Empowering Women Chiropractic – Prevailing theories in autism

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

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

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

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

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

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

Basic sciences

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

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

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

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

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

I’m sorry.

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

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

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

Absolutely.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Exactly.

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

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

Exactly.

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

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

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

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

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

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

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

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

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

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

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

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

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

Absolutely

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

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

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

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

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

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

Yep.

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

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

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

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

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

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

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

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

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

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

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

And this is open to chiropractors?

Open to chiropractors.

Okay. And they can find information about this where?

If they go to nikauchiropractic.com/retreats.

Yeah. And your website is drmoniqueandrews.com?

Yup.

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

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

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

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

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

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

Ah, thanks so much Monica.

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

Yeah.

It sound like a deal?

Sounds great.

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

Today’s pediatrics show, Look to the Children, was brought to your by ChiroSecure and the winning book series I am a Loveable Me. Make sure you join us next week right here at the same time. See you next week!

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Empowering Women Chiropractic – Attitude, Action & Accountability

Hello ChiroSecure viewers, and thank you for joining me today. I’m Kim Klapp, founder of Assistants For Chiropractic Excellence. Now, before we delve into increasing attitude, action, and accountability in your practice, I want to take a moment to applaud ChiroSecure. Yay. Now, I absolutely love them. They have best coverage, exceptional customer service and they give so much back to the profession, including sponsoring these programs.

I’m also grateful that you’ve chosen to watch today. In addition to the coaching program that I run, I’ve been managing Dr. Tom’s practice in Ann Arbor, Michigan for 25 years. If you have any questions at all, hiring, training, practice systems, just post it and I’ll be happy either to answer it during today’s show or afterwards.

Now, there is a great story about an entrepreneur who wanted to build the perfect car, so he rented it with a warehouse and built it with the 150 Best Cars Ever Built, and then he told his engineers to find the best part in each of the cars that he had purchased. They decided to take the engine from the Mercedes, the door handle from the Buick, the transmission from the Toyota, the best rack and pinion steering from the Ford, and so on, and so on, until they had a car assembled out of the 15,000 best parts that human minds could engineer.

However, the cardigan function. Didn’t drive. My point is, in your practice, it doesn’t matter if you happen to have a fabulous rock star front desk CA, an incredibly talented doctor, a massively talented account director. Everybody is skilled. All the talent in the world doesn’t create a team unless people learn to function that way. It’s all about function, kind of like chiropractic. A team is more than just a collection of individuals coexisting.

Now, speaking of cars, I absolutely love this quote from Henry Ford. “Coming together is a beginning, keeping together is a progress, and working together is a success.” Now, one of the best ways to do that is to hold weekly team meetings. Now, before you roll your eyes at me and groaned, I understand that there are a lot of reasons that chiropractors don’t like to hold them. I hear all too often that, “Oh, Kim, they’re a waste of my time, they’re a waste of my money.”

I actually had one of the docs say, “Count how many people on my team. Now, multiply that by their hourly rate and tell me, am I getting… That’s so not worth it to me.” Other people complain that it just turns into some negative venting session. However, it doesn’t have to be like that. First of all, if you hold them regularly, not when there’s just a problem, it’s amazing how that changes the dynamic. I remember the only time my parents ever called a family meeting was when we were going to get grounded.

Another point is that everybody on your team gets a chance to speak and share. I want to share with you today how to make them really positive and growth oriented. Today, let’s talk about how to have an effective team meeting so that you can actually increase the attitude, action and accountability in your practice. We actually have CAs that look forward to our team meetings and I promise it can be a great return of investment on both your time and your money.

Here’s our agenda and we have this set up in OneNote, so that everybody on our practice can bring it up on their phone or their iPad and can contribute. If you’d like to link to this file, just email me, kim@chiropracticeassistance.com, and I’ll make sure that you get the link, so you can edit as you choose. Now, notice something, that we start and and with mindset. That’s how critically important it is. Now, we hold our meetings during our lunch break on Mondays. It really helps to set the tone for the week.

We are closed for two hours during the lunch break and our meetings typically last 30-45 minutes, depending on what’s going on. Now, when they are held in our office, we begin with our team visualization and that takes about three minutes. Now, we have everybody close our eyes, we work on our breathing and we listen to the practice visualization that Dr. Tom created. It actually walks our team through positive emotions that are generated by all the different aspects of our practice reaching our goals.

How much it helps the community and how much it helps each of us on an individual basis. It focuses on how it feels so amazing to witness so many miracles of health and happiness as we all experience joy, growth and prosperity. We really like starting out our team meetings with the visualization, because it helps us clear our minds. All that minutia of the day that clogs it up otherwise. It elevates our consciousness to focus on expansion.

Study after study has shown, with athletes and musicians, if they spend a certain amount of time visualizing practicing, either their game or their instrument, they achieve almost the same improvement as those who physically practice for the same amount of time. It’s amazing the difference that visualization makes. If you know that already, why don’t you incorporate it into your practice? We actually incorporate it every day during our huddle.

Let me run through our weekly team meeting agenda. Now, if we are holding our meeting at a restaurant, which we do luckily every week that we hit our new patient goal, we skip the visualization. Looks like I got a little ahead of myself. Instead, we’re going to focus on the lasting purpose. To give, to do, to love, to serve out of a sense of abundance. That’s how we get our mindset started when we are out at a restaurant. Like I said, if we hit our goal the previous week, Dr. Tom buys everybody on the team lunch on Monday. That, of course, makes it a positive meeting right there.

Then, we re-center ourselves on our first priority, which is always the patient experience. It’s really easy to give lip service to the patient experience being your first priority, but when you stop and look at everything in your practice, it can be a challenge to keep the patient experience as your first priority. Always re-centering on that is a huge help. Then, we focus on our duty priority. That’s anything in our practice that brings a new patient into our office or back to our office according to the doctor’s recommendations.

We spend a lot of time honing those different protocols in our practice, because we always want to, again, keep that in the forefront of our mind. Then, we focus on our practice goals for the week. Both for new patients, obviously, and for weekly visits. Once we’ve created the right mindset and focus, then we share our status updates. For example, what’s Dr. Tom’s travel schedule going to be? How many people do we currently have scheduled for our next Workshop on Wellness Dinner? What our dressing is going to be on our next Monday Fun Day, which is every single week?

Any update on team training. If we happen to have a new CA in our office, what they’re being trained on. I really find that helps keep their training timeline from stagnating. We also go through any office image improvements. Spring is a great time for that exercise where you physically walk around your practice and see what needs some tweaking and what needs to be redone. Painting is really inexpensive, maybe some posters are yellowed, maybe some furniture need some help, whatever the case may be. Make a list and start tackling them. It’s a lot easier for accountability if you put them on this list.

Same thing with equipment. Maybe there’s some things that are working in your practice and it makes it a lot easier if you have it on your agenda each week. We also have, then, our results from our initial visit survey, the one that we email out to all of our new patients after their first visit. We have three versions of it based on which doctor they saw. They all look the same, so they don’t know that they’re categorized that way. Anyway, we like to track how many new ones we got in for the week and, if they’re on a scale from 0 to 10, obviously, we want track the 9s and 10s.

Then, next we tackle our refreshers from the previous meeting, because we don’t want it just go by the wayside when we talk about something once. We want to make sure that we’ve ingrained it, that we’ve got it all the way incorporated into our systems and that it’s working well. Then, of course, we want to talk about any new business. It looks like I moved a forms inventory to OneNote. Yay, I love OneNote. Where everybody can access it. And we’ve got a team builder coming up. If anybody wants to join us, we’re basically painting [poor 00:09:16].

All right. Then, we do a statistics evaluation, because you want to check your statistics versus your goals. You can’t manage what you don’t measure, so take a look at your statistics and see if there’s something that needs some attention. Then, we also like to do a systems evaluation to see if there’s anything there we need to work on. Maybe it’s with [SIPA 00:09:38] or our appointment systems, our financial consultation systems. Maybe we’re going to schedule some time to watch a ChiroSecure show, whatever the case may be, during that team meeting.

Then, we probably spend the most time going over both our current and our future internal marketing events. Now, while we have our annual calendar for our internal marketing events, we have everything planned way in advance and, honestly, the eye rolls that I feel when I see somebody post on Facebook, “Hey, tomorrow is blank, what can we do for that?” We are not talking about that today, but anyway. At least during our team meetings we want to make sure that everybody on our team is clear on what’s coming up in the next three months.

Now, that really helps us build the enthusiasm and excitement that we need to make it a success. When we are talking about each month for internal marketing, that means that we are going to talk about a simple step to share with our clients, which topic we are going to focus on that month for health. We are going to talk about what monthly special we’re going to feature for a product in our office and which internal marketing event, like I alluded to earlier, that we’re going to have each month.

Now, during the meeting, we brainstorm solutions to any challenges. In the practice of, let’s see, Dr. Tom’s been in practice since 1980, so you’d think in that amount of time, were there any challenges? Absolutely, there’s always a new challenge going on, so instead of focusing on those challenges though, we brainstorm solutions. When it comes to brainstorming solutions, here are my three rules. Number one, collaborate freely. All too frequently, when you have somebody on your team and they share an idea in a meeting. The first response is something negative.

No, that won’t work or we already tried that. If you shoot your team members’ ideas down, no one’s going to feel comfortable sharing, so keep that in mind. You want to keep an open mind and have people collaborate freely. Now, we don’t like to focus on the challenges, like I mentioned, so we simply state what they are and then we put our thinking caps on and brainstorm solutions. We want to keep an open mind, so we simply ask, who has an idea on how we can do a better job with fill-in-the-blank?

Then we take three minutes to brainstorm. When we do, we assign one person as a scribe or secretary. I don’t recommend letting Siri, dictating to Siri, because you will not get accurate notes from that brainstorm session, just saying. Then, remember, when you brainstorm, you want to refrain from making any comments. No positive comments, no negative comments, not even, “Hey, somebody already said that.” Just have your scribe or secretary write or type in the entire collection of ideas that come up. It’s really important that we want our team members to speak up and share their ideas.

They’re really valuable. Whether it’s a new team member who have a fresh and objective perspective, or it’s a veteran team member, who’s got wisdom and experience. Everyone has something valuable to contribute and, of course, it makes it more fun. There is always time for questions and there are often questions. Again, tackle those, but at least it gives people a forum where they know they can get their questions answered. Then, move around the table again to get a quick update on each team member’s three commitments from the last meeting.

Here’s where that accountability comes into play. Here’s where you get to reconnect with your team members, not only what they’re doing in the office, but also in their personal life. The first thing that we talk about is their personal health care goals. We find out, because we don’t want to expect just our patients to share a simple step towards a healthier you, we also expect that of our team members. We want them to commit to a simple step towards health. Like I mentioned, it’s a great accountability tool and when they reach their healthcare goals, we love getting to cheer them on.

Now, each member also shares another way that they’re personally and evolving. Maybe they’re reading more, taking a class, learning a new skill, a new language, cleaning out their closets at home. It’s important, because it helps us stay connected with what’s important to everybody on our team and how we can support their personal growth. Again, we’re all evolving. Then, everyone shares their commitment to practice growth. This is the part that comes into play for accountability for your office.

Did they complete their action steps of handing out a certain number of referral brochures or scheduling a certain number of people for our WOW Dinner, or signing a specific number of care programs, etc.? We want to make sure that that’s our accountability tool and we go around and share in order so everyone gets a chance. They also get the chance to toot their own horn when it comes to any wows that they’ve created.

Here, you can see one of our CAs, we had our kite contest last month, where chiropractic takes you to new heights or helps your health soar. I know we had both going on at the office at the same time, but we had a bunch of kites all over the office, it looked awesome, and then with the winners, one of my team members, who is brilliant, made these beautiful winning banners and attached them to each one. Again, very cool. I love my team. Then, we move on to committing to action steps for after the meeting.

It’s critical to write them down, because it increases your success. You’ve probably already heard about that famous study, the 1954 Harvard graduating class, where 30 years after graduation, the 3% of the classmates who had their goals written down were making 10 times as much money as the other 97% combined. 10 times as much, so we don’t want to just think our goals, we want to ink our goals. Determine what your simple step is going to be.

Each team meeting we ask, what is your simple step going to be for next week? What are you doing to evolve yourself? We want them to determine the action steps that they are going to take to expand the practice. Now, a lot of times the action steps are going to come from the discussion that we’ve had throughout the meeting. Other times, like I said, they’re just ones that they take upon themselves. Either way, we are going to make sure that everybody keeps track of it.

Now, if the office happens to be in stress mode, just at least commit to taking a step to increase the positive energy. Notice or appreciate any sign of growth. Figuring out what you can do to streamline your procedures to make things easier. Find any reason to celebrate moving towards your goals. Now, we like to end our meetings by sharing positives. Not only do we record these in our online journals. Again, another OneNote document, whether they’re about patients, or teammates, or ourselves.

We want to also share something positive, whatever it is that relates to the office at the end of our team meetings. We definitely want to be a cheerleader, as much as possible, and have as much praise as possible. Pat everybody on the back instead of riding on that in our office. You’ll see, also, that we have every single team member has their own page in OneNote, that way they can track their own progress on their commitments and they can enter their own notes on the meeting if they’d like.

Even if they don’t, once we wrap up the meeting, then one of our team members will transfer the team meeting notes from the agenda into our communication log. That way, everyone gets a chance to reread it after the meeting and they enter their initials. We want to make sure that everyone’s on the same page and nothing slips through the crack, even if somebody misses the meeting for one reason or another. It also makes it easy to review the points from the last meeting before the next one comes up.

Now, once a month, I think it’s a really good idea if you have an empowerment session, where you hone your foundational skills on financial consultations, phone intake, handling appointment barriers, new patient protocol, pat responses, front desk [inaudible 00:17:17], you name it. Again, if you have questions, just please add them to the comments and I’ll be happy to respond.

If I can help you in any way, whether you’re looking for this month’s excellence coaching on team building or training new CAs, hiring new systems practice systems, please visit my website, chiropracticeassistance.com, and you can either click or email me. I would love to help your team reach higher levels of excellence. Thanks again to ChiroSecure for providing this forum to increase your chiropractic success. Your host next will be Mike Miscoe.

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 – Grow Your Expert Brand Online

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 hosts Dr. Natalie Beauchamp, as she talks impact, exposure and systems. And now, here’s Dr. Natalie.

Hello, everyone and welcome to this week’s episode of Empowering Women in Chiropractic. I’m your host for today, Dr. Natalie Beauchamp, and I’m super excited to have on the podcast today my good friend, Brandy Kinnear. And first, before I introduce Brandy, I’m going to tell you how we met and that goes to show you how social media does work to create relationships.

I think it was last year, probably a year ago. I was in Toronto attending Dr. Joe Dispensa’s event and I was in line up at Starbucks and I was just playing on my phone and I was, oh I haven’t been on Twitter for a bit so I hopped on Twitter and then somehow I saw Brandy’s tweet about being at a marketing summit in Toronto. And I’m like oh, I should check it out. So I check the Summit and then I checked Brandy and then went down the rabbit hole of her funnels online and ended up booking a call with her because what she had to say really resonated with me. So, I knew first hand that her funnels were quite savvy and smart and what interested in me into Brandy is that she worked with healthcare practitioner in the natural realm. To me, it was important. So, as they say, the rest is history. I booked a call and we started working together and we’re working together on different programs as well.

I have Brandy on the call today so we can talk about how to grow our expert brand online with what she calls her three step system and we’re here to give you content and good values you can use today in your practice. Welcome to the Empowering Women in Chiropractic podcast, Brandy.

Thank you so much for having me, Natalie. This is really exciting. And of course, you know I’m a huge fan of yours since we met in that random tweet in the Starbucks line.

Yes.

But I’m really excited to be able to share some information that can help the practitioners grow.

Awesome. Brandy, just tell us your story maybe in a few minutes, because I think it’s really powerful and, you know, everyone has a story and usually when we move forward and are really successful at something it’s because we have a personal story. So, tell us about your story and how you got attracted to the world of natural health.

Yeah. So, I feel like my path was actually created for me as opposed to me being the one blazing my own path. I used to live in the Caribbean. I started off in my entrepreneurial journey at the ripe age of 20 right out of university and I built up a chain of video stores and I was doing quite well and having a great time. But, you know, after five years I was ready to come back to Canada and start living the real life as they would say. And when I came back I started getting psoriasis all over my hands and my feet and it was terrible. And I went through the conventional healthcare system. I went from the GP to the dermatologist. I did all the things that they told me to do and it was just getting worse and worse.

And I was sitting on my couch one night. It was late at night. And there was this horrible commercial that came on the TV with bubble letters and I was like, you know, it’s 2006. Bubble letters have been out since the 90s. And when I looked at this video, or this commercial, it was actually a clinic. An integrated clinic that wasn’t too far from me. And I thought to myself, gosh, they need some help with their sales and marketing. So, I connected with them and sure enough they had me in on the same day and needed lots of help and, in fact, he was an integrative practitioner and he said to me if you help me grow my business, I’ll get rid of your psoriasis and any other health issues you have and anybody in your family forever. So, I was sold and I ended up becoming his director of operations and we built it into a super successful seven figure practice and we were just doing amazing things.

I became super passionate at helping other practitioners understand how to share the knowledge of what natural medicine can do and how to … You know, it’s one thing to be an expert clinician but for people not to know who you are and not to be able to find you was something was crazy for me because I was the one really telling everybody about this doctor. And it was literally word of mouth and my hard work. So, I realized that in order to grow awareness to natural medicine as a whole and make it mainstream, I needed to reach out and help more practitioners so I could exponentially … Together we could exponentially grow awareness. So …

That’s awesome.

And I moved on to consulting and what was the biggest deficiency I saw in every single practice? Marketing.

Marketing, yeah.

Marketing.

Brandy, let’s dig in right now into your three step system. The first is awareness by growing your audience and generate fans. So, can you give us tips, tools and strategies. Well, first of all explain what you mean by that and then give us some gold nuggets if you want and if you-

Yeah, for sure. I mean, I don’t need to tell anybody about the merits of social media I presume in the year 2019, but one thing to be aware of is the ability to reach the right target audience exponentially larger than you’ve ever reached them before is through social media. If people think of it as sort of a monkey on their back, it’s a lot of work, they’re not sure what to do with it, it’s actually your forum to reach hundreds of thousands of people. And when we start looking at it like that and we start positioning ourselves in the way we want to communicate with our ideal clients, it changes the way you act on social media.

What do I mean by that? Well, at the end of the day most practitioners haven’t dialed deeply into who they want to serve. So, you’re serving people who you’re serving now because you’re busy and you’re adjusting and you have a busy practice and you’re there every day and you want more and more people, fine. But do you love who you’re serving and are you attracting more of them? Or are you constantly feeling a little bit overwhelmed and exhausted with your practice, which is typical? We become these experts in our field and then we start to think hey, it’s got … There’s something more. Let’s work with the people we really like working with. And that’s what you have to do with social media. You’ve got to identify who those people are and then position your communication to them. That’s how you’re building awareness to your brand and building an audience.

You want your audience to be raising fans of people that are like yes, I love you. So, as an example, if you are super quirky or you’re funny or there’s something about your personality that’s authentic to you, you need to show that online. You can’t just be what they call a talking head because what happens is people don’t get the chance to resonate with you. And ideally, the quality of your audience is much better than the quantity of your audience. So, the metrics of how many followers you have or how many people like your page are irrelevant. I built very successful businesses in very niche markets with a high quality audience and it in itself is one of the best tips and tricks and tools I could tell you is really finely detail who you want to work with and then how you’re gonna serve them.

And then, some of the ways to make sure you’re building your audience is consistency. And I talk about omnipresence. Omnipresence is making sure that you’re everywhere. And it’s not oh my God everywhere and this is basically your life on social media. It’s using a strategy where you’re taking one piece of content and you’re repurposing it across all the channels. Should I be on Facebook? Should I be on Instagram? Should I do a YouTube channel? Yes. Do them all. Just don’t spend your whole life doing it. Just make sure that you’ve got a structure and a plan so that you can make the content once and get it across all of these channels. That’s omnipresence.

Yeah, and that’s such a good point because I think many of us in practice, we feel overwhelmed. It’s like oh my God, one more platform that I have to be on. So, what tools do you suggest, Brandy? And I guess the question is we don’t want to sound or look too preplanned as well and just use things like Later or Buffer or Hootsuite to populate. There needs to be that little bit of interaction. And good point on having our personality shine through if we’re doing video and things like that. What are your favorite tools for this?

I have a philosophy that in order to scale what you’re doing and be consistent and be omnipresent, you can’t be scheduling things on a daily basis. You need to have a scheduler for what I consider your bread and butter. I like to break down four different categories of posts that you should have possibly posting four days a week. The content should be made in advance. You schedule it using Later, as an example, because Later has got a great connection to Instagram. So, you can use it for Instagram, you can use it … Later is one of our favorites in the agency. We almost always recommend Later.

And then what I recommend doing is that’s the bread and butter, that’s the meat and potatoes. Now you add the gravy. You are the sizzle. So, that’s your behind the scenes stuff. That’s your raw, fun, daily snippets. That would be your Facebook Lives. That would be a picture of something that happened in your life or in the clinic or a patient case study or something that you want to just pop on and share. It would be what goes in your Insta stories where your gallery would be your bread and butter. You’re throwing in little tidbits and little pieces of you, your lifestyle, this authentic, unique part of you. And that stuff is organic. So, you need a mix of organic. But to look like an expert online and to have this omnipresence and this consistency, I believe that you do have to schedule some in advance.

Would you say … I mean technology is moving so fast. Which of the social media do you think … And it’s not fair to say ’cause we all have a different avatar when who we want to attract. I know that certain age group will be in different things. But let’s say my avatar, her name is Katherine, she’s 42 years old, busy mom with two kids and so forth. Where is she now? Where is Katherine found more?

Katherine’s on Instagram now? Katherine is … They’re all on Facebook, but your organic reach on Facebook is a lot more difficult now. But Instagram gives you the opportunity to get in front of the people, find the right people, follow them easily and get your information in front of them much easier than Facebook does. I encourage everybody whose working with clients under the age of 50 to be on Instagram for sure.

Mkay. Now, would you suggest hiring someone to do your social media for let’s say that nurturing and then you’re left to do the stuff that only you can do?

100 percent. Yeah.

Would you trust a social media person enough?

Yeah. No, so what we actually did in my agency and it’s specific for natural health practitioners is we actually built a program specifically to solve that program. Let’s outsource the content, the bread and butter, to somebody else so that you can focus on your zone of genius which is medicine and your second zone of genius which is organ social media posting, right?

Mkay. Cool.

There’s really no reason to be doing to all because then it’s overwhelming, the consistency doesn’t happen and you lose that momentum. You don’t get to do it a little bit and then stop and keep momentum. That’s just not the way social media works.

Yeah.

People need to see you multiple times in order to start to resonate with you.

Yeah. And I like what you mentioned about creating one piece of content that you start with a video, transform it into a transcript, to a blog, to mini posts or whatever because it’s time consuming. I, myself, do a lot of that ’cause I like to have the content that’s also original to me, to my expertise. So, great advice here. And actually, it’s funny that you mention that about Later ’cause I was using Hootsuite then we changed to Buffer and now we are with Later just because my social media person, who’s doing a fantastic job, said that it was more friendly with Instagram. So, a tip here to know.

Second point of how to grow your expert brand online: connection by nurturing your audience. We kind of touched on that with the social media, but what else can we do online with our audience?

I usually like to add a bit of context to that and the fact that there’s this rule of seven in marketing which is now typically around the rule of 20, where you need to connect with people on multiple touch points. They call them micro engagements. In order to start to build a relationship with them and start to have them resonate with your brand and start getting used to your messaging, people aren’t necessarily ready to buy when they first meet you, when they first watch your video, when they hear about you. But in order to show up on a regular basis an build these engagements with them, that’s what the rule of seven does. That’s what your social media accomplishes but then you also need to take into account your email nurturing.

In our agency, we do a lot of quizzes. We do a lot of opt-ins where it’s like the ultimate guide to or it’s a video training series or it’s a free course on … And we’re not talking the eBooks. People don’t really want to buy your eBook anymore, so that was very early 2000s. Ebooks are out and now it’s give me a quick win. Give me something short, give me something fast, give me something I can implement right away. And in exchange, of course, you’re getting their email and then that email nurturing sequence is really where you get a chance to help share what you do and what you’re passionate about and some of the results you’ve had for people that are similar to them.

And what happens if they don’t do that? Imagine a women doesn’t go and get something fixed and what that looks like long term? How it affects other aspects of your body? Blah blah blah. And so, we usually do a nurture sequence of about six of seven emails. And then, after a few months we go back. Not even a few months. Maybe two months. We go back again and start to nurture them with the same offer. Because what happens is ultimately the people that are warm, that have signed in, that have opted in and are consuming your content, it’s like a … It’s almost the same way you would treat an existing customer. They already know they can trust you.

So, we didn’t really take action in those seven rule of engagement points. They still are in your world and they still need to be communicated to. Depending on what your privacy, standards are, what you’ve had them sign up for, we like to go back and offer them the exact same offer, slightly different context and another set of seven engagements. That’s a really good … I call it an ninja trick for your email nurturing. But you have to understand that anything you do, and even … Here, I’ll give you another great one ’cause we’ve been using this really successfully is in your email sequence, give them a link to the video that you’ve done on that topic in your Facebook or make a video and put it on YouTube. Put the link the email and say if you’d rather watch the video I’ve done on this, click here.

Again, video builds relationships. It nurtures. So, you’ve got people that like to read and some people are more likely to open up an email than they are to even find you online on your social media. So, you’ve got the opportunity of connecting with them via email. Then you’re sending them over to your video and they get an even deeper connection with you. But that’s what nurturing is all about. Let’s assume that people are coming to your website or to your social media. They’re cold, they’re warm, or they’re hot. Hot ones are looking for your phone number and your address. The cold and warm, you need to build that strong relationship with them. And there’s many ways to do that but email marketing is probably one of the best and most effective.

Yeah. And that, I think, is the cool part. That let’s say I know I have one running with your agency and I somehow love helping people with headaches and migraine. It’s just something that I feel that I get great success and it’s just so rewarding. So, we’ve done a quiz about it and a nurturing campaign so people can learn about us, trust the information. And I guess it leads to our third point, which is trust by delivering value and standing out as an expert, which is also crucial. It’s all about positioning yourself.

I’m not saying that if you do one funnel on headaches, that’s it. You’re pinned down with this and that’s all you can do in the office. No, that’s not what we’re saying. But the online world is very different to me than when people make it to your office. Because there’s attraction, there’s conversion and then there’s retention. You’re helping a practitioner attract the right people, right?

Yeah. And I think what has to be understood about value … A lot of times … I mean, I work with practitioners that’ll say things to me like I don’t want to tell all of that information to my audience. It’s too much. It’s my secret sauce. And I say to them, you know, nothing that you have that’s a … There are no secrets anymore. Google exists. There’s hundreds of thousands of practitioners talking about all the things online. What you really need to know is that you’re delivering pure value to your customers or your potential customers all the time but you also have to ask for the sale.

We have an 80/20 rule in my agency where 80 percent of the time your content that you’re delivering is pure value. But 20 percent of the time you’re asking for the sale. So, if you were doing four or five posts a week, one of those would be your why they should work with you. And that’s sometimes difficult for practitioners ’cause they don’t want to sound salesy and sleazy and markety, but you’re not just there to give it away all for free; you’re there to transform and inspire and motivate and take people to the next level. So, you do have to say within a certain amount of posts why should they work with you and what that looks like.

And honestly, you have to look at communicating them with what they’re emotional, physical or lifestyle problem that you’re solving is. ‘Cause we’re not talking high level. You know, your sacroiliac joint is blah blah blah blah blah. Nobody cares about that. What they care about is they can’t get their kids hockey bag out of their car because their back is too sore. Or their shoulder’s frozen and they can’t make dinner. Those are the things that actually people care about so that’s where we have to deliver value but you also have to meet them at the level that they’re at and we say fifth grade english. Don’t try to be talking too high level. Yes, you can still sound like an expert with talking to people in the way that they actually understand information.

Another key point for anybody doing social media or any type of marketing, please get professional pictures done. Get updated, professional pictures. We have a brand photographer that we work with. We send a lot of our clients to her. She’s amazing. She knows my industry very well, so it’s easy for her to understand what I want out of it. But we get 75 pictures that we can use on Instagram, on social media, put them on the website, send them out in a media package or whatever you’re doing. Get professional pictures. It makes a big difference.

You don’t want people to think that you’re not an expert because you’re old fashioned, you don’t understand technology, your practice is out of style. It’s 2019. You have to understand technology. You need to be up to date and you need to look the part. And I think that really sets you apart with an expert positioning as well online.

Yeah. Yeah, ’cause it’s … My goodness. I ran out of water here. I think … I know I get this often and, of course, I’m the author of a book Hack your Health Habit and so forth. And I have my social media strictly for the clinic and I have some for my Dr. Natalie personal brand. But one thing that is fantastic now is that you can really reach the people who have consumed some of your material. And I know that I have patients coming in for their adjustments more regularly ’cause they see us online. It’s like it’s a reminder. Oh, yeah. I’ve got to go and schedule and get my adjustment. Or I get feedback, oh I love the recipes you guys are posting online or what have you. And it is true that any time that it is on my personal page or the clinic page that we put something fun and quirky it just resonates.

And I’ll give you that as an example, Brandy. I don’t think I told you that one. I had my birthday a few weeks ago and my staff decided me to surprise me. Big balloon with the big 5-0. Fantastic. Really happy about this. But they did that at night and we have motion sensors so at 1:30 in the morning the alarm rang. My phone rings. The alarm at the clinic got turned on. So, I’m nine minutes, eight minutes with no traffic to the clinic. And 1:30 in the morning in my pajamas running to the clinic. So, my office manager put a nice post of Facebook. Kind of an oops, sorry about that Natalie kind of thing. But we had so much feedback and people were saying this is funny. And I couldn’t really be mad at them ’cause their thought was really very kind-

[inaudible 00:22:24][crosstalk 00:22:24].

-And nice of them to do that. So, adding those little stories or anecdotes and same thing with Insta story on Instagram, it takes literally 30 seconds to do. It creates some fun and some engagement, so …

It also allows people to get to know you on a more personal level. And you don’t have to share all your life on Insta stories but letting people know … Let’s say you’re cooking and you’ve made a great meal. This is how you like to enjoy food with your family. Or what if it was a disaster and everyone hated it and you burnt the rice? That kind of stuff is like I like her, she’s really, she’s authentic. Or he’s real, he’s authentic. That’s really the stuff that helps to build the engagement faster and better.

For sure.

And if you can’t do that, you don’t have to do videos on Insta stories but it would make sense to start maybe speaking with somebody about how you can strategically get on there because it really is a tool that not a lot of people are using to their benefit. But, I mean I personally generate maybe 40 thousand dollars a year just from my Instagram account; just from me adding value to my client’s Instagram.

I always joke with older practitioner. I say if you have a teenager just ask your teenager to show you how ’cause usually they’re better at it than most.

Brandy, oh my goodness. We’re already out of time and I think we’re gonna have to do a part two of this to dig in even deeper in some of the strategies. So, I guess from getting back to the points that we talked about is really focusing on what you want to position yourself as, what kind of expert. And not saying that you need to niche down completely, but online you kind of have to attract the right patients and the people that you want to work with. And then nurturing those connections, those seven touch point. And I was at a conference in New York City last weekend and they just said exactly the same thing. How many times do you need to see and hear someone? And same with us as healthcare practitioners because most people will be referred to us by patients or, you know, if somebody sees you three times online and two of their friends talk about you, it’s like wow, she or he must be good at what she does. So, you know, this is a sign. I’ve seen your stuff-

Yep.

-In many places. This is a sign. And then after that it’s nurturing that relationship inside of your office and maybe this is what you and I discuss in a part two of this interview so people can see it as … They’re not disconnected. I really think the front end and the back end needs to be intertwined and they need to work together. But I think there’s different focus that can be applied when it comes to that.

Brandy, can you tell us, the listener, how they can find out more about you if they want to learn more about what you do please?

Sure. I’m on Instagram at YourIdealPatients. I’m also on Facebook, same name. And YourIdealPatients.come will get you over to my website where I’ve got some free tools that you can use and I’m happy to chat if anybody has any questions. There’s lots of ways to reach me through those three [inaudible 00:25:50][crosstalk 00:25:50]-

They can do like I did and schedule a call. And I was sold after one conversation ’cause I really her approach. And one of the reasons, if I may brag again about your services, is that I’ve worked with a lot of different marketers but a lot of them don’t get what we do as natural health practitioners. So, to me it’s very important that the people that I use for my services … And it goes for my computer guy at the office. Like, everybody needs to be on board of what I do, understand what I do, be a patient, get adjusted. It’s just so important to me. And it just makes everything more congruent.

Brandy, thank you so much for your time and your expertise. I hope everyone got … I’m sure everyone got good content and some nuggets that they can jump on and just start acting.

This was your host, Dr. Natalie Beauchamp for the Empowering Women in Chiropractic segment for this week. Have a great week, everyone.

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. We look forward to seeing all of you next week for another episode of Empowering Women in Chiropractic.

Now, 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 – 9 Super Habits of Successful Chiropractic Entreleaders

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

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

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

Hello, everybody. Dr. Julie McLaughlin here for a ChiroSecure’s Empowering Women. I am so excited to be joining you today. And what I want you to do, this is live, this is on Facebook, or on YouTube live, and so I want to show some love to [crosstalk 00:01:55] because they are supporting all of us in our profession. They help educate us in bringing so many great programs to us. So do me a favor. Everybody put little hearts, likes, in the chat box and be sure to comment, ask questions, and let’s really show some good support for ChiroSecure because they are so great in supporting our profession. So thank you, ChiroSecure.

So what we’re going to talk about today, I am very excited to share with you. It’s the nine super habits of successful entre-leaders. So entre-leaders are people who are entrepreneurs, but are leaders, and I love this combination. There’s a great book by Dave Ramsey on this. And I love this combination because entrepreneurs are the people who are risk takers, and they can kind of be wild and crazy on the edge, but the leaders are the ones who are tried and true and they’re really going forward. So an entre-leader is someone who is going to accelerate and increase their business growth on a good measured path, but they’re also going to break out of the bounds like an entrepreneur would and really make those leaps and bounds forward. So the business of chiropractic is built on blood, sweat and tears. And don’t I know it because I’ve been practicing a really long time. And we want to change the face of healthcare in this country. And I think that we can do it through chiropractic. So let’s get started.

So we’re going to talk about the nine big ideas here. So number one, you are the problem. I am the problem, right? But the good news is, is that you are also the solution. So our problems in our practice aren’t our location, or our space or our staff or our marketing or our technique or anything else. That is not the problem. We are the problem. What’s right here between our ears. Because you know what they say is if you think you can do something, you can. And if you think you can’t do something, you can’t. So the best thing is, and why you being the problem is a great problem to have, is because you’re also the solution. Because you’re the one person in this world that you can control. You are the one person in this world that can make a difference and really start to open up your mindset and really move forward and take those steps and take away the barriers that are stopping you.

So if you’re the problem and the solution, you don’t have a problem anymore. So you are your business’s greatest asset. If it wasn’t for you, well, it doesn’t matter where your location is or how great your waiting room looks or how many patients you have. If it’s not for you, you don’t have a business, right? You are your business’s greatest asset. And so what do you do? You have to take very good care of that greatest asset. And that’s what I want you to do. Because you are the only one thing that you have control over is your behavior and what you do.

So we want to look at, “How can we make ourselves better?” So I love this number one thing. “If you could do …” number one thing game, right? So if you could do number one thing today that you could start doing that would have the greatest positive effect in your life, what would it be? Think about it. What would it be? The number one thing that you could do. Once you have that, I want you to write that down for me. Okay? And then I want you to think of the number one thing you could stop doing that would have the greatest positive effect in your life. So with my patients, I tell them, I’m like, “What’s your Kryptonite? What is it? What’s your Kryptonite that you need to stop doing?” People say, “What should I eat? What should I have? What should I do?” I’m like, “No, don’t start there. Think about what should you stop doing that you know is wrong. And like, you know, drinking soda is wrong. Stop doing it. You know, eating a bunch of sugar is wrong, fast food. Those are the things, you stop doing them and then you’re going to move yourself forward without any effort.”

So our next big idea is manage activities, not results, right? So we’re so results driven. And so for good example of this is that we all want … “I want so many new patients in a month.” But if you’re just looking at those numbers, that’s one thing. But what are the activities you can manage? So in my practice, I do lots of outside speaking engagements in my community. And the last two weeks I’ve had seven of them, which is really, really crazy. And so when we look at this, we want to see what you’re doing on your results and on your activities. What are you doing? So we want to see what we can do when we’re making our activities, in signing up those, you know, community talks and things like that. So I’m gonna work on this and see if I can reshare my slides for you so you can see ’em a little bit better now. Hopefully you can see them a little bit better now. Sorry about that.

So when you’re managing your activities, I want you to set up these talks in your community, get with some positive power partners who you could tie into. So in one week I had 28 new patients from my talks. 28 new patients. And so I was looking at managing my activities as opposed to just the results. So your outcome is going to come naturally when you have those activities.

So big idea number three is to put it all together, right? We want to have this amazing power of synergy. We want our teams to be synergistic, our patients, and our businesses. So think about this. This is a cool story. So you know, they have these Belgian draft horses, and they have these competitions where they have to pull so much weight. So one horse can pull 8,000 pounds. But if you took two random horses, they never saw each other, they were strangers to each other, right? They could pull up to 24,000 pounds. Now, one can pull 8,000, and two can pull three times as much.

Now if you take two horses and you train them together and you really get them to know each other, they can pull four times as much as a single horse. They can pull another 8,000 pounds more than two random horses. So by getting your team in sync and getting your mindset in sync with what you have to do, you can pull a lot more and you can lead a lot better. So when we think about all of these things, are you trying to do at all? Are you trying to do everything yourself? Because guess what? We don’t have enough time in the day. So we need you to have a really good synchronized team, not a random team, you know, where they’re not connected and they’re not talking and you’re not having regular office meetings. We want you to train your team to have synergy because that’s what’s going to push you forward.

What about … We don’t want to have the enemies of unity, right? So if you lack intention with your team or with your patients through thoroughness of communication, if you’re not really clear what you want them to know, what you want them to do and what they’re expected of them, you’re going to have an enemy, right? If you have lack of intention through thoroughness and goal setting and shared purpose, you’re going to have an enemy. So we want you to get on track and in sync with your intentions. If you have unresolved disagreements, that’s going to steal your energy. You may think, “Well, I’m not going to deal with that.” But bit by bit, it’s like a little chicken taking one peck out of you, and every day, pretty soon you’re bloody, right? Because it’s that energy that’s going towards that because it’s unresolved. Resolve them. Just get it done.

And if you sanction incompetence, if you have somebody on your team who’s just flat out incompetent and you’re allowing it, that’s taking your energy because you’re thinking about, “Well, if they did this, if they did that …” I want you to unite and have that unity in your practice.

But how has your passion, I need you to care deeply. Care deeply about your practice, care deeply about your patients, and show them, show them that you care, because that empathy and caring and passion is the number one thing that you can do. So Dave Ramsey says this, “The most untutored, uneducated person who has passion is much more pervasive, much higher and forward thinking and further ahead than the most eloquent person without it.” So if you have passion, you can do anything, and you can move forward.

So how about … It’s vision time? I want you to be 100% on your vision, on what need. Because as entre-leaders, you have to share your vision with your team early and often. So there’s a book, it’s called “Visioneering”. And you have to discuss your vision and your organization 21 times. Crazy, right? 21 times before people start to hear it. And it’s before they start to get it. And I want you to think about it in one sentence. So our one sentence, sometimes you think of it as a tagline, is “Every body welcome.” That’s our theme. That’s our vision. “Every body is welcome in my practice.” So we have McLaughlin care, and every body’s welcome.

So think about what is your vision? And you want to communicate that with your patients, with your staff, at least 21 times, if not on a regular basis. So what is your vision? I want you to write it out, not just about the business, but everything in your life. What is it in your family life?

So we have the three areas. We have work, we have love, and we have energy. And you want to see your vision in all three of those areas all the time. Right? And I want you to never to go all in. You’re like, “What? Never go all in? What are you talking about, Doctor Julie?” So I have two ideas and two rules on launching a new idea. You can never borrow money to fund a new idea. So if you’re like, “Oh, my gosh, I have this great idea. I’m going to add a gym to my office, or I’m going to do this or that,” but you have to borrow money to do it? Nix it, right? So that’s when you’re not all in on that.

And if the big idea that you’re going to do could be fatal to your business. So if you decide that you’re going to merge with somebody else and you just don’t have a good feeling about it, and it could be fatal to your business because of the type of contract that you sign, don’t do it. So I need you to have Plan A, Plan B, Plan C, Plan D. Cause at the end of the day, things fail, right? And the more things that you have that fail, the more likely you’re going to come up with something that succeeds. Because think of Thomas Edison, how many failed inventions he had, and Henry Ford. When we think of these great people, we know that they didn’t just come up one day and have this great idea. They have all these Plan A, B, C, and D. So I just want you not to make a plan and just go with it if it could be fatal to you. So I want you to never to go all in because I want you to take that leadership part and be a little bit conscientious of what you’re doing with it. So slow and steady wins the race on this one.

So decisions are liberating. I want you to make them. So if you’re frozen by indecision, you’re not going to move forward. Your team is energized by a leader who can make a call. Think about if you were in a sporting event and you’re in a game and you were the leader on that team and you couldn’t decide where to throw the ball, right? You’re frozen by inde … “Should I throw it here. Should I throw it there?” That’s the same thing in business. If you can’t make a decision, you’re team is going to think that you’re not capable of leading and you’re going to have no direction.

So David Allen has a book called “Getting Things Done.” And I love this approach. So done is better than perfect. I want you to do it. It doesn’t have to be perfect, and I want you to practice it. So if you have something in your life, and this is my rule and I love it, and this is from David Allen, “If it takes you two minutes or less to do it, I want you to do it now.” Like think about your emails. You look at an email in your inbox and you’ll leave it there. You don’t delete it, you don’t allocate it, you don’t do it. Right? Or the dishwasher. You see the dishwasher’s full at home. I tell my kids like, “Listen, it takes you two minutes or less to unload the dishwasher. Do it now.” So anything that takes you two minutes or less, do it immediately. And then, you know what, you’ll always be ahead on that stuff because indecision kills and we don’t want that.

So I want to tell you, in my practice I’ve had an overnight success. It was just so easy. It only took me 31 years, right? No one has an overnight success. We look at people on Facebook and in places that look like, “Oh, my gosh, they’re doing great. What’s wrong with me?” Remember that’s a mindset. No one has overnight success. It takes years of practice and determination to be able to do this. So there is no overnight success. So is it your mindset or it’s your ability. It’s your mindset that drives your ability. And I know you’re all capable of this because I believe in you. And I want you to stay on mission and stay on task with focused intensity and you will succeed, my friends.

So if you want to know more about me and what I do, my contact information is here: drjuliemclaughlin.com. And I have my online courses and onlinevhp.com. And so, again, I would like to think ChiroSecure for having me today on Empowering Women, and I hope you guys got a lot of good do level information out of this, and I want you to be sure to join us next Thursday at the same time, 11 o’clock eastern time, 12 o’clock central time, because ChiroSecure will be having the Look to the Children program with Dr. Monika Burger. And I will see you soon.

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 in Chiropractic Getting Referrals from OB/GYNs

Welcome to Chiro Secure’s “Empowering Women in Chiropractic”, the Facebook Live show for successful women by successful women, proving once again, women make it happen. Join us each week as we bring you the best in business growth, Practice Management, Social Media Marketing, Networking, Leadership, and lots more. If it’s about women in practice and business, you’ll hear it here. Now join today’s host, Dr. Nicole Lindsey as she talks overhead debt and creating other sources of income. And now here’s Dr Nicole.

Hi, I’m Dr. Nicole Lindsey, founder of Dominate Chiro Marketing, where I connect chiropractors to medical doctors to build their practices. I’m your host of today’s show, Empowering Women In Chiropractic, brought to you by Chiro Secure and as always we want to start off thanking them, because without them we would not be here and we really appreciate them bringing all of this information to you. I am so excited about today’s show. I have a special guest with me today, Doctor Linda Slack. Welcome.

Thank you, Nicole.

Doctor Linda, I’m going to tell you a little bit about her. She comes to us from Massachusetts where she lives and practices and she’s been doing so for 30 years now. She studied prenatal pediatrics. She studied neurology with the ICPA and the Carrick Institute of Neurology. She’s board certified through the Academy of Family Practice, the Council on Chiropractic Pediatrics, the American College of Functional Neurology, the American Board of Children Developmental Disorders. She’s on the board of the ICPA.

She is the Co-founder of the Slack Institute where she teaches advanced post Grad courses to DCs who specialize in Chiropractic pediatric care. Welcome Linda. We’re so, you’re here.

So good to be with you, Nicole.

I’m exhausted after all that [inaudible 00:03:05] was so much.

That’s what 30 years of practice does.

Well, we hope most chiropractors can put that much into it other than their practice. You know, you’ve done a lot for our profession and we appreciate you. So one of the things that you’ve done really well, which as you know, my experience with bridging gaps between medical doctors and chiropractors … is you’ve gained a lot of referrals from OB/GYNs. So you … your husband, you have completed my course. I know you’ve taken some some stuff from that and you’ve learned from that, but tell me, what do you think is one of the most important things to an OB GYN when it comes to building a relationship with a chiropractor?

Well, I think the, the OB/GYNs are very open to what we do compared to a pediatrician for example. And they see a lot of women throughout their pregnancies who have sciatic pain, who have various areas of discomfort, mostly in the lower back, and they just don’t have anything that they can do because in that circumstance, right, they can’t prescribe medication for pain relief like they would if the woman wasn’t pregnant. So they’re so much more open to what we do and it’s just a matter of going out and doing what you teach to meet and greet and find out what their needs are and the referrals … it’s a natural thing after that.

How important do you think educating them is?

100%. It’s essential, because they, just like any other … most other medical doctors in general, they have no clue what we do.

Isn’t that crazy?

Yeah.

Yeah, I have to agree with that. When you’re meeting with them face to face in their offices where they’re comfortable, they will often admit that, you know, that they really had no clue what we do.

Exactly right. And they don’t know if you show them. I have a friend who just went and did a lunch and learn in an OB/GYN office and she took pictures and showed how our tables open up to allow for the belly as it grows so that mom can lay down face down on the table. Things like that. Just simple things that they have no idea what to expect, and it’s a beautiful thing to go into their offices because they’re so open and accepting.

Yeah. Now more than ever. Right?

Yeah, definitely.

With the opioid crisis and all that. Now it seems like you’ve really branded yourself in our profession. I mean you are known as one of the pediatric gurus in our profession. How important do you think this branding of yourself is in your community when it comes to building these relationships with MDs and OB/GYNs?

Yeah. So recently I heard … I have a friend of practices a few towns over and she was saying that really what I have done has laid the groundwork for all the chiropractors in the community, because we are all getting many, many referrals from not only OB/GYNs but from the lactation consultants and the midwives and the doulas. And I’ve gone out and spoken to the mass breastfeeding councils and gone … and I’m on the Board Of Partners In Perinatal Health, which is a big … we hold a big conference for nurses and midwives and doulas every year. So they’re learning and they’ve learned that … what chiropractic is. And they can’t refer them all to me because first of all, distance and you know, people do travel far and wide to come see me, but I can’t see them all. So, that’s part of the reason why I started teaching as well, to teach other doctors in the community how to better take care of children so that they can do a good job.

That’s amazing. You’re doing so much for our profession by doing that, and that’s wonderful. So one of your specialties is taking care of infants and let’s talk about the infant brain and the importance [crosstalk 00:07:29] yeah, and developmental marks and motor milestones.

Okay. So when the infant is working off of what we call the primitive brain or the brain stem, it’s all instinctive, those natural reflexes that we talk about, the primitive reflexes that are so important. When I first started learning pediatrics, I just like let it fly right over my head. And then even … they weren’t on my radar. But now I understand that they set the groundwork for the nervous system to work properly. So as we see infants, we can monitor their progress or their lack of progress or how well their brains functioning by looking at those primitive reflexes initially, when they’re born to see … to make sure that they’re there and working properly, and we see a lot of infants with latching issues. And that could be either part of low tone.

They may have nervous system dysfunction from the birth process. That’s what we talk about all the time. But they, their, those primitive reflexes may not have engaged well. So for example, as an infant goes through the birth canal in a natural normal birth through the vaginal, you know, through the pelvis, some of those reflexes actually activate as the baby’s being born. So what would happen in a C section then?

Right, right.

Right. They don’t get set into emotion. So chiropractic and balancing out that nervous system and clearing any subluxations that are there activates … helps to activate those reflexes as well. And I use it as a monitoring through care. And then after the very first year of life, then we develop from what we call the … we talk about it as the bottom up. So we start through the brain stem up through the mid brain eventually to the cortex and the cortex engages. And from zero to two, the right brain is dominant. That allows the child to get upright and for gross motor control and coordination. And then the left brain becomes dominant between the ages of two to six, where by age six we’re about 100% there with brain development and function.

So you have milestones, you have things to look for in these different areas of the child’s life and development. So this is the kind of stuff that you teach in your courses as well.

Yup.

Okay. So this is good. I don’t remember learning this in chiropractic … they’re not teaching this in schools yet, are they?

I don’t think they’re still teaching. I don’t think they’re teaching it at school. I don’t remember learning it in school, actually.

Okay. So what do these signs mean, if you’re seeing … What are some of the possible early signs of neuro developmental delay?

Yeah, so let’s talk about motor milestones, okay? When the child … so when we’re born and we’re lying down and flat, that we go from lying to what’s the first milestone? Rolling over. And then the infant goes from rolling over to coming up onto all fours and they start to rock and they start to crawl. And they crawl and they go to standing and then walking. But in today’s society, we have all these gadgets that people get at their baby showers, like Bumbo seats.

Right.

Jolly Jumpers.

Jolly Jumpers.

And walkers. And what these contraptions do is they get the parents putting their babies in an upright posture way before their spine’s ready way before their brain is ready for that process. So what happens is the brain then, it may not develop properly through those … from the bottom up, through those stages, and it later on shows up as a neurodevelopmental delay.

Let’s talk about one of the biggest things that we see where see dysfunction happen, is in crawling. So a parent will say, “Oh, Johnny never crawled. He went right to standing and walking. He was so advanced.”

And they’re so proud.

And they’re super proud. Or a parent will come in and say, “Oh yeah, she scoots on her bottom.” So a baby scooting on their bottom is a sign that might tell you that those parents had that infant in a sitting posture way too early and too long each day. And it caused them to go into that scooting posture instead of going crawling. So if they don’t crawl, to me that’s the most important milestone because crawling allows them to begin to cross crawl and begin to be … so it sets them up to form those connections then between the left and right side of the brain. So once the brain’s formulated all through our entire life, we then begin to form neuronal connections from one side of the brain to the other. And that happens through movement. And what’s happening with our children today? How much are they moving?

Not much. Right? My 13 year old’s pretty sedentary.

So they do a lot of … what do they do? They sit around on IPADS, computers, playing video games, et cetera. Right? And that’s not gonna help this. So actually neurons will die if there’s no movement. And then think of it on the other end of life in the elderly people, when we get sedentary too. We retire from our career and a lot of elderly people just sit on their recliner all day and not move their bodies. So movement is the most important thing for the brain, the health of the brain throughout life.

So what would that lead to most likely if you’re seeing these neurodevelopmental delays, or these milestones are being met? Does that mean that the child will have certain disorders?

Yes. So it will lead to what we call a functional disconnection in the brain where the child will have some type of learning disability. So we see today, one in six children have some type of learning delay by the time they get to school. And if we catch these … the development, the neuro development early, like between zero and two with these children, and we can make sure or ensure that it happens correctly, they will get to school and they won’t have those issues. But now it’s really most of the time not picked up until the child enters school.

So, yeah, who’s checking for these? Who’s paying attention to this?

Not the pediatricians, unfortunately. No one is, there’s like occupational therapy. But then again, you wouldn’t engage with an occupational therapist until you’re at the age of school where it would be recommended. So really chiropractors are the only doctors who are looking at these issues and dealing with them and helping parents.