Empowering Women in Chiropractic – 3 Practical Tips if You’re Tired of Babysitting Your Staff

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

I wasn’t able to get to this, or I thought so-and-so was supposed to do it. You start thinking to yourself, why wasn’t it done in the way that I wanted it to be done? And this is Chen. Yeah. And your six and seven figure practice make-over mentor and sh and show host of ChiroSecure. Today, today, we’re going to be talking about PR three practical tips. If you’re, if you’re tired of feeling like you’re having to babysit your team. So managing and growing your team is one of the hardest things in when growing a chiropractic practice, because many of you were taught how to be a good doctor, but not necessarily how these kinds of things like stepping into CEO leadership role. Isn’t something that’s taught in school and then you’re out and then a school. And, you know, as you grow, you end up hitting, um, these exp you know, needing to, to deal with these kinds of experiences.

And, and you might either be in a place where you currently have staff right now, and you feel like you’re having to look over their shoulders more than you would like you would just like it to be done well, without you having to, to do that as much, or you might be in a place where you’ve heard of other people’s bad experiences, maybe you have had bad experiences yourself, or you’re just gun shy to hire because of this. And so wherever you’re at with this learning, these three practical tips will help you be able to have better, better experience with your team and have them have more productivity and up to your, your standards so that you are able to hire people to help you and free up your time, more so that you could reach more people, um, than you could alone. You can also be having them making money for you even when you’re not there.

So let’s talk about those three tips. And I would also like to see you go ahead and type in the chat. What are your, your biggest challenges related to team or hiring? So I, I get a sense of that and, um, can also bring in new topics to you that are most relevant to you. So practical tip number one, is, are you setting clear expectations? Are you defining what success looks like in a very specific way of, of, uh, what you’re thinking in your head? You know, for example, I made this mistake quite a bit early on in my first business, and I remember, um, I would expect people to do things with certain sense of urgency just because I felt like, well, that’s, that’s the high standards that everyone should expect. Action. Shouldn’t people on my team already know that. And so I would expect them to, to, um, either have a sense of urgency of deadlines, just like I would or standards just like I would without realizing, oh, I guess they can’t really read my mind.

And my understanding of, of what sense of urgency is, might be different for someone else’s understanding of what they feel like urgency is. So do you have clear expectations set? Do you also share with people, what is the definition of success so that, um, they start to have a bigger picture about this to where also, ideally if you can bring in your vision into your practice more on a daily basis. So what is, what is the vision that, whatever it is that you’re asking them to do, what, uh, how does that tie into your big fish and even little things that you might think, oh, okay. It’s just helped me file this thing. It doesn’t, it feels like, well, that, that might not be something that requires talking about your, your big vision of your practice, but there, uh, it’s still really helpful for people to, to continue to be reminded of the bigger picture purpose of, of, you know, even if they were to, or just acknowledging them at this.

So have so much help to me. Cause, you know, as you, as you free up my time with filing these things and I’m able to, to help more patients have us help more patients. So, so set clear expectations, clearly defined success and share your, your big picture vision whenever possible. The second practical tip is context versus task context versus task. So this is something that I made this mistake of quite a bit. Also, especially earlier on in my business, when I first hired my first admin person, I thought, yay. Um, now I can go and delegate all these things to them. And then my time is going to be freed up. And so sure enough, that did start to happen. But then I felt like I got tired. How many of you have ever felt tired of this, where you felt like you, you kept having to tell your team to do certain things, um, and you wish they would think, think ahead more for the practice or you wish that they would, uh, think for themselves even more, you know, that you know, that they’re capable.

You know, you feel like they’re totally capable of that, but how do you, how do you have that happen to where they are taking ownership more? And, um, and you don’t feel like you always have to let them know, Hey, do this, do this task and that task for this task. And so this is very important, regardless of what, what kind of a level of, you know, whether it’s someone who is an admin person or someone who’s an associate or other kinds of hire a marketing person, you know, what’s the contest to come. So our content has context of why they are doing what they’re doing and do they understand the big picture of impact of this particular thing and the purpose of why this task is? So how can you be cognizant on a regular basis about sharing context over stuff, you know, in terms of doing this task.

And then when, when you make it a habit to set context, um, you will notice you’ll, it’ll set you free faster. I know someone who was an, in an operations role. And I also know knowing the, um, the person who’s the owner of the business and, and the operations person used to always, always get kind of frustrated. She would say, why do you always say these things about context and context? Just tell me what to do and I’ll do it right. And, and a year later, uh, she said too, that the, the, um, owner, she said, oh, I get it now, because now they had a bigger team. And when she understood as the operations manager, uh, understood the context, she was able to translate that context to the rest of the team also. So they ended up thinking more for, for, uh, looking after the practice, looking after taking ownership of, of things.

So that way, um, there was less micromanaging. How many of you would love to be micro-managing last, raise your hand, right. So, yeah. Okay. So what is the third practical tip to, especially if you are tired of babysitting your team or staff, is, do you, uh, is there good training? Is there a good systems and procedure? So both in, uh, in the way of when they first get started to ongoing as well, that make the process really smooth. And do you spend time initially fostering the growth of your team? Or do you kind of just throw them in and say, Hey, you, do you go do this because you, you have these strengths, you know, you said you have all these strengths, you know, why don’t you just, just take it and run with it, you know? And even if you do train, do you kind of still have a little bit of that tendency where you feel like, well, I don’t have time to train because X, Y, Z, because I, I need to see patients during this time.

And I only have all the very, very tiny amount of time left to train. And so you just have to figure this thing out as much as possible. Well, one of the biggest mistakes, a lot of chiropractors make is that, and, and not thinking about how, uh, someone’s success in the, um, as they continue, like what they can actually take off your plate is very dependent on what you set as expectations early on and how they are, how well they’re trained even from, from the start, because if they aren’t trained very well from the start, they might struggle more than, than they really should. And they get frustrated or they might figure stuff out on their own, but then maybe they’re, um, there’s certain things. Remember back to what I mentioned about standards that, that, uh, they, they didn’t have, they didn’t realize were, were important to you because you didn’t, you basically didn’t have time to, to share that with them.

Wait. So, so then, um, that can lead to, to miss alignment of what they think it is in terms of doing good job versus what you think is doing good job. Have you ever had that happen to you before, you know, even having, having staff or employee where, where you were about to fire and they actually thought they were doing a really good job or a staff or employee you felt like I, I, it a wish that things would be different for, and then in terms of how well they’re performing and, and they seem to think they’re doing a wonderful job, right? So it’s, these are some of the things that if we don’t pay attention to early on, it could bleed into how the, um, the expectations are at down the road. And, and, and also in how well they’re really trained. So do you have a 90 day onboarding plan?

Most chiropractors don’t really have a solid 90 day onboarding plan for every role that they want to hire for in the office. And I, and then if you do actually have a 90 day onboarding plan, what are the things that really need to be in it that can help increase the chances of success? So these are some of the things that a lot of chiropractors just don’t think about because it’s not, um, it’s not an every day thing, right? I mean, for, for us, the reason why, why chiropractors come to us for this is because for one, I’ve had experience of, uh, both in failing and in, in the hiring process miserably. And, um, and then also having people come to us to, to recruit for them, this is, this is in my other business. Um, and, and then the, uh, we also have had clients who’ve worked with us and not had these kinds of systems in place.

And then once we actually get it in place, things continue to skyrocket and, and grow significantly. We’ve had recently, we had a client of ours who, who, um, you know, she never had truly, uh, a true onboarding plan and, and also had trouble like she had, she had a revolving door of associates more than she would have liked. And using this process now she’s hired an office manager she’s really excited about. And she’s also, um, in terms of the associates also hiring and hiring associates, it’s really, really exciting. Great. So that’s, what’s possible from, from getting things like this in place that, uh, and then, so as far as systems also in procedures, do you have, uh, systems that, do you feel like you’re reinventing the wheel all the time, or even if you already have, and there are things aren’t documented and so P I, you feel like every time you do something, you have to teach it again.

Even even the training process it’s, are there things in there that could be more automated and streamlined so that you don’t always have to take time out of your day to, to help people with, with, with something like it that way it won’t be so intense. So time intensive with, with training. And then, uh, the other thing is, do you have, have I look out on efficiency for your practice? So sometimes as you grow, there are things that start breaking down. Have you ever noticed that before things become more complicated or the things that used to work earlier on in your business, which you’re doing right now, they’re just, it’s not sustainable. And the next level of growth, whether it’s in a unrealistic, how, how, how much more staff you’ll need to get to, to, to still do it the same way, or, um, or it is in the tediousness of it, or just simply just breaks down.

It doesn’t work too well. So now, if you’ve, if you still, if you’ve actually done the above and, and then you’re still babysitting your team, then it could be that you simply don’t have the right hire and cause the best systems, the best structure, the best leadership, it won’t replace you having the right person. I know that there are many times, um, in my businesses where I would, if something wasn’t working out, I always thought, what am I, how am I showing up? And how am I contributing to this? And maybe I’m not, um, training them as well. Maybe I’m not setting them up for success as well. How can I improve? And then it would always be really hard for me, for example, to let someone go because I would have built a relationship with them. And I mean, it’s still, still a very hard thing for me to do.

And so how many of you can relate to that right in your hearts, like feels softened when, whenever you think about I needed to fire someone and then you don’t, and then, then you end up keeping them for a longer than you really should. And then it actually costs you more. And you’re both perhaps even more dissatisfied both of you. So, so, um, if you’ve done these things that I’ve shared with you with those three practical tips and, um, truly then it may just not be the right person. So instead of holding on to someone longer than you should then look at how can you, um, already be, be, uh, looking for, you know, continue to be, to be hiring. So, um, in terms of being on the lookout for hirings, so my new B, B shopping. So what I’ve thought about doing to help you further with this is how many of you would like to have the toolkit to half your hiring time or cut down the amount of time it takes to, to go and find the right hire and, and attract them and all that.

Right. So what I decided to do is to give you access to this free half your hiring time tool kit, I’m going to pop it in the chat here, so you can click on it and download the T the roadmap to our six and seven figure hiring systems, roadmap, as well as templates that you can use right away. For example, what do you ask in an interview that isn’t typical kinds of interview questions, but that can help you suss out, um, the right candidate more effectively than if you didn’t use it. And there are questions in there that you likely would have never asked people before this has come from years of experience has also come from, from helping our clients and seeing what works and what doesn’t. So you can get the shortcuts to that. So that’s, I’m going to include that. I’m also going to include, you know, have you ever done reference checks before?

And, and then you, uh, it’s, it’s like, there’s only, you still feel like there’s only so much, you can understand if someone through reference check, well, I’m going to give you some of our top refer checks, questions that even when we’ve asked people, these, the references, these questions they’ve said, Hey, those are really good questions. I’m going to start using those, you know, because these aren’t typical kinds of reference questions that, that are being asked. And so you can use them to help you again, have a better, um, understanding of who you’re, you’re thinking about hiring before you hire them. So that way you could prevent management and headaches and, and actually have someone good, be on your team who, who can start freeing up your time, or who can start also helping you bring more revenue into the practice. And if you’re in a place where you’re at a plateau in your practice, and you just know you’re capable of so much more, and you would really like to, um, have a practice you’re proud of, and this next level of growth, we’ve ushered our clients into multi six and seven figures, the introverted way in, in a three to four year timeframe.

So feel free to reach out to us and you can use, you can go to that link and then request, uh, to chat, to see how we can give you insight on how we can help you grow, grow faster, and to you waking up the planet more and that, uh, free templates and download link. You can go to introverted visionary.com forward slash hiring toolkit. So introverted, visionary.com/hiring toolkit, and, um, till next time. So next week’s show is Charmaine Herman. And so stay tuned for her show next week. And do you waking up the planet and helping more people who need you.

Empowering Women in Chiropractic – Your Patient’s Buying Decisions

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello and welcome to today’s show Growth Without Risk. My name is Dr. Janice Hughes, and I’m excited to be with you today to have a great conversation about your patient’s buying decisions. I’d be remiss if I didn’t. First of all, thank ChiroSecure. ChiroSecure brings you these shows things to focus on helping you in practice. My role and background is that I was involved with the practice management group for years. I’ve been a personal and professional business coach. And so I’m really excited when I get this opportunity to talk with you, to talk with practitioners about things that matter to you in practice and a big piece of that, whether we like it or not is the fact that our patients buying decisions about anything in their life impacts, whether they buy the message, whether they buy and engage in our services. So I know that’s a challenge because we hope that by being a great practitioner, that that is going to speak for itself.

That’s actually only over time. And even when someone comes in, that is a direct referral to you, you still have to sell them and show them why, what you’re talking about can impact them. So it’s, it’s a challenge, but it’s an exciting challenge. What I want you to know is that way back, even in practice, and it’s been a number of years now, I haven’t been in practice that when I first learned this, I began to realize that practice wasn’t so much about me. It was about them. And that frame allowed me to say, how do they hear me? So one of the things I want you to know is that what happens and the way patients make decisions is actually based on a funnel, a kind of funnel related to their personality, their learning styles. So you notice that the top of this funnel I’m trying to impact, you know, sort of give you an impression about funnel here.

It’s things like, are they an auditory, visual or kinesthetic learner? But what I found that’s a little more difficult to pick up. Likewise, some of the very deep belief patterns or systems at the bottom of the funnel are really different to pick up instantly on a patient. Whereas one of the other shows I did, I talked about one of the systems of personality profiling or understanding that I think is really applicable to us as practitioners. And that’s called the four quadrants. And I like you to understand these quadrants because the patients present showing us their style. So the quadrants, you may have already heard these words, or if you heard one of the previous shows, I did, you know, there’s the driver, the expressive, the amiable, and then the analytical. Now I want you to just for a minute, recognize a lot of you will intuitively know this, you’ll pick up on the clues or cues that the patient’s presenting with.

You can think, even in terms of your staff, if you stop and think about it, each of them has a different style. So I want to go through these for a few minutes. An analytical patient, an analytical person sees the world through data and information, um, statistics, they like more organization. So the way that a patient presents and how they fill out, some of you may still like paperwork versus electronic paperwork actually really gives you a lot of cues because, uh, an analytical, if you ask them things like, have they ever been in a motor vehicle accident or some type of an accident, if you’re having them fill out on paper, they’ll actually take more space. Like in immersion. They’ll not only tell you that they were in an accident, but that, that accident happened when they were driving 45 miles an hour, they were hit on the fright front, right hand corner of the car.

You know, they felt this, they know that their head did this. You know, they’ll describe that to you, electronic paperwork. It may be more difficult. A lot of the paperwork actually has, you know, spot where they can fill out other, instead of just saying yes, in an accident, if that is clicked, it opens up a little box where they can actually fill a little bit out. So what I want you to see is that an analytical, if you’re asking them a question, they’re going to give you more information. They’re going to give you that detail. If you’re asking about any previous medications, they’ll tend to know the meds they were on and often even the dosage, you know? So there’ll be very detailed in some of the information that they share with you, they give to you, or they share with you. They actually prefer to present it in a written format.

They’re not often really open in the way they communicate. Now let’s talk a little bit about the driver. A driver tends to be the style of patient that presents very quickly into the clinic. You know, if they come into the clinic, they walk right up to the front desk, they introduce themselves. They’re very forthright in how they even come into the clinic. It’s interesting with the driver personality, a lot of times, there’s very little filled out on any paperwork. It’s always, here’s exactly what I’m here for and the leave things out. You know, sometimes it takes a driver, you know, a couple of weeks of care to then reinforce, oh yes, actually I was in a car accident or this is what has happened to me in the past. So what I want you to know, if you think about, you’ll notice that I’ve set this slide up with grades or arrows, you know, that kind of try to show that there’s a gradient here.

And the two I’ve spoken about first are the two that are above the midline. And both of those personalities are more bottom line, their bottom line production or results for the driver, their bottom line details or measurements. Like if you ask an analytical patient on a scale of zero to 10 bill, have a very specific answer and reasoning behind that pain scale or their progress scale. They like filling those things out. Now let’s convert to the two on the bottom or below the horizon below that midline. And what I want you to know about those two personalities is again, they’re much more people oriented. So the amiable let’s talk about the amiable. And I say that because the amiable actually represents on average 40% of the population, much more than any of the other styles. The interesting thing is the amiable is often just those very nice people.

Now, they present to the clinic where often they’re not going to walk right in. They may come in the front door as a new client, look around, you know, want to see the surroundings. They respond incredibly well to an office tour. They like and feel more confident knowing the space, knowing the people in this space now, and amiable is often someone that you need to pull things out of a little more, not talk at. They will respond more. If you’re sitting eye to eye, knee, to knee, not standing over trying to ask them for more information and details. You know, they’re not going to tend to know the data or information like off the top of their head, the way an analytical deaths, they may come in with a piece of paper that actually lists out any medication they’re on, you know, so that they want to share that.

But they know that they’re not going to be able to have that write up their recall. Now, the expressives again, another very people oriented personality there obviously always think about more outgoing, expressive in their communication. You know, they’ll want to talk about things versus put them on paper. So it’s interesting. They’re often the kinds of patients that if you’re not careful, once they’re in the clinic or a regular patient that you get caught or almost trapped in a room with them now, the way I’ve shown the gradient, the scale is because depending on, and I’ll show you later, like a way that you can even test this yourself or do it with your staff, you would never give a patient, a personality test, but picking up on clues because there’s a grade. So if I talk about that midline again, so the two above, they are more bottom line production oriented.

They’re actually, as you go up closer to the top, they’re more closed about really expressing anything about themselves or thinking that they need to have a relationship or a conversation with you. Whereas now, as you go all the way down that scale into the bottom, which are more people oriented, the further and further down, you know, on the scale, people are much more open and really want to share. And in fact, those are the people that it’s really important. You learn how to channel that because those kinds of things can get you off on all these tangents and miss that a patient’s buying decisions still have to connect with them. So we’ll talk about a couple of tools or ways to do that. Now, the other scale along the horizon goes all the way from indirect. So when they’re more over on that side of the scale, they are not going to talk about or share things.

It’s almost like you’re going to have to pull things out of them. Now, as you move all the way across the scale, that’s where people are much more direct. They’re willing to say things. We know some patients that will say anything or ourselves. We can think about our personality. Some people, even if something’s really tough, they’re still willing to talk about it. So there’s definitely these scales or these grades within these different profiles. Now, like I said, there is an assessment tool where you, yourself, as a chiropractor, would benefit from knowing your own score or with your team. You can think in terms of that, but the reason you would do that and take the testing is so you understand yourself and your style, but how you then modulate or I’m going to call it almost manage what you’re saying so that the other people so that the patients better understand you.

So this slide, actually, this is through ChiroSecure. If you want access to this quiz, to this testing, it’s a self-assessment then by all means, please just text this word, you know, test to the number here on your screen. We want to provide you with this information, and I’m really happy to have the conversations with you about it. But what I, I want to spend the next few minutes talking about is how we pick up these clues with our existing patients and then why it’s important and how we language things to them. So a person’s buying decision is, is based on these learning styles. Now there’s some really great groups and programs that teach different sales techniques. And like I said, whether we like it or not in healthcare, and particularly in the current healthcare environment, it’s really important that we clearly language who we are, what we do and allow the right ways to help a patient, make a purchasing a buying decision about the kind of care that you offer.

I know how powerful it is. I know how important it is. We have to help them understand that. So thinking in terms of seeing some of these clues, your staff and team can be very involved. How does show someone even show up to the clinic? Do they March right in, do they stick their hand out to shake your hand? Those things are showing that again, they are much more open and very quickly want to engage. Some of those people that are really open will be drivers. Some of them will be expressive. How you start to pick that next part up is how they fill out their paperwork. If you’ve seen that in advance, if you do electronic and you already have an advance that really helps give you some clues already, but often even like how someone asks questions about the clinic, the expressives will tend to want to engage your team more.

You know, there’ll be looking to see who else is in the clinic, or if you have testimonials up, they’ll be looking at those reading. Those drivers are much more about, you know, again, they’re very open, but what’s in this for me. How will this change things for me? And so you want to, with some of your language and conversations, really make sure you recognize those filters. You know, the expressives these more open people that are expressives, they are the kind of patients that can understand quality of life, vitality, your nervous system, how you live your life is through your nervous system. Everything you taste, touch, smell thinking do is connected to that. Who’s checked your nervous system, and then we want to get quiet. So they kind of have that couple of seconds, 30 seconds of conversation. Now with the drivers, again, we still want to be addressing things like, you know, their x-rays, you know, showing, and if you’re doing anything that’s related to x-ray or tests, where are they and you know, how did they change it?

So if your, like, for example, with your HRV, you know, if you’re using the insight, millennial, you know, scoring and testing, you know, here’s where you are, here’s healthy. What do you see as important here? So having where we pull these things out, we allow them to talk about it, but a driver it’s definitely about that bottom line results. Here’s what we put together for the plan and the results that you’re going to generate. Now, remember the other two styles on the opposite side of this testing are much more, I’ll just call it, you know, they’re, they’re less open, less emotive. They’re definitely the two styles that we need to pull a little bit more out of. Well, their buying decisions again are made up of different things. You know, an amiable is the kind of patient that you can really talk about. An anchor, the things that matter the most to them, you know, if their pain is stopping them from getting down on the floor and playing with their grandchildren, that’s something that really matters to them and talking to them, you notice I change even the modulation of my voice.

I’m a little less direct, less specific. I’m a little softer. I want to talk about the things that matter to them, how the care that I’m promoting, the care that I’m sharing here is going to be in their best interest and how that’s allowing them to begin to again, do all those things that matter to them. Now, the analyticals are again on that same side where they’re definitely not as, you know, open expressive, you know, and they are going to make their buying decisions more internally, but this is the group that they’ll need measurements or metrics linking why the recommended care plan, what kinds of things will we retest and measure and monitor. And you notice a couple of those key words that are more in the vocabulary of an analytical so that you’re already showing them, you know, this is the group that the challenges, oh, well, we’ll just take it week to week.

You know, we think, oh, well then we’re not overwhelming someone with the care plan. And if anything, they just don’t think you have a plan then, you know, so this is the group that really understands. Here’s the proposed care. Here’s what our objectives are. Here’s what we will monitor. So I’m just giving you a few little clues. You notice in some of the language, we can then begin to use this, not only with basically like allowing them to make that right, buying choice, giving them the words, the clues, the way we communicate so that it allows them to feel really comfortable and confident with the choices they’re making. We, the more we help and share this kinds of information with our team, our team can then even really address how they multiple schedule someone. You know, how I like for all styles to still multiple schedule for that whole first phase of the care plan or real clarity on that.

But you’ll notice that you can communicate that into each person’s style. So it allows them to continue to make this buying decision. Now don’t also be under any illusion that you only have to learn to sell that in the very beginning, if anything, I think through the pandemic, through all of these fears related to the way the media ramps up this health issue, it’s all along the way of your care. People are revisiting their choices. You want to continually engage them, allow them to really hear you. So that’s the real clue with this is that a person’s buying decisions are based on them. Now, like I said, there are fabulous groups and tools and ideas about how to better understand the buying process. In fact, I’d love, I’m, I’m hopeful that I can bring an interview on one of my next shows. A couple of those people that share that have really sort of dug into this or, or delve more deeply into this, because they know that someone choosing your is often less about your skillset or less about the sort of results, the way that’s tracking and more about how your sharing that with them.

So again, we’ve just talked about these ways that you can think in terms of the patient and help them make that buying and purchasing decision, which I think is so ultimately important because for me as a chiropractor, I think they all need to be under your care. I get great acupuncturist, you know, so I just want to help you in any way I can. So again, on your screen is where and how you can get that quick personal self-assessment. If you have it, if you have your own score, if there’s anything you want, as far as some input feedback ideas, I’m just happy to, again, help provide you with some great resources or even hop on a phone call and have a conversation with you about it. Now, again, I want to thank ChiroSecure for allowing me to have these conversations to bring to you, you know, this show next week growth without risk will be hosted by Dr. Sherry McAllister. So thank you to everyone. Please know that my intention is to help you to help as many doctors just like ChiroSecure by bringing you all of these house. So thanks again and have a wonderful day.

Empowering Women in Chiropractic – Developmental Consequences of the VIRUS

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hi, it’s Dr. Monika Buerger and Elizabeth, to here to greet you for another amazing episode of ChiroSecure’s, Look to the Children’s show. And again, um, we want to thank ChiroSecure for giving us this platform to share our message and, um, help you help more little fiddle parts around the world. So thank you very much to ChiroSecure with that said, we are here to bring you an exciting episode, um, of what you all need to know about what we’ve been through in the last 18 months. Elizabeth, how’s it been for you? Well, actually, Elizabeth wasn’t even boring when this whole crap storm started. So Elizabeth is going to bring you what she knows about what it’s like to be, um, in the fetal growth, prenatal period, and jumping into the world of chaos that we’ve, we’ve dealt our, uh, that we’ve found ourselves in.

So you’re ready to go, girlfriend. She’s ready. She’s ready. And, and if you note, please note that Elizabeth has a new wardrobe. Um, she is part of the former Partridge family tribute band. If you are too young to remember the Partridge family, you can look that one up. So we’re going to get started here. Um, and we’re going to go through some slides and again, thank you to ChiroSecure for giving us this platform. So what do we want to do? I want to take you through what we know before this pandemic and what we know with regard to, um, natural disasters and pregnancy, because this is going to lay the foundation of what we’re dealing with now. So we know from various different, um, natural disasters and challenges from the Holocaust to floods, to earthquakes to the big one is known as project ice storm.

So you see that little graphic of the frozen, uh, power lines there. Um, what they know is that they, they were able to take natural disasters as a marker of where women were in their, um, prenatal experience. First, first try second try third tribe. What they’ve consistently found is those that are in the second and third trimester, the offspring of those women pregnant during that time had more, uh, predispositions to depression, anxiety, PTSD, cognitive delays, and with the project I stormed, that’s a big one that happened in Quebec, Canada anyway. Um, but what they did was they follow those offspring. And in one particular study, they found that as far out as five and a half years later, um, these kiddos were five and a half years old. They had language and cognitive impairment delays. So we’re going to take this as a basis and lead into what we’re, what we’re seeing now in the research with the pandemic that we’ve all been experiencing.

So early on in the pandemic, they looked at moms and their stress predictors. There’s their, their stress scores. Now this was back in June of the years are all running together, 2020. Okay. So just early on in the pandemic and what they’ve found that moms pre pandemic time, we’re reporting about a 29%, um, anxiety, uh, level. Okay. Basically 29% of pregnant mamas had reported clinically, uh, associated anxiety. Whereas this is in June, which those numbers are expectantly have gone up because the longer something’s going on, the more trapped in our brain and our AR and limbic system, we get. So, um, post pandemic here was 72% of pregnant women reported, um, levels of anxiety, clinically supportive levels of anxiety and 65% ish, um, reported decrease in exercise levels. Now hold onto that thought for a minute, as we go through the rest of this, um, informational presentation.

So depression, anxiety definitely elevated in everybody, but why is it of significant importance in pregnant women? It’s because what’s the long-term implications on the offspring and that’s really why we’re here today. So let’s, um, another more recent paper came out with regards to the pandemic and mother infant bonding and breastfeeding and PTSD, much higher reports of, um, childbirth PTSD. That’s what you’ll see in the upper pink, uh, little circle right there. Um, that stands for childbirth PTSD. This has been due to the, mostly to the unknown of pregnant women. Are they going to be able to deliver with a birth partner? Um, the biggest thing that they reported with regards to PTSD in the childbirth experiencing experience during the pandemic has been failure of communication with, um, their care providers. So the care providers during their birth experience, pre-birth experience not knowing what they’re going to be allowed to do and not to do.

And during their birth experience, um, was the number one thing reported with, um, childbirth PTSD. But what we’re seeing is there’s, um, decreased mom, baby infant bonding short-term and long-term, and this is going to play out with what we’re finding in regards to neurodevelopmental consequences. Long-term on the offspring, just like what was reported in those past natural disasters and in that research paper on that project ice storm. So, and then we know breastfeeding can lead to, um, a number of immune consequences on the offspring. So let’s keep this in mind as we move forward and lay this all out for you. What we’re finding now in a recent paper. And I think one of their, their summary statements is what hit me so profoundly where they stayed that the COVID-19 pandemic has fundamentally altered children’s health landscape, the landscape of children’s health. Overall, this is huge the landscape for pregnant moms, for individuals, for children, because we’re living in a totally different economic, psychosocial, educational environment, an entirely different environment as a whole.

When you look at psychosocial stressors, essentially what those are, they’re everyday stressors that everybody experiences, okay, there are stressors that we all have, but during pregnancy there’s additional stressors that that parents to be have. And these stressors are laying the foundation, um, uh, they’re imprinting on the offspring’s brain. So with a couple of studies coming out in relation just to this, this pandemic that we’ve been dealing with, and, um, in this particular paper, they looked at a little over almost 300 children that were born, um, before January of 2019. So their prenatal experiences, their prenatal time and their first postnatal year was pre pandemic versus the other group, uh, about 118 little fiddle farts that had at least one trimester in the pandemic era. And this, in this case, it happened to be the third trimester and one year postnatally during the pandemic prices. Now, why is this important that they, this particular group happened to be prenatally in that third trimester of, um, development of fetal development, because we have found that that second and third trimester is when they’re, when mom’s pregnant, mamas are under the stress sores. Those two trimesters happen to play a profound role in longterm developmental consequences of the offspring.

And for us as chiropractors, what is really incredibly important is to realize that the end of the second and into the third trimester is the developmental window of opportunity. The developmental time, the maturation of the autonomic nervous system. That is key for us to understand that that end of the second and third trimester is when the autonomic nervous system is maturing. I E bagel tone is coming on board. The parasympathetic arm of autonomic regulation is maturing. So key takeaway is stress, or is that happen during that time, fundamentally lie down the maturation or dysmaturation of the offspring’s autonomic nervous system. So this paper goes on and what it tells us not to any surprise is that, um, these children were, um, more susceptible to having verbal motor, um, and cognitive impairment. So we’ll look at the next slide where we have this laid out is the group that was, um, in pregnant and then spent their first life postnatally during this pandemic.

This pandemic time showed a really significantly reduced verbal motor and overall cognitive performance. This was unassociated with actually having COVID with mom, dad, any baby having COVID. This was strictly from environmental stress consequences. Now, remember that last, the one slide we showed about the project I storm, they follow these little fiddle and that particular study up to five and a half years of age they’re in school already. Right? So we’re ready to seeing the consequences of what’s happened. Verbal motor and overall cognitive performance is significantly reduced. They saw this more in males with a lower socioeconomic environment. Um, and again, this was independent of having the virus. They did not. In fact, they tested for antibodies. They did not show any signs of ever having the virus. This is purely environmental consequences. Now think about that little longer, the stressor goes on the more substantial numbers we’re going to see, um, presenting to our offices with these, these development of consequences.

So I want to give you some things that you want to look for to help the train before it derails. Okay. How can we intervene in a, as early as possible, but wait, there’s more, I want to bring to you the next slide, where we talk about, um, a, a group in Portugal, Portuguese children. And this was really cool because what they did was before shutdowns happen, they took these children 114 school-aged children. The average age was seven, and they did a series of motor competency, um, tasks. And they were, they were planning to do a different kind of study, but then the pandemic hit and there was shutdown. So they use the data, they had pre pandemic pre shut down, looked at these kiddos, their comp, their motor competency scores, and then did it again after they’d been locked down. So they had 50 boys, 64 girls, um, and they showed as a consequences of lack of movement of being locked down.

What we do also know from the literature as there has been a much higher rate of sedentary lifestyle technology use video game use, all of which are, um, going to impose consequences on the developing brain. So they, they took these kiddos and they did, um, three different, um, types of motor competency skills. One was stability, how well they maneuvered laterally on a wooden platform. Could they step side to side on these wooden pegs platforms? How well they handle that? The next one under our stability, uh, sequence was could they sideways jumping over a small platform? Okay. So that was one skillset. Then their locomotion, um, basically, uh, what they call the shuttle run or a sprint. They had to go from one line to another, as fast. They could pick up a block and bring it back to the home line. They did that twice, um, standing long long-terms and then what they call a manipulative skill one where they had to throw a ball as hard as they could against the wall and, and one where they had to kick a ball as hard as they could.

And they looked at, um, basically force and speed. All right. So that pre pandemic after lockdown and what they found that they had boys showed a 13 point decrease in motor competency and all of these six skills. Well with boys, it was five out of the six. They showed a decreased competency score. The sideways jumping did not, um, tend to decrease in girls. They saw a 60 point decrease in all of these six competency scores. So what’s the big deal. Okay. So their motor skills went down, big deal. They’re low comes here, whatever decrease motor competency means, decreased brain function. The brain is sending the messages down to the body in order to have the ability to do these skills and essence, there was a, more of a disconnect, a disruption between body to brain and brain to body messaging. And that showed up in these competency scores.

So decreased mobility equally basically equals decreased brain ability, brain processing. All right. So what do we want to look at? Let’s think of, let’s take some things and, and it’s kind of let’s think this through a little bit. Um, so we’ll look at the next slide and think it through a little bit motor wise, you see in the middle, the motor ability for us to perform a motor task is really associated with prenatal stress and neuromuscular development, gross motor core trunk. That’s why this little picture of the tree right here, the tree trunk we develop, we mature from a neuromuscular standpoint from medial to lateral. We have to have good core gross control before we get my fine motor control. So the tree trunk has to mature and be stable before the leaves and the branches can be healthy. And this is going to be associated with prenatal stressors.

If we have good motor input, we have good brain food, essentially bring brought to the cerebellum and the prefrontal cortex, cool beans. I’m getting good motor, a ability that’s feeding food or information into my cerebellum and prefrontal cortex. And those areas are responsible for cognition. So it stands to reason that if mom is under a lot of stress during pregnancy, and it alters the course of motor development, neuromuscular development cognition down the road is going to be affected like we’re seeing now, the other thing is we have to have this gross motor, the tree trunk, um, and maturing and fed information and stimulated before fine motor can come on board. And that would be our verbal arm here. Verbal skills are going to be a lot of fine motor skills. If I don’t have a good tree truck, core stability before mobility, I’m not going to have good, fine motor skills, and that’s going to affect language and fine motor.

But we also have to bring into play masking here in that first year of life. It is critical that that little fiddle fart makes eye contact and sees expressions, eye mouth. That connection with mom, that bonding connection actually helps mature the prefrontal cortex, the motor part of our brain. So we’re going to see these motor sequences, this motor maturation dysfunctional, and our offspring when mom’s been stressed out and who the heck hasn’t been stressed out in the last year and a half. So it stands to reason we are seeing what we’re seeing in the studies that are coming out now. So how are we going to interplay here? How are we going to intervene? Let’s take a look. Let’s take a look at mom. First things to do for mom. Things to think about. Obviously get mom under chiropractic care, enhance her adaptability, enhanced her resiliency.

Talk about some stress management tools with mom. Okay. Expecially going to be critical in that second and third trimester. You guys huge one going to support the microbiome because the microbiome is one of the key inner sensations. And we know now paper after paper, looking at the microbiome as part of brain development on the offspring mom’s microbiome and baby’s microbiome. So get her supported there and how we do that with our diet jerk fit and not junk it, just eat real food. Try to get out of that stress mode of eating and eating junk food and processed food. So jerk, but just eat real food, support her during the enter stress responses do not big red flag right here, do not support with anything that has licorice in it. It’s going to do a negative effect on baby’s development. So just know that, okay, improve heart rate variability.

How can we do that? Well, getting her adjusted, we think helps decrease that stress load. That also exercise we showed you that that one slide showed about a report of decrease in exercise in the early phase. The pandemic, we know that maternal exercise helps increase baby’s heart rate variability, their maturation of their nervous system. Okay. So talk to them about exercise, even if it’s just walking every day, exercise like yoga, polite is meditation. That’s going to bring on board calm and a balance of the autonomic nervous system. Common Monica’s common baby equals a more mature nervous system in baby. So some very basic things to do for mom, but now let’s look at things to do with baby. What do we want to look for when baby comes in? Of course, chiropractic care, same thing, enhance their neuro adaptability. Okay. We’re going to look in a minute at some what I call brain bonding, brain building and bonding things.

Okay. And I’ll show you some pictures of those you guys. We’ve got to look at that microbiome. These babies are born being born, stressed out. They’re more collagen, more irritated. They’re not pooping. All right, look at supporting. Even if it was a vaginal birth, most microbiomes are in the tank right now, stress equals a shut down microbiome period. End of story. Can’t be an arrested digestive stress date. So stress equals a shut down microbiome. We need to look at supporting that tons of evidence and research as far as good probiotics, a multi-strain probiotics to help support brain development and the baby.

And in that enhancer vital environmental exposure, there are environmental exposure to wet. We’ll take a look here in a minute, basically enhance their sensory environment, get them engaged in the world to help build those brain pathways and their motors or sensory motor experience. So let’s take a look with some, some pictures that Elizabeth, she posed for me got to love her. So in the far left side, okay. Getting eye contact, seen mom dad’s caregivers face, and their expressions is huge for many neurological reasons that we don’t time to go into here, but just know that this is maturing their brain. So get them on eye contact. I have just a picture of here. Elizabeth was in a beanbag chair. I was helping her stay up, right, because she has a little bit trouble with core stability, but, um, get those little fiddle parts of her, uh, again on, on, uh, being bad chair.

The second middle picture, when they get a little older, um, they can be up in, in mom or dad’s sitting kind of on their, on their knees, on their lap. Give them some more, um, challenge of sitting on their own for more core stability. But again, you’re in positions that have eye to eye contact and mouth expressions. This is huge for neurological development. Have parents doing this little, these little tips and tidbits for brain development. Okay. What you don’t want to do is the far right picture masking. And breakfasting, you can’t really see my hand, my arm right there, but I’m holding a cell phone as a demonstration. I call that breakfasting moms being engaged with your little fiddle fart when you’re feeding or when you’re holding their sleep, it will, hopefully they’re awake. You want mask off, let them see your expression, be engaged with them.

Don’t be on the phone watching TV or breakfasting texting on the phone, be one-to-one and bond with a child. Bonding is brain building. It is setting up the executive functioning part of the brain for cognition, that prefrontal cortex for the life of that child. So please let’s advocate to, um, our caregivers. Moms are usually the one that going to be doing the breastfeeding. Right? Okay. Um, let’s advocate that time as a one-on-one to build that child’s brain, it is bonding, but it is brain building. It is huge. Now as little fiddle, farts gets older, some fun things to do around the house. We’ll take a look that Elizabeth posts for you, some things we did around the office yesterday. So the next slide will show that let’s get some movement and motor, okay. As they get older and, and develop that core stability again, that gross motor control before they bring on fine motor control, get them in a little, a little tub.

You can do it in a box. You can do it in a little storage tub from target or Walmart or whatever. I just threw some bean bags in there. Some fluffy bean bags that you can have mom or dad put in there, um, that the packaging popcorn, little styrofoam daily WAPs, you can put, um, rice or beans or whatever, just make sure they don’t eat it, but you can stick them in there and you can stick them in there and their diaper or new for more sensory experience. Um, and you can actually tie a string or something, poke a hole in the container and tie a string around it and move them around, pull them that creates more input to their brain, especially distibular balanced input. It creates them having to do use more core control. All right. So more motor control with movement. It gives them a sensory experience.

Um, and it’s fun. All right. So that’s a cool thing. Cheap, easy, um, easy way to, to, to engage them in their environment. This other picture is Elizabeth on a snow, on a snow sledding disc. Again, you can feel that disk with different sensory toys or whatever. I put a little, a folded way to that blanket, just so we could show how Elizabeth can come up and to tummy time there, you can poke a hole on that tie, tie string around it and bleed them around the house as well. Older kiddos and the family can do this with younger siblings, create this experience. You’re getting sensory input into the brain. You’re getting motor control challenges. You’re getting tummy time and creative ways. You’re getting it as social engagement experience. Again, these are things we can easily give as activities for parents to do in the office, um, to enhance their sensory experience, to enhance their motor development.

And when you’re doing that, you’re actually building and enhancing their ability to, to develop, to, to mature their cognitive part of their brain so that when they enter, um, preschool and kindergarten, so forth, the lack of verbal cognition motor, um, we’re going to change that tide. All right. So hopefully this will give you some good things to chew on for a while. Elizabeth, anything else you want to add? She’s back. Um, she sits so patiently with me again, both of us want to thank you for joining us. Thank you, ChiroSecure for giving us this platform. Um, and thank you for all of you out there, willing to step and, um, educate yourself so that we can enlighten it and educate the world on the, um, the amazing gift that we have to give for generations to come. So I will see you next month. Erik Kowalke will be here the first Thursday of, oh my gosh, what October? Um, and I’ll be here the third Thursday of October to wish you a Happy Halloween and until then stay safe and keeping amazing

Today’s pediatric show Look to the Children was brought to you by ChiroSecure.

Empowering Women in Chiropractic – The Signs and Symptoms of Long COVID In Your Patients?

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello everybody. Dr. Julie McLaughlin here from Vital Health Protocols. It’s been a long time since I’ve been here on the show and about that today. So, um, let’s get started. We’re going to be talking a little bit about COVID and, uh, I know that we’re so over it we’re, we’re just done hearing about COVID it’s just messed up the world and, and, you know, we think, well, you get over it. You know, you have a box of tissue and you’re in you’re good in a day, but I gotta tell you there’s a lot more to it. There’s a lot, lot more to it that most people don’t even know until it happens to you. So let’s do this first. Let’s think ChiroSecure because without ChiroSecure, none of us would be here. So I want to do, you know, thumbs up little hearts because they are so great. They sponsor so many educational, um, programs for us and they not only are our malpractice carrier, but they are much, much more so let’s make sure we give them all the love that we can.

So I want you to know that COVID can happen to anyone. And I know by being in these women’s chiropractic groups in these chiropractic groups has happened to a lot of docs. And I’m also in groups with tens of thousands of other people who have something called long COVID. And last spring I got COVID and it actually, I think it was my second time getting it. The first time was way back in the beginning of 20, 21. We didn’t have tasks and we didn’t know. Um, and we’re not going to talk about vaccines cause we don’t want to have any issues. This can happen to anyone. It doesn’t matter your vaccine status and it can happen multiple, multiple times. Um, it really, really is a huge, huge deal, but it’s different for every single person. So back in, I’ll tell you a little bit about what happened back in the spring.

I felt a little sick and I thought, uh, you know, I I’m, I’m just having a little cold or maybe it’s the spring. I have some allergies and I went about a week and then all of a sudden I lost my sense of taste and smell and I got tested and I was positive. The other people in my family also got tested and they were negative. Um, so I thought, okay, I’m just gonna get better at home. And uh, everything’s gonna be fine. Well, long story short, it didn’t get better at home. And I started getting worse. Um, I started losing my ability to breathe. My pulse ox went down and I went into the hospital and they did some fluids and they did a little bit of testing and said, you’re okay, go home. And you’ll be fine. Well, two days later I collapsed on the floor and couldn’t breathe.

I couldn’t talk, I couldn’t stand up. I had to have an ambulance come and this is the first time in my entire life that I’ve been. I, I don’t even want to tell you how old I am, but I’ve never taken medications, nothing. So it’s a Berry Berry first time I’ve ever had any kind of illness because I’ve been practicing functional medicine and chiropractic since I was in my twenties and I never had a need for this, but this time it was totally different. And so when I went into the hospital, I was there for five days and they did every treatment you can even imagine on me. And I came out and I was a little bit better. And then another week went by and I was back in the hospital again. So the thing is with COVID and I’m going to talk about the symptoms and I’ll talk about the symptoms in what I experienced and what the study show and what other people are experiencing because you are seeing this in your practice and you’re seeing it. [inaudible] post backs, pre COVID post COVID. You’re seeing with people with multiple COVID, um, test positive. I know at least multiple people that have had COVID three times. Um, so we want to look and make sure that we’re not missing anything. And I want you to make sure ChiroSecure has an excellent informed consent form. They want you make sure you download from them about COVID information and have all your patients do it. It’s super, super important to document this in your notes. And as we go on, you’re going to see why.

So when we look at just the clinical course of COVID, and this is what the CDC says, that it’s about a six week course. So initially you get your exposure and it’s like five to six days, and then you get symptoms and then most people recover in two weeks. Or if you get it really severe, you recover in six weeks. But I can tell you with long COVID, the recovery is a year to a year and a half. And that’s really, as long as we know COVID has been along around, because some people aren’t recovering like that. So 30% of people who get COVID experience long, COVID an 85% of people with long COVID had the mild form in the beginning. It never even needed to be hospitalized. So we have it in our minds that the people are getting long COVID are people were on ventilators and, and happened to be hospitalized, but that’s not the case.

The bast majority were never hospitalized. And so it’s a scary, scary thing. When you don’t know that you’re not getting better. So we’re used to getting a cold and flu that we get better from. We used to have back pain that you get better from this morphs. It’s very, very deceiving because it morphs and you just don’t get better. So what long COVID does is it just stays in your system and the symptoms change. So these are the different phases. There’s acute COVID. And it’s really important to look at these timelines because the sooner you can get somebody’s treatment, the better off they’re going to have to alleviate the long. So the cute COVID is the first two weeks of symptoms. Post acute COVID is up to 12 weeks of symptoms. And chronic COVID is greater than 12 weeks of symptoms. Once you hit greater than 12 weeks of symptoms, that’s when you know this isn’t going away anytime soon and long, COVID really describes those symptoms that are happening after those 12 weeks.

So when we look at how do we determine somebody has a mild case versus someone who has a critical case, because we always think that, you know, you either have it where you need a box of tissue for two days, or you’re in the hospital on event and not recovering, but there’s a lot of places in between. So I want you to look at these categories and the mild case, you’re going to have the typical cold and flu symptoms, right? Some GI symptoms, as well as loss of taste and smell. There’s going to be no pneumonia on the chest x-rays or, or chest CTS. There’s no evidence on any of the testing and you’re gonna have no shortness of breath at all. In the moderate cases, you’re going to have radiographic findings of, uh, of a pneumonia. You’re going to have fever and you’re gonna have a lot of respiratory symptoms.

And then the saturation of oxygen is actually going to be below 94 on these people in room air in the severe cases. And this is where I fall into this. The saturation of the oxygen is going to be below 94. And then some of the partial oxygen is going to be below 300. There’s going to be infiltrates in the lungs at least 50% within 24 to 48 hours. So in COVID is a little different. I’m going to show you an x-ray, how those infiltrates get into the lungs. The heart rates can be very rapid above 125. And like my resting heart rate is an 110. So as long as I’m 110 that’s my resting heart rate is COVID does crazy, crazy things to us. And then the respiratory rate’s going to be greater than 30 breaths per minute. Now in the critical ones, they’re going to have respiratory failure. These are the patients needing to be on ventilators and it happens very, very quickly. It’s not a long drawn out thing with this. They’re getting subsisted going into shock and they’re having multiorgan dysfunction. So when we look at these categories, we want to say, well, really the people in the severe and the, the critical are going to get long. COVID false. It’s not true. You can get mild COVID and still get long COVID. You can, you can get the backs and get long COVID.

So we’re going to talk about, oh, my slides are a little goofy here. Sorry about that. But we’re going to talk about eight organ systems that are affected by Kobe. Cause we just think of it as a respiratory thing, but it affects all the tissues that have ACE two receptors on them. So these are little receptors that COVID can kind of plug into and it, those symptoms. So we’re going to look at the heart, but we’re gonna look at the circulatory system separate from the heart. We’re gonna look at the lungs. We’re looking at the brain and the central nervous system, the thyroid, the kidneys, the liver, and the GI system.

So the most common symptom with COVID with long COVID is that your symptom will change whatever your symptom is, you better be ready because it’s going to change. And you’re going to think your patients are making it up. Or if you have it yourself, I was thinking, am I imagining this? How could my symptoms change so much? So you get one symptom and it morphs into another symptom. And maybe that first symptom stays. And maybe that first symptom goes away. So most patients with long COVID have an average of 20 symptoms. There’s over 50 symptoms altogether, but the average person has more than 20. So think about our patients when they come into our office and they have lower back pain, that’s one condition think about 20. So when it effects the heart, it gets mild carditis and tachycardia. And the tech cardia happens. If you walk down the hall to the bathroom, you can go from laying to sitting in your heart races. And this is what’s been happening to me. And it’s also considered in dysautonomia, which affects these same symptoms.

So the next one is the circulatory system and really COVID is endothelial disease. It affects the lining of our blood vessels. And we usually don’t talk about the lining of our blood vessels, unless we’re talking about plaque and heart disease, but it causes the clotting and it causes microvascular damage, which causes hypoxia. And it actually causes your tissues to be starved for oxygen. And that’s one of the reasons people get COVID toes. And I can tell you, I have oxygen that I’m actually on 24 7 right now, as a result of COVID, I’m not wearing it because it would be really noisy for me to talk with you, but that hypoxia affects every organ and every system in your body, not just your lungs.

So the lungs, obviously the big problem is the SARS Colby to pneumonia. And that can lead to fibrosis, which is permanent scarring in the lungs. Now I had a cat scan originally when we first started COVID and now I’ve had it three months later and it hasn’t changed at all. It hasn’t improved. Now. Normally pneumonia always improves. I want to show you this little picture here. So on the left is a chest x-ray of someone with COVID and see those white cottony, fluffy patches. Those are the COVID pneumonia in the differences. It affects both lungs it’s bilateral. And it really shows up in the periphery, which is not really common where the other pneumonias show up and it will show up as ground glass. Like for me, myself, I have ground glass in all the lobes of my lung on both sides. So my perfusion is really poor on the right, just to give you an idea, if you’re not used to looking at your accessories, that’s a clear chest x-ray so those cottony puffy things on a CT scan look like paint splatters. You see that all the little AB Oler Sachs have paint splatters in them. And I think of it like super glue where it glued those AVL or sacks closed, and you can’t get any oxygen exchange through them. And if you can get it back, it takes a very, very long time. But in the meantime, it affects your other organs.

So let’s talk about the brain. The brain is a huge one that COVID effects and the central nervous system. It causes strokes because of the blood clot. It causes mass cell activation, which is a histamine response. And we can talk about more of that later. I have so much information to tell you, I just want to get you an idea of thinking about these things when they walk through your door, or if you or a loved one are experiencing it can cause seizures. It can cause Berets brain fog where you’re inserting wrong words. I was looking at a menu and I thought it said, cemetery, chicken. Now nobody would ever serve cemetery chicken, unless it was some kind of, you know, crazy Halloween stunt, but it makes you have the wrong words in the wrong place and makes you have memory problems, dizziness central nervous system, dysregulation like pots. We all know what pots is and it causes neuroinflammation. It causes PTSD, anxiety and depression and people who have never had it before. So it affects the brain and our central nervous system in so many ways as chiropractors. What do we deal with? We deal with our central nervous system. So chiropractic care, super, super important for patients suffering from long COVID.

It affects the thyroid. It can make the thyroid either hyper or hypo. And the other thing it can do is it can cause new or exacerbated autoimmune conditions. So this is one of the big things that we see is a triggering of auto-immune in the kidneys. It can cause low urine output. It can cause frequent urination. It causes all kinds of kidney dysfunction and even kidney failures, wherever that COVID virus hits, that’s where you’re going to get your symptoms. Or if you didn’t get the symptoms starting out there, it may morph into a different system.

The liver due to the rush of the cytokines in the liver, the liver can become damaged in some cases is not repairable. And most of the CA COVID patients you’ll see very high liver enzymes. And that’s a result of those cytokines inflammation in the liver. When we talk about the GI symptoms, some people get this really, really bad, where they’re getting nausea and vomiting and diarrhea, nausea, pancreatitis, and it’s a barrier issue. And they finding that if your gut biome isn’t healthy, that’s going to contribute to it. And we know unhealthy gut biome also affects the brain.

So one of the things that COVID does is it can expand the Bible burden of other viruses that you may have in your body already that were dormant. And it reactivates them in like 78% of people who have had Epstein-Barr before it will reactivate it. And same thing with chronic fatigue syndrome, H as B parvo, mycoplasma, and even hepatitis. These are viruses this state in our body that COVID will come along and reactivate. It is a very, very sneaky virus. So some of the other words that are called long COVID that you might hear is the past P a S C that’s post-acute sequella of SARS COVID two or persistent COVID or long COVID or long haulers or post-acute COVID or chronic COVID or post COVID syndromes. I want you guys to know this because you will have patients walking into your office, having these things. And I don’t want you not to know it. I can’t tell you how many places that I’ve been. And they had no idea what this even was. And they thought, oh, you must be contagious. No long COVID you’re not contagious. That contagion stages very, very short. And so this is people who are having 12 weeks or longer of symptoms after COVID with no other explanation or diagnosis.

So what are the triggers? Why do 30% of the people who get COVID get Mon COVID? And these are the things that I’ve come up with with the research. So far, the number one is genetics and genders. So women tend to get it more than men and genetics, and now they don’t know what gene, but that’s what’s caused mine. There’s some kind of genetics that has triggered me into this long COVID cause I had no pre-existing conditions prior to this. I was perfectly, perfectly healthy. In fact, when I went into the ER, they gave me a Z-Pak, which is very common antibiotic and I had a terrible allergic reaction to it. And they, they said, how could you have had an allergic reaction to this is such a common antibiotic. I said, I’ve never needed antibiotics my whole life. So when you see that people can have preexisting things that could lead you into this, or you could just have genetics.

So people with diabetes are going to be more likely to get long COVID obesity is a trigger cardiovascular disease, menopause or menopause. So low testosterone or low estradiol that can trigger you into low Mon COVID auto-immune conditions. Anybody who’s immunocompromised already can trigger them into this long COVID. And this is a really interesting triad that a large percentage of the long COVID patients have. If they have asthma eczema and allergic rhinitis, all those three together, they have a higher chance of getting lung COVID. So there’s no guarantee on who will get it and who won’t. I always think of it. You know, when my kids were little, we’d go to the grocery store and they had those gumball machines and they get a little bouncy ball and it’s got all the angles on is not round. And every time you drop it and it goes in a different direction, that’s what COVID is because it’s going to go in a different direction every day, every time.

And every person is unique. So you need to be a really good diagnostician when you’re looking at these patients. So, because it’s so new, we don’t know everything about it. And if anybody out there is telling you, they know everything about it, or they have all the answers, they’re lying to you because every single patient is different. And you have to treat that patient individually, but it could be a collection of four different syndromes, oppose viral fatigue syndrome, a fluctuating multi-symptom seven drum lasting organ damage that you have to deal with and post intensive care syndrome. So people who have been in intensive care and on ventilators, they have a whole nother hurdle to get over with this long COVID. But these symptoms fluctuate and there’s significant psychological and social impact on the long COVID as well. If you don’t manage it, we’ve all had that psychological social thing because of being locked up with a pandemic.

But when you add these symptoms on top of it, it can really be overwhelming. So really there’s more than 50 symptoms of on COVID. But the most common symptom I want you to know is that your symptoms will always change. In the beginning. I lost my taste of smell and taste taste. Then it transformed to, they would just weren’t right? Like if I smelled the cinnamon, I knew it was cinnamon smell like lemon to me. Then I decided, okay, my body doesn’t want to do that anymore. Or my body decided for me is more like it. And I was smelling cigarette smoke 24, 7. I’ve never smoked in my life and I don’t go anywhere where there’s smoke. So COVID does these crazy, crazy things. And you think what is going on? So let’s take a look at some of the symptoms. These are the symptoms.

And if you want to really look at these, you can pause, um, on the replay and you’ll be able to see all the symptoms. And so patients coming in with these symptoms might not even realize that it’s one COVID that they have at first. I didn’t realize that I had long COVID. And when you see all of these symptoms, they could be anything, any kind of organ system, anything, but don’t get fooled by this. When we look at with the list is 26% are pain symptoms. Now we’re going to get patients walking into our office with pain and they can’t describe it. And a lot of times it can be bilateral pain, a patient with bilateral ankle pain, knee pain, and hip pain that they’ve never had before. I’ve got shoulder pain and elbow pain, like, like never before. So these things are going to show up constant burning in the bottom of the feet, pain in the middle of the back of the thoracic spine. So I want you guys to be aware that the long haulers we always think of respiratory, but it’s so much more, and they’re going to show up in your office.

So nearly 30% of infected people, like you said, get long COVID. And 75% of them have never, um, or 85% of them have never been admitted to the hospital. But if you take the people who were hospitalized, 75% of the patients have been admitted to the hospital, have abnormal patient outcomes three months after the onset. That’s huge, right? Think about if you’ve ever been sick for three months and 50% of the patients admitted to the hospital will have symptoms 12 months after the onset. And a crazy thing is at the six month mark, the studies show that the symptoms can be worse than they were at three months. But then at 12 months, the symptoms can be worse than they were at six months. So you can think you’re getting better, right? And you hit six months, you think, oh, I’m getting better. And then you hit 12 months and your symptoms can be worse than they were six months ago. So it does, you don’t get better in a linear pattern, like most other conditions.

So how do we assess if someone’s getting better, how someone’s getting improved. And it’s a really hard thing. So I read one study said that improvement could be up to 5% a month. Now, can I just tell you I’ve been sick for months and months and months that is painfully slow and it makes you think that you’re never going to get better and you’re not getting better. So I want to give you some tools to be able to use with your patients in your practice. And these are some really helpful symptom inventories that are subjective, that the patient fills out. And I would have them fill them out every month to make sure that they are getting improvement and that they can see it in. You can see it because I present in a month, day by day, you’re saying I’m not getting better of one symptom goes away and another one comes on and that symptom may be way worse. You’re thinking that you’re getting worse instead of better. So these symptom questionnaires really, really are helpful and they’re available everywhere. Online. Those PDFs are very, very common, but we don’t typically use them in our practice, but it’s a great way to, to assess the patient in the beginning, but also look at the progress.

So I can tell you the pain and suffering is real. Um, I never realized what COVID was possible to do. Um, it’s, it’s really destroyed my lungs. Um, I destroyed my heart. It had so much pressure on my heart that they had to put me on oxygen 24 7. Um, and if I walk, you know, 10 feet, my heart rate skyrockets up to 160, my resting heart rates really, really high. It changed my sense of taste and smell. And that’s the least of it. It affects your GI symptoms. It affects the brain fog where you’re putting different words in and effects your memory. It makes you shake. It makes you have dry mouth. It has so many symptoms that you can’t even realize it. So I want you never to experienced is number one. And I want you to recognize it when your patients come in, that these symptoms are real and they need someone to listen to them and to support them.

And I can tell you that there’s no better place for them to get support and get adjusted in the, your chiropractic office and, and help get them through these really, really tough times. And, uh, at, at the end, most people will recover, but the pain and suffering during that time is real. So please support your patients and be aware that these symptoms are coming in. And that they’re real. They’re just not to be sent out to every specialist in the world because they’re looking at their little niche, put it all together and look at the possibilities along COVID.

So I would like to thank I was a care. If you guys have any questions, please let me know. We only scratched the surface today, um, because it’s a huge, huge topic, but at least it will start getting you thinking in the right direction. So lots of love to ChiroSecure and not, I will be talking to you soon. And remember, it doesn’t matter if you’re vaccinated or not vaccinated long COVID happens. And if you had COVID one time and it was mild, any combination that you could possibly think of can happen with COVID and long COVID. And it’s not just in these little boxes that people like to put them in. So you have to be aware it can affect anyone at any time. So I’m Dr. Julie McLaughlin from vital health protocols and be sure to tune in to empowering women and a couple of weeks. And now they’re going to have a great show for you. So we’ll talk to you soon.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. [inaudible] We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now, go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

Empowering Women in Chiropractic – Speaking with Authority During Uncertain Times

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  We suggest you watch the video while reading the transcript.

Hello and welcome to another episode of Empowering Women in Chiropractic brought to you by ChiroSecure. I’m your host, Dr. Cathy Wendland Colby. And I am super excited to talk to you about a super relevant and super important topic. And today we’re going to be talking about how to speak with authority during uncertain times. Listen, this past year and change has been some of the most uncertain time that any of your people have experienced in their life. It’s certainly the most uncertain times that we’ve experienced in ours and your community is no different right now. Your community is confused. They’re lost, they’re scared. They’re being bombarded with fear. And they’re wondering is everything that I’m hearing on the TV, through the news on the radio, from the politicians, from the news reporters, is that really true? Because it doesn’t make sense. And then on the flip side, you have some people in your community, maybe even in your practice that sounded like parrots of propaganda.

And you know what I’m talking about because you’ve most likely run into these people. I know I have, I had a conversation with a woman at the gym recently who was like a talking head for the news channels. I mean, she was repeating all of the propaganda with authority. She was talking about how one of her friends had gotten sick, but before they left the hospital, it was a good thing that they gave them the vaccine because when he got out and he got the breakthrough virus, again, it was less severe because he had been vaccinated while he was sick. And this is the type of top that you’re hearing from people that don’t have a complete understanding of health that don’t have a deep understanding of immunity that don’t have a basic understanding of epidemiology. This is what you’re hearing from people who have gotten their science from newscasters.

And the scary part is, is that so many of our patients, so many people in our community, and sadly, many of you have family members who are buying into the propaganda. Now more than ever people lead, they need a leader. They need a leader who can bring them to a better understanding of health and healing. And they need a leader who is willing and able to put themselves out there and teach the people what they need to know to keep them safe and to keep them healthy. And that’s where we come in because our expertise as doctors of chiropractic, as doctors of cause as doctors of correction, is to find the underlying cause of their health problems and help to correct it through the simple and super effective, super safe chiropractic adjustment. But we specialize in an understanding of health and healing and how the body functions, whereas so many other healthcare professionals specialize in the detection of symptoms and the covering up of those symptoms.

We don’t do that. We understand health. And so it is crucial right now for you to learn how to deliver a relevant conversation about where health comes from and how you can provide the body, the tools that it needs. So that health is the most natural outcome and have that conversation in a way that doesn’t push people away, but attracts them to you that doesn’t scare them off or make them think that you’re crazy, but actually allows them to start questioning what they’ve been hearing all along on the news, on the radio, on the TV, from their coworkers, from their other healthcare providers, from their family members in a way that we educate them with a better understanding of health. And so one of the things that I find most positive right now to do with my patients and most engaging right now to do with my patients is to ask them to dig deeper into the things they believe they understand.

So they come in and they say something that you and I would clearly think is outlandish is ridiculous, is propaganda is just absolute insanity rather than just attacking them and bombarding them and saying, oh my gosh, where did you hear that ludicrous information? That’s not going to work. That’s not going to win you any favor in these people’s minds instead, turn around and ask them a question. Where did you get that information from? And how did that make you feel the first time you heard that? And as you started to process that information or hear it repeatedly from people, how do you feel about that information now? Did you question it when you first heard it? Are you questioning it now or are you now accepting that information as fact when maybe it’s just opinion and to start having a question where you allow them to start accessing part of their brain that initially questioned this information, but then accepted it and bring them back to that place of, remember when you initially questioned this, because this didn’t make sense to you, how did you get to a point of accepting this?

Or when did this become acceptable information to you, or what changed that allowed you to view it from this perspective and how do we help you have a more broad, a wider, a greater understanding of health and healing and how your body is designed to function. And when you help people to access that part of their brain, that starts to question things, then all of a sudden they don’t just look for the, yes, no answer. They look for the why they look for the, how is that possible? Does that make sense? See, people don’t want to be in that state of cognitive dissonance. That’s where you see one thing, but you believe something different people don’t want to be in that state. So when they see something that doesn’t agree with what they believe, they have to start shifting to one side or the other, because they don’t want to stay in a state of opposing viewpoints for too long.

So they either turn all their attention to one side or turn it all to the other. And so our unique position right now is to help them stay in that middle area where they can hear one thing and see another and make the decision for themselves, which parts of both aspects make more sense to them. And so I really truly believe that this is a time for you to step up in your leadership skills. This is a time for you to up your game. This is a time for you to start really getting more comfortable, voicing not only your opinion, because that’s not the most important thing right now, but voicing your education, voicing your, and your understanding and voicing your knowledge of anatomy, physiology, kinesiology, epidemiology, immunology of the nervous system, how the body functions and how we were designed to function so that our body can be healthy so that our body can fight off viruses, bacteria, foreign bodies that are invading us so that your body can process the foods that we eat and the air that we breathe and the water that we drink and build new, beautiful, healthy cells.

Teaching them from that aspect is going to ingratiate people to you so much easier than coming at them with a fighting attitude and, and a willingness to battle and bicker about everything that they say, because the, the, the reality is you can be relevant without being argumentative and all too often, when it comes to when it comes to this plan DEMEC, or it comes to this, you know, altered state of healthcare that we’re seeing across the country and across the world, it is so easy to get argumentative and stand your ground and prove your point and try to argue with people that don’t agree with you. But think of that old saying a man convinced against his will, will remain of the same opinion still. So you can beat them to death with your opinion, just to the point where they’re like, okay, whatever you say to get out of the conversation, but it doesn’t mean that you’ve broadened their horizons, open their eyes, or brought them to a better understanding of health instead, stay relevant without becoming argumentative by asking questions, using the Socratic method.

When they say something that clearly makes no sense, turn it back around, use their own words, to formulate a question that makes them have to dig deep into their brain and say, huh, how did I come up with this idea? Or when did I start accepting this? Or when did this nonsense begin making sense to me, use that ability to break people back to a different understanding so that Napa, you can introduce a greater understanding of health. So if somebody comes to you and says, well, I know that my family is sick. Um, so it would be better if they go do something in addition, then you can bring them to an understanding that it says, well, do you understand that once your body is, uh, in the presence of, or learns to fight off a foreign invader, that you work, your immune system, much like a workout.

And now, because you’ve had that workout, you’re better able to recognize that foreign invader again, and you’re better prepared to battle that foreign invader, if your body were to come in contact with it again. So having conversations that don’t necessarily revolve around vaccine laws that are trying to be introduced or vaccine mandates that are coming down the pike, but instead turns to natural immunity and we’re health and healing comes from, and your body’s ability to function. As long as there’s no interference, having those kinds of conversations is going to help you lead people toward a better understanding of health so that they can make better decisions for themselves and their families. And after all, isn’t that what we’re here for is to help provide the information so that people can make healthier choices and choose to live a healthier life. That involves being subluxation free, or being checked and adjusted when necessary.

That’s what I do all day long. That’s what you do all day long. So let’s use our knowledge, our education, and our experience right now with certainty to overcome their doubt. Because right now your people are doubting their body’s ability to heal. They are Downing their body’s ability to function. They’re doubting their children’s ability to heal. Now more than ever. You’re seeing parents who are petrified, that their child is going to come home from school sick, or that their child might get a fever or that their child might have a sniffle or a cough or sneeze. Whereas in years past, we expected that in the first few weeks of school, we welcomed it because we knew that as children go back to school and they’re exposed to all this, nobody knows kids that they’re going to sit next to and who touch the things that they’re touching, that it is normal for our bodies to have an immune response that is part of health.

And when they have that immune response, that’s what builds their body up to be stronger, their immune system, up to be healthier, their future up to be better prepared to face all the foreign invaders. We don’t want anybody living in a bubble because we understand that the boy in the bubble can’t survive when he comes out, because he’s not accustomed to experiencing and fighting off any of these bad guys. So they’re called, right. But we have to be that voice of certainty right now, because right now they’re doubting their kids’ immune systems. They’re doubting their children’s immune response. They’re doubting that the fever is a good thing. They’re doubting that the cough is a body’s way of getting rid of garbage. That doesn’t belong there, doubting that sneezes our way of clearing out the nasal passages. They’re doubting that their body is brilliant and capable of healing.

And so your certainty is going to be so important right now because whether your state has already gone back to school, and you’re seeing the sniffles in the costs and the codes that are normal this time of year, or your state is preparing to go back to school in the next two or three weeks, it’s coming. Their fear is going to get worse. The scare tactics are going to ramp up and the conversations about how there are some people who are choosing not to protect others. They’re choosing not to participate in the greater good. Those conversations are going to increase. We’re seeing these mandates where they’re talking about firing nurses that three months ago, and five months ago, and eight months ago, and a year ago, we’re being heralded as heroes. And now they’re calling them the villains and wanting to fire them. So the whole shift is happening before our very eyes.

Your people may or may not be realizing it, but they’re experiencing it. And so if you can get really certain about everything that you know, that you know, that you know now is the time more than ever to lead with that certainty, speak with authority, be sure that you know what you’re talking about because you do and be sure to share your education because it’s valuable and be sure to share your experience because it is relevant. The people that you see on a day-to-day basis who are getting healthier under chiropractic care, that’s a story that needs to be shared. When a new patient comes in, share some information, don’t overwhelm them. Don’t be argumentative, but be certain speak with authority and make sure that you’re bringing them the information that they need so that they can make better healthcare decisions for themselves and their families.

And when you do that, you’re going to have a group of people who not only get what you do and appreciate it, but who will become raving fans. And we’ll start talking to their friends, their coworkers, and their family members, because right now everybody’s having the conversation about health. Everybody’s having the conversation about sickness and everybody’s having conversations about diseases and immunity and vaccination and immunization and viruses and costs and fevers. Everybody’s having a conversation that you have been preparing your whole life to leave. Everybody’s having the conversation right now that you have been studying and preparing for many, many years to be the authority in that conversation. And everybody’s discussing things that they may not have a great understanding of, but that they’ve been bombarded with one sided information, propaganda designed to keep them in fear, to scare them into doing whatever they’re told to do, and to make them believe that their body is not capable of healing, recognizing invaders, launching an immune response, unless it’s managed medically.

And we know that that’s just not true. So one of the things that you can start doing is having small conversations at the table with all your patients and pick a topic for the day. And maybe this week, you might pick a topic that says, do you know how your immune system works? Or you might pick a topic that says, what is an immune response? Or you might pick a topic that says fever is a good thing. Or how about a top? It says vomit, healthy or sick, because we all know the answers to these questions, but your people might not. And so if you find a specific topic that your patients are not clear on right now, such as what is health, what is healing? What is an immune response? What is a normal reaction to poisons in the body? What is a normal reaction to toxins?

What is a normal reaction to a virus or a bacteria? Why does the temperature raise in the body? How do we sterilize ourselves? What is a fever, spike? There’s so many topics that you could use right now. If you start using them at your table or putting them on your whiteboard or asking patients to ask you questions about this topic, or having a little note at the front desk, where they sign in that says, ask the doctor about fever today, or ask the doctor about vomit or ask the doctor about ear infections or something that you want to carry throughout the day, throughout the week, as your topic of discussion, all of a sudden you bring people to an understanding that, huh, my child’s body ran a fever because it was trying to sterilize itself and cook off the bad stuff. And then the fever spikes to kill the really bad stuff.

And then it dropped the fever down and gave my child chills to cool off the body before it backed up to that low grade fever. And that was all intentional and by design. And that’s all part of a healthy response. I didn’t understand that. Tell me more. And now you open the door to better quality conversations about health and healing and how the body was designed to function. And that is what we as chiropractors specialize in. So the keys today lead people to a better understanding of health, use your stor certainty to overcome their doubt and stay relevant without being argumentative. And that right now is how you’re going to speak with authority in uncertain times. If you need help, if you want some suggestions, if you need some topics to put up on your whiteboard, please don’t hesitate to reach out to me. I’m always happy to help you help your community because together we rise. And when more people are under chiropractic care, we take one step closer to fully realizing the big idea. Thank you so much for joining me this week on ChiroSecure’s Empowering Women in Chiropractic as always reach out to me with any questions. And I look forward to seeing you next time right here. Thank you.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. We hope you enjoy this week’s Facebook live event. Please like us on Facebook comment and share. We look forward to seeing all of you next week for another episode of empowering women in chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production. [inaudible].