Shituation: "I feel like I'm ok to leave it longer" episode artwork

EPISODE · Jan 21, 2026 · 20 MIN

Shituation: "I feel like I'm ok to leave it longer"

from Under the Influence with Martin Harvey · host Martin Harvey

When patients feel good, things get weird.John asked a great question in the AP group: after a holiday break, patients came back happy, pain-free, and wanting to stretch out visits. Not because they were disengaging, but because they were doing well.Which is harder to handle than pain.Here’s the problem beneath the problem:Feeling good reinforces Pain logic.Pain logic says: “If I feel fine, I don’t need care.”We break the situation down into five ideas:• Beliefs drive behaviour“I’ve felt fine” isn’t a statement, it’s a worldview. Pain or early Prevention logic. Totally consistent with their experience.• Experience beats explanationPeople trust what they feel more than what we tell them. Feeling good is persuasive. Lectures about prevention aren’t.• Holidays lieDifferent stress. Lower demand. No deadlines. Physiology behaves. The wobble shows up when normal life returns.• Testing changes the frameProgress exams are a better story: function before symptoms. Data before opinion. It shifts the goal from “pain gone” to “everything working.”• Agree to experimentIf they want to push spacing out, make it a trial: tag-testing, clear checkpoints, shared decision-making. Collaboration instead of drift.The bigger idea:Reactivations and spacing aren’t clinical problems, they’re belief problems. If you understand the belief, you don’t have to push, sell, or convince. You just guideTo learn more about Aligned Practicehttps://insideoutpractices.thinkific.com/products/communities/aligned-practiceCheck out the Retention Recipe https://insideoutpractices.thinkific.com/courses/retention-recipe-2-0To learn more about Reactivate to Accelerate https://insideoutpractices.thinkific.com/courses/reactivateLearn more about Daily Visit Communication 2.0https://insideoutpractices.thinkific.com/courses/daily-visitEmail me - [email protected]

When patients feel good, things get weird.John asked a great question in the AP group: after a holiday break, patients came back happy, pain-free, and wanting to stretch out visits. Not because they were disengaging, but because they were doing well.Which is harder to handle than pain.Here’s the problem beneath the problem:Feeling good reinforces Pain logic.Pain logic says: “If I feel fine, I don’t need care.”We break the situation down into five ideas:• Beliefs drive behaviour“I’ve felt fine” isn’t a statement, it’s a worldview. Pain or early Prevention logic. Totally consistent with their experience.• Experience beats explanationPeople trust what they feel more than what we tell them. Feeling good is persuasive. Lectures about prevention aren’t.• Holidays lieDifferent stress. Lower demand. No deadlines. Physiology behaves. The wobble shows up when normal life returns.• Testing changes the frameProgress exams are a better story: function before symptoms. Data before opinion. It shifts the goal from “pain gone” to “everything working.”• Agree to experimentIf they want to push spacing out, make it a trial: tag-testing, clear checkpoints, shared decision-making. Collaboration instead of drift.The bigger idea:Reactivations and spacing aren’t clinical problems, they’re belief problems. If you understand the belief, you don’t have to push, sell, or convince. You just guideTo learn more about Aligned Practicehttps://insideoutpractices.thinkific.com/products/communities/aligned-practiceCheck out the Retention Recipe https://insideoutpractices.thinkific.com/courses/retention-recipe-2-0To learn more about Reactivate to Accelerate https://insideoutpractices.thinkific.com/courses/reactivateLearn more about Daily Visit Communication 2.0https://insideoutpractices.thinkific.com/courses/daily-visitEmail me - [email protected]

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Shituation: "I feel like I'm ok to leave it longer"

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This episode was published on January 21, 2026.

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When patients feel good, things get weird.John asked a great question in the AP group: after a holiday break, patients came back happy, pain-free, and wanting to stretch out visits. Not because they were disengaging, but because they were doing...

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