You don’t have an effort problem - you have a FOCUS problem.
Most practices aren’t stuck because of a lack of effort, they’re stuck because they’re solving the wrong problems in the wrong order. In this episode, Dr. Stephen and Dr. Pete introduce the concept of the primary constraint and challenge the idea of “priorities” by reframing success around singular focus. Through the lens of the accountability grid and the five domains of business, they lay the foundation for a new way of thinking about growth: identifying, sequencing, and solving the one constraint that matters most right now. This episode sets the strategic framework for eliminating overwhelm, creating clarity, and unlocking the next level of performance. The payoff is a shift from reactive problem-solving to intentional, CEO-level decision making that drives real momentum.
In This Episode You Will:
- Understand why solving multiple problems keeps you stuck
- Learn the difference between constraints and symptoms
- Discover how to identify your single primary constraint
- See why sequencing problems is the key to growth
- Clarify how to think like a CEO instead of an operator
Episode Highlights
01:55 - Recognize that every business faces multiple challenges, yet one primary constraint ultimately determines growth trajectory
03:55 - Understand the distinction between having many problems and identifying the single priority that creates leverage
08:40 - Discover that most growth plateaus are caused by a lack of focus rather than a lack of effort
09:05 - Explore the CEO’s role as the “human magnifying glass” directing energy and resources toward one outcome
11:10 - Examine how concentrated focus ignites momentum instead of spreading effort across multiple weak initiatives
16:03 - Identify the importance of sequencing constraints rather than attempting to solve everything simultaneously
17:31 - Differentiate between symptoms and true constraints when moving to the next level of growth
18:21 - Clarify how the five domains of business align with the patient journey and operational structure
22:12 - Reveal the hidden cost of ignoring constraints in both impact and income
25:21 - Uncover the most common primary constraints across attraction, conversion, retention, team, and money
27:48 - Dr. Eric DiMartino is joined by Mark Murdock of Aspen Live Well to explore how light therapy expands chiropractic impact and revenue. They discuss class IV laser, full-body photobiomodulation, and scalable business models that generate recurring income without requiring doctor time. Light therapy accelerates healing, attracts new patients, and creates a profitable business within a practice.
Resources Mentioned
Download your copy of the Accountability Grid here: https://go.theremarkablepractice.com/remceo-ep357-acctgrid
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Aspen Live Well please visit: https://aspenlivewell.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

