Tuesday, October 27, 2026

Vet and allied health practices rarely have a clinical problem. Here is how to find the real constraint, keep patients returning and build a 90-day growth plan.

It's 11pm on a Thursday and the decision is still sitting open on your laptop. Hire the second salesperson, or not. Sign the five-year lease, or wait another quarter. Finally let go of the client who pays late and shouts first. You've run the numbers four times and you still haven't clicked save.

If you're stuck on a decision like that, the fastest way through it isn't more analysis. It's a fifteen-minute exercise called a premortem, run before you commit, not after you're already regretting it.

Nine times out of ten, what looks like "I need more information" is actually "I'm scared of being wrong, and gathering data feels safer than deciding." You're not lazy and you're not indecisive. You're human, and you're about to make the decision anyway — this just makes sure you make it with your eyes open.

Why You're Not Lazy, You're Scared

Here's the villain, and it isn't you: the idea that a confident owner decides fast and a careful one decides slow, so if you're stuck, something's wrong with you. That's backwards. A 2026 Bluevine survey of US small business owners found 68% had delayed or avoided a major decision — hiring, expanding, a big commitment — specifically from fear of getting it wrong. You are nowhere near alone on that laptop at 11pm.

I used to do this with words instead of business decisions. Early on I'd redraft the same email a dozen times before sending it, chasing a version with no risk in it. It doesn't exist. The work doesn't improve in your head — it improves once it's out in the world and you can react to what actually happens. The lesson cost me time I didn't get back: it can't work for you until it's in the public domain. A decision is the same. The fear doesn't go away before you decide. You decide, and then you deal with what the fear was actually pointing at.

The Premortem: Fifteen Minutes, Before You Commit

Psychologist Gary Klein published a simple fix for this in the Harvard Business Review back in 2007, called a project premortem. Instead of asking "what could go wrong?" — which your brain will wave off with "it'll probably be fine" — you assume the decision has already failed, a year from now, and work backwards from there. It feels uncomfortable. That discomfort is the whole point; it's what gets the real risks out of your gut and onto paper.

  • Declare it failed. Write one sentence: "It's twelve months from now and this decision was a mistake."
  • List every reason, fast. Give yourself five minutes. No editing, no "that's unlikely" — just every way it could have gone wrong.
  • Rank by damage, not just odds. A rare risk that sinks the business matters more than a common one you'd shrug off.
  • Fix your top two before you sign anything. Build the guardrail now, while it's still cheap, not after it's already gone wrong.

"Kevin's knowledge and intellect on all things business — no matter what industry it is — he just seems to find gems that you can focus on. I catch up with Kevin once a week and it is definitely the highlight of my week. He just sees different opportunities so clearly. I would not have considered the B2C market as an opportunity before working with Kevin and now it is a major focus for us. He has opened up so many new opportunities for us."

— John Roberts, Co-owner and COO, Oragene

Why Most Owners Run It Once, Then Shelve It

You can do a premortem solo, and it's worth doing even then. But the real gap isn't the framework — it's that most owners run it once, in their own head, with their own blind spots doing the marking. You already know the two or three risks you're quietly hoping nobody asks about. That's exactly where an outside pair of eyes earns its keep: someone who's sat across the table from a hundred decisions like yours and will ask the question you're avoiding, not just nod along with the plan you've already half-decided on.

This isn't for you if what you actually want is someone to make the call for you, or tell you the "right" answer exists and you just haven't found it yet. It doesn't. What you can get is a sharper, faster, better-tested version of your own judgement — which, once you trust it, is worth more than a hundred more hours of research ever will be.

Key Takeaways

  • Name the real blocker. Decision paralysis is usually fear of being wrong, not a lack of data.
  • Run the premortem first. Declare the decision failed, list every reason why, before you commit.
  • Rank by damage. Fix the risks that would sink you, not just the ones that are easy to picture.
  • Decide, then adjust. Clarity beats certainty — certainty was never on offer.

You already know more about this decision than anyone else in the room. The premortem doesn't hand you certainty — nobody can promise you that. It hands you clarity, and clarity is what turns a decision you've been dreading into one you're actually ready to make.

If the big decision has been sitting open on your laptop for weeks, that's the conversation to have before you spend another dollar on it.

Sunday, September 06, 2026

Most SME roadmaps fail from what they never remove, not what they add. Here's the three-question kill list to run before your next planning cycle — and why pruning, not adding, is what actually frees up growth capacity.

Sunday, September 06, 2026

Paid social and search rent attention you don't own. Your email list is the one channel most SMEs already have permission to use — and almost never invest in properly. Here's how to turn it into a real asset.

Sunday, September 06, 2026

Most sales training focuses on the pitch and the close. The call is usually already lost in the first five minutes. Here's the agenda-set and diagnostic sequence that fixes it — at the team level, not just for one rep.

Sunday, September 06, 2026

Delegation doesn't fail because your team can't do the work — it fails because nobody defined what "done" looked like before the task started. Here's the four-part handoff that fixes it.

Sunday, September 06, 2026

Self-funded expansion runs out of capital and management bandwidth before it runs out of market opportunity. Here's the franchise-readiness test and how to compare licensing against scaling it yourself.

Sunday, September 06, 2026

Business coaching has borrowed a lot from therapy's language, and it's blurred an important line. A coach uses psychology to find what's blocking you — then converts it into a dated business action, every time. Here's where the line sits.

Sunday, September 06, 2026

A 2026 survey of 1,500 business owners found 32% have never taken a full week off. Kevin D'Ambros-Smith on why that's a systems problem, not dedication — and what the regret data reveals about coaching and support.

Sunday, September 06, 2026

Most SME growth plans have one forecast and no backup. Here's how to build a 90-day roadmap with base, stretch, and contraction scenarios — plus the trigger points that tell you when to act.

Friday, September 04, 2026

New 2026 data shows only 6% of SME owners feel ready to grow. Kevin D'Ambros-Smith breaks down why the barriers everyone blames are shared by every owner — and what actually separates the 6% who feel ready.

Friday, September 04, 2026

88% of business leaders are confident about growth in 2026 — the highest since 2019. But 74% worry about cybersecurity and only 12% plan on a rolling basis. Here's why confidence without a planning system is exposure, not readiness.

Friday, September 04, 2026

Landing the big account feels like the win that changes everything. Here's how to spot customer concentration risk before one client's decision decides your year.

Friday, September 04, 2026

"It felt useful" isn't a return on coaching. Here's how to actually measure whether a business coaching engagement is working — and what to do if it isn't.

Friday, September 04, 2026

Decision fatigue, not hours worked, is what wrecks an owner's judgment by Thursday. Here's how to batch routine decisions and protect the ones that actually need you.

Friday, September 04, 2026

The highest-probability sale in your business is sitting in your existing customer file. Here's how to systemise cross-sell and upsell instead of leaving it to chance.

Friday, September 04, 2026

Claims about your own business don't convert — customer proof does. Here's how to systemise the kind of proof that actually moves prospects, on any marketing budget.