Sep 18, 2026 · 52 min · 11 segments
Sahil Patel has been a CEO twice. The first time, at ER Express, he spent ten years building a health tech company from nothing, navigating misaligned investors, watching competitors outspend him, and…
Sahil PatelGuestNate DinetHost
What did I bring forward? I mean, I think the first thing is let's cast this, is that one thing I learned is A moderate amount of success is oftentimes the enemy of more success.

And something that you get this early win and you go, oh, it must be because I'm good.

So I was there, I was there for quite a while, long enough to be able to kind of get a little bit of better recognition on like when were we lucky and when we were good and when we were a little bit of both.

I think I'm going to come back to a point you said earlier that maybe some people in your audience, they, if you, if you look at my on paper track record or you go on my LinkedIn on the surface, it just looks like, Hey, this guy's, you know, hat, you know, let's just say done well.

You know, I was, I wasn't like early at some of these legendary companies, but, um, now in a couple of places, I was just, let's be clear along for the ride.

I was in the right place at the right time, the right stage in my career, post-grad school.

So I got to, you know, have a little bit of leadership, but I was, that was just being in the right place at the right time.

I would say ER Express, like while it is, I think of it as like at the time, like for those seniors, it was like my third kid.

What did I bring forward? I mean, I think the first thing is let's cast this, is that one thing I learned is A moderate amount of success is oftentimes the enemy of more success.

And something that you get this early win and you go, oh, it must be because I'm good.

So I was there, I was there for quite a while, long enough to be able to kind of get a little bit of better recognition on like when were we lucky and when we were good and when we were a little bit of both.

I think I'm going to come back to a point you said earlier that maybe some people in your audience, they, if you, if you look at my on paper track record or you go on my LinkedIn on the surface, it just looks like, Hey, this guy's, you know, hat, you know, let's just say done well.

You know, I was, I wasn't like early at some of these legendary companies, but, um, now in a couple of places, I was just, let's be clear along for the ride.

I was in the right place at the right time, the right stage in my career, post-grad school.

So I got to, you know, have a little bit of leadership, but I was, that was just being in the right place at the right time.

I would say ER Express, like while it is, I think of it as like at the time, like for those seniors, it was like my third kid.
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