Out Of The System

Matthew Gillogly
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Hosted by Matthew Gillogly, Out of the System is a podcast for healthcare professionals who want to run their practice like a business—and have the freedom of entrepreneurs. Discover how real doctors are breaking free from insurance dependency, bureaucracy, and burnout to create clinics that serve both patients and purpose. Each episode delivers grounded business insight, proven systems, and stories of success from those who refused to stay stuck in the system.

  1. 6D AGO

    From Compliance to Autonomy: A Doctor’s Path Out of the System

    Most doctors do not lose confidence because they lack skill. They lose it because the system slowly replaces judgment with protocol. In this episode of the Out of the System Podcast, Colin Rigney shares his journey from growing up as the son of a small-town physician to becoming a Doctor of Physical Therapy and founder of Advanced Musculoskeletal Ultrasound Center (AMSKU), where he trains clinicians in diagnostic ultrasound and regenerative care. This conversation goes far beyond technology. Colin explains how ultrasound becomes a powerful trust accelerator, why insurance models reshape clinical decision-making, and how physicians rediscover purpose when they step outside traditional healthcare structures. He also opens up about entrepreneurship, fear in medicine, and the personal transformation required to truly leave the system. Colin Rigney is a Doctor of Physical Therapy and the founder of Advanced Musculoskeletal Ultrasound Center (AMSKU), where he trains physicians and clinicians to implement point-of-care ultrasound and image-guided procedures. His work helps providers expand clinical skills, improve diagnostic confidence, and transition toward outcome-focused, patient-centered care. Raised by a traditional family physician who practiced community-based medicine, Colin developed an early appreciation for hands-on healing. After years of working inside insurance-driven physical therapy models, he moved into entrepreneurship and physician education, helping clinicians use ultrasound as a gateway into regenerative musculoskeletal medicine and greater clinical autonomy. Website: https://www.amsku.com/ LinkedIn:https://www.linkedin.com/in/colin-rigney-pt-dpt-ocs-rmsk-76a6687a Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 23m

  2. FEB 13

    The Day I Stopped Being a Volume Doctor: Why Volume Was the Trap

    Insurance didn’t almost break him. Believing he needed it did. In this episode of the Out of the System Podcast, Dr. Ashu Goyle shares how he went from performing 40 to 50 procedures a day inside a private equity pain practice to opening his own clinic, falling into deep debt, and nearly losing everything. A financial wake-up call forced him to wean off insurance, reset his value, and rebuild around outcomes instead of procedures. Today, he sees four patients a day, gives them his personal cell phone, runs six-month healing programs, and refers out anything he cannot do exceptionally well. He discusses meditation, identity shifts, dropping Medicare, and the moment his revenue 10X’d after committing fully to cash pay. This episode breaks down what it really takes to leave the system and rebuild on your own terms. Dr. Ashu Goyle is a board-certified anesthesiologist and fellowship-trained pain specialist who completed his residency and pain fellowship at the Cleveland Clinic. After years practicing traditional high-volume interventional pain management within a private equity–backed group, he left corporate medicine to build his own outcome-focused, biologics-based practice. Today, he runs Integrated Spine, Pain & Wellness in Scottsdale, Arizona, where he specializes in orthobiologics, regenerative spine treatments, and comprehensive healing programs designed around long-term outcomes rather than insurance-driven procedures. He is passionate about personalized medicine, meditation, and helping physicians break free from the constraints of the traditional insurance system. Website: ispwscottsdale.com LinkedIn: https://www.linkedin.com/in/dr-ashu-goyle-b3bbb7245/ Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 27m

  3. FEB 6

    How Books Make Clients Chase You

    Most people think writing a book is about selling copies, but the real power is what the book unlocks. In this episode of the Out of the System Podcast, Rob Kosberg shares how a single book transformed his business after financial collapse, turning authority into media access, trust, and seven-figure growth without traditional selling. The conversation explores how books function as credibility engines, why bestsellers matter, and how experts use books alongside radio, television, podcasts, and AI tools to create leverage. Rob also breaks down the difference between AI-generated and AI-assisted content, why authenticity still matters, and how authority removes friction from every sales conversation. Rob Kosberg is the founder of Best Seller Publishing and a leading authority on using books to build credibility, influence, and business growth. For over 15 years, he has helped create nearly 2,000 bestselling books for experts, consultants, and professionals across industries. After rebuilding his own business through authorship following the financial crisis, Rob developed a proven system that turns books into lead-generation engines, media credentials, and trust accelerators. His work focuses on authority-based marketing, ethical publishing, and scalable credibility in a digital world. Website: https://publishpromoteprofit.com Website: https://bestsellerpublishing.org Instagram: https://www.instagram.com/robkosberg/ Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 15m

  4. JAN 30

    How Doctors Build Influence Without Becoming Influencers

    Most doctors think podcasts are about downloads, but that’s not where the real power is. In this Out of the System Podcast episode, Bret Gregory shares how long-form media builds trust, attracts ideal patients, and helps doctors reclaim control of their message, income, and impact. Podcasting isn’t about fame. It’s about trust and leverage. In this Out of the System Podcast episode, Bret Gregory, founder of DrTalks, shares how he went from live talk radio to building one of the largest doctor-to-doctor media platforms, and why podcasts outperform ads and funnels for doctors. The conversation breaks down how long-form interviews create trust transfer, why small audiences often produce better outcomes, and how podcasting educates patients before the appointment. Bret also explains how AI is reshaping medical media by making content searchable, personalized, and easier for patients to engage with. Bret Gregory is the founder of DrTalks, a media platform connecting doctors through podcasts, virtual summits, and long-form interviews. With a background in live talk radio and digital marketing, he has spent over a decade helping physicians build influence, grow practices, and create recurring revenue through education-driven media. After witnessing how limited time and systemic pressures restrict doctor–patient relationships, Bret focused on amplifying doctors’ voices directly to the public. His work centers on trust-based communication, scalable content, and emerging AI tools that help doctors educate patients more effectively. Website: https://drtalks.com/ Instagram: https://www.instagram.com/bretgdrtalks/ Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 23m

  5. JAN 23

    A Growing Problem: Why Hair Won’t Grow Back

    Hair loss isn’t just genetic, and hair transplants don’t solve the real problem. In this episode of the Out of the System Podcast, Dr. Leola Anifowoshe explains why modern hair loss is accelerating, how inflammation and hormonal signaling shut follicles down, and what it takes to regenerate hair by rebuilding the scalp environment. Hair loss isn’t random, and it isn’t inevitable. In this episode of the Out of the System Podcast, Dr. Leola Anifowoshe breaks down why men and women are losing hair earlier than previous generations and how stress, inflammation, hormones, and environmental disruption quietly shut down follicles over time. We also explore why hair transplants frequently fail, how dormant follicles can be reactivated, and why lasting hair recovery requires more than a single procedure. Dr. Leola shares how her own experience with hair loss shaped the system she uses today, and why results depend on what happens after treatment, not just during it. Dr. Leola Anifowoshe is a functional medicine doctor and trichologist specializing in hair loss and scalp health. After experiencing severe hair loss herself following an autoimmune diagnosis, she dedicated her career to understanding why follicles shut down and how they can be reactivated. She is the founder of Texas Hair Restoration, where she focuses on restoring circulation, reducing inflammation, and rebuilding the scalp environment so dormant follicles can recover. Her work emphasizes long-term regeneration rather than cosmetic concealment. Websites: https://texashairlossclinic.com/ https://www.houstonhairlosshelp.com/ Instagram: https://www.instagram.com/drleolaanifowoshe/ Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 30m

  6. JAN 16

    The Doctor Who Realized Success Was the Trap

    He built a wildly successful medical practice… and realized it wasn’t the life he wanted. In this episode of the Out of the System Podcast, Dr. Tracy Gapin shares how identity, trauma, and business design shaped his journey from hands-on physician to visionary leader building scalable systems that free both doctors and patients. He achieved what most physicians are taught to chase. Status, revenue, mastery. Yet something still felt off. In this episode of the Out of the System Podcast, Dr. Tracy Gapin opens up about how becoming a doctor was originally an escape from childhood trauma, and how that identity later shaped the way he built, overcontrolled, and ultimately reimagined his practice. Our conversation explores the shift from being the bottleneck to becoming the visionary, the power of systems and delegation, and why true scaling requires trust, both in your team and yourself. We also dive into health optimization, hormones, peptides, longevity myths, and why better outcomes come from structured foundations, not silver bullets. Dr. Tracy Gapin is a board-certified physician, former urologic surgeon, and founder of Peak Launch and the Gapin Institute. After leaving traditional medicine, he built a precision health optimization practice focused on hormones, metabolic health, data-driven care, and scalable systems. Today, Dr. Gapin works primarily as a visionary leader, training and licensing physicians to deliver structured, high-impact programs without burnout. His work bridges medicine, entrepreneurship, and personal transformation, helping doctors reclaim autonomy while improving patient outcomes. Websites: https://peaklaunch.com/ https://drtracygapin.com/ https://gapininstitute.com/ Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 25m

  7. JAN 9

    When Being a 'Successful Doctor' Nearly Killed Him

    He did everything medicine told him to do… and it nearly cost him his life. In this episode of the Out of the System Podcast, Dr. Joshua Schacter joins us to share how burnout, loss of autonomy, and a broken insurance model pushed him to rebuild medicine around time, integrity, mindset, and truly patient-centered care. He reached the top of his profession… and realized something was deeply wrong. In this episode of the Out of the System Podcast, Dr. Joshua Schachter shares how years inside hospital-based medicine quietly stripped autonomy, connection, and meaning from his work. We explore what happened when he stepped outside the system and began rebuilding care around time, mindset, and patient-first decisions. Our conversation also delves into why burnout isn’t a personal failure, how inherited training shapes physician behavior long after residency, and what becomes possible when doctors reclaim agency over how they practice and how they heal. Dr. Joshua Schacter is an orthopedic surgeon and the founder of Pinnacle Integrative Orthopedics and Sports Medicine. After more than a decade in a hospital-employed role, performing thousands of surgeries and holding multiple leadership positions, he reached a breaking point with burnout, loss of autonomy, and volume-driven care. Today, Dr. Schacter practices integrative, cash-based orthopedics focused on time, mindset, functional medicine, and patient-centered healing. He has built a practice rooted in integrity, joy, and sustainable outcomes for both patients and physicians. Website: https://pinnaclesportsmedicine.com/ Instagram: https://instagram.com/drjoshuaschacter/?hl=en LinkedIn: https://linkedin.com/in/joshua-schacter-do-faaos Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 37m

  8. JAN 2

    How Coaching Taught Him Life’s Biggest Lessons

    From the court to the green, one coach shares the lessons that go far beyond the game. In this episode of the Out of the System Podcast, Bob Regnerus shares his journey from coaching basketball to golf, exploring personal growth, purpose, and the importance of connection. He discusses overcoming trauma, embracing discomfort, and helping others reconnect with their true selves. From the basketball court to the golf course, one coach reveals the lessons no playbook can teach. In this episode of the Out of the System Podcast, Bob Regnerus joins us to share a decades-long coaching journey, from youth basketball to high school and eventually golf, highlighting the lessons learned along the way and reflecting on how personal experiences, loss, and grief shaped his approach to coaching and leadership. He also explores the importance of embracing discomfort, understanding one’s true purpose, and fostering meaningful connections. Bob shares insights on breaking free from generational trauma, navigating limiting beliefs, and finding fulfillment by helping others reconnect with their authentic selves. Our conversation also highlights the distinction between building an empire and creating a lasting legacy, emphasizing awareness, gratitude, and service as keys to personal and professional growth. Tune in to hear his story, gain practical insights, and discover how you can create impact both on and off the field. Bob Regnerus is a coach, mentor, and entrepreneur with over three decades of experience guiding high performers in life, business, and sport. He coached basketball for nearly four decades and now serves as Head Golf Coach at his high school alma mater, blending personal growth with athletic development. As a marketing strategist and author, he has helped thousands tell their stories through Facebook advertising and video marketing. He also created SPARK Sessions™ and SPARK Tee Time™, coaching approaches that foster clarity, awareness, and transformation. Bob’s mission is to help people see themselves clearly, trust what they know, and approach life with a lighter grip and a more joyful heart. Website: BobRegnerus.com LinkedIn: Linkedin.com/in/bobregnerus X: X.com/BobRegnerus  Connect with us: Schedule a Discovery Call at ⁠⁠⁠⁠⁠⁠⁠⁠MavrixProfitSystem.com⁠⁠⁠⁠⁠⁠⁠⁠  PODCAST Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

    1h 26m
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Ratings & Reviews

5
out of 5
5 Ratings

About

Hosted by Matthew Gillogly, Out of the System is a podcast for healthcare professionals who want to run their practice like a business—and have the freedom of entrepreneurs. Discover how real doctors are breaking free from insurance dependency, bureaucracy, and burnout to create clinics that serve both patients and purpose. Each episode delivers grounded business insight, proven systems, and stories of success from those who refused to stay stuck in the system.

Information

  • Creator
    Matthew Gillogly
  • Years Active
    2021 - 2026
  • Episodes
    115
  • Rating
    Explicit
  • Copyright
    © Matthew Gillogly
  • Show Website
    Out Of The System