"If you keep doing what you've always done, you'll keep getting what you've always gotten."
Dream on! In a static-never-changing world, this might be true. However, these days it's a full time job adapting to the turbulent practice environment. This has made practice disorienting for many.
Assume that everything you know about what patients want, what motivates them and what constitutes success is obsolete. Because it probably is. Especially if you practiced in the 80s and 90s before the Internet, organic produce and today’s climate of limited insurance reimbursement.
The solution? Ask more questions. And then listen as if your livelihood depended on it. Because it does. Rediscover what it's like to be a servant. Rethink the dogmatic "my-way-or-the-highway" that barely worked when there were a seemingly endless supply of new patients (with insurance) waiting in the wings. Become a student again. In times of change, the learning never ends.