Greatness Requires Structure — Not Hope, Not Hustle cover art

Greatness Requires Structure — Not Hope, Not Hustle

Greatness Requires Structure — Not Hope, Not Hustle

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Most people think scaling means losing what made you human. Dr. A.J. Acierno proves that’s a lie.


In this episode of the Two Stunads Podcast, we sit down with Dr. A.J. Acierno—Chief Dental Officer overseeing 600+ dental offices, CEO of DecisionOne Dental, TEDx speaker, and a rare healthcare leader willing to say what most won’t:


Healthcare has lost its soul.


A.J. grew up in Chicago with a biology book in his hands and a deep belief in community, trust, and relationships. Today, he leads massive clinical operations without sacrificing warmth, humanity, or ethics—something most people assume is impossible at scale.


We get into:

— Why trust must be earned in the first three minutes

— How scaling usually kills culture—and how he avoided it

— The brutal reality of insurance-driven healthcare

— Why AI will replace doctors who refuse to adapt

— Leadership, family, and keeping your soul while growing

— What healthcare gets wrong about patients, providers, and incentives


This isn’t influencer medicine.

This isn’t corporate fluff.

This is a real conversation about trust, leadership, and fixing what’s broken—from someone who’s actually done the work.


👇 Drop a comment:

Can healthcare scale without losing its humanity—or is that the tradeoff?


🔑 KEY THEMES

— Trust & leadership

— Healthcare systems & insurance

— AI in medicine & dentistry

— Culture at scale

— Family, community & values

— Business without losing your soul


📲 CONNECT WITH US

YouTube — https://www.youtube.com/@twostunadspodcast

Instagram — https://www.instagram.com/twostunadspodcast

TikTok — https://www.tiktok.com/@twostunadspodcast

Spotify — https://open.spotify.com/show/6oYcVPU7oavbDvTBFUDV1w

Apple Podcasts — https://podcasts.apple.com/us/podcast/the-two-stunads/id1847474765

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