Why do I keep losing patients during long treatment presentations? Because you are probably violating the 25 minute rule without knowing it. There is a window where a patient stays engaged and capable of deciding, and it is short. Once you push past roughly 25 minutes, especially with a tooth by tooth breakdown or a wall of technical jargon, you stop informing and start exhausting. A tired, overwhelmed patient does not say yes. They say they need to think about it, which usually means no. So I treat that 25 minutes like a budget I cannot overspend. Every slide, every finding, [...]