Empowering Women Chiropractic – Create Your Own Baby Boom in Your Practice

Welcome to ChiroSecure’s Empowering Women in Chiropractic, the Facebook Live show for successful women by successful women, proving once again, women make it happen. Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

Now join today’s host Dr. Nathalie Beauchamp as she talks impact exposure and systems. And now here is Dr. Nathalie.

Hello everyone and welcome to today’s show of Empowering Women in Chiropractic. First of all, I’d like to thank ChiroSecure for bringing this show together because I know that every time that I interview someone, I learn about so many things and I think it’s just so important that we share our passion and our expertise.

So, for today’s show, I have Dr. Jenna Davis, and we titled the name of the show, I have to read here, How to Create Your Own Baby Boom in Your Practice. So welcome Jenna to the show.

Thank you so much. I’m so happy to be here.

Great. So Jenna, you have to tell us a little bit more about this baby boom because I know it’s also the name of your website. You are a chiropractor, and if you don’t mind telling us a little bit more about how you got into chiropractic and segue in to why you have focused so much of helping children in your practice.

For sure. It’s a bit of a long, slow story of how I got into chiropractic. I always knew I wanted to go into health care of some sort or helping people of some sort. I was a gymnast when I was younger, tried lots of different things. My body did not like the wear and tear gymnastics. And when I was very young, I went and saw a chiropractor just for wellness with my parents. But then over time, that just stopped. And then I was in high school, I had stopped gymnastics due to injuries but I was in still high school gymnastics and I was in, I was the lead in the high school play. And my back would go out for about a week at a time, couple of times a year. And it did while the play was going on. And so, my director said, you have to go see my chiropractor, like this is not okay.

I tried pretty much every other modality out there and it just didn’t hold. And once I started seeing the chiropractor, that we’ll just say reignited my passion for what I didn’t know. And then investigated more, stayed under chiropractic care, went to university. Was still not 100% sure if it was chiropractic or medical of some sort and then decided, no, I think I want to be a chiropractor because I liked the lifestyle. I loved the aspect that I’m actually able to look at the whole person and general wellness. And I had more control over my life.

So I actually, for one of my summer jobs, I worked for the chiropractor that was my chiropractor in high school. So I really saw the business side and understood is this something I truly want to do? And then I decided this is what I want to do and the rest is I guess history.

History [inaudible 00:04:30] You’re in Oakville, Ontario, right?

I am.

So, how did you start, because, you know, the goal I think with this is we have segment on a marketing and so forth, but tell us more about when you started practice, when did you realize you wanted to have more kids into your practice and then what did you do to further your education? Because, you know, most chiropractors I would think see children, but we’d probably go from a range of seeing the occasional children to entire family and that I know some chiropractors are focusing a lot more on adjusting kids. So what was the progression?

Well, I ended up having, I had my daughter at the very end of chiropractic school. So, innately, that was the stage of life I was at. So, there was less fear around touching babies but I wouldn’t necessarily say I had great experience in caring for babies and children. But that was sort of my introduction in recognizing also and seeing the benefit of having my daughter under regular care for me. And I started into practice right away and realized there was one, a love I had for caring for children, but then also, really, truly seeing the issues that we have as adults and being able to trace them back to childhood injuries or childhood illnesses or even all the way back to birth.

And so, that allowed me to think, okay, if we could put the, I guess the cart before the horse and start and looking at prevention rather than putting out the fires, a huge impact could happen. As far as from an education standpoint, I’m very big on continuing education and ensuring that I maintain my level of education. So, I’ve taken lots of different courses. I did do most of the ICPA training. I didn’t do all of it because I kept having babies and then having to miss some the classes and just time went on. But I’ve been lucky enough to also speak around the world on many stages.

And the beautiful thing about that is I get exposed to so many brilliant minds in our fields and in other fields where I can actually take a lot more information from them. There’s some brilliant speakers that I saw in Australia and in the UK and in the United States and in Canada. And then I’ve been able to pull from all of those and really figure out what fits for my practice.

And that I think is a big, yeah, the biggest question I get is what course should I take. Should I take this kind of craniosacral course, should I take from this instructor or that instructor? And I said, you should take as many as you can. It’s not a matter of you have to take diplomates in all these different areas, you need to just get the information and then figure out, okay, what really fuels your fire and then dive into that deeper and do your own research and do your own education. And because when we know better, we do better. And that allows us to just serve at a much higher level.

So that brings me to the next point here that, you know, you’ve come up with your own pediatric intraoral palate specific technique. That’s a mouthful to say, right? So, tell us [inaudible 00:07:59]. Well, that’s easy enough. So tell us more about that because I’ve been in practice 24 years. I do adjust kids, I have done a little bit and I have to say when we are out of school, it’s like, oh my goodness, this little infant and so forth. So I mean, it was good to take courses but I know that you dig a lot deeper into specific issues. So I’m assuming this is you realizing from all of those different techniques coming up with something that would work for a specific condition, right?

Absolutely. So, it came to light when I actually, I’ve been seeing more and more infants, and I will say pediatrics, but for myself, my pediatrics are really two and under, is a lot of my pediatrics. And a lot of my babies that I’m seeing are the only or the first chiropractic patient of the family. So, when that started happening, that switched the language I had to use the communication, and then I also was looking at why is that happening.

The technique and the reason we came up with the pediatric intraoral palate specific technique or PIPS technique is it was just trying to come up with, okay, what are we working on? And I do a lot of work and have created strong relationships in our community with many pediatric dentists and some of the lactation consultants and even the Jack Newman Clinic in Toronto who refer a great deal of babies towards me who have suffered with tongue tie issues. Dural tension.

And so, I don’t like to just qualify it as tongue tie because there are tongue ties, if you look at them, they’re quite severe but they might be functional. It’s how much tension is there in the jaw, how much dural tension is there in this baby. What else is going on, which also will interfere with improving their latch even if they choose to get the tongue tie released.

And one of the big things was all the sphenoid work. And I was exposed to a lot of that years ago in Australia initially. But then looking at some of the craniosacral work that I’ve done, but what I’ve recognized was people talk about, okay, check the palate but they’re not relaying it back to how is that impacting the suck reflex. They’re not relaying it back to retained primitive reflexes which we are having or creating when we don’t have all of these developmental stages that we’re hitting as an infant. No one’s talking about infant TMJD. And for my US docs who for different coding, that is something a lot of insurance companies won’t necessarily allow you to say, well, sphenoid fault, that’s not a code, but TMJD is. And it is truly for a lot of these babies latch issues is infant TMJD.

The beautiful thing about the sphenoid which is the palate specific technique, the core of it, is the sphenoid has attachments to every part of the skull, the jaw and the top two vertebra of your neck. And so, when we’re working on that or checking the suck reflex, we’re looking at how the jaw’s moving, we’re helping impact reshaping the cranium, and we’re looking at what’s happening in their upper cervicals, and with the suck reflex, also we’re creating pumping of the CSF. So there’s so many things that are happening together that I now, not just with my babies but with many of my kids, my toddlers, and even some adults who suffer from migraines, doing some of this intraoral work actually has had massive change for them.

That is great. So, you know, I’m listening to you and I’m thinking, oh my goodness, I don’t know all of that stuff. So where should one start? I mean, like I said, I’ve done, I love education as well and I’ve done craniosacral work, I’ve done Dr. Turner’s work on cranium and it was such a powerful experience to even have it done. And I think that’s the other thing too, it’s kind of cool for us chiropractor to get adjusted by other practitioners and see how different a different technique is.

But going back to the kids in the evaluation, you do as gave training and seminars, right? So you do-

I do. Yeah. So I created an advanced pediatric boot camp and that’s a two and a half day training seminar. And so, it’s not just with the intraoral work, but we do a lot of training also on retained primitive reflexes because that is something that no one looks for as far as any profession. We look for if it’s there when they’re newborns, but no one checks if it’s been retained. And that also can be linked to so many things as far as behavioral challenges, bed wetting, toe walking, anxiety, even into adulthood. So, looking for those will also set you apart.

And so, I do a lot of hands on training and it’s so fun because so many of the docs actually will find, they’re like, I have a retained grasp reflex and they’re like what do I do, what do I do? So it’s actually pretty neat to find out what we also have. You can be very high functioning and still have some retained, but is that allowing us to function at our highest potential? No. So let’s look at these things.

I also cover all the neurology that goes on. We talk about exams, we talk a lot about communication, report of findings and then we also talk about marketing and how you become the referral source for your community. The biggest thing I emphasize in these courses is [inaudible 00:13:43] management. And so many of us either feel like we’re on an island or choose to be on an island. But if you are going to start working with more pediatrics, you have to be ready and willing and open to co-manage these babies and children with other practitioners. That is really the key because it takes a village.

And so, the training program I created was as a practicing chiropractor, okay, what would I want to know, so when I go into my office on Monday, I’m able to do some of these things. So a lot less theory, a lot of hands on, and then you will actually be fully certified. In the PIPS technique, at the end of it, we talk about diagnosing tongue tie, how do you recognize it? We play in each other’s mouths with gloves. And we try and make it as educational and fun as possible because really this should be fun. And it’s not, I have docs who have seen pediatrics for a long time coming. I have students coming, I have docs who have been in practice years and years and they don’t really see a lot of kids, but they’d like to.

And so, everyone can take pieces from it and whatever level you choose to use it in your practice, it’s going to be beneficial across the board.

Yeah. And I think, you know, it’s that we’re serving a lot of kids or not. I know hearing your talk, I’m thinking, wow, I could probably do even better serving the kids that I have if I know what I’m looking for because let’s face it, depending on our schooling and if we focus on it, we didn’t get that much. So, you said a co-managing with other practitioners. Being in your community, do you find that other practitioners are receptive, especially more the traditional rounds? You’ve had good reception?

Very good.

Good.

Very good because I can speak their language. So, we oftentimes as chiropractors are not referred to as chiropractors by other professionals when it comes to dural tension, tether tissue or tongue tie. We are referred to as body workers. And there’s body workers or chiropractors, it could be an osteopath in Canada, which is different than a DO in the states. It could be some massage therapist, craniosacral therapist. So there’s multiple people that might fall into that category. Body workers is a trusted term. Chiropractors is sometimes a scary term if people are unaware.

So I’ve had great, and I call myself a chiropractor, so don’t, on my card, it doesn’t say body worker. But when you explain I’m a chiropractor, so we do body work and this is how we do it. Just little changes in language allow people to go, oh, because they picture we’re going to adjust a newborn like we adjust a giant linebacker. I always say, it’s not that that would hurt the baby, it’s just actually wouldn’t work. I’ve had great response, I have huge number of referrals from pediatricians, from dentists, from lactation consultants, from family GP. So the whole gamut. They are looking for someone to refer these children to. They are looking for help for these families. And you have to be ready to co-manage and work with them to help these families because these families need help.

And the other thing working with this special population is you also have to make yourself available. A mom who is having challenges breastfeeding her baby, a newborn, can’t wait three weeks to come in and see you. So we have chunks of appointments that are specifically left open, so eats into my time, but I choose to allow that to happen for these babies to be able to be seen fairly quickly.

Well that’s great.

Yeah, and that’s something that chiropractors typically will do. A lot of the osteopaths don’t. So, that’s another piece that you just have to be ready to serve and to love them up and then it all works well.

Well that’s awesome. So, you’re in full time practice, you’re teaching [inaudible 00:18:03] seminar and that’s one thing that I like to ask older women because, you know, how old are your kids now? 14 and …

14 and 16 now.

16. And they’re both in sports like crazy I think.

Yeah, they are.

So they’re keeping you busy. So from a life balance kind of thing and I kind of don’t like to use that word balance because to me, a balance on a scale is [inaudible 00:18:23], it’s things are not moving. So, to me it’s just, I don’t really like using that word. But, how do you feel like you can do the family business aspect of your seminars and so forth and also the practice? How long have you been in practice?

16 years.

16 years. So if there’s people that are listening and they’re new in practice or just old, you know, have been longer in practice, how would you say that you’ve incorporated all of that to have a good life and design your life the way you want it?

Well, I’m not going to lie, I haven’t always done a good job. I’ve always tried but it’s, there’s different challenges at different stages. So, when my babies were little, and I’ve always been a working mom, we’ll call it that. And that works for us and that works for my family and that’s my choice.

I think the first thing I had to do to actually achieve balance was to acknowledge that there was nothing wrong with that. There’s a lot of us that have our own internal guilt of if we, let’s say we’re practicing chiropractors, we have babies and we choose to stay home with our babies, we feel a sense of guilt of whoa, but we’re not serving as a chiropractor anymore. And then there’s other people that have babies and choose to go back into full time practice and then they say, whoa, am I less of a mom because I’m choosing to practice as well. You have to all just own the fact that you are going to do what’s right for you in the moment that you’re in and that is okay.

But what I’ve learned over time and what I’ve always really tried to focus on is being present where I’m at. So, when I was able to release some of that and kind of go, okay, I am doing and loving what I am doing in practice and I’m 100% present for my practice members when I’m there with them, that’s awesome. And then I’m coming home and I will put away my phone and I’ll designate a certain amount of time, specifically I am 100% focused with my children, and that is awesome. And that fills all my buckets but also fills all of theirs.

I’m by nature an entrepreneur and when there’s not something out that I can find that I want, I make it. So, my brain does function faster than maybe some other people and that, so, if I were to not fill that piece, I also would not feel fulfilled and I would probably drive everyone crazy. So, what I’ve, I’ve learned I have to be ready to say no and that’s okay. I get asked to speak a lot. Sometimes it just doesn’t fit into my life so I have to now sometimes say no and realize that other opportunities will present themselves. The universe presents you with many opportunities to choose different pathways and you have to be okay, same, not this time, this is what’s going to be my priority now.

So, balance, I like to look at it from a week by week. And balance for me, I don’t love the word balance either because I don’t actually think it’s true because we’re in constant motion.

Movement, yeah.

But I love to try and just focus that I am giving my all in the moment I’m in and then I move onto the next moment and I’ll give it my all in that moment. And then, sometimes at the end of the week or at the end of the day I’ll really look at, okay, you know what, I recognize, I probably focused a little bit too much on this side today and not on this. So I’m going to start tomorrow fresh and I’m going to do it again. And I’ve had very open dialogue with my kids and they are allowed to tell me if they feel they need my time or they need anything from me and they know they are my top priority, but that I’m also a full time working mom and that is also really important and they’re really proud of me for that. And I’ve also given permission to my team to let me know if I’m not giving what I should there. And if I seem distracted, they’ll pull me aside and they’ll say, okay, you need a moment [inaudible 00:22:57]

Go sit in the corner.

Yeah, pretty much. They put me in the corner and they say, clear your head. Because we all have sometimes things going on that it might be really serious in our personal lives. And we try really hard not to bring it in. Your team knows you so give them the authority and the permission to call us out on it because we call them out. Creating those checks and balances has allowed me two do the best I possibly can and I think it’s going really well.

Good. Good, good, good. So thank you so much Jenna for this wisdom, this information, and I think inspiring us to get even more educated so we can serve our kids and that population. Because I mean, you know, in closing, which conditions do you see the most of and you feel that if you didn’t increase your knowledge that you would not serve the kids as well. So, you’ve mentioned a few but cranial stuff, colics. What else do you see?

Because of all the work I do and because I’m become quite known for dealing with tongue tie and latch issues, I’m seeing a lot more babies who are having trouble breastfeeding and latch. And we might think that’s not a big deal, but if they’re not sucking properly, they’re not actually creating the neurology we need them to. If they’re having tension in their jaw, it’s actually creating dural tension that could lead to loss of cervical curve or no cervical curve forming.

So, for me, that piece and really looking at either the retained reflexes and actually truly understanding the suck and how important that is has made massive change and is so important for us to do and it’s something that’s just not talked about. So we all are really good, instead of just learning different pieces, try and always close the circle and link it back to okay, what will this do if a child can’t do this, what will this do if a child can do that? Because if they’re hungry, they’re colicky. If they’re in discomfort, they’re colicky. If there’s dural tension, they’re colicky. If there’s subluxations, they’re colicky. So we have to look at why.

Yeah, as chiropractor, we always look for the cause. But I guess what we’re saying here is we should even dig deeper when it comes to our kids. So Jenna, if people want to find out more about your course or courses, I should say, how can they find you, what’s your website?

Babyboomcreations.ca.

And I have to ask, how did you come up with that name?

You know what, it came to me just because I actually have a large fertility practice as well. And so, that was creating your own baby boom. And so, creating baby boom from that side. And then also with the pediatrics because once you have this knowledge, they’re just going to come. They’re going to flock, and so that, having this knowledge and having this certainty with this understanding, you will create a baby boom to whatever level you’d like it to be.

I was just going to say, right, if the intent is there and the passion is there and the will to learn more. So, thank you so much Jenna for your wisdom. I’m actually excited that I really want to take your course because, like I said, I’ve been touching babies for 24 years and if I can do more and serve them more, sign me up for that.

Okay, sounds good. I look forward to it. Well, I mean, who doesn’t love those little squishy [inaudible 00:26:52]

And I personally love when, you know, I’ve got semi-private rooms and stuff, but I love walking around with the babies and having conversation, oh you’re just babies and so forth. I always say, this is not work, this is just pure pleasure to be able to take care of those kids. So thank you so much.

Thank you.

This was Dr. Nathalie Beauchamp for Empowering Women in Chiropractic and hopefully we all got inspired and empowered today and thanks again to ChiroSecure to put together this awesome show where we are empowering women in chiropractic to be even greater than they already are. Thank you so much.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

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Empowering Women Chiropractic – Avoid a $25,000 Mistake

Welcome to ChiroSecure’s Empowering Women in Chiropractic, the Facebook Live show for successful women by successful women, proving once again women make it happen. Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business you’ll hear it here.

Now join today’s host Dr. Julie McLaughlin as she talks learning, living, and teaching, and now here’s Dr. Julie.

Welcome to Empowering Women. We are sponsored by ChiroSecure. I would like to thank them for helping us put this whole program on and all the programs they do. They are just really, really awesome. Thank you, ChiroSecure. I can’t thank you enough.

I am Dr. Julie McLaughlin of Vital Health Protocols. I am very excited to be with you all today. I want to introduce you to my guest. Her name is Dr. Shaelyn Osborn. She’s all the way from Canada and she is a full-time chiropractor, she’s a mom, she’s an entrepreneur, a business owner of 2Inspire Women and she is going to talk to us today about how you can best hire your best employees.

Welcome, Dr. Shaelyn. I am so happy you’re here.

Thank you for inviting me. I’m so happy to be here.

Well, so tell me a little bit about how you got started with all of this.

Great question. I have been in practice for 20 years now, which is absolutely incredible to think that I’ve been in practice that long. I’ve owned the practice for 17 years. One thing that I’ve done really, really well over those 17 years of owning the practice is recruiting great, phenomenal, excellent chiropractic assistants.

The big joke is one of my CAs has been with me as long as my husband has been with me. I actually spend more time with her sometimes than I do with him.

What I do is I [inaudible 00:03:13] for longevity. When I look for team members I want somebody tat sees chiropractic as a career and sees this position as a career.

What happened was I was getting calls and emails from a lot of colleagues and they were saying, “How do you do that? How do you hire? What do you do? What are you doing that’s different?”

Last year I created an online course about how to hire your ideal chiropractic assistant. That’s where it all started from. With the intention that we want to hire paraprofessionals. We need to treat our practice like a business, like a real business.

I know for me and I don’t know about for you, Julie, but that’s one thing that was lacking in chiropractic school was teaching about business. Part of it was going to the school of hard knocks and part of it was learning from mentors but I’ve just created a really great system for hiring team members that want to stay for a career. That’s how it all got started.

Yeah. That is so, so important. I agree. I’ve been in practice for quite a few decades myself. You know, you do want these people to stay with you because you’ve put all this time and effort into training them and you don’t want somebody to be here for a year or two years and then leave.

What’s your best recommendation that the docs out there can do to be able to help them find these really great paraprofessionals?

Yeah. One of the biggest mistakes I see in hiring is that people are hiring out of desperation, not out of inspiration. What I mean by that is all of a sudden their CA gives them notice and they feel like they have two weeks to all of a sudden get somebody in that role and they don’t have the systems in place to hire somebody properly.

They’re wasting time, they’re wasting money, and they’re creating a lot of frustration and hiring just to get a warm body to fill that spot. They’re not hiring their ideal … They’re not recruiting like a CEO.

I know a lot of chiropractors, especially if they run a family wellness practice, they say, “Yeah, but I want that family feel. I want that homey feel to my practice.” Not everybody does but just that community. You can still have that but you need to hire and you need to train like a Fortune 500. That’s what I coach people to do is to hire and train like a Fortune 500.

One of my best tips in creating that certainty in hiring is knowing who you want to hire. Who is the ideal person that you want to hire? What do they look like? What are their personality traits? What are their values? What are their characteristics? What are their skills? Same as writing out your ideal patient avatar you want to write out your ideal CA avatar as well so that you know exactly who you’re looking for.

Then the other piece, part two of creating that certainty, is knowing what you’re hiring for. Julie, a front desk CA has a very different set of skills and personality than a billing CA. You want to know exactly what position you’re hiring for and you want to write that out in as much detail as possible.

Hiring the wrong person can be very, very expensive even for a small business. According to Career Builders it can cost a business anywhere between $25,000 and $50,000 in the wrong hire.

Wow.

Absolutely. That’s a lot of money in my world.

Yeah. That’s a lot of money in my world too. Yeah.

The reason being is because when you hire somebody you go through the process of hiring and then you go through the process of training and then you get to the point where you or they realize it’s not the right fit and that you did make the wrong hire or you did hire out of desperation. It decreases your other staff morale. It decreases productivity. Then you have to go through the whole process again.

By looking for that paraprofessional and knowing who and what you’re looking for you can streamline and make sure that you’re hiring right the first time.

Yeah. I love that. I love that. I know … I have a gym here in my office and we do functional medicine and we do a variety of things. We created a position agreement for each position and then that’s kind of who we try to format of who is going to have that job and not having everybody wearing every different hat and good at many things and good at nothing, right?

Absolutely. Yeah. Another tip as well for that when you have that position agreement is you want to train for that position as well but make sure that your employees or your CAs or your team they know what a successful outcome looks like.

Here is the job description but then what does success look like for you? How do they know they’re successful? People really do want to succeed but sometimes we, as the chiropractors, fail in our leadership in telling them exactly what’s expected and what success looks like.

By setting that up and creating a system where you can show them, “Here’s the job. Here’s the roles and responsibilities. Here’s what success looks like” it makes your job as the leader much, much easier.

That’s a great tip. That’s a great tip. Do you set them up? Do you teach how to do their little interviews every so often to see how their performance is doing with the employees? And just keep everybody, your whole team, on track?

Absolutely. It really, really creates a much stronger team if you have those markers or those checks along the way. Definitely in the first year you need to be doing regular reviews with your employees so that they know how you’re doing and so that nothing is left … You don’t want to show up a year later and say, “You know what? I don’t really like how you’ve been doing” but you haven’t given them any feedback or any room for improvement.

We want to set our people up for success and, again, we as the leaders, we as the CEOs, have to put those proper steps in place. Definitely setup that probationary period for a new employee, whatever that looks like in your state or in your province, and make sure that you review/check in on a regular basis.

You know, great feedback as well is sometimes they will bring new ideas and new things to you that you think, “Oh, I haven’t thought about that” or you’ll realize where you have been lacking in your training a little bit.

With training … People always say, “My staff doesn’t seem as engaged as I want them to be” or, “They’re not as involved as I want them to be”, well, in my opinion that comes down to you, the doctor, who it’s your job and your role and your responsibility to keep inspiring them and keeping them connected to the vision and the mission of your practice.

Training is not a one time thing. You want to train your CAs and, as you said exactly, do those check-ins, do those reviews on a regular basis, and then you want to keep training and keep training and keep training.

Human nature, you know as well as I do, we forget the basics. We get really, really good and then we stop doing what’s been working well. By continuing to have those check-ins and that training it just keeps your team engaged and it keeps your team evolving and progressing as well.

I love that. That’s excellent. I think it’s so important. We do our team meetings, we have a meeting every week, and then we have a big thing that we all do together every month with our team and I try to share with them some of the cases that we have that are going on that maybe are a little different.

They know all the patients so maybe someone comes in and maybe they have a little memory problem or they have something that’s kind of out of the usual and so then my team will be able to jump in and say, “Oh, let me help you with that. Let me write down that appointment for you. I’ll give you a call.” Just little things and it makes them a lot more cohesive with the patient but also they feel like they’re part of the care as well.

Absolutely. Absolutely. You know as well as I do that front desk is a make it or break it for your practice. Patients spend a lot of time and they’re really connected to that front desk person especially. You want to create that sense of community and that sense of belonging.

Then the other thing too is that really gets the team inspired when they can see where somebody started and then as you progress through their care if you don’t share that with them they don’t know some of the wins along the way or some of the miracles that happened in your office. Once they start to see that and once they start to experience that then they’re onboard for … They’re lifers I say.

Right. Yeah.

They’re a team member. We want to create paraprofessionals that are just as excited and enthusiastic about chiropractic as we are as the doctors. That’s not going to happen unless you teach them, unless you lead them, unless you share with them, and unless you bring them into what it is that you’d love to create as the lead doctor.

Yeah. Absolutely. I love it. I think that’s what makes us practice so long in our lives in this profession because we just love it and every single day when our patients come in and they’re getting better and you’re like, “Yes. Look at this one. Look at this one.”

I just had a great one right before I came on this call. I was like, “Yes!” I went and shared it with my team I’m like, “Look at this.” That excitement that we get of getting people better and seeing these really positive results and it just rubs off on everybody else it really …

When you come to your office … I took my four boards this last weekend and I was with all these students. I’m like, “You are entering the best profession in the world” and if I didn’t believe that I sure wouldn’t be taking the part four boards after this many years.

Every day when I go into my office it’s my safe place, it’s my happy place, because you get people better and to teach that to the staff and the way that you’re teaching docs to help out with the staff is just phenomenal, Shaelyn.

[crosstalk 00:14:12] important piece when you were talking about team meetings. A lot of times we’ll go into those team meetings and we’ll point out what’s wrong or what needs to be done differently or what’s not going right.

I always like to start those team meetings, and we do weekly team meetings as well, I always like to start the team meetings with what we call a magic moment. That kind of brings our focus into what went well last week? You know, whether it’s a win with a patient, whether it’s a win with a procedure, whether it’s a personal win sometimes, but what went well last week that we can share and share excitement in?

Then we can go through some of the other stuff but we don’t want it to always be, “You’re not doing this right” and, “We need to change this” and, “So and So complained.” We want to share in the good. We want to share in the good stories and raise that vibrational energy of who we are and what we do in our practice and then also in our profession as well.

That’s awesome. Awesome, awesome. If the docs want to reach out to you and get a hold of you and learn more about your training how would they contact you?

They can email me at Dr. Shaelyn … It’s D-R S-H-A-E-L-Y-N at Number 2 Inspire Women dot com. Or you can just find me on Facebook or go to the 2Inspire Women website.

I also have a free resource, a free report, and it’s 2Inspire Women forward slash Perfect Hire. You’re more than welcome to download that. If you have any questions they can always reach out and email me or message me. I’d be more than happy to help.

Oh, well, thank you. Thank you so much. These are great tips I think the docs can take and start to implement in their practice now and then they will be able to learn more from you as well. Thank you for being on Empowering Women with me today.

[crosstalk 00:16:03]. I appreciate it.

Yeah. Thank you. Next week we are having another doc from Canada, Dr. Nathalie Beauchamp. She will be hosting Empowering Women next Thursday at one o’clock Eastern time, 12 o’clock Central time. Be sure to log in and check it out.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business you’ll hear it here.

We hope you enjoyed this week’s Facebook Live event. Please like us on Facebook, comment, and share. We look forward to seeing all of you next week for another episode of Empowering Women in Chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

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Empowering Women Chiropractic – Chiropractic A Family Affair

Welcome ChiroSecure friends, thank you for joining me for today’s episode with the Foundation For Chiropractic Progress. I’m Dr. Sherry McAllister, the Executive Vice President and today’s episode is focused on chiropractic care is a family affair and before we get started I always want to think our corporate sponsors. Without them, this type of opportunity to present to the community the benefits of health care through chiropractic treatment would not be possible and ChiroSecure, we give you a very big thank you as always. Now, chiropractic is a family affair and how we’re going to promote that in June is we want to be able to reach a variety of audiences and if you look at my screen, you’ll see a variation on the theme.

So, when you’re speaking to your patients you want them to know that chiropractic ranges from young people such as backpack safety to our young, youthful, energized teenagers and our millennials looking at the hunchback, the millennial hunchback, talking to them about that. Obviously, our babies with the opioid epidemic and we’ll talk a little more about that in the upcoming slides. And then, last and certainly not least, our seniors and chiropractic care in older adults and what that really means and how we’re really addressing chiropractic care for that particular audience. Now, as we go through I am going to provide a variety of age ranges for you to be able to focus on them during June and you can pull apart any one of these pieces to utilize in your practice and the more you educate them about the age variation and why it’s a family affair the better we’re going to be.

Now, on this particular slide, you’re going to see a study that arthritis in younger adult more common than previously reported, extraordinarily unfortunate but we also know why. A lot of the times it’s related to our postural disfunction and as we know May, right now, we have a celebration of good posture and you can take some of our tool kits that we have on the f4cp.crg website and utilize them for posture. But during the month of June, I want you to really showcase that American adults age 18 to 64 are significantly experiencing more common chronic joint pain. In fact, the study published in arthritis and rheumatology estimated that more than 91 million Americans have arthritis, including, this is important for a lot of you to think about in your practice, 61 million adults aged 18 to 64.

The estimates for younger adults nearly doubled previously published national estimates of arthritis incidents. So, let’s not forget that arthritis can start happening at younger ages and we need to be able to utilize the research to showcase for our particular age groups. Now, Momtastic, this is a Webby nominated award winning site that helps today’s moms be their best with smart, practical parenting advice, inspirational ideas and so forth and this was a quote that we were participating in on Momtastic. I think it would be great for those to post on your websites. What is sciatica pain? Many people have pain that radiates down their leg and they need to be informed on what it is and especially with the American Pregnancy Association talking about the sciatic nerve. I wanted to make sure that the foundation would promote chiropractic as a safe non-pharmacological option for our mothers that are currently having sciatic pain.

So, as you can see, it’s not uncommon during pregnancy and you can just grab this put it on your website, it’s a great way to educate those mothers or mothers to be about sciatic pain. Now, just jumping back to what kinds of YouTube videos are available for your website or your newsletter or maybe you want to put them in a PowerPoint presentation. Here’s a good one, I’m not going to play it all because I know your time is very valuable and you can choose to watch at your time but I want you to see what the foundation is.

Chiropractic care is a safe and drug free pain management option.

Hi, I’m Kathryn Sundquist and I am the 2017 National Walk to Cure Arthritis Young Adult Honoree.

Now, as you watch that YouTube video, I want you to reflect on who she’s really speaking to. She’s speaking to a younger audience, a very active audience. And I think, as we start talking about our youth, we need to reflect that our youth, they have pain and they also need to have options that are non-pharmacological. In fact, as you can see, our social media posts reflect that. We want it to be chiropractic care is a family affair and that it’s not just for someone who’s in an adult situation. It’s also for our athletes and these different YouTube videos, which would be fantastic for you to use to get your audience to know more about family care. In the top, you’ll see The Wiggles. Now, if you’ve had children, you know you The Wiggles are.

The Wiggles, this particular gentleman did a fabulous, one of our best, YouTube videos and you can showcase this on your website. Talks about how he got his wiggle back. And then you’ve got pregnant mothers. They’re looking for options and if you can showcase this pregnancy and chiropractic care on your website or put it in a newsletter talking about pregnancy, I think it would be an outstanding way to educate your community. Now, back to our audience of athletes. One of the most unfortunate things that we’re showcasing is in fact that athletes are turning to pain killers and some of that is due to performance and some of that is just education. In fact, I really encourage you to ask questions to your patients as young as 10 about their pain care and over the counter medications as well as prescribed opiates.

This particular book you can get a hold of, you can put it on your website, you can have it printed at Kinko’s and put it in your office. Do yourself a favor and actually send it to a community high school and or some type of community arranged athletic program because it is real. Athletes feel obligated to perform, especially when they’re younger and they need support to know that it’s okay to say, “I’m hurt.” This may actually spearhead athletes wanting to return to play earlier when they don’t ask for help and they’re looking to the coaches, they’re looking to the parents and sometimes when we don’t have the education we make decisions that are not in the best interest of our future and these young athletes have great futures ahead of them. Unfortunately, they end up in the cycle.

In fact, approximately 275,000 injuries in our youth are happening on a yearly basis and of those neuromuscular injuries is a vast majority of them and they’ll be seeing a physician for it and unfortunately the outcome can be an opioid prescribed. Opioids are in need of educating the person taking them and one of the key aspects here is medication without education can be fatal and we need to get that across to our entire community. The cycle of misusing opioids can continue throughout the athlete into the college years. In fact, 52% of the retired NFL players said they used a prescription pain medication during their career. More startling is that 71% said they misused those drugs. And last, but very unfortunate, 15% of them are still taking them. So, if we start early and we educate them well, we’re not going to be in that chronic abuse situation of an opiate.

Opioid prescriptions are increasing in our youth and I need you to know that because if a parent comes in and they’re not even sure what an opioid is, ask them, what did your teenage son or daughter get for pain control? Ask them because they’re not going to know if it’s an opioid per se and you need to be well equipped to educate them. Adolescents aged 15 to 19 as well as young adults aged 20 to 29 nearly doubled in their prescriptions between 1994 and 2007. Sadly, back pain was the top reason for giving the prescription for both adolescent and young adults. So, we know who the pain specialists are. You’re sitting with me right now and we have to educate the population. When opioids cannot be obtained legally, the athlete may turn to fellow players and seek outside help and that’s where things can get drastically sad.

And the former National Basketball Association player Chris Herren, he battled addiction in high school and college and he needed some help then. However, he was actually continuing his drug use even through his professional career. In fact, one of the facts was that he was actually waiting outside on the first game with the Boston Celtics for his dealer so he could obtain his opiates. After several overdoses and personal turmoil, he finally completed a substance abuse treatment program and has not used opioids for more than a decade. That’s a success story but not all of them end that way. A success story is getting medically assisted treatment to help them and your office may be the only place that they’ve ever actually ever spoken about using an opioid, misusing or abusing. So, we want to be well equipped and find the resources in our community to help us help those young athletes that will need it.

And the reason why we joined the National Academy of Medicine’s Action Collaborative on Countering the U.S. Opioid Epidemic. This is a big deal and it’s a big deal because 125 organizations came together from Ivy League schools to associations and we are making a commitment with them. We’re starting conversations that have never been started before on how to collaborate together because together we’re stronger and that’s one of the key aspects that we all need to wrap our head around is being able to be stronger in that. Now, if you haven’t noticed, just before we finish up here, right behind me, better help within reach. This was a train route that is still ongoing in Sacramento, California. It was in relationship to AV8-88, non-pharmacological options for patients, and it could not be done without the generous support that we have from our members.

Each and every one of you that supports the foundation allows for national campaigns to take place and together we are changing the landscape of America, figuratively and literally, and that is why with the materials that we produce, the white papers, the infographics, the advertorials, the videos, all of these come together and it goes back into supporting the entire profession in being able to really display the benefits of chiropractic care. I want to thank you for joining me for this episode of Chiropractic Is A Family Affair and I look forward to seeing you next month on ChiroSecure’s Facebook Live. Thanks so much for joining. Have a fantastic month.

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 – Prevailing theories in autism

Now here’s today’s host, Dr Monica Buerger.

Hello everybody, and welcome to another ChiroSecure [crosstalk 00:01:00]

Now here’s today’s host, Dr. Monica Buerger.

I’m your host doctor Monica Buerger and I am beyond ecstatic today to have one of the ultimate ultimates in our profession hanging out together. I don’t even know where to start with this introduction and I’d been chomping at the bit for months on this. So Dr. Monique Andrews, also known as the infamous Dr. Mo is here with us today. Thank you so much. I know you’ve got a crazy schedule, but thanks for taking the time to hang out. I truly appreciate it.

I’m excited to be here with you today, Monica. I’m a big fan, so that’s real for me.

It’s a Mo in a Mo show. So a little bit about doctor Mo. She has an incredible record for our profession. I was so impressed reading part of your bio, and upon graduation from Palmer West, she was a recipient of the Presidents Citation of Service Award to The Chiropractic Profession. And for those of you that don’t understand, this is a lifetime achievement award that Doctor Mo was honored with upon graduation from Chiropractic College. That is phenomenal. Thank you for what, the service you’ve done that or that you earned that. That’s, that’s amazing. Doctor Mo is a chiropractor and has a master’s in neuroscience. She’s currently the chair of clinical sciences?

Basic sciences

Basic Science at Life West. She’s had two, three prestigious awards offered to her from Life West. One was in 2015 as the instructor of the year and in 2017 … 16 and 17 as administrator of the year. She has done research in neuroimmunology and behavioral, neurobiology of behavior.

The list goes on and on. She is in the last couple of years really dedicated to neural development disorders and that’s what we’re going to geek out about today. She’s on the circuit lecturing at many amazing events. One of them is autism, one that’s coming up next weekend, I believe, and one of them … Yeah, and one of them is something that’s near and dear to my heart. The kids summit. This year, it’s going to be in Sydney in September. And I’ve been privileged to be on that circuit, three out of their four events. And for me, this is something so spectacular because it is basically a fundraiser. All proceeds go to chiropractic research. So she’s going to be there in September and at New Zealand Chiropractic College for their lyceum, and the list goes on and on. But the world is blessed to have you and I’m blessed to have you on the show. So welcome.

Thank you so much from some police to be here with you today.

So let’s do this. Is there anything I need to add to that, your what you’ve accomplished in this world so far?

No, The only a addition I would make is that I went to Palmer Davenport, not Palmer West. You know we kind of get [inaudible 00:04:24] about those things. So just a Palmer Davenport.

I’m sorry.

Yeah, no, I think actions speak louder than words. So maybe we can just talk about some fun and cool things in neural development.

Absolutely. So in your experience, what are some of the roadblocks that you feel are causing some hampers and on in our kiddos with neurodevelopmental struggles?

Yeah. So we can borrow right from our chiropractic philosophy when this comes, and we think about, we go all the way back to like the three T’s. So any experience that a child has, whether it’s a physical trauma that could be internal toxins, externals toxins, maternal stress, this creates discord in neural development, right?

Absolutely.

I’m not someone who really buys into the disease model. I think that something like autism is a biological process and it is a process that maybe starts because there’s some sort of insult that the fragile new brain can’t accommodate too. And what is the definition of health but our ability to adapt to an ever changing environment. And then it’s just a matter of how do those cells respond to that? What are the antecedents and triggers that create an unsatisfactory environment for development?

And I’m totally in with you on that whole game. And I’ve lately added another T, technology. We know that that is … it’s changing neural development and brain development. So that’s just another T that we have to add to the load of …

And we have no idea what’s happening with technology yet. I think we won’t for a long time. I was reading some information the other day about what happens with the dopaminergic reward systems with technology and things like social media and that’s pretty scary actually.

It’s very scary. And we know that the dopamine factor is going to deal so much with their frontal lobe. When these individuals, kiddos go into what we call the frontal lobe flip, then you’re stuck in that limbic drive and we see a whole neural cascade, neurophysiological cascade right there. So I’m with you on that.

In your research and reading, I know you like to nerd out a lot like I do and the many others that are on the forefront of this work. What have you seen, read, heard, in regards to any specific brain regions? I think, personally, I know we used to get into certain specific brain regions, but it’s such a complex, I mean they all have to talk to each other, what’s your take on that?

Yeah. I think, you know, if we go all the way back to, as the brain starts to develop and how it develops, it goes through a series of stages, right? From neurogenesis, migration, maturation, differentiation, etc. Two of these processes are significantly disrupted, it appears, when the brain becomes really inflamed. And I think probably the prevailing theory in autism right now is that what happens with the developmental dysfunction is a response to inflammation in the brain.

And so if I can just briefly summarize for our viewers, what we think is happening is that when there’s some sort of insult, whether that be a physical insult, an emotional insult, a toxic insult, as we’ve been saying, technological insult, what happens is neurons get really excited. And when neurons get really excited, they produce a lot of the excitatory neurotransmitter glutamate and not enough of the inhibitory neurotransmitter, which is GABA, and those are the two main excitatory and inhibitory neurotransmitters in the brain.

And what happens when that happens is that microglia get overwhelmed and they can’t do their job. Now two really important things that glial cells do, one is migration. And what we see with autistic kids is a massive problem with migration, right? So when neurons are born, they don’t just magically show up in the areas they’re supposed to, they have to migrate. And this is propagated via a radial glial cells. So what we see with autism is that cells don’t migrate properly. And we have areas that are close together that there’s a lot of agitation, but they don’t get too distant areas. And if we have time today, we can talk a little about polyvagal theory in how the [crosstalk 00:08:56] to the reward center.

So that’s one problem is migration. And that they do see that in the brains of autistics, that migration is a massive problem. And the other stage of development that gets severely disrupted with autistics is a synaptic pruning and apoptosis. So in actuality, we’re born with way many more … Or our brain develops originally with way many more neurons than we ultimately end up keeping. And somewhere between 40 to 75 get actually killed off as a normal process. In autistics, it looks like that’s not happening. And sometimes you see that’s why their brains are actually bigger. It goes to show that size doesn’t matter, right, because they have massive dysfunction.

Exactly. And those microglia, what’s so interesting is the microglia are responsible as part of our immune cells of the CNS and responsible for the pruning. So those microglia are extremely important in this concept.

Yeah. The microglia, those are the stars of the show right now. And microglia sort of act like … They’re probably the primary immune cell in the brain. It’s funny because until a year ago we pretended like the brain didn’t have any immune system, but they work a lot like macrophages. And so their job is to scavenge and take cells away. And when they’re under-functioning, then we just get an overproduction of neurons that are disconnected. WEll that creates a very disconnected individual, right?

Absolutely. Have you seen the one study where they looked the microglia in the cerebellum with autistic kids?

Well, I’m not sure which study you’re talking about, but the two areas that they’ve been mainly focused on where they see the mass of disruption, are cerebral cortex and cerebellum. And that’s where most of the work that I’ve seen.

Go ahead. Sorry for that interruption. But it’s fascinating to see. I did this lecture for some docs I mentor yesterday, but talked basically about everything that you’re talking about, but we look at the cerebellum putting the brakes on the frontal cortex. If both of those are skewed and the purkinje fibers in the cerebellum are responsible for the GABA production.

Exactly.

And so we know some things that specifically target those purkinje fibers, like gluten and aluminum. So this lends itself to exactly the lecture that I had just the other day.

Yeah. Like you can’t quiet the brain, right?

Exactly.

And so when we have so much of this glutamate, it’s really, it’s like there’s a storm that’s happening and then what happens is we’re not able to connect those regions that are supposed to be connected. And so this migratory problem that shows up, originally, they believed that migration stopped at birth. And now what they know is that migration actually continues for about two years. So it’s that time that’s so critical, right? For there to not be any toxicological insult, as little traumas possible, and we know that there are external factors that often get injected or otherwise that can create dysfunction in the developing brain.

Absolutely. So on that note, is there a little pearl that you give to your students? I know your students absolutely adore you and you’re like the go-to for many things, especially at Life West, a pearl that you would give them for those first couple of years of life to look at, to a red flag. Anything for docs out there that are working in the peds population?

Yeah, I think it’s really important, actually, to get adequate training. And to not shy away from working with really challenged kids, but also to know what your limitations are. And there’s some people out there running great programs and to learn, maybe get certified through different programs and make sure that if you’re gonna work with challenged populations that you’ve done the training to be able to do that. And I’m a big proponent of Chiropractic, but it’s also not the only thing these kids need.

Yeah. Cause there’s so many things we do have to consider these days. And that’s great advice because we’re seeing, those of us in the trenches and in practice, we’re seeing those little fiddle parts come in at a much a higher level of toxicity with a lot more neurodevelopmental challenges. I think being able to pick out some of those red flags and saying, “Okay, is that within my [inaudible 00:13:33] that I feel comfortable working with or do I need to work with somebody else?” So thank you for that. Because I think that’s really part of my mission, is educating people to feel comfortable, or it’s okay if you don’t. But to recognize that and work with somebody that does feel comfortable to follow up on what might be going on.

Yeah. And to create great interprofessional networks. When you look at the detox problem that we have a lot of with a lot of autistic kids. I mean a lot of this is regulated … it’s not like if something … we’re not going to get into a conversation with about vaccines obviously, but if vaccines caused autism, than every kid that had it would have autism. And there are many other triggers and antecedents that go together that, you know, create that confluence of neurodevelopmental dysfunction. And so, you know, what are the other issues that are involved there? And detox, a diminished detox capacity is massive in these kids.

It’s huge. With your background in basically the neurobiology of emotion, of fear, because I love this area and I like looking at pre- preconception care, because the health of the mom and dad, the parents, is so critical, especially the health of the mom prior to pregnancy and especially during pregnancy. Do you have a pearl of wisdom there in regards to … I’m just shooting this out your way, but I want to pick your brain.

Yeah. And so I think that the most critical thing we can arm people with his knowledge. And we now have research looking at the impact of maternal stress on fetal neurological development. So you look at something, I read a study a while ago that they did FMRI in utero, and looking at neonatal migration patterns, and that moms that have high level of stress actually show, they’re like three to four times as likely to birth autistic, ultimately autistic children, which is incredible.

And so you can see very early on the impact. There’s a Canadian psychiatrist that I love reading his name, his [Gavermate, 00:15:44], and he talks about how in psychiatry they talk about mental illness and mental disease and he’s like, it’s not really a disease, it ends up becoming a biological fact of life for these kids. But it starts predominantly from stress and emotional trauma that happens to children. That can happen in the womb that can happen postnatal, also. But if you have a very stressed out mom or dad or that’s the environment, even like you said, preconception, it’s gonna have an incredible impact on what’s happening in those people’s brains and those people’s bodies. And yeah, we can’t negate the impact of maternal and paternal biology on ultimate neural development.

You do a lot with mindfulness and chiropractic. So give me your take on that as far as some tips that maybe you can give patients. Because I think it’s really important that we try to help moms, especially during pregnancy, be as mindful as possible, to bring that stress load down. What do you got there?

So here’s the deal, and that is, we believe what we think. This is a fatal error. Maybe not fatal, but it leads to a lot of suffering. And thoughts, we have this running narrative that’s happening in our brain all the time. And I think probably the most critical thing that we can teach people is you can … Believing what you think is optional, and if you can train people to be mindful, and there’s programs now, I’m actually working on developing a program of mindfulness that people can do to create a more mindful life. But if you can allow people the opportunity to understand that feelings that they have, these are things that we can attend to or not and that we can change our relationship with them just by being aware of it. But that takes focused, intense practice.

It’s something, though, that we can do with as little as 10 minutes a day and really is a shift. I think like anything, if you make recommendations to patients, and this is good for any doctor or student, we have to make it accessible. So give them some tools. If you’re going to say, “Go meditate every day.” Well that’s great. That sounds like a really hard thing for most people to do. They think that means they have to sit in the corner and try and levitate, not thinking about anything. That’s not what meditation is. But Insight Timer is a great app, a free app that’s out there that has guided meditations, and just, you know, give them a basic guidelines. Start with five to 10 minutes a day, and then just be mindful of things that come and go. And I’m just really focused on the fact or the idea that we’re not tied to our thoughts. We don’t have to believe them. So you can really cherry pick. This is a happy thought. This makes me feel good. I’m going to take that. This is not good and I’m just going to leave that because I don’t have to buy into it.

Absolutely. That was beautiful, by the way. Beautiful. And I love the way you said our thoughts can be optional. That’s a good one. That we have that choice and that it’s optional. Beautiful, beautiful.

What’s cool about meditation, and this is, I talk about this when because I do a whole consciousness and chiropractic talk, is those same areas that they have now shown that are activated with meditation are the same ones that we’re showing impact with chiropractic.

Absolutely

Are we changing consciousness with chiropractic? Sure. Why not?

Absolutely. Absolutely. And that leads us to the prefrontal cortex. And what we do see, what the research is validating for us, is that we have an effect on that prefrontal cortex. And we’ve got a few out there, too, in regards to the cerebellum and I like to call it the three ring circus, the cerebellum, the frontal lobe and the limbic system. I love the three brains and they all, they all do tie together, especially in the paradigm with our neural development. Our sensory kiddos are, our autistic Kiddos. So give me your go on that one.

Yeah, I think that with Chiropractic, we are impacting the prefrontal cortex. We can do something like, I like to call it the amygdala hijack, where … Because really the amygdala creates that emotional awareness, emotional response. Then if we can use our thoughts to actually dampen that out, right? So if we are upregulating the prefrontal cortex with chiropractic adjustment and meditation and those other things, then we can, again, mindfully suppress what’s happening with the amygdala, if we’re trained to do so. But what does that look like in the neuro developmentally challenged brain? So Stephen Porges, if we just can to take a couple of minutes to talk about polyvagal theory, the polyvagal theory book, which is a very dense volume to try and read. But if you can get through it, there’s some great pearls in there. There’s a whole chapter on autism.

And so he developed this idea that the autonomic nervous system is not just sympathetic comparison with that, but there’s a third branch, which is the social engagement system. And the social engagement system, this part of the vagous nerve enervates face, eyes, ears, heart and lungs, right? And so he says it’s hierarchical and that we actually start with social engagement. But we know that you know autistic kids, for example, that they have problems with flat affect, with sensitivity to sound, with not wanting to make eye contact, and the idea there is that maybe they have really low vagal tone and that they can’t get that social engagement system up and firing to the level that most of the rest of us do. And it’s why that we don’t want … We don’t even want to try to engage using our social engagement system with these kids, because we need to try and meet them where they’re at. Exactly. They had their social engagement system is not functioning so we can’t try and approach them that way.

Right, right. And I always say, I like to say a person’s behavior, especially a child’s behavior, that outward behavior, is essentially a window into their neurological integrity. What are they telling you by the way they express themselves? And so that when that frontal lobe is offlined, they can’t do that social engagement. They are in what I call limbic lock and load mode and they’re hightailing it for the hills. So on that note, working with the students at college, what are some pearls you give them in regards to chiropractic and getting these different areas of the brain online?

Yes. So number one, highlight the research. I mean the [inaudible 00:22:36] research is incredible and all the time they’re always like, “What’s the latest stuff?” And we actually have a chiropractic science working group I work with a group of students every week and we talk about the latest research. And the other thing is that you have to know your anatomy and physiology. So for example, we’re just talking about polyvagal theory and there’ve been a lot of studies. They’ve been using vagal stimulation in the medical community for about 20 years, right?

Yep.

To treat things like depression, intractable epilepsy, with quite a lot of success. These to do that very invasively, like they actually implanted and vagal stimulator. Well now they do transcutaneous stimulation, [inaudible 00:23:14], also here. So in teaching them the anatomy and physiology, if you actually look at the course of where the vagous nerve runs, it leaves that juggler foramen inside the carotid sheath.

So now we have chiropractic studies that show that if you put pressure on the carotid sheath, you actually disrupt internal jugular blood flow. Now, well if the vagous nerve is in there, too, isn’t it possible that with subluxation, you’re interrupting vagal nerve, right? So if you look at the core, so it goes through that carotid sheath, but if you pull up, you know, Gray’s Anatomy and look at where is the vegous nerve, it literally runs right in front of the TP of atlas. Or if were subluxated, is it going to impact function? Do we have that data clearly elucidated yet? No. Can we make some extrapolations? Yeah. I’m the queen of extrapolation. I’m making that extrapolation. If you’re subluxated, you’re probably interrupting vagal tone. And iv vagal tone is disrupted, this leads to some of the symptoms that we see in autistics.

Absolutely, absolutely. And that heart rate variability is one of the measures we use in our profession. And we know that that really develops that in the second trimester, third trimester in utero. And without having good vagal tone, we’re going to be brought into this world already compromised. So even pregnancy care is, in my book, is extremely important.

Oh, absolutely. I don’t know why [inaudible 00:24:45] David Fletcher and Amy Hoss are doing amazing work with heart rate variability, but that also has been some … There’s thousands of articles and the medical community has already accepted heart rate variability. We should be jumping full … I mean there should be HRV in every chiropractic office. This is our way to show the impact that we’re having on autonomic nervous system. It’s way sexier conversation then okay, your back pain is getting better. For sure.

Yeah. You’re speaking my … Because what we really need to do is I think we need to be on the forefront of this whole wellness paradigm. We have … I’m preaching to the choir, I know, but to those of you out there listening, we have, we have the clinical findings. We see this in our offices every day. But let’s put the pieces together. Bring the research from other paradigms, connect the dots like you do, like I do, like others do, and start talking in that matter to the public and raising the awareness of exactly what we do. Brain-based chiropractic, essentially.

Yes, and for me that’s redundant, right? Because that’s the story I love to tell and it’s the story that I tell students to focus on. I teach a number of different classes here on campus, but one of them is patient education, which is the class in communication. I said, “Look, if you, if we really are doctors of the nervous system, then focus there.” We now know through some incredible research that when you adjust somebody, you’re impacting brain function. Well, what controls the body? What controls every cell, organ and tissue? Your brain. And you ask anybody that and almost anybody will know it. And now we know that when you adjust somebody, you’re impacting the brain. So let, let’s focus there. And maybe less on the back and neck pain and more on optimizing this vast richness that we call life.

Absolutely. Absolutely. That’s what we need. That’s why you’re being spread so thin because you’re amazing at the way you do articulate this and the way you communicate it, but really everybody needs to hear your message and the way you communicate it. So last minute pearl or two that you want to throw out to the world? I know there’s a lot.

Yeah, I think there’s a lot of tendency in chiropractic to try and want to run in a lot of different directions. I think there’s different roles for lots of us and I think one of the most important things that we can do is find out what’s our individual truth, what’s our authentic truth as a practitioner, as a chiropractor, as a clinician, and follow that. There’s this great quote that, of course, the exact quotes escaping my mind right now, but the idea that a flower doesn’t look to the flowers next to it to bloom, it just blooms perfectly by itself. And I think if practitioners could just start on this journey with the idea that you don’t graduate from chiropractic school as a master. And in fact this is a process that you continue throughout life and that we need to continue to learn and grow and find mentors and do everything we can to offer this, I think, sacred service that we have as chiropractors. That it can do so much and to not limit it to musculoskeletal complaints.

Oh, beautiful. Beautiful. Can you tell us a little bit, you and your partner and you’re good friend. The names I can’t get, but you guys are starting a retreat?

Retreat in Costa Rica. So my wife, Dr. Tamir [Macintire 00:28:12] and doctor Lauren Koedyk from Nikau chiropractic. She’s done a number of retreats and so we’re doing a collaboration with her to do a women’s only, sort of empowerment retreat coming up in Costa Rica in June. And the idea is really to lift women up.

The idea that greatness comes from service and that the greatest gift that you can give is the gift of service. And if we can find a way to lift women up and to just provide an opportunity for them to learn things like meditation, to learn different things, different tools that they can use to apply to become stronger in their own power. That’s the purpose of the retreat. And this is something that Dr. Lauren Koedyk does. She does women’s adjusting seminars. And really, that’s one piece of what she does, but something else she does is really gives the women this gift of personal empowerment. And that’s really the focus of our retreat.

And this is open to chiropractors?

Open to chiropractors.

Okay. And they can find information about this where?

If they go to nikauchiropractic.com/retreats.

Yeah. And your website is drmoniqueandrews.com?

Yup.

And they can also find you through Life West? Or that website’s the best place for them to get ahold of you?

Yeah, my website, which is drmoniqueandrews.com, is the easiest way to get in touch with me.

Awesome. And if people want to hear you speak, they can contact you through that website as well?

Yeah. All my events are listed on there. Yeah.

Awesome. Awesome. Well good. I know you, we could be here for hours, but I appreciate you taking the time. I know you had to rearrange your schedule for this, but it was so well worth it. And the knowledge you have to share and, and you know what? The heart you have to share. It’s amazing when you combine knowledge with heart and what can happen.

I taught that class the other day and like I got back last week from somewhere with a group of amazing doctors and, and I saw this quote and I think this is so pertinent and it reminds me of you, actually. Singly, we can make a difference, but together we can make change. And I just had to throw that in now because you’ve got that heart and you’ve got that wanting to make the change and that’s very unique.

Ah, thanks so much Monica.

Thanks for hanging out. Well we’ll have to do this again. How about about apart two sometime?

Yeah.

It sound like a deal?

Sounds great.

Awesome. And for all of you out there, thanks for joining in. The first Thursday of June, we have a special guest, Dr. Eric [inaudible 00:31:05], I think. I hope we got that name right. And next Thursday, Dr. Nicole Lindsey has an amazing show empowering women. So make sure you join in. And I want to thank ChiroSecure for everything they have put forth for us to bring these special shows, to bring you the information, bring you cutting-edge things. Monique Andrews is on the leading edge in our profession, and to have her and other guests like her available to you, the public, is really something unique and I want to thank ChiroSecure for that. So until next month, I’m signing out and you guys go keep changing lives and changing the future.

Today’s pediatrics show, Look to the Children, was brought to your by ChiroSecure and the winning book series I am a Loveable 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 – Success is a Necessary Part

Welcome to ChiroSecure’s Empowering Women In Chiropractic, the Facebook Live Show for successful women by successful women, proving once again women make it happen. Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

Now, join today’s host, Dr. Nicole Lindsey, as she talks overhead, debt, and creating other sources of income. Now, here’s Dr. Nicole.

Hi, welcome to this week’s episode of Empowering Women In Chiropractic on ChiroSecure’s Facebook Live Show. I’m Dr. Nicole Lindsey, your host, where I help bridge gaps between chiropractors and medical doctors and help you build that stream of marketing in your practice. If you have any questions about building that stream of marketing, don’t hesitate to reach out to me.

Today, I have a very special guest. She’s a chiropractor, she’s a business coach teaching marketing strategies, sales, mindset, money mindset, helping startup chiropractors. She also runs The Black Diamond Club with her husband, Dr. Shawn Dill. She’s a speaker, she’s an author. Just launched her book, None of Your Business: A Winning Approach to Turn Service Providers into Entrepreneurs. She is here with us today. Dr. Lacey Book. Welcome.

Thank you for having me on. I’m excited to be here.

Excellent. Well, I love this topic. We’re going to jump right in. It happens to be the topic of your book, and I think this is such an important topic for chiropractors.

Yeah, absolutely. It’s been a wild ride and such a blessing being able to work with chiropractors throughout the majority of my career and seeing a lot of the, I guess, struggles and things that they deal with that you feel like it’s so unique and you wonder why you’re going through it, but in reality they are pain points and issues for a lot of chiropractors because we do love chiropractic and we don’t necessarily love being an entrepreneur, right?

Yeah, for sure, for sure. This show, we have a wide spectrum of listeners. We have chiropractic students, we have new grads, we have chiros that are seasoned. We have CAs, so I think in preparing for this topic I thought, “You know what? I think we should really define being a business owner versus an entrepreneur”, and that way we can help them understand what that really means to be an entrepreneur, which you’re so good at, like I said after reading your bio. What is the difference in your opinion?

That’s a really great question. I think that there’s a couple of fundamental differences between the two. A business owner is really somebody that shows up, runs the day-to-day business, and I would say is comfortable where they’re at, right? They’re comfortable with doing things that have always worked with them, they’re comfortable running the business that maybe they learned from somebody in the past or the way that they purchased it. They’re not necessarily in a space where they want to… not evolve, but create new strategies in order to shift things around.

Entrepreneurship is a very interesting thing. It’s difficult because it is such a big term and it’s thrown around a lot these days, but entrepreneurship really I believe encompasses a huge desire to constantly evolve your business, find different ways to market, to sell, to grow, where you’re not… an entrepreneur is not necessarily always happy with where they’re at. They’re constantly trying to stay ahead of the game, figure out new strategies, and then, of course, take their business to a whole nother level. I would say that entrepreneurs are looking for something more than where they’re currently at in the very moment they’re in it, if that makes sense.

Yeah, that really helps a lot, and I think that… I looked it up on dictionary.com, and one of the things that the definition said, everything you said, it said, “A person who organizes and manages any enterprise, usually with considerable initiative and risk”, so taking risks was also part of being an entrepreneur, whereas business owners tend to be very calculated and kind of hold steady with where they’re at.

Exactly, and I love that you brought that up because that’s definitely something I see in very successful entrepreneurs. Two very prominent characteristics that they have is, number one, their ability to jump into something, even if it is risky. They’re always willing to take risks if potentially it could bring them more anything into their business, more human capital, more financial gain, more growth, and then the other thing is that they are extremely decisive. I’ve noticed that when you… A business owner, because they are used to the way of doing things, they don’t have to make a lot of out types of decisions, so [crosstalk 00:06:37]-

A lot.

What’s that?

They sit on it for a while. They camp.

They sit on it for a while. Like you said, they’re calculated, and I’m sure that you’ve met people like that. I’m not saying that that’s a bad quality to have. There’s oftentimes where because I’m an entrepreneur and a visionary, I need to go to people like that to make sure I’m making a decision that is sound. Entrepreneurs, they’re extremely decisive and they decide things in an instant, right?

Yeah, yeah. I heard this once many, many years ago and it really stuck with me and it was a female chiropractor, actually. I think it was a coaching program I did and she said, “Your decision to not make a decision is your decision”, and that was powerful. I use that a lot, so every time I’m struggling with something, I think, “This is why I am struggling because I’m not making a decision and just make a decision and roll with it, whatever consequences are”, you know?

I love that. One of my biggest mantras that I’ve always lived by is done is better than perfect, and I think so many people sit on the sidelines, even when they’re making decisions for their business, when they’re putting out social media content, when they’re going into a meeting, where they want it to be so perfectly done that sometimes it doesn’t get done. It’s that decisiveness. Done is better than perfect. I’m going to do it, I’m going to get it done, and I’m going to move on, right?

Yeah. Now, is that something entrepreneurship… is this something that can be learned? If we have chiros listening right now, they’ve been practicing for five years and they’re like, “I am the business owner but I want to be the entrepreneur”, can they learn this?

Absolutely. I believe that it can be learned, but I think it starts with a desire because not everybody has the desire to live the entrepreneurial lifestyle because it is risky and it does require a lot of energetic output and sacrifice and some compromise in certain areas of your life. Number one, you first have to full step into it and desire it and want it, and then you can learn it. It has to start there, otherwise, it doesn’t feel good when you’re in that space.

Right. Yeah, so if we take… if we dissect a business and we look at sales, marketing, just those two pieces right there, and we look at somebody that says, “I do want to become more of an entrepreneur when it comes to marketing”, what would be a good way for them to step into that role if they have that desire?

I think when it comes to chiropractic specifically and we’re looking at the profession as a whole and business owners owning chiropractic practices, a lot of those businesses are built on internal referrals or ways of marketing like screening things that they are just used to doing.

The first thing I would say is do something that makes you really uncomfortable, right? If you’re like, “I want to be an entrepreneur, I want to change the way that my business is currently being run, I want to grow in ways I haven’t before”, that means that you’ve got to do something drastically different. I would say go out there and find a marketing strategy that you’ve looked at in the past that made you extremely uncomfortable to do, and if it’s a program, purchase it. If it’s connecting or joining a group, do it. That’s what I would say because everybody’s unique in their area, who they love to serve, and who they want to bring in their office, but you’ve got to find something that kind of makes you go, “I don’t know if that’s for me.” It’s not for the business owner you, but it could be for the entrepreneurial you.

There’s that taking risk thing that we were just [crosstalk 00:10:16]-

Exactly.

Talking about, so yeah, yeah. That’s my story. That’s how I started getting into MD Marketing was long story short, dot com bubble and it was, “Where do we get new patients? What’s going to sustain my business for years to come?” That’s where I thought outside of the box. MD, that’s where a lot of our patients are going. What if we educate MDs and let them know that we’re here? That we’re an option? That’s where all of that started.

I love that you’re doing that because I think that since we’re on the subject, it is something that makes a lot of chiropractors uncomfortable in their business. Going out there and essentially networking or conversing or connecting with other professions that maybe for a very long time you didn’t see as complementary or a profession that maybe you didn’t see how you could collaborate. That’s a very outside-of-the-box way of thinking when it comes to getting a new marketing or distribution channel to funnel people to you. A program like yours, that’s fantastic. That would make a lot of people uncomfortable, but maybe exactly what they need to start being the entrepreneur that they desire to be.

Yes, exactly. Not only that, I see building your credibility, building that in your community, also our profession, what that can potentially do for our profession as far as building us all as an entrepreneur as a profession. Just building that credibility.

We talk a lot about… in The Black Diamond Club becoming the trusted advisor, and oftentimes when we say that, people think, “Oh, that means just to my patients. That I should be the trusted advisor, the individual that my patients come to to ask, ‘Where should I go to do this?’ Or ask my opinion.” You’re right, it’s not just within the four walls and confines of your practice, it’s becoming the trusted advisor in your community. How can you begin to connect with other individuals that you haven’t in the past and show them what this thing chiropractic is all about? That is what builds trust and credibility and can actually help this thing chiropractic grow and scale and take its rightful place on the planet. That’s exactly… I love that concept.

Yes, we are very much in alignment. That’s awesome. I love that. Now, I know why entrepreneurship is important. I consider myself one, and I love that part of what we can do and be as a chiropractor, but for our listeners, why is that so important for chiropractors to embrace being an entrepreneur?

If I’m talking from my chiropractic heart, I would say that chiropractors… I know every chiropractor listening out there, the reason that we do this is because we really want to change people’s lives, and there’s something ingrained in that about the idea of you leaving a legacy on the planet by providing this service. The interesting thing is is, yes, you can create a legacy by the people’s lives that you touch now, but what happens when you’re no longer around? I have found, and it makes me so sad, because I found that there’s a lot of people that have gone through their chiropractic profession where they’re just being the business owner, which means them in an office, running the way that they always have, not embracing the entrepreneurial spirit. That means when they go away, the legacy does, too.

If you don’t have this desire to figure out how to the legacy live on, all of the stuff that you worked for, then it will go away when you pass on. It will go away when you retire, so part of the entrepreneurial mindset and spirit is figuring out, “How can I create a business that lasts far beyond me?” I know that chiropractors want that so bad, but you have to step into thinking differently, doing things differently, strategizing differently, so that the business can live on and people’s lives can continue to be touched and changed because of all the work that you have done today.

I think that’s why, from a chiropractic passion like I love chiropractic standpoint, it’s really about becoming an entrepreneur so that your legacy can continue to live on.

I love the way you put that, because it is not just about you or I, either. It’s about our profession, so if we don’t want this profession to die, we have to think like an entrepreneur. That was very eloquently put and I like that. That’s an awesome… When you think of just being an entrepreneur, you think… oh, well, at least I’ve always thought in the past, “Well, they just think I’m a savvy businessperson and all I care about is just building an empire or building this big practice”, but it’s not. It’s more than that. It’s what you said, and if we all thought that way, it would really take our profession to another level.

Absolutely. Everything that both my husband and I do, every day that I wake up, I know why I’m doing it and it’s not… you’re right, it’s not just to build an empire, it’s to build an empire because I have a desire for every man, woman, and child on the planet to, if they so desire, have the ability to get checked for Ver2 subluxation. That’s why I do what I do. That’s what this whole mission is about, but I couldn’t do that if I was just being a business owner for my business only. I wouldn’t be able to strive to reach that impact that I want. It is so much more than being a savvy individual. It’s, “Why am I trying to be that way?” It’s because of the mission that’s driving me to do that, right?

Yes, yes, and I know we could go on for hours about this topic. There’s a whole nother section that we didn’t even touch on yet-

I know.

Mindset, the mindset behind making entrepreneurship work. There’s the why and then there’s the how. What can you give us about in a short synopsis on mindset?

I’ve been coaching for a while now and I work with a lot of individuals, all walks of life, right? They all essentially have the same fundamental issues and it centers around mindset. You can look at your ability to have an influx of new patients to how much money you’re charging to how much money you’re making to the connections that you have in your community. It all centers to honestly what your mindset around it is like. One of the fundamental things we talk is all business problems are personal problems in disguise, and that doesn’t mean just like your personal relationships, that means what’s going on inside your head.

I would say whenever you’re having a major business issue, you’re hitting a wall, you’re becoming stagnant, first, before you even assess what’s happening in the business, assess what’s happening in here. If you can start to look at that and make shifts and changes, figure out systems, mechanisms, workbooks you can read, people you can talk to, that will drastically change the success and the issues that are going on in your business without having to put a lot of effort into that. You put it into here.

Fix your head, you can fix a lot of things.

Pretty much everything.

Yes, and there’s a lot to that. I don’t mean to minimize that no way, but you’re absolutely right. Mindset is everything, and as chiropractors, we know it all starts in the brain.

Thank you so much for sharing some really do-level stuff for our listeners and sharing your passion and everything that you did today. I really appreciate it.

I appreciate you. Thank you so much for having me on.

Don’t forget to tune in next week to our next show of Empowering Women in Chiropractic. Thank you for watching.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

We hope you enjoyed this week’s Facebook Live event. Please like us on Facebook. Comment and share. We look forward to seeing all of you next week for another episode of Empowering Women in Chiropractic. Now, go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day.

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