmons joins me to share why the path isn’t just about systems and strategies—it’s about the mental toughness behind the scenes.

We dive into how data should drive decisions, giving you clarity and direction in your business. But just as important, we unpack the resilience, grit, and consistency required to operate a clinic day after day, especially when challenges hit.

If you’re looking for practical wisdom on balancing numbers with mindset, and structure with strength, this conversation will give you both inspiration and tools to keep building a clinic that thrives long-term.

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Your clinic will never outgrow your leadership. In this episode, I break down why leadership is the lid on every organization and how being reactive keeps most clinics stuck in the cycle of putting out fires. We’ll talk about the difference between chasing the quick dopamine hit of new patients versus building proactive systems like a New Patient Manager, tracking your Black Hole, sending monthly newsletters, and creating signature events that actually compound long-term growth.

I’ll also share why endurance races and our Adventure Summit have shaped my leadership philosophy—because the discipline and consistency it takes to finish 100 miles or hike rim-to-rim-to-rim is the same discipline it takes to lead a team and grow a clinic.

If you’ve ever felt overwhelmed by the “non-sexy” work of retention and consistency, this episode will show you why those exact habits are what separate clinics that stall from clinics that thrive.

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Every chiropractor hits a plateau at some point. New patients slow down, momentum stalls, and frustration sets in. But here’s the truth—it’s rarely the tactics that hold you back. It’s the story you’ve been telling yourself.

In this episode, I break down why “what got you here won’t get you there” goes beyond strategy and into mindset. I share real-world examples—from Blockbuster to Apple—of how companies either stayed stuck or rewrote their story to break through. I’ll also walk you through a simple exercise you can do right now to identify the limiting belief that’s keeping you plateaued, flip it on its head, and write a new story that creates momentum.

If you’ve been blaming the economy, your team, or your leadership, this episode will challenge you to look in the mirror, take ownership, and rewrite the narrative. Because plateaus aren’t the problem—the story you’re telling yourself is.

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In this episode, I dig into a truth we all know deep down but often resist: the “want to’s” in life—the freedom, the opportunities, the breakthroughs—are only unlocked by consistently showing up for the “have to’s.” From my own journey in business and endurance sports, I share how discipline, patience, and perspective transform the daily grind into the fuel for your bigger vision.

Whether it’s the early mornings, the uncomfortable conversations, or the numbers you don’t feel like tracking, those small choices stack up and create the life you’re really after. This isn’t about hustling harder—it’s about embracing the process and remembering your why.

By the end, you’ll be challenged to look at one “have to” in your own life this week and commit to it—because that’s the bridge to your “want to’s.”

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In this episode, I dive into the power of signature events and how they can transform your practice into a true community hub. From exclusive loyalty celebrations to family-friendly gatherings and collaborative bingo nights, I’ll share three proven ways we’ve built events at Corrective Chiropractic that patients look forward to year after year. Whether you’re just starting out or looking to elevate your practice, these ideas will help you create experiences that deepen relationships, spark referrals, and make your clinic unforgettable.

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In this episode, I dive into why tracking everything actually leads to tracking nothing. Too many business owners and chiropractors are measuring 30–40 different points, and instead of clarity, it creates confusion and chaos.

I’ll break down the 3 key things you should focus on when it comes to tracking data—the numbers that actually move the needle. We’ll talk about ownership, simplicity, and how to cut through the noise so your data works for you, not against you.

By the end of this episode, you’ll walk away with a framework to simplify your tracking, create clarity for your team, and build momentum in your business.

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In this episode, I unpack why I don’t believe burnout is a diagnosis—it’s a feeling. And since feelings are subjective, that means we have the power to shift them. I share the three strategies that have kept me from falling into the burnout trap: building Look Forward Tos (LFTs) into my calendar, creating space for hobbies that recharge me, and surrounding myself with friends who fill my tank. If you’ve ever wrestled with feeling “burnt out,” this episode will give you a new way to reframe it and practical ways to stay fueled for the long game.

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In this episode of The Austin Cohen Podcast, we dive into the principle of Extreme Ownership and how it applies directly to chiropractic practice and life. Too often, we start strong but fade before the finish line. I break down 4 practical strategies to help you follow through and finish what you start—whether it’s in patient care, business, or personal growth. These aren’t abstract ideas, but battle-tested habits that create consistency, trust, and momentum in everything you do.

If you’ve ever struggled with follow-through, this conversation will give you the mindset and tools to build a culture of accountability—for yourself, your team, and your patients.

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Most chiropractors underestimate the power of the progress report. We all know Day 1 and Day 2 are crucial… but what about when a patient is halfway through care? That’s where the real opportunity lives.

In this episode, I break down why the progress report is the second most important visit in chiropractic and how it can either make or break patient retention. You’ll hear how we frame it at Corrective Chiropractic using the Spinal Health Score to anchor the conversation, plus how we layer in tools like the Spinal Stability Kit and Spinal Molding Kit so patients can literally see and feel the next phase of their journey.

The goal is simple: give patients clarity on where they were, where they are, and where they’re going. When you get this right, progress reports stop being “just another visit” and start becoming a graduation moment that builds trust, momentum, and long-term commitment.

If you’re serious about creating lifelong patients, this is an episode you don’t want to miss.

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