Empowering Women Chiropractic – Prepping for National Chiropractic Health Month – F4CP

Welcome to ChiroSecure’s Facebook Live. So excited to be with all of you. This month’s information is going to be outstanding. Why? Because what’s really important is that we get jazzed up about preparing for National Chiropractic Health Month. Listen, I know that a lot of us are in practice, such as myself, and sometimes we get a little run down in practice. That’s okay because you’re with me now, and we’re going to get you inspired, engaged, and ready to take on October’s preparing for National Chiropractic Health Month.

Now listen, again, I give always a shout out to our sponsors because without them, our national campaigns could not be possible. Especially a big thanks to ChiroSecure for having me on today. Let’s jump in. Let’s have some fun. Let’s inspire the entire nation about chiropractic benefits. Step one, if you haven’t done it in your practice and you’re not a foundation member yet, put together your own roadmap. Now the foundation does it for you if you’re a group member or an individual contributor.

I want to make sure that you look through October Marketing Roadmap to see what you would like to place on your social media links, whether that be Facebook, Twitter, Instagram, your own personal website, or a newsletter. Look at what we have in store for you coming up. If you don’t have the foundations roadmap, make your own. How are you going to reach out to your community and be effective? Some of the things that I want to prepare you for as you go through the months in your marketing preparation is first and foremost, put together your own cover photo. At the foundation, we use this one for October. It’s Chiropractic: Your First Choice for Optimizing Health. Don’t Miss a Post. Like Our Page.

And we give this free for you at the foundation to be able to upgrade all you social media platforms. And as I said before, we need to inspire our patients. How can you be inspiring if you’re not inspired? So one of the ways to do that is to continue to advance what your knowledge base is on a monthly basis with our practice progress webinars. Doctors, these are some of the national best speakers that we bring to you complimentary. Every single person on this podcast has access to them. The click to register is all about you beginning to become more engaged in what’s going on around you in the chiropractic profession and outside.

So you have Dr. Ryan Lazarus, Nutritional Strategies for the Most Common Chiropractic Issues. Sounds inspiring, doesn’t it? What are some of the chiropractic common issues? But then there’s what we want to do with the chiropractic assistants. You’ve all got front desks. Let’s make sure they’re inspired too. So Kathy Mills-Chang, fantastic speaker, very engaging. I would like to see your CAs come to that particular webinar, Don’t Let Medicare Stress You Out. We know Medicare has its options. Let them know that it’s not as hard as it looks. And yes, there’s a lot of pieces to it, but it can be easily implemented into your practice.

One of the pieces that has been a big hit throughout the nation, and I was just in Virginia with their state convention. In fact, if you see behind me, where am I now? Well, this weekend I’ll be with Indiana at their state convention, so it’s: Where in the world is the foundation? Why? Because we want to be able to present our information across the nation, so every state association has the opportunity to have marketing materials that’s real for them. Now during Chiropractic Awareness Month, we want to be able to show public service announcements. Where can you show them? On your Facebook, your Twitter page, you can get a link there, or your own website. So let’s show you what the actual public service announcement for this month is going to be.

As general health and wellness becomes top of mind for many Americans, it is no surprise that 35 and a half million individuals have seen a doctor of chiropractic in the last year. Contrary to popular belief, chiropractic care is effective for more than just managing back and neck pain, and is reported to improve overall health and wellness, leaving patients feeling better. Doctors of chiropractic who receive a minimum of seven years of higher education are trusted primary healthcare professionals for spinal health and wellbeing, and are specifically trained to recommend therapeutic and rehabilitative exercises, apply supportive procedures, provide nutritional, dietary, postural and lifestyle counseling.

In a recent study, the reasons why patients chose chiropractic care included for general wellness and disease prevention, to improve energy, to improve athletic or sports performance, and to improve immune function. To achieve, improve, or maintain a healthy lifestyle, see a doctor of chiropractic in your area. Go to F4CP.org/findadoctor.

Now I urge you to put that public service announcement out there. Why? Because someone’s friend who is a patient of your office, who lives in Indiana, needs a chiropractor. And the more we can spread our messaging, the more we can help consumers find chiropractors, the better we’re going to be. And as we deliver our message on the benefits of chiropractic care, we want to be able to ensure that it’s surrounding them everywhere, whether it’s in the national newspaper that we’re going to be placing an ad in, or it’s in your office.

Remember this, emails are just overwhelming at this point for many people, so paper is the new email. And one piece here is our brochure. Optimize your health with chiropractic care. And these brochures can be handed to your patients on their way out. Say, “I know you have a friend or family member who probably would like to optimize their performance and their wellness. We’d like to ensure that you pass this along.” It’s caring is sharing, and that’s what we want all of us to be doing.

The next piece that we have, PowerPoint presentations. And this can be done very simple on your own YouTube site. Yes, you can put your YouTube site on your website. Marketing about you is fabulous, having quality product that you can be proud of is something that takes time. The foundation has done the work for you, having create and researched articles, and having the PowerPoint presentations ready for you to give out. This is a time of the year where a lot of people do start to get a little stressed. The holidays are coming, preparations, that kind of thing.

And wouldn’t it be nice for the chiropractor to reach out in the community and say, “How about we do relax your mind and body?” And take a few moments just for you, just take a big breath in. And just remember that stress is a choice. How we react to it and what we do to prevent it is our choice. It’s in our hands. And the chiropractor’s there to walk them right through it, from mechanical body stress, to helping them mentally relax and enjoy. So this is a downloadable PowerPoint presentation. You can do it in a variety of different forms, but I encourage you. Walk through it, and then feel comfortable about presenting.

Presenting just takes time. Practice will not make perfect if you don’t do it. So PowerPoint presentations, and just starting to reach out to the community is a great way to get yourself really engaged in helping consumers in your neighborhood. Another way to do that, infographics. So we’ve put together a variety of different infographics that you will see on that roadmap. But if you don’t have that roadmap, don’t worry. We’ve got infographics on our Facebook page. So if anything you do today, just like the Foundation for Chiropractic Progress on your Facebook page, so that you can see what we’re doing, where we’re going, and you can repost.

Re-posting is a fabulous way to get our information out across the nation, whether the chiropractor’s helping a patient with healthy weight management and what, unfortunately, the downside is to gaining weight, and trust me, it’s the holiday season. We need to get on this right now if we want to be a little too engaged in a little bit of holiday cheer. How about the relationship between sleep and pain? Remember that a body needs a certain amount of recuperation for the next day. Help your patients know what that is. Help them with a pillow suggestion. Maybe help them with positioning. But let’s start talking about the impact that a poor night’s sleep will create.

And then last but not least, when you see an infographic that says, “Chiropractic leads to better outcomes, improved health, better sleep, reduced stress, and a sense of control over health,” this can all be read in the Adams Study in Spine in December of 2018. Doctors, if you haven’t read that, The Prevalence and Patterns of Chiropractic, do yourself a favor. It will inspire you and engage you back into your practice if you’re falling off a little bit, you’re kind of burned out. Don’t worry. Read a study like that because it really will engage you on why people are actually turning to chiropractic.

Another piece that we’ve seen a lot of progress in is being able to offer healthcare dinners and longevity lectures. And this is an opportunity for you to meet the doctor at a dinner event, even if you have five people for dinner, and you have the PowerPoint presentation in a private room, that’s five warriors of wellness that can go out into their families, into their own communities, and start sharing what you do in your practice and why you’re so valuable as a healthcare provider for them to have.

I like to see a chiropractor in every single person’s life. I hope you, on the other end of the screen, do as well because I think in today’s age, our mechanics, our stress levels, and our optimum performance is best with balance and exercise, and ensuring that someone is the healthcare coach on a daily basis, who’s well based in facts and research. And that’s you, I know it is. So let’s get into some more opportunities to do that. This is a gift for everyone who’s here today, regardless of whether you’re a foundation member or not. This is a downloadable how to guide, the public relation gift that keeps on giving. Every single person here today can download that link. And it’s a how to guide for how to maximize the value of media coverage for you.

In fact, when I was in Virginia, I really talked about how to maximize your opportunities within your community and being media savvy, making sure that you’re well equipped to be able to promote and educate those around you, whether it’s putting a social syndication in your newsletter that’s a community newsletter, or reaching out to a radio that you’d like to talk a little bit more about a specific topic. Just be ready to go because I think these are all of the pieces that make us a fantastic healthcare provider for our patients.

Last but not least, I want to thank each every one of you for joining me on these Facebook Lives because nothing means more than the bottom uprising in being active in the community. We are a force together. We can conquer barriers that we’ve been fighting for, for 124 years. And now we’re starting to see the community see us as a fantastic option, especially when we’re suffering with the opioid epidemic, painkillers rampant, and people needing help. So in spite of yourself, use this material and just be proud in October to share all of this chiropractic wellness awareness material with your community.

Look forward to seeing you next month. If you’re not a member of the foundation, don’t worry, we welcome every single professional chiropractor in our group. Just go to F4CP.org/package. See what works for you, and then when you come back to these Facebook Lives, there’s plenty of material that you’ll be able to download and use for your particular month’s theme. We’ll see you in the following month. Thank you, ChiroSecure, for hosting us. I hope you have a blessed October.

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

Empowering Women Chiropractic – Vagal Tone & Neurobiology – Drs. Buerger & Haas

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

Hello everybody. Welcome to ChiroSecure’s “Look to the Children Show.” I’m your host for today, Dr. Monika Buerger, and I am beyond excited once again to have an amazing, amazing guest. I was so pumped for today. It’s unbelievable. I have the amazing Dr. Amy Haas with us. I have secretly deemed her, the Chiro Nerd Mama.

I love it. I love it.

Thank you for being here. Let me tell the audience about…

ChiroSec…

…I was a little late on the trigger reading through your bio and stuff, so I was doing that on the way to the office today and I was like, “Oh my gosh. Okay. She’s got a long list of amazing achievements. She’s got a master’s and a PhD in biochemistry, she’s done postgraduate work at Harvard and she had a position there [inaudible 00:01:50] enzymology, which I was like, “Oh, I got to talk to this woman.” We’ll I am going to talk to this woman, I am talking to this woman”, where she coincidentally was in the same building and where she met her chiropractic introduction. Is that correct?

Yes.

And that was Dr. Steven…

Branson. And there are no coincidence’s in this universe.

No, that’s crazy. She is… likes to put the pieces of puzzle together. So she’s known, we’re going to talk about something she’s known for coming up here in a minute, but her specialty is digging in, finding out the mystery pieces, looking at how we as chiropractors, why we have seen these profound changes all these years and what are the, why can that be happening. She loves to study something that I’ve had a relationship. I joke around that I have a love affair with the vagus nerve, the vestibular system and others. And in fact, years ago I got, I started talking about the vagus nerve about 15 years ago and everybody said, “Oh, that Buerger she just loves to talk about the vagus nerve.” And so now I get to nerd out with my, my Chiro nerd friend here. Anyway, so Dr. [inaudible 00:03:10] she tell you that the microbiome, neuroendocrinology, vagus nerve, heart rate variability. How does that fit into the paradigm of chiropractic? Why do we see it important in chiropractic? She’s a private practice and by the way, happy ninth birthday to your practice.

Thank you.

Had a recent birthday. She has teamed up with Dr. Bruce Steinberg and his lovely bride in something that I’ve got to to check into Chironerds.com. Is that right?

Yep. It’s still in process.

Okay, so it’s in the process so she could maybe elaborate on that a little bit about where she is in the process with that. But anyway, without further ado to the world, Dr, Amy Haas, thank you for being here.

Hi. Thank you for having me.

Did I get your last name right?

Yes. Thank you.

Okay, all right. German?

Yes.

So, see, I knew we have to be sisters from another mother from another lifetime at some point in time.

There you go. It’s funny three years ago today I was actually in Germany.

Oh awesome. Yes.

It’s my first first trip over there.

Yes. Beautiful country, right?

Yes. Very.

Well thank you for hanging out. I was… When I scored you on the show, I was like big win, big win.

I’m super honored to be here. I’ve been looking forward to this.

So you are known for, I guess with a little expression of “We know”, “What we know”. What is it that you know? What’s your expression, I didn’t get that one right. It’s all connected. Even when…

It’s all connected…

Go on.

“It’s all connected in some way, some of which we know and some of what you don’t know”, did I get that right?

Yes. You bet you.

All right, so tell the world what you mean by that.

You can think of the body as individual parts or you can put it together like a puzzle and think of it as the sum of its parts and the sum of its parts is much more intricate and elaborate than each of the parts independently. And they’re all, the parts of the body are connected in ways. Some we know, some we don’t know. We’re finding new science coming forth about number of different topics. There is a paper that was just discussed last week about the possibility that a stress on bone in mice instigates the adrenal stress response, which was fascinating. Just a couple of years ago, we had the discovery of the CNS lymphatic system and the glymphatic system, and all of a sudden it turns out the appendix actually has a function in the body.

Go figure.

So…

I know, right? So all of these different discoveries about human physiology are still happening and we don’t truly understand all of the puzzle pieces of the human body just yet. I’m not sure we will in our lifetimes. And that’s okay. That’s a beautiful puzzle just to kind of observe and say, not can we control it, but how can we empower it?

Oh, beautiful. Beautiful. Because it’s all network, right? It’s all this networking that happens and I have a feeling you’re a lot like me. You find one piece and then it leads you to a rabbit hole, which now it’s four in the morning and you’re like, okay, I’ve got 20 papers open and I just opened up this huge rabbit hole.

We definitely are soul sisters. Oh yeah.

But I have to ask you a question because, again forgive me, I just got to read this on the way to the office today. You talk about there was a paper plopped on your desk like 10 years ago or something when you, was that when you were at Harvard in regards to the, I call the vagus nerve, the big bad Voodoo Daddy.

That’s a good title. I like that. That’s a really good one.

For those out there…

[inaudible 00:07:09]

I think it said it was… Anyway. Was that the one by Kevin Tracey?

I can find out. Hang on.

Because…

Oh, there you go. So tell the world the, the vagus nerve, I call him the big bad Voodoo Daddy because he really, he’s, he is your immune system, I, he is your, vagal tone supports your immune system. He controls a whole [inaudible 00:07:34] anti-inflammatory pathway guys.

Absolutely. Right.

Right. He controls your digestion. He controls your stomach acid balance, your bile, your heart rate. I mean, so this real, this he is really the King of Kahunas.

Can you read that or is it all fuzzy?

I can sort of.

Okay, the sympathetic nerve and integrative interface between two super systems, the brain and the immune system. So interestingly, looking back on this title, the actual problem that I have at the title is that they’re not two separate super systems, they’re one super system, but they have different components that aren’t even mentioned here. This was, oh, this was 19 years ago. This is pharmacology reviews in 2000 and I honestly don’t remember when this landed on my desk, but I know it made me go, wow, I need to look at that and they’re… Rabbit hole.

That is the huge rabbit hole. I remember doing the work for the second edition of the chiropractic pediatric textbook. Anyway, long story and going down this rabbit hole and I then I stumbled about Kevin Tracey’s paper in 1998 and where he saw that the immune system is really modulated by vagal tone and so as chiro… Can we [inaudible 00:08:54] on that a little bit as chiropractors? Now you have done, you did a a study in, or a clinical trial, correct?

It was not a clinical trial. It was just a retrospective case series. I was noticing, I was playing with HRV because I’m a nerd, I play with things and by experimental systems I do not experiment on my patients. I observe them. There’s a difference…

There’s a difference.

…in terms of, yes, in terms of a, what’s that thing you’re supposed to get a some sort of approval to do that. But I’m a born lab rat. I’m not used to working with humans. I’m used to working with test tubes, so this whole working with human subjects is a whole different ball of wax to me. So, I observe my patients and I notice if there’s a trend that a lot of people are showing up at the same finding or the same improvement. And I was noticing that many of my patients would start with a lower heart rate variability as measured by standard deviation of end to end interval and over time that would progressively improve because we know it’s not one data point that is important to understand the direction of health.

You can’t make a trajectory off of one data point. You need at least three data points to make any kind of align and you really want more than that. So I started tracing the heart rate variability in patients pretty frequently just to see what was happening. And it turned out there was a really beautiful commonality between many of the people who were having their subluxations corrected with just conservative care, is their heart rate variability was improving almost linearly and then plateauing and staying there. So I found that very interesting and that’s what the paper’s about.

Oh, beautiful. Where can people dig into that paper?

Now that’s an interesting question. It’s published in the Chiropractic Journal of Australia and I think, you know, there’s some political stuff going on with that journal. So to actually find the article is a bit challenging at this point. So I’m going to recommend that people go to a different resource. It’s Chiro.org, it’s Frank Painter’s site. He does such a fantastic job of looking for different research and putting it into a form that chiropractors can access easily. And so if you search a Chiro.org and heart rate variability, you’ll find a link to the full paper.

Fabulous. Thank you for that. Thank you. And they thank you for doing that. That work.

So, I had sent Alan a few talking points and so forth and he’s like, okay, maybe not everybody out there listening is as nerdy as you and I. So can we…

Yes.

Could you break down a little bit, let’s give the audience some simple bullet points about heart rate variability, because we want it high not low. So people understand that you want a high heart rate variability, that means you’re adapting better to your stress.

Right.

What else do you want to tell them? Just some bullet points for people that might not have heard of this kind of lingo before, but they’re like, that’s intriguing.

So, the first step is to distinguish heart rate versus heart rate variability. Heart rate is 60 beats per minute. Heart rate variability is, do you have beats that are 0.61 milliseconds, 0.62, 0.59, they should be a little bit different, and the distance between adjacent heartbeats. So if you take a five minute sampling of your heart rhythm, your instantaneous heart rhythm, you should be able to use just a simple mathematical equation to standard deviation, to give you an idea of how variable that heart rhythm is. And it turns out that I’m in about, oh, I don’t know, 30,000 [inaudible 00:12:43] references that the variability in your instantaneous heart rate is a reflection of how well your body is perceiving it’s environment, internal and external. Integrating that information and executing a timely, an appropriate adaptive response. Now those were a bunch of words, but what that really means is the safety pin cycle.

So what we’re looking, sorry, go on.

No, go…, well what I want to break down for a lot of people out there that know that I talk a lot about the sensory motor loop and adapting to our external, internal environment. So our external environment are those five FARs senses, sight, smell, sound, so on and so forth. But to our audience’s internal [inaudible 00:13:32] senses, which I believe is, are so profoundly modulated with chiropractic care, is that a [inaudible 00:13:40] proprioceptive that interoceptive, so I just want to throw that in there so we can tie that together for those guys out there. Interoceptive system or neural visceral system is modulated by the vagus nerve, by vagal tone. So this…

Big time.

So this is how we’re linking everything together for you all. So when Amy was talking about adapting to what we perceive, remember it’s adapting to those senses that those senses. So I just want to interject that. So we tie this all together for them.

Perfect. It… One of the paradigms that I use with my patients is your body will only adapt to what it sees. And I’m using the word see in a more general sense, not specifically see, but perceives. If your body does not accurately perceive anything, whether it’s your balance, whether it’s your blood pressure, if your body does not perceive that, it will not execute an appropriate adaptive response to change because of that. So both ends of those loop are really important. And the most important thing is that thing in the middle, the integration place where I think that’s the brain or something.

Something like that.

Yes. Something like that.

Yes.

Yes, exactly. And so now we also know that there’s… We have these brain regions that [inaudible 00:14:59] it’s like a marriage or relationship, they have to have the chemistry between them and then the constant communication and that communication needs to be, it can’t be one person in the relationship has more say so, more power of a communicator, they have to be communicating, all those regions have to be communicating equally, so that they can perceive their world and respond appropriately in a motor function. So, yes. We could just be here forever right.

I think so. Oh yes. This is awesome.

So, how would we tie this together with the vertebral subluxation with finding, detecting, correcting vertebral subluxations, and what does that have to do with a vagal tone?

I’m going to answer that in a way you don’t expect. So I, do you know Dr. John Chung? He’s in Florida.

Yes, yes, yes. Love him.

Okay. So me too. He and I actually were overlapping at [inaudible 00:15:59] University. He’s part of my brain trust. So basically when John says something, I listen and just today he was talking about a conversation he had with a patient. He posted this on Facebook, that it was a patient returning to care and she wanted to have her vertebral subluxations, her upper cervical subluxation addressed and adjusted and this patient wanted, John said, I think he had a screen show on his overhead computer, something like that. And she said, “Oh, that’s interesting. I wonder what’ll happen when we adjust me.”

So he took a baseline of heart rate variability for this returning patient, did a specific analysis and a specific chiropractic adjustment, and you know John, it’s going to be very specific, it’s [inaudible 00:16:45] and measure the change in heart rate variability afterwards. And there was a very strong trend towards positive improvement. That was instantaneously, it was, there you go for a readout. I mean, and when you look at that in terms of what is heart rate variability, it is perception of the body, integration of information and execution of a response. When that improves, that means that the body is literally adopting better, and when the body is adapting better you can logically conclude that the body will be healthier because lower adaptation is kind of bad.

And that leads to, let’s kind of lay this out by the way John, if you’re listening to this, you’re on my hit list to be on the show. You didn’t know that but…

Good.

…you are now, I’ve got my hit list. So anyway, and for the audience out there, this leads to whole downstream neurophysiological consequences because when we’re not adapting appropriately we… We’re stuck in that HPA axis cranking, cortisols kicking, initially cortisol’s anti-inflammatory then it switches to the pro-inflammatory, but there’s a whole cascade of things that happen. So we just want to tie that in there for you out there listening that this is a big deal. This is…

Big time.

…as well as mental health and we know that one in five kiddos in this country is diagnosed with a mental health issue. So I kind of want to transition there if we can for a minute doc. So, okay, let’s break this down. Research… If I were to say, is there substantial research for us as chiropractors to say, I mean we, we know what we see in our offices, we know that we see these responses. But as far as research, if I were to step in a court of law or whatever, [inaudible 00:18:44] Is there research out there to says we definitely affect the vagus nerve?

Whew. Directly or indirectly?

Let’s go with directly first.

I don’t think there’s adequate research yet. I think it will be very straightforward for us to do there are great model systems to follow and I think it is eminently accomplish, and I think that is something that should be on the high priority list for chiropractic research. I actually think it honestly, it’s like shooting ducks in a barrel.

Yes.

You know, we already know the answer. It’s a matter of how to frame it.

Absolutely. And because that’s always been one of my crazy missions is to, because in your bio, you, I know you’ve done a lot of this work. We have the medical arena looking at vagal nerve stimulators and different modes to stimulate vagal tone and I feel, and I know you’re right there too, I can feel it. We should be on the forefront of being able to tell that to the world and lead that chase and how chiropractic can really modulate vagal tone.

Without question.

Yes, we have all these other entities doing it, you know, and we can innately, we have the power to innately modulate vagal tone and I think, I would just love to see that be the one of the forefronts of where we go.

I would love that and there’s a secondary reason for that. I was thinking about the nature of transcutaneous vagal stem that’s being put forth in the medical device arena these days and you can put an input into the vagus nerve through the trachea’s and you can modulate vagal tone that way and you can measure it. The systems exist to measure what we want to see. But here’s a question for you.

If you decrease sympathetic over activation by sensory input to the vagus nerve, therefore vagus tone is more prevalent, but you have not actually effected parasympathetic. If you’re decreasing sympathetic tone, but, and also you’re not addressing the subluxation, you’re still modulating the system from the outside in. You’re tuning a guitar string the way you think it should be, but that may not actually produce the most harmonious chords.

That’s a beautiful point. Beautiful. Absolutely.

And that’s where we fit, that’s where we have this profound ability at least. Yes, absolutely. So when we talk about little fiddle farts, the little ones, so we know that there’s these critical windows of development. I call it the first thousand days. That’s fetal development, the first two years of life and then the autonomic nervous system. So these critical windows things, there are things we, the nervous system brain expects to happen. They, they need to happen in that time and there’s things that shouldn’t happen. And we know that the autonomic regulation, that vagal tone, heart rate variability comes on board the end of the second try and, and the third try during fetal development. So we need mama to be imbalance and adaptable as best as possible. Where do you see these little fiddle farts fitting into this picture?

Couple of different ways. One is prenatally her mama. Absolutely. And you just reminded me of a friend of mine had a car accident the other day and she’s five months pregnant, so that has some pretty serious implications for making sure that she gets that stress response down for sure. So, prenatally the stress on the mama will be reflected as stress on the baby and that’s literally neurological programming. That’s hard wiring.

Yes.

That’s hard to fight.

Yes.

You can do it. It’s hard to fight. And then early on in childhood development, if children are subjected to ACE’s, adverse childhood events, again that will prime their nervous system to have a trigger happy stress response, and that skews the autonomic nervous system towards “fight or flight”, or as compared to “rest and relaxation”. Or if we were talking about Polyvagal theory, it skews the response of the nervous system towards “fight or flight” or “freeze”. And when that happens, you’re setting off an entire endocrine hormone cascade, and we all know that the hormone cascade of stress impacts human health. So if there’s anything that could help to redirect the balance of the autonomic nervous system after these adverse childhood events, then it would be expected to really help the longterm health prognosis of these kids who are having these events.

Absolutely. And in that study they found that the life expectancy of those that, that had the high ACEs score, the average child experiences, their life expectancies to be down by about 20 years.

And there was a strong correlation…

Strong, strong correlation. Just last week I received a recent research paper on positive childhood experiences that will negate, they played off of it off the ACEs study, and that positive childhood experiences will help minimize the expense, the responses of the adverse.

Of course.

So, of course, so think about if we have these little fiddle farts that have this dis-regulation and these adverse experiences and we get into their lives and we can create a positive environment, meaning a positive perception of their environment and be a part of being able to negate the adverse offense, events. That is, I just…

Beyond profound.

Right. And we know that these… This getting, I call it getting stuck in limbic lock and load mode, it shuts down the frontal lobe and then, but this is so much tied to not just physical consequences, but mental health as well, and I really want to hit home to the audience about what we do as chiropractors has a profound effect across the boards in regards to physical and mental health. So anything you want to add to that?

Vagus, vagus, vagus and vagus, but also maybe vagus and possibly vagus.

You think so? Because what happens in Vegas stays in Vegas.

Shouldn’t stay there. Shouldn’t stay there. Oh, I, dang it. I left my iPad in the sun. It was going to give you a title to a paper. But anyways, the neuro, [inaudible 00:25:36] neurovisceral integration model is a proposed hypothesis, top-down appraisal of how heart rate variability reflects the handling of stress in life, as measured by mental health concerns, depression, anxiety, PTSD in particular. And these studies have shown that higher heart rate variability, not too high, because that’s instability. It’s kind of like blood pressure, you want it not too low, not too high. Right in the Goldilocks zone. So higher heart rate variability was, lower heart rate variability was predictive of someone developing PTSD… (Silence) … suppose predictive of is an interesting word to be able to use in a research study.

Right.

So heart rate variability as modulated by the vagus nerve and really HRV is a readout.

Right.

So we’re looking at vagus function predicting whether someone will end up with a mental health disorder.

And that’s huge. I mean it’s so huge. And again we take it back to our little fiddle farts because this is more of a [inaudible 00:26:46]. But if we start out with this little guy, this little fiddle fart with colloquy, not sleeping, not pooping, right there because that is, so much all the whole GI system’s massively by vagal tone. We’re really getting an outward appearance. I say there a person’s neurological expression, the way they, their outward expression is giving you a window into their neurological integrity. So the [inaudible 00:27:14], non poopy, non sleeping babies after mom has to sit and bounce with them the whole time or whatever. They’re telling us that, “Hey, I’m not being able to adapt to this, this stress that I’m under.”

Absolutely. Yep.

So okay, I can have you here for hours and Alan’s probably like, okay, you guys stop. What is, what is one last, I know you’ve got a million but one last pearl that you want to leave the world with. Not that you’re leaving the world, but leave this audience with?

The distinction between traditional approach to management of the human body versus the above, down, inside out perspective, recognizing that the system truly is connected in ways that we don’t understand or fully appreciate yet, that sometimes it’s better to remove anything that is obstructing the system from rebalancing itself, than to try to fiddle with the system from the outside in, not knowing what’s going to happen. And really that’s what we’re doing with the chiropractic adjustment is we are removing obstructions that are preventing the vagus nerve from doing what it does best, which is modulating and… modulating the body and keeping everything in an active dynamic equilibrium.

Beautiful. Beautiful. Now I hope everybody can listen. Listen to that segment, repeat, rewrite, repeat and be able to articulate that to the world. Because that was beautiful.

Thank you.

So I guess we better wrap it up before we get that, the red flag, but thank you so much for sharing your wisdom, your, I mean, your beauty, your talent and your time with all of us out there in Chiro land. And I look forward to nerding out with you more and you, so Chironerd.com, and then your practice is, your practice website or where they can find your brilliant [inaudible 00:29:19]

Pathoflifechiro.com, I named my practice after a [inaudible 00:29:25], “Two paths diverged in the wood and I took the one less traveled”, and it has made all the difference, so I went from the traditional academic, to where I am right now and I love what I do. I’m so honored and thankful to do what it is that I can people’s lives and to be able to share how these neurons fire and create ideas and stuff with other people who can make use of them.

Well that’s amazing. And I, that’s one of my favorite sayings. So I think we were sisters from another, from another life, from something else, but.

I’m getting that totally.

Again, hey doc, thank you so much and I look forward to your, what you’re coming out with and keep us in the loop. We’ll have…

[crosstalk 00:30:10]

We’ll have to do a round two.

I’d love that. And at some point you and I are going to have to sit down and have coffee and just like nerd out until all of our brains are fried.

Sounds like a plan. Hey God bless you. Thank you for everything you do for chiropractic and just thanks for being you and I appreciate your time.

And thank you for having me and thank you for everything you do for chiropractic.

You’re amazing.

Well, we’re all in this together. My mantra now is “Alone we can make a difference, but together we can make change” and that’s where we need to go.

Love it.

So thank you all out there for tuning in. Make sure that you join Dr. Eric Glocky, the first Thursday of every month. He has an amazing [inaudible 00:30:54] show, and again, Chiro Secure, thank you so much from the bottom of our chiropractic hearts for allowing us to bring this information to the masses and to help serve more children and save more children. So until next month, I will see you the third Thursday of next month.

(singing)

Today’s pediatric show “Look to the Children” was brought to you by ChiroSecure and the award winning book series “I am a lovable me”. Make sure you join us next week, right here at the same time. See you next week.

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

Empowering Women Chiropractic – Are Your Finances in Order? Dr. Janice Hughes

Welcome to ChiroSecure’s Empowering Women in Chiropractic. The Facebook Live show for successful women by successful women. Proving once again, women make it happen.

Hello and welcome to our show, Growth Without Risk. My name is Dr. Janice Hughes of 2Inspire Women, and I’m really excited today to be your host talking a lot today about financial action steps that you can take for practice growth. We couldn’t bring you a show like this if it wasn’t for our sponsor, ChiroSecure. So I’m really excited that I get the opportunity to work and connect with ChiroSecure regularly, and then to provide interviews like this.

What I want to do today is talk a lot about how your practice growth and your business growth is actually tied to your money mindset. I know that sounds crazy because a lot of times we think, “Well, we could put money on hold,” or, “It’s not about the money.” But what I want you to know is that after coaching thousands of chiropractors, your money mindset is one of the keys to your practice success and growth.

So I want to introduce you to Christopher Koopman, who I have with me today, and I’m going to be asking him a lot of questions from Statera Wealth Solutions. Thank you for joining me, Chris.

Hey, Janice. How are you? It’s great to be here.

Great to have you. So tell us a little bit, just introduce yourself briefly before I start diving into some of the questions that I want to ask you.

Sure. I’m president and founder of Statera Wealth Solutions. I know it’s a tricky name. Statera means balance in Latin. I’ve been in the financial space since 2003 and I concentrate on holistic and vitalistic financial solutions.

Yeah. So tell me about that word because that’s a very conscious word. For chiropractors, we talk about vitalism all the time. But tell us about vitalism and money and the distinction, and I like to call it this financial coaching versus just being, say, a financial planner. So just tell us a little bit about that word vitalism.

Yeah. In my experience, most people are set up quite awkwardly in making financial decisions and it’s really not our fault. It’s more about how the institutions and the media puts us in this position of at different times in our life we meet with different experts or advisors to help us with different areas. So it might be something as simple as I need to purchase real estate and I meet with a mortgage broker and I meet with a investment professional to handle my investments. And when you’re done with this process, you have maybe five to 10 people around you that are having different conversations with you at different times in your life. And so, it’s challenging because you’re having all of these individual conversations all in their own little silos and no one’s talking to one another.

So I think that looks to me, being a patient of chiropractic care for almost 16 years now, that seems very mechanistic to me. And it’s awkward because you can’t make intelligent financial decisions when you don’t think holistically and how all of these interact with each other. So I focus more on a process driven approach rather than a product driven outcome.

Yeah, that’s great. And it’s so key because … I want to give some of our listeners a perspective. As you even said the words about multiple advisers, we really have three different, I’ll call it sort of target groups of chiropractors and practitioners that listen to our show. Number one is startup. Number two is where people are sort of moving from striving to thriving. And then number three is a little bit more the group you’re talking about where now you’ve probably got multiple advisors or you already have multiple products.

But what I want to talk about today is even get your perspective on those three categories. Because not only is it important to define vitalism when it comes to money, but the other thing, and especially the startup docs, but then all through our careers, we often talk about this word debt, or debt versus savings, or debt versus wealth consciousness. And how does that impact, for example, let’s start first with a startup doctor?

Sure. In the beginning, my experience is you come out of chiropractic school and you’re loaded with debt. So I think the biggest mistake right away is to have a poor attitude about that debt. I mean, let’s face it, unless you have a rich grandparent that wrote a check for your school, you need the help of an institution to provide you with dollars to be able to get the education that you need. I think if we first have a mindset that is more about gratitude for that debt, like I literally tell some of my clients when they write that student loan check to write, “I am eternally grateful to pay to the order of.” Because if we approach it with that mindset, it’s not so much of a burden, but it’s something that we’re thankful for. Now, that’s the mindset.

Now, when you get to the numbers, I see the mistake of trying to eliminate debt at the cost of not taking care of the other critical areas of importance. Literally every dollar going to debt is actually harming you because if you’re not creating that emergency fund, just creating some sense of liquidity, either for an emergency or an opportunity, then you’re cutting yourself short from financial growth. You can always pay off the debt when you’re creating liquidity.

So it’s not about not that we don’t want to get out of debt. We want to do it in a very responsible way because most of the financial decisions we make, they impact the four domains of our financial life, protection, assets, liabilities and cashflow. And so, if we’re only focusing on liabilities, we’re not taking care of these other three domains of critical importance. They’re all connected.

I think that’s really huge because, for example, I was at one of our colleges just 10 days ago teaching a whole day on business and a lot of them wondered why I was taking a whole hour about money and prosperity and little things that they can do. Even some of the startup docs or even some of the docs listening that are still in a little more of that striving, like trying to get things going, things are going pretty well in practice, but now you have no idea how to tackle, say, this whole concept about money. I think you already touched on something that’s critical for them. Understanding those four categories. So maybe even if you could describe the difference where you go from striving to thriving. How does having a look at all four of those categories, how does even the concept of protection, how does that help a doctor go in with that clear mindset?

Well, it actually comes back to your point earlier about coaching, getting back to this setup, this kind of mass prescribed financial setup that we all get caught up into. I like to think of our financial life much like a sports team, an NFL team. There’s the owner of the team who then has the players that are out there playing the game. But a coach is someone that’s telling the players what to do. So in our financial life, we think of the institutions as our players and we’re the owners of this team. But most people lack a coach that tells you how to use these institutions for our advantage. And kind of another analogy might be that if we were to build a house, we need the lumberyard to provide wood to build the house but we don’t hire the lumberyard to build the house. We hire an architect.

So what I do in my process is that we create a financial model that consists of protection, assets, liabilities, and cashflow. Once you start to develop more in your practice and you start to earn more income, a lot of those other domains are going to get filled up. I mean, protection is something as simple as driving your car. You have car insurance. Well, what happens if you get sued? You should have an umbrella policy on top of that. And you start to understand that it doesn’t matter how much money is in my bank account if there’s a risk of someone taking it away from me.

So when you think about how your money works and impacts those four domains, that’s when you get and breakthrough to that next level where you’re starting to make more intelligent financial decisions because your income might be more and you have more on your plate. You need something to help you organize that so that it becomes easier. It’s not cluttered. Because I call that junk drawer planning. Everyone has that junk drawer in the house where I know the scissors in there, but it’s hard to find.

Exactly.

So if things are organized it helps us to approach it in an un-compartmentalized approach.

Yeah, that’s a really great point. I know for a lot of our listeners, where this really shifted for me, it’s not like as I was doing so much, I’ll call it better in practice, like you’re beyond that, “Okay, where’s those next dollars coming from?” or, “How do I only focus on lead generation?” So your practice is getting more established. What I found and you already touched on this, is that it’s like none of my people were talking to each other and I was making the silly decisions because I was almost reactionary versus short of trying to get them all in the same room, I had to become the leader. So with your money, how you get away from being reactionary is doing a whole overview. Bringing a coach, bringing that, again, coach into the scenario that you’re describing with the sports team or the architect in to have a look at things. [crosstalk 00:10:51].

It starts … I didn’t mean to cut you off there. It starts with financial organization. So if we are scattered, that puts us at a disadvantage because right away we don’t have the organization of knowing what we have. And it’s so funny how many people I talk to that really don’t know what they have. They don’t have clarity on how an insurance product they have may work or what type of investment they have, what that consists of. And so, getting clarity is step number one. Number two is financial organization. You have to have some type of model so that we can actually test the financial strategies we’re doing. Much like how a pilot would learn to fly in a simulator. I would much rather learn in that environment then first implement it in real life and then figure out that it’s going to fail. And so, I think stress testing some of what we are doing financially gives us that clarity that allows us to own our financial decisions.

Most people make financial decisions based on the opinions of others. Not coming to full clarity and conclusion. So when you break through that to that next level in practice where you’re now thriving and your practice is growing, you have to take responsibility financially with that and to organize your life so that you have complete clarity on the direction that you’re heading.

Yeah. And I think you’ve already really touched on the key then to move into that third category that I was talking about. So when you kind of go from that striving to thriving and then you start to get yourself more organized, really to move to the next level, beginning to already think through, “What does my estate look like?” I talk to a lot of practitioners about now beginning to create your 10 year exit strategy. What would that look like? You’ve touched on it’s really being able to run models. I know that there’s a lot of people really enamored, everybody says, “Okay, well focus on real estate,” or, “Now is where you expand your investments.” And what’s happening is just your description that it’s like we’re listening to all these other voices. But the power for me personally, came from being able to run those models and have a look at what those things would do for me in the short term, in the midterm, and then more importantly, even for my estate planning.

Yeah. Having that organization gives you the ability to understand the direction you’re heading and if you need to make changes. But when we focus on that kind of exit strategy, now it’s more about how do we produce cashflow to take over from the income that we were producing in our lives? And I find that a lot of financial strategy conversations, they get us to that “retirement age.” But my grandmother last year passed away at 104 years old, so people are living a very long life. So now it’s about how do we take all of the work we’ve done, allow that to transpire into real cashflow and cashflow with the least amount of risk? That comes down to more about strategy, again, than product.

We need the help of institutions to manufacture the products, but if we don’t know how to utilize them to our advantage and not theirs, then we can put ourselves into a corner and it becomes a very risky type of model where we would want to try to relinquish or assign risk to others so that we can live a more fulfilling life. And that’s where that exit strategy planning is so critical, because again, I’d want to help someone test what they’re thinking in their mind so that they get clarity on if that is actually going to work the way they thought it would. You can’t really do that until you do studies and understand how it’s going to play out for the next 30 to 40 years of your retirement. Longevity risk is, today, the biggest risk that we face in retirement. The risk that we may live too long.

Yeah. And I know that sounds crazy for some of the practitioners listening. Here we’re talking about kind of that exit, because you’re still in the early start up. But I think we’ve really touched and really sort of said, “Here’s the three different phases of your career,” or, “Here’s the things, again, that are going to be impacting you.” But let’s go back a little back. So we’ve talked vitalism and this different idea or attitude about about money. For the chiropractors listening, why is this important? Why does it matter that they’re kind of feeling organized about their finances versus stressing and going into practice and having that impact them? So just from a financial person’s perspective, you’re a coach, so what are a couple of the things that people can be doing? And I’ve heard you say this, but I want some clarity around that, like just planning or having someone helping them organize things.

So for me, organization means, number one, getting all of your data together. And for someone early in practice, their financial model may not be filled yet. You’re in the process of working towards filling your model with all of the financial strategies that are one day going to take over your life. So getting organized means understanding where you are in this present position. That’s number one.

The number two step is having that vision, direction and clarity and having the concurrency within your practice. It’s interesting when I meet with a chiropractor that talks all day long about vitalism and helping their patients with that, and yet I discover what’s going on in their financial life and it’s the complete opposite of that. I chuckle about it but it really brings that awareness to them that that is, look, you have to have that congruency in all aspects of your life. You can’t show up and play hard only in one way. You have to do it in another way too. And if it’s intimidating, then you relinquish control to someone like a coach that can help guide you through that process. That’s where you start to gain that clarity and, again, get that ownership into your financial decisions. And the ownership is important. If I ask someone why they’re doing something financially and they can’t tell me why, they really don’t have clarity and that to me is concerning.

So organization will help you understand where you are. Then putting that together on a model so that you can project into the future what you’re doing to see if it works and to stress test it against things that we can’t change, like tax laws changing and interest rates changing and things out of our control. Like you said earlier, we have to prepare for our future. We can’t guess what’s going to happen, but if we’re prepared then we can handle unforeseen consequences.

Yeah, and it’s interesting. I mean, we could obviously talk for hours on this. Really the whole emphasis of this interview, I’ll call it a first interview because one of the things for myself, I see the number one challenge for chiropractors, for health practitioners is money. It’s concepts about money. It’s establishing their future, a better future for themselves. They’ve invested a lot in school. But what I want to make sure is that we have each of you walking away realizing the power of your own leadership around it. Chris, you said something very important about congruency and how do we help more chiropractors review this, get congruent, have an assessment test of where they’re at? And I know you’ve been really wonderful for that with a number of chiropractors that I’ve worked with over the years, so maybe share with everybody how they can get ahold of you because our interview time is short today, but how can people learn more about this?

Probably the first step is my website, www.staterawealthsolutions.com and Statera is spelt S-T-A-T-E-R-A. That will tell a little about my story, my bio, but more importantly, give you a visual of the financial model that I’m talking about. And there’s actually a video on that under the technology tab where it says Our Technology, where you can play a three minute video and understand how that model can actually help you.

[crosstalk 00:19:31].

[crosstalk 00:19:31] that model, basically, it’s a very interactive model, but it’s kind of like my chiropractic adjusting table only in the financial space. Because it becomes something that I use as a tool to help my clients get financially well. So there’ll be a lot of information on that site that is valuable and I think that’s a good starting place. Of course, if anyone wants to directly get in touch with me, my email christopherkoopman, which is K-O-O-P-M-A-N, @G-L-I-C.com. That’s christopherkoopman@glic.com.

Great. Thanks so much, Chris. And we’ll make sure that we put in the comments the links again, the email, the links. So we will definitely do that after the show. Thank you so much for joining us.

All right, Janice. It’s nice to be with you today.

Great. Well, thank you everybody for listening. You can see that a real area of focus for me, part of my mission is helping chiropractors. Helping chiropractors shift their money mindset, create more abundance and wealth. It’s really critical to how you grow your practice. I know some people might say, “Okay, well that’s over here and not about how to build my practice.” And what I want to share with you is that I have a little formula that says, “Money equals self-worth.” So money is impacting the decisions you make about money and every action you’re taking is determining how you go in and care for people. So you can see it really ultimately is impacting everything about your practice.

We’ll keep on this theme, we’ll talk more about it, but I want to thank you for joining today. I also want to thank ChiroSecure for putting this on, talking about how do we grow practice? I’ve coached a lot of chiropractors, but we want to bring those tools to you, to every one of you in the profession.

So please also join the Growth Without Risk next week. You’re in for a real treat with Dr. Sherry McAllister speaking to you on that date. Thank you again 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). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Do You Know When It’s Time To Delegate and Farm Out?

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

Hello everyone, and welcome to our show today, Empowering Women in Chiropractic. My name is Dr. Nathalie Beauchamp. I will be your host today. Again, a big thank you to ChiroSecure for putting together the shows. I’m always honored to be part of these amazing women who are doing these shows, Empowering Women in Chiropractic. So, today, what I thought we would discuss, and that’s a question that I even asked myself on a regular basis, because we get busy and it’s just that evergrowing to-do list, and we’re wondering what we should really delegate and farm out, and what we should keep doing ourselves. So, I just thought that we would ask ourselves these three questions to really reflect on this main question.

So, I think it all depends on the stage that we are in in practice. I remember, and most people will probably remember these days as well, 24 years ago, when I started, I think I did it all. I cleaned my bathrooms. I did my accounting for I don’t know how many years. So, I think that it really is a question of what stage we are in our growth in our practice, because at the beginning, let’s face it. We need to try to keep the cost down low as much as possible, and as we grow, then we can say, “Okay, well, I can delegate a little bit more money here and a little bit more money there.”

I think the other big question that we have to ask our self is, “What are our strengths and what do we like to do?” I know that when I look at my list, and there are too many things on that list that I go, “Ugh, dang.” I really don’t feel like doing it. So, either I don’t like to do, but also that maybe I’m not great at doing. An example of that was my bookkeeping, which I gave to a bookkeeper or someone that comes into the practice long time ago. It was probably one of the best thing that I’ve ever done, because it was always in the back of my mind that I had to do it, and I just wasn’t great at it either.

So, I think it’s really important that we know what our strengths are. I’m a big fan of the DISC profile, and if we look at our personality type, I think it really helps us to know where our strengths are in term of energy and knowledge. There’s different tools that you can use to really figure out where your strengths are. Books like Strength Finders can help you as well. But at the end of the day, we have to know what we’re good at and then realize what other people in our team are good at. If we don’t have anyone on our team that can serve that purpose, then this is when we can potentially farm out.

I think another question we have to ask our self in relation to delegating or doing it our self is, “What do we value more?” I know that, for me, that the older I get, what I value more is my time. It truly is because this is the currency that I seem to be short on most of the time. So, for me, at this stage in the game, maybe paying someone to do something that maybe somebody that’s been in practice for just a few years, it’s not really… It doesn’t make a lot of sense for them to do so.

I think, again, sitting back and looking at where we are in practice and what we value the most, and sometime time is a huge thing for most people. So, having someone or paying someone to do that can be truly life-changing really. So, in-house versus outsourcing. I know there’s different people from different states and different provinces listening to this and probably all around the world really. But I know that everyone is different with the contracts that they have with other practitioners, employees as well. So, I’m by no mean making a statement on how you should do things.

But one thing that I really try to do is outsource to independent contractor or a freelancer if you want. So, this way, what I like about it is that I don’t feel like I need to always give work to these people if I don’t need what they’re offering, and this way, there’s that flexibility. The flip side of outsourcing some stuff is that it might take you a little bit of time to find the right person and build that relationship. Then in-house, I always try to look at the staff that I have and look at their strengths and see what can I delegate. I’m a big fan of delegating to what people love to do.

One tool that I’ve used too in the past is the Business EOS System, and I love why they talk about having the right person in the right seat. Basically, there’s three things we need to look at to make sure that we’re delegating to the proper person. So, at first, “Do they get it? Do they get what you’re trying to do?” The ins and out. The other component is, “Do they want it?” I’ve made that mistake many times thinking, “Oh, this person’s going to be good for this, shoving something their way, and it just would never get done and just because they didn’t want to do it.

Now, I’m not talking about daily tasks that people have to do in the practice to make the practice run, but I’m talking about other things that you think that they’re going to like it. The third one of this is the capacity. “Do they have the mental, physical capacity, the time, the knowledge to do it?” So, those are key questions before you start delegating. Make sure that you’ve trained them properly that you said the expectations as well. Have this big thing in the office, and my staff knows that if we give something to two people, guess what? It’s not going to get done.

You need to have one person who has the final say on it, and I can come back to you and say, “Yes, this is done.” So, I’ve learned that the hard way that not saying that sometime a task, let’s say, a back chiropractic assistant is… You’re not going to have just one, but someone has to be responsible for a specific statistic or to bring back the checklist at the end of the job.

So, what I thought I would do is I’ve divided my practice into 10 segments, so strategic planning, systems and logistics, sales and products, marketing and event, patient education and clinical customer service. Human resources, staff and communication, accounting and statistic, culture and leadership, and the 10 to one is probably a bit more on the personal side, but I think it’s also important to plan for our succession and what we’re going to do with our practice.

So what I thought I would do is go over a few of those categories, if you want, and just share what I’ve been delegating and outsourcing myself. So, strategic planning, I think you are the leader of your practice, so I don’t really think that you can delegate that. You need to empower your team and do quarterly meetings to make sure that you’re staying on par with your mission, your vision and so forth.

System and logistic, that one I delegate to my office manager, so she’s responsible. I mean, it goes more in detail than that, but she’s responsible for that. So, her and I will set a new protocol or a new way or a better way to do something, and then I’m counting on her to make sure that it’s rolled out and implemented. Sales and products. Again, every offices are different, and I know that my care plan in the office I do myself, because I feel that as the doctor, I’m giving them the recommendations, so I’m going to make my best recommendation, which will be congruent with what they’re looking for, but then pass this on to my front desk, and after that, my office manager.

So, for me, I’ve [inaudible 00:10:57] with that to delegate that to staff at some point, and I’m not saying that if you have the right person, they can do maybe even a better job than the doctor, but this is something that we have to be careful not to delegate to, again, the wrong person because it will have tremendous effect in our practice.

Marketing. Well, I personally love marketing, so I have to say that I keep this one to myself, and I will be the go-to person for this, and I have to make sure that I let the staff know what marketing funnels we might be doing. So, when they get phone calls for a new patient booking, they know a little bit. But overall, I find that this is a strength of mine, so I like to keep that… me being responsible for it.

Now, I am not designing my own Facebook ad. I am not designing all my funnels. I’m part of the process, but I have a team or an agency that used to do that for me. Patient education. This is again something that I feel that doctors should really pay attention to that. Not to say that you can’t delegate the layout of the educational campaign that you might have through emails and things like that or even the writing of it, but I think we have to really take a whole and be strong on that component.

Customer service, delegating that one to my front staff and her and I will have a meeting on a regular basis to see what the feedback is. We’ve been using Google reviews and Facebook reviews quite efficiently in the last six months with a new platform that helps people do reviews more easily, and that’s been great and customer service as well through the progress questionnaire that we do with our patients to see how we can better our services.

Next, if we move to human resources and staff. Again, you’ve got to know your strengths. I’m not the best HR person, so having someone in my office that can talk to the staff and make sure everybody is all happy. So, for me, it was important to delegate that and staff communication as well with my office manager. I know some people may not have the full title of an office manager, but there are different personalities in an office, and some people are more the integrator part. They will be really strong at making sure that you say something, and the steps are there to get it done. But at the end of the day, you’re the one who has to monitor.

Number eight, accounting and statistic. Like I said, accounting, probably one of the best move I’ve done to have a bookkeeper come to the practice a couple mornings a week. We stay on top. She’s probably saved me money because otherwise I would not have looked at my bank statements on time and all of that jazz. So, I know that she takes care of that. Now, I know there are services, virtual services. You don’t necessarily have to have someone come to your office, but I’ve had mine for 13 if not 14 years, and she knows my stuff even better than I do. So, building those really strong, valuable relationship with someone just to make sure that they have your back, I think, is truly important.

Number nine, culture and leadership, which rests to me, on us, the doctors to make sure that we lead our team, that we make the time and get some time with new staff. You have to constantly make sure that they know and they understand what the practice is all about, and setting a culture that is in resonance with your clinic values and your own values. So, I think we always have to go back to that.

And again, if you have someone in your office that’s the party person, and the person who always likes to do activity. Well, leverage that for them to organize, because I think it is important to organize events in your practice or do activities with your staff to make sure that you stay connected. So, I think the big question between outsourcing and hiring in the sense is it depends what needs to get done.

If you keep it in-house, make sure that you use the strengths of the people that you have and make sure that you don’t just give it to them, and they don’t want to do it, or you’re not giving them enough information for them to perform properly. Doing it your self. I know myself. For me, there’s basically three things that I think I’m left to do in the office, and it’s reading my X-rays because there’s so much I can delegate, and then the marketing and the patient education. Those are my department that I’m responsible. I need to obviously have the help of my team to do that. But these are my strong point things that I really enjoy, so this is why I’ve decided to take charge of those section.

Then at the end of the day, I think it’s important to monitor. So, if you’ve tasked somebody with a certain aspect, those key performance indicator and whatever they might be. They might be with certain statistic. Sometime, it’s a little bit more abstract, but the more you can narrow it down to a specific number or a specific something that the person is going to report back to you with, the better it is. Then as the owner of the business, your job is to review those key performance indicator.

We have to be careful. As doctor, we get busy. This is years and years of doing things. If I ask my staff to follow a checklist in the morning and at night, I have to set the example and do the same thing. So, I myself make a never to be consistent on following up on those key performance indicator, and guilty. Sometime, I have to say that it’s like, “Oh, okay. I’ll do it the next day,” and the next day pass, and then you realize, “Oh, I haven’t done it for two weeks,” and I’m not talking about necessarily micro-managing your staff because some staff are quite good at self-directing themselves, but it’s just those are…

Or just check in if you want just to make sure that we’re on the same page and then saying, “Okay, well, this is not working as good as we thought it would work. How can we make this better?” Because at the end of the day, we want to have an environment that is fun to go and fun for the patients to come. I always say that I want the patients to come in and feel like tears where everybody knows your name, and that they feel that it’s a healing environment. So, setting all of those things and lightening your load basically of the things that you don’t enjoy doing is really empowering for yourself.

Then when you delegate to staff on some key points, they feel more empowered themself because they feel like they have a more maybe important role in the practice, because they are responsible for that. So, I hope this was helpful to give you a little bit of perspective, and I know I constantly have to ask myself this question. Do I have the right person in place? Do I give it to someone on my team? Do I try to outsource this or do I do it myself? It’s a constant and never-ending question that I asked myself because I value my time, obviously, and I want to make sure that I work to my strength and not to the things that I don’t like to do.

So, hopefully, this was helpful. Again, thank you so much to ChiroSecure for putting the Empowering Women in Chiropractic show together. I believe that in the next show, it will be Dr. Nicole Lindsey who is going to be your host, and I’m sure Dr. Nicole is going to share some valuable information that has to do with empowering women in chiropractic. So, thank you so much, everyone. Hopefully, you got some good pearls from this if anything made you reflect to just analyze and take a snapshot of your practice right now. So, this was your host, Dr. Nathalie Beauchamp. Thank you very much.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. 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). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Drug Free Pain Management with Dr. McAllister of F4CP

Thank you all for joining me on today’s presentation. ChiroSecure friends, I’m so excited that you’re here with me today. There’s so much to talk about. And this is September, Drug-Free Pain Management Awareness Month, getting you prepared for the next month’s excitement. For the last three years, the foundation has been celebrating September as National Drug-Free Pain Management Awareness Month. And I want to utilize the time we have together to showcase the resources that you can use to emphasize the drug-free, safe, effective care that chiropractors offer around the nation.

So before we get started, I always want to give a shout out to our fantastic corporate sponsors. If you look at this list, I ask you to just see if there’s a sponsor on here that particularly you want to give a thanks to because without them our national marketing campaigns could not be possible. Thank you ChiroSecure.

Now, moving on for Drug-Free Pain Management Month, about this particular month is it’s sponsored by the Foundation for Chiropractic Progress, and it’s a nationwide annual campaign, and it’s crucial in raising public awareness about the chiropractic care as a preferred first line approach to safely manage and affectively care for neuro musculoskeletal pain. As we go through, we’re going to give you resources, tips, tricks, all sorts of things that you can use in your particular area to invite your patients and soon to be patients to be part of this amazing moment.

First we want you to contact your local legislative body. And this is a big piece of being able to utilize Drug-Free Pain Management Awareness Month as an opportunity to ensure that our messaging is getting through. So there will be a customized sample letter attached to this and there’s a lot of great resources. So if you’re not yet a foundation member, don’t worry at the end we’re going to help explore how you can do that, but know that there’s a lot of free information out there. If you just go to f4cp.org, and you look at the opioid toolkit, they’re all free, and they’re just for you. There’s opioid toolkit one, two, and three. Mix and match and see what works for you. That will do you very well when it comes to Drug-Free Pain Management Awareness Month, but it starts with just getting people aware of what we do.

Now let’s just look at the opportunities that are available to you. This is a template that I think will be very helpful for you, and you can use this particular letter, template it out. The yellow pieces are all about you being able to utilize it effectively and put in the easy to use opportunities in there.

The next set that we have here is the actual proclamation. So first you put the template together. This is what I would like to have proclaimed in my particular city, and it showcases you as the expert in the proclamation. Then what does the proclamation look like? You can actually edit this proclamation, and you can find, you see, download and customize proclamation down at the bottom. You can use that in your community with taking out some of the stats. Maybe you’re in a very particular region of the country that has been really hardest hit. Use your own local stats and make it yours because the whole purpose to what we’re doing here is we’re trying to make it available and really customized for opportunities to be successful.

The next one is who has time in our community to put together our own template letters and get them out to the medical doctors in our community, our healthcare providers? Whether it’s a podiatrist who has patients suffering in chronic pain or a nurse practitioner or a physician’s assistant, reach out to all of them. The greater awareness that we have, the better opportunities for referrals to your clinic and that’s what Drug-Free Pain Management Awareness Month is all about. Trust me when I say this, a lot of doctors don’t want to write an opioid prescription. Why? Because first off, it comes with a lot of paperwork. Second, they’re nervous too about patients having an adverse side effect. And third, they’re going to come back for another prescription. And if that’s the case and they do get addicted, then there’s a whole host of other things that need to happen for that particular patient. So rest assured we need to reach out to our community and help those that are in chronic pain, and they are going to their primary care physician, medical doctor, and they’re looking for options. And we want that medical doctor or healthcare professional to offer them a safe, effective, drug-free opportunity to disengage their pain and improve their activities of daily living. So this is a great referral toolkit that you can use.

If we all band together, and we’re all good at social media, and if you’re not, ask your front desk to help you out because I know your time is very valuable. But really do utilize this as a social media cover page. Update your Facebook with this chiropractic first choice for drug-free pain management. Don’t miss a post. And they’ll come to your Facebook page and that’s how you get the shares. Don’t worry if you don’t have material for a drug-free pain management, stay with me, I’m going to show you what we have so that it can be just very easily done this month.

Once you see the value in helping chronic pain patients, and those that are suffering, we will be able to really utilize our skillset the best for those that are suffering and then optimizing the rest of patient’s healthcare that may not be in chronic pain, but we also want to touch those that really are, and that’s what September drug-free pain management is all about.

I cannot do this alone and that’s why we’re becoming award-winning public relations campaigns. If you didn’t know, we got recognized last month at the Yale Club in New York City, based on our PR campaigns. Because we’ve got a bottom-up campaign program, which unites our community leaders such as you, utilizing our materials. But we also got the nationwide top-down marketing. And our campaign was recognized, and we won the directors level award in the PR news, and we shared it with Porter Novelli. And if you don’t know who they are, they started the ice bucket challenge, and they raised $30 million. It’s a proud moment for every single chiropractor because we’re being recognized outside of our own circles on this type of campaign. So when you’re with me, we grow together, I call it unite and prosper, and that’s what we’re doing at the foundation.

Speaking of prospering, you can’t get any better until you sharpen your own skillsets. And what better way than to utilize the DC webinars? Look at the opportunity for you to sharpen your saw here. We have fantastic speakers from around the world and opportunities for you to see a different vantage point. So look at this list, click. It’s free for everyone. I know some of you are still not foundation members and that’s okay for now because I need you to join us, but it’s okay to register even if you’re not a member. So if you see this little clip here, click to register. You’ll see an email coming soon. Make sure you register for those because they’re powerful, and they’re informative, and most importantly they’ll help make you a better doctor.

Speaking of better, what better way to help your CA, your front desk be motivated as well. So knowledge is power. Celebrate drug-free chiropractic’s birthday. September 18th is our birthday, and we want your front desk to be excited as we are about talking to patients and getting them involved in drug-free pain care. Heidi is going to take it away. Don’t let your front desk miss this. If you’re a silver member or above, you’ll get the recording and then your staff can watch it on their lunch hour. So let’s keep moving on because I promised you a jam-packed September month.

Infographics. Remember I told you just recently that you need to update your cover page on your Facebook, Twitter, and Instagram? Awesome. You did it. Now let’s make sure you’ve got plenty of materials to utilize for this month. These are the first sets of three infographics that you can just click into. If you’re a member of our foundation, it is literally one click, you click and then if you want to put a little comment in, be my guest. If you’re not a member, we still want you to utilize our infographics. And that’s why you go to our website, and you download one of those toolkits, and we’ve got you. Everybody’s in under the tent. Those who can be members, and those who are still struggling a little bit and can’t quite donate yet, but still want you to be in there with us. So infographics, notice that we’re having a range of not only gender but also age. So we’re looking at pregnancy, we’re looking at high school kids, and we’re also looking at the best choices. Another set of infographics.

I have a son who is playing football, and it pains me because I know the dangers that are involved. But more important than just the dangers of playing, are the dangers of what happens when they get injured. And that’s why we want to make sure that if a child is injured, the first line of approach is a non-pharm option. So we want to make sure that we’re getting the message out to the football teams, the cheerleaders, the aqua swimmers, the divers. All of them are important because if they get injured first-line approach, chiropractic care. Now, as you can see, we also have employees in there. Don’t forget, employees are very important. I’m going to discuss that a little bit later. Why is that important to your practice? Hold on, we’ll be right there.

There’s a video that you can download. It’s in the toolkit, and it’s free. I’m going to play it for you today, so you’ve seen it, but have yourself or someone that is very tech savvy in your office to play this video either on your website, you could download it to your Facebook, and we can start utilizing opportunities to educate the community. Very simple. Well, let’s just watch this quick opiod awareness.

100 million Americans are battling with chronic pain and struggling to find long-lasting relief. While commonly sought out over-the-counter pain relievers and prescription opioids may alleviate pain, it is likely short-term and not without posed risks. When misused or taken in higher doses than recommended, over-the-counter pain relievers such as acetaminophen or NSAIDs are known to increase the risk of health complications including ulcers, gastrointestinal bleeding, and liver and kidney damage. Adverse reactions also occur from use, misuse, and abuse of prescription opioids leading to addiction overdose and in some cases fatality.

So where can chronic pain sufferers turn for safe, effective, and drug-free pain relief? Chiropractic care. Chiropractic is a first line, cost-effective safe approach to pain care, and documented to yield improved clinical outcomes and high levels of patient satisfaction. As trusted primary care professionals for spinal health and wellbeing, doctors of chiropractic receive a minimum of seven years higher education, and are specifically trained to diagnose, evaluate, and provide long lasting non-pharmaceutical care. And rehabilitation to individuals suffering from acute, sub-acute, and chronic back and neck pain, headaches, neuromusculoskeletal and other related conditions.

To find a doctor chiropractic near you to help you manage your pain, visit f4cp.org/findadoctor.

Fantastic. Now you saw it, there is no reason not to use it. It’s free. It’s a public service announcement. Fabulous for every patient that you have to see on your Facebook site because you do not know who’s suffering out there. They might be an aunt, an uncle, a brother, a neighbor, and when they see something like this, we want to de-stigmatize that patients are using opioids, and we don’t want them to feel uncomfortable talking about it. We want to help them be better and no better way than to share this type of information because technically speaking, patients don’t care how much you know until they know how much you care. And that’s why this particular month is jam-packed full of all the care we can give them non-pharmacological, safe and effective.

This is an easy downloadable brochure. Why would you do this? Because if you go into the community, which I hope you will do, you will have something that’s easy to hand out. Throw your sticker on the back anywhere you go, understand your options for pain. And that’s a really nice way to just open the conversation and know that pain care can be easily and effectively talked about if you have something that is quality in your hand to hand out. Other things that you can do, ebooks, this is a fantastic one for athletes. A case for chiropractic disrupting the cycle of pain, prescription and addiction. It’s frightening to hear the statistics and when we know that over 200,000 young athletes get an opioid prescription for an injury that we could have taken care of, that’s where we really need to be educating athletic trainers, coaches, sports teams. You can email this to a coach and/or email it to a high school principal and say, “I’d love to have an opportunity to discuss the care of your athletes to the leadership.” And/or maybe you can talk to the high school and actually do your own Drug-Free Pain Management Awareness Month slideshow because we have them for you and I’ll show you what they are.

When we talk about pain in September, we did a prevention magazine ad. And this was in it. This is a great way to have pain documented in your office as a flyer or maybe put it up in their rooms or hand it out, put it in your newsletter, maybe put it as a next Facebook posting. It’s all up to you to get our campaign materials, how you use them, be as creative as you can because that’s our opportunity to be successful.

Remember I told you that you could go into the community and do a PowerPoint presentation? And yes, we did that for you too. You can download our A Safer Strategy than Opioids. There might be a church meeting, a Kiwanis meeting, a commerce meeting. I know they have a lot of, in my area, opportunities for leadership and speaking engagements, so that might be something… Chamber of commerce meetings, all of those are great ways to have this messaging come across and effectively touch those that may not have been thinking of non-pharm care. We have two of them. One is the one that I just showed you, but this one has a little more statistics in it. A little more creative opportunity to showcase the epidemic and what chiropractic does.

Along those perfect opportunities is sharing brochures. As I just shared, there’s one for pain, but what would stop you from talking to the human resource department at a local corporate company next to you? Onsite, near-site, shared sites, they’re all growing and you can be part of that. Bring the DCR, the chiropractic safe and cost effective approach to you, or email it, and/or set up a meeting with the HR group. And then bring a brochure, chiropractic care.

That’s one piece of it, but what about the local hospitals that are close to you? Have you ever thought of reaching out to the human resource department and asking if you could come by with some brochures on chiropractic care so that when the doctor at the ER prescribes a prescription opioid by law, they can hand out a non-pharm option? California, which is where I live, we passed a bill 888 to discuss that whenever an opioid is given, an option for non-pharm care is also. So be active, be passionate.

And one of the advertisements we’re going to do in Wall Street Journal in the second week is boosting employee health and productivity with chiropractic care. So that would go perfect along with you being active with the corporations around you. This particular ad could be easily downloaded and put on your own website. You don’t have to wait for the Wall Street Journal to post it in their newsletter or in their newspaper. You can be active in just putting it out there. You don’t know what C-suites patient that’s coming into your office, and they see it and they go, “You know what? It is important for our employees to be healthy, strong, be there when they’re present. Presenteeism goes up, absenteeism goes down.” That’s where chiropractic fits in and this is a great way to showcase that. So posting it in your office, on your newsletters and then in your Facebook or Twitter or Instagram, makes this one advertisement that we pay go viral. We’re all in it together.

Last but not least, hold onto your seat, buckle your seatbelt. If you didn’t hear, we were at the FCA last weekend at the National. If you’ve not been there, that is the greatest number of chiropractors together in one place in the world. So mark your calendar for August next year if you’ve not been to a national FCA event, it is fabulous. But what we announced at the FCA onstage was this. The foundation has secured with the generous donation, the actual air time from the National Board of Chiropractic Examiners to air five, not one, not two, but five 32nd commercials highlighting 125 years of chiropractic excellence. This is going to be a fantastic way. This is geared from MSNBC, is going to be the largest media event in history and chiropractors are going to be celebrating across the globe because we’re going to have a commercial in those Olympics five times. Don’t stop there. We all need to be in a to win it, so we got the air time.

Let me tell you, I’m working triple time with my very fantastic team to secure the money to be able to produce the particular commercial, and then get it out into multiple markets around the nation. So if you’re so inclined, we need you. We need you to become a member. And what that looks like is, Tokyo 2020 you become part of our team. Use the Olympics as a reason to donate to the foundation. Become a member. It’s an easy one, you can find the right level for you. I believe we should all go for the gold. Look at what the options are for you and make sure that you become a member. Because when we’re all in it, we’ll all win it. And that’s why I’m thanking you for joining me for today’s presentation. I look forward to seeing you next month with some very exciting updates on that area. And don’t forget, ChiroSecure does this fantastic Tuesday opportunities for you to learn. So be back on ChiroSecure’s channel next week for more information. Thanks again for joining me.

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