Empowering Women in Chiropractic – “Car Seat Crazy, Colic & Chiropractic”

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. And welcome to the ChiroSecure’s Look to the Children’s show. I am Dr. B and this is Elizabeth. Say hello Elizabeth. So we are here to bring you a, um, a cool many lectures of this week on car seat crazy, chiropractic and Colic. And we are going to spin colic from a different angle. Aren’t we Elizabeth? We sure are. So Lizabeth, um, has asked me mom that, uh, next time I get her a cool outfit to wear because she’s tired of being seen in their diaper. So I apologize for that everybody. So Elizabeth has been sit here with me and make sure I do my job, right. Um, and we’re going to have a little bit of fun today. So car seat crazy, colic and chiropractic. How are we going to spin this around? You’re going to see in just a few minutes, but first of all, I want to thank ChiroSecure for giving us this platform, um, and giving us a way to share this information with you, um, and all the, all the amazing chiropractors out there.

So, uh, thank you, ChiroSecure for that opportunity. So we were going to go to, uh, let’s Jimmy jam and look at w we got on the next slide coming down the pipeline. There we go. Thank you, ChiroSecure. All right. So why did I tie together colic and car seat crazy. Wow. We’re gonna find out just a minute. So first of all, I love to ask this question when I lecture live and one day maybe in the, hopefully not so distant future Elizabeth, and I’ll be able to go on the road again, but colic, I want you to remember 3, 3, 3, or I should say 3, 3, 3, 3 colic. The definition of colic. It’s so funny. I asked chiropractors, do you think we affect, we have the ability to affect college and everybody raises their hand, like, yeah, yeah, yeah, yeah, yeah, yeah. And then I turn around and ask the question, what is colic?

And I see these still faces just like a donut. So the definition of colic is inconsolable crying for three hours or more a day, three days a week for three weeks. That is the definition of colic. The definition of colic isn’t necessarily a GI issue. Um, but it’s kind of morphed into that. Colic means GI issues and spitting up and GERD and things like that. And constipation not necessarily, not necessarily. So, um, so we’re going to see, um, a little different spin on that today. So let’s Jimmy jam and get started. So some associations with colic, my slides got a little goofed up here and I’m going to need my old lady reading glasses. Um, dietary considerations, cows milk is a big one. Um, that’s associated with colic, uh, neural behavioral, neuro developmental challenges later on in life. So lots of times we see college as one of the, um, factors that, um, as associated later on with neurodevelopmental challenges, um, very difficult temperament as a baby.

Now keep that one on your back brain burner for just a minute. As we dive into how this relates to the car seat, um, hyper responsivity to sensory stimulation, this is where we want to dive in today with regard to colic and the stipular system. Those of you that have heard me, uh, lecture over the years know that I, I have a fetish for a few things. One of them is a Steeler system. One of it is a bagel, the bagel Turner’s Vegas nerve. Um, so we’re gonna talk about the vestibular system in particularly today, uh, GERD, gut dysbiosis, obviously, um, migrants. My grants have actually, um, been highly associated with, um, colleague. So, and there is this association that if mom had migraines, we might see more colicky symptoms in babies. Now I don’t have time to dive into the whole rabbit hole between all of those connections with migraines and the gut and colic, but there are a lot of, um, a lot of interacting overlapping factors there.

And, um, we’ve shown that there are studies that show that B2 riboflavin helps with migraines, which can also help a colleague. So just a tidbit there and dysmaturation of the autonomic nervous system. So we’re going to dive into hypersensitivity of the vestibular system chiropractic and colic bada boom, bada Bing, bada bang, bang. Let’s do it. So the simplest system of, here’s a paper that came out earlier this year with it. It was a chiropractic study, um, and looking at kiddos with colic and the vestibular system. So that’s what I wanted to cover today. So let’s look at, I want to look at five factors that this paper looked at with regard to colic and vestibular function. So they asked parents, they took 120 symptomatic colicky babies and 117 asymptomatic. And they asked the parents by particular questions. And we’re going to look at those questions in just a minute.

So let’s, well, let’s do that right now. How about that? So what are these five questions they ask? All right, number one, does your baby calm down and or fall asleep when they’re riding in a car? Now, a lot of parents are used to taking the fussy baby out in the car and that puts them driving around forever long and that calms them down and puts them asleep. But what they have found with quote unquote, colicky, babies, remember colleague is just this inconsolable crying. I shouldn’t say just cause it leads. There’s a lot of, um, consequences as a result of, uh, these inconsolable little fiddle farts. But with, with those that, um, had quote unquote colic, they did not console necessarily when riding in the car. So that was one of the questions. Another question was, um, does your baby calm down and fall asleep when they’re held against mom or dad’s chest?

Okay. Or cradled in the crook of their arm? Yes or no. Um, so they, the kiddos that were diagnosed with colic question number one was a no, they did not calm down while riding in the car question, number two, they were not necessarily consolable in that fashion as well. Question number three, when your baby’s falling asleep, cuddle against your chest, you cannot lie them supine in the crib without them waking up and crying. So they take it from here and be able to lie them down that would tend to with those [inaudible] group, wake them up. And again, they went into, into inconsolable crying when question number four, when they’re asleep, um, baby can wake up with a scream and showing symptoms at that Moro startle reflects. That was a consistent finding with those in the colleague group. And question number five. Um, the baby is much more comfortable lying in an inclined position than in a Crip.

And so we all, um, especially with that in pine position, that’s something that we’ve looked at, um, regularly with GERD and colicky symptoms and so forth because when we lay them flat, there’s more chance of the reflux happening. So I think this connection between GERD and reflux and colic, it just kinda morphed into one. But what we want to look at is what do all of these questions also have with regard to vestibular hypersensitivity? So that vestibular system is us being up, being able to be comfortable and upright against gravity and feel comfortable in our environment. Um, we don’t have gravity where anti-gravity, when we’re in mom’s tummy, right? And then we pulled out we’re into this world. Now, all of a sudden we’ve got to adapt neurologically to gravity and what that feels like. And if, if that can’t happen, then that little fiddle heart may be hypersensitive to the feel and the way their brain is, um, experiences their environment against gravity.

So they took 120, um, symptomatic kiddos and they score them. Basically, they got 1.4 if for each one of these questions. So each one of these questions that was positive for that particular child, they got scored on it on a scale from zero to five out of those 120 all of them. But, uh, two we’re either a, um, scored between a three and a five. So all of them had positive findings, but two, then they had 117 control group and 89% of them scored zero or 89, excuse me, 89 out of 117 scored zero. And the rest scored between a one and three. None of them scored on a four or five with these, with this specific scoring questionnaire. So the colleague group underwent chiropractic care. Yes. Okay. Twice a week for two weeks. So essentially just for adjustments and from the paper, it sounds as though they used a, um, activator type device

And the way the paper reads is essentially they were, um, using this device, I’m going to refer to it as an adjustment, but they were using this device on the upper cervical spine. Okay. And which is going to have a huge regulatory input of a stimulator information into the brain. But in the paper, they stated as to relax the upper cervical muscles. So essentially this activated device to the upper cervical spine to relax those upper cervical muscles. Okay. Now of course we know when we’re subluxated, those muscles are going to be tighter. So again, if they’re using that device, they’re doing an adjustment appear. And so what they found was, again, two adjustments a week for two weeks, they found that, um, rescoring the specific questionnaire, 111 of them went to a zero score, zero symptoms of, of this, of colic, his symptoms. Um, and, um, so there, the Steeler score went to zero and their colicky symptoms were abolished nine of them. Their vestibular score went down to the one to three range and they’re calling symptoms diminished. So what is the moral of the story here? Is it a GI issue maybe because that upper cervical spine is going to have a lot of involvement and, uh, and gastrointestinal bagel tone, et cetera, or is there a neuro expressive behavior of collagen is symptoms of crying associated with hypersensitivity to vestibular input.

So I want to take these questions and kind of guide go through of how that fits into this hyper vestibular tone. First one, when they’re in the car, when, when, when there’s movement happening and we have hypersensitivity to movement and busted tone that can, um, create anxiety and a feeling of fear and lead to crying. So that movement isn’t calming. Like it would be with a little fiddle part that does not have hypersensitive to movement and vestibular tone, the stipular input, um, a lot of kiddos that, um, like to be cradled and so forth and walked around and bounced. If they have a hyper vistibular tone, they’re not going to like that movement. So again, that does not console their quote unquote colicky symptoms. Um, when they’re lying flat. Now the, the, the change in head position, the moral reflex is sensitive to vestibular and proprioceptive input and some realms.

They, they associate that with being a vestibular based reflex. When we drop that kiddos head and they have a star reaction, and then they become inconsolable, that would be firing that vestibular system. So it stands to reason when you are, um, putting him in, lying down in, in these positions and taking them from here, by the way, when you have them here and cradled in, in the neck, in the neck of your arm and aren’t moving and they seem to be fine. If you have their head at a little bit of a tilt about a 30 degree, 30 degree tilt, it changes the input to the semicircular canals. So it’s more calming to that Pasteur system. So thus they will like that position as long as there’s not movement associated with it, then you take them and change that position and change up ellizabeth classic baby, that pulls hair, but you’ve changed that input to the semi-circle canals.

So again, upregulating that vestibular input and they get there. And consolable, so if you look at these five questions and you show that in the car seat, they’re up in an incline, a bit of incline. Again, it changes the input into the lateral semicircle canal. So they’re not getting that much firing about the studio system. So these positions are more comfortable, but we’ve always taken them to believe that these positions are also associated with GERD. So I get pinged a lot on social media and so forth. Like I’ve done all the things that we’ve given probiotics and enzymes that had mom cut out dairy. And because dairy is very much associated with colic and cut out gluten and cut out the bad step, but we’re still having issues with this, this cranky fiddle, fart, colicky symptom, baby, and maybe even constipation, because when they’re in a stress paradigm, when they’re reacting to this hyper vestibular load and in a stress paradigm, that’s going to shut that down. So we may be barking up the wrong tree at times, you’ve done all those things already, and you’re still seeing this, these colicky, inconsolable gut issues, let’s think the Stabler input. So what are we going to do about it?

Moral of the story?

What are we, how are we going to figure this out? What are we going to do well, but I want you to, obviously we’re going to adjust them. Okay. So that’s number one. Um, and cranial work can be very calming too, but maybe we need to help regulate up, um, uh, exercise that vestibular system. So now it can handle that input better. So let’s take a look at some things that we might want to do there. First of all, that moral reflex, um, the moral reflex again, should integrate to the four months of life. Okay. And it’s going to need, um, a lot of tummy time. Tell me time might be a good red flag indicator for you here because kiddos that don’t like tummy time, they’re not receiving that vestibular input. So when we got this little fiddle farts and tummy time, and they have to go into cervical extension, we’re firing input from the cervical into the brain, firing up the Steeler system.

Again, if they’re subluxated and these are tight, they might not be able to get in those positions. Or those positions are uncomfortable. What would have been fun in that study is to look at the little kiddos if they like tummy time. And if they were able to get into this extension. So one of your red, one of your indicators could be that they don’t like tummy time. They like getting an extension, thus not exercising, maturing, helping to fire up that the Stigler system. Okay. And one of the reasons they might not like it is because they are sensitive to that input and it makes them crazy brain. All right. Just like the car seat makes them crazy. So we want to look at, is that more reflux hanging out? That could be an issue, but we want to look at some vestibular and proprioceptive input before let’s say they’re cranky and a car seat.

I get pinged a lot. Like, what do I do about these little fiddle parts? Mom does. Ain’t want to bring them in to get adjusted because they hate the car seat. They won’t even come to the office cause they’re their car seat. Crazy. Have them do a little bit of a stapler and proprioceptive input prior to getting in the car, to come to prep that system. If we give them a little bit of a Stabler input, it has about a four hour override window. So sometimes you get about four hours to get your stuff done. And proprioception input lasts about two hours. So maybe you have them on a physio ball and just do linear, gentle, rocking, and prep that system before they get in a car seat. Okay. Um, before you adjust them again, fire up the system a little bit in a way that they can handle it, that’s calming, do some deep joint compression.

Okay. Elizabeth, you ready for this? She loves the joint compression. We just take her wrist and we pump it a little bit difficult to do on something when it becomes plasticized. Um, but you just take their wrist and pull basically distract and compress and distract and compress, and you’d give them some squeezes up their arm. Okay. And you give them some squeeze and deep joint pressure and calm that system down. And then maybe a little weighted rank blanket in the car, over them, over their lap. It’s going to be grounding for them. Okay. So some tidbits for the car, some tidbits for sleeping, do these things prior to lying them down, calm the system down about, um, when we look at gravitational insecurity with gravitational insecurity is they don’t like to be in positions where their feet are off the ground because they don’t get that feedback.

And in a car seat, they don’t get any pressure up on their feet. Um, and so that you’ll see that with those kids that are hyper vestibular. So you might want to put something, um, to where they, they ha they can put pressure on their legs or pressure on their feet. So they could feel their feet more and know where they are in space. Okay. Less and less of that crazy brain inconsolable crying. Of course we want to adjust them. Absolutely. And like I said, the Stabler appropriate susceptive input can be golden to calm that system down and to prep it for any activity. This can also be golden to have parents do prior to feedings, because if the system is calm, they can digest better. And now we won’t add that added insult of maybe actual digestive issues dealing with these colicky symptoms. So hopefully this information was helpful.

And I want you to take a little different spin on looking at colic and how we see this dynamic of systems, right? Their behavior, their neuro expressive behavior, like in the car seat, like being laid down, um, not being consolable by walking around. What is that telling you may not just be the gut. We may need to look at other things as well. So, um, I’m going to wrap it up from there and thank you again, ChiroSecure for giving us this platform to get this amazing information out to all of you practicing docs. And next month, the first Thursday is the amazing Dr. Eric Kowalke I’ll be back on me and no, I don’t allow her to have Johnny jump up. She just likes to jump. We will be app the third Thursday of, uh, next month, which we’re in September already until then you guys have amazing rest of the summer. Um, and good luck to all of you out there as you embark on the new school year, we’ll see you next month.

Look to the Children was brought to you by ChiroSecure.

Empowering Women in Chiropractic – Leading the Charge: Drug-Free Pain Management Awareness Month

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.

Welcome chiropractic family. I could not be more excited to tell you all the things that we’re going to go over today, because one of the marks of success is how many times do you get picked up in the media? And this was an epic year. Let me tell you, the last month was epic alone. And today, as we go through this presentation, I want you to feel the pride 126 years. We’ve never, and I’m going to repeat, never had this much coverage on the benefits of chiropractic care and who do we have to think? We’ll look in the mirror. You are my chiropractic family, and you are the ones that make this happen. And I want to share with you some of the highlights on why this was such an amazing month, but we cannot stop there. See, that’s the benefit of progress at the foundation for chiropractic progress.

It’s about what’s next. And some have told me that you’re only as good as the last presentation or the last award you received. So if that’s true, we’re doing really well. And you are with me the whole way. Well, let’s jump in to this month’s presentation. This is leading the change. This is exactly where we want to be. We want to lead the change that we’re going to do that in a very specific way. There are people that are suffering across the nation. We are on a absolute, in very unfortunate summit of opioid abuse, misuse and simple use. And that means each and every one of us can play a part in the solution to help around the country, community by community. How are we going to do that? We’re going to really unite our base. We’re going to progress to understanding what drug-free pain management awareness month is and why September is one of those months where we can make a difference.

First, before we talk about making a difference, we couldn’t do it without these fantastic corporate sponsors proud and really helping us build this momentum that we’re having. This could not be possible without the sponsors ChiroSecure. I call you out. You have made it possible for us to get this messaging out. And we at the foundation are extraordinarily grateful to you. 25 placements on NBC reaching millions. We couldn’t have done it without you now getting to September’s marketing roadmap. That’s why you’re here today, because you want to educate, you want to motivate your community into understanding why chiropractic can help when you’re about to make a choice between an opiate or a non-pharmacological option. And yes, we have done this, but now we’re picking up momentum. Remember there has been an extraordinary amount of stress that has happened within the last year and a half.

Yes, we have the pandemic and yes, we have an epidemic, but please don’t forget that, that other part, which is the social distancing and the stress that goes on with our daily jobs and all of the things that are happening around the world creates that intensity. And that’s why chiropractic can really help depression is real. And it is also what they classify as a healthcare crisis right now. And I cannot stress this enough for you to take that moment with that patient, to touch them, or put your hand on their shoulder and start talking to them about how they’re feeling, how are they doing? Take those few moments to ensure that you have a network of providers that you can send them to, if it’s stress or mental health, if they’re a veteran, there’s lots of resources out there for them, please ensure your community.

Networking is strong. Someone’s going to need you. Someone’s going to need a referral to a mental health care provider. And you can be that someone that helps them to the next level to get the help that they need. So while they’re suffering, we know they can’t separate the body from the mind. And that’s why depression can run high. When drug-free pain management awareness month is starting to push its message forward. Why the past six years at the foundation, we have worked diligently to progress in positioning, chiropractic care as a safe, effective first line approach, a solution to opioids. Whether that progress was towards the management of the guidelines, the media, or the partnerships it takes to move the needle. We want to extend our thanks to you. And to those on the screen right now that have worked diligently with us, the whole project, Karen nodes, the Institute of medicine, the international yoga association, um, they all make a difference in helping us with understanding and getting the message out about non-pharmacological care and what that means.

So what do we do? This is an audience that takes action. And that means that we need to have those moments of taking action. How do we do it? Well, the first and foremost is getting a template so that you can produce a opportunity in your community to showcase the awareness. That means that if you take this declaration, you download it and you share this declaration with maybe your mayor or a Councilman. Someone who can make this awareness help push it with you. This is the visibility that chiropractic needs to take, but we have to do it together. This is advocacy on our own, making the steps towards drug-free pain management awareness month so that everyone benefits, what does it look like? It’s so simple. Here’s the template right here. When you want to pass this resolution, all you have to do is really just fill in the lines.

It’s a screenshot right here. And if you put together your information, you put it down. This is an area of networking that goes so well together because Alyssa, every single state in the United States has been impacted by the opioid epidemic. And that’s where we can all make a difference. We got to put our feet on the ground and we have to put these declarations in place. Drug-free pain management awareness month is a month to start to recognize there’s a better solution to manage chronic pain and we can do it together. So as you can see here, this is the proclamation and it just states what it is and why it needs to be in place. And I encourage you. If you’re as busy as I think you are, have your front desk, download it, read it with them, get them involved, their advocacy. They’re going out to their church groups, their Starbucks, all of the places that mean something and share with them that drug-free pain management awareness month is really about promoting a healthy lifestyle that doesn’t involve them getting an addictive substance.

That is not part of concurrent care, especially when it comes to, for example, one of the top leaders, low back pain. It impacts the activities of daily life. It’s a disabling disorder, but it doesn’t have to be. And as we’ve seen, as I talked about last month, spine journal came out with the non-con coordinate care. That’s happening in that if a patient that is acute with low back pain does not get the right treatment. AKA following the simple guidelines, meaning seeing a chiropractor, they, 30% of them will become chronic. If they’re simply just given a muscle relaxer and say, go on your way, they can be a statistic on chronic, low back pain for the rest of their life. We cannot let that happen because we know what we do every day in our practice. And that’s what makes the difference. So as you will see, there is a roadmap.

Now, can we make this easier? Just follow the roadmap. It is so simple. It’s week by week. And again, I encourage you to go over this roadmap with your staff. These are the strategic opportunities to get involved in podcasts, walking through the marketing of chiropractic effectively Darren drug-free pain management. And today I’m going to walk through the key resources within this roadmap so that you can see how your community will be impacted when you instruct your staff on how in fact to put these pieces into play. One of them is our marketing implementation toolkit. This toolkit is available to our gold members. And as you can see right here on the screen is we’re looking at getting letters out into your community. Making aware to that medical doctor who may never have had contact with you before, but is overwhelmed right now. And I am telling you the primary care medical physicians are overwhelmed.

We see it in the outpouring of burnout. We see it in the outpouring of letters to the editors. The American medical association also came out stating that if we lose them, they’ll be difficult to pick back up. But most importantly, we’re going to have a decrease, not enough primary care medical providers to provide disease care in the future. That means chiropractic friends. We have to step up and be there with them. So write those letters, make those lunch dates, get them for coffee, whatever it takes. You can make a difference in your community by reaching out. Some of you will say, you know what? I could care less what my medical doctor does, but with respect to the fact that your medical doctor has your patients and they need you to be well-educated and they need to be able to refer to you. So take some time and be able to really look at what it’s going to take to be with them.

Now, as we go through, you’re going to see that part of being engaged in this area is your social media pages. Now I know that that’s not top of mind, but it’s very simple and we make it very simple. Keep those cover pages changing. You can put these on Instagram. You can put them on Twitter, whatever you want to do with your cover photo. Most Facebook pages will change their cover photo on a regular basis to show that it’s a really up to date Facebook page. So patients come and they go, oh, he’s engaged. She’s engaged with what I am looking for in chiropractic care. Now, as we go through, there’s one piece of this, and I’m gonna just, um, talk to you a little bit about the, um, pain management in a week on Thursday at the national at FCA, the foundation is going to host the dose of reality.

If you can join us, I would love you to do that. You can go to our Facebook site. You can go to the FCA. The national, the dose of reality is a full one and a half hours of where we are in the opioid crisis. How we all know we got here that now, what are we going to do to get ourselves out? Remember the opioid settlements are coming. Communities need to be educated. That money needs to be spent wisely and consumers need to know what the options are. What are the barriers to care? How are we breaking them down? And I can assure you with 100% certainty that when you see the research that’s been done, and I’m going to give a big shout out to the FCA for putting this on with us. James Weyden is a rock star on so many levels.

And the research that he has been putting out, as you may know, he works with duke university. It’s compelling, not only for the barriers to care and how chiropractic is showcasing the importance on the return of investment, but also how consumers do well. You already knew, but I want to remind you that the dose of reality is coming. If you want to join us, you’re so more than welcome to do so virtually or show up. I would love to shake your hand and welcome you into the national with me. And, um, that’s a big part of this, but let’s not forget that education is key. And on this slide right here is a pain management course. This was generously sponsored by Nova pulse. This is a pain management course available to all doctors to take for continuing education credits in this was created by a lot of chiropractors saying, what are the new guidelines?

What are the guidelines mean? How do I implement them? How do I ensure I’m treating pain care? What do I need to know about that? Pain care on so many academic levels? So we got you. We heard you, and we made a difference. We put this course together and it’s important for you to get your continuing education credits because a lot of you you’ve been so busy and overwhelmed with patients. You’ve not been able to get to a face to face meeting. So virtual meetings like this. Perfect. Get it on your schedule. Now that doesn’t mean it. You stop with learning. Remember if you don’t get that pain course. That’s okay. We’ve got some fantastic lineups for webinars. We’ve got Dr. Mark shred. I mean national leaders in this area in pain management, Dr. Kimberly, Bisson, Dr. Anthony Lisi, Rob Silverman. So many fabulous instructors, Dr.

Samuel Collins and Dr. Scott Munsterman. And I’m sure many of you will recognize these names, but these are experts for you to be the expert you need to hear from the experts. And that’s what we want for you. So don’t miss these register today. You can go to the Facebook Facebook site and you can start registering for these particular events. Now, looking at the social media aspect of this, I just spoke about being active, being engaged, motivate your community. And how do you do that? You have to be able to get your social media posts out there. And we have fantastic social media infographics. These infographics are also found in the roadmap, so you don’t have to recreate the wheel. You can go and get more infographics. If you’re a really, really strong, and you’re doing a great job in your social media, use the foundation to get more and more output into the community so that you can help them be the very best they can be.

Now, as we move through, we can’t forget LinkedIn, fabulous opportunity. Look, if you’re not LinkedIn with me, please do so, because I’m going to give you articles that you can get out there that are research-based that show the quality of chiropractic care on different levels. Here’s one article. The us is still feeling the effects of the crime of the century. Now, if you haven’t seen it yet, there’s an HBO documentary is called the crime of the century. It’s really important that you watch it because it showcases how we got where we got to, but it also showcases some of the way the medical profession has had a hand in it. So I encourage you to share that with your loved ones. And this article is going to point out a lot of the research pieces that many do not know link in with me, Dr.

Sherry McAllister. That’s the step. Number one I love hearing from you. I love getting the engagement because I know when we engage, you’re going to send out more information. And that is the key to success. As we go through, you’re going to see this particular brochure, which is called understand your options to manage pain. Where could this tri-fold brochure come in handy? You know, it’s in the roadmap. We want to get this into your newsletters. If you’re not doing a newsletter, feel free to email them this brochure, get it printed at Kinko’s and get into a wellness care fair, where you can talk to patients that are suffering. We can’t let them sit by the side of the road when they’re suffering. We need to meet them where they are. If there’s one thing that’s so incredible and chiropractors do so effectively is in fact that we meet them where they are, and we take them where we want them to go.

So get this brochure out there and make sure that you are meeting them where they are in their pain, in their suffering, in, in the opportunities to really create different momentum in there in your communities. Now, next coming up, we’re looking at PowerPoint presentations, oh, don’t roll your eyes. Yet. These PowerPoint presentations are meant to be customized so you can customize however you want. But the hard work is already done. The research is there, the information is there. You can be as simple as just hosting this particular PowerPoint, or you can make it your own with the information that is pertinent to your community. Why do we want you to do that? Because when you do get this type of information out, if you do a zoom meeting invite, maybe 50 patients to the zoom meeting, or you do a community service meeting in person, or you head out to a local chamber of commerce or a church group that puts you in an opportune moment to have the discussions, to have the information present and move the needle.

In the opioid addiction. I watched a Ted talk last night on solutions to the opioid crisis. And it was with a, um, chief fire, um, uh, parent. She was a F um, the, the chief for the firehouse as well as a paramedic. So she was double certified in helping patients. And one of the things that she said that made me that made me stop and think is it was about communicating with, with the opioid user and that she came in with a team. She came in with a paramedic. She came in with a spiritual advisor. She came in with community services and she came in as, as a healthcare provider. That’s the team we’re building right now. You are the healthcare provider to really help those that need that assistance and give them opportunities in your practice to be successful. So these PowerPoint presentations, they don’t have to be long.

They can be pretty short and sweet. And you were the best person to showcase them on your YouTube or any presentation that you have, um, decided to do. Your staff is monumental in getting the opportunities ready for you. So ignite them because once they’re ignited, then they can get you opportunities to speak at a variety of different places. Now, most exciting part of today, which is the FRCP updates. I want to thank you. You are. So the reason we’re making progress, and when I show you what that progress looks like, I hope it makes you smile as, as much as it makes me smile. And as we go through your remember, remember you were invited and you came, you came to that virtual Olympic party that we hosted on July 22nd. It was fantastic to hear Dr. Erica Witter Davis, his story. It was an eight minute compelling story.

And I got to say it left the audience speechless. It was heartwarming. We got so many comments back to the foundation, thanking us for hosting her as the keynote speaker, along with Dr. Bill Morrow, Dr. Bill Morrow is in his own, right? He has forged a path forward for sports, and it will never ever be the same because of him because he’s pushed past the medical providers that said no chiropractic, can’t be in this realm. He pushed past as the Olympic medical director, he stood up with us on that virtual party, and he gave an amazing and compelling speech. It moved me. It moved me because it was about pushing to your ultimate best being the very best you can be by everyday. Just getting a little bit better, getting a little bit better advocating for your patients, passionately involved in the information, the continue education, and making sure that your voice is heard. So I thank all of the participants, everyone that showed up because we had a lot of fun and it was a great group of people showing up. Now, as we move through, let me tell you just a little bit about what happened during the Olympics. And here’s one piece of it. This is my marketing director was at Boston. She was making her way up to the, the Acadia national park. She stopped for lunch at Quincy market, and this is a market outside. And this is what was playing, keeping you from competing

Sydney, 2000 preparing to compete my leg. Wouldn’t move my dream. Interrupted. The team chiropractor knew exactly what to do. I went from out of the game to in competition in three days today, I am a chiropractor relieving the pain enhancing performance, go to beyond the pain.org, to find a chiropractor or learn how to become one.

That is amazing. This is in Quincy markets. Um, what was really special about this moment? I’m getting chills, as I say it, and I totally feel Alexis’s passion is she had her phone out and she recorded that for us. And she said, I met a network I’m at just having lunch. And here is this big open market with this huge screen, outdoors packed full of people, having lunch. She grabbed her phone and she started recording it. Story gets even better. Her mom was totally touched because she, her mom knows how hard we’ve been working two years for this moment. Her mom knows how hard she worked to help us get this commercial off the ground. Her mom started recording her Alexis, taking a recording of this video. Her mom was so proud. She’s like, this is my daughter’s commercial. And the whole restaurant started to clap.

Can you imagine the exposure? And just the fun we just got just from that one simple thing. Now, if that’s not enough, as you can see on the screen right now, we secured at the very beginning, he asked the national board of chiropractic examiners, will you help support us to put five 32nd placements on N BC? And they said, yes. Then we had another couple of sponsors like ChiroSecure. We had, um, ChiroHealth, USA. We had foot levelers and standard process and NCMIC. You know what we want to support you. We want to make this moment real. Now let’s get the production started with this moment. Having asked for five placements, I got to tell you, there has to be an angel of chiropractic in the media for us. Why? Why? Because we only asked for five placements now buckle up. Here’s what really happened.

We got those five placements on NBC, NBC sports and USA network. And then, then they said, we will put five placements on each network. Five placements meant we had 15 placements. So we’re like, wow, we didn’t have to pay for that. That’s why I say we have chiropractic angels everywhere. One more moment of awesomeness. This is epic during the best of Tokyo, the return to Tokyo, where you see the very best footage at the best of the best in the Olympics, NBC gifted us gifted us. 10 more, 32nd spots on that Sunday, we got 25 placements. We paid for five. And then the next part, animated billboards. I know, you know what these are. They’re like proudly sponsored by. So let’s look at our billboard that came up and brought to

You by the foundation for chiropractic progress.

So that animated billboard, which is quite fantastic, actually got to play six times during the Olympics. We were actually squished in with a number of different, huge brand names. What were the brand names brought to you proudly by the foundation for chiropractic progress was between a Modela commercial with a veteran who had lost her leg, a Microsoft commercial. That was, I mean, Microsoft, how do you compete with a billboard with them? We were, we were brought in with Marriott and visa and subway. Those are just four of the examples, amazing epic moments that we didn’t pay for. And that my friends means chiropractic angels are everywhere. Now we’re going to ask that you continue the energy enthusiasm that we have started. This is Dr. Erica Witter Davis. She’s fabulous on adjusted reality. If you haven’t gone to adjusted reality podcast, yet, please, as an advocate for the foundation for chiropractic progress, I ask you to do so.

Please put your positive comments into the podcast because we’re growing and our listeners are growing and you can share this heavily. Any patient, the more you engage your patients, the more they’re going to know about chiropractic, the more they know about chiropractic, the more they’re going to share. The more patients come to you. So download these podcasts, listen first yourself. So, you know, what’s on them. Be inspired, be motivated. These are thought leaders, celebrities, all sorts of ingenious. People that can talk chiropractic in a fun and relatable way. Adjusted reality is trusted by the adjusted. So I ask that you share them, but you have to continue to listen and watch. And Dr. Erica has been a fabulous podcast, as well as you can see moving forward. Why is this podcast important? Well, it was important because we’re going to slide the message of chiropractic in as easy and fluidly as conversations that you have with your patients.

You don’t jam chiropractic down anyone’s throat. That’s a turnoff, and you wouldn’t want it done to you either. What you do want to know is how did chiropractic impact the fittest man in the world? How did chiropractic impact Deepak Chopra? If you don’t know, you can find out Dr. Heidi Harvick, train your brain out of pain. What about Monica? Renagel you knew the New York chef who talks about nutrition. So many ways to educate your patients in a fun way. It has to be fun. And that fun way translated into something very, very special. A panel of 53 experts came on board and they were from the American medical association, Optum web M D a R P as just a few of the judges that were there. They had 700 entries. And as you can see, those 700 entries were then chosen gold, silver, bronze. And I am so happy to report.

We made progress friends as a chiropractic family. We made a difference. How do I know what we won bronze? There it is. The 23rd annual digital health awards press release out today. Even bigger news, special alert. This is a special alert happening right here. Today. First heard here that the award was picked up by the American health insurance plans. They nominated our award to put into their SmartBrief. If you want to look it up, you look at American health insurance plans and it’s SmartBrief, and they showcased what a proud moment for all of us. And as you look through, you’re going to say to yourself, well, it was only bra. So let’s change this slide into showing you who gold and silver were. So on the gold and silver. Well, Katie Kirk story by Merck, oh, they have a revenue of $48 billion who is in silver well MedPage today, which is part of everyday health.

Let me tell you what they have. They have a budget of $57 million a year, and they reach over 800,000 physicians and 60 million consumers monthly. How does it look to be in the stage with these Titans? That’s us chiropractic angels everywhere we became bronze. Yes, we can become gold. We have you and with you, anything is possible. And speaking of anything, that’s possible as we go through, we decided since we’ve had some amazing success with our listeners coming to us and being in the top 10% of all healthcare podcasts across the nation, that in and of itself tells you that trusted by the adjusted is an adjusted reality. Chiropractic is number one, I just got chill saying it. So I hope you’re as excited as I am. September 1st, we have an amazing speaker, Dr. Anna Lipkey. She wrote the book drug dealer MD also coming out.

She’s got a brand new book. I don’t wanna, I don’t want to miss out on reading it. It’s called dopamine nation. She’s the chief Stanford addiction medicine clinic, um, officer. And she’s talking about how our society is changing and that we’re being bombarded by addiction in so many ways, especially social media. So get that book, um, dopamine. Um, and I think that it’s going to be a good read for all of us because dopamine nation helps us all figure out how we do what we do when we do it in our youth is suffering with depression. We have opportunities to help them physically and physically technically does not get associated from the mental. So it’s going to be a fantastic podcast. I hope you’re there with me during drug-free pain management awareness month, because that’s how we make a difference. Now, when we get to our next piece, the last part of drug-free pain management, as I thank you, is to be able to be grateful for where we are now, show up together, put our feet on the ground and do everything that we can do to make a difference.

You can’t sit back and let someone else do it. This is too important. It’s too much work has gone into where we are today. People have gone to jail for us. People have put their entire lives on the line to be able to offer chiropractic care. And now we’re making a difference. And it’s because you’re active. You’re an advocate to help your patients be the very best they can be. Optimizing chiropractic in so many, many ways. Don’t forget to join us next Tuesday for ChiroSecure Mike gal. You don’t want to miss him. He’s high energy. He’s full of great information, and I cannot thank you enough for being part of our chiropractic family and making chiropractic progress. Thanks for joining me today.

Isn’t it time you joined the most powerful team of successful doctors and chiropractic and both of the gold simply go to www dot [inaudible] dot org slash package and get your customized practice success solution. [inaudible].

Empowering Women in Chiropractic – Your Doctor’s Report

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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, this is Dr. Nathalie Beauchamp and welcome to the show Empowering Women in Chiropractic. Thank you to ChiroSecure for putting on such great, uh, shows, uh, for us chiropractors to stay engaged, motivated, and I guess feel like we’re not alone in our practices. So my topic today, I thought I would share with you what I use in my practice to, um, educate my patients. And it focuses a lot on, uh, the doctor’s report. So let’s go over the three main key points, uh, that I’m going to talk about. Um, I have been doing a doctor’s report in person for many, many years, and I changed a format to a virtual one about I’m going to guess eight years ago, and I want to share with you a disc strategies that I implemented and how it’s going into my office. So let’s say understand why it’s important for us to pre educate our patients.

I’m going to show you the format and how I made it seamless into my practice. And you’ll see that, uh, you know, I have like plan a plan B plan C to make sure that people do watch the video and how to preset this stage also, uh, for your recommendations. So it’s all about, I guess, positioning, uh, what you’re going to talk about, but also that the patients really understand. So let’s start with the first point here. So why is it that we need to pre educate our patients first? I strongly believe that it is our job as doctors, many, uh, other practitioners don’t necessarily take the time to educate either. It’s not something that there are, they are taught. And I think as chiropractors, we are, uh, great educators. And also, I always say to patients when they don’t watch it, a video that I take your health very seriously, and I don’t want you not to understand certain things.

I don’t want you to be scared about anything. So it’s very important for me that you see that video. And I always say, I also respect my profession way too much to have you not understand it because it’s such a wonderful profession and the results are amazing. So I want to make sure that, you know, what is happening. It also really helps for a conversion to care because if people don’t understand something, how candy, uh, convert themselves or, or, you know, understand what is right for them at this specific time, also better care outcome, because if they understand what you’re trying to achieve, you know, they’re going to be more compliant. That’s, you know, keeping their appointments and doing the exercise. Uh, if you do a rehabilitation type of exercise in your practice, better retention as well. And I think again, if people don’t understand what your goal is, because their goal oftentimes is getting out of pain.

So once you’ve achieved that, if you don’t have anything else to kind of hold them, uh, and have, uh, something to measure, if you’re saying that, you know, symptoms are just the tip of the iceberg kind of thing, um, if you do your education properly at the beginning, it really does pay dividends down the road because your retention is going to be that much higher. And it has a bigger impact in your community as well. I think most of us have become chiropractors to make an impact in our communities and the better our patients are educated. They also are better at explaining the results and the changes in their health that they’re are getting in their own lives, uh, to their friends. So let’s talk a bit more logistic about the format and the system that I’ve integrated throughout the years. So what should the PowerPoint or the presentation look like most of you probably already have your doctor’s report.

So when I say doctor’s reports, I know some people do one-on-one with the patient explaining the results. I’ve been using a doctor’s report for my God 25 years, as long as I’ve been in practice. And it is, I mean, I always say a picture is worth a thousand words, and it’s one thing for me to be talking, but if patients can see, you know, what it should, what they should look like or what normal should like, and if they have visual and, you know, I give tons of analogies in my presentation. I can’t do a great job one-on-one each time. So the way I do it is I have them watch this, uh, recorded doctor’s report. And I’ll tell you where I’m hosting all of this. And then I go over there, one on one, um, results. And very, very often I have people thank me for putting this presentation together because they say, oh my God, I had no idea.

So before used to do it in person, and again, now doing it virtually is, uh, even more accepted now because a lot of time, um, you know, big events are not happening as much as they used to be. So just, uh, going over what I have in my presentation. And you have to ask yourself this question in your practice with your style of practice, what do you want your patients to know? What have you been repeating for 25 years? I kind of did it too, because after so many years you were like, you know what? I don’t mind kind of repeating myself when, if it has something particular to the person, but why not leverage my time and be more efficient. So I always start with, uh, talking about signs and symptoms, how they are our alarm system. Then I really focus on the brain, body communication.

And I have this photo of MRI with the brain and the spinal cord, because I really want people to see that the rest of their spine is connected to their brain and how it has an impact. Then I talk about D chiropractic approach to health. You know, I go over to four key basic principles. I don’t go over to the 33 of them. That just be way too much. Uh, but I go about our approach to care. And then I use in my office, uh, the inside subluxation station. So I talk about the core score, what the results mean. So I go over a thermal scan, I go over, um, uh SEMD and I go over HRV explaining what they should be looking at when I will give them their own results. And then I go over x-ray, uh, degeneration phases, phase one, phase two, phase three, cause that’s something I found that patients were asking, what, where do I fit in compared to other people?

So this way, I’m really answering that question. And, and even saying that it’s got almost nothing to do with age it’s how much or how long your spine has been out of alignment that will oftentimes guides, uh, the degeneration to be, uh, more, more complex, uh, for extended, for people that I talk about, the techniques that I use. So whatever technique your office uses, I use a combination of three. I explained to three this way, if I use the drop of the table, they don’t go, oh my goodness, what is this woman doing to me? If I use the activator, they know the, I even make a joke, um, in the, in my doctor’s report, um, that with patient, I called it, uh, Mr. Tuck tuck. So I know did watch it a video when, you know, I take the activator and they know, oh, it’s Mr.

Tuck doc. So I don’t strictly use the activator, but I have it as a tool in my office. I use mostly diversified. And I do explain that as well. And then a question we always get, how often should I be adjusted? And I particularly do my doctor’s reports or my recommendation on this second time that I adjust them. And I talk about that. So, you know, I always say I get a little bit more information after I see how you held your first adjustment, and I’d like to do my recommendation at the next visit. So I say that in the video. So oftentimes, you know, now I don’t get that, um, that question, how often is, I’ll go over that with you at your next visit. If you’re doing it in the same visit, that’s fine. Uh, you can answer it that there as well.

And that leads into the three types of care. Uh, I talked about symptomatic. I talk about corrective care and wellness care and I position what they are. I say, maybe you’re in our office just to get rid of pain. And then I’ll go on to, if you’ve lost your cervical lordosis and you have major issues and your core score is low, you might need a corrective corrective care. And then I pre-frame what it is. And then wellness care, uh, just showing and telling people how people can get, uh, checked and adjusted regularly can have, you know, such a benefit. Then I also offer, uh, all our new patient, a family evaluation. Again, you have to check with your province or states are wet, is, uh, is okay for you to offer. But for me, I’m thinking when the patient looks at or listens to this video, they should be wanting to get their spouse and family checked.

So I do offer it. And I say, you know, in the next two weeks, I’m offering for your, um, your family to, to be evaluated. And then what, um, difference they should be expecting. You know, I go over, some people don’t see any difference at all. Some people might be a little bit sore and I compare it to, uh, uh, if you go to the gym and you haven’t done a workout in a bath, you’re going to feel your muscles. And some people, you know, feel a huge difference right away. And so I, I tell them that those can be the three, um, ways that they can feel. And then I welcomed them to chiropractic and that I’m looking forward to go over their reports with them. That is more specific. So now I’ve talked about chiropractic, I’ve talked about the nervous system. I’ve talked about the scans, I’ve talked about the x-ray detector that I use, that I will do my recommendation on the next visit, but I will adjust them when they come in.

So when they come in, they’re ready, they’re excited. And, um, some people will even open the folder before I go into a room because they’re excited and are curious because now they know what they’re looking at. At first, I was, you know, a little bit rattled when people would do that. But now I just smile because it shows me that the person is interested in, in discovering, uh, what’s going on with them. So that’s what I put in my presentation. So ask yourself, what can you put in your presentation if you already have a doctor’s report and maybe you have a health class, um, maybe you want to consider cutting the parts to be more specific to stuff that I just talked about and then do your health bar, your health class as a second part of it. Now, my first, uh, doctor’s reports recording was probably 40 minutes and it was way too long now down to, I think, 25 minutes, I even would like to have it down less than that, because let’s face it people’s span of attention are pretty short these days.

So the Mo the most concise you can have it, and the more visual you can have it, uh, I gave you have great success. So the way I go about this is a three-step process because I, when patients haven’t watched a video, I’m like, oh God, they’re going to be missing. Um, so many aspects and I just don’t feel good about it. So I’ve gone on to create a three-step process to make sure that we’re telling them three times. So the first one I created, I think it was through Vista print and Canva, literally a thank you for choosing our office. And I have a URL that goes strict, strictly to doctor’s report. And I literally that’s when I leave the room, I take discard and I have a core, core score card. And I say, Joe, now that we’re all done, you’re new to chiropractic.

So I recorded this video that I’d really like you to watch. He’s going to explain to course kept the score. What are the tests that we did? It explains the nervous system and I’ll point out my chart. And it also explained when we look at x-rays as chiropractor, what I’m looking for, and I’m looking at make sure that you watch it, because if you don’t kind of make a joke, if you don’t, you know, you’re going to be a little bit lost. And that’s the last thing that I want is for you to not understand. Uh, so I’m literally giving doc to them in their hands with it. And the compliance of doing it is very good. I used to delegate to my staff and not that he didn’t do it, I’m sure they did, but somehow when it comes to you to doctor, it makes a huge difference.

So that’s step one. Step two is once the patient is done, I’ve created, I use Infusionsoft as a, as a platform, but whatever platform you use for your staff to send them an email, thank you for choosing our office. Here’s the link of the video again. And I believe that I have also, um, you know, uh, a little video of me, uh, thanking them for choosing a D office. So my staff literally has to click that link that says, doctor’s report video, enter the name of the patient and their email and Wala is gone. We don’t have to think about it. And that’s my back staff person that does that. And the third step just to play it safe is for, uh, I actually, this is a screenshot of what my doctor’s report video looks like. I’m hosting it on Vimeo. I’ve decided to not have it re flat out on my site for people to see.

I decided to have it strictly to a redirected link. And the reason is that, you know, I think there’s a time and a place for people to watch the video. And I really believe that the time and the place is right after they leave my office. And the cool thing too, with having this is oftentimes, they’ll say, honey, come, come and watch this. And then, you know, next thing you know, this house is in the office cause they watch your video and it made sense to them and they want to come in as patients. So we were really has, uh, a two-fold aspect. And the third component, just, I, like I said, to play it safe, uh, is for my staff to confirm their appointment on day two. Uh, we don’t call to confirm, you know, daily adjustments and all that. That’s automated through our, our, um, chiropractic software and SMS.

But that one I asked at my morning staff, uh, confirms for the next eight. And if she is talking to the person, she’ll remind them to watch a doctor’s report. And if she’s leaving a message, uh, she’s saying, please make sure you are as a doctor’s report. If you haven’t found a link or you’ve lost the card or whatever, just call us back. So since I’ve implemented those three steps, it’s very, very rare that, uh, patients will not have watched the video. And if they haven’t a little tip for you guys, um, if they haven’t, I I’ve my staff, I had of me going into the room, asking why. And the reason is that I want to see if their answer is going to tell me a lot. Uh, I, I’m going to see if they’re serious about, uh, you know, their care and you know, what I’m going to provide to them.

And sometime too, there’s a legit reason for it. I remember it. I felt horrible. And, uh, you learn by your mistakes is I, you know, kind of was disappointed that this woman hadn’t watched a video and so forth. And I might’ve been a bit short and I did ask her, uh, and her husband was in the hospital with cancer and she slept there last night. Talk about feeling horrible about, you know, being short. So I find if the staff ask and they tell me the reason, then I can make kind of a, a judgment call. Um, you know, if, uh, you know, I’m going to be a little bit more solid or from about the person to say, look, you know, you’re coming in for help. It’s something that I really need you to do and so forth. And then if they haven’t watched it and I’ll decide if I send them home to watch, I have done that in the past, especially people that are already anxious and nervous were their last resort.

Again, I respect our profession too much, uh, for them not to understand what we do. So those steps have really, really helped us, uh, have patient understand. But I think domain one is me telling them to watch that video. And I tell them it’s 20 minutes or they can plan for it. And if you keep it light and you tell them that it’s, it’s, it’s for their benefit, most people will be happy, uh, that you have done up. So now let’s talk a little bit about what could be in the doctor’s report. And again, just sharing, I know that all of us have different styles of practice. So in the folder and I, we called it literally the purple folder because it is purple. Um, I believe, uh, it is, uh, with one of the companies, um, that also works with, uh, CLA so it’s, it’s focusing more on core.

I have the x-ray that are marked, I have the subluxation chart. I have a great HRV, um, result page that shows the four quadrants. I’m a big fan of HRV. I have so many discussion with patient about HRV in term of getting a feel, uh, about distress in their lives. And it just makes such a great conversation to see what else is going on in their lives. And, um, I’m serious. They are about improving their health. I also have an x-ray degeneration, uh, chart that, you know, I’ll say based on this. And I, I really try, excuse me, to have a bit of a Socratic approach when I do this. Um, and as them, you know, you saw the video, you saw the three phases of care based on what I just show you, where do you think you fit? So I’m, you know, especially, um, when people are analytical, I like to do that because it gets down really engaged.

And then the family evaluation, I have it as a, as a handout or a certificate. And then I also use a choice of care, a one pager, and I’ll show you what I mean by two to three types of care. But that was a big, big thing also in our office when we did this, because I’m literally asking them, you’ve watched a video, you heard about symptomatic, corrective and wellness care. Why, what do you want? And I find again, that just gives me insight of where their head is, and if they check the three, then I know that they’re open to whatever my recommendations are going to be, but if they only check symptomatic, okay. And then on that sheet that I have, it also asks them how serious from a scale of one to 10, they are about, um, you know, doing something to better their health.

And if they put a six or a seven, I will have the discussion. Why did you put that in sometime it’s financial issues sometime it’s time issue sometime, uh, you know, you don’t know. So I’m just like really liking that sheet because it tells me where they’re at and it makes my communication better. I’m still gonna do the same recommendation on what’s best for them, but at least it tells me, um, more when they think, and I think also that they feel more heard that, you know, uh, I told the doctor, this is what I wanted. So it’s just, you know, it just really, really decreases, um, distress. So that’s what is in the folder. And then patients, uh, leave with that. And then I always say, you know, my, I don’t even call it a care plan. I always say our, our action plan, and we can go over that at your next visit and then the three types of care.

And, uh, she did, I was talking about, I mean, this is a shorter version, but again, like I called him to three hours, the relief, the restore and the revitalize. And it just gives me a really good idea of, you know, like I said, what re what people want. And then the second last slide here is created a video for the doctor’s report. I’ve also created a video for why this should be continuing care. This one is about, I would say eight, nine minutes. And I go, again, it goes directly to a URL where Davide always hosted, and my patients are send that at, towards the end of their care plan so that it is a symptomatic care plan, a corrective care plan, a wellness care plan. They’re seeing this video and I talk about, you know, the, the long-term benefit of chiropractic. So this one is more wellness focused.

So again, telling them that now that you’re out of pain, remember where we talked about, and here are the benefits of chiropractic care for you. So leveraging all that. And again, this is in our campaign, my staff knows where to go triggers the email and it’s done. So this way, I feel good about educating patient and then putting ownership on them to what’s best for them at this point in their life. But I know that they know what my recommendations are and it’s just, you know, doing it that way. I feel good as a doctor that they understand, um, what is going on and what chiropractic is. And I think the patient feels good as well, because many, as I said, when we first started, they don’t feel heard and they go to different practitioners and they’re, everybody’s behind their keyboard. And just, you know, and now it could be on, on the phone, it could be on zoom.

So just for a patient to actually see a real person, but also feel heard that, uh, you know, of what’s going on in, in our life and for you to be able to relate ID can make a huge impact. So hopefully this was helpful to you. If, uh, you don’t have a virtual doctor’s reports and you do one in person, you could transition that virtually, if you do kind of a doctor’s report slash health class, you may want to consider kind of separating the two. But I have to say that this, um, uh, making this as a procedure in my office and steps, uh, in my office has made a huge difference into, um, conversion retention, all of this stuff that I’ve talked about. So hopefully that got your brain going on, what it can mean to you, to your office, because I realize we’re all different, uh, but leveraging our time and make it, it making it even easier for a patient because they watch it on their own time. So, uh, you know, it gives them the flexibility. So hopefully this was helpful to you. And, uh, you can find some pearls in this to enter rate some of the steps that I talked about in your office. So this was Dr. Nathalie Beauchamp for Empowering Women in Chiropractic. Again, a big thank you to ChiroSecure for putting on those amazing shows, to keep us engaged and always learning. So thank you.

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Empowering Women in Chiropractic – Are people dropping off care when insurance runs out?

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Are you good with patients, but it’s really frustrating when people drop off care, especially when insurance starts running out. This is Chen. Yen, and your host today for your ChiroSecure shows a six and seven figure practice make-over mentor at introvertedvisionary.com And let’s talk about this. The reason this topic has come up is because I was talking to a few chiropractors the other week and I had asked them, well, what, what do you usually say to people when w w what are some of the most frustrating things you hear from, from potential patients as it, when it comes to, uh, is it, they can’t afford it, or what are some things that they say to you that, that, that is really frustrating. And one, one chiropractor said, well, they tell me that insurer says run out. And so, um, you know, basically they’re not rescheduling the appointment.

And I asked, well, what, what do you actually say to them? So I got a few answers and some of them were to the extent of saying, I understand, and we’ll come back when, when basically like when you can. And one very important thing. Um, as I heard that chiropractor say that I thought to myself, we need to, as chiropractors as healthcare professionals, we need to hold the space for patients to holding the space. Meaning that if, if not, you, who will be the ones to tell patients what is really going to be most beneficial for the health, instead of them perhaps coming from a place of not understanding where you’re much. So let’s talk a little bit about this. I can talk about how can you actually answer that kind of, uh, a concern a patient might have that keeps them from coming back. We’ll talk about that first. And then let’s talk about what can be done before that point, so that people don’t end up saying that to you as much anyway, because chances are, if they’re saying that to you at that point in time, there’s a part of them that doesn’t value the care. So this is what you can actually say to a patient who, who says, well, my, my insurance is running out. So I think, I don’t think I can come back anymore.

You can just say, I understand, but it’s up to you. Oh, well not, but it’s up to you, but you can say, I understand, and it’s up, you, we will pay for what we prioritize to be important. We will pay for what we prioritize to be important. If you don’t have your health, you don’t have anything. And that’s all you need to say because, and, you know, it’s interesting because as I said, set this to two, one of the chiropractors, actually, I was talking to more than one car, but I was pointing this out too, to one of the chiropractors who had said that told me how he, he typically has responded in the past. He said, you know what? That is true, because I do actually see people tell me that, and then they drive off in their Mercedes or, um, and so, or, or do, you know, have their nails perfectly done and all this, right?

So the truth is we will pay for what we prioritize to be important. And in those moments, if a patient is, it doesn’t seem like they’re going to move forward with it. Just be honest with them about saying something like that or saying something directly relevant to their health and why you feel like they need the care. And from a place of what you feel like is best for that person’s health. And when you come from that place, then you won’t need to worry about whether you’re being too pushy or anything like that. You’re just, you’re really looking after the good for your patient. Now, when it comes to, what can you say so that it, uh, and like this right now, if, if you find this helpful, by the way, so now if you end up having people say that to you more often than not, it could also be because they, they don’t really have evaluated up to this point.

They don’t see why, or maybe they have valued it, but then they don’t think they need continued care because they think they’re at a pretty good place. Have you ever had people who who feel better and then they, then they drop off because they don’t think they need it anymore, but you recognize that people feeling better. Isn’t always the end point of optimal health. And yet they’re their, um, goal may not be at optimal health because they didn’t even realize that that could what that really means and how that could really be possible. They just came to, because they thought I could get out of pain or they want to get wanted to get out of pain out of pain. And that’s that. So part of it is about how you’re educating them from when they’re sitting and care to every visit. What are you saying that continues to educate them about how the continued visits will continue to help them?

One very simple tip also is have you ever had people who have come to you for one thing, but they never realized you could help them with other things? Has that ever happened to you before? Go ahead and type in the chat? Yes. If you, if this has happened to you before, and so that can happen and it’s because people don’t even put the two, two together, even if they feel like you’re an amazing doctor and I’ve really helped them, they might not even realize you could help them with other things. And so it’s helpful to, to, um, at the beginning of each visit, or if they’re coming in twice a week, then you could just do this maybe once a week, um, have them fill out a very short, very, very short progress form. It just has a couple of questions on it. One of them says, what are your thoughts, top three most frustrating health issues right now.

So what, that’s one of the questions on there. And then that way, um, they’ll get a chance to let you know, what’s, what’s currently most pressing for them. And then you could help them with that or talk about how you’re helping them, uh, with that. And then at the end of the visit, you could say this time we worked on this and next time we’re getting, we’re going to work on that. So that way there’s always context to what you’re doing in, in future visits. And there’s a purpose for it. People understand it. And, and they always understand because you’re always reminding them that you’re always educating them about it. I’ve gotten asked the question of, well, do I really need to do that? Because I already asked the patient anyway. Well, have you ever been to a doctor before and you meant to ask your doctor something, but you ended up forgetting completely.

It’s happened to the best of us. I know he’s happened to, to me before, too, and I’m a clinician as well, right? So, uh, it can happen to the best of us, including your patients. So by giving them a moment to reflect on their progress, which is why it’s a progress form assessment form, it’s very short. One has just a couple of questions, and this is only one of them. Then this can help them have a moment to reflect on, on where they’re at with things. And, and I, and then you also get to see this too. And the things that you never thought you could help him with, it might end up showing up on here, and then you can also look at it and discuss it with the patient. So with that, thank you for being here today on the show and for more six and seven figure practice, make-over tips that you can use in your practice right away, go to introvertedvisionary.com. And if you’re at a plateau in your practice, and you would like your, your practice to grow faster, we’ve helped many chiropractors. We’ve helped grow from know newer in practice to getting their first patients to also ushering our claimants into seven figures in a three to four year timeframe, the integrated way. So go to introvertvisionary.com and look forward to helping you grow faster and help more people to wake up the planet till next time


Empowering Women in Chiropractic – Clinical Communication – What’s Changed?

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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 just love to say thanks to ChiroSecure for including me and engaging me as one of the hosts today. I’d love to have a conversation about almost what sounds like a bit of an oxymoron, clinical communication. And I say that because typically we don’t really clinically think about how we’re communicating or whether we’re being heard or understood by other people. So it’s interesting because as practitioners, we spend a lot of times on the science and understanding the technical parts or how to describe to a patient what’s going on clinically putting them on clinical care plans. But we don’t tend to spend very much time thinking about how we’re actually communicating that. Now I’m not going to be able to in one show today, break down every aspect or every piece, kind of the history behind communication, and then how we change it or how we get more impact.

But I’d love to give you a little bit of an overview today. And I know I’ve been having more questions related to this by a lot of practitioners, a lot of really tough conversations are happening in the world, these states. So the thing I’d like you to understand all of us grow up and we’re kind of taught something called the golden rule. And if you think about it, I always laugh. A lot of even little kids shows Disney shows really there’s characters that talk a lot about if you don’t have anything nice to say, don’t say anything at all. And there’s another piece of the golden rule where a lot of times people will say, we’ll say and do unto others as you would have them say or do to you. And what I want to share with you is that I think that that golden rule for communication is actually just simply wrong, because what tends to happen is if you or I communicate the way we hear the way we understand, we’re only going to appeal to a certain style or a certain percentage of the population.

Ultimately chiropractically acupuncture, whatever practitioner is listening, I would like you to have more impact because people really hear you and understanding, you know, understand what you’re trying to share with them. So one of the things that I like, I teach it a lot at some of the chiropractic universities. I’ve taught it in management groups. And a lot of it is just a learning or an understanding of something called the four quadrants of communication. And the best way I can describe it is there’s a number of layers or filters related to how we communicate. Now at the top, you can almost think about it like a big funnel like this. You know, we’re at the top of the funnel is things like, are you auditory, visual or kinesthetic in chiropractic? As we know a lot is the touch the feel. So there’s going to be a little bit of that kinesthetic nature within us, but it’s really do you hear and learn that way?

Do you see and learn? You know, do you have people talking at you showing you describing things? Like what kind of style do you learn? And that’s obviously at the top of the filter, if we go a little deeper, that’s where you start to get things like your belief systems, your habits, your patterns, you know, belief systems have a lot to do with how we communicate deeper than that is something called the four quadrant personality style. And there’s a pretty simple little questionnaire or assessment tool that I use so that people can better understand their own style. And we’re actually going to put up on the screen for you a number where you can text thanks to ChiroSecure. Instead of you having to communicate with me individually, this little assessment tool is available directly through ChiroSecure. So if you text this number on the screen, 4 8 0 5 0 0 6 5 7 4, you’ll actually be able to get this little assessment tool that you can do yourself.

Now, when I do this in a classroom, or when I do this with a lot of people, I always say, don’t take very long to do this. It’s a, self-assessment, it’s a little bit of an assessment tool where you just kind of want to go and trust yourself. And you’re going to self score yourself in several different areas. Then what ends up happening is you get a score and you get two different numbers for the score that you then plot on a graph. And I’m happy if you have questions by all means. Just reach out to me either in the stream of comments related to this, um, presentation, or just reach out to me individually as well. I’m happy to help you see where you fit on this piece of paper or this tool, the best way I can describe it right now while you’re listening is it’s like you’re taking a simple piece of paper and you’re splitting it into four quadrants.

Now, the quadrants there’s the driver, the expressive, the amiable and the analytical. And those are what we call our four quadrant personalities. Now this is an assessment tool taught originally by a management company, a business management company, nothing to do with chiropractic, but applying it to chiropractic allows me to help you think in terms of how do you communicate to a patient? How do you communicate to your team? I know I see a lot in all the Facebook groups and streams, frustrations about hiring frustrations, about training frustrations, about communication with staff in particular, a lot of it comes down to if we better understood them, we could help teach them in a way that they understood. Now it’s tough because a lot of times it’s easier to just speak and, and talk and educate in the style that we’ve grown up with. But like I said, you’re only then going to appeal to a certain part of the population.

So whether that’s with patients and, or your staff, a lot of times, if we’re not careful, we find that things just fall really flat. Now I’m not going to break down every one of the styles right now, other than to say and share that on the next couple of times that I’m hosting, I will go a little more deeply into how this impacts us clinically related to patients that let me give you an idea of why I think this kind of clinical approach or thinking through communication is so important. Some of you are naturally stronger communicators than others. Again, a little bit about your personality comes into play. I also find that in many cases, a lot of women have more intuitively been able to pick up someone else’s style, and then you can almost mimic or, or pattern the other person’s style. That gets us to a certain point.

I, for example, in clinical practice was quite good, quite intuitive and strong with understanding someone’s style. But I still was finding that, you know, in that way of communicating about chiropractic, I fell back to my regular style. I’m a driver personality. I am pretty short, quick. You know, I tease a lot of people as I teach you this, you know, pattern of communication, that in some ways, if I was your patient, as an example, as a driver, I would expect a lot. I’d expect you to be on time. I would expect to be able to come in, not have to sit and wait in the clinic have really quick instant answers. I would want to know really how this thing called chiropractic impacts me directly. And how am I going to get the most results? How am I going to get the biggest bang for my buck?

So I’m a driver. And what I found is I was all too often, really succinctly, quickly, almost very directly speaking to patients. And in many cases I was completely overwhelming patients because the perfect example is one of the other, your style’s called amiable. Okay. I always tease that these are some of the nicest, kindest people. They are more withdrawn. They are more people oriented as a driver. I’m more job oriented and amiable. Amiable is more people oriented and amiable patient for me as a driver, you know, doctor, I was just, all matter of fact, let’s get down to business. Didn’t want to chit-chat, but some of the amiables actually need to feel, you feel like they’re in relationship with you as a chiropractor. Now we can learn tools. So that, that doesn’t take a lot of time, but I had to learn that myself as a practitioner so that I could have those amiable patients better hear or understand me.

Now, some of you listening would say, wait a minute, I’ve got so many other things on my plate. Why would I spend time learning this? Well, just as an example, the way that the four quadrants percentage wise in the population splits out is it’s about 20% of the population are drivers. About 20% of the population are expressives about 20% of the population. And these are general. Statistics are analytical that you can see that that leaves about 40% of the population that are amiable. So any of us that are the other styles, if you’re a more expressive chiropractor, you really want the animals to be able to better hear you and understand you and better will be being able and willing, I guess I should say, to accept your recommendations. So the styles are not only about how we even have them understand chiropractic it’s about their willingness to then schedule appointments, understand a care plan, communicate with you effectively within the clinic.

You know, you hear a lot about how do we train people to, you know, come in and talk to us on a regular visit. Some personalities are going to be really willing to come in, lie down, face down on the table, have you palpate them and then update, get other styles. They, they need different things. I just want to share with you today and instill why it’s worth taking, taking a look at how you can become a better communicator. Now, a bunch of different groups and organizations out there that are brilliant with teaching some of the initial visit to report a findings. What to say, how to say it, if you can add on top of that, the filter of how you just communicate in general, it’s going to help all those things that you do have far more impact. Now, I also want you to know this has a lot of impact throughout your entire life.

Let me give you an example of why it’s also important to learn, you know, raising our kids. Many of you will know that each of our kids tends to be a different style. So just as an example, as a more driver personality, when my, I have three sons and when the two youngest, my middle and youngest were still in elementary school, I was taking my middle son for regular vision therapy. On top of him being adjusted. He had some visual field changes and we needed to go for some vision therapy. Well, I would typically in the beginning finished consulting, finished my job. Kids would have just come in the house. I be ready to pack them into the vehicle to take him for his appointments. But you notice that I was doing it in my style. And what I would find is that I would come out say, okay, get your shoes.

Let’s get in the car. And my youngest son would be right there with me in the car. And there would be no sign of my middle son who was the one that the appointments were for. I would walk back into the house and he would basically be in a meltdown on the stairs crying. And for me, it’s like, what? Like I said, get your stuff, get in the car. But what he heard was my tone of voice. And he would think that I was mad at him. So it was up to me to say, do I want to go through that struggle every time, three times a week for appointments? Or was there a different way I could handle that. So as a driver, I had to think through how do I not talk my language? How to, uh, how do I better communicate for him?

So it was little tools. Like I was better not letting them get in the house and get his shoes off because he’s an amiable anymore wanting to hang out after school as a young man play video games. So I would do things like the bus drop the kids off only, literally less than a block from my house, but could I be in the vehicle? And could I be over there to pick him up already? Could I have his favorite snack in the vehicle, all of those things to ease okay. Or better understand his style so that we could ultimately get him to his appointments. So, likewise, let’s think about how that applies in our clinics. You can imagine really training your team. Different styles have different skill sets, have different ways of operating that are incredibly powerful. Like I, on a couple of the next sessions, all break down a couple of the patterns related to the different styles.

But thinking in terms of, if you take a simple piece of paper and split that into four, what I want you to know is that the top right hand quadrant is where the drivers sit. The bottom right hand is where the expressives are. The bottom left is the amiable. And the top left is the analytical, a couple of really general patterns to this learning. This clinical approach to communication is that the two personalities above that middle line, along the horizon, above the mid point across the page are the drivers and the analyticals. Both of those personalities are more bottom line production, detail job. First people second, the two below the horizon are the opposite. They’re more people first job, second. So you can see right away. If you have someone on your team, if you’re an analytical and you have someone on the team, that’s an amiable or an expressive what’s tending to happen is sometimes between patients you’ll come out to try to teach them something or share something you’ll be fairly detailed oriented, or you’ll say, here’s what needs to happen.

And for them being more people oriented, it can come across to sharp. It can come across. Like you’re not considering their emotions, their feelings, you know, whether they have time to address that right then or not. So it’s almost like the top part of the page. And the bottom part of the page are those opposite styles. Now, likewise, you can divide these four quadrants. If you think about the vertical line down the page, the two on the right hand side, have some tendencies that are different than the two on the left. So the driver on the top and the expressive on the bottom, right, are very different. They’re much more open. They’re willing to emote. They’re willing to say things, tell you like it is talk about it. The two on the left are much more withdrawn or closed. Doesn’t mean they won’t communicate. It does.

It’s just not that they are super forthright right? At the very beginning of the communication. So I wanted to give you just a few general ideas about these patterns or habits related to communication. So again, we’ll put up and we’ll also post the way that you can get this assessment tool. Because what I want you to understand is this is a way to look at your skill in communicating so that your team and ultimately every one of your patients better hears you and understands what you’re sharing with them. It allows you to be a little cleaner, clearer, and ultimately get the results that I know you all want. You want people to be well-educated. You want them to be well-educated about health and wellbeing. That’s, what’s so critical for us in private practice. It’s also, what’s so needed in the world right now. Let’s face it.

It’s a time in the world of a lot of miscommunication. We have a lot of people, health choices being dictated fears, driving health choices. So ultimately that’s backing people up a lot into their own style. If we don’t think more clinically about how to communicate, we’re going to miss sharing our important messages with people. So I’m excited on our next session. I’ll break down those styles a little bit more and how some of those patients show up in the clinic, how we can more effectively communicate related to even just the initial visit, even welcoming them into our clinic. And then a few tools say for the report of findings as well. So I just wanted to share that whole idea about the four quadrants with you. Please know that next week on our show growth without risk, you’re going to have the host Dr. Sherry McAllister. So please stay tuned for that as well. Again, I’d like to take the opportunity to say thank you to ChiroSecure for allowing me to be one of the regular hosts of the show. I appreciate you, please. Don’t hesitate to reach out, to ask more about why or how it will benefit you to be a little more clinical thinking about the way that you share your message of health and wellbeing. Thanks and have a wonderful day