Out Of The System

The Great Gaslight in Medicine

The deepest trap in medicine may not be paperwork, insurance, or burnout, it may be the belief that doctors are wrong for wanting to be paid well. In this episode of the Out of the System Podcast, Matthew Gillogly exposes what he calls “The Great Gaslight,” the long-running conditioning that makes doctors question their own worth. He walks through how administrators, insurance companies, media narratives, patient conditioning, and medical school programming have trained physicians to avoid money conversations and feel guilty for charging appropriately. Matthew also challenges the idea that staying financially strained makes a doctor more noble. He explains why patients often value what they invest in, why low pricing can signal low value, and why doctors who reclaim their worth may actually create more time, energy, and capacity to serve the people who need them. - - - - -  Matthew Gillogly is the founder of Mavrix Profit System, helping doctors escape the insurance trap and build thriving cash practices. A former PGA Golf Professional turned business strategist, he has scaled companies worldwide.  He is also the host of the Out of the System Podcast, where he teaches physicians how to break repeating patterns, lower stress-driven decision-making, and build autonomy with clarity. Through his Flow Method, group calls, masterminds, and guided practices, Matthew helps doctors retrain the internal 'threat response' that can cap growth so they can practice differently, lead differently, and build a future that feels safe to step into. - - - - -  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://mavrixprofitsystem.com/]  Subscribe: ⁠⁠⁠⁠Spotify⁠⁠⁠⁠ [https://open.spotify.com/show/12ZxOOp46vwMsQHlvxQOGp?si=6094f55c6eb04e5f], ⁠⁠⁠⁠Apple Podcast⁠⁠⁠⁠ [https://podcasts.apple.com/ph/podcast/out-of-the-system/id1561979080] & ⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠ [https://www.iheart.com/podcast/263-out-of-the-system-82989012] PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠⁠ [https://drtalks.com/podcast-service/]

The Truth About Championship Culture

The strongest teams are often built by people who are willing to do the unglamorous work. In this Out of the System episode, Steve Govett reflects on his years in lacrosse, from being one of the “grinders” on championship teams to leading organizations from the front office. He shares why great chemistry is not magic, why every role matters, and why leaders have to understand the people behind the performance. The conversation goes deep into the realities of leadership, including hard conversations, ego, team fit, losing, accountability, virtual work, and why championship culture cannot simply be copied. Steve also opens up about the exhaustion of being constantly “on” as a leader and how modern teams require a different kind of connection, communication, and adaptability. - - - - -  Steve Govett is a longtime lacrosse leader, former player, executive, and team builder with championship experience across multiple roles. In the conversation, he reflects on winning with the Wings, serving as GM with the Mammoth, playing alongside some of the sport’s most respected names, and building teams where role clarity, trust, and chemistry mattered as much as talent. Known for his behind-the-scenes leadership style, Steve brings a practical and deeply personal perspective on what makes teams work. His philosophy centers on connection, accountability, hard conversations, and building organizations like puzzle pieces—where every person has to fit, contribute, and understand their role. LinkedIn: https://www.linkedin.com/in/steve-govett- [https://www.linkedin.com/in/steve-govett-] - - - - -  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://mavrixprofitsystem.com/]  Subscribe: ⁠⁠⁠Spotify⁠⁠⁠ [https://open.spotify.com/show/12ZxOOp46vwMsQHlvxQOGp?si=6094f55c6eb04e5f], ⁠⁠⁠Apple Podcast⁠⁠⁠ [https://podcasts.apple.com/ph/podcast/out-of-the-system/id1561979080] & ⁠⁠⁠iHeart Radio⁠⁠⁠ [https://www.iheart.com/podcast/263-out-of-the-system-82989012] PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠⁠ [https://drtalks.com/podcast-service/]

From Debt and Doubt to Practice Freedom

Doctors often don’t realize how trapped they are until the system starts breaking them. In this episode of the Out of the System Podcast, Dr. Aimee Duffy shares her journey from family medicine, OB, and hospital-based care into functional medicine and hormone optimization. She opens up about the early years of delivering babies, learning through intense clinical experiences, and eventually questioning the limited, trial-and-error approach she was taught around women’s hormones. She also breaks down the messy business reality behind building her own practice, from opening Carolina Integrative Medicine with a large loan and no clear business training to navigating insurance, debt, divorce, bankruptcy, COVID, and eventually transitioning into a cash-based model. Along the way, she reveals how pricing, packaging, support, and mentorship helped her grow a more profitable practice, reclaim her time, and launch Functional Medicine Collaborator to help nurse practitioners connect with physicians who understand functional medicine. - - - - -  Dr. Aimee Duffy is a functional and integrative medicine physician based in Clemson, South Carolina. Trained in family medicine, she spent the early part of her career delivering babies, teaching residents, and practicing within the traditional medical system before moving deeper into hormone health, functional medicine, and root-cause care. She is the founder of Carolina Integrative Medicine and Functional Medicine Collaborator. Through her work, Dr. Aimee helps patients pursue better health through integrative care while also supporting practitioners who are building outside the traditional insurance-driven model. She also speaks, teaches, coaches, and mentors other providers navigating the business and clinical realities of functional medicine. Websites: https://go.carolinaintegrativemedicine.com/welcome [https://go.carolinaintegrativemedicine.com/welcome] https://www.aimeeduffymd.com/ [https://www.aimeeduffymd.com/]  https://functionalmedicinecollaborator.com/ [http://functionalmedicinecollaborator.com] Facebook: https://www.facebook.com/CarolinaIntegrativeMedicine/ [https://www.facebook.com/CarolinaIntegrativeMedicine/] - - - - -  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://mavrixprofitsystem.com/]  Subscribe: ⁠⁠Spotify⁠⁠ [https://open.spotify.com/show/12ZxOOp46vwMsQHlvxQOGp?si=6094f55c6eb04e5f], ⁠⁠Apple Podcast⁠⁠ [https://podcasts.apple.com/ph/podcast/out-of-the-system/id1561979080] & ⁠⁠iHeart Radio⁠⁠ [https://www.iheart.com/podcast/263-out-of-the-system-82989012] PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠⁠ [https://drtalks.com/podcast-service/]

She Didn’t Quit Medicine… Just the Way It’s Practiced

Most doctors don’t leave the system because they can’t… they don’t leave because they’re afraid to. In this episode of the Out of the System Podcast, Dr. Tammy Penhollow shares her journey from working inside high-volume, insurance-driven medicine to building her own regenerative practice rooted in patient care and clinical integrity. She opens up about the moment she realized she could no longer practice ethically within the system and how that clarity gave her the confidence to walk away. She breaks down what it actually takes to start over, from navigating fear and financial uncertainty to building a lean, agile business without relying on insurance. Along the way, she reveals why many physicians struggle to make the transition, how mindset plays a critical role, and why true regenerative medicine requires more than just adding services. - - - - -  Dr. Tammy Penhollow, DO is a physician specializing in precision regenerative medicine, with a focus on spine and joint health. After years working in high-volume, insurance-based systems, she made the decision to leave traditional medicine and build a practice centered on ethical, patient-first care. Through her work, Dr. Penhollow emphasizes a systems-based, integrative approach that combines regenerative therapies with lifestyle, metabolic, and structural optimization. She is known for her commitment to clinical precision, data-driven outcomes, and helping patients achieve long-term functional improvement rather than temporary relief. Website: https://precisionmedprp.com/ [https://precisionmedprp.com/] Instagram: https://www.instagram.com/precisionregenmed/ [https://www.instagram.com/precisionregenmed/] - - - - -  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://mavrixprofitsystem.com/]  Subscribe: ⁠Spotify⁠ [https://open.spotify.com/show/12ZxOOp46vwMsQHlvxQOGp?si=6094f55c6eb04e5f], ⁠Apple Podcast⁠ [https://podcasts.apple.com/ph/podcast/out-of-the-system/id1561979080] & ⁠iHeart Radio⁠ [https://www.iheart.com/podcast/263-out-of-the-system-82989012] PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠⁠ [https://drtalks.com/podcast-service/]

What Medicine Never Taught You About Money

The biggest problem in many medical practices may have nothing to do with marketing at all. In this episode of the Out of the System Podcast, Matthew Gillogly argues that many doctors are trapped inside a structure that rewards exhaustion, dependence, and compliance while leaving them overworked, underpaid, and disconnected from the care they actually want to provide. Using the story of Ned Cobb as a powerful metaphor, he challenges listeners to question the beliefs they were taught about work, sacrifice, and success. He also breaks down why volume is not the same as profitability, why pricing signals value, and why leadership and business skills matter just as much as clinical excellence. Through stories of doctors who shifted from low-margin, insurance-tied models into more profitable cash-based practices, he makes the case that independence is not just possible, but necessary for providers who want more freedom, more impact, and a more sustainable future. - - - - -  Matthew Gillogly is the founder of Mavrix Profit System, helping doctors escape the insurance trap and build thriving cash practices. A former PGA Golf Professional turned business strategist, he has scaled companies worldwide.  He is also the host of the Out of the System Podcast, where he teaches physicians how to break repeating patterns, lower stress-driven decision-making, and build autonomy with clarity. Through his Flow Method, group calls, masterminds, and guided practices, Matthew helps doctors retrain the internal 'threat response' that can cap growth so they can practice differently, lead differently, and build a future that feels safe to step into. Website:  ⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠ [https://mavrixprofitsystem.com/] LinkedIn: https://www.linkedin.com/company/mavrix-profit-system/ [https://www.linkedin.com/company/mavrix-profit-system/] - - - - -  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://mavrixprofitsystem.com/]  Subscribe: Spotify [https://open.spotify.com/show/12ZxOOp46vwMsQHlvxQOGp?si=6094f55c6eb04e5f], Apple Podcast [https://podcasts.apple.com/ph/podcast/out-of-the-system/id1561979080] & iHeart Radio [https://www.iheart.com/podcast/263-out-of-the-system-82989012] PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠⁠ [https://drtalks.com/podcast-service/]