What building a PMS really takes

Alex shares the raw realities of building a Practice Management Software (PMS) from the ground up, including bootstrapping Pogozo, building a team of 20 engineers, and navigating a process that took 10x the budget and twice as long as expected. She breaks down why clinic owners need to stop settling for clunky "workarounds," why treating software like an employee changes how you manage tech, Pogozo's philosophy on all-in-one platforms vs. specialized AI integrations, and what she would do differently if she were building a 10-clinician practice today.

Timestamps:

00:00 Introduction: Alex Forde's path from Physio to Pharmacist to Tech Entrepreneur

01:00 Why a chronic back pain patient inspired Alex to study Pharmacy

02:18 Opening a hybrid clinic & gym practice and hitting software limitations

03:24 Bootstrapping Pogozo and bringing family on board as investors

04:14 Scoping Pogozo: Interviewing 200+ clinic owners to define the product

05:32 The reality of tech startups: 20 engineers, 10x costs, and timeline delays

07:50 The startup grind: Working 16-hour days to build a modern platform

09:27 Eliminating "workarounds" and why you should treat software like an employee

12:08 The 3 main reasons switching Practice Management Software is so hard

14:58 All-in-One vs. Best-of-Breed: Pogozo's philosophy on integrations and specialized AI

18:00 What Alex would do differently if she built a 10-clinician practice today

19:22 Official Announcement: CliniScribe & Pogozo integration partnership