Beyond ADHD A Physicians Perspective: Dr. Mydalis Diaz-Ramirez

Dr. Mydalis Diaz-Ramirez: Big message to our listeners, right? When you're lost, you know, in this despair, maybe burnout. So tired, sometimes you're so hurt that you become numb and you keep going. And then we talk about the golden handcuffs or, you know, gonna move. And you know what, at the end of the day, who's making the decision of staying. There is no one else other than you. So you're making the decision of staying there. You can make the decision of coming outside. You have to understand that you can find your path again. If you're in the right group.

Dr. Diana Mercado-Marmarosh: Hi, welcome to Beyond ADHD, A Physician's Perspective podcast. I am your host, Dr. Diana Mercado-Marmarosh. I'm a Family Medicine doc, with ADHD, practicing in a rural setting in Texas. I am a mother to two very energetic toddlers who are three and four years of age.

And in the past year, I have undergone radical transformation after discovering ADHD coaching, and life-coaching. For the past decade, my typical day consisted of having 300 charts backlog, a graveyard of unfinished projects, and a lack of time awareness. I didn't realize that I was not filling my own cup. I was running on fumes. The last year I figured out the secret; learn to stay in your lane. So now my mission is to help others develop systems that tap into their zone of genius. So they too can reclaim their personal lives back like I have.

Dr. Diana Mercado-Marmarosh: Well, hello. I am so excited today. I am speaking with a dear friend of mine. Who's become, such a instrumental part of my journey, and it's a pleasure to bring her on board today that this Dr. Mydalis Diaz-Ramirez she's actually, an anesthesiologist and an interventional pain management physician who after 20 years of training and doing what she loves is now transitioning into innovative medicine, really being a trailblazer and pioneer in the lifestyle medicine.

It's so good to have been part of her network and seeing her as she's been able to not only empower herself, but empower other physicians through master classes, six-month master classes to build their businesses, and practice medicine on their own terms. And she's also doing podcasting and all kinds of stuff.

So welcome Dr. Mydalis, tell us all the things, how are things going for you?

Dr. Mydalis Diaz-Ramirez: Oh, my goodness, Deanna. I'm just so excited. It gives me chills to hear you because, the way that we met was precisely through our mastermind and that's how it's going. Right. We have our new mastermind coming now in August and we're getting the new members and we're just like, It's been quite a transition, quite, the transformation for all of us, not for only the members of the mastermind, but for me too, as the facilitator and as a physician, it's been quite the changes, so we're very happy.

We're enthusiastic. We're very excited about what's coming up and, I can wait to tell you more about.

Dr. Diana Mercado-Marmarosh: Awesome. So how did you decide that you were gonna start this journey, like in, in pain management? Was it something that you always envisioned and then like what made you decide to transition to something more innovative? Like lifestyle medicine? So

Dr. Mydalis Diaz-Ramirez: Pain management, I got into it, actually pain drew me to pain. I went to medical school, I did my internship and then I chose anesthesiology. And then while I wasn't doing anesthesiology, then I developed some decorat veins on my right hand I'm right handed. So that eventually they dumped me at the pain center because I could not be in the, or, and then they're, I learn about pain management and it's like, I fell in love because then I could see the transformations are not only the patients, but their families.

And would I be able to do some, long-term follow-ups for those patients and do surgery, which I really liked. So one of the things that I had thought about doing was neurosurgery or even orthopedic surgery. And I, there you are. I'm doing those things. I'm placing spinal cord, simulators, pumps, and all these things.

And then 20 years later through the years, I've seen how patients have come to us. And there's so much more that we can in terms of finding nerve root costs for many of the things that people suffer. For example, we see a lot of patients who come when they're 40. And they were like on antidepressant and then something for sleep and then something for inflammation and really the root cause as in being examined, nobody wanted to do their, their hormones or just help 'em with those things. So I said, you know, what, why don't I focus more on prevention and then I can like, do see the whole picture for those patients and how that's, how this came. So we have found, lifestyle medicine, functional medicine, regenerative medicine, those ways of trying to get to those patients, give them like the best evaluation possible.

And then if they still need something at the end of the day, then we can work on those things as well.

Dr. Diana Mercado-Marmarosh: Yeah, that's so amazing. Tell me about this new adventure that you're doing. You found some of your partners through this mastermind, right?

Dr. Mydalis Diaz-Ramirez: It's funny, but because I tell my kids never trust anybody you meet online, right? Here we're I'm here with you. Like I consider you a friend. Have we ever met each other in person? Have we ever Hugg each other? Not yet, but we are on our way to do that soon. I'm hoping. And that's how it's been. So the, this has given us the opportunity to meet so many people. And one of them is my new partner, Miranda Phillips. She eventually asked me, Hey, is there someone that in Sarasota, I really want to go to Florida. And it's like, okay. You know, and then like, I'll call you right back. And instead of giving her some names of some people that she could be working here, part-time I gave her a whole business plan. I put together not a business plan, but a vision, a plan of a vision for our clinic.

And that's one of them. So I met her through the mastermind, my other business partner, Dr. Arun Rao, I also met her she's local here to Sarasota, Florida, but we truly, got to know each other through our mastermind. So now the three of us mastermind related, we are coming to real life, physical life, giving a service to our patients here locally.

And actually we want to make it a destination facility. So that's, that's one of the big, huge gifts this group has given our families. Really?

Dr. Diana Mercado-Marmarosh: Yes. I actually joined your mastermind. It was the very first one. Right. And it was before. Before the business, I would say where before my business, so I hadn't finished, I hadn't graduated yet from my life coach school training. At that time I finished in July and I remember it was all just an idea, right? Like I was something I was working toward. It was where the growth happened, where my baby was bur or so to say. And it was so amazing to be in an environment where it was intimate, because I, I believe we were like 10 in the group and it was so unique because you asked for the spouse to come along and here I was being so excited about my business and talking about my business with my husband. So I just assumed that he was gonna be like, yes, of course, I'm coming to support you in this, amazing mastermind. So I signed us up and then the day that we're supposed to meet, I tell my husband, I'm like, Hey, come on, let's get on the zoom meeting. And he's like, wait, what? You signed me up without asking me?

And he was like, yeah, I'm not going to another zoom meeting. I'm on zoom meetings, like seven hours a day. Cuz he works from. And he's like, I'm not gonna do one more zoom meeting. I can support your system or your business from afar, but I'm not going to another zoom meeting. And I was like, so embarrassed and I remember emailing or texting Mydalis.

I was like, would you still have me army of one because yeah, I made an assumption and she's like, yeah, come on in. It was just a really unique experience because. All the physicians in the room, male or female then brought their spouse and their spouses. Some of them were medicine, but some of them were not.

And that was where the beauty was, where y'all sudden had access to everybody else's way of thinking. And you could. Talk about whatever you were going or you're thinking you were working on and people could give you feedback. She called it the hot seat. They put you in the hot seat and then she brought experts to help you move you along.

And so at that time, I didn't realize how valuable. Yes. I realized that I knew accountability was needed, but now looking back, I don't know if I would've been such successful towards the beginning. Had I not had that type of environment where you're regularly meeting? Once a week and you're not just accountable to yourself, but to the whole group.

And so I bring this up because people with ADHD, we need structures, we need routines, but more importantly, we need people who are not gonna crush all their dreams when we think, because we have thousands of dreams and sometimes we have to make sure that the environment we're in facilitates that. But it also kind of, I don't wanna say restricts us, but I wanna say hones in on what is prioritizing is the word I'm looking for instead of restricting, I wanna use the word prioritizing because, not all thousand ideas are meant to come alive, but we gotta figure out which one you're really passionate about. And then what steps. So you don't get in the way. And this is where I was, it was such a blessing to be able to be part of Mydalis group. And so yeah, if you wanna share what it was like to have, somebody like me in your group, let us know.

Dr. Mydalis Diaz-Ramirez: Well, I have to tell you Diana, like you're one of our superstars. Because, we all know you've made all as part of your story with ADHD, you were really focused on what you wanted to achieve. You had a clear idea and you were very passionate. You were very driven, you are very driven. And, you've been an example and having somebody with ADHD, actually, my last cohort. We discovered like half of our, of our physicians had a ADHD.

Maybe there were some more who didn't, share that. But, as you say, the group parties has allowed us, is to hone down on what the dream is and then set priorities and then keep you accountable for that area. So we're gonna make sure that we're gonna identify first, you know, right. Different from home when you came the first time that we have onboarding process and we make sure that everybody writes down and, tells us in detail what they want to do.

And then we're gonna go and set the priorities. What is most important? What's gonna give you. Your best return on investment or at the quickest, you know, so that you can start right away. It doesn't have to be a business for many, of our, of our members, actually, it's the life, change that they're looking for and to look for opportunities and, what they want to learn.

Some people want just to learn about mindset and then getting into that mindset. Most of it is through entrepreneurship, what we want to achieve. But people with ADHD are able to focus on a small group. That's gonna have no judgment for them. It's gonna make them accountable. It can be with, or without your partner, in your case, you didn't have a partner.

And I remember like you asking me, can I come and say yes, yes, please come. Because what we want to do is change, the lives or our physicians so that they understand that they're control. And when you are somebody with ADHD at times, like you are really out of control because you have so many ideas going on and, so many dreams, as you say that we help you structure.

We help you give structure for that. And then once hopefully you have achieved this successful plan and you have. Taking into completion, then we can add another dream. So we don't have to cut you off the dreams. We just organize them with you and having somebody like you. That's the things like you have so much energy.

You can be such a great example and look what you've achieved. Like I always remember within three months you were already selling within three months of, I think two or three months, you were already selling your coaching business. And you were telling us everywhere what you were doing. And I just remembered this particular when you said, oh, I went ahead and I started selling and I didn't even press have the button for people to pay me.

I was like so funny, but it was so good because then that's, you know, like you knew you were gonna talk to somebody. and, you were gonna be able to get through those hurdles quicker than if you were doing this on your own. And even though your husband has the best intentions of giving you the support, he wasn't necessarily there for you, you know, step by step for the business.

So that's what, what we were there for you. So having somebody like you in our group is like a blessing and it's been wonderful. And we're so proud of you. Like you can imagine.

Dr. Diana Mercado-Marmarosh: Yeah. And, and it came full circle. When you asked me if I could come back and be a speaker for your program. And I thought that was amazing.

And even while I was already in your mastermind, I did also volunteer to be a speaker to our colleagues because we all don't realize like the gifts that we have that come. So naturally that we think that who wants to hear that, but actually. I don't wanna say I, you know, I was accredited to, but I was part of some conversations that happened that allowed one of our physicians to consider what he wanted in terms of, family style and traveling so many hours.

And we had conversations around, what does it mean to prioritize your time and your charting and your stuff. And we were all doing the happy dance at the end when he. You know, a different job that was aligned with this lifestyle that he was envisioning and the hours, and no longer having to drive so many hours and be away from his, family because of.

The charting and, he was optimizing, but he had just like, we all have some limiting beliefs that we think that where we are is the best we'll ever be at and not necessarily right. Like we get to dream every day and then come and implement it. in Mydalis group, how to execute it so that we could do it.

And it was having that vulnerability of saying, well, this is what I'm doing. And we weren't judging him for doing that because he thought that this is what he needed to do, but we could see past how much better it could be if he wanted it. Right? And so that's where it's so important. Like she says, sometimes it's just a mind shift that you need in order for you to practice medicine the way you want it.

And that opens up the ripple effect for how you show up for your family and how you show up, for your colleagues. Right? And by more importantly, how you show up for yourself, because we think we're functioning at the highest level, but it maybe when we get into a room, others can see your blindspot. And it's so much quicker that our growth can happen because they're showing it to us from a place of love.

Dr. Mydalis Diaz-Ramirez: And the transformation that you helped, achieve for that doctor. He gained four hours every day. From that transformation. So within six months he already had a different job. He was already studying about, a real estate, which was a way of doing passive income. And he was already publishing pictures with their family from the time, you know, he had so much more time off.

So he learned how to chart better. He changed to a job where he acquire it was more than four hours a day, because then at times when he was going at night. Actually almost every single night, he would then chart after having dinner. So now he wasn't charting at home. So he acquired that time plus a traveling time, which was a 12, four hours a day.

So that quite up at least like, I don't know, six hours a day, just from this transformation, plus the real estate knowledge and, the way that his, wife came to our mastermind. So she learned about those options as well. And, and it was really a family affair. So it was really transformational for everybody there.

Dr. Diana Mercado-Marmarosh: Yeah. And I think for everybody else too, to see it right, to see that this is possible, that I know somebody and I actually got to meet him and his wife in New York. When we went to go visit Dave's parents, my husband's parents. So it's like such a small world. Like you said, sometimes people that we meet online that were like, well, who are you meeting?

But you meet in person and, like, you know them because you've been talking to them for six months, like week by week, you, you understand their ins and outs, their love, their fears. It's such a powerful area that it's almost like you were in residency again, but without the drama, right? Because in residency, you're just all trying to survive, but like now you have a purpose, like invested in yourself and in the wellbeing of your family and on purpose are deciding that you have a goal in mind. And that you're just gonna get from point a to point B. And I don't know how you would do it, but you would magically just spring, like the person to talk to for that stuff.

I remember it was through. Brought like Dr. Unah for me, when, for me, she was a superstar at that point. Like somebody, I was just like in awe with, right. I was so starstruck. And like now I, I have been able to work with her in her program, but you created those opportunities and you brought other people for me, super bowl expert with ads to talk about branding and, it was just like, wow, like to get the collabor of people.

In this to talk to us and they see it as like, oh, I'm talking to physicians and we're seeing it like, oh, we're talking to superstars. It, it's just amazing to be able to make those network connections. And then to think why not me?

Dr. Mydalis Diaz-Ramirez: I have to tell you, like, that's what I found the most. One of the most significant things, besides all the friendships and transformations is that this is one of the best times, if not the best time in history for physicians to really come together and help each other.

And I, I, you say like magic, I really called a lot of people to be able to, to get. And, you know, you would get like some responses and some notes. But I never stopped asking because for us to transform, we really need those examples. And what better than having somebody who's been successful at that come and tell you person to person, you know, what, what you can do first?

Like, yes, you're capable of doing it. Like, I think it's universal that they say, you know, I'm, I'm not special. I'm just like a doctor. Like you are. Who took these steps and here are the steps that you have to take and, boom. And then you ask them, Hey, I'm having problem with this. Oh, don't worry. This is the way that you do it.

So that's how we advance. And to me, having access to these tons. So as you say, superstars has been, has been a blessing and there's no better time. And I think that we all have to take advantage of that so that we all raise, you know, we all grow together. We all lived each other and it's been quite a gift.

And, I want to thank our coaches because our coaches, without our coaches, there's no mastermind and you're one of them you've been you've. One of them helping us from the very beginning and, yeah, the coaches. It's amazing in our page, we have some of them, we don't have all of them. But it's those journeys, you know, like you, you can think of at times just looking back, I don't know, five years ago, would I have thought in my mind that I would be talking to somebody like that? Maybe not, you know? But here they are and they're like us and they're talking to us and then they inspire all of us. It's quite the gift.

Dr. Diana Mercado-Marmarosh: Yeah. And, I wanna point out that, like you said, I made a lot of phone calls. I got some, yes, I got some nos. I got no responses. I think that's the part that trips us up with ADHD. We think, oh, that's too hard. I don't want to ask people, what are they gonna think? Da, da, da, da. And I think because you took. Some part of that, like, it was so easy. I just had to show up. And of course I had to do some steps afterwards, but you took away as many of the things that would get in the wake, which is just starting or just the conversation. Right? Just starting that conversation. And I think that's why. It's so important to not take it personally, but you can see why people with ADHD do take it personally, if they don't understand that in human nature, usually, the two things we really want is love and connection, right? Those are the two things we want.

And when we feel one or the other is being threatened, then yes. Some of us feel rejected, but people with ADHD, a hundred percent of people with ADHD experience, what is called rejection, sensitivity, Dysphobia, which means that we will take it way outta context that, oh my God, they don't wanna talk to me.

That's it, I'm a failure. And we go to all these other places, but instead. Not making it mean anything is so easy, but it's so hard at the same time. But when you're in an environment where the people that are coming to talk to you are coming because they want to, because they decided that, yes, I want to help this person get to where I am.

And like you said, I'm not any different. I just took extra steps. And, it's the same thing. It's a muscle, right? Not all everybody. Well, nobody really knew all the form of meds. Right? We don't know all the names of these meds, but we learned them. Right? We all learned them because we knew it was part of the thing.

And I remember you crushing when we started talking about like real estate, like my mind would just wanna shut off because I was like, I don't know, money. I don't need to understand. And it was, my husband was always like, yes, you do. You need to understand money. You need to have an express spreadsheet.

You have to see how much you're spending so you can see how much you're making. And I was like, why do I have to know that? Like I know there's plenty. And so the problem then becomes that if you don't understand where you are, You don't know where you're going. Right. And a lot of us sometimes get stuck in that.

We feel like what, wherever we're at, we're comfortable at, and we don't need to go anywhere else. But if there's a something inside of you that tells you, yes, I'm a physician, but I want to practice more. I want to do more. I wanna have more impact. Then you really need to listen to that little voice, because it's gonna nag at you and you just have to take some steps.

So in your master class and in your podcast, you really highlight the importance of network. And like they say, you're the average of the five people you hang around with. And so it's so important to not necessarily go out there because what am I gonna get back? Because you're planting seeds everywhere, because one day you don't know who's gonna help open a door for you, or likewise, you don't know whose door you're gonna help open that can help and impact the rest of humanity. Right?

Dr. Mydalis Diaz-Ramirez: Yeah. One of the things that I've decided to lead my life, with is one is love. You know, like we all, as you say love, and the other one is contribution, and I've seen that by giving. I'm not giving to get, but it just happens that you just get more. I really was not expecting to have these partners from the mastermind coming and it, it just happened like that.

And, I cannot tell you how life changing it. It's been like every day we have changes that are happening right and left. In terms of the podcast that you were mentioning, it's called designer physician life. And we want to give specific tips in each podcast. Episode that you can start right away. So I remember the conversation you having in our mastermind.

And I'm saying this because you allow me usually what happens in the mastermind stays in the mastermind like, like Vegas, but Deanna just mentioned it. It's like she didn't, she had that conversation with her husband and she brought it to us. It's like, it was so funny because there you go. Like, she doesn't know how to put that button to, to get the people to pay.

And then she's spending some money in coaching and all these things, and it's super important that, you know, and it cannot let that. You cannot give that authority to anybody else. Right? You have to have the authority because you know, what's gonna happen to you. It's like the comparison I make is when you have a patient and you give them instructions for labs or physical therapy or something, and then they come a month, whenever you tell 'em come between four to eight weeks later to report on those changes.

They come and it's like, oh, nobody called me. It's like, really? And then you get so upset. It's like, how come nobody called you? Couldn't you call that place? You know? Like maybe they didn't call you because they got busy, you know? And that's what happens with everybody else. One, when you receive this, notes for example, and people are telling you no it's because maybe they're busy with something else.

It's not that you're not a good person or representative that has nothing to do with you is that they're busy doing something else. And that's why you have to take matters, you know, into your hands for your destiny. And, you have to understand all these things yourself. We don't learn any of these in medical school. Right? So in our podcast, we will have specific tips so that you can learn about your finances, what to do about how to really get with people who are aligned with what you do. And we teach people to still love your friends. Still love your family. Still love your coworkers, but if they're not supportive, if they are in a different mindset, Spend the social time with them and spend your creativity time, spend your inspiring time, spend your entrepreneurial time with that group that's really gonna help you succeed. That's one of the big things that we talk about.

So first yeah, you have to take matters into your hands. Don't worry that you've had some rejections and this is not a matter of being difficult or hard. One of the things that we learned from, Kenji, for example, when he came to talk to us about mindset, it's not talking about heart is if it's a worthy challenge.

So is this a worthy challenge? Is it worth it that somebody with ADHD or not ADHD is going to be able to reach to someone? Who's gonna coach them. Yes. It's worth it. So let's work on it. Is it difficult? Is it hard? We set those aside and then we see the challenge if it's worthy or not. Is it worth it for you to take care of your of your own life?

For example, Diana, April, 2021, just a plan, just an idea. A year later, you've made some extra, how much, how many times have you made from the money that you invested in your coaching? It's at least twice right, by now. Is that correct?

Dr. Diana Mercado-Marmarosh: Yeah.

Dr. Mydalis Diaz-Ramirez: Now that you know your numbers.

Dr. Diana Mercado-Marmarosh: Yeah. I know now that I know my numbers, I will tell you. So when I started, when it was just an idea, by the time I graduated, I had made $2,000. When by the time I graduated July of 21, and then by June of 22, I had made $148,000 from that.

Dr. Mydalis Diaz-Ramirez: It's just over a year later. Right. And then now you've been offered the possibility. Right. We dunno how that's gonna materialize the possibility of between three to six months in your life making twice one and half or twice your salary that you make in a whole year. Is that correct?

Dr. Diana Mercado-Marmarosh: Yes, correct. Yes.

Dr. Mydalis Diaz-Ramirez: So what would have happened for Diana Mercado-Marmarosh, if she was still waiting to start thinking that it was gonna be difficult, thinking that she could not do it thinking for that period of time that she was not worth that she was gonna get rejections. Hmm. And she was wait for it to be perfect. To have to know how that bottom to charge for people was. Huh? You would have missing all these things. Right. And look where you are. So that's, that's a big message. To our listeners, right? Doesn't matter that you have ADHD, you have to get into the right group, right connections.

We're fortunate that we've been able to have people like Diana and a bunch of others in our group who have ADHD and then help them achieve their dreams. And these are things that you have to take into your own hands. You have to take your own future. And as a physician, when you're lost, you know, in despair, maybe burnout, so tired, sometimes you're so hurt that you become numb and you keep going. And then we talk about the golden handcuffs or, you know, gonna move. And you know what, at the end of the day, who's making the decision of staying there is no one else other than. So you're making the decision of staying there. You can make the decision of coming outside my own story just recently. Not, not that long ago, I had decided like I had businesses and I had the clinics and then I sold those clinic successful.

And I decided to start to stay, to remain as an employee in those clinics, because I wanted to spend some more time with my kids at this stage of life and all these things. Right? So I gave those rights away by staying as an employee. And I realized that really that's not the life for me, you know? And I cannot blame them for being who they are.

It's I only blame myself for staying there for as long as I, because it just doesn't make me happy to not have that control. So when they came to me, And I had already resigned. I gave them three months that I was gonna resign from this job and then six weeks into this process. So I still had like six other weeks left.

They come one day at the end of the day and they tell me, today's your last day, you know, what do you do? Like we have decided to accelerate your departure. So then I decided immediately that's the first time and the last time that anybody will tell me, what I'm gonna do the next day at work, right?

That's all I can do. I cannot be crying. I cannot blame them because at the end of the day, I was the one who chose that job. Right? So as a physician with, or without ADHD, you have to understand your options. You have to understand that you're in control and that you have to understand that you can get you, you can find your path away your path again, if you're in the right group.

Dr. Diana Mercado-Marmarosh: Yeah. And, I think you were able to go through that for a lot of us, that type of stuff would've been crushing, right? Like being told you no longer have a job, but because you were in this growth mindset. And the people around you were there to say, it's funny who you surround with because now for most of us, and if we lose a job, like we don't make it be the end of the world because we realize that it's okay.

I am the secret sauce. So it doesn't matter where I'm at. I will make it even better. And before we used to think, you should bow down that you have a job. Right. But now we have come to realize that nobody owns us, unless you let them own you because you're not living in alignment with your values. It didn't crush you. It made you stronger.

Because of the community that you had, and it allowed you to dream and think outside the box to do it your own way and to trust in you. And, and I was actually gonna ask you about this because I know you're one of few physicians, female physicians who has been able to secure what your new practice that you're going into secure alone, and even asked to be in the board of financial planning for this bank now. Right? Like how crazy is that?

Dr. Mydalis Diaz-Ramirez: Totally crazy. Never in my whole life would I have thought that they would offer that to me? Like what's going on. So, yeah. And it's because of this mastermind because of the company that I'm with. That we've been able, and then the things happen to you, like, as they say, like, life is happening for you. Right? And, in this case, we went to this program and we, at the end of the day, we have received more money than what we went for asking, asking for to that program is a local bank and they have requested us to be part of their marketing materials. They think that we are a good group and they even offered us to have some shares at the bank.

Like what like, are you kidding me? But yeah. So that's there, it's available and, it can be available to you two. I don't know if you're gonna be, you know, shareholder at the bank specifically. I don't know yet if I'm gonna be a shareholder myself, but the opportunities there, and these opportunities only come when you surround yourself with people who are in the same mindset going that way.

And, you have to work on your mindset. It's not something that came to us overnight after so many years of leaving a life, you know, of fixed mindset is something that you really have to train. You have to work, you have to read, it's, you know, something about reading is that people ask me many times what's the one book and I can tell, you know, the book that triggered it for me was Rich Dad, Poor Dad.

That was the book that triggered it. But it's certainly not the book that has told us everything that we know about entrepreneurship. Right? So when you become a physician, you know that you're gonna have to study so many books, right. That so many years of studying for you to be able to become a physician.

You don't have to study as much to become an interpreter. You certainly have to study and not only one book, but you have to read, you have to train yourself and you have to grow that mindset and you have to surround yourself with people so that then these opportunities will come. Yeah. So totally surprising.

Dr. Diana Mercado-Marmarosh: Yeah. And the good thing about this is that, I read the. I listened to the audible version of rich dad, poor dad while I was in your masterclass. I think that was one of the ones that started to break my idea of, I don't understand money and get me to show up. Even when, you know, I was so grateful that David, who was in our group would explain things and Miranda would explain things.

 I wouldn't really understand everything that was going on, but, I kept trying to understand it because I wanted to have an open mind and I kept telling myself, you know, you didn't understand all the medicine you were learning when you were learning it, but you had to have an open mind. And it's the same thing.

Like we have to have an open mind that something can change and. and in their masterminds, it was all kinds of things. Like some people wanted to start a winery, some people wanted to start, you know, a retreat. Some people just wanted to have a very productive practice. Some people wanted to a better style of life, real estate.

So that's the beauty of being able to be surrounded by people who want to just invest in themselves and in their future. And so, yeah, so I was saying 150,000 that I probably have made, but I wanna say like two thirds have been invested back into my own coaching, into other programs, into hiring coaches to come and teach in my program, into go me going to conferences so I can continue to level up and understand trauma based consent and all kinds of stuff, that not only benefit my mastermind, but now benefit my patients because I use these techniques with my everyday patients.

And it's now so wonderful to see the mixture of it and who you become and what you can now decide like, okay, maybe in three years from now, you know, in the summers, I'm gonna take my kids to go, you know, for a whole month to a different country, to understand and live, and immersed without me on being attached to my phone, like actually learning things for learning. Right? And so you start to think outside of the box of how you could envision and I'm like, well, why not teachers have summer soft? Why can't doctors have summer soft if they decided to. Right?

And so, again, It might be a crazy dream or it could be the why not start of a conversation, right? It is so wonderful to be able to look into books, look into each other and, to understand that you are worthy of that challenge, like you are worthy to put forth the challenge.

Dr. Mydalis Diaz-Ramirez: And one of the things that you just mentioned just subtly, but, important is that you've been able to invest back in yourself. So when you start this journey at the beginning, that you're so scared, not understanding with your fix mindset, you're asking what is the cost for that? Right? That's the question?

What, what is it gonna cost me? And now we know it's like, what's the investment. It may gonna be like, so that's a big change that happens. Oh, what is that too expensive? And I say, you know, what is more expensive? So Dian, what's more expensive to you? Like not doing, you know, doing nothing a year and a half ago versus like investing yourself? What was more expensive, not doing anything. Right?

Dr. Diana Mercado-Marmarosh: So like two, three years ago, I mean, I was paying it with time and money and suffering. Well, how? I was having two to 300 charts open, right? I was, using 20 to 30 hours, unpaid outside of work, trying to mask how much I did not have control of the situation and how taxing it was.

Luckily I had a husband who was very, non-judgmental on the, whatever it took for work. He just thought, well, that just comes with the territory, but he didn't realize that I didn't realize that it didn't have to come with a territory. Had I invested in my mental health. Had I invested in my ADHD coaching in my life coaching, but I didn't know those tools were available for me.

So therefore, I thought this is the norm. And so I'm here to say that it doesn't have to be the norm. There's always a way that you can do it. And if you surround yourself with physicians and they don't even have to be physicians, coz my first ADHD coaches, they were not physicians. It's up to you. And currently my own private one-on-one business coach is not a physician.

Actually, she didn't even go to college and I am learning so much and I am kicking it out of the park because you don't have to have a degree to have common sense sometimes. And sometimes we just need a little bit of approval to like push past their dreams. And so, yeah, so right now I am going to continue to have a one-on-one coach who knows for how long , but as long as I can, because that's what keeps me available.

It's like you have to be in a mindset that is clean to be able to help those around you, and I am still in my, in Dr. Una's group coaching. So it's a accountability everywhere. I am putting myself in a place where people are my network and of course, making amazing connections. Like with Mydalis, I am constantly in contact with Mydalis because we are each other's way to continue to grow. And it's amazing to be in that environment .

Dr. Mydalis Diaz-Ramirez: And one of the things is that first it's no secret anymore. Right? That how they do it, how did that person do it is not secret anymore. So we can be part of that secret, which is now allowed. Yeah. The other thing is that once, you know, how it is to live in these lives is like preaching.

Like you have to tell everybody it's not only about like they knowledge its power is really its responsibility. Like we feel responsible for, for those around us and to bring them up like this in terms of the mindset, it has been such a powerful, Changing our lives, that for our next employees, especially like at this new clinic that we're building, they're all gonna get mindset, training, specific mindset training.

We're paying somebody to teach them mindset things that we can, we can do too. They just have the programs organized, for them as employees from that point of view, like certainly bring the things from the mastermind, but we decided to do it this way. And it's, it's all the teachings that you have to share.

And what happens is that when people are in that growth mindset and you're part of that journey with them, they show up happier. They want to contribute more because they have meaning. They know that they're part of something bigger and we all can be part of that whole mesh of something bigger coming together and growing together and brewing together.

And that's inevitably that's what happens is a result that comes from all this work that gets to be done. And yes, you have to work at it. In our mastermind, like people will ask, oh, how that I don't have time for that. I'm just so busy. I have my kids. Well, I have kids, I have a husband, I have the mastermind, I have a podcast and I have my business and we have to go to Congress and stuff.

So we learn how to. Set priorities, how to manage your time based on our principles and our vision, our missions. So we identify all those things. And then we invest in ourselves because as I said, nobody's gonna do that for us. And this is how it gets done.

Dr. Diana Mercado-Marmarosh: So Mydalis, I'm gonna wrap this up in the next few minutes, but I know we could talk for hours because we always do, but tell me, where do you see yourself in the next three to five years for fun?

Dr. Mydalis Diaz-Ramirez: Oh, my goodness for fun. I love to travel. So I truly, in terms of traveling in my bucket list there's a couple of things that I really want to do. One is I really want to go to Antarctica. And when Thomas listens to this, my husband, he's gonna laugh because he says not gonna go to Antarctica, but what am I gonna do there?

I just want to go there. I don't know. Like I want to see those spend with myself firsthand. So I really, within the next five years, I really want to do that. I really want to have been able to share some different experiences. I want to share with my, with my family still, like, I have been able, I've been blessed to give them some, some things, but I just want to give them more in group experiences that I have planned and then fun things in terms of like work.

I really want to be this, Mastermind so successful that we really get, you know, 60 to a hundred, physicians a year where we can help them, specifically help them one on one, in these small groups, I don't want to be do big groups. And then I think for big groups, I would be speaking to, to larger groups.

I have already done some of that. And then from, from a fun way at work at the clinic that everything's running really smoothly and that we have become a destination facility with all the things that I want to have for this clinic, for our dream, sharing that with the physicians that we have.

Dr. Diana Mercado-Marmarosh: Awesome. So you know that people with ADHD have wondering attention sometimes, so let's say they zoomed us out and they just, started listening again. What is the takeaway point that you would want them to take away from this whole episode?

Dr. Mydalis Diaz-Ramirez: Take matters into your own hands. Don't think that something is difficult and unreachable surround yourself with the right people. Get coaching, start reading and start today. Don't wait.

Dr. Diana Mercado-Marmarosh: Awesome. And where can they find you? Cause they need to find you.

Dr. Mydalis Diaz-Ramirez: Two things that you can do. One is our website, maxallure.com is M A X A L L U R E.com.

There you can find our next webinars and when we're starting with our next cohort, where you can join and other is the podcast Design Your Physician Life, which you can find in any major platform.

Dr. Diana Mercado-Marmarosh: Well, it's been a delight to have you today. Thank you so much for sharing this space and sharing your wisdom. And like she said, don't wait, start, start TODAY!

Dr. Mydalis Diaz-Ramirez: Thanks for having me, Diana.

Dr. Diana Mercado-Marmarosh: As someone who understands that time is our most valuable asset. I am so honored that you have shared your time with me. Please click the subscribe button and join my Facebook group: Beyond ADHD, A Physician's Perspective so that you never missed an opportunity to create time at will. Do share this podcast with your friends they too can can learn to live life and stay in their own lane

Link to my website to register for October 2022 Cohort (waitlist):

Transformation Physician Group Coaching

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About Dr. Diaz-Ramirez

Pain Medicine Specialist in Sarasota, FL and has over 26 years of experience in the medical field.

Her mission is to guide physicians on how to achieve the life of their dreams through entrepreneurship.

Website: maxallure.com

Email: pauline@maxallure.com

Instagram: @maxallure