Empowering Women in Chiropractic – Building a Milestone Family and Pediatric Practice – Dr. Buerger

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

Hello

Thursday. Um, third Thursday in February. I am your host today for the amazing look to the children’s show, um, by a ChiroSecure. So I’m Dr. Monika Buerger, and we’re going to have a little fun today. What I want to do is first of all, I want to thank our secure for always giving us an amazing experience, um, and always having the backs of chiropractors, um, around this amazing country. So thank you ChiroSecure for giving this opportunity to share our story and our information on, um, these little fiddle farts for this show. So today I want to kind of go over how to help you build a milestone, awesome family and pediatric practice. And what I mean by that is really how to foster building generations of, um, family members into your practice and what, what are some simple things we can do from the get-go when you first evaluate that little baby in your office?

A lot of questions I get is okay. I’ve educated my patients on the power and, um, of chiropractic the amazing power chiropractic has they, I see them through their pregnancy. They bring that little fiddle fart into me when they’re first born, um, for their initial well-check. And then how do I educate them? How do I, um, get them to understand that the importance of monitoring that little fiddle fart on a wellness type basis? So let’s cover some of that and then maybe let me give you some, um, other milestone tips as we go. So, first of all, I had to add this to my slides today. Um, so this is what happens when you work with little fiddle parts in your practice. A lot of my practice is dealing with those that have neural developmental challenges and neural developmental delays. Um, so they come initially start care.

They’re non-verbal, they don’t engage in social skills. They don’t have interest in coloring, drawing, things like that. So this happened yesterday in my office, this is a little fiddle fart I’ve been working with, uh, that was at that lower level of function. And now his gained interest in coloring and drawing, which is huge, which actually ties into our topic today of milestones. Um, so he wanted to draw a picture of me. And so this is a picture of me. And the first thing that everybody says is, what do you think? They nailed my hair. He nailed what my hair looks like. So yes, I looked like a peacocks on the times, but, um, this is the fun you can have in your practice when these little ones start coming. Um, and you get to experience these things. So yes, this is a picture of me.

And so I had to take a picture of his picture, which I will keep in my memory bank forever, probably. So again, this is some fun you could have. I just wanted to share that because the hair is definitely spot on. So let’s look at some, I just want to go through four typical milestone patterns that we want to, um, be mindful of. So what’s happening is, um, some really great, amazing things in the chiropractic profession is that a lot of people are looking to chiropractors as their family care, um, physician as their portal of entry. So a lot of families are bringing their little fiddle parts to us, and that’s an endearing term that I use, um, has as their wellness provider, as their main provider with that though comes the responsibility of knowing, um, if that child is progressing on track or if maybe there are maybe some developmental concerns that we want to be mindful of.

So milestones are, um, some things we should be, we should know. And I want to remind you that the milestones you have fine and gross motor skill milestones, as well as social engagement and language milestones. So it’s not just gross motor milestones that we should be mindful of, but that’s what we’re going to kind of hammer today. And I’m just going to go through four key ones. There’s more than that. Um, so one of the ways that I used to explain to my parents when they first bring little baby baby’s born, they bring them to you. They want you to check them after the birthing process. Awesome. Okay. But how do we foster care from there? And how do we explain the importance of that? Well, this is one of the things that I use and I put Elizabeth right there. She’s sitting up for me.

So what I, what I do is I use this marionette puppet kind of graphic or image for them when we have, so the first part of this little show today, what I want to do is to give you some tips of how to communicate with parents. And then we’ll double back and talk about some things that we should know as practitioners. Okay. So what I’ll do with parents is I’ll bring my spine in and I’ll show, you know, that like a marionette puppet, if we have subtle, um, what we call misalignments or subluxations of the spine, where the spine is suddenly a skew, a vertebra, too. What it does is it pulls this abnormal tension, like a marionette puppet on the muscles attendance. And so you might have one side that’s tighter than the other, but what can happen is, as I say, mom or dad, have you ever like had a sore muscle or you, you know, you pulled your muscle and you, when you move a certain way, it’s like, ah, that’s kind of tender that hurts.

So you avoid moving in that pattern, that direction, um, or it just prohibits you from moving that way at all. Well, you’re a little one can have the same type of thing going on. If they have these subtle misalignments in the spine, it may put tension in places where they either cannot get into these positions or they’re uncomfortable. And so they’re going to avoid getting these positions. So what’s the big deal. The thing is these movement positions, what we call movement milestones are significant for actually building exercising areas of their brain. So communication between the body and the brain and the brain to the body. And this is so critical for laying the foundation of neurodevelopment for you, a little one, and these foundations are going to be needed for later on learning attention and behavior. Now, initially I don’t get too much into the neurology behind all this because I don’t want to overwhelm them.

I just want to give them some basics. So we use this marionette puppet. You know, if you’re pulling on one string, you’re pulling on one area, but the other side of the body might not. Um, it had more, it might have more Slack and this becomes an imbalance of the body in balance of the body equals imbalance of the brain. So, so what I will do is I’m going to go to this side right here. So then what I will show them is so every time I move my neck or head or arm on my left side, I am building up and exercising the right side of my brain. And when I move my right side, I’m in exercising the left side of my brain or building that up. So optimally, we want to build a balanced brain, then body and a whole brain functioning so that when the demands that your little one’s going to need, particularly around first or second grade, we start to see more demands needed at school and so forth that now little can, we can operate from a whole balanced brain and body level.

So what I want to look for is I’m checking a look Henley right now, and I’m noticing some stress patterns and strains and what we call subluxations and from the, this could be from being scrunched in utero or from the birthing process, but we’re gonna work to de-stress her body right now, so that as she develops, she can go through these movement patterns. But what I want to do is I set up a whole, um, over, especially the first two years of life. These different movement patterns are very significant because they are going to work different parts of our brain. So what I do is I like to, um, watch them over the years of their development, especially those first two years and check them on a regular basis to make sure that they’re meeting these, what we call motor milestones, that their body can, is comfortable enough and can move in these positions in order for them to carry out these movement patterns that are creating brain development.

So, first one we look at is at rolling. Okay. So I’m very given very simple explanation of why we want to now not just check Kinley right now after the birthing process and make sure we clear out any restrictions or subluxations, but how we want to make sure that as we go month by month by month, so you might create a wellness plan and that may look like twice a month for your office or once a month, depending on your wellness plans. But the reason why we want to create this milestone wellness practice is because you are going to watch for these milestones to come into play again. If they, if they, um, have subluxation patterns and that restricts them from getting there, then we catch them right away. Then I look for any, you know, potentially concerns that she’s not being able to engage in these movement milestones.

And we get, we address them in a preventative mode. So we basically prevent the train from derailing and going off the tracks. Okay. And you set the stage right there. So with that said, we want to look at, and again, we’re just going to go over for today, rolling as one of them between about, about the agent with milestones, with movement, milestone patterns you need to give or take a month or so on. Either side, these aren’t really hard concrete. The other thing to be mindful of is a lot of parents these days, they think faster is better, right? Why aren’t they walking by 10 months? That’s a big question I’ve been getting lately. They’re 10 months old and they’re not walking yet. It’s okay. They shouldn’t be really, really, if we look at decades ago, it around 18 months, if they weren’t walking by 18 months is where the concern became a, it became a concern.

So 10 minutes, we shouldn’t even be there yet. So we need to also explain that to the parents faster is not better. So I want to make sure that Kenley is free of subluxation patterns so that she can also do these movement patterns appropriately because there is a definitely a proper way. We want these movement patterns to roll out, to play out. So Rollings one of them by three months of age, we want them to start to roll from the pelvis app as a corkscrew pattern through, through the trunk, not as a log roll pattern. One of the things that we should understand as primary portal entry docks is that movement patterns, a proper movement patterns are associated with, um, things like neurodevelopment delays and particularly autism and the th the type of movement pattern. So we want to be able to pick up, are they doing these movement patterns and are they doing them properly?

And there’s a paper by an author called title bomb. And he looked at some of these movement patterns. And how later on that child may have been labeled with autism. Now, we don’t want to put that. We don’t want to start there with parents. What we want to do is we want to explain to them that we’re looking and we’re going to create a family wellness protocol for little Kinley so that we can make sure she hits those motor milestones properly. So back to rolling three months of age through the pelvis, through the trunk and around now, let’s think about this from a clinical perspective. If we have lumbar and pelvic subluxations that are restricting movement, another big one are going to be so as muscles, these are areas we really want to keep, um, healthy and subluxation free in order for that little fiddle part to be able to get in that movement pattern.

The other thing I want you to take into consideration with rolling, um, is the speed annoyed is, uh, mimics the pelvis. So don’t just get honed in on the pelvis. Look at the entire spine. Look at dural tension, look at the Spinoza. So three, three to four munches rolling from the pelvis forward through the trunk and a corkscrew pattern about six months, six months, ish, you’re going to, they’re going to go from the shoulders and that’s going to initiate the role and through the pelvis and around. Okay. So again, it’s not just being able to hit that motor stone. It’s the quality of it. Okay. So that’s about, so that’s your three to six month window that I want to look at as a key milestone, then they will get some core trunk stability gain that by tummy time and by rolling, and then they should be able to sit independently starting about six months of age.

Okay. Six to eight months of age. Um, so they should be sitting independently and have that core control. Then they go from that into an all fours pattern. Okay. So they’ll start sitting core control, and then they’ll start that eight months or so they’ll kind of do this lateral shift, putting one arm out, um, and, and being able to brace themselves. And then they go from that and to all fours, that’s going to be about nine to 11 months being on all fours. So again, you’re setting up a wellness paradigm practice protocol in your office, like, okay, we definitely want to make sure that we check little Kinley after the birthing process. And then we want to make sure she’s able to get an extension and tummy time. And then, Oh, definitely. You know, by three months or so, we want to see if she started to even be interested in rolling, and then we’re going to make sure that rolling patterns appropriate from that three to six month window.

And then about six months, we want to make sure we’re seeing her baby will sit appropriately and then getting to the next stage on all fours that gets into play about nine to 11 months, they’d get on all fours. They rock back and forth. We refer to this as the pre crawling reflex. It’s, it’s really integrating what we call the sematic tonic, neck reflex S TNR. So we should see this between nine to 11 months, that needs to happen. It should happen before they get on all fours and start their cross crawl pattern. So again, these are, these are stages that we’d like to look at and we’d like them to be appropriate. And we like to see the little fiddle farts, at least on a monthly basis in order to make sure that they’re subluxation free and can meet these motor milestones in a proper fashion.

Of course, if they’re subluxated, if they have tension like this marionette, they may not be able to get into these proper movement patterns. Couple of key things I want you to think about is other than subluxations, I want you to really think of dural tube, tension, dural tube tension can really, um, play havoc with a couple of these key reflexes here. When baby’s rolling, that’s going to integrate the spinal Galot reflex, which is a key reflex for later learning attention behavior as is this STNR reflex. So dural tension can keep us from getting in those optimum positions, tethered oral tissue or tongue ties, uh, tongue lip bugle ties can restrict movement. Cause it’s a fascia restriction was like Woody here. Our marionette puppet pulling tension from cranium all the way down. Of course, subluxations are going to be there. And we have some trouble with may have some trouble with low tone kids.

So those are some hot button things I want you to think about as to why they can’t get into these positions. So use the marionette puppet as an example, and these tensions muscle and ligament tensions that because of the spine is subluxated putting abnormal tension in balanced tension from right to left imbalanced body is imbalanced brain in balanced brain, imbalanced body from side to side, they can’t carry out these motor milestones as chiropractors. We want to clear restrictions, clear the blocks so that they can get into these positions. And we want to do that by watching them on a regular wellness maintenance basis. This graphic is huge for you to use, um, with regard to showing how, when they move different body parts, it’s actually building brain, okay. Building areas of the brain. A couple of things. Again, you can, if they’re having trouble getting into this corkscrew really position again, especially the lumbar and pelvic spine, don’t forget this be annoyed.

Cause it mimics the pelvis. There’s a little trick you could do. You get them. Um, you can see where I’m putting one hand, basically the top leg is bent and you just gently pull that top like over. I’ll do it so you can see it. So top leg like this, okay. We want them to be able to roll in both directions. Cause ruling in both directions left side, right side of my body left side, right side of my brain getting exercised. So I gently put my hip, uh, my hand on one of, um, one of the, um, ileum that top leg is bent and I’m pulling, I’m just tagging a little bit on that bottom leg to get a little tension and you just hold them there until they will start to roll over one of the things we don’t want to see for the log roll.

Okay. Just a law roll. And then they fly over. We want that corkscrew role to show up. So that’s a little exercise we can give. Um, we can give to parents to do and roll them in both direction. Have the parents do in both directions? This, if they have trouble with dynamic sitting, if they’re getting some low tone or not getting in that position, I want to show you just a quick little video. Okay. So we want to also work on dynamic balance. All right. Um, and this is for any kiddo, but particularly the kiddos that are having trouble learning to their core, to sit on their own. Again, between six and eight months, they should be sitting independently and be okay with that. So we can do a few different things. One is you can start them again, lower on the lap. And again, the more core you support, the more stabilization they have, then you can work to not supporting them and then work their way up the ladder.

So to speak on the knees, again, more stabilization for the core, with the hands last without then you start walking a little bit. Okay. This is again, when we’re looking at those postural reflexes like ocular head writing, the lab and thing had writing, right? Correct. That’s where they tilt the side and the head should correct the Ryzen. So we’ve got to start fostering that because those postural reflexes need to take over those primitive reflexes. So you create a dynamic situation and by rocking and they have to stabilize more on a physio ball, um, do the sun of physio ball and how you support their core when they get to a good point and they can stabilize their own. Maybe you do. You stabilize the Physioball by rocking the physio ball and see how much they can control themselves. So again, we’re working our way up to dynamic sitting positions, um, and destabilizing positions.

So these are some things we can, we can just show parents at home. Again, we’re being active in fostering this optimal development by creating a wellness program for these little fiddle parts of our practice. This is particularly important. If you have family members that have had a little one who already is in a, in a neural delay, delayed situation or on the spectrum. Again, we know that, um, those on the spectrum, um, have been shown to have poor, um, motor we’re. They’re looking at that actually as the indicator in early indicator of a possible label of autism. So parents are concerned if they’ve already had one child that’s delayed now have another baby, you are going to monitor them on a regular basis. And this is going to help you foster, um, creating a brain based wellness program in your offices to where you’re really going to not need to do a lot as far as always getting new patients in because you’re seeing these families for years to come generation after generation.

Um, so those are some things I want to share with you. Um, I didn’t put in here, I met you, sorry. If they have trouble getting on all fours, um, and rocking, you can trap them between, between your legs, okay. Trap them your legs and hold them up a little bit. And that just gives them again, more core control to get on all fours, um, or just have parents hold them and stabilize their pelvis, um, and get them on a floor and then gently rocking back and forth. Uh, so hopefully you can see that, um, the, um, so again, trap, uh, have them on their all fours stabilize their pelvis. Okay. Or like I had them here instead of between my knees here, I’ll have my legs flat. Baby is between my legs to get my legs kind of squeezing them a little bit, to give them some support, to get into that all forced position.

And then by nine to 11 months, that’s when you want them there and gently rocking to help integrate the STNR B flex. This is a ha the other thing that has been really great is those that I mentor, we made, I made a, what I call a quick screen milestone, and here’s your going to gross motor fine motor social and language. Um, just quick screens as you are in the room with these little fiddle farts, I had them for, um, all ages, year one, two, three, four, and five. They’re all separate ones to use as a screening tool. So you have that there in front of you. Okay. Little fiddle part’s coming in. They’re two to three months old. These are some things I want to kind of check real quick to see if they’re hitting those milestones. But the other thing that has been fabulous is using a handout like this, to give to parents and say, okay, mom, dad, what we’re going to do is I have this in Kelly’s file.

Oh, look, she’s doing great. She’s hitting all these milestones now, next month, when she comes in, we’re going to look to make sure that she’s hitting this, this and that in the proper fashion. If she’s not, obviously we’re going to check for subluxations and anything, other red flags that might come up and we’re going to conquer it before it becomes an issue. And I give the parents this handout and they love it because they’re like, they’re engaged in their child’s care and their child’s progress. Um, and we’re on the same page and they can look and then they can say, Oh, she, she did hit this. Or like, Hey doc, I don’t think, you know, she’s getting there, you know, and that may be an indicator for you to say, you know what, we’re going to need to up care for a little bit, maybe for the next month we’re going to up care.

Uh, you know, I want to see her weekly or twice a week for a few weeks until we clear these subluxation patterns. We see these milestones coming on board, and then we can back off again. So you’re being active, they’re being active and it’s really kind of, um, it’s, it’s really keeping them on track to keep their appointments as well. So, um, so we see that, you know, this is ages one through six in this particular hand, it goes up to the first year, and this has been extremely helpful for parents to stay engaged. And, um, they they’re really excited to, to be engaged with you in the of their child. So what I did was I, I got so much great feedback on that handout and it’s become a way for doctors to really foster this wellness, um, milestone family practice, um, and to kind of pivot that message from a pain brace to a brain-based wellness paradigm.

So if you want that handout, I will send it to you actually. Um, as part of my, thank you for listening to me and as my thank you for Kira secure for always supporting us. So just text this number. If you text this number, um, you can, uh, we’ll, we’ll put you in part of our community outreach programs and, um, send you that free handout to give to your practice members as well. So again, I want to thank all of you for being a part of this amazing profession and looking out, um, looking out for the little photo farts you don’t actually have. You can text the word, Whoa. Um, when you text this message, you can text the word wo or text any message you want. You can even text how much you like my hair. Maybe there’s a theme going on here because that initial picture, and now we have this monkey and maybe it’s a hair thing.

So you can text me any, any word you want. But if you text that number, I will know that you want that handout and we will get it to you. We’ll be happy to get it to you again. Hopefully this helps you build a milestone family wellness practice for generations to come. Um, and we move those kiddos forward in the healthiest fashion we can. So, um, until next month, I wish you all an amazing month of changing lives. Changing the future. Again, ChiroSecure, thank you for helping us share our message and get this word out to everybody else. And, um, Erik Kowalke will be with you the first Thursday of next month, and I’ll be back the third Thursday of next month. What a, hopefully a surprise guest. We’ll see you then

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Empowering Women in Chiropractic Doc, Whose Talking Care of You? Julie McLaughlin, DC

Click here to download the transcript.

Connect with Julie: drj@vitalhealthprotocols.com

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

Hello, everybody. Welcome to Empowering Women sponsored by ChiroSecure. I am your host today, Dr. Julie McLaughlin from Vital Health Protocols. And we are going to be talking about you. We are going to talk about Doc, Who’s taking care of you because really, if you’re not being taken care of, you’re not going to be around to be taking care of your patients. And we know that this is a real issue in our profession because so many docs are having to quit practice, retire early, take a leave because they’re not taking care of their own health. And so let’s talk a little bit about that and how we can help support you. And you can support yourself in taking better care of your health. So I have a few slides, so let’s get started with showing the slides.

So, first of all, we’d like to thank ChiroSecure because we wouldn’t be here giving all this awesome information week after week, without them among many, many other things that they do so well for us. So everybody let’s give a little bit of love, like hearts, thumbs up likes, um, to kind of secure because they are just an awesome, awesome, uh, insurance company. And they literally have our backs. So when we think about chiropractors, we know that we all get adjusted, but what else could we do to be taking better care of our health and let’s face it. I know there’s a lot of docs out there not even getting adjusted. So I care about you and I care about that. You’re taking care of yourself and who’s taking care of you, right? Because what’s your story. Why did you become a chiropractor? Right? It is an absolute noble calling and we have the privy to the innermost details and vulnerabilities to people’s lives, right?

And it requires great compassion and empathy. And only certain people are capable of delivering this day in day out. And you, my friend are one of them, but you know what? We as docs have those same vulnerabilities. We have those same little details. That can be a problem. And so there is a dark side of practice because carpenters are being forced into early retirement due to the lack of their taking care of their own health. They’re getting health problems. And when we see this, we don’t actively seek out care because we don’t live in that allopathic model. We won’t seek that out unless our house is on fire. And by then, it’s too late. And I have treated to many of my colleagues that have found themselves in this place. They, they, they thought I’m in perfect health. I’m good. I, I see patients all day long and one day they woke up and that’s not the case anymore.

And that really is a dark side of our profession. And I don’t want you to ignore this any way and any more anyway, because it’s very, very simple to predict, prevent, and yes, even reverse chronic disease that every chiropractor in the U S has a potential to having. So we are going to talk about what we can do about it, because I always say this to my patients, and I’m going to say this to you just because you don’t feel sick. Doesn’t mean you’re healthy. No one wakes up and says, today’s the day I’m going to have a heart attack. Today’s the day I’m going to have diabetes today. I’m going to get diagnosed with cancer. No one says that you wake up today and say, Oh, what do I got to do? I got this many people. I got to do this. I got to do that.

But guess what? You have to take care of you. You have to take care of you. You’re probably taking better care of your car. Then you’re taking care of your health. And so what’s the risk, right? Sometimes we think we’re invincible. We hear people’s problems all day long, but we don’t even know what the real risk is to our own health. So I have a little risk assessment. I’m going to show you three questions. I want you to answer as we go along. So does anyone in your family have heart disease? And when I’m talking to heart disease, I’m talking high blood pressure, high cholesterol, God forbid that they had a stroke or a heart attack, right? Any of those things, or most importantly, does anyone had an early onset heart disease event? Like, do they have a heart attack before the age of 50 or before?

The age of 60? Those are huge, huge risk factors. In fact, even if it’s not your own health and you just have those risk factors, you need to know because did you know that someone in your family having a heart disease early onset is the number one risk. We know heart disease is the number one killer, and let’s face it. We treat people in pain all day long. We know it creates inflammation in their spine and their muscles, everything that we treat, but also creates it in their cardiovascular system. The difference is heart attack will kill you, right? We can get rid of that pain, but a heart attack will kill you. I want you to know your risk because if you have a family member that has early onset heart disease, that doubles your risk of having the same thing. If you have somebody in your family that had a heart attack or a bed or heart disease before the age of 35, that 10 times your risks.

But guess what? If you know that information and you know where you are, we can turn those numbers off, but I need you to look at it, right? What about this? Do you, or your spouse or your significant other snore, right? You think snoring? Like, what the heck? What’s, what’s up with that? Why are we talking about this? Right. But we know sleep is super, super important to your health, but did you know snoring has a higher cardiovascular risk than smoking or obesity and combined, right? That’s right. So if your, your spouse’s over there, snoring, they have a harder, a higher risk of having a heart attack than if they smoked and were obese. Right? And so the only way you’re going to know this is by looking at blood work and docs. I know what I am talking to all my friends. They’re not getting their labs done.

And I’m very worried about all of you. That’s why I am doing this because, you know, we take care of our patients, but we need to take care of each other. And that’s what I really want you to know. What about this? Do your gums bleed when you brush your teeth, right? Do you see like a little bit of blood when you spit out that toothpaste into the bowl, did you know that periodontal disease or bleeding gums will double or even triple your risk of heart attack or stroke? You need to know your lab numbers because it’s silent. You’re not going to come in and go. I think you know this right artery over here has got a little cholesterol in it. You’re never going to come in and do it. You have to know, but these are little signs that we don’t think of.

You think of, Oh, I brushed my teeth too hard. Or maybe I got, you know, adjustments to my Invisalign or whatever you’re doing. We always have an excuse, but the reality is double or triple the risk of a heart attack. Cause your gums are bleeding. So we need to make sure that you’re being taken care of because it’s just not just our patients. Right? We as providers are affected too, 90% of providers feel that healthcare is on the wrong track. I think you guys can all agree, right? We’re dealing in sick care and not in healthcare. And 74% of chiropractors are forced into early retirement due to health problems. That is just criminal. We need more chiropractors in our profession. We need more people helping people with what we do. And 50% of chiropractors have been reporting burnout due to poor self care, right? How many days can you go into the office?

Day after day? If you feel really bad yourself, it’s not even feasible. And then we have burnout, but what really is those underlying causes, right? That’s what we want to know. All we have to do is look at the statistics of the American population to see how crazy this is. Because one out of two Americans will suffer chronic disease. And I got to tell you, chiropractors don’t have an immunity to this. We don’t have like, well, it’s not going to happen to me. We all think we do, but we don’t because chronic diseases responsible for seven out of 10 deaths, right? We’re not just talking about pain here. We’re talking about things that are absolutely could kill us in 84% of healthcare dollars go towards chronic disease. Two thirds of Americans are overweight and a one in three are obese, right? It’s really crazy. And you know what, it’s the same thing in our chiropractic population of docs, auto immune diseases have tripled over the last 50 years, not to mention a pandemic, right?

And over half Americans are taking medications. How many patients do we have saying, you know, do you have any cholesterol problems? Nope. I don’t have a classroom problem. Why? See you’re taking a stat in here. Well, yeah. That’s why I don’t have a cholesterol problem. You do have a cholesterol problem. That’s why you’re taking the Stockton. We can’t put our heads in the sand anymore because you know what I need to make sure as this profession goes on, I’ve been in this profession a long time that we have docs who are able to take care of people. So we got to take care of you, right? Because you will never change things by fighting the existing reality to change something, build a new model and make the existing model obsolete. Right? That’s what we need to do. This is my absolute favorite quote is by Buckminster fuller.

And I just love that. So what are we going to do? I want you to know this, that every chiropractor, every chiropractor in every state in the United States is licensed to order blood work. I’m not telling you, you have to order, you know, draw blood in your office, but you are licensed to order it. And you’re licensed to order it on yourself, right? You are the patient. We want to take care of you. We want to help contractors learn this additional paradigm. We want you to start out and be the patient. We want you to take care of your families. Look at what they’re doing. Because if you started to do this, even in your practice, if you said, I’m just going to do it on me and your family, that’s awesome. We need that. If you sit down, I’m going to do it with my patients.

One doc, doing this could help more than 30,000 people. That’s huge. A movement like that could change the healthcare of this United States. And when was the last time you had your labs done? That’s what I want to know. When was the last time put it in the chat? Tell me, was it a year ago? Was it five years ago? Or was it like, you know, I really don’t remember. I don’t like going to the doctor. Right. But guess what? You can order it yourself on yourself and you can help prevent, predict and reverse any chronic disease. It’s super, super affordable. The cash prices are not, not, you know, expensive at all because we know that that can be a barrier, but no, one’s going to come in and say, Oh, I think my liver’s off of today. Right? You have to measure it. What measured gets measured gets managed.

And so is this for you? I want you to think about, should I get my labs done? Should I get the labs done on my family? I have the ability in my license in every state to order it. So if you are family or friends are suffering from a con chronic health issue. Absolutely do it. If you have any risk factors, absolutely do it. If you haven’t had your blood done in the last year, absolutely do it. You have to know, think about if you went and you didn’t get adjusted in a year or five years or however long it’s been, since you had your labs done, that would be really bad. Right? I always say, if someone told me I could never get adjusted again, I would die. That would be like the worst thing ever, right? This is super, super important. And this is for you.

And it’s to save your life is to save. Your practice is to save your family is to take care of you docs because nobody else is doing it. We have to make sure that our chiropractors are healthy and we’re taking care of each other. And so it’s not out of our reach. It’s easy, it’s inexpensive. It could save a life and it could be your very own or someone in your family. So please, please docs take care of you. If you want to learn more, if you want to learn what you can do to take care of yourself, let me know. Here’s my email, drj@vitalhealthprotocols.com, because let’s face it. We have to keep this profession going and we have to stay healthy to do it. So that’s it for today. Um, I want to thank ChhiroSecure again for sponsoring this. And I want you to join us again in two weeks with empowering women and Dr. Nathalie Beauchamp. We’ll be speaking to all of you. So have a great day and I’ll see you soon.

Join us each week as we bring you the best in business growth, practice management, social media, marketing, networking, leadership, and moms 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.

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). Twitter (https://twitter.com/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 in Chiropractic – Imagine Never Having To Worry About Another New Patient – Janice Hughes

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

Hello and welcome to deduct to today’s show growth without risk. And it’s brought to you by ChiroSecure, who I really appreciate the opportunity to connect with and work with for, for years now, Dr. Hoffman and his entire team. My name is Dr. Janice Hughes, and I’m really excited to have a conversation today based on something that I’ve really been watching in a lot of Facebook groups. Um, I recognize teaching and going to some of the chiropractic colleges, it’s sort of a distinction about whether you have a practice or whether you’re building a healthcare business. And I want to lead today with the question about, could you imagine never actually having to out our numbers, you know, how do we attract clients? How do we get enough of the right kind of training? Likewise, we go into practice, we go into building a business. And what starts to happen is, you know, we’re constantly having to think about that next new client, or where do these new clients come from?

Well, let’s face it. A lot of times we’ve been thinking in terms of we have to go out there, you know, and meet and connect and, and, you know, with groups or organizations, you know, and for years within the health care professions, there’s been people talking about turning around and, you know, going into, you know, again, screenings and marketing. And what starts to happen is obviously the way the world has changed. And we don’t have that. But now before you know, it, we’re still constantly thinking about where the next new client’s coming from. So I think it’s a bit of an affliction that we go through in this healthcare space. Now you notice the medical teams don’t tend to have to think about that because that’s almost like it’s just been a constant expectation that we all go for these regular checkups or for dentists.

Well, I know that we can’t discuss today how we change the whole perception of chiropractic. But what I’d love to talk about is how do you begin to build your healthcare business without the stress constantly of new patient or new client acquisition? So what I want to talk about is three different steps. I think the first really critical step let’s call it. Step one is how do you build systems for attraction and promotion? Whether we like it or not a lot of, especially as we get started, or any of you that want to keep the pipeline of new clients going, we tend to know that a lot of it is based on us, our, our ability to connect with people, um, the, the connections that we do or don’t have. And I like to call that kind of the attraction. You know, sometimes we have to recognize that we have to build systems to continue to attract.

We also have to build systems of promotion. So in the current world, we all instantly then think about Facebook ads and funnels. So they are absolutely critically important. They’re a powerful tool, but not at the expense of also you doing other things like who in your community are key centers of influence, that it’s important for you to speak with, connect, with, talk with, you know, within your own patient base. Many of you actually already have a few of those patients that send you a lot of clients. Like if you look over the years, they’ve been really high referrals. So how do you maximize that? Even more maximize a couple of companies that like literally become those centers of influence for you. I know a couple of people within their communities that, you know, they end up working with people from orange theory as an example, great company, um, in many areas, it’s a thriving business, even through the craziness that we’ve come through in 2020, and now in early 20, 21.

Well, if you know those people and already work with them, how could you leverage that? That’s the question you begin to ask yourself when you want to, you know, think about these centers of influence. How do you leverage it more? And I know we realize that you can’t now go to an orange theory or their managers and say, look at me, just send me patients, but what can you offer them? Um, how do you help them? And so a lot in this step, one, building these systems for attraction and promotion, how do you leverage things that you’re already doing that are working well, that more importantly, how do you leverage and build some systems to attract and promote the practice? Now don’t just think it’s, if you’re extroverted or if you’re a more outgoing personality that you do, those things, there’s ways to leverage being an introvert or more internal driven practitioner.

So I just want you to recognize this is a whole topic onto itself. This step one of systems for attraction and promotion, then step two is how do you build stronger care plans or what I call case management. This is how you plug the leaky bucket, because what happens after years of coaching, thousands of practitioners, chiropractors, natural paths, acupuncturists. What I recognize is that I could have these great promotion or I can teach people how to attract and have people come in. But often the leaky bucket is that you’ve got as many or more people going out of the system. Now, I don’t mean that we can stronghold them and say, you have to stay here, or you have to stay beyond acute care, but you can build systems by understanding that there’s a big difference between acute care versus reconstructive care versus what I call wellness or, you know, health prevention care.

And all too often, we really get the, okay, take them out of acute. And then the word is we put them on maintenance. Well, again, what does that mean? You know, so maintenance to me, or really, if you ask anybody in the public is well, it’s maintaining the things the way that they are well, is that necessarily so great? You know, so what you want to think more about is, is enhancement, you know, health enhancement, you know, improving their health and wellbeing. And a lot more people are even interested in that now, based on the fact that they don’t want the illness, that’s been the big focus through the crazy pandemics. But what I want you to understand is you have to build a case plan. You have to build systems around case management. You can’t just go, Oh, I think this is what we’ll do.

Or a lot of times, if you give this great report of findings, you find or think that those people are the ones that follow through or take longer, you know, care plans. And that’s not necessarily always the truth. You know? So you notice that sometimes the less you say, all of a sudden, some people end up staying or being part of your practice for longer or referring more. Sometimes it’s almost like we need to get ourselves out of the way, but a lot of practitioners that build great case management turn around and you get to take a little bit of the personality out of it. That’s how you train other docs. That’s how you train other associate doctors. Or if you have a multidisciplinary style of practice, that’s the way that often, you know, again, you have the same patient now, not just partaking of your services, but more of the entire clinic services.

So one way that you start to know, if you have really good systems is take a look at the last 15 or 20 new clients say from the beginning of the year or later in last year and pull those cases. And where are you losing people? I call this your dropped visit analysis, where do you in your care plan, loose people? So what I want you to understand is that this takes time, a lot of leadership to realize that often our language is where we’re losing people. So if you set up a care plan and you say, well, it’s going to take a typical case like yours is going to take this many visits, whether you say six to 10 and how I know that that’s still settled a lot in our profession is because really statistically, we know that the average is that a new client often stays with a chiropractor for seven visits.

That’s really shocking because there’s a lot of you that have these great, well, you know, managed care plans. So imagine some people are just a couple of visits and they’re already losing people to get that low of an average. But what I, I want you to start to think in terms of, even if you say 12 to 24 visits, or if you’re a practitioner that says a typical case like yours is going to take anywhere from two to four dozen visits, remember that people always hear that lowest common denominator. So what they’re hearing is that low end number, if you say six to 12, they’re hearing six. So you need to be able to come up with a plan that talks about your phases of care or how you’re going to help them move through varying stages of their care, because then you can still say, well, then here’s where we begin.

And then we do a great re-examine re-evaluation after that. So what I want you to think about this again, is an entire topic onto its own. Like how do you put together these great care plans? And I’d love to in another upcoming session, say, even interview somebody, I know several doctors that do really strong care plans and case management planning, all based on good clinical feedback and, and scans and technology and, and ways of reviewing where people are progressing, but for yourself, figure out where you’re at by doing your dropped visit analysis. And sometimes that’s a little shocking, because if you’ve said you typically plan out two or three dozen visits, but your drop visit analysis is showing that you’re on average, losing people at visit 12. The reason that I liked this number is it now tells you where you need to increase your education.

You don’t wait until you’re losing people. So if you re-examine somebody at 10 visits, and then you’re not going to re-examine them again till 25 visits, but you’re losing them around visit 12 or 13. It’s important that you’re building more strength and more knowledge into what you’re sharing on that 10th visit re-exams. So I’m not going to say there’s a magic number. I want you to find your number and then how build and enhance your case management. So step one was systems for traction and promotion. Step two is stronger case management. So you’re not having a leaky bucket and just losing people. It doesn’t mean everybody stays beyond acute care that it means you have to have that plan and vision. Step three is how do you build in referral generation referral, generating conversations, referral generating approaches, and how do you build that consistently? And I apologize.

I know some of you are coming in and out. I’m getting a couple text messages about that. And my apologies, welcome to technology. Welcome to my dog in the background. Welcome to sun coming in and on the screen. So I thank you all for putting up with some of the technical pieces today, but let’s talk about this step three. So referral generating conversations, it doesn’t always have to be like more extroverted and saying, send me your family. But when someone is telling you that they’re getting really great progress, that’s the ideal time to acknowledge that and say, fantastic. Who else do you know that would benefit from these health and wellness changes? You could, even, if you really specialize in headaches, you could turn around and say, you know, who else do you know that has headaches? You know, so that you could ensure that you’re getting really good.

You know, I’m going to say almost an acknowledgement of the fact that I, I work with lots of people. I work with others, just like you. You can also say things like part of my mission is to change the health and wellbeing of my community. So not only working with you, but I would love to work with others. You know, you can ask about company their company and do they have, you know, programs for health. And like I said, you know, enhancement, not necessarily neatness or wellness, but health enhancement strategies, how could you have a conversation? You know, how could you bring that to their company? So the idea that part of my mission is to change the health and wellbeing of my entire community can be very powerful. So what I want you to see is today, we haven’t broken down every one of these categories and said, okay, here’s the five steps in each one, but I’ve tried to give you some ideas and tips and tools to turn around and start to think about your health care business.

How could we turn around and ensure that you, your practice and your business can run with, or without you, that’s really powerful because what starts to happen is we have these concerns, where are the new patients coming for from, you know, what’s next? How do I grow? You know, often many of you are still the key employee in the business, you know, without you adjusting, there aren’t any billings. We need to start to begin to think about our practice as a healthcare business. So some of that is the mental shift to this business approach and strategy. Then from there, thinking, in terms of worry, isn’t a strategy from my perspective, you know, how, instead of worrying about new patients or the attraction or the billings, or can I hit my goals? How about putting some systems in place? So we’ve talked about some steps today, for example, to not be worrying about new clients, you know, so step one was putting in systems for regular attraction and promotion.

Are you doing some regular PR so that you have the opportunity to be, have your face in front of people, ads in front of people, things out there in the community. Are you yourself working on knowing the fact that a lot of you you’re the key employee? So how can you have consistent energy and educate consistently? So building those kinds of systems for attraction, step two was really strong case management. How do you build out great care plans for every one of your patients? Not that everyone is always going to accept it, but you need to be able to envision it. So if you want a PDA of 30, or if you want a typical PBA of 40 and you have a PVA of 12, then you need to say, I need to build some systems. And then the last step, step three was regular referral generating conversations, very authentically.

You know, just knowing that that is your role as the key chiropractor as the lead chiropractor, sometimes as the only chiropractor it’s, how am I constantly asking for referrals? You know, if somebody says to you, I really need to get my husband in here. Could you turn around and say, how can I help you with that? Do you think it would benefit if you brought him in, on one of your visits, do you think it would benefit if I have a phone call with them? You know, so a lot is are you just really staying attention and paying attention to those kinds of referral opportunities? So I want to take this opportunity to just have realize, like I said, worrying is not a strategy, take a little bit of time and even think about those three steps I’ve talked about and build and put some systems in so that you can have consistency of new clients and new client attraction. Again, I’d really love to say thank you to ChiroSecure for sponsoring these kinds of conversations. And also let you know that next week’s host of Growth Without Risk is Mike Miscoe. So definitely tune in for that. So thank you and have a wonderful day

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). Twitter (https://twitter.com/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 in Chiropractic – The Impact Factor – A New Message for a New Year

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

Dr. Melissa Grill-Peterson, your host. And I want to say a big thank you to ChiroSecure for allowing us to bring today’s show to you today. We’re going to talk all about your message and why it really matters so that you truly can scale and make a massive impact in 20, 21 and beyond. So we’re going to bring up some slides and I’m going to take you through some key points today because over the past 20 years, both as a clinician, as well as a coach to the coach, if you will. Um, what I’ve done is I’ve been working both in front of the scenes and behind the scenes. And historically as chiropractors, we are amazing at what we do and we want to support and serve everyone. And so what happens is because we can help everyone, we think we should help everyone.

And that means often we’re not helping the ones that need us the most. Why? Because our message gets diluted. And if people have any type of confusion, the confused mind is a, is a mind that doesn’t buy it, doesn’t make a decision. It doesn’t move forward. So today I’m going to share with you just a simple framework of how you really count, get super crystal clear in this moment, in this new year to ensure that your message makes an impact. So I’m just going to go ahead and kind of slide through some of these and really talk today. We’ve got to make sure that my screen is scrolling properly here. So what we’re going to really talk about is, you know, since COVID some interesting things have shifted, right? Like everything has shifted, safe to say, but there’s so much new information that has come out.

And it’s really giving us an opportunity. Now, as clinicians, as business owners to do more than guests, we can leverage data and statistics to take a deep dive into what today’s consumers really want and how you can meet that need now more than ever in your practices and create actual new opportunities to bring new programs and content to go out and really make your impact. So we’re going to look at the data. What does it tell us what opportunities are there for you and how can you then leverage create a message and leverage it in a way that will really attract as well as expand your ideal audience. Um, and finally, we’re going to look at your mission and your message and understand how you can scale those because you know, you are here to make an impact. You’re here to make a difference. You’re here to touch so many lives and I’ve had the honor of working literally with thousands of what I like to refer to as healthpreneur.

So our fellow peers, not just chiropractors, but clinicians of all degrees and backgrounds and type, and everybody’s in kind of the same space. We all love to give, to love, to serve yet. Again, our message can get diluted, and this is one of the primary places in order to attract more people, as well as to keep the ones that you’ve got. You’ve got to make sure that you’re talking to that right person, because again, just because you help everyone doesn’t mean that you should. So a little bit about me. If you guys don’t know who I am, hi, thanks for tuning in today. I am Dr. Melissa Peterson for more than 20 years, I’ve been in the integrative health and wellness space, both as a chiropractor, as a board certified holistic health doctor, wellness coach, all sorts of fun things. But over the past decade, I’ve really grown into becoming an expert in precision longevity and specifically at the genetics.

And I’m partnered with an Academy that certifies coaches across the world in genetics and epigenetics and how really our inputs are signals from the outer world are influencing our very genetic potential. And so I put this message up here very specifically, because when I’m kind of front facing to potential clients, this is one of the ways that I would present myself. Hi, I’m Dr. Melissa girl Peterson. I’m a best-selling author three times summit host podcast, or set up epigenetic and precision longevity expert delivering high to get precision health optimization solutions for high achievers. So they can reverse age of balanced energy and perform at their peak so they can leave love and live life to the fullest. Now I did this very intentionally. I kept this up today. This is from a presentation I’m going to be doing next week, but it’s to an audience that is my ideal audience.

And I want them to know straight out of the gate, who I am and what I really do and why I would be able to support them right. To be so they can start to see a bit of themselves in my very description of who I am. So when we look at this, what I want you to remember is your message matters so much because your gifts are immense. Your talents are needed, but again, if your ideal client doesn’t know that you can help them, then they’re never going to come in. And typically what we have been taught to do is that, um, we’re taught to really go out and lead with, um, a doctor of chiropractic. So we lead with chiropractic as our message. Well, let’s think about this for a moment. The chiropractic is a title. It’s a description that is left to the consumer.

So what do they really know about chiropractic? Do they understand it through your lens? Do they understand it through the way that you deliver it? Do they know somebody that had a great experience? Do they know someone that had a not so great experience? You know, what is their current belief system around what that word means? So when we go out and we try to message through our titles, through our, what we do, sometimes that can actually create an limitation. It can create a limitation in the mind of the potential consumer, because people don’t buy what we do. They really buy the outcome that they want. It’s all about them. As much as we think it’s about us. It’s not always about our ideal client, the solutions that they seek. So the more solution forward we can be, the more that we can make our messaging about them and start kind of with that end in mind, then the greater, the impact that we can make and the better opportunity we have to truly attract and connect in deep and meaningful way with the very people we most desire to serve.

So let’s go ahead and give you kind of the forest centrals, right? So whenever I work with a client, this is where I start. So in my masterminds with all my fellow docs, we start with the four essential is your who, your, what, your why, and your health. And if you can really start here and use this simple roadmap that I’m going to walk you through, and I’m going to give you some examples, and I’m going to tell you how you can take this very simple framework and use it many times over so that you have consistent messaging that again and again, and again, speaks to the person you want to speak, to connects with their, wants their desires, their needs, and lets them know that you’re the person that can absolutely with certainty, give them what they want. Sound good. So when we think about the who, the, what the why and the, how the, who is, who’s your ideal client.

Now, I want to take a moment because when I do workshops and today’s show is short, so this is going to be really power-packed. But think about this for a moment, you might have 10 different types of avatars, 10 different main types of people that come into your practice. And so that could be when people come in for back pain, people come in for nutrition. People come in for pregnancy. People come in for performance. People could come in for a lot of reasons. And I absolutely know that you have the skills and the ability that you can take care of all of those people. But when it comes to really marketing your message, the idea is to start with one place with one big overarching promise. And you want to start to your audience that is going to respond the quickest. That’s going to really want what you’ve got.

Well, other people come, yes. Will you still offer other programs? Yes. So don’t freak out, okay. I’m not going to limit you here, but I want to help you to really focus because if you can focus and you can create clarity, then it becomes so easy to the consumer to see, Oh my gosh, that person, I didn’t even know that Dr. So-and-so did X, Y, or Z. Because if they only think you do chiropractic, then they’re putting you in a box. And if they don’t think that they need what you have, they’re never going to consider you for anything else. So when you hear me say longevity, I work in the, in the realm of precision longevity and human optimization. So there’s a lot that goes into that. You don’t hear me talking about nutrition. You don’t hear me talking about mindset. You don’t hear me talking about chiropractic.

You don’t hear her using those words. Are they a part of it? A hundred percent. What I’m speaking to is what my ideal client wants. I work with high achievers, they’re busy professionals and they want to continue to feel their best, look their best performance, their best, because they want to lead and love and live their life to the fullest because they’re really dedicated and they’re committing, they’re committed. And when their energy starts to drop, when their performance starts to drop, well, then their quality of life starts to decline. And that’s exactly the opposite of what they want. So they want to know how they can continue to really live fully optimized. Right. That’s my audience. Now, do I, within that? Do I have people that have hormone imbalance? Yes. Do I have people that have pain? Yes. Do I have people that are athletes?

Yes. Right. So understand that there’s different people that come in, but I’m starting with who is my most ideal. Like what’s the thing I really want to deliver to them. Okay. So the who, who’s your ideal client? So mine is a 43 year old, high achieving female. That’s my most ideal. I take care of men too, right there, right there at about 43, 44. Things are just starting to shift enough that they are going, Holy moly. I want to do something now. I’m not doing, she drives this and lives there. I’m not going into that type of an avatar. I’m getting some big chunks because I want her to know when I speak to her that I understand who she is and then I can help her. The next thing is what now you’re what is where you might want to think about my, what is chiropractic?

Well, my what’s precision longevity, right? So yours could be, um, you know, if it’s, if it’s chiropractic, what specifically does chiropractic deliver to your clients? Is it pain-free living? So let’s pretend for a moment your, what is pain-free living? So there’s a lot of ways to get to pain-free living inclusive of chiropractic, but also potentially some of the other modalities, some of the other programs and solutions that you may currently have in your practice. So I really want to encourage you to go a little bit more meta, like kind of chunk up a little bit more global and think what’s the big thing they really want. Well, they want to be pain-free. Okay, great. Why, why do they want to be pain-free so they can, this is a really important thing. And I want you to answer this for yourself. So who are they? What do you give them?

Right. Why is that important to them and how do you go about doing it? So let’s go to this next slide and go a little bit more into this. We’re doing good on time. Hoping you guys are enjoying this. If you’ve got questions, go ahead and put some, go ahead and leave a comment here. So I’ve got my production team helping with this right now. I’m looking at slides. If for any reason, I’m unable to answer your question right now during the live show, I absolutely will follow up with you. So at any time you guys need me, you got questions. I want to support you. And I also want to know how each episode that we bring with the impact factor can continue to really provide value to you. So any of these areas that we maybe don’t have enough time to go super deep into today, we can do on upcoming episodes.

So I want to know what really resonates with you. So let me know, tell me your, who, tell me your, who, who is your ideal client? Leave that in the messages. I want to know if you’re, what is it that you really deliver? What’s that big promise, that big takeaway that if they just come into you, they can feel like, wow, I’m going to get this big thing, right? My people are going to age in reverse. Your people are going to live pain-free so what’s that big, big promise. So now we want to think about, again, the, who, this is my example, high achievers. They want to perform at their peak, look and feel their best and live their best life. What precision longevity, that’s my vehicle. Right? And my, my big, what through precision longevity is they are going to age in reverse, right?

So that they can have all those things that they want. Um, and your why is, again, what’s really, why would they want this? Why would this matter to them? Why you, why chiropractic, why your services versus any other? Okay. So for me, my, why starts within their DNA and I’m somebody uniquely qualified to help them to actually unlock, understand, activate, and ignite their full potential that’s encoded within. So you’ve got to think about what is it that you unlock within your patients? What is it that you support and activate within them when they are able to experience pain-free living through your services, right? As an example, um, and then the final one. So your who, your, what your wife and your house. So how do you do it? And it’s easy to think about this. What happens every time I work with docs is this is where they want to get in the weeds.

And they want to think about, well, I do it with, I do it with a 14 day detox, and then I’m going to do some cold light laser, and then I’m going to do some supplements. And then I’m going to do, you know, 12 adjustments. And all of a sudden you get very granular, but the, how is still think kind of big picture magic. So for me to give you a container, I assess I test so they can have success. So I’m going to assess using our proprietary longevity, living blueprint, going through the nine hallmarks of what creates age optimization, right. Just living a long life. Well, then we’re going to test, we’re going to test and look at their DNA and we’re going to do comprehensive labs so that then I can give them their plan so that they can have success. It’s not just information.

It’s how do they implement it with a plan for success? So that’s my kind of one, two, three steps. Most places have a step one, right? Let’s come in and do an exam. That’s your assessment. Step two. Let’s help you to see. So if you’re doing x-rays, for example, it’s the same kind of thing it’s like, don’t guess, right? Let’s let’s really understand what we’ve got here. Let’s show you your potential right here. And then step three is really, of course your magic that you’re going to do. It’s your program. It’s your, it’s your gift. It’s your care. And that’s where you can use my word success. Hey, step three is all about you having the successful outcomes. You want feeling, living, experiencing a pain-free life. And we’re going to do this with your customized care here in the practice. So you don’t have to go into detail.

Um, you want to first just have kind of some, some big ideas with your who, your what, your why, and your how, because if you can kind of chunk down very succinctly and know who you really want to go talk to, and the ways that you can best let them know that you’re here to serve them. Then there’s not a lot of places you can share your message. Okay. And this is just a few, and I think a really great exercise that I love doing with people. Like, let’s say all of a sudden, you come to the, your, what is pain free living through chiropractic. Let’s use that as an example. So I’ve got to see if I’ve got a piece of paper here. There’s a process I love to do you guys call it a mind map? I don’t know if you’ve ever done this.

This is not on the slide. So let me just take a moment and explain it. You get a clear white sheet of paper or a big sheet of paper board, or a poster board, or, you know, get on a whiteboard, whatever big white open space, have some markers have something with color because it helps to activate the creative components of the brain. It’s going to open up your, your thought process of it. So we don’t want to be left friend. We want to be a little bit more right-brain on this activity. But what you’re going to do is you’re going to put a circle in the center of the paper and in it, you’re going to put pain-free living through chiropractic, Oregon, whatever your big, what is that you offer to your ideal, who your ideal client. And this is where we do all of a sudden, a little brain dump exercise.

So you can really shake the dirt off the roots and get some inspiration around what type of conversations, what type of content could you create? What type of programs, what type of posts, messages, videos, blogs, any of it that you could create around your zone of genius, that would be able to get your message out out of your office and out to the people who already know, like, and trust you, but also out to the other people who are maybe in your local area that don’t know you yet, but there’s an opportunity for them to, because you need to become visible. They need to know who you are so they can know like, and trust you. And so the simple exercise, mind map, putting the center of what your big, what pain-free living through chiropractic. And then your question is how are all the ways that I can tell somebody about pain, free living through chiropractic?

What are all the things that tie to this? What are all the talking points? And you’re going to just let anything come out. Maybe it’s like a vitamin D exercise, stretching, good nights, sleep hydration. What are all the things that impact pain in the body that you, as a chiropractor, you’re doing the adjustments, but what’s going to allow the adjustment to hold, right? That’s what they do when they leave you. And there are all these things that you’re trying to tell them all the time about in your practice. But what if you could just kind of brain dump all these things that you tell them all the time. And now you’ve got some ideas of how you could share the message through really interesting and timely and very specific little bite-sized pieces that tells the story about to your, who, what could be at play in creating pain and how they can break through that to experience pain, free living.

And as you share this message, you set yourself up as the expert that you are right. Hi, I’m Dr. So-and-so. I’m an expert in pain-free living here at so-and-so clinic. You know, every day we’re helping hundreds of people in our community break free of pain and live the life that they were meant to live, right? Freely, whatever, like living their best life kind of thing. And now you’re going to tell them all the ways that you do that, and these are all the places, your website, first and foremost, your homepage, this is the most important place right now. People are going to go find you there. You want that homepage to be super clean. What, excuse me, who you want their picture up front, like, or that big promise to whoever you’re who is, who are you talking to? What is it that you deliver?

And they can expect to get from you. Why do they want what you’ve got? Why does what you do matter so much? And how can they get it? Your website should have one consistent call to action. So if that’s call now book now request an appointment, click here to schedule. You want one consistent call to action. And you want that. Who, what, why and how present on that homepage, that simple formula can then be replicated in all these other spaces and places right throughout the office, everywhere from your waiting room to your adjustment areas, into the bathroom, you can have little one-pagers, whatever you want to focus on on that month, whatever you want to bring somebody who’s focused to it’s the who, the what, the why and the how super simple. Here’s what I got. Here’s what it does. Here’s how it’s going to help you.

You’re going to bring their focus in. So these are a lot of places. As you can see, websites, office, social media groups, podcasts, podcasts are a great tool. We’ll talk about those in upcoming shows, because it’s an amazing tool that you can leverage as a local expert and bring in other local experts. Not other, it doesn’t have to be other doctors. It can be other doctors of other types, but it can be other local business owners, other local, um, you know, organizations that already really deal with your ideal client. You’re all in the community together. So spread the love. And so podcasts become a really powerful platform. Again, we’ll do an episode just on that. So you can really get some insight of what you can leverage and how summits are an amazing tool. Um, ads, workshop, live streams, events, email. You’ve got an email list.

That’s like people who already know like, and trust you. You’ve got a client list. And so use it, use it, share messages, share information, whether you’re sending out a newsletter, um, you’re doing a weekly video, a weekly live, stay in touch with your people because they may have come in thinking you only did X, but now all of a sudden, if they realize that you do Y and Z, they might go, Oh my gosh, Oh, I’ve got this friend who needs to go see Dr. So-and-so, right? I didn’t know they did this and this. So the more you can be clear about your message and consistently share it out, the easier it will be for people to really understand what is it you’re doing. And I like to show this because most people don’t really understand marketing and your message is marketing. As doctors, we love to just go heal and to support and provide transformative results for our clients and patients.

Yet, again, if people don’t know what you’re doing, they’re not going to come in and have that transformative experience with you. So your message really matters. It’s so essential so that you can get it out. And what you’re seeing here on this particular slide is what’s called a marketing funnel and think of a funnel it’s just taking this wide kind of like huge field of potential and getting your message out there so that your ideal client can come in. Now, the more general our message, the wider, the, the, you know, the, the sea of people, but it’s more watered down. So the more focused, the more clear, the more precise you can be about who you’re talking to about the outcomes you deliver, then the top part already gets a little more narrow, but the people that are looking for that, now they’re going to see it.

And now this is the process of what built in marketing. It’s called the know like, and trust factor. They need to know you so they can determine if they like you enough to trust you, that you are credible, that you know, that you definitely are bringing value and that they feel you’re somebody that could help them. And that’s when they’re going to give you the lead. That’s when they’re going to call your office, that’s when they’re going to take action. And, or they’re hearing about it from somebody else, which is again, building out that what’s called social proof. Somebody else has an experience with you. They they’ve met you. Then you’re like, well, there’s a better chance I’m going to call doctor so-and-so. So realize this. Your message is what helps to attract people to you. And when you really want to cut through and you want to get right down to it, you want to think about where your ideal client already is.

And that way you have a better chance of getting your message right to them. Instead of trying to, I call it, throw spaghetti on the wall. So it’s sort of trying to just put it out there to everybody and think, well, I’m going to just take out an ad in the newspaper. I’m going to just put out this one video and it’s going to attract everybody. It’s not. And I’ll give you an example. So this past year, um, I did a five day online longevity summit, and I got about 4,500 new emails, new people onto my list that were said, Hey, I’m super interested in this topic. Now that is a warm audience. That is an, and they weren’t engaged during the summit. So now it’s an engaged audience who likes this topic of conversation. So let’s say again, your big result you deliver by way of chiropractic is pain-free living.

Imagine that you create a series called pain-free living, whether it’s a weekly video, you do an online summit, you do a weekly workshop in your community, something, but you start a series around that big thing. I tell people I’m going to help you to look and feel 10 years younger today than you did 10 years ago. We’re going to talk about age reversal, right? Boundless energy, peak performance, people that want, that are going to tune in. I had a lot of different experts. It wasn’t just chiropractic, right? But they tuned in because they’re interested in the topic. So when you know your who, and you really know, you understand where they’re at in this moment, and you understand where it is that they desire to go, why that’s super important to them, then what you’re able to do, because you already see these people, right?

You, you see them, you’re, you’re holding their hand. You’re taking them through the path of care each and every visit. So you really understand this journey. And I call this kind of this little straight face, like not scrappy is where they’re starting. Like they’re looking for something more. And on the other hand, yay, I’m over here. I have achieved it. Like I’ve gotten to this new state, this new expression of health and thriving, and what were the steps that had to happen along the way. So each of these little steps that have to happen along a client’s journey to achieving a new outcome, those are all key points where each and every one. Now all of these are going to have an adjustment in it, probably to some point, right? But it’s, it’s the adjustment and the adjustment. And what else? Because somebody comes into your office, they didn’t come in and just have that situation.

They came in and that’s a result of accumulation of what? And then they leave your office and they go back to their same environment. That’s triggering the same habits, perceptions and beliefs, which means there’s a greater likelihood. They’re going to keep doing what they’ve been doing. So what is it that needs to shift that needs to happen so that you give an amazing adjustment. And when they leave your office, they hold that adjustment longer. They’re getting ongoing benefits. Ian, you’re giving them more right of their piece of where they have to be accountable. They become the guardian and the custodian of their own health versus, Hey, doctor, fix me. It’s not your job to fix them. That’s not what we’re here for. Um, you know, because we can’t fix them. They can only fix themselves. And guess what, what if they’re not even broken to begin with, right?

We know that as chiropractors, their system is out of balance and the adjustment is restoring ease and balance to the system. So what else is creating imbalance in the system is adding to that subluxation. So think about that. And I’ll go a little metal what’s happening in their life every day and their environment. That’s adding to that imbalance in how their system is functioning. These all become key points to mapping your journey gang. We are blowing through this 30 minute show. So I’m going to quickly bring this together. Um, and I want you guys to know there’s huge new opportunities, right? So what the data is showing us since COVID, and we’re all experiencing it ourselves, people are obviously not out as much as they were. Their consumer trends have completely changed. Almost everything is online. Now, people shopping online, people are consuming online. Um, home is the new coffee shop.

So when we think about this, and there is absolutely an uptick in health and wellness, so people want more preventative products. They want to know how they can take better care of themselves. So what does this mean for you? What does this mean with your messaging? You’re an expert at this. How could you possibly look at this time in history as a new opportunity to create new expressions in your own business model, where you can both still offer the same great in office care, but have an extension and start to go virtual. So virtual practices are all about, I’ve got hundreds of coaches around the country that do this really, really successfully. You guys want to know more where you can reach out to me at any time. Um, you know, that’s, that’s what we’re here for. I’m going to be bringing the show to you each month so that you truly can have at your fingertips, the resources, the understanding, the information and the inspiration along with the next step implementation so that you can go out and really make your lasting impact.

So I just want you to start to think differently. I want you to realize that your message matters and you can share it. You can share it in your office, through your emails online. You can share stories. That’s kind of saying, Hey, why me? Why should I be your doc? Why are you, why do you need what I’ve got? Why do you want what I have? Why would you be interested in what’s going on in this practice? Why this, why this thing, why this pain-free living through chiropractic? Why now? Why at this time, is it important for you to experience this and why no other, why is no other solution as optimal as you? This is just a little story grid that gives you a path of understanding how you can truly go out consistently day after day and share your message, share it from your in-office patient encounters.

One-on-ones to start to think about again, scaling it and leveraging those social media platforms, um, in a really authentic way. So that you’re talking to one key audience. You’re really sharing consistently again and again and again, the big promise, the big takeaway that somebody will get when they work with you, I’m not going to keep creating new things. I’m going to keep letting people know you want to work with me. We’re going to unlock your code and you are going to reverse age and you are going to have balanced energy perform at your peak and live a life. A long life, well filled with vitality and joy. I’m going to say that again and again and again, because guess what? They don’t care how I do it. They just want to know that I can do it. And they’re going to come in and they’re going to work with me.

Same thing. If you get pain-free living or, you know, whatever your magic is, you say it again and again, and again, don’t continue to reinvent the wheel. Don’t make it about a title. Don’t make it about a gimmick, make it about you and your gifts and your talents because the world needs what you’ve got to offer. This has been such a joy today. If you guys want to reach out to me directly, you can go to my website, Dr. melissa.com. You’ve been seeing on the screen here, probably my longevity experts network. That’s where I connect all of my experts out with consumers. So listen, what a joy. It’s been a big thank you to ChiroSecure. This was so much fun today. We’re really excited. Dr. Julie is going to be on in two more weeks. You guys want to tune in with her and so much more so until the next time go out there, my friend, and continue to show up, share your message and make your impact.

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

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Empowering Women in Chiropractic – Managing Moro Across all Ages & Stages – Monika Buerger

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

Hello, happy Thursday. This is the third Thursday of January. Welcome to the amazing ChiroSecure, uh, platform. Big use of ChiroSecure again for giving us this opportunity to bring you, um, the Look to the Children’s show. So under house, Dr. Monika Buerger, hopefully you’re all doing fantastic. This, um, great, uh, third Thursday of January, 2121. So today I want to hang out a little bit. I’m getting a lot of questions and emails and blasts on social media and et cetera about what can we do for our little fiddle farts that are so stressed out these days. We are, um, we are in a time where not only the kiddos are stressed out with the adults are stressed out. So today I want to talk about how some things that we might see manifesting in our patient population group. And one of those is primitive reflexes.

So we throw this term around a lot, but one thing to keep in mind is this isn’t just for our little ones. This is really across all ages and all stages. And what I mean is, um, we’re going to see this happening in our adult population as well. And why is that so important? Why do you want to talk about that with on a peat based to show because our kiddos are going to feed off of their parents and the adults they’re around. So we have, um, adult stress ramped up anxiety, um, this unsettling, um, future that we’re trying to look at. So the kiddos are going to pick up on that and that’s especially true with during the prenatal period. So those pregnant mom was out there right now that are high stress. The, the, the, the, uh, the child will actually inherit mom’s stress patterns, mom’s stress resolve moms, um, the way she’s going to respond to her environmental stressors.

So I wanted to pick Moro reflex for, uh, this topic. Uh, the Moro I say is kind of the, uh, head honcho of the reflexes or the head honcho of actually of the sensory motor systems. And what I mean by this are primitive reflexes. Each primitive reflex kind of represents the maturation has part to do with the maturation, um, of our sensory motor systems and how we respond to sensory different sensory cues, sensory feelings, and the Morrow really represents maturation of all of our sensory systems. So the, the ability to respond in a good neuro, uh, integrity to all of our sensory environment, vestibular visual, tactile auditory, that moral reflex kind of runs the roost. So it’s a big kahuna. So when we’re in times of stress, when our resiliency goes down, those primitive reflexes can emerge. So a person, a child, a, the Mar reflects in particular integrates it should no longer be active.

So to speak after the age of about four months. However, if our overall, um, neuro adapted to their ability to handle stress is compromised because of infectious of traumas, whatever those re those reflexes, even if they were integrated, can reemerge. And this can be true with our adult population as well. It’s particularly true after, um, concussion, head trauma, et cetera. So, first lesson first take home. Pearl is we can use this information to assess all of our patients across all pages. And especially if you’re working a family practice paradigm, because if mom or dad are ramped up and stressed out, those kiddos are going to follow, um, and all stages of neural integrity. And what I mean by that is I’m going to show you different ways to assess the Moro reflex. Many of you are, um, first on the trust fall way, but I’m going to show you a couple of different ways, and I’m going to talk about different ways to integrate it depending on a person’s neuro functional capacity.

So let’s dive in and let’s have some fun. All right. So again, the more we flex sometimes has been in the past is referred to as the startle reflex, some will, um, there’s, there’s some controversy on that, um, on using it as the, the term, the startle reflex, it is a, it, the precursor to the Mar reflex, um, is called a fear paralysis reflex, and that develops in utero, and it should be integrated in uterus. We shouldn’t be born with it, but those two kind of go tandem together. And we work with them in the same manner, but again, the more reflects should disappear or integrate it at about four months of age. Um, if you see a little fiddle fart that six, eight, nine months a year old at a still very, um, start very easy, one telltale sign is when you try to go lay them down, they might be asleep and calm in the arms, but you’d go to lay them down.

And that head drops a little bit and they, they wake up and they start all, and then they’re inconsolable after that, they won’t go back to sleep. Um, they’re crying. They’re very much, um, dysregulated and disturbed. Okay. So that’s a telltale sign that that’s, that moral may be still too active. Um, if retained, this is very important. The moral tends to drive us in a more sympathetic dominant state, all the primitive reflex as well, right? Because they’re going to drive us back to that. The brainstem, that primitive part of the brain, these are brainstem reflexes. They don’t have cognitive control. It’s a reflux that makes me want to always break out into that song by the clash we flex. I won’t sing on this. So those would be that know me like the dummy in person I like to sing, but it doesn’t work out well, usually.

So anyway, um, so we, we shift, but the Morrow in particular leaves us in this fight or flight pattern. The Morrow is known as the first breath of life in the child. It’s responsible for that first breath of life in the child. When they’re born. I have seen clinically that, um, those little ones that are born, particularly with the cord around their neck or that, um, needed resuscitation afterward, or need oxygen or anything like that, having to deal with breathing that that Morrow tends to linger longer and tends to be more active throughout life. So just keep that in mind, if you’re looking at a history, um, areas that we want to look at from a spinal standpoint is looking at, um, uh, up regulate the parasympathetic nervous system. Since it will lead us into the sympathetic fight or flight shift, um, the respiratory diaphragm working the diaphragm, the rib cage can be huge because little, any individual that has this actively retained a Mar reflex might be breath holding a lot.

Um, they might not be expanding their red page. Um, well, and so we get some, uh, lack of oxygen, good oxygen flow concerns. This, um, also is very much tied with adrenal activity. When the adrenals tank out our immune system can be compromised. Um, we see things like allergies, eczema, asthma, um, and poor immune integrity associated with an active Mar reflex. So keep that in mind. Um, this can also really drive us into that limit, what I call limbic lock and load mode, and, uh, being held hostage by our amygdala, our fearmonger. So we can see anxieties and depressions and so forth associated with this constant Moro reflex, um, and very much, um, high, uh, muscle spasms, muscle spasticity, um, especially at the posterior muscles, the extensor muscles can be hypertonic and stress all the time, the posterior calf muscles. So these individuals, you might have them doing stretching routines as stretching routines, and you’re like, why can’t I get these muscles to relax?

They’re constantly stuck in that cortisol state because that morals fired up too much. So, um, Moro things like Annette, being able to unfold to not focus at one thing at a time, kind of that squirrel mode, okay. Poor impulse control, poor emotional maturity, um, easily distracted and that the poor impulse control and emotional maturity that comes because that prefrontal cortex is usually flipped off when we’re stuck in with these primitive reflexes. Um, so we’re stuck in that primitive part of our brain. So our executive functioning skills are not as great, um, aggressive, hypersensitive, anxious, startles, easy, a big one is having trouble paying visual attention to the center. They tend to pay attention to the periphery there everything’s distractive. So if we take this into the context of trying to sit and study or listen to in class, or as an adult, listen in a large lecture hall, we might be deferring our visual attention to the periphery all the time.

And, and so again, that squirrel attention. So we’re missing a lot of that information coming in. Um, they might crave sugar or caffeine, those stimulants to keep their adrenals driving because they’re, you know, burning out so much with their adrenals, um, things that, um, poor balance and coordination stamina we’ve talked, you know, brief some of this here already, um, blood sugar levels, blood sugar levels could be a big one because they’re constantly that sympathetic dominant shift. And, um, the adrenals are dysregulated, so they can, big times a blood sugar drops are between 10 30 and 1130 in the morning and three and four in the afternoon. So essentially after breakfast and lunch. So watch these individuals again, not just your kiddos, but your adults as well. Do we need to help supplement them with more blood sugar stabilizing snacks? Okay. Um, good proteins, good fats, et cetera.

They may be hypersensitive to light touch, sound, smell, or our sensory system, um, very troubled with adaptability. They want to make sure that they know what’s coming. They want to be the predictable situ in predictable situations. So, because they want to, they don’t change it. Routines is not a great thing because they want to know what’s going to feel like in the situation that they’re going to be presented in. So if they’re familiar, they know they’re going to be walking into their classroom and what that feels like, what it smells like, how loud it is and everything. But we switched that up and them and say open today, you’re going to go to Mrs. Jones class. Instead, they might come become unhinged because they’re always on guard and they don’t know what they’re going to feel like in Mrs. Jones is class. What’s going to fill out like to their brain.

Okay. Um, they can have trouble with hyperactive activity and fatigue. Um, because again, they’re being so drained. Tell me time is going to be a big, big milestone that we need. We need to look at with, um, helping to foster integration of the moral reflex tummy time. And then at about three months of age or so when they roll onto their side and they kind of kind of come together to midline, moral reflex is a core, it’s a core base centering reflex. Um, those of you that if you work on any energy or shock residents, a lot at solar Alexis area. Okay. So let’s go into some ways that we can evaluate the integrity of the Mar reflex. So let’s remember, I always say when I’m teaching, the more a reflex mimics an infantile response, that’s the it, the more active it is in that individual.

So in the, in the infant, we know that, um, they are going to inhale and everything extends. And then the exhale, like a, like a sigh of relief, the exhale, and come in into a flex position. So the Mo when you’re doing these testing patterns is T evaluations. You look for how much do they mimic that infant towel reflux? Okay. So it’s a good idea to get your hands on some little fiddle, farts, some newborns, and test that Mar reflex, you’re holding them. And basically you can drop them and you should see that inhale and then exhale. And they settle and come to come to inflection. The Murray flex was, has, um, been much associate with the vestibular system because of that change. It had movement. However, they’ve done some studies where they, um, basic what has basically shown that it’s very much associated with vestibular and proprioception, especially of the upper cervical spine.

Okay. So it’s an extension based stimulation that we’re looking for, that if it’s still active, we’re going to talk. We’re going to look at a few different ways to, uh, to look at this. One of them is actually in a supine position. You might not get these little fiddle farts that are, um, that have such an active Morrow to want to do the trust, fall maneuver, where they’re standing with feet together. I think I put a little video in here or a picture of that. Um, but that while they’re standing be preferably feet together, good posture. Cause we want to load up the system, especially at proprioception arms would be flexed elbow, slightly up the side, their head extended, and you ask them to fall back and you look, if they can, they do it with ease, do they hesitate? Um, do they, do they do this?

And then come back in. So the more amendments that mimics that infantile response, the more active it is in that individual that you’re evaluate. But I want you also to look at things like, do they flush? Do they have a sympathetic response? Do they get red? Do they get sweaty? Sometimes what I’ll do? Let’s say I’m doing the trust fall on a eight or 10 year old or an adult. Um, just make sure you can. You’re strong enough to match their body size. If you’re going to do the trust fall one. Okay. You can handle them if they, that dead weight comes back at you. Um, but my little fiddle parts I might say did that. And they, I see no action of their arms, no reaction. They just fall straight back. Okay. I will touch their PA. I’ll say, let me feel your hands. I want to feel that, are they breaking out into a sweat? Am I, am I picking up any sympathetic response? And I’ll also ask them, did that, um, how did that make you feel? Did that give you butterflies in your belly?

And some of them say, no, that was fun. Some might say you little, you know, and I’ll say little butterflies, medium, or a lotta meaning. Did that feel? Give them a feeling of being anxious. Okay. So you want to dig a little bit, um, you want to look for the overt signs, but you also want to did, like, is it maybe hanging out a little bit? Another thing you can do is you can walk into a room and you can either come from behind. If, if you feel it’s appropriate, if you know this person or, you know, they’re old enough, you think they can handle it, et cetera. And you can see if you can start a limb boot, um, or you can see, um, when you, some people say is, um, when you run up to somebody and meet them face to face, and if they’re equally to embrace you or they’re like freaking out, okay.

So those are some, some other subtle signs you might look for that is this moral hanging out a little bit, the older person or adult you might ask, how do you do somebody scares you? Or if you are, um, walking in front of the cards and we slammed slams or horn, do you like startle? And it’s hard for you to settle afterwards when Morrow integrates, it’s taken over by what this, what we call the stress reflex, where if I’m sitting here at a cafe, having a nice glass of wine with somebody in relaxing and conversing, and all of a sudden, I hear a loud crash behind me. I should appropriately take a breath in my shoulders. Go up. I turn, I look, I’m available, able to evaluate that I am safe. I’m okay. And I can come back and I can pretty quickly relax and calm down again with the adult, with the oldest child, do they startled?

And they have a hard time coming down and, and, um, self-regulating afterward. So those are some other things we want to look at if looking for an active Mark. So another way to test, we can do that the trust fall, but you can also have the person, the little fiddle part’s supine have, you know, a rolled up. You’re going to see on here, the rule that pillow under her shoulders. So you want the head about four or five inches off the table or the floor, depending where you’re at, put your hands underneath them. Their arms should be out to the side elbow, slightly bent with palms down legs extended and be fairly relaxed. And what you tell them is first of all, do it with the eyes open. Um, when I, as soon as I dropped your head, as soon as I let your head fall, I want you to cross your arms across your chest. First of all, make sure they can do this. Make sure they can, they know, understand the directions and they know how to do this. They can use both arms in a coordinated fashion

To do this. So

You simply hold their head. And at a given point, just drop it down and you see how fast they can react. Do they initially splay out like tomorrow and then come to midline appropriately? Do they hold their breath? Do they grimace? Do they flush? Are they sweaty? How active does that? Their motor pad, their response mimic an active model reflux. So this is another way we can do it. And then there’s also what we call the duck and pigeon walk. So what I’ll do is if I am not sure, or I see a very slight then thinking that’s kind of the slight active model, but I’m not sure I’ll put them in a duck and pigeon walk. And oftentimes you’ll pick it up here. And what that is is you have them stand. You have their elbows bent at a 90, 90 degree. As you see here, her thumbs are pointing inward and then her feet are pointing

Out

And you have them walk about 10 feet forward and 10 feet back up several times. And you see if they can keep that posture. The thing you’ll know is that they’re there, their thumbs or hands want to come out of that position. And, um, and then the pigeon walk, his feet are turned in toe to toe and thumbs are turned out and can again, can they keep that posture as they walk forward and backward? And so this sometimes will bring out that, um, that moral, that you’re not sure if it’s linear in there or not. So I do this on my older kiddos and my adults, if I’m not seeing, if I’m, if I do the trust fall, um, and or the supine, and nothing’s really sh I’m not sure. I’ll see if I can bring it out this way. So those are three ways we can evaluate the moral along with the things that we talked about, of, of, uh, history, questions, and presentation that might be indicating, um, an active Morrow.

And then look again at your history. Are they complaining of anxiety? Are they complaining of inattention, um, sleep issues, blood sugar dysregulation, look at those as well. So tie those into the picture. So how are some ways? So this is a pretty, um, standard exercise to help integrate Morrow. But again, we want to bring this across all ages and all stages. Not everybody can do this, right? So I’m going to hold your breath. Don’t hold your breath because it’s part of Morrow. Um, I’m going to show you some ways we can modify things to help those, those individuals, depending on their age and their functional integrity, how we can modify this. So I have this little one in, in a chair. You can do this either supine, or you can do it in a chair depending on their capability. And we, I call this the Venus fly trap.

It’s like that plant, right? That you drop something into and it eats it up. So I call it the Venus fly trap. I think some people call it the star flower. Okay. So you’re gonna see it called different things, but this little one’s in a chair everything’s extended. Okay. Palms facing outward. And then the first thing is they cross one leg. They cross the same arm on that side, and then they roll up. Now what I tell, because you also want that head to come into flexing and what their whole body to come in into flection. Okay. So what I tell them, as I tell them, um, cause you want the pump when they’re doing this, you want the Palm space in their face. So I tell them that pretend your hands are like butterflies. And that they’re always facing the butterflies are, are, are facing you.

Okay? And they’re flying right here because I want those palms open. And as a side note, sometimes you’ll see individuals that have an active, retained Morrow. They they’re fisted they’re there. They don’t relax their fists open. So palms open facing you. All right. Um, and then as they they’re going to cross and they’re going to roll and they’re going to kind of take the butterfly wing to their nose and then the unroll uncross. Okay. Um, and the reason I liked that I like having their eyes on their hands as well, because you’re now you’re getting some hand eye coordination built into this. Um, so it’s, it’s kind of killing multiple birds with multiple stones. So you have them do one side first and then unroll and uncross. And then the other side crosses over and they roll up. Now again, I start them out with these basic movements because that’s all they may be able to do.

And then I can add breathing with it. So as they extend the inhale as a flex, the exhale, and it’s great to do like a five count breath with that. So as a extend five count, inhale as a flex five-pack five count by point. Exhale. Okay. How many do you do on each side? It depends on the, on the person. Do they cook out? Do they get kooky brain after three? You don’t want to push the goat. So to speak on these because you don’t want to drive them into a sympathetic state where they don’t like doing these, especially with their kiddos, their excuse will be, Oh, this is dumb. This is stupid. This is too easy. When actually it’s really hard on our brain. So, um, you might be able to get three on each side for the first week and then they can do five and then they can do 10. You need to step them up as tolerable. Okay. Because who wants to feel cookie? Now I want to show you over. This will play okay. On the child that can’t do this. How can we start laying the foundation to help them do this?

Can you do this? Maybe your right leg comes over to your left. Okay. And then do you remember your right hand? CO’s over on top, but your left. Okay. And can you roll up into a ball or you can do a roll, everything up and the head comes up too. There we go. Awesome. Okay. Unroll and unfold unfold. And now the left side comes on. Talk. Is it like paper? Kind of, can you put the website on the top? The left hand on top. Okay. Remember it’s like, butterflies are looking at you. It’s like your hands are butterflies because you want always the palms to be facing the face. Okay. Okay. So that gives you just again, how do we modify these things? Right? How do we make it applicable? The other thing I call it’s called clamps again, Morrow is a centering. It’s a core reflex.

So I use, um, hold on. If you’re out there. Okay. I’m going to show you actually with little babies to how to do this. Okay. We’re going to modify it for the little, little, little, little ones. Okay. But clams are, um, I use either, you’re going to see two different versions here. You’re going to see me using a deflated plated physio ball. And you’re going to see me using a beanbag chair B back because we want to mimic, we want to get an action that they can carry out that gets them into that center. All right. So this is kind of fun. The boys, especially like it. Um, so I’m going to show you. Okay. Ready, buddy. Okay. Everything comes up and squeezes it. Here we go.

Beautiful. Beautiful. Ready to go again? I think I have it ready. Okay. So you want their arms and their legs to kind of come up, see how the end phases here has legs. There’s those bits spread apart. You want them that kind of squeezing that whole, the upper and lower extremities. And then you’ll see this guy. Awesome job three, because especially this, the second one that I showed you, that little guy would, can not figure out right. Left more reflex. It’s going to be, uh, uh, uh, right left body, right. Left brain, upper lower body, upper lower brain brainstem to frontal lobe. Okay. So they can’t figure a lot of this. These kids can’t figure this stuff out, so we’re helping them and we’re playing a game at the same time and they love it. Um, so how do we modify this with the baby? Okay.

Okay. So with the infant, with a positive Mara, we can do the same type of things that we did with the older child. We’ll just modify it. So we saw that video clip where we had the little toddler and we had mom had him sitting in at her lap and we put the ball and we call it the clam. So what we can do with the little ones is get the small step in and we’ll okay. We have our quality

And we just use that boom. And we just modify ends up squeeze. Okay. And then maybe get her attention and then, and roll up and squeeze. Okay. So we’ll do that three to five times, and then we can do a model

Venus flytrap as well, where just like you saw in the video with the older child where we’ll just

Do the, um, maneuvers for them

And then roll them up and roll and I’m cross. And you can have the parents do at home again, three to five times on each side with the little ones it’s really easy to do for just one person, because they are so small, so modifications depending on functional capacity, age and size. So there’s some tips for the Morrow, with the iPad.

Jeez, gotta love that hair in that video. Hi, wild hair day there. Um, now what I want to say is, um, you saw me do the clams with that older child. The other way I’ve had them like, like a three-year-old where I’ve had them, where sit in mom’s lap and they’re facing out. And we just use a big step down, a big Teddy bear when they’re step animals or a big physio ball or whatever. Okay. And you just kinda put it into their core. And mom, um, mom would help them maybe squeeze with the arms and dad or me depending where they’re at would help him curl up with their legs. So they’re the comfort of mom’s lap. The object is coming out to their core and they help them squeeze. And what I found, especially with my autistic kiddos is they end up really liking this.

And sometimes they’ll end up dragging that step down and what’s mom or dad, or the physio ball. And, and they want this done because with some of them, it’s very calming actually. Um, I’ll give you one more thing. The other thing you can do with the older individual is you can have them in this position. So again, they, the unused arm is out the side, Palm up, you have the arm and the leg at a 90 90 position. You want them in a 90, 90 position. And you’re simply again, in, in the picture here on the left, I’m pushing into their core and they need to resist me. You’re not using more than 20, 25% of your body strength. Okay? You don’t want them overpowering you. And a lot of the kiddos will try to overpower you because it’s harder for them to do more of an isometric push.

So you’re pushing, you’re, you’re re having them resist as you’re pushing in. And then on the other picture, you see I’m Abby, I’m pushing out a wave from their core, and they’re supposed to try to maintain that position. So not easy to do. Um, and so what I do is I’ve done some cheat sheets for y’all. I, what they like to do is like this little dude, how he likes to rest his he’s resting his hand on his head. They like to cheat. Okay. When we’re in the sympathetic dominant shift, it really shuts up our prefrontal cortex and motor control and motor strength is off. So I I’ve used these little plates where they have to try to entice them to keep that position. I’ll show you this real quick. Right.

Keep that one bent. So we bounce a little bit like this there and bounce that place. Okay. That goes, this goes

Up. Okay. Bounce that plate. Okay. Right. Push in. Where do you push outward? So don’t let those plates drop. Oh, you’ve got to keep up. Awesome. Okay. So that gives the older kiddo a challenge. I’ve also used slink from, for the little kids slink from toy story. It was a perfect stuffed animal to, to rest on their leg. And then I said, don’t let slink flaw fall. Okay. So these are just ways again, to have some fun modify things, to get where you want to get with the little kiddos. And so again, you start with the easy stages and work your way up to harder, do harder maneuvers. So I think we had a pretty good fun time for you enjoyed this. Um, please reach out to me if you have any questions, this is going to be a big one right now because people are in, um, again, second a spider flight mode.

And, um, we want to help to be able to, uh, pull out all the red stops in addition to adjusting them, getting lifestyle management, diet regulation, blood sugar regulation. Um, look at that more reflects in a little bit can go a long way. So again, thank you again, ChiroSecure. You’ve been amazing for the chiropractic profession. Um, what would we do without you? Thank you for letting me share this information and be sure to check in on the first Tuesday in February with the amazing Erik Kowalke and his amazing information. And I’ll be back the third Thursday of February until then keep changing lives, keep changing the future.

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