Empowering Women Chiropractic – Stand Tall, Reduce Falls – F4CP- Dr. McAllister

Welcome ChiroSecure Facebook Live friends. Listen, I cannot thank you enough for joining us this year. This 2019 has been an absolutely fantastic year. Why? Because you joined us, you joined us on a monthly basis to come see what’s going on at the Foundation for Chiropractic Progress. Even better, was we went from 24,000 members, this year ending at 28,000. Those 28,000 that are out there, I cannot thank you enough from the bottom of the foundation’s heart for joining us.

Speaking of thanking, we have to give a major shout out to these corporate sponsors. They have been wonderful in being able to help us get that material out so that your time is based with the patient and not in producing marketing materials, so ChiroSecure, thank you. From all of us at the Foundation for Chiropractic Progress, without Facebook Live you wouldn’t be viewing this right now so we’re so very grateful.

Now, we have a jam packed opportunity to showcase January. I know, many of you are still in the holiday mood but let us get prepared so that we can relax in the holidays and know that January is all taken care of. As we go through, I first want to show you what is the title, and this is really talking about falls, our aging population and how they’re going to need help. What are the actual facts? The facts are every 20 minutes an older adult dies from a fall, and many more are injured.

Now, I know we don’t want to think about those kind of things but it’s real and it’s so important as chiropractors because we can prevent injuries and we can save lives just by talking and doing what we do best. 25% of older adults fall each year, that’s a large number, so I think we need to get involved as a community of professional healthcare providers to help those three million older adults that are going to be treated in emergency departments for fall related injuries.

Over 800,000 patients are hospitalized each year due to fall related injuries, oftentimes a head injury or a hip fracture so you can see the importance of what we’re going to talk about today. In fact, as I was preparing for this Facebook Live presentation, I had a very good friend call me and he said, “I’m coming into town and I’m doing so to take care of a loved one that has fallen.” He shared a picture of this individual and, unfortunately, two black eyes and a cut nose, and I just thought about how important it is for us as a group to talk more about falls and what it means.

What it means is $50 billion a year is the estimated cost of these accidental falls so you can see that it’s an important topic to really cover. We went through the facts but many consumers do not actually realize that as they age so does their balance, and so does their posture. Their vision changes as well and other aspects of their health will be effected so let’s talk about what that means and how do I prepare to help my seniors.

You can see this cute little grandma and grandpa roadmap visual there and those who we’re thinking of but let’s be honest, we’re all getting older and we all need to be aware of and proactive on what we’re doing with our posture, our balance, our stability, stretching, and functional outcomes that are so important for all of us regardless of our age. One thing I want to make sure that you understand is these marketing roadmaps are here to really help make it easy.

We present them during these Facebook Lives so that you can enjoy listening and getting ahead and starting on your marketing plan for January. The foundation’s theme is fall prevention and we want everybody to get involved. The monthly marketing roadmaps provide a week- by-week marketing guide and is designed for easy implementation for your staff or yourself. Your hands, like I said, should be on the patient’s and not producing more materials, so you want a little extra help put together a roadmap, this is the perfect opportunity to see it.

There’s so many one click postings to your Facebook, Twitter, and Instagram on here as well as you can stay active on your social media channels by downloading some more of the materials you’re going to see in just a moment. Use these foundation materials to populate your channels a minimum of three times per week. I know that sounds like a lot but sometimes you’re going to miss people and if you’re doing it three times a week I guarantee you’re going to get that evidenced based material that your patients and community need.

Moving on, let’s get you some handouts. These handouts that are created, this one particularly is a brand new tip sheet. We don’t want you to fall. To help educate your patients on optimizing their health and preventing falls, this tip sheet is a great start. It details that prevention is key. You want to consult with a doctor of chiropractic because you never know where this tip sheet’s going to go. It could go with a patient that has an elderly mother or father or family member and they bring it home and they learn about the current stats about falls and then some of the tips that you’re going to share with them to prevent the falls.

As we move forward, do we know actually what the three types of risk factors are for a fall? I want to dive into them very briefly today because I know it’s the holidays and you got better things to do so let’s just do a quick overview on what this is going to look like in January. Let’s dive in and you’re going to see that there is first and foremost the health based risk related to medical problems in neurology, orthopedics, biomechanics and some of the physiology and nutrition that happens, gait and balance problems, muscle weakness, chronic illness.

All of these, especially vision can become a problem, so we want to look at those. The other one is environmental factors. Yes, these are where the patient, for example, in this particular picture here is just walking the dog on the leash. The dog goes left, the leash goes right, and all of a sudden he’s chasing something and you are down. Okay. Walking into your living room is another one. Sometimes you can catch that corner of the couch and boom, you’re down. We’ve all been there somewhere in either our bed or a couch or a chair in the dining room. Those are environmental falls.

How about fall triggers? These are the ones that are health related, like the use of certain medications. If you haven’t done this yet, become friends with your pharmacist in your communities. Also, make sure the patients are friends with their pharmacist. Oftentimes as they age, they’re going to have multiple medications and the best person to ask about medications, their pharmacists, so become friends with them. These medications, maybe there’s excess alcohol involved, they can cause problems for falls so we want to get really into helping the patient find resources in their community, one obviously being their pharmacist.

Remember that things like low blood sugar, hypoglycemia or diabetes, hypertension, electrolyte imbalance, dehydration, can become a problem for balance and they all trigger opportunities for falls. Then you can educate them. Infographics are a beautiful way to do that and you can see here preventing falls in older adults is a big part of January’s push where they can get frequent information from you.

It’s really succinct that they can share on their social media as well and there is a plethora here. They’re easy to digest graphics and I think that once you see how you can use them, whether it’s on your newsletter, maybe it’s on your website or you’re handing them out at the front desk, it’s just open to whatever you feel comfortable doing.

What is the chiropractor’s role in preventing falls? As a doctor of chiropractic you can actually help to improve balance, stability, and range of motion. We’ve been doing this for 125 years, we just haven’t succinctly made it available on social media platforms. We’re talking about optimizing health, managing joint pain and decreasing an individual’s fall risk is all of what we do. As we start to look at chiropractic’s role in fall prevention, I want to make sure that doctors of chiropractic are evaluating a few things.

Number one, when you’re evaluating fall risks you’re talking to the patient about their fall history. We want to recommend strength and balance exercises. Most of us are already doing this. We want to talk to it on why balance is important for the patient. Then we want to offer tips on how to improve home safety. A lot of those are very simple, it’s just looking around your house and looking for cords that are sticking out and bat maths that aren’t properly secured; all of those and more that you can talk to your patients about.

How to help your patients? Screen them. There’s a opportunity for you to sharpen your skillset and conduct those clinical assessments but start by regularly asking your patients on what’s happened in the past. Fall histories are very important. In fact, when a patient has a history of falls we need to really dig down into why. Assess your patients by conducting your gait, strength, and balance test, Identifying those medications that may actually increase their fall risks and. Then look through their home environment and potential home hazards that they feel that might be important for them to deal with.

If you want to know more about fall risks and how to ensure that you’re getting the most out of talking to your patient, here is the link. One of them will provide you with the CDC top quality information so that you can have an assessment for the patient to fill out. You’re looking at what the CDC is asking healthcare providers to do, and I think you’ll feel very comfortable because it’s not something we’re not already doing. We’re just packaging it and we’re being a lot more proactive in helping our aging population be successful and avoid those horrific falls that can happen.

Now, we got to make it easy for you so exercise handouts are part of it. We have put together a handout for patients to reference regarding different exercises. This is just a tip sheet for them to start the conversation. I’m sure that you have hundreds in your office, feel free to use whatever works for you. This is just a nice easy where we can talk about muscles being stronger, working on your balance, and this is going to help them with endurance.

A long day, for example, for someone who’s aging, can cause weakness and weakness can create the unfortunate misstep. Sometimes we just can’t see that misstep happening because we’re weakening and when we talk about it, when we share it, it’s going to be very important. A nice tip sheet like this might be perfect for you to hand out in the new year or put on your website. You’re welcome and I encourage you to do your own YouTube videos and put them on your website.

The community sees you as the expert, they trust you, they trust your care, and the foundation is simply here to provide the resources to make you successful so your hands are on the patients so look at that, look through the link. Now, there’s a lot more to this and I want to share more with you so if you could please put in your schedule, look at that link, you can go to our Facebook and register for it. Everybody’s welcome. If you’re not a foundation member, consider it because there are so many more pieces that you can get for your practice including a presentation.

I want to make sure that you get lined up to register for this particular Falls: Chiropractic is Key and Fall Prevention Among Seniors so you get a little bit more information. As we go through, I just wanted to say, a merry, merry holiday season to all of you, you’ve been absolutely fantastic in your support for the foundation. We couldn’t have done it without you and we know that your time is extraordinarily valuable so we want to make sure that we make the best of every moment that we have together. I can assure you, next year is going to be fantastic.

125 years of chiropractic success, ready for us to just pull it in and market like crazy because the more the patients know about what we do, the more patients will want and seek chiropractic care as a benefit to optimizing their health. I want to wish all of you a very happy new year. 2020 is our year, we’re going to take advantage of it, and I look forward to seeing you in January for our Facebook Live next year. Take care.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest-growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Start-up Success – Dr. Janice Hughes

So today I have, I’m going to call it an expert in startup. I’m bringing to you a fairly brand new grad and I’m going to let Dr. Carolina introduce herself a little bit, but I really want to share with you success or keys in that startup process. And there’s nobody better than Dr. Carolina Tillotson, so welcome Carolina and please just take a second and introduce yourself a little bit.

Thank you, Dr. Janice. I’m Dr. Carolina Tillotson. My practice is called the Wellness Connection and I am based in Buckhead, Atlanta, Georgia. And like you said, I’m a very recent grad, so within the year and am currently practicing.

Right, right. And I’m going to tease a little bit, went to school in Atlanta and so many people start to tease about, “Oh, too many people don’t leave. They never leave Atlanta.” But knowing you and a bit of your history, talk about even why you stayed. How did you know basically where you wanted to practice and get into a little bit more about your model. How did you even know that that was where you want it to be?

Really great question. Because going through school I thought I couldn’t get out of Atlanta fast enough. And then as you progress through school you start to really think about what do I want my future to look like? What do I want practice to look like? And I think a lot of people through school, I thought I would associate and go off somewhere far away. Yeah, but for me, the deciding factor was choosing to practice where I wanted to live. And so deciding where I wanted to build my life and then building the practice in that location.

Right. And this happens a lot. I mean, I’m really fortunate to go into several schools and a couple of them I do business courses, others I just go and do some sort of off campus events for students because I think what’s really important with startup is a lot of times there’s that push pull, “Well do I do something that’s a little more safe and secure? I’ve got student loans looming over my head. Do I do something like associate,” which there’s some great opportunities. But how, as you made that decision, you were destined to own your own practice so then what other decisions went into that? Were you prepared or did you need to do some things to really get more clarity on what kind of model to even practice?

Absolutely. So to be a business owner, it will never fall into your lap. You have to be very intentional about not only the type of business you want to run, but within that business what you want it to look like, be like, who you want to serve, how you want to show up. And so I went outside of school to get extra help for that and I’ll shout out to Inspire Women and also the coach that I’ve worked the most with, Dr. Kim Carpenter. She’s been hugely instrumental in helping me actualize my vision and get clarity on that.

Yeah. And let’s talk about that a little bit because I would love to say that, again we had that all within us or that we even got that through school. But one of the things I find is that sometimes we enter chiropractic school almost clear on our vision or understanding our why or the picture even more than by the time we graduate. So really we’re talking about how you find mentors, coaches, models to really help in that process. And I’m just a really big advocate of that because let’s face it, athletic wise, it’s a given that people have coaches, so how even through that coaching process does that … It’s not about management. It’s not about saying, “Well, here’s the systems that you have to do.” Why are the questions so powerful. And how did that help you build your systems that are the model that you want?

Sure. So when I came to Inspire Women, you, Dr. Kim, I had gone through the process of reading the book Vivid Vision and had a really clear idea I thought at the time of what I wanted it to look like, smell like, tastes like, be like, what my personality of a practice. The gap though is that I’ve never been in practice. And so you have this dream, this vision, but how do you get there? And for me it was really important to find someone who had already done something that I wanted to do. Now the practice doesn’t look identical to my coach’s. It’s similar, but she’s built an incredible practice and she knows the way. And so coaches have coaches, healers have healers, doctors have doctors. To me it just made sense to find someone who knew the way.

Right. And so, I love the fact that you talked about the book. Vivid Vision is a fantastic book. There are other amazing resources. Share a little bit about your mindset and what else have you been doing in startup mode? What are you listening to? What are you attending? What are your, I’m going to say keys to focus and build your confidence and your mindset?

Mindset is huge. I don’t know if I could emphasize that enough. And yes, it’s just huge. So what you listen to, what you consume, that’s going to be your default thoughts when things aren’t going smoothly which, when you’re in startup mode, you kind of just have to buckle your seatbelt and just prepare to be on the ride, which is figuring it out along the way. And so the books I consume a lot through Audible and through Scribd, those are really good places to get audible books. What have I been listening to? At the beginning, I was listening to a lot of Grant Cardone. I was listing to, gosh …

I know. It’s when you get put on the spot.

I just finished Everything is Figureoutable, awesome book. So to me that is huge. So I might commute in or when I have time in the mornings I’ll listen to those books. And then I take time, especially before practice opened, I was taking time in the morning to meditate and to get really clear within myself so that as I had challenges throughout the day, I was starting from a really solid place.

Right and there’s some people, I was just at Life University last Saturday doing a business startup day and I described that what tends to happen is some people will call it your hour of power. Some people will focus on meditation. For me it’s a little less about the what you do. It’s more important that you create it so that you really think about working on your mindset, working on your state management.

You, like every sort of practitioner, you get hit with a lot of, I’m going to call it obstacles or challenges and we all do, actually. Any practitioner listening knows this. You can even think you’ve got it figured out in your riding on this even keel and a patient walks in and they’ve really sort of either plateaued and are frustrated or thinking chiropractic isn’t the right place for them or they’ve bottomed out. And so based on all of that, that’s where I think that it’s those success principles that are a little non-negotiable. Not that there’s one way to do it, but like you’re describing, sometimes you’ll have more time, particularly before you open your doors, but the power of it and staying connected to it is really important.

Absolutely. I would also say mantras or sayings, however you want to describe it, but having those power statements that are yours, that are in your own voice and doing that daily. Those several months before practice, I had my set of, I think seven and I said them seven times each, three times a day. That was the minimum. And so that really did help with mindset as well.

So let me talk and just ask you, because again, others are in this startup mode. What are a couple of key systems for you? I mean I know I was teasing before we got on live about the Jane app. Why do you use something like the Jane app versus some of the bigger EHR systems right now in startup mode?

Yes. So for me, Jane, and Jane is an EHR system, it’s cloud based and I first off, their customer service is fantastic, but it’s very easy to start with in terms of the system that they have in place and then learning to navigate it. It just is easy and at the beginning, and I’m guessing as I stay in practice longer, you want things that are going to cause you the least amount of headache as possible. And that, for me, has really been helpful to have that.

I also think a real key with now there are so many options, things like Jane app, tell me a little bit about how you’ve built in profit right from day one. So, for the audience, one of the things that I like to talk about is already with your vision begin with the end in mind. Again, is this profitable? Could you turn around and sell it even if in 18 months or two months you want it to relocate instead of thinking, “Oh it’s not this big entity.” If there’s profit built in from day one, profit first, then what starts to happen is you’ve built your asset right. So obviously Jane app is also really smart from a financial perspective, but share with the audience what else have you done in startup mode that’s allowing you to be profitable sooner?

So I’m a hundred percent cash practice. I don’t process insurance at all. I would say that has been something that’s helped me be profitable from month one. And does that answer the questions?

Yeah. So give some other tools, like what other things do you think about, is it just having the consciousness so that you know, like the Jane app, which is an EHR system to do all your scheduling, bookkeeping, things like that, that’s a smart choice compared to something almost that’s far more expensive. And so what are even some of the mindset about taking a look, for example, how did you set your fees?

Okay, so first and foremost, I chose a place that had low overhead and then I negotiated down. It was already low and then we went lower and so having that low overhead allows me to know that … I reached that goal a lot sooner, which feels great, especially when you’re first starting.

Yeah and the reason I’m asking Carolina kind of roundabout ways to get at the same thing is that you need some kind of a financial blueprint. So in startup … Now, I can talk to seasoned practitioners about the financial side and all too often overhead is way too high a percentage where we built these humongous entities and we’re not incredibly profitable. So one of the key things for any of you in startup mode is knowing, for example, your basic nut.

How much does it cost you to live per month? How much does it cost you to run that business per month? By when then can you already see that you would be profitable? What are the action steps to get there? So really clearly breaking that all down and knowing that because all too often just what starts to happen is overhead starts to grow or “Oh I need this,” or “I’m going to add this in”. And now your bottom line, your overhead and expenses, are going up higher or a much higher percentage than you ever intended them to be. So kind of that idea of in startup mode, you want to think about lean and mean. And how do you get the most impact from the things you’re using, the things you’re doing so that you really can have that profitability quickly.

Yeah, absolutely. So I’ve done, in terms of knowing your numbers, so I need to know my numbers for the business, but then know them for myself. And then taking into account student loans and all the other things that are important and affect the number.

Another thing with startup that Carolina is talking about, knowing your numbers, is the fact that in that very beginning, you have a lot of write-offs, but then you want to be grown. You want to become sort of a bigger practice and have more influence and more impact, but already part of your numbers is building in tax implications, starting to put money away for taxes. Unless you’re basically working for someone in a setting where they are taking tax off at source, being in your own practice, you need to start to consider that. Because all too many people you grow and suddenly you have a year, maybe that’s your two where you’re incredibly profitable and now you haven’t planned for the tax implications, so that can be another really important piece about just building those systems in, your financial systems, so your practice building systems as well as your financial systems and the clarity of all of that in startup.

And I would say that was one of the most beneficial parts to being able to coach with Dr. Kim was really learning to break down those numbers and knowing things like, set aside money for taxes because you think you’re just going to go out and make money and whatever you make is yours and it just isn’t the case.

Yeah, it’s almost a little shocking. It’s kind of like, “Oh, this is what I signed up for and I’ve never learned this before.”

Yes, yes. It’s a surprise.

Well, I’m going to put you on the spot a little bit and ask like if you could give other startup practitioners three keys or call them three tips, three key things that you want to leave them with, what would those be?

For startup?

Yes.

Okay. I would say, find someone to mentor you and if you need to go and interview different people or search them out, get recommendations, but find someone who’s going to fit your personality and who’s done something that you want to do. So, find a really good mentor. Know your numbers. Speaking to early startup, sometimes in school numbers aren’t something that’s brought up at all, but they become hugely important as soon as you graduate.

Exactly.

If you can get a handle on that before you graduate, then that’s not going to be such a big shock and you’ll feel empowered versus disempowered. And the third one I would say mindset. Find something that works for you. Be a little creative about it, whether it’s meditation or mantras or taking time for intentional self care that allows you to get your mind right for you. It doesn’t have to be an hour, but it has to be some time dedicated for you.

Great. Those are fabulous. And you can see not only that you’ve been really working on this and thank you for sharing that. I think it’s important for startup practitioners to hear it from someone like yourself that’s really in the trenches, that’s doing it. Also for seasoned practitioners sometimes to go back to those things, I can only give the audience the example that there were times where I had grown or was beyond that startup and then all of a sudden, you start to flatten a little bit and it’s like, “Well wait a minute, I’m not doing those things that got me the startup success.”

So for anyone listening, please take Carolina’s ideas and tips to heart. So thank you so much Carolina, and we will make sure that again, others can reach out to you. We’ll put your contact information in. Other startup practitioners, I encourage talk to someone like Carolina that is in the trenches, is doing it, has that ability to share some of the same challenges and then also some of the incredible wins as well. So I really appreciate the fact that ChiroSecure is letting us talk about all facets of practice. We brought you, so far with this segment, different ideas about ten year exit strategies for seasoned doctors.

Talking to Dr. Carolina today about startup, we are all in that startup mode at some point. And often going into a new year, here it’s Happy Thanksgiving that I want to wish everybody and as we move into the holiday season, could you treat 2020 like you’re in startup? If we all brought that kind of energy at 2020, imagine what is possible. So just before we leave and end the show, I want to tell you that you’re in for a treat next week. The show is being hosted by attorney Mike Miscoe. So please stay tuned for that. And again, just taking this opportunity to say thank you to ChiroSecure for letting us really bring some of these pertinent issues to the audience. So Happy Thanksgiving and I look forward to seeing you on the next show.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – TOTS & Primitive Reflexes – Monika Buerger

Hello everybody. I am Dr, Monika Buerger, and you are going to be in for a treat today on ChiroSecure’s Look To The Children show. Again, thank you, ChiroSecure, for making this possible and helping us to get the word out on valuable assets of chiropractic and how we can change lives in so many of these little farts around the world.

So, my guest today is Dr. Jenna Davis, chiropreneur, mom, author, lecturer, international lecturer, and all this while she’s on the road. She told me right before get on the show, in the fall she was on the road eight weekends in a row, and that is significant. And all this while she maintains a full-time practice in Ontario, Canada. She’s a graduate of National University in 2003.

She has created an incredible technique for intraoral work, the pediatric intraoral palette specific technique, and we’re going to talk about that today. Does tons of work with tethered oral restrictions, tethered oral tissues, tongue-tie, lip tie, fertility, and just a phenomenal leading edge chiropractor in our field in pediatrics. So, I’d like to introduce you. Dr. Jenna, welcome to the ChiroSecure Look To The Children show and thank you for hanging out with us.

Thanks so much. I’m excited to be here. Very exciting to get to chat with you.

Well, it was exciting to get you to be here because I know you have a crazy, crazy schedule. Before we get carried away, I want everybody to know about your website. It’s babyboomcreations.ca.

Yes.

Not .com, you guys out there, but .ca. You have created quite the interaction with other professionals in your community to network with, is that correct?

Yes. And especially dealing with … It started when I was dealing with a lot of fertility patient. And so, that led to having more co-management. And then, now I’ve created a huge network for the pediatric population and a lot with the TOTs kids. And it’s amazing how you can work together.

And we’re going to dive into that a lot because that’s a hot topic issue, right? The tethered oral restrictions, tongue-ties, lip ties.

Huge.

Okay, so we’re all seeing that, right? So, first of all, because we have so many amazing chiropractors out there, and wanting to hear from you because they know about your programs and know how awesome you are, can you give them one pearl … I know it’s hard … that can maybe help them start thinking about making inroads with interconnections within their community?

Absolutely. I’m going to probably give you two pearls because they kind of link together. So, what I would recommend is that with when you’re working with another professional, learn the language that they use. So, you have to speak their language. They don’t necessarily understand how chiropractic fits in. So, when you’re talking to them, I always use the word bodyworker. Because in Canada, bodyworkers are individuals who work with dural tension, TOTs kids, lip tie, tongue-tie. And so, I always say I do bodywork, I’m a chiropractor.

And so, that’s number one, because find out the language that is accepted for an individual who is working with an infant. Because individuals or professionals who don’t know what chiropractic is, especially when it comes to infants, have a preconceived notion that it is going to be an adult adjustment on an infant, which we know is not the case.

And then the other pearl that I would add to that is giving them feedback and making sure that you’re always using the word co-manage. So, I’d love to co-manage this practice member with you or co-manage this infant, giving them feedback. Or I always love sending a letter after I’ve seen them for the first time, whether it’s to the dentist, the midwife, the pediatrician, sharing what we are working on so they know that we know what we’re talking about. And then that will lead to way more referrals coming your way.

That’s amazing. Amazing, amazing tips. Hopefully you guys are paying attention out there. So, really essentially meet them where they’re at.

Absolutely. And I find a lot of chiropractors, especially when we’re so passionate and excited about pediatrics, we tend to want to shout it from the rooftops. But we’re speaking, we think, at a simple level, but we’re actually speaking a totally different language. We’re speaking Chinese and they’re speaking French. There is no similarity.

So, we have to understand how to educate. Just like we learned with our report of findings, how do we educate our practice members, our parents? We have to do the same thing to the professionals who are wanting to refer to us, because they’re looking. They need our help. They’re asking for our help. They just don’t know where to look.

Great, great, great. Yeah. So, bring it down and then simplify it to levels that they can understand our lingo. And then also let them know how we can be part of their picture.

Yes.

Awesome.

Yeah, because they all … everyone wants to, depending on the professional, but some professionals, including other chiropractors, might be afraid that you are going to take their patients, and that is not the case. I co-manage all the time. I will always refer back or co-manage consistently.

Very good, very good. So, those are two hot dog pearls right there, what I call hot dog pearls. So, let’s dive into TOTs. Let’s tie it all together, so to speak. Pun intended, right? So, we’re seeing that thrown around a lot now on Facebook pages and social media pages, the hot ticket item kind of thing. And then personally, I’ve seen it also tied with the MTHFR gene.

And I think we need to take a step back and not blame it on one gene, per se … we’ve had that gene mutation for centuries … but rather how the epigenetic load is potentially playing into the reason why we’re seeing or recognizing more, and/or the fact that there are more stressors on the little fiddle farts. And so, maybe that restriction is playing a bigger role into the total picture. What’s your take on that?

So, a few things. I think the MTHFR is absolutely a challenge, but not just for tethered oral tissues. It’s a challenge, period. And so, the additional synthetic folic acid, which is why they’re talking about MTHFR in all our foods and in our supplements potentially creating more of a challenge. Yes, I will agree that that is a possibility and they’re part of it, but that’s not all of it. And there is a genetic component. You will see parents who then have tongue-tied children there. There absolutely is genetics. It’s multi-factorial.

But the one thing I want us to focus on is just because you have a frenum or frenulum, both words interchangeable depending on what profession you’re in. Just because it’s there does not mean that you are tongue-tied. So, you can have a functional … It’s about function of our tongue. And that is what I’m seeing a lot more of a lack of function, which is also coming from a lot of that dural tension, that pulling from the back.

And so, I think we have to not look at just the anatomy, but actually look at, okay, how much tension is there? How much function to the tongue is there? How much can it move? And so, I feel we are over diagnosing without looking at function, but we’re also missing a lot of kids who have lack of function because they don’t have an obvious tongue-tie, if that makes sense. So, I think we’re missing it on both sides.

Okay, makes sense. And the way I look at it, too, is as chiropractors we’re so passionate about removing subluxations.

Yeah.

Because that interferes with basically brain perception, what the brain can perceive from the body. There’s a disconnect from the brain to the body, the body to the brain. And with the current brain-based theory model of chiropractic, it’s really about perception, what the brain can perceive.

But if we have this restriction, a tethered oral restriction, it’s a fashion restriction. And if that is there, and it’s also going to impede that perception that the brain will receive. So, we want to remove subluxations as chiropractors, but we also need to look at the big picture on what that restriction potentially can look like or manifest in regards to neurological development.

Well, it has a huge impact, because the tongue’s motion has to hit the palate for it to also work on shaping our entire cranium. It’s working on giving more of that neurological input. It’s working on our swallowing. It’s working on our jaw development. So, it is so much more than just can I breastfeed or not.

Right.

Am I a picky eater or not. So, the challenge I’ve had with some chiropractors really struggling with accepting this as potentially being, we’ll call it a condition, whatever you want to call it, or a finding that potentially needs additional assistance beyond just what chiropractic is.

There’s a lot of challenge some chiropractors are facing with that, because they really want to believe in their true heart that the adjustment is going to allow it to solve. But when we’re working with an infant who is not able to breastfeed, or a child who their tongue is never hitting the roof of the mouth, and it’s changing all of that neurology and developmentally they’re missing all of these stages, we need assistance. But I always say, “Yes with the adjustment.”

So, the adjustment is still first and foremost, but we sometimes need to be co-managing these little munchkins for the greater good. We need to look at the greater picture, like you were saying. It’s so important.

Yeah. Thank you for saying that because you hit the nail on the head. What I see also so many chiropractors struggling with is, “Why can’t I fix this?”

Yeah.

Well, we really don’t fix anything, right? We [crosstalk 00:11:46] the nervous system to be at its optimal performance. But what we might see is these chronic subluxation patterns that we can’t clear because of this constant tension. So, we should be okay. So, all of you docs out there, feel okay with co-managing and understanding that it may be something that we need extra assistance with. And then we come back and we definitely want to do pre-care and post-care, but it might be something that we can’t always manage.

And we have to also remember, we’re working on a tight timeframe when we’re dealing with infants who are not eating properly. And it’s not just breastfeeding. Some of these infants, the parents might be … by the time they come in and see me, breastfeeding might be off the table. But they’re not even taking a bottle properly. They’re struggling. And you’ll see that … I see so much of that dural tension. That’s where chiropractic comes into play.

When I speak to lots of different professionals all around the world who are not chiropractors, who are dealing specifically or specializing with TOTs, and they find out you’re a chiropractor, they love you. They said, “Oh my goodness, I love chiropractors. We cannot do what we do without you.” And so, chiropractors, it’s okay for us to have assistance in co-managing because, let me tell you, it makes a world of difference.

One of the dentists that refers a lot to me, she often says, “I am so grateful when they’ve been seeing you first because I know whatever tension is still remaining under the tongue, that’s for me to deal with.” Because all of that dural tension, all the subluxations are being worked on and dealt with.

Right. And so, there’s other things we might see. They don’t like tummy time. You know they have digestive issues. And if we don’t do tummy time, what happens to our neurological development? [crosstalk 00:13:43] there. So, it’s just a big picture. It’s a big rabbit hole. But I want to dovetail this into you brought some magnificent points on you often see these tongue-ties with plagiocephaly, with torticollis.

Yeah.

We’re seeing those go together. So, lots of times it’s very difficult to clear those out unless you get the revision done. So, can you give a couple patterns that you tend to see?

For sure. So, what I oftentimes will see, a couple key things that we need to look at, especially with infants, is we have to always be assessing tone. And when you see an infant that can hold their head up from the time they’re born, that is not because they’re strong. That is a huge red flag for dural tension. And so, we have to be looking.

And oftentimes we will see that there is a huge amount of tension also under the tongue. It’s like it’s pulling, like you’re trying to stop a horse and they’re pulling from the back. And so, a lot of times you can see a line if draw a line here, and you’ll see actually the cranium pulling this way. So, those are some of the things I see.

Oftentimes I’ll also see that they aren’t able to open their mouth wide. They’ll sit with the resting posture as your tongue sticking out. So, we want to be looking at that. We’ll see them prefer to turn their head one way rather than the other, not necessarily a full torticollis, but absolutely restrictions and subluxation so they can’t create that rotation both ways evenly.

And then another thing is they can’t stick their tongue out. So, a reflex where you touch their lip and they’re supposed to be able to protrude their tongue past their lip, they can’t. They’ll get to here or maybe even just behind the gums. And so, those are some of the things that I see as clear indicators.

And absolutely the ones you were mentioning of hating tummy time, arching their back more. They’re kind of pulling back this way all the time. They don’t like to curl. They don’t like to snuggle in against you. They’re babies that like to face out all the time. Those are all great indicators that we have to look not just at the dural tension, but also I always say look under the tongue and let’s see what’s happening.

And then, if they’re a little bit older, picky eaters, children that gag a lot. If you put their finger in their mouth and they have a heightened gag reflex, we have to be looking at the cranium, at the palate, and definitely under the tongue. Because a lot of times it’s because the tongue has not been able to control flow, and so things have been hitting the back of their throat. And so, their brain says, “I’m going to choke if anything goes in my mouth, so let me gag while I figure it out first.”

Right. Phenomenal tips. Everybody needs to listen to this. Phenomenal, phenomenal, phenomenal. So, you have a palate specific technique. I know it’s on air, it’s probably a not able to demonstrate that, but can you talk a little bit about that?

Yeah, absolutely. So, I created what’s called the PIPS technique. And so, all I’ve done, I’m grateful for the fact that I’ve been lucky enough to be a speaker around the world. And when you speak around the world, you get exposed to brilliant minds and techniques around the world that we don’t always get in North America. And I took all of those and then just clinically what I’m seeing and put it together.

So, the Pediatric Intraoral Palate Specific technique, or PIPS, is a combination of looking at dural tension, tongue-tie, or tension under the tongue. Infant TMJD, so we’re working on releasing the pterygoids. We’re also feeling the palate to work on the sphenoid bone. And the sphenoid bone is something that’s so critical that that we work on because it has attachments to every part of the skull, the jaw or the TMJ, and top two vertebra in our neck.

So, we know if we’re seeing chronic subluxations or patterning, we have to look at the sphenoid as well. And for my docs, you can’t go intraoral in your province or in your state, and there are some in both countries, or in your country, wherever you may practice. You can’t access it externally.

But what I always recommend is try and demonstrate to the parents so they can do some of the work. It’s not an adjustment, but they can do some work intraorally at home. And I also challenge you to please talk to your board, because we can’t do a proper neurological exam on an infant without checking their suck reflex.

So, I would challenge you to take it to your board and say, “If we’re supposed to do a full neurological exam on infants and pediatrics, we have to be able to check their suck reflex and see if there is a way to make that happen.” And then therefore you can be demonstrating some of this work.

Phenomenal, phenomenal. And I love that you brought up the sphenoid. That sphenoid is so huge. And the sphenoid actually mimics the pelvics. They kind of go together. So, that’s how you can get some that dural tension if you don’t [crosstalk 00:18:49] from top to bottom.

A lot of times I’ll see it almost rotate. So, if we see the sphenoid going this way, we’ll see the sacrum going the opposite. It’s kind of like a … I call it almost like a twisted Slinky. And so, we have to balance both sides out.

Absolutely. Absolutely. So, what other things with … Okay, so with the twisted Slinky, I like that term, I also see with these presentations difficulty rolling, getting into a rolling pattern. Have you noticed that as well? Are they just want to roll to one side?

You’ll see them roll to one side. And actually you’ll see … Oftentimes I’ll see them, they rolled really early one way. And because they have so much tension, they’re twisting their head. So, they’re turning just because their head’s moving them. They’re not actually doing a rolling pattern because they hate tummy time. So, they’re not actually pushing up yet. They’re not doing all the stages. And so, you’ll see them roll one way.

I’ll also see them definitely do more of a commando crawl rather than being able to go on their hands and knees. So, they’ll be delayed in some of those stages, but they’ll really like to stand on their feet from a parent’s perspective.

But yes, the rolling one side. So, I will oftentimes give lots of homework to the parents, and they’re super fun exercises. Whether it’s I call it twisties, which is just needs to the chest twisting back and forth. It comes down to a lot of the primitive reflexes and actually taking them through some of the exercises, but taken down to a level for an infant that will help those reflexes integrate.

Right, exactly. And so, we’ll just roll right into that, so to speak. Because, first of all, everybody needs to know she has two incredible classes. She has the Advanced Pediatric Bootcamp, so you can find that on her website. And you’re rolling out a primitive reflex program next year.

Yeah, like a part two but for some more advanced retained primitive reflex and primitive reflex assessments. And then more importantly, homework and how we go through the stages to assess and then work with it.

So, if we have ties, if we have restrictions, if we have … Okay, as chiropractors we know, if we have subluxations and that little fiddle fart can’t get into these movement patterns, that can lead to those primitive reflexes not being allowed to integrate, because reflexes integrate as we move up in our motor patterns.

Yes.

We get to those motor patterns. But the same thing applies to tethered ora restrictions.

Absolutely.

Bringing this all together, this is where I’d like chiropractors at deal in the pediatric world to look at that big picture. Because then if those reflexes don’t integrate, we stay stuck in the limbic drive in the emotional center, flips off the prefrontal cortex, and now executive functioning, higher functioning, has a hard time getting on board.

Yeah.

So, you’ve seen those same patterns?

Absolutely. So, I see it all the time. And the really exciting part, what I love about the retained primitive reflex or just primitive reflexes, is the exercise that you use for infants … well, not so much infants, so that’s a separate world … but children can be the exact exercises you would give to an adult.

So, adults can also be a highly functioning adult, but have retained primitive reflexes that are hindering aspects of their overall function. And if we want to improve their quality of life and actually help with the subluxation patterns that we’re seeing consistently, we have to look at all ages.

And trust me, they actually like these exercises. It’s fun for them. When you hear they’ve always been clumsy, or you see that they can’t stop jiggling their leg, or you see that they have a lot of motion sickness, or whatever the case may be, docs, I encourage you, ask questions to your adults like they were some of the childhood questions.

So, ask if they have a history of longterm bed wedding. Ask if they were a C-section baby. A lot of times we skip those questions for our adults, but they’re really important so we can actually serve at our highest level possible.

Absolutely. Great points. Because if we’re stuck in that primitive brain and that prefrontal cortex flips off, the spinal stabilization muscles are flipped off as well. So, this just leads to that chronic subluxation patterns. So, this is our chronic patients where we’re adjusting over and over again, and they keep coming in and saying, “Doc, my back still hurts. I’m still getting headaches.”

I started working in this realm over 25 years ago. And your adjustments will hold so much better if you address it from both ends, so to speak.

Yeah. And the neat thing is it’s actually fun. So, it’s really fun and you can make changes very, very quickly. And so, I also find that not just the subluxation patterns that we’ll see over and over, but posture is huge.

When you see those practice members that even though they’re under care and they’re doing really well, their posture just isn’t changing the way you would expect, go back to those primitive reflexes. Put them through a few of the exercises.

And please take some classes on it. You can read lots, there’s lots of online courses, but it can be much simpler if you take some courses on it because you’ll know, “Okay, I don’t have to test all of those,” and so it fits into whatever model of practice you have.

It doesn’t have to be an extra 45 minutes in your visit. It can absolutely fit into whatever patient flow you have in your practice, whether it’s high volume of five every 15, 10 every 15 minutes, or one every 45 minutes. It doesn’t matter. It can always fit in.

Right. Yeah, because those primitive reflexes, they represent essentially the sensory systems. And two of the big sensory systems, vestibular and proprioceptive, is our core. So, we’ll tend to see those constant slumpers and so forth. And then we just battled that more with technology in this age. And then we know technology is just … Because these reflexes can re-emerge in times of stress.

Yeah.

[crosstalk 00:25:07] thoughts technology. So, it’s kind of this loop that we’re going through. But you have just brought incredible pearls. This is just a great conversation. I wish we could go on forever like we talked about before we got out [crosstalk 00:25:21]

18 hours.

So, everybody, I want you to look up her website, babyboom creations.ca. Any last parting pearls that you want to bestow upon the world?

I think the biggest thing when you’re … whether you’re new to some of this information, even if you see lots of pediatrics or you’re trying to get into more pediatrics, is trust yourself.

So, a lot of times you want to do things perfectly. And when we are so focused on doing things absolutely perfectly, we’re losing our intuition, we’re losing our observation. And when you’re dealing with infants and children specifically, you really need to use your powers of observation, use your knowledge, use your gut and your touch. So, you want to be working on all of those things together. So, trust yourself.

And start even with testing for one primitive reflex or start doing one exercise to see is there a lot of tension as far as a tethered oral tissue. Are there tongues lifting up? Pick one or two, start with that. You can add to it, but even that will make a huge difference.

So, we have to just keep it simple, and trust that you have the knowledge in you. Sometimes we just need little bit of extra help, but you have the knowledge in you. And this is chiropractic, and I want chiropractors to be at the forefront of working with a lot of these little munchkins. Because there’s so many other professionals that add a lot from a bodywork standpoint, but none of them can also add the adjustment.

And so, when you can put that all together, that is like the cherry on top. That is what’s going to allow them to improve and function to their highest potential. So, that’s my big drive.

Absolutely. Managing the life flow, the life force and … not managing but manifesting it through adjustment is so incredibly powerful. And that’s what we own, and that’s what we contribute.

Yeah.

It’s just that nobody else could do that. So, thank you so much for your time and being here, and maybe we can do round two one day.

Yes, I would love it.

Okay. Hopefully we’ll meet up one day again on the circuit out there, but have a …

Pretend to be on other provinces in other countries and …

But again, thank you so much. And the wisdom you shared, it was phenomenal, so thanks again.

Thank you so much.

And all of you out there, join Dr. Erik Kowalke on the first Thursday of every month where he brings incredible information. I’ll be back the third Thursday of December with Dr. Krista Burns and some posture and neuro pearls for you. And again, thank you, ChiroSecure, for giving us this platform and really helping us to be out there and change lives and change the future. And I’m signing out, and we’ll hope to see you in the future.

Today’s pediatric show, Look To The Children, was brought to you by ChiroSecure, and the award winning book series, I Am a Lovable Me. Make sure you join us next week, right here at the same time. See you next week.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Check Your 20/20 Marketing Vision for 2020 F4CP

Hi Facebook Live friends. Thank you so much for joining me today. I’m super excited that you’re here. You’ve been incredibly loyal this year and that makes me very grateful. 2020 is the next upcoming year, 125 years of chiropractic success. Let’s make it the best year ever. Let’s do it together. If you’re enjoying these Facebook Lives, please tell a friend because the whole purpose is to share and this is one of those marketing roadmap tips that are going to make a difference in your practice in 2020. Check your 2020 Marketing Vision for 2020. So, how are we going to do that? Well, before we get started, I want to say a very special thank you to ChiroSecure. Without them this year, these Facebook Lives would not be possible. So thank you ChiroSecure. This is a fantastic opportunity to reach out and be with all of you. Also, those corporate sponsors that are on there, it would not be possible to put together our marketing material without them, so give them a big thank you next time you’re at a convention and appreciate them for the hard work and sponsorship they bring to the foundation.

Now, speaking of conventions behind me, the Meritage Resort and Spa, I will be there Thursday, Friday, Saturday, this coming week for the California Chiropractic Association’s annual convention. There’s still time if you want to come down, the more the merrier. So let’s get started with some actual important information. What are we going to cover today? Well, let’s talk about preparing your 2020 Marketing Vision and getting ready for the holidays that are quickly approaching. I’m going to provide you with all the overview of what you can do market wise, at least once a month in advance. To prepare you, we will share the details so we have time to coordinate and implement your marketing plan with plenty of time. This might be the perfect time to get your staff some Starbucks, make sure it’s got lots of sugar in it, jack them up, and get them excited about 2020 because the vision that we build together is the vision that’s going to celebrate 125 years.

So what are we going to cover? This is implementing an annual marketing plan. Let’s celebrate those 125 years of chiropractic care in 2020 by envisioning 125 more in the new year to ensure a growing practice, inspired patients, in a bright future for the profession. Ask yourself if you’re taking the necessary steps to promote chiropractic effectively in your community. For starters, before January, 2020, you should have a marketing plan for the following year in place. By implementing an annual marketing plan, you will have a clear, organized vision of 2020 goals. And speaking of 2020 goals, some of them are going to be tough for you to do because I know that you’re already busy in practice, but let’s talk about organizing an annual workshop. If you can make this a point to consider how you’re reaching out into your community. How are you engaging your community with you? This is one way to move the needle for not just your practice, but actually chiropractic as a whole.

By making it a priority to organize annual educational workshops for your community, well it’s just going to make a lot more people educated on the benefits of chiropractic. You can have a full day event, for example, to build awareness on chiropractic care or a half day or even an hour. It’s your choice. When you do coordinate a workshop, reach out to the foundation as we have so many resources available to support you in practice. An example, if your workshop is focused on tech neck, posture, or backpack safety, we can share tip sheets, flyers, infographics, posters, and yes, even a PowerPoint because I know that going out in the community is not something that you want to spend a lot of time preparing for. Let us help you do that. This will start conversations in your community and more people will know who you are and what you do, but don’t hesitate to ask us and help you organize this community event.

Now, speaking of events, as we go through, we’re going to look at populating your social media channels. These are a daily events. If you’re not on social media, you’re falling behind and we need to help you get ahead. We want you to have an online presence for not only consumers to learn more about chiropractic, but to encourage patients to visit your practice. But don’t hesitate to ask us. If your Facebook page is stale, unfortunately this leaves a first poor impression for many. So make it a priority in 2020 to populate your social media channels daily and reach more consumers. How do you reach more consumers? Well, there’s great ways to do it if you haven’t already done so, this is on my left, the social media accelerators. These support our 2020 vision and they benefit all of the community. The accelerators are actually sent out twice per week and include easy to share content for Facebook, Twitter, and Instagram.

The monthly marketing roadmap that you see includes one click postings every week for Facebook, Twitter, and Instagram. How easy is that? It fits easy to do. It’s easy to implement. All you have to do is put that strategy in place on who’s going to do it in your office and when it’s going to be done. By using the benefits available to you as a foundation member, and if you’re not, please join me because it’s a great family to be in, you’re populating your channels a minimum of three times per week with evidenced based material. The other thing that people have told me is, “I don’t have time to do it by myself.” I get that, so that’s why we’re here. Now, some of the things that I’m going to teach you today are going to be already laid out step by step. For example, how do you set up an autoresponder message on your Facebook page?

Actually, what even is an autoresponder? Let’s talk about it because I think when you start to see how easy this is, your staff is going to be like, “Oh, I got this.” To prepare you in 2020, this is a brand new tip sheet and it’s going to show you about the autoresponder. While you’re busy in practice treating patients, you actually may miss a Facebook message every now and then. An autoresponder allows your page to send an instant message to a current or perspective patients that might need your help and or might have a question. You can customize your message and let them know that someone will contact them soon. This tip sheet actually provides you with a step-by-step autoresponder on how to communicate with those contacting you through Facebook and that you’ll be in touch with them shortly, so don’t leave them hanging because they’ll depend on you if they know that you’ll be getting back to them.

Now let’s talk about holding events. Don’t wait for 2020 to start working on your marketing plans and especially do not hold back on hosting monthly educational events for your patients. These monthly events can be in the form of a Facebook Live, a webinar presentation, or an in-person gathering at your practice location, and by making it a priority to engage in your community, they’re going to know where to go when they need you. This can include healthcare club fairs or maybe there’s a local PTA meeting that you can be a part of and you can share more information with them. It is a priority to position yourself as a healthcare leader in the community. Getting out there and shaking hands and sharing your knowledge will continue to build positive press and awareness for the benefits of chiropractic care. As we go through the next piece is looking at monthly progress updates and how to do that.

Distributing a monthly newsletter, if you’re not distributing monthly newsletters to your patients when you have permission, and I always stress that, always make sure you have permission, then they’re missing out on some of the best things that are happening in your practice. Keep them up to date on everything going on. All you need to do is communicate through this channel. A lot of our doctors are doing it via email and putting them on their website page. You can also put your newsletter on your Facebook Live or you could do it on your Facebook page. Lots of ways to communicate. Now with the permission of your patients as you email them, use the resources that we have in store for you. We have content that they can share in your monthly newsletter. We have images and infographics and let’s not forget 125 years of chiropractic success is going to be looking at the Olympic commercial. So we want to make sure that everyone is going to be able to share that Olympic commercial when the time is right and we want to build up to the excitement.

So stay with me because these are really important opportunities for us as a whole and to share really current and important information. Now, speaking of important information, research. We want to be up to date on our research and if your content on your website isn’t enough or you’re looking for a targeted paper that summarizes some of the top research in chiropractic to keep yourself up to date and your community, check out our Definitive Chiropractic Resource Manual. This is an important piece because all of the research can sometimes be a little bit wordy for our consumers and you can build these out and make it easy for them to understand in a format that is right for you. If you need to find something on headaches for example or sports injury, there are subsections that you can actually do simply by opening the table of contents, find the page and review the latest and greatest chiropractic research supporting the subject matter that you were searching for.

It’s easy to digest. You can stay up to date as well as prepare yourself to share the top quality research with your patients in a monthly newsletter. You can reach out to healthcare providers and you can start talking about other community events that you might want to inspire based on those information topics that are in the Definitive Chiropractic Resource. Now talking about research, if you haven’t seen it yet, this is one to brag about. If you’re going to talk about recent research, one of the most important that I’ve seen this year today is actually ACTs One, Two, and Three. They were seven and a half million dollars to do. They were put on by the RAND Corporation, Palmer College of Chiropractic, and the Samueli Institute. It was a three year project and it was done by the Department of Defense and they just released their final report.

In fact, ACT Three was released, as you can see in this letter, on September 6th and as it was conducted, one of the most important pieces for those that were suffering is that chiropractic did influence strength, balance, and endurance among active duty service members with low back pain. The trial found that chiropractic care improved fitness measures among these active duty service members with low back pain. This is just a snapshot of one letter from the Honorable Rich Shelby, but there are several others.

Now let’s look at community outreach. Build on your community outreach topics. You need to make it part of your 2020 vision for 2020 goals to deliver and coordinate community outreach presentations to key community leaders. Meet with a medical doctor down the street to build referrals. Talk with your local hospital. Have you ever thought of just walking in and seeing if you could talk to the Human Resource Department. Putting on safety and prevention, How about offering a drug free care option or a pamphlet to them because if someone’s coming in and they get that opiod prescription, wouldn’t it be nice for them to offer a non-pharmacological brochure with your name on it. And we have it for you. Build those relationships with healthcare providers in your neighborhood as well as for example, athletic directors at the local high school or talk to the PTA, maybe a Kiwinas festival. Find what’s right for you, but you have to make a commitment in 2020. This is building goals with soul. Knowing what’s right for you and then reaching out and planning for it is going to be a win win for your patients and also for the profession. We encourage you to utilize that DCR manual that I just showed you and to also stay up to date with us at the foundation.

Check in with us on a frequent basis because we’ve got plenty of new and targeted material for you to share. That’s why we want to build media relationships. As you work on your community and relationships, we are also here to support you in that. By building media relationships with your local contacts, you can develop and trust them that they will share hot topics and relevant news when the time is right. So reaching out to media contacts is a great way to do that. Now we want to look at 2020 marketing overview. What does it look like? This is a nice little tip sheet. You can just check off and say, “Done.” This is an opportunity for you and your staff, your greatest team that you have, to look through and prepare your marketing 2020 vision. It helps you to know what you’re going to do, more importantly, when you’re going to do it and remind yourself where you can get the content from.

And as we go through December’s marketing roadmap all ready for you. We want to take that December’s marketing roadmap and make it a priority on implementing. Here’s a snapshot of December’s marketing roadmap. This is a weekly what to do in your practice for social media postings, Facebook, Twitter, Instagram, and you can download a lot of these and share them on your reception page. When you receive your monthly marketing memo, you can easily listen to it. It’ll only take you a couple of minutes it will go nicely with your December marketing roadmap. The more you promote the evidenced based material the foundation is creating with you, the more your patients will understand the value of chiropractic care for their overall health. Now, prepping for the holidays, let’s talk about that.

This year we introduced two new resources on marketing implementation toolkits and what is available to you to act as a short guide on new ways to market your practice in your area. This is a lovely way to connect. If you want to do a toy drive, even team up with your local fire station in bringing toys to them and trust me, firefighters will need and want chiropractic care benefits. So lovely ways to open up your heart, open up your clinic, and be able to showcase how chiropractic care benefits the community. These nice little toolkits are just ready to go. It implements them step-by-step so your office staff can work through them and know where to build the material and how to get the messaging out. On the next here is setting goals with soul. And I told you for January it’s a sneak peek of looking at how to engage the population and it’s really about what’s right for you and that’s why the foundation is trying to be very diverse with multiple different topics so that you feel comfortable when it’s time to share, you’ll be ready to do it.

So last but not least, don’t forget Meritage, if you can make it to Napa, I love to meet you. We’ll have a booth there. We have a keynote presentation. And also don’t forget to meet us back here at ChiroSecure. Next Tuesday, you’re going to have the fantastic Janice Hughes ready to give you more information that’s right for you. This is the time to market for 2020 so that you’ll be well prepared and I can’t wait to be in it with you because 2020 is going to be one of the best years ever. 125 years of chiropractic success. Thanks for joining me. We’ll see you next month. Busy month, but I hope you’ll be back with me.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Practice Happiness Factor- Dr. Julie McLaughlin

Hello everybody. I am so excited to be here today with empowering women from ChiroSecure, and I have a fantastic topic that I want to share with you. So we’re going to show you some slides and we’re going to start to go through this. So we’re going to be talking about practice happiness factor. So I’ve been in practice, I hate to admit it, 32 years going on 33, and I have to tell you, I absolutely love, love, love being a chiropractor and being in practice. So I’m going to share with you some little insights on what we can do. But first, I want us to all thank ChiroSecure for having the show and sharing so much knowledge with all their speakers that they have in this platform. It’s absolutely fabulous. I watch it all the time. So let’s give them some little love on there, on our Facebook live, because they really deserve it and they do so much for our profession. So thank you, ChiroSecure.

So let’s get started here. So happiness is when what you think and what you say and what you do are in harmony, right? So let’s see how we can work on that with our practices. So if I had to do it all over again, if I had to go back in time, if I had a backwards time machine, I could go back in time and do exactly what I’m doing now as a chiropractor in full time practice. Would I do it? And the answer is absolutely without a doubt. But I have to say, been kind of sad lately, is that there’s a lot of posts that I’m in with all chiropractors that are asking, “Well, what else could I do besides being a chiropractor? Is anybody else doing something different and not doing what we’re trained for? Not what we love, what our knowledge base is it.”

And so that had me thinking, what could I do to help all of you have a better use of your skills, of what you’ve learned in school and when you paid, you know, hundreds of thousands of dollars for that education to be able to utilize, to be able to fall back in love with practice. So I am Dr. Julie McLaughlin, and not too long ago I was just like you. I was thinking, “What could I do to kind of spice it up?” Because I have been there. I get the struggles. I really do. I know how frustrating it is when you have to beat the bushes to see more and more new patients to make the same amount of money as you used to, and the insurance companies are paying us less and less and there’s all kinds of problems requesting records and audits.

All this stuff is so frustrating. Patients aren’t getting the results like they used to because they come in with more complicated cases and chronic diseases and they just want a quick fix. They don’t realize how much investment they have to put into their health. And also the patients are getting bigger, they’re getting bigger and bigger, they’re harder to adjust. I still adjust manual [full spine 00:00:04:34] and they’re harder to adjust, and they’re suffering earlier from more chronic diseases. So it is so frustrating. I tell you, it’s not your fault. It is not your fault. And I, like I said, I’ve been there too, and it’s affecting all of us.

It’s affecting all the docs, because 90% of providers feel like healthcare is on the wrong track. 83% of healthcare providers have thought about quitting practice and 50% of providers are reporting burnout. And the average physician is earning the same wage that they did back in 1970, but you see twice as many patients. So I get it, how we can be thinking of, “Maybe I should do something different,” but I got to tell you something. We all need a little side hustle, let’s face it, but let’s get our side hustle as congruent with our chiropractic beliefs, our knowledge, our education, and help those inpatients that we love to help every day.

So all’s we have to do is look at the statistics of the average American, right? So one out of two Americans suffer from chronic disease. We’re great at fixing that. Chronic disease is responsible for seven out of 10 deaths. So if we can prevent people from dying from these chronic diseases that are preventable, why not? 84% of healthcare dollars goes towards chronic disease. Two out of three Americans are overweight and one out of three are obese. How crazy is that? That’s why they’re getting bigger. They’re harder for us to adjust and we’re seeing more people with chronic stuff. Autoimmune diseases have tripled over the last 50 years, and over half of Americans are taking medication. We need to be the answer and the solution to this.

So I have really good news for you, because I figured out a simpler way to solve this problem and I’m going to walk you through it. Are you ready? So these are the three shockingly easy ways to step into practice happiness. So just start where you are. Wherever you are, that’s where you’re going to start. You don’t have to do anything extraordinary. Just start where you are. So the first step is super, super easy. If you have an extra room, if you have extra space, even if you have a room or space that you’re not using all the time, like maybe you don’t work on Fridays and you have it just sitting there and you’re paying for it, rent it out because you’re going to get a win win. You’re going to get money from the rent and you’re going to get somebody in there who can cross refer with you. So now you’re going to increase your practice because you have somebody right there in your own space you can cross refer with.

So that’s step number one. That will help ease some of that financial burden on you that sometimes we feel like we get when we’re in practice and we want to do something else. Step number two is add something that’s really easy that’s still in your world, in your chiropractic world. Add a simple weight loss program that really works to your practice, because guess what? When we look at SEO, what people are searching for, one of the number one things is weight loss. So why not help our patients with that? The third thing, the third shockingly easy thing is add a niche, whatever your niche is, and add either functional labs, functional medicine into your practice. So those are the three things.

Let’s talk about it for here for a second. Rent out. Even if you rent out your space by the hour, rent it out. Get somebody else to cross refer. You’re going to be able to educate them about what you do, you learn about what they do, and you get their rent. So I think that’s a win-win and it’s super easy. So with functional medicine and functional wellness, functional labs, whatever you want to call it. Treating the cause, not the symptom. This is same thing as we do in chiropractic, right? And it’s easy to do to add this into your practice, and you could do a really hyper niche. You could do metabolic, so you’re going to do cholesterol and blood sugar. Or you could do autoimmune, you could do gut health, but pick something that’s a niche and add that in, because guess what?

These are cash based services. All of our patients need that. When we’re looking at seven out of 10 people are dying from chronic disease, we need to be at the forefront to help them, because the answer’s not more drugs. It’s not more pain meds. We know how to do this, and if you want to start super simple, add weight loss to your practice. Use your existing patients. It will attract you tons of more patients, and any time you have a new offering in the office it’s exciting for the patients, it’s exciting for us. We’re not bored anymore. We have something new to focus on, and weight loss is a great way to start.

So with this, what you’ll get is you’ll get solutions to tackle tough cases that you used to have to refer out to because you didn’t have those tools in your toolbox. And then you’ll have a constant flow of new patients, because when you start adding these different things into your practice, you’re going to have a vast array of topics to talk about. I do a talk in our community center every single month, which you guys know because I always talk about it, and we have a different topic every month. It’s because we have these other things, and guess what? Those patients who are coming in, next week we’re talking about toxic truth about sugar, they’re going to come in and they’re going to talk about sugar and diabetes and weight loss, but they’re also going to get adjusted. So it’s a really good way to educate your community, stay congruent with being in your profession, and helping lots of people.

Family members are going to come in, so if you’re looking at labs and looking at genetics, guess what? Runs in their family. And so other health professionals in your area are going to know you’re going to be the go to person for these tough cases because they don’t have an answer. These patients, they go to the medical doctor and they’ll come in and go, “I had a medical doctor say need to lose weight. I don’t know what to do. They told me just to eat less.” I’m like, come on. That’s not a viable plan. So you can help them with this plan, right?

The best part is, you don’t have to have to have prior knowledge to nutrition or weight loss or lab work at all. Or even if you never learned it in school, they’re so easy to do because it’s congruent with what we do is chiropractors. It’s part of our chiropractic lifestyle. You guys know way more than you give yourself credit for knowing when it comes to this stuff. Because I talked to lots of docs and they’re like, “Well, I think everybody knows this,” but everybody doesn’t know it. Our chiropractic lifestyle is our core, and we really can help these patients with this.

And the only reason I’m here and I can share this with you, because I been through the good, the bad, and the ugly, because it’s really, really tough. But once I added this back in my practice, I fell back in love with chiropractic and with the practice. So I’m not looking for a side hustle that’s teaching English as a second language or whatever. Not against anybody who’s doing that, but you want to use that knowledge that you paid so much money for and you can help so many people. Right? So I even discovered that helping patients at this deeper, deeper level has helped me serve more people, and it has provided greater financial stability for my family.

So you and I are similar, right? We’re chiropractors, but I am no superhero. I’ve made every mistake in the book. Don’t ask me. Everyone, I have learned from them, and I’ve come out on the other side with a process that really works. So taking care of people whose help we are entrusted with for such a short period of time is so important to me. I had to find a different way. I had to find a way to reach them, and we want something better for our patients lives, and we want something better for our own family’s lives. So if I can do this, so can you, right? We can all do this together, because what I discovered it allows more people to know the truth about chiropractic. It helps bring chiropractic and functional labs, functional medicine, functional wellness to the masses, and it helps spread the message to make a huge difference in people’s lives.

So remember, these are our three shockingly easy steps. Rent that extra space, get somebody else in there paying some of your rent and cross referring with you. Add a simple weight loss program that really works. It’s awesome. I got to tell you, it’s really, really easy. Or add a niche of functional medicine, functional wellness into your practice.

So the thing I really, really want to tell you that I want you to take away, is that sometimes we all need someone to see something in us that we don’t see in ourselves. Because you know what? I see it in all of you. I see it when I read your post and you’re looking for something else. I see it like, “Man, you can do this.” I see it in you, so I want you to look in the mirror and see it in you too. All right. Can you do that for me please? Because now you know these secrets and it’s to increase your practice happiness. It’s so easy. And guess what? If you’d like me to help you, I would be delighted. I would be delighted to help you because my mission in life is to move this profession forward, way into the future, and we are going to be the number one healthcare choice in our country.

So that is it. That is our practice happiness factor for today, and I am Dr. Julie McLaughlin. I thank ChiroSecure, and I want you to be sure to join us and tune in next week when we have another show. Same time, same station. So I’ll see you then. Bye bye.

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

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.