Empowering Women in Chiropractic – Dr. Buerger Spills the Beans on Chiropractic

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

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

Hello, everybody. And happy Tuesday. We’re halfway through October. Ooh. I am your host for this, um, for this time of this incredible look to the children’s show. Thank you, ChiroSecure for always being there for the chiropractic profession and for allowing, um, so many doctors to have this platform to, um, share incredible information about our incredible profession. So, um, today I’m going to talk about October being national sensory awareness month. So what does that mean for your practice for your patients, for you? A little fiddle parts and, um, for us as a profession. So let’s dive in, I’m going to show you a mini PowerPoint. We’re going to bring up that first slide and, um, let’s talk about sensory awareness month. All right. Um, this is a quote from our friend in our research arena, Dr. Heidi, Haavik out of, uh, New Zealand Chiropractic College. And if you don’t know her by now, you should get to know her or get to know her work anyway.

And what’s happening in our profession is absolutely mind blowing. It is so, so exciting because I started working in this realm, um, nearly 30 years ago. And it has now become this massive explosion of information. And what is so incredibly exciting is if you look at the neuroscience arena, not just a chiropractic neuroscience, but we’re going to get to that in a minute. But neuroscience in general, neuro development, neuro psychiatry, the world of neuropsychiatry, the world of sensory modulation disorders, the world of head trauma, whiplash injuries, they’re all looking at how the brain interprets information from its environment and how that is actually being termed as a developmental origins of disease or their neurobiology of disease. This is huge. Just take, just take that concept for two seconds and think about it. What we’re going to talk about today is considered in all these different arenas, these different specialties, the neurobiology of disease.

So Dr. Haavik has shown repeatedly that the chiropractic adjustment affects processing sensory input somatosensory input into the brain, into the part of the brain called the prefrontal cortex. So why is this so important? Because the prefrontal cortex is that which makes us human, which makes us, um, conscious. It gives us a consciousness, which is our executive functioning part of our brain. So the executive functioning part of the brain, it controls impulse control. So I want you to think about this for a minute. This is particularly important when it comes to the label of ADHD. Oftentimes those little fiddle farts being given the label of ADHD have poor impulse control. That’s one of the criteria and, and, uh, and ADHD reasoning, a Billy rational decision making memory and attention. These are key things that we need to be able to do to interpret the sensory and put into our brain to navigate our environment and our personal response to our environment.

This is what’s so key. So years ago when I started venturing upon this work, um, again, nearly 30 years ago, this sensory, um, the sensory work was very much, um, the niche, uh, in the occupational therapy field. And we’re seeing this branch out again into other cat, other fields, including neuropsychiatry and definitely within the chiropractic realm. So let’s dive in a little bit and, um, and explore this a little bit further. What is sensory processing disorder? It really is the ability to take in organized process and integrate this information from our world, from our senses. And we’ll talk about our census here in just a little bit, when we’re able to do this appropriately. When these messages, this information comes into the brain and it talks to each other, it’s a network of systems that, um, that has to be interpreted. We can respond appropriately to our environment and to people within our environment.

This is the basis for all, all of our learning ability, our academic learning, our social learning, our emotional learning and our motor skill learning. Now, if you missed our show in August, I think it was August 17th, but our August show, we went over, um, postural control and postural stability. And those things that can be related with poor postural control, things like add ADHD, dyslexia, autism, scoliosis, go back to our website. We have it on the Cairo secure Facebook page and our intersect for life educational seminars, intersect for life educational seminars, scroll down. You will see the recording of that. That’s, it’s really important to type today’s lecture and that together on postural control. So when we feel safe and secure in our environment, we can respond appropriately. We can learn again, academically, socially, emotionally, and our motor skills. When our motor skills are down, that leads to poor core control, poor, fine, and gross motor movement.

Listen again to that previous section we did in August. So the way this disorganization can result, um, basically they consider three different pathways. The brain doesn’t receive the messages. There’s a disconnect between the body. There’s a disconnect between the brain and the body and the body of the brain. The brain is just not receiving these sensory messages that is going to be your lower functioning child, your lower functioning adult. Um, maybe even your low tone kiddos, the messages are received, but they’re inconsistent. And they can be inconsistent depending on the environment that that little fiddle fart is in at that particular time or on their stress level, the amount of trauma, toxins, thoughts, technology that they have been exposed to in a given time period. So what’s, what’s interesting about this is at sometimes they can appear to navigate their world with, with ease or easier, and they can respond to their environment is your, they can sit still is you’re in class for, at the dinner table.

They can respond when mom or dad asked them to clean their room, et cetera. But when their stress load is up, it can scramble those messages. So they can wax on wax and wane. The other way is sensory. Miss messages are received consistently, but they’re not connected to the other sensory systems. This is a network and all of these systems have to come into the brain land appropriately and talk to each other to make a systems wide network that, that, that results in proper motor output. So the way in which we perceive our world is a way in which we will respond to our world and everything and everybody within our world. Alright, so couple, we just throw a couple of research papers out there. Again, this is from the journal of neuroplasticity. What I want you to keep in mind is that these are high level journals that this, these research papers are getting published, and which is huge for our profession.

Huge. So I’m here, Dr. Haavik states that this is solid scientific evidence that adjusting the spine can change the way the prefrontal cortex of the brain is processing information from the arm. And then she goes on to talk about the prefrontal cortex and the importance of the prefrontal cortex. So in this particular paper, they talk about processing information from the arm and knowing where the arm is in space and how to use the arm, which you might think what’s, what’s the big deal about that. It’s huge because if we don’t know where our arm, our limbs, our core is in space, we cannot navigate ourselves through space. And that’s very scary. That’s very unsettling to the brain, little fiddle, farts, cat, tell you what I feel a little unsettled in my environment. And I’m out to feel a little unsteady on my feet, which kind of gives me the feeling, maybe some vertigo and dizziness, and therefore I’m acting out.

They can’t do that. They act out, and that’s how they’re expressing themselves. Their neuro expressive behavior is a window into their neurological integrity and how they’re processing and interpreting information. So in this paper, they talk about the arm. Well, just let’s just take the arm in and of itself in context. What can that mean? That can mean a poor hand, eye coordination. Being able to reach out and know how to put my hand in space to catch a ball. It may be, um, poor eating skills and maybe poor, fine motor skills for writing. We’re seeing many, many more kids being pulled out for handwriting. Um, an IEP, uh, four or five Oh four is an IEP, um, special education plans in the, in the school environment. We can send them to handwriting camp and writing class till the cows come home. If we don’t fix the connection between the body and the brain and the brain to the body, they it’s going to be so hard for them to interpret where their hand and fingers are in space.

Overcome these blocks. If chiropractic care can help modulate the information coming into the CNS, particularly prefrontal cortex, which is going to have a huge, um, bowl of prediction of movement, uh, fine motor control suppression of movement. So when we’re using one body part, another body part may need to be suppressed, not moving, or we may need to be able to sit still in space and not having to be able to move. This is the prefrontal cortex. So with the chiropractic adjustment, being able to affect processing of sensory of our sensory input into that part of the brain is phenomenal to huge. A more recent study that came out like within the last few weeks month was looking at connections. So all this information has to come into the brain and it has to connect there. They, um, found that this was a study on stroke patients, chronic stroke patients.

And after one chiropractic adjustment, they found increased processing of information within this it’s called the default mode network, a huge network that is being looked at in, um, prenatal development and in utero development. So go back to, um, I think it might’ve been July, June, or July, where we did a class on prenatal stress go on either one of our Facebook pages. You will see these recorded segments, and they’re phenomenal to put this all into context, but this paper showed that there was increased in, um, processing and communication, essentially within this default mode network, which is again, hugely being studied in the world of neuropsychiatric at night neuropsychiatry and the, to re to, um, region one was an area called the, um, the, um, posterior cingulate cortex, which essentially processes information from our internal awareness. We call our interoception our internal awareness between that area and what we call the pair of hippocampus.

Okay. What does that mean? These, these areas are going to be key in visual, spatial interpretation and, um, memory and, um, navigation within our environment. Again, making us more safe and secure within our environment. So we can respond appropriately within our, with given situations and commands. So chiropractically speaking, this is cutting edge phenomenal. Again, if we tie this into the world of neuroscience, neuro development, neuromodulation, neuropsychiatry, we, if we understand our role in a neurological based brain-based chiropractic paradigm, we can, um, commingle, we can connect with these other practitioners within our communities and it, the, the, the results, it can be profound. They will be profound on the future, uh, future generations. So I get a lot of referrals actually from counselors and psychiatrists, where a kiddos have maybe been admitted to psych wards because of, um, concerns about them harming themselves and committing suicide. And this is the context that I look in. So we have five far senses that come from the outside world. Those are called extra ception, and we have these key senses that come from within called interoception inner. And I just want to focus on a couple of key ones, cause we don’t have time to go over this in length, but from a chiropractic standpoint, we really need to look at our influence on the vestibular propioceptive systems. Of course we’re going to, so Maddow sensory input is, um, largely re associated with tactile and appropriately perception.

If we can, if one system is down all systems down. So if only one of these systems, sensory systems have skewed information coming into the CNS, it pulls down scrambles all of the sensory input. So you get the sensory chaos storm in your brain, okay? And you can’t make sense of your world. You can’t make sense if you have a full bladder and half to urinate, or if you’re hungry or not, this is largely regulated by bagel tone, by the way. So we have the outside senses, the inside senses. They come into the sensory portion of the thalamus. Let’s back that up a minute and they hit the amygdala. I call that your fearmonger because you’re middle is your rate limiting factor in life. If this information doesn’t make sense, you’re going to be stuck in a fight or flight or freeze mode. And that’s going to hold the person back.

It’s going to hold a kiddo back from adventuring out to try different things, to maybe play on the playground. And they will shut down when they get into sensory overload. So this regulates the HPA axis and the autonomic nervous system in particular, this is the world that’s being studied with regard to neuropsychiatry and developmental origins of disease. Because when the HPA axis is off, everything’s off hormones, neurotransmitters, you name it. So if we get stuck in this dysregulation, we can be stuck in what I call limbic lock and load mode. You just shut down. Then your prefrontal cortex shuts down. And, and that is our executive functioning. It controls the limbic system, really your limbic drive. Now we know with the chiropractic adjustment, we can affect processing in that cortex. If we can help keep that online and keep us out of this limbic drive and in a balanced autonomic drive again, that’s the motto that is going to, um, regulate pretty much all your systems.

So, um, if we don’t, if we’re stuck in this chronic sympathetic dominant shift, you’re not going to heal the gut. The gut is going to stay chronically inflamed. And we know now the huge, profound connection between the gut and the brain and the brain and the gut. All right. So in order for this to make sense, literally our brain, we need to go through proper neural, developmental milestones and patterns, and we need to be able to integrate our primitive reflexes, build these pasture reflexes. Again, refer back to the August lecture. The talk that we did, the PA pastoral reflexes, our core control, which is huge regulated, hugely regulated by the visual vestibular and proprioceptive systems. And then higher order cognition comes on to board. So a couple of things I want to bring to you, communication is the key to life and in every aspect of life, right?

So if we’re in a relationship, let’s say we want to go out the super single and we want to look for a partner in life. Okay. We want to meet somebody. We might look for that chemistry between somebody does it. Do they give me chemists? Is there chemistry between me and that other person? Okay. The brain needs good chemistry, good neurotransmitters, okay. The body, we need good chemistry happening. And then we need a good chemistry between the brain and the body and the body and the brain that makes a connection. Once we have added chemistry, maybe we can make a connection with that person. And then over time, the relate when you’re in a relationship and it goes on over years, that relationship is going to rely on good communication. One person can’t have the high volume of communication and the other one would be squashed for healthy relationship. You’re equal. You both have this say, so in this relation, you both can communicate properly. And that makes a healthy relationship. It’s the same thing with sensory input.

Okay.

We have to have, for instance, the vestibular system is going to have some control over our auditory input. So if our vestibular function is down, let’s say we’ve got subluxations, especially of the upper cervical spine. Cause that’s going to be a huge area of input of a stimulator,

Their system subpar, the auditory information is going to sound bigger. It’s going to be recognized more so in the CNS. And there’s this gap in communication between these systems, one system down all systems down. So being able to help regulate the rate, the volume, the timing, the toning of information into the CNS is hands down. That’s critical. And it’s just like a relationship. You have to have good chemistry, good connection, good communication within the sensory systems and within the CNS cool beans. So what can we see? What might we see in our practices? How do we apply this? Let’s just take a quick, pick a peek at the visual vestibular and proprioceptive systems, visual systems. What we might see is our kiddos or adults, teens across the board, constant complaints of headaches, even maybe, um, stomach aches. It can be very creative, very anxious environment.

When this input is disorganized and we’re in sensory chaos. So the anxiety they might write rightfully say, I feeling anxious. I have anxiety, or they might have chronic stomach issues. Again. If sensory dysregulation and sues, the gut is going to shut down. So constipation diarrhea, um, your little fiddle, farts, aren’t expressive. They may not sleep well through the night when you have gut issues. Um, it’s often, often you’ll see that there’s trouble sleeping through the night. They are quote unquote colicky. They’re fussy babies again are older kiddos and adults, frequent headaches, stomach aches, especially after visual world work. The visual system accounts for about 70 to 80% of information we take in, in a given day comes through the eyes. So this is a huge system. They may be clumsy and getting hurt all the time cause they can’t navigate uneven surfaces or stairs. Um, reading, reading comprehension is difficult.

So these are things that they can either outright report to you upon their initial history. Or you might have to dig for this information a little bit to give you some insight as to how are they processing their world. The vestibular system is a big kahuna. He is considered, um, the modulator of all incoming sensory input. He said that like the air traffic controller, he modulates rate timing, tuning volume of sensory input and the CNS. So vestibular systems down, we’ve got a big, um, a big miscommunication within this whole sensory network. Your little fiddle fart say might have history of, um, chronic ear infections have tubes in their ears have hearing deficit. They have characteristics on the autism spectrum. They like to watch things spin. They, um, are tornado kids. I call them tornado kids, tornado alley. They’re just always on the move. They can’t sit still.

They can’t sit still at circle time in school. They can’t sit still at the dinner table. They’re on your, um, your, your exam stools and spinning around. By the way, if you see them draped over your exam, stool on their belly and trying to spin around think poor vestibular system functioning along with gut issues. Again, when they’re in sensory chaos, the gut shuts down, we can’t be in a rest and digest state. The gut is going to shut down and they’re going to have gut consequences. And by the way, the microbiome is one of the key sensory systems. So just keep that in mind, you see this whole rabbit hole that we ended up going down the vestibular system. I want you to think of, um, post traumatic, uh, definitely post traumatic stress disorder, but mechanisms of injury, whiplash falls a little fiddle fart couple of weeks ago was on the trampoline, fell off, slammed his head on the cement.

Okay. Those kind of situations, even falling off the changing tables and so forth. Um, sports injuries, concussions, mild traumatic brain injuries. Any of those is going to tend to distort your vestibular processing system. They might not like car seats being, I’m getting more and more that, um, hits on social media sites. Why these little fiddle farts don’t like being the car seat, think sensory dysregulation. If they have poor vestibular, um, integration and interpretation, they might have a thing called gravitational insecurity. Again, we talked about that in August, not being sure where they are in space, not like in their feet off the ground, they might not be able to jump. Um, they might not like laying inside posture on your table because they don’t like their feet off the ground. They, they are very insecure in those situations. They don’t like roller coasters or merry-go-round.

Now those will be the kiddos that are hypervascular a little bit of input goes a long way that avoid this kind of, these kind of maneuvers are hypo vestibular. They’re not getting enough input. Those are your tornado kids. Those are kids that can’t sit still. So this is key to understand, um, they get labeled a lot where they, where they get labeled as ADHD, oppositional, defiant, you name it. So a couple of key things. I just want you to know the vestibular system is hands down. One of the biggest areas studied with regard to psychiatric disorders, anxiety, depression, um, HPA axis, modulation, uh, direct input to the limbic system. So emotional profile, a lot of things that are associated with the Vista division, including scoliosis. So if we can, ModuLite the system in the younger years, think of all the potential things we can. Um, we can derail the potential labels and scoliosis is a big one.

In fact, scoliosis is associated with increased. Those individuals with scoliosis are, um, have been shown to have increased anxiety and depressive disorders. It all goes together. If we can interpretate our world, we can’t be comfortable in our world. We become anxious. And then the proprioceptive system, the propioceptive system is, um, considered the, um, it re it, it calms down. It helps us screen out other unwanted sensory chaos. It grounds us. These are oftentimes your, what I call your pull, push punch kiddos. They’re more aggressive. They want that deep impact. And that pressure, because you’re getting that proprioceptive input from your joints and muscle spindles, huge from the spine, especially the upper cervical spine. So they don’t like if they don’t have good proprioceptive awareness, they don’t like to do things with their eyes closed. So you may be doing an exam in your offices and have them March with their eyes closed or do activities with their eyes closed.

And they’re like, nah, ain’t going to happen because they don’t know where they are in this space. They don’t know how to use their body in space because they have poor proprioceptive processing. These are your kids that can be labeled as a bully. They oftentimes are really restless sleepers. They like to get out of bed and crawl into mom and dad’s bed and snuggle because they want to know where they are in space when we’re sleeping with more than likely asleep with our eyes closed. So this system needs to be processing our environment all the time and make a spill safe and secure. They don’t feel that when they’re asleep in their own bed. So they get out of bed and go snuggle with mom and dad and mom and dad don’t get a good night’s sleep. And they’re complaining to you because they’re all tired all the time. So these are some of the things that are clumsy. They trip over their own feet. Um, they just don’t know where they are on space.

So again, I’m just

From other journals. Here we go. The cervical spine receptors are important connections to vestibular and visual apparatuses and to the central nervous system, dysfunction of cervical receptors in neck disorders can alter a fair input, changing integrity, timing, and tuning of sensory motor control. This makes sense as to why we see then with the chiropractic adjustment, increased processing of somatosensory input. Cool beans. So very quick here, I want to tell you a story. It’s a true story. This happened, um, the beginning of the year, um, I believe a plane was coming into JFK airport in January when people were still flying. Um, I’m going to get my little pen here. Okay. So here’s how you can take this information and you can talk about it and your practices, and really get to understand it. It’s all about connecting our environment, external and internal body to brain and brain to body.

So this plane was coming in and we’re just gonna for kicks and giggles. I’m going to use some numbers flight seven 22. That’s this plane coming in. All right. So the brain is seeing, Oh, okay. On my radar, I got a plane coming in and radios down, sending information to the body, the brain, sending the information to the body so that it will perform a proper motor response sensory information in proper motor response out brain says flight seven 22, your clerical landing, but stay short of runway five 22. Okay. The body I E the pilot on this plane interprets that information, but interprets it all. Sleep perception, response, input interpretation equals proper output. This pilot says, Roger, that flight seven 22 cleared for landing left out a key important piece of information that he was supposed to stop short of runway five 22. So he lands his motor output. The body stops in the middle of this runway with another plane barreling, right towards him to take off.

This could have been a disaster of Epic proportions with hundreds of lives at stake, hundreds of lives injured or lost two huge planes. These, these were, this was a Delta plane by the way, the one that was landing. So thank goodness the brain picked up what happened and aborted this takeoff right here, but the, the brain, the cell tower, air traffic controller of all the sensory input into the CNS says, Hey, I told you you’re clear for landing, but stop short of runway five 22, and the body made the prizes, Oh, forgot that piece of information.

So essentially what we do, what we help do is we help clear the runway and help make proper connections. When we do an adjustment, we kind of give a cobwebs, so to speak and make a better connection, a communication between the brain and the body and the body and the brain. So that that motor output is prop is appropriate for the given situation. So that person feels safe and secure and comfortable in their environment. And they don’t have to act out. They don’t need to, um, self try to modulator in a maladaptive manner in order to fit into their environment. Meaning I’m not getting enough vestibular input into the brain. The brain can’t send me the right messages down the body. So I’m going to try to make, get some of that information and I’m going to be all over the place. And I’m going to spin it around like crazy.

That is a neuro expressive behavior for a lack of proper sensory input and sensory integration. So this is PR this is profound, profound information for our profession. And it’s exciting because this is what can take us to that next, that next phase and our ability to, to, to spread the word and to connect with these other entities and, and share with them the profound, um, the found effects of chiropractic care. So things you might want evaluate like guys like my fat cat right there. Okay. Let’s see if this is going to show up pair. Yes. Balance. Now it’s important to understand that the vestibular division can still be, um, weak or dysfunctional, even if balance is on track. So don’t just hang your head on balance. Okay. But you don’t have to add a lot of extra stuff to your practices. If you want to start dabbling in this world and screen things out, what core control do your little fiddle parts that have low tone, and they’re not sitting up by their, by the sales by six months, they’re not rolling over.

They’re not want to get up. Um, we’re seeing more, more kiddos wanting to walk on their knees, walk on their needs. These are all maladaptive responses. They’re telling you something. Okay. And that’s usually those things are usually poor core control, poor, low tone. Again, longterm effects are going to be postural instability, which is associated with things we’ve already talked about. Joint position sense. Okay. You can do joint position sense testing on them. You can look at, do they know how to use their hands to right. Do they know how to use their body in space? Okay. Um, eye tracking. Can they cross them in and can they visually track without moving their head? Very key, fast things. You can do take a few minutes. Um, just as a general screening, then those of you that want to learn more and get more into depth there’s programs out there that you can learn to hone in and get more into depth of this.

But these are core things that we should be mindful of. Um, as in a general chiropractic practice, does that little fiddle fart when they come in and they’re plastic bucket, okay. Their seats or whatever they’re called those car seats. Do they fixate on your eyes? If you have a puppet or some toy, can they visited cross the midline? Are you seeing this? When they get older, that’s largely going to be related to, um, the, the frontal lobe there. So some things just to start thinking about, because if you see these that are subpar, I need you to think poor processing of their world, poor processing of their environment. And then tie that into maybe some characteristics you’re seeing, are they labeled? Are they on meds for ADHD or so forth? Are they labeled as being on the spectrum? What is the root cause potentially of that label and start putting some of these together, then you’ll see.

That’s why you see when you do the adjustments and get them under care. You see these labels clearing up, but this is how you can understand, you know, what you’re doing. And you’ll see some of their, you know, their balance gets better. Um, and we need to challenge your balance. We need to be able to not just standing on one leg, but get them on different surfaces and see where they topple over. You know, how, how much can you push them until they can no longer have good core control? So hopefully this is helpful. Um, again, thank you ChhiroSecure. Um, because my practice is focused on treating those little fiddle farts, and ChiroSecure always has my back. And I want to thank ChioSecure for giving me this platform and so many others this platform and make sure you join the awesome Eric Eric Kawalke on the first Thursday of each month. And I will be back next month on the third Thursday. And, um, I think we’re going to talk a little bit about easy ways to understand the bagel tone and the polyvagal theory. So stay tuned again. Thank you very much. And you guys go out there and have an awesome week and save some more lives.

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Empowering Women in Chiropractic – Building Longevity in an ‘Elementary School’ practice!

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

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

Hello everybody. And welcome to ChiroSecure show. Look to the children. Thank you again for Kira secure, allowing to give us this

Platform to share such incredible information. I am your host today, Dr. Monica Buerger from intersect for life. And I am on pins and needles, super excited. My guest today. Um, uh, probably the most thing that I just absolutely adore about this incredible woman is that she allows everybody to be themselves. And she, um, befriended me for just who I am with all my flaws and everything. And she does that to everybody. So while I was preparing for, um, introducing her this morning, I thought I coined another term, a new term. Maybe I did. Maybe I did, but floss, entity. Oh, I said that, right, because she is so authentic and it’s okay if you have flaws and she is going to drop some amazing Pearl bombs, um, just how to build your legacy, how to stand out in your practice in your community and just be amazing because you are amazing. So the, I have the amazing Dr. Krysti Wick with us today. Hello, Krysti.

I’m so excited to be here. I had to write down philosophy. That’s gonna live on for sure. It’s a little bit, but I could give a lot of bit. So Krysti is a chiropractor, a speaker she’s, um, a mentor. She is a practice growth expert. This woman increased her practice over 500% between 2013 and 2018, over 500%. She just I’m salivating because she just moved into an, a beautiful, amazing new office. I’ve seen pictures of it and I haven’t got to see it in person, but I am going to see it in March. And I’m super, super excited, but we met in person. So a lot of speakers when we’re on the road, we hear about each other and we see each other on social media and blah, blah, blah, blah. But a lot of times we don’t get to meet, but laugh about it.

We were talking before we went live. It was about a year ago this weekend, right? Yeah. We, we met up in Oregon at dr. Paul reads, Cairo Fest. And if you’ve never been, unfortunately it got shut down this year because of every hole 2020 has been shut down. Right. Krysti. But I have to tell the story because I got there and I hadn’t checked in yet, um, and gotten my tag and as a speaker and so forth. And you were speaking Friday morning, you were the first Bricker. That’s right. You kicked the vent off. So anyway, I didn’t want to miss her, her her talk. So I ran down and I don’t have my badge or anything, my credentials and I’m at the front door and they have people look, making sure you’re, you’re paying to your member. Right. And so I said, I, I did two women Paul’s assistance at the door.

I said, told him. I said, I swear, I’m legit. Okay. I’m actually speaking tomorrow, but I didn’t get my step yet. And I want to hear dr. Krysti wick. And they’re like, I got, I swear. And they go, okay, what are you speaking on? I told them. So anyway, I made it. And, um, it was amazing, an amazing talk. And then we met after that and she’s just amazing. So she has a program, um, the illuminated squad and they are illuminated, believe me, the, this group, I don’t know. They’re just so authentic and amazing. And they’re doing awesome things in practice and absolutely rave about you as a mentor. And I must admit, I’ve heard a secret that they, um, they can you to Rachel Holly.

Yes. A few people in chiropractic have said that, so,

Okay. But, okay. Confession here, confession time, whatever confession is anyway. So I’m not good with names. So, but I, um, I had to Google Rachel Hollis, but I know the name of her book. Okay. It’s girl, put your makeup on

Girl, wash your face,

Wash your face. Okay. Some close. I’ve heard about the book before I wanted to read it, but I actually, I’ve been doing too many left brain neuroscience readings. I need to switch over to my white brain a little bit, but that is a huge honor for you to be akin to somebody that magnificent and that’s who you are. And I love your background and your wallpaper. And I just loved you so well,

Right back at you. This is like, I love it. So, so, um, but you have

A lot of wisdom to share and I, the reason I wanted you on for many reasons, but one of the things is especially now with this whole paradigm shift that we’re in globally. Um, I think as a profession, we’re kind of in a shift as well with an, with an actually an prime opportunity to share our messages and our story, and maybe rebrand ourselves because I feel more than ever. Now, the world is going to need our message, but I think it’s also important that in practice, so you don’t burn out and so that you really shine. And I think that’s a better energetic exchange with the patient. And well is you, you figure out your niche, you figure out what resonates with you, what fires you up and you had done that. So magnificently, so I’m going to pick your brain.

Well, yeah, well things and I totally agree with that. I think in our profession, we have been inundated a little bit with lookalike syndrome. Um, we see all of, all of these things around us that we, that look really palatable. They look really great. And so we just try on all of these things and oftentimes most of us don’t have the wherewithal to really ask if it fits and to really just spend some time thinking about how we feel trying that practice model on, or trying that niche on if you will. Um, and I can speak about that firsthand because I did that. I did that for a very large percentage of my practice. And while the numbers looked good on paper, like obviously Monica shared what those numbers were. Um, I wasn’t, I wasn’t that ha the numbers left me feeling empty. And, um, it really got to a point where I was so convinced that, you know, these certain types of practices where exactly that was the only way for chiropractic to be, um, that I just kept trying on these things and, and just making them fit when they did it.

And so really looking for your niche, I think is paramount because I’m a firm believer that we’re having however many thousands of chiropractors there are in the U S um, you know, on the planet, whatever it is, that’s how many different versions of practice there should be, in my opinion. Um, there’s certainly going to be systems and procedures and, you know, really specific things that might cross over from office to office, but in last year, making it, you, your practice, your business is a living, breathing thing, in my opinion. And so unless you’re caring for it and truly allowing it to be an extension of you, you are going to get burnt out and your energy is going to be in jeopardy, because what we do is can be energetically, extraordinarily draining. If you aren’t conscious and thoughtful and strategic about who you were put on this planet to serve.

And that’s something that I had to get really clear about. And the beauty now is, you know, I’ve kind of dabbled in it all. You know, I’ve gone through periods of time in my practice where I saw, you know, more of an older population, I’ve gone through periods of time in my practice where, you know, close to half, my practice was neurodevelopment, developmental challenge children. Like it was like, I was inundated with that gone through periods of time where I had mostly prenatal, uh, newborns. So I’ve kind of had it all. And that is what led me to where I am today, which is what I’m really passionate about, which is, you know, creating a group practice. So I have two fantastic associates that are the heart and soul of this place. Um, and we all have certain things that we really love the most, and that allows us to have this beautiful living, breathing family practice with an extra emphasis on loving families.

And so we really love, you know, those elementary kids. And I’m sure a lot of this comes from right now, two of the three of us, you know, our children are in elementary school, so we are living and breathing it. And we market to moms. That’s our number one priority when it comes to marketing. And so we just have found those young families with kids in elementary school are really what we focus on from a marketing aspect. But then with the three of us, you know, we all kind of have different things that we love within that niche as kind of a sub niche. Like, like I firmly believe that every pregnant woman should have care, you know, a preconception obviously all the way through, but to be completely Frank, I don’t like, that’s not my jam. I wouldn’t love to see, you know, prenatal women all day long, but the other two love it. And so, you know, it really just works well for us that we can cover all the bases within that young family elementary school type, um, umbrella niche, and we can live and breathe our true passion and serve that whole family in the process. And that’s beautiful.

And what I think is so great is, um, is recognizing that and being okay with that. I know, I know you and I talked a little bit about it, cause I do see a lot of neurodevelopment challenged children and that’s my gig. But even, even with all those that I mentored always said, please, don’t try to be like me. Don’t base your practice off of mine. Find out, you know, what, what is it inspires you? And not only can we burn out, but our health can suffer too. Um, our physical health conception and our mental health can suffer if we’re constantly stressed out because we’re not living a floss and floss. And ventek

That, one’s a tongue twister,

That’s a tongue twister, but so you, um, so how can you give the audience, like, um, how did you be okay with, or find your niche? Or you said how you found your niche, you went through multiple and we’ve done that. And I love that lookalike syndrome trying on

Different outfits, so to speak. That is great. A great, um, analogy.

Was there anything that you did or you can say how, okay. Now I’m okay with that. I’m okay with that. Um, and we should be as a profession, we should be okay with, if that’s not our BRC, our bag of chips, like, um, I don’t do work comp or PI or things like that. I sit in up the street and I’m totally cool

Leads with that because I feel,

I feel I have enough I’m okay. I’m not, I I’m wealthy enough with that paradigm that I see. Um, so we put you on the spot. How can we help them be okay with being okay?

Yeah. I, this is so huge because as she mentioned, you know, I, it took a lot of trial error for me and I would love to save every young chiropractor on the planet from that trial and error. And I think there’s many ways that you can do that. I think number one, one of the easiest things you can do when you’re young in practice is go immerse yourself in different styles of practice, go shadow as much as you can. This is something that I really wish I would have done in school so that I could see how my energy fit into the energy of that type of niche and just really tune into my body and my intuition and just ask myself how it felt to be there. And I think that is really just, you have all the answers inside if you’re willing to just get quiet and listen.

And that’s really, in my mind, my gift on this world is just helping women remember who they’ve always been. And so for me, it took a lot of trial and error to really remember. And I think if I would have spent some more time in other atmospheres, it would have been much easier for me to laser in on what felt right earlier. So I think that’s number one. And then number two is I think in chiropractic, especially we start to remove who we are personally from who we are professionally. And we really have this pressure in my opinion, to show up and be the doctor and serve the masses, right? It’s our job to give love serve, and, you know, everyone that has a spine needs us. And so we better show up and be that professional who cares for them. And personally, I can tell you that I am so clear about, you know, what type of people fit into my energetic circle.

Like I know who I should be close to and who maybe energetically just doesn’t fit with me. That’s not good or bad. It’s just reality. And so when I started to marry who I am personally with who I am professionally, and really just got clear that like, that’s not two different people, that’s the same, this, the same person. Um, it really just allowed me to show up to practice and be myself and be really okay with knowing if their energy, as a patient fits with my energy, they’re going to get the best chiropractic experience. If their energy does not fit with my energy. If I choose to take that patient on, I’m actually doing chiropractic a disservice in my opinion. And so I just got really clear on how to use that, you know, personal integrity and intuition to my favor in practice. And as you said, you know, Monica just refer them to someone that I feel is going to give them what the best fit is and the best chiropractic experience, because the more we can seek out those energetic connections, the better results the patient’s going to receive.

And now we actually did create a chiropractic advocate. That’s going to go out and spread the message in the right way. Whereas if I would have take on that patient, you know, PI and work comp is a great example of Lanka. Cause we don’t do that either. In fact, right now we don’t even accept any Medicare patients, we just refer them. And so when I, when I have gone against that gut instinct in the past, it’s never been good for the patient. It’s never been good for us as a practice. So, um, I think you just have to give yourself permission to marry those two things together, your personal side and professional side, and just make it easier, just listen to your gut and follow what it’s leading you to. Absolutely. And, and I always say, that’s why I just love you. I mean, you just true. And I think, especially like you mentioned for the young chiropractors, it’s okay to be okay and be yourself. Um,

And that becomes what I kind of refer to it,

The walking billboard that’s how don’t you think?

I think that’s how we build our legacy. That’s how we, the practice will build itself if we’re just

Ventek to what drives it.

And it’s okay. Not to be,

Be an expert or be, you know,

I have, I have docs that I mentor and they are

Amazing with newborns babies and so forth where I see, you know, I see the oldest child when they’re ready to have some developmental struggles

And it’s okay to be where you’re at, but you hit the, I mean, if you are listening to this,

Any phase in your practice, this is a gold mine because personally

Just my personal spin on things, I think with the cupboard crisis that we’re experiencing, um, we’ve all been a little bit more tapped out emotionally and energetically and so forth. And we need to keep ourselves kind of grounded in footage. So we don’t burn out and now going forward and kind of rebranding rebuilding she’s hit the nail on the head. I think that is absolute gold. So if you’re listening to this, by the way, Krysti, what I’m dropping us, yours

Or, um,

Website email, what, where can they find more about your

Sure. Um, my website is the illuminated squad.com and you can find more information there. And then as far as social, um, Instagram is where I prefer to hang out. So just at dr. Krysti, but my name is spelled super goofy. Kry STI. I’m sure you have the same thing. You’re always saying K not C and your name, right? My dear. So yeah, you can always shoot me a message on Instagram. So yeah, the illuminated squad and dr. Kristy K R Y STI. But

Yeah, and if you’re burned out, if you’re starting out and if you’re in the middle of the road, this is incredibly

Important information. Um, and setting up, like you said, a

Overall facility that serves a great population of people, but within that you have different docs that are doing their thing and loving it. Um, so, okay. Picking your brain we’re, we’re, we’re getting information for free hair. You got, um, how then how then did you create a brand so to speak within your community?

Yeah. Um, really when my brand took off, it was because I got really clear on who we were marketing to, and that was moms, um, young moms with kids that are still in the house. So we are always thinking about her, um, you know, different years past, we’ve given her a name we’ve, you know, she’s had a car like all, you know, all the different things about who this person is, but I practiced in a very small community. So my town was only 30,000 people. Um, it’s relatively rural and I really don’t have the luxury of getting too narrow within that mom niche, which a lot of marketers will tell you to do. Um, that’s why I went down that road of giving her a name and she wears this and whatnot. But what I really found was if we could get clear on the different types of moms that exists within our small community, we can truly develop our message to speak to her needs, speak to what she’s experiencing in the world right now, and try to solve that for her.

And so my brand really was established in our practice, um, because we got laser focused on the different needs that moms were having here right here. And I think that is so key for any of you listening. If you practice in West bend Wisconsin, where I practice versus Idaho, where, you know, like versus California, like your demographic is very unique to you and you need to do the work to really figure out the pulse of what happens in your community and then speak to those needs, speak to those requests. Um, really just get in the head of those people that, you know, you were put on this earth to serve and help them see chiropractic as the option for them. Um, and so that’s how we built our brand. We just stopped. We started talking to moms and we never stopped. We just talked to moms and that’s honestly what, what we do in all of our marketing.

Um, and so we are now just, we’re the first choice when someone needs a family chiropractor, when a mom is having stress issues and is looking for natural solutions, our name is brought up in local Facebook groups over and over and over and over again because that’s how we market with our message over and over and over and over again. And we don’t, we don’t choose to beat a different drum that month because it happens to be, you know, such and such awareness month. Like we’re talking to moms about stress every month, every day, every year. So I think consistency is really, you know, clarity on who you’re speaking to and then consistency with continuing to speak to that specific niche, um, is the key to really building a long lasting brand.

So a couple of questions off of that, um, I told you, I’m not going to let you off easy because he’s got too much information to get. Okay. You said getting a pulse on your demographics. So that’s one question. How, how can you give some of these docs, um, some ways to get a pulse on that. And then do you belong to some of these, um, social media groups and, uh, like chime in to conversations or

A question? Good question. Yeah, I will hit it. So the, as far as getting the pulse on your local demographic, you need to be out in the community. And I know that that is such like broad scope advice that you’ve heard forever, but in my life that looked like when I moved to this area, I knew no one, um, I, you know, my husband and I chose this place because it was close to somewhat close to where we both grew up, but we didn’t know a soul. And so I joined nonprofit boards. I did tons of volunteer work. I went into the schools, ended, um, different volunteer, um, pieces. I reached out to all kinds of, you know, companies to go and do talks. Like I was fully immersed in all in, and I haven’t stopped that the entire, nearly 13 years that I’ve been in practice.

And I think that is so imperative that you can’t just live in a place and, you know, decide to start a practice there. You really do need to contribute to the community in order to figure out what the community’s about. And especially if you’re going somewhere that you did not, you weren’t born and raised. This is extra important. In fact, when I first moved to this area, it was, it’s very saturated there. We have a lot of chiropractors for the small place that I live. And one chiropractor specifically said to me, you’ll never be successful here because you didn’t grow up here. And so I think it’s really, really important. Yeah, it’s really important because everyone kind of has their boundaries and their safe zone. You must, um, just throw yourself in the water and do your best to, to create relationships. Um, this is coming from an introvert who doesn’t love doing that, but it’s super important.

And then the, as far as the Facebook groups, I, I love this question. I’m so glad you asked this question. Um, I’m a firm believer that you should not expose yourself to something that could potentially drain your energy. And so, yes. So in my particular instance, so again, this is just my opinion, my progress. Um, we specifically have a, a local moms group that is very, very large. Um, this is, you know, one of the biggest places where we’re consistently recommended, but what I found, um, for the short time that I was in that group is, you know, lots of texts, lots of requests, lots of, you know, people want, they want me to be their doctor on Facebook and that’s not going to happen. And I also am so clear about what my practice stands for, how we operate, you know, I’m, I’m a super type, a like all the details are very me that you, I know I can’t control people’s perception.

And so when I did start to see, you know, perceptual things about how we operate and how I choose to run my practice, that’s draining to me. And to be honest, I don’t, I don’t need that. I I’ve, I know what we stand for. I know my team’s heart and soul. I know that we’re always doing our very best for every person that steps through our doors. And so I don’t need to do a bunch of market research by, you know, seeing, you know, potentially Medicaid patients that we no longer serve being upset because, you know, we have a business to run and we have to be at a certain place. And I had to make the business decision that we don’t accept Medicaid. You know, that’s just an example. Um, but there’s a real life example for all of you. I’m truly an open book. And so I am a firm believer if you take on those feelings, if you’re an empath, if you, you know, have some boundaries, you do not need to be in these groups, you do not need to be recommending chiropractic. Like that’s, in my opinion, if I do my job well, I’ve created an army in my community to go out and do that for me. Um, and that’s what I prefer because I need those boundaries to stay healthy myself.

That is huge. I mean, that is gold. You guys, that is so such huge, uh, wisdom right there. I mean, this is all so amazing wisdom because it, it is, especially for you and newer docs, listen to that and listen to it over and over again, what she just said. That’s amazing. So, okay. Um, couple more quick questions because our pick your brain. Hey, what about the Papa’s? Do you see daddy’s and many your practice and B, have you seen any new concerns or questions with this recent Cobin from patients with this recent Kobe crisis we’re in?

Yeah. So, um, I literally have to write them down cause I’ll forget.

Should, um, our answer is, it depends. So we definitely see dads. Um, so 40% of our practice is children. I am going to take a stab and say probably another, you know, 45 ish percent are women. So you know, that small percentage, um, men. Sure. But if we have a dad that, you know, let’s say he just has an acute episode, he’s only interested in resolving that acute episode. We may refer him to another chiropractor. Um, so really we prefer to see those young families that are all in for this is part of their natural health approach. Like they truly want to design their health and their family their way. And so if dad is on board for that and wants to really look at his stress and look at the big picture, yeah. Then we’re all about it. We would love to see him.

Um, but we’re not afraid to say, you know, if, if dad sprains his ankle while he’s running and is literally just looking to resolve an injury, we may refer him to another chiropractor in our town that is about that. Cause that’s not necessarily our, our thing. So it’s super dependent on, um, the dad. Um, and then COVID, Oh my gosh. I feel like, so here’s the thing. If any of you have been listening to anyone in chiropractic that says COBIT has not impacted their practice at all, um, you need to run far away from that person because COBIT has impacted all of us. And I think it is, it’s crazy to say that it hasn’t at least touched something in your practice. Um, I don’t care if you’re the best educator on the planet, you’re still gonna have some people in your practice that are fearful and that’s just the nature of society and communities.

So of course, you know, COVID has impacted our practice. We have a high volume practice, so we have lots of personalities to account for. Um, but honestly I’m at this beautiful place. Of course I’m the same as all of you, I’m over the masks, I’m over the fear, I’m over the loss of free I’m over at all. But I really can lay my head down on my pillow at night and be really grateful for this crisis that we are in because it has provided so much clarity for me. And it has provided, um, such an opportunity for my team to get closer than ever. Like, I really think that we are just more clear than we’ve ever been on what we’re here to do. And we are so confident that it’s okay to educate the people that are ready and it’s not our job to beat our head against the wall with the people that are just going to hold on relentlessly to their fear.

Like, I don’t think it’s my personal job right now to try to go shift everyone’s paradigm because there’s just too much fear. There’s way too much brainstem stuff going on right now for me to try to crack that code. And I mean, I I’m no Monica Berger, so I definitely can’t like throw them the science. Um, so I’m really grateful to COVID, um, for giving us the opportunity to just be like even more ourselves and even more clear than we’ve ever been. Um, and because of that, you know, our practice is breaking records. That August was August just now was a record breaker for us. Um, in every category we have new patients literally just coming out of our ears right now, um, because they’re ready and we’re ready to help those that are ready. So yeah, of course there’s all the normal cleaning and yeah, all the things that all of you are doing too. So,

But see, this is this. If you’re listening to this, this woman has carved out such an amazing road to building the practice of your dreams. I’m not kidding you when you’re authentic and you’re clear and you’re okay with being you and your message. You don’t have to put yourself in this energetic crap storm. I’ll watch my language and be so, um, you know, just so sucked up and your energy taken by these Facebook pages by trying to convince people otherwise, blah, blah, blah,

Blah, blah, blah. Um,

This is really how you’re going to have. This is how you’re going to build longevity. If you want to build longevity and a legacy, this is how you’re going to do it. It really, really is. So I’m going to ask you one more kind of earth question, um, are you see, because you have it, yeah.

Family practice paradigm, you know, are you seeing

More concern or conversation around the big B word? Uh, and especially in relation to the COVID

V right. We, I would say the only patients that have mentioned that particular phenomenon are, are women that are like over 50. So I’m really happy and pleased with our, our little bubble that we have created in our community because the vast majority of our young families are coming in and they are telling us like over my dead body, would I do that? And I think it’s stupid. You know, we certainly still have lots of families in our practice who vaccinate on the schedule. But I think this particular instance, they’re really, really starting to pick up some of those seeds that we’ve planted over the years and put them together, um, for themselves and just say like, Oh, you know, this, the quick nature of this, and obviously the toxic load and whatnot, I think they’re just really they’re thinking for themselves, which is as a provider, like that’s all I ever want. I am not here to tell a patient whether or not to do anything. I think they need to do their own research and make their own decision. And the same goes for this particular instance, I might net lock like their decision, but it’s not my job to judge them and shown them because it might not be mine. So

That is a huge, another huge message. Because when you do go down that rabbit hole, again, our energy gets sucked by trying to visit, and it’s it a million percent evident that you have educated them. Well, you’ve, you’ve built the energy, the belief you’ve educated them along the way, and this is

Of chiropractic or in her practice is a chiropractic dream.

Um, and so, uh, kudos to you and kudos to you for not giving into that, whoever that person was that said, you will never, never build a successful practice because you, you weren’t, uh, you know,

Are you from here? So, um,

So, um, it looks like we might have a little bit more wiggle room time because I’m known for, well, I got to do this fun thing for Krysti’s group on Tuesday. Right. And I always say, I love to over promise under promise over deliver. Anyway. So can you give a quick tidbit about how, um, how to best structure some agreements with associates so you can build that kind of

Sure. Absolutely. Um, from the outside looking in, I would bet that a very large percentage of my practice does not know that I am the owner. So I think really the, yeah, I think the first, yeah, yeah. I mean, some of them do don’t get me wrong. And sometimes I talk about being, being the boss in, like I’m throwing myself under the bus sarcastic way. Um, but I, I really, I did this wrong in initially. So, you know, the first hire I ever did, you know, years ago it didn’t work out because I, I was burnt out. I was frustrated. I was seeing way more than I could. I was desperate. And I just was like, I need a warm body to come in here and give some adjustments. And so really the number one thing to make an associate relationship work is thought and strategy, and like, who do you want to go? This is so hilarious. Who do you want to grow old with? I’m dead serious. Like I like my primary associate, that’s been here for five years. Like I literally joke that like, we’re going to have grapes next to each other.

No, no, no. That’s so weird and creepy, but like, she is like my best friend on the plate. Like we have just created this beautiful, um, working relationship personal really like, so I really think it takes a lot of thought and strategy of who are you as a person who are you as a practitioner? Who are you as a leader? And then what is going to not only compliment that, but amplify that. I mean, she makes me better every day. Um, you know, she’s who I would want my family to see if I was not a provider. In fact, like she is my husband’s primary care. So what I did is then I just recreated that with our second associate. And I actually interviewed 30 people for my third associate over the course of several years, because nobody wants to live in West bend Wisconsin.

Um, so I really just think it takes thought and strategy and intention and being willing to be patient. So, you know, don’t build your practice to a place where you’re desperate, make sure that you see that girls trend and you start putting feelers out ASAP so that you can structure things in a way that’s going to be palatable for both parties. And then as far as the actual structure, um, I’m a big proponent of a base salary plus a bonus percentage. So both of my associates have profit sharing. Um, so basically they’re, intrepreneurs like they have the ability if they work harder, they make more money. Um, and so I am not a big proponent of like strictly commission. We also all see everyone. So that’s a huge in my mind, that’s a huge way to build a long standing group of docs is not have, well, this person has this many patients, this person has this many patients. I’m bonused off of how many people I personally see like that fractures your team right off the bat. Um, we all see everyone and that allows us to take vacation and live our lives and for two of us to be young moms. And so I think it’s really important for you to ask yourself, what would you want if you weren’t the owner and structure in that way?

Yeah. That’s a huge point. And I’m going to add one caveat to that. I think also because I know you, and I think it’s also putting your ego aside and being okay with somebody else being in your space and maybe somebody else teaching you something along the way and be okay with that,

For sure. Because you’re awesome like that. Oh, thank you. It took many years of practice, you know, the first time you’re a longstanding patient asks to be adjusted by your associate. It still hurts. So just still stick and it’s okay because we can’t be all things to all people. No, we have to be okay with that and, and, and look at the things that we are good at and, and be okay with that as well. And I think that’s where you absolutely shine.

And again, if you are listening to this, um, this is, this is such huge, incredible information that, that this woman shared with you today because we should all take note, um, because this is what’s going to build what I say, you know, be the pace,

Oh, not the race card. This gives us a lifelong of being in practice, rather than going, going, going, going, and hurt, getting yourself hurt or burned out. And that’s where you don’t want to be. You want to have that luxury of building a practice where you can be there as long as you want. Yeah.

And, and have this amazing, um, life-giving career over a long period of time. And that’s where he,

You are a girlfriend. Wow. Well, thank you. I’m right back at you. I just think I thank you for doing things to Carol secure

In you, but you’re my one of my top three favorite female docs to just think you rock your lane and you deliver the science. And I just think it’s such a beautiful thing in chiropractic for all of us to own, you know, who we are and what we do. Um, so we can actually serve in a diverse weight. So, so thank you so much for being here. If you guys, they elimination illumination squad nominated, illuminated squat, the illuminated squad. Check it out. Dr. Kristie K R Y S T I, and again, thank you so much. I know you’ve got a crazy busy practice, but, um, just for sharing, I mean, you shared phenomenal gold and, and we really appreciate that. Um, so hopefully we can hang out again sometime down the road and thank you to ChiroSecure. Make sure you check out dr. Erik Kowalke the first, third, Thursday of October of October. Yes. I know where I’m at. Um, and I’m going to be back in October, October is national sensory awareness month. So I’m going to do a little shindig, um, to help you, um, just remember how important chiropractic areas with regard to, um, sensory motor modulation and what that, um, how that can change a person’s life. So catch me on the third, Thursday, and again, Krysti, I love you to pieces and we’ll see everybody next month.

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The Coming Epidemic: Manifestations of Prenatal Stress – Monika Buerger

Click here to download the transcript.

Now here’s, today’s host

Dr. Monica Berger.

Hello everybody out there in Cairo Facebook land. And to those of you that are not chiropractors. Welcome to look to the children’s show. And again, thank you Kira secure for giving us this platform to get our message out and to keep educating the amazing chiropractic profession I wanted to bring to you today. Something that’s very near and dear to my heart and is so incredibly critical that we as professionals in the chiropractic around really need to understand this material. Whether you look at work with families and children at not, this is, um, information that we are going to be needed to be mindful of from here on out, given the paradigm that we are practicing in now and what is going on in the world and the COVID epidemic or pandemic the consequences of what we’re experiencing. Now, in addition to how the world was before this pandemic, the two combined are, um, essentially leading us up to what I’m referring to as a next epidemic.

And what I’m talking about is not a specific disease or diagnosis or label. It is the effects of prenatal stress. So again, whether you work with preconception care, prenatal care, um, pediatrics, if you work with anybody, this information, um, is a must know, and it’s extremely, extremely profound. So what I’m going to try to do is take you, um, set up a PowerPoint. You can see my slides. I’m going to take you kind of through a mini course, um, from prenatal stress and what that’s going to look like down the road or what that does look like down the road. This is information that is bast. It’s profound from the new world of neuroscience. I’m not making this up. I’m not overstating it. I’m not overexaggerating it. And if we look at, in the depths of neuroscience, this is this information that I’m going to talk to you about today is the foundation.

It is the basis for the neurobiology of disease. I want you to sit with this, the basis of the neurobiology of disease, physical disease, and especially mental disease, mental illnesses. So let’s dig in a little bit again, please, please pass this information on to all of our colleagues. This is such profound information that is, is going to set the foundation for generations to come. No joke here. So this paper came out a few weeks ago in regards to prenatal stress. And it specifically how moms are proceeding stress in this particular time look pretty much probably 99.9% of the global population is experiencing some kind of added stress due to the situation we’re in stress. Anxiety, anxiety has gone drastically up during this time. What does this mean for the pregnant mom? And what does this mean for the offspring? It’s huge pregnant moms right now.

This came out of, I believe Alberta, Canada, but what they showed is pregnant moms. Um, the prenatal period and the early weeks postnatally that they’re pre COVID stress levels would be reported about 15% in the current paradigm, their depression in regards to depression solely Precoa time, 15% current paradigm about 41% depression anxiety. Their prenatal reporting of anxiety is about 29%. And in the current paradigm is about 71%. These are the vast jumps in pre and pregnant mamas experience, depression and anxiety. Okay. They also looked at, which was very interesting is, um, exercise rates. Okay. Um, prenatal activity rates and about 65% of pregnant women report that their exercise levels has gone down during the COVID period. About 15% of said up at about 21% say it’s been staying stagnant. Okay. What does this mean? Why is it a big deal? Again, this information is hands down where, how we’re going to see generations to come.

The program that the premium programming that’s happening now in utero is bast and profound. We know from the neuroscience literature, that when a mom is stressed, the enzyme, the gene that works too as a barrier protective barrier to the fetus, keeping cortisol out of not being able to pass the placental barrier, that enzyme it’s called, um, hydroxy steroid dehydrogenase too. Don’t worry about the name of it. Bottom line is that enzyme is protective to the fetus and it doesn’t allow more than 15 to 20% of cortisol should not pass up the central barrier. More than that passes a placental barrier, a dynamic cascade of neurophysiological consequences. Cause that fetus is exposed to more cortisol, which is neurotoxic. This is very much associated with preterm birth and low birth weight with which those two factors in the world of neuroscience has been shown to be key in the neurobiology of disease, lifelong disease of offspring, especially mental health and a lot of cardiovascular. Okay. So we need to minimize the stress. Bottom line is we needed to minimize the stress on those mamas.

Um, low protein levels also, um, will inhibit that enzyme. The enzyme needs good proteins to work, um, and, uh, B3, niacin my moral, my story for this lecture or for this presentation, I wanted you to understand that wow, stress is altering fetal development. And one is by cortisol, excess cortisol exposure. That is very neurotoxic. So we need to have these mamas under care to help regulate that stress of which we’ll talk about when we finished it at the end of this little presentation, but I want you to understand that prenatal insults maternal stress is one of the biggest ones, psychosocial stress, psychosocial stress is stressors. We all have, especially these days, right? Worried about your job, paying the bills and going out in public. Just those dynamics that pregnant mamas have extra psychosocial stressors that they report that is the fear of giving birth. The concern about being birthed that is magnified in this particular crisis.

We’re under, are they going to be allowed to have a birth partner in the room or not? They’re having to mask the whole time in why they’re in the hospital. Are they going to be separated from the baby? All these extra things. The number one psychosocial stressors that, um, pregnant mamas report is, or pregnant couples report is giving birth to an offspring with, um, developmental challenges. So they have these extra stressors happening. All right, we know that these premial stressors are leading to, to circuit, uh, developmental circuit changes in the brain, prefrontal cortex, amid Dilla, hippocampus, incredibly profound connections, especially between the limbic system and the frontal lobe, which we know from neuroscience, that connection or that misfire, that misconnection between the limbic system and the prefrontal lobe is the basis of mental illness. Okay. This is from the medical literature. And of course, then we’ll get the labels as a result of this at this prenatal stress.

Now we get the labels down the road, add ADHD, autism, et cetera. So it’s really kind of works like this. We use it, it used to be referred to as a two hit model. Now they’re looking at it as a three hit model. We have genetic factors, which actually are epigenetic factors. Okay? So we have these epigenetic loads that are vast right now hit number two is prenatal stressors, psychosocial stressors, depression, anxiety, everything that is up ramped right now with, I mean, globally, the third head is a subsequent hit that can happen up to 20 years later that finally tips the scales. And this is really the basis of most mental illnesses and individuals in mental institutions. And whether it’s a viral load that is especially if, if mama right now has had, COVID why she’s pregnant. That is a viral load that’s that fetus is exposed to.

So we have stress. It leads to enhanced cortisol, passing the placental barrier neurotoxic insult on the developing fetus and the developing nervous system, other genetic predispositions. And now down the road, another key hit can happen. It can be anything, it can be viral, come back bacterial. It can be from inoculations. It can be a poor bonding with mom and dad, whatever. So we know that prenatal stress also alters the microbiome. The mom, I’m just going to brief over this, but this is incredibly incredibly important for us to understand for supportive measures from mama during pregnancy. So a couple of key strains of bacteria have been known to be altered or, or, um, deficient in pregnant mamas under stress. And these particular strains are also coincide with supportive measures, four key areas, the brain like the Olympic system and the frontal lobe. So more of the story is stress wipes out the microbiome wipes out, excuse me, these critical bacteria, which all can alter function of these key areas of the brain.

Okay. Lactobacillus, rhamnosus, and material to those strains abberant um, or, um, deficient microbiome of mom leads to a deficient microbiome of the vaginal microbiome. So next moral the store on next golden Pearl, it doesn’t matter. A lot of people are concerned about, um, seeding of the microbiome or giving probiotics. If a baby is born via a Syrian section, because they say, well, baby, didn’t get a exposure to mom’s bathroom, microbiome. Hello, newsflash. If Michael biome of mom is poor vaginal microbiome, mom is going to be poor, whether they were born vaginally or not, they could still have a dysbiotic offering. The baby can not have a optimal microbiome, even if they’re born vaginally. So we may still need to help support that after birth, because we know a dysbiotic a, a, a non-sufficient microbiome, well also alter, um, an absorption of key nutrients. And these key nutrients are going to be imperative for metabolic function for metabolic demands on the developing brain.

So stress equals altered. Maybe pre stress is very much related to preterm birth and low birth weight altered microbiome of mom altered vaginal biome of mom altered microbiome, but baby lack of absorption of key nutrients needed for metabolic development, metabolic support of the developing brain key structures of the brain. So we have stress or infectious load. It earned again, it, it alters the maternal microbiome. It alters the microbiome, the baby. It is shown in neuroscience that this will change the trajectory of neurodevelopment of the baby. However, early intervention measures chiropractic care. For sure, especially during the prenatal period, trying to deescalate the stress load on that pregnant mom, deescalation of stress on mama is deescalation of stress on the fetus equals a more optimal chance of neurodevelopment.

When we look at fetal development, we have to look at autonomic nervous system development and bagel tone development, which that critical window of neuro-development is in the end, the second, and into the entire third trimester of birth, absolutely even more critical weeks, 35 on what we’re seeing in this COVID world is an increase of C-sections. Whether that’s because of stress or not, um, an increase around 37 weeks, this is a critical, critical message because we also know that the microbiome of baby, um, if deliberate, if, if born before 37 weeks, um, has a higher chance of what we call this necrotizing enterocolitis, okay. Inflammation in the gut, which is going to be another, um, another factor in their neurodevelopmental trajectory. This is bagel tone. Um, so prenatal stress lowers, heart rate variability and mom and baby mom and baby, which this equals abberant, um, development of the ans autonomic nervous system and bagel tone decreases the function of a culinary trick anti-inflammatory pathway. That is Vegas that’s bagels, baby, that’s his pathway call energetic anti-inflammatory call energetic anti-inflammatory pathway. This is the big kahuna to downregulate inflammation and upregulate the immune system.

When this is down-regulated this thing called zonulin, that that functions it, uh, it controls the, the tight junctions in the gut. Not allowing them to say open and end up with a leaky gut or gut permeability. So you see the, see the picture I’m painting right now. This is incredibly important to understand, because this is the basis of neurodevelopment. We also know that heart rate, variability, vehicle tone, and mom, the baby’s going to mimic the big tone of the mom. Baby is going to be born. It’s called fetal programming with mom’s stress response. The way mom is perceiving her environment, perceiving her stress and adapting, neurally, adapting. We all talk in our, in the chiropractic profession about neural adaptation. The nervous system has to adapt to our stressors the way that mom is perceiving her stress, her environment, and the way she’s responding to it will be Feedly programmed that fetus and that offspring will adopt her stress reactions and her stress patterns. And that will alter their vehicle tone, their heart rate variability and their ability to distress it, to adapt, to stress their ability, to calm their ability to digest their ability to be an eLearning Grossberg. So we also know that prenatal stress is, um, very much so tied to a neuromuscular development.

So it is tied to, um, sensory modulation, how they perceive their world through the 10 sensory systems, sight smell, sound, touch taste from the outside world and our inner interoceptive inner sensations, which are the Stabler proprioceptive, um, sensations coming from the viscera from the immune system, the immune cells and from the microbiome. So all of these can be dysregulated average, sensory modulation or input to the CNS is going to lead to Averitt, neuromuscular output pre and neuromuscular output. Motor output will then alter sensory input. It’s a loop, but we also see that prenatal stress is very much associated with neuromuscular tone and neuromuscular development in the offspring neural muscle motor tone, motor motor control core pastoral control is associated with things like asthma allergies, dyslexia, ADHD, scoliosis.

So what happens prenatally and how that fetus is preprogrammed by mom’s stress response, and mind you that study. I decided that we just got in regards to the COVID crisis, a vast increase in reported depression and anxiety in pregnant mamas. They also reported lower exercise about 65% reported decrease in their exercise regime. We also know from neuroscience literature, that prenatal exercise during the prenatal period enhances a vagal tone in the offspring. So if you look at the entire picture, that dynamic what’s happening right now, we must be mindful. We must be knowledgeable. We must be educated at a little higher level because what we’re going to see downstream, it may be two years in these offspring. It may be in six months, it may be in their twenties. It may be when they start to go to school and they get slapped with the label of ADHD. Cause they can’t sit still because they have poor postural tone. We must understand that what we lay the foundation of as now is going to have a profound effect on generations to come. And we got, we need to be able to acknowledge it to, to be recognized these red flags in practice.

We, we look at. So if you have an older child coming in, you need, you should look at the history. When were they born? What time period, what was the prenatal stress exposure, but also be mindful that if you’re seeing pregnant women, right during this time period, neuroscience research also shows that even if, when, when these stressors have been resolved, they’ve done a lot of work looking at, um, disasters and, and the, the am longterm effects on offspring during Nat, during when moms are experiencing national disaster, like, um, earthquakes, like even the Holocaust, like, um, one big one is called project ice storm. It was regarding an ice storm up at Canada. And the stress that prenatal stress on mom was then, um, nine 11, all these hallmark disasters, floods. They looked at the implications on the ops spring, and they all show a, uh, uh, post traumatic stress disorder, response, higher anxiety, higher depression levels, um, cardio increased risk of cardiovascular disease.

Even if the mom conceived two years after that disaster had dissipated. So my message to you is we need to be mindful of the potential that we’re going to see down the road, preterm natal, prenatal stress, higher risk of preterm births, um, or assisted bursts higher. I’m getting pinged on social media all the time about, um, increased risk of breach presentations. That’s going to happen. Breach presentations, um, are, can be, there’s a tie between thyroid dysfunction and the mom and a breech presentation. When mom is under all the stress and the adrenals are compromised. It’s going to compromise the thyroid. You can’t stabilize a thyroid unless you stabilize adrenal function. So it stands to reason we’re going to see more of these breech presentations. Plus mom is much more physiologically, stressed out, much more tense. Um, so we may see more assisted birth, more [inaudible] section, which we’re tending to see on babies being delivered during this Cub of time.

Um, more assisted deliveries. Maybe I have not that statistic yet in regards to, um, section of forceps, but these all play a huge role in the trajectory of neural development down the road. We’re going to see more. We’re ready. We ready before this cupboard crisis have seen a vast increase in babies presenting with more agitation, colic difficulty with feeding difficulties sleeping. This is the pattern you’re going to start seeing more and more of. Then we lead because their, their nervous system is so tapped out and their immune system is compromised. They can’t nearly adapt increased in infectious load, higher risk of chance of antibiotics early in life. One dose of antibiotics wipes up the microbiome for life. It alters the microbiome for life. It can never reestablish back to its original microbiome. After one dose of antibiotics, we may see hyper or hypo more chances of hypo muscle tone because of the neural muscular, um, mal adaptive development, more developmental motor delays, um, or development delays in general.

And this is going to up even more. So our rates of labels of autism add ADHD, oppositional defiant disorder, developmental coordination disorder, whatever label you want to put forth. So my message to you is early intervention chiropractic care is going to be incredibly important for pregnant mom and that baby. But remember, they’re going to be born into this world are ready with difficulty in neuro adaptation. Less is more for these little fiddle farts children that are born and they’re stressed and they’re colicky and they’re hard to console and so forth. It’s harder to bond. And that, that leads to a less maturation of the social engagement portion of the Vegas. Another story for another time, the microbiome, I understand that many of you may not be comfortable or may not wish to venture in supporting the microbiome, but I can tell you that this is absolutely a critical key, important point that you need to understand.

And if you don’t feel comfortable, maybe reach out to a colleague that feels comfortable helping support that microbiome. The adjustment’s going to do that, but in this day and age, we need to look bigger and deeper. I know we need to understand how to foster optimal sensory motor development, get yourself in a program, take classes, but we need to be able to recognize these red flags because the sooner we can intervene, the better the chances for that little fiddle fart, longterm. And again, I thank you. You know, when we should start thinking about how we’re going to articulate our message, going forward from a pain based, you know, to a brain based model. And hopefully this information helps give you some, some nuggets to think about and to investigate and to further study and learn and understand because we are going to need this information and we’re going to need to get this out to the world because this crisis has changed generations to come that have not even been born yet.

Um, so I’ll leave you with sit with that. Um, here is there’s. I have many classes that you can go to and I have one and one coming soon just on the effects of prenatal stress and what we need to think about. So I’m going to close with that, with that said again, thank you Kira secure for being an amazing vehicle for us to get this information out and more than ever, we are needed, um, to guide the world and help in truth and knowledge and education of how we can change the trajectory for generations to come. Um, I will see you next month with an incredible surprise, amazing guests, um, and you can be with dr. Eric Kowalski the first Thursday of August until then keeping amazing and keep being out there and changing lives.

Empowering Women in Chiropractic – Unmasking Social Engagement in Children – Dr. Monika Buerger

Click here to download the transcript.

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

Hello, everybody, and welcome to ChiroSecure’s Look to the Children Show. I am your host for today, Dr. Monika Buerger. And once again I want to thank ChiroSecure for giving the chiropractic profession this amazing platform to help educate and inform all of you amazing chiropractors. So today, I want to touch on a very concerning topic that I’m getting a lot of text messages, emails, pings on Facebook, what do we need to think of in regards to our little fiddle farts returning back to school in the Fall? So I want to broach a couple of key topics here and concerns that we have over the COVID classroom. So I put together a few slides. We’re going to kind of go over those and let’s dig in and talk about some of those concerns that we are well aware of but maybe our patients, our parents, and our principals and powers to be aren’t so knowledgeable about.

So here we go. Concerns over the COVID classroom. Let’s think about this. First of all, I really want you to understand the neurological basis that we are finding ourselves in and our children in. Where is that coming from? What does that manifest? What does it look like? The world, for a large part, is in what I call a frontal lobe flip. Frontal lobe is our executive functioning part of our brain. It’s our reasoning part of our brain. It’s our rational part of our brain. It allows us to have impulse control. It is what makes us human. It is going to have regulation over our emotions. So hold onto that as we go through these slides. And it’s going to be our source of consciousness. So when we don’t have control over our executive functioning part of our brain, we can’t be reasonable, rational, impulse control, our memory, our social engagement system, our ability to initiate tasks and sustain tasks, stay on task in classroom. And how do we get there? How do we get plugged in or stuck in that fearmonger, that amygdala? It’s in situations that we know are unpredictable.

Most of us have lived the last three months plus or so in unpredictable circumstances, and that just doesn’t mean us adults, that means our little fiddle farts as well. Their schooling in the Spring was abruptly halted. They couldn’t predict that. They were transitioned to a homeschool format. Things that they were not used to. They weren’t able to see their friends or family members, and life became a very big upheaval. The next factor, there’s three factors that kind of drive us into this amygdala, is uncontrollable situations. Again, especially for the little fiddle farts, their life has been one uncontrollable ball of mass. They were pulled from school. They can’t see their friends, their family members, do the activities they were used to doing, from baseball to dance to whatever. And they had no control over it.

And the third thing is when something becomes sustainable. So we’ve pretty much been living there in that three complex dynamic, and this drives us into that fearmonger, into living into our emotional center, their limbic system, the amygdala, and it flips off our frontal lobe. So, thus, we’re all walking around in a very temperamental, a low threshold, flip mode. And you’ll notice that with your patients that come in, you just look at them wrong or say the wrong word, or maybe not your patients but their family members and society as a whole. So this leads us into anxiety, stress, worry, fear. We cannot be in a rest and digest growth and development learning phase if we’re stuck in our fearmonger. So this is going to be very applicable to our kiddos when they return to school in the Fall.

All right. Now, one thing I’d like to get you all thinking about is this is a very temperamental issue right now. I’m working with a lot of teachers and school districts in my particular area and doing some education on this. And I am first handedly seeing the two sides of the coin, because one side is going to be in frontal lobe flip, they have been driven into a very fear based mode in regards to, “Oh my gosh. If we get this virus, we’re all going to die.” So they are stuck in that fear based mode. And then you have the other side that may be very passionate and emotional about not wearing masks, being okay with allowing their body to be healthy. So you’re getting these two opposing sides of the coin. So my message to you is, what I have found is when you walk into a room or a conversation in regards to masks or no mask, in particular, today, I’m going to really just go over to the proposals that have been set forth by the CDC for starting school in the Fall.

And that is wearing masks and inhibiting things like recess, like lunch. They’re proposing eat lunch in the classroom. So that’s going to be lack of movement. So those are the only two things I’m going to have time to cover today. But, again, you’re going to see these opposing sides to the coin, and you might have an emotional stance towards one side or the other, which is fine, but understand, when you go into a conversation, the other person may be on the other end of you. So if you’re going in there to fight fire with fire, if you’re going to run into, if your office building is burning down, it’s on fire, are you going to go in there carrying a torch to try to put that fire out? It’s not going to put that fire out. So be mindful of that emotional tie to this very sensitive topic.

And I want to give you some strategies of conversation to build, and it just may be dropping some pearls of information to temper that fire down in the opposing person, the opposing party, and just get them thinking about some things. And for yourself, before you go into a conversation of this, it would very behoove you to get your vagal tone in balance, do some deep breathing, calm down, get out of your amygdala, get your prefrontal cortex online, get adjusted, because we know that, that helps to regulate somatic sensory information to the prefrontal cortex, bringing your prefrontal cortex online, getting you out of your amygdala. And go in there with a strategy of serving and giving information rather than trying to get them, sway them, your way. It’s like going into a relationship where you think you can get that person you’re going into a relationship to change. Don’t go in with that mindset. That’s what I found is not helpful. So let’s think about this. Let’s regard form of masks.

We have the issue of hypoxia. One of the things you may be confronted with is that studies supposedly show that they’re safe hypoxia isn’t necessarily an issue unless the levels of CO2 get too high, and that is very hard to happen. That’s one view you may get to see. Now, we’ve got to take this into context of the little fiddle farts’ body weight. When we are stuck in that amygdala drive, which we’re going to talk about the social ramifications of wearing a mask, the social engagement and the emotional ramifications, we’re going to be stuck in that limbic lock and load mode so we may get some more excessive breathing, more excessive CO2, so forth. So you can simply ask these individuals that you may be conversing with, have you gone a whole day about your normal workload doing your normal workload wearing a mask and how did you feel?

Did you have less energy? Did you maybe get a headache? Were you grouchier? And get them to understand how they felt and take that to a higher degree with the little fiddle farts. And there are some, not a lot, but there are a few good studies out there looking at healthcare workers and the events of hypoxia and that the majority do report shortness of breath, headache, fatigue, inability to concentrate. I am working on a document right now for my Intersect For Life tribe and I’m going to try to make that available once it’s done and available to everybody to use that to maybe present to schools and principals and so forth. So what I would recommend is you follow our Intersect For Life Educational Seminars, Intersect For Life Educational Seminars Facebook page, because that will most likely be where you’ll be able to download this document. And I’m using backup research for all these specific areas.

So that’s the one about hypoxia. So we need to understand that when we look at the basic four rooms of health, digestion is one, blood sugar balance and adrenal regulation is another, sleep is another, and good oxygen. So just in a given standpoint, we are always looking for good oxygen and airway. When we have children that are hypertonic, that maybe there is poor posture and slouch, just by that they can’t get good oxygen because their thoracis can’t expand enough to get good oxygen. So add the mask on top of that, that’s just another double whammy. Now, let’s look at the situation of increased infection, and I don’t want you just to think about increased COVID infection, infection in general. First of all, we have to be very practical. If a family has two, three, four, five little fiddle farts in school, they really should be wearing a new mask every day, unless they are taking those masks every day and washing them and sanitizing them.

So the amount of bacteria and germs and so forth that is going to accumulate on these masks, that family is going to have to have the funds to either buy disposable masks for every one of the family members, one for every day, and get rid of them. Are school’s going to take measures to get UV light devices to help sanitize the masks? They don’t have the funds for that. So we need to educate our academic arena and our parents that they really need to be wearing a clean mask every day. Now, when Fall comes around, we tend to see a spike in various flu bugs and so forth, including strep. One thing I want you to take into consideration is that strep in particularly has been known to come through the nasal passage and land itself in the CNS, and particularly, it can hit the amygdala and the basal ganglia. And this is one of the reasons we see post strep infectious episodes in the forms that we’ll call PANDAS, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep.

Note, the neuropsychiatric disorders associated with strep. These infectious loads can come through the nasal passage and land themselves in the CNS. Do we know that specifically of COVID yet? We can’t say that for sure about COVID. But it stands to reason, if we have other pathogens that can do that, this pathogen can as well and we do know there is a big association with neurological disorders and COVID. So when we talk about the increased risk of infection, don’t just land it on COVID but look at other past loads that we know and we have the evidence of. It’s very common that kiddos that have a PANDAS situation, their behavior changes on the dime and we start to see things like OCD, like ticks, like sensory processing dysregulation because of the amygdala and the basal ganglia. So, again, in the Fall when these pathogens are out and about, it’s not just COVID we’re worried about with wearing the mask, we’re worried about these other infectious loads as well.

Social cues and emotional regulation. This is huge. This is so big, this is really, really once you dive in. So we know that facial expression is how we’re able to perceive if a situation is threatening or not threatening and that goes back to our primate days, to the mammalian days, where they were able, if animals and reptiles in particular looked at eyes, they could discern fear. So breaking it down to easy, simple terms, the eyes and the mouth are big facial structures in where humans will gather information about that person in their environment. There is a mapping that goes on. Our brain fills in blanks. So if we can’t see all of a facial structure, our brain will fill in blanks to make a big picture. Is it a happy, good, safe environment or is it not?

But it’s based on the background situation that’s laid down at the time. So if it’s a happy situation, for example, the veil over a woman when she’s getting married, that’s a happy situation. So the background setting in that environment is happy, peaceful, good, safe. The background environment that kiddos are going to go into in the Fall is what? Fear, unknown, uncertainty, a bad situation. That’s why we’re all being social distancing and these masks are going on. So their brain has already set the stage for this is a threatening situation. Now, the eyes reveal fear, anger, sadness. The mouth reveals in what they see in the neuroscience mostly happiness or discussed. Before the age of 14, little fiddle farts fill in maps on their brain about a certain situation via eyes, via face by parts.

After the age of 14, these structures kind of connect together so I can look at a person and I can quickly, in 13 seconds, makes the connection between the eyes and mouth and make a full picture of what that person’s facial expression is telling me. Before that, it’s in parts. So if we’re covering a big part with a mask, these little fiddle farts are only getting information from the eyes. The information we get from the eyes really is processed with the amygdala. Now we’re back to that fearmonger. So amygdala is constantly discerning and it can’t create a full picture. It’s constantly discerning, is this a safe place for me or not? And usually, the medulla is run by fear. When they’re in fear, the way the brain works is it will only concentrate and lend its attention to the fear based mode and we can’t be in a learning growth environment. So this is really critical.

The mouth is going to lead us more into disgust with my internal self, more interoception, and it could throw my whole interoception, my internal sensation, and how hits the brain and processes information. So, long story short, these kiddos are going to be in a constant sensory dysregulation state. They’re going to be driven into limbic load, frontal lobe flips off, and everything we’ve already talked about goes out the window. This is what we’re concerned about leading to an emotional pandemic. So now COVID has taken us from a physical immune system pandemic to an emotional pandemic. These children are not going to be able to sustain a good academic curriculum when they’re living in this state, and that’s important for teachers to understand because the academic curriculum that they were used to having is going to have to really be backed down if these children are going to be in these kind of classroom environments.

And of course, information processing. We have our five far senses that come from the outside, sight, smell, sound, touch, taste that have to come and hook up with our internal senses, vestibular proprioception, the microbiome. If I’m living in this fear and I have anxiety, sensations from a microbiome are coming in dysregulated. Our immune system and our visceral system, those 10 sensory systems all have to engage together for us to get a good picture and a good feel of our environment to emotionally, academically, socially respond motor skill wise, respond appropriately to our environment. And this is going to be dysregulated in the healthy child, but let’s take this into the context that one in six children already have sensory processing disorder, this is further going to dysregulate their ability to process information.

If we look at the masks and the auditory dysregulation, not being that those kids with auditory compromise are going to be further compromised with auditory information coming in, it’s further going to dysregulate their ability to process auditory information. Now, you might get that pushback that says, “Well, we’re going to wear masks that are clear,” so they can see the person’s mouth, but we still have all these other cues and this sensory dysregulation that we have to consider with wearing the masks, along with the hypoxia. So, hopefully, this gives you some things to think about. It’s not just the hypoxia. There’s a whole lot that goes in with this social engagement system, which is going to primarily be your ventral vagus, your higher level vagus, your social engagement vagus that takes so many of its cues to come online, from eye to eye contact and social engagement.

Now, if we take that and move that into movement, we also look at the lack of movement. If they’re not getting out for recess, not getting out for lunch, they’re not getting oxygen by going out playing, so now you’re further depleting oxygen, they’re not getting vitamin D, vitamin D is good for immune regulation, Vitamin D is necessary for a healthy microbiome, vitamin D is necessary for good brain function. Movement, oxygen gives us increased serotonin and dopamine, which increases regulation of our emotional paradigm, of our sensory process paradigm, it gives us information of where our body is in space, we get feedback from movement where our body is, and what we feel like in space, that will increase our ability to self calm and self regulate, and that will be out the window as well.

So I wanted to just kind of brush over masks and movement for this little episode that we have together. Hopefully, this gives you some things to think about to go in with your frontal lobe on board, give some rational and reasonable tips to the other side to get them thinking about it’s much more than meets the eye in regards to learning, attention behavior, emotional regulation, and the way they respond to their environment. So again, thank you ChiroSecure for giving me this platform. Thank you for all of you out there in the trenches, making our profession a better profession, making our world a better world, and now more than ever families and children across the globe are going to need us. So together we rise. Pivot don’t panic. And let’s go out and continue to do our good work. I’ll see you next month with more pearls.

Today’s Pediatrics Show, Look To the Children, was brought to you by ChiroSecure.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). Twitter (https://twitter.com/ChiroSecure) If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 29 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/.

Look to the Children Pivot Your Practice – Drs. Buerger & Lindsey

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

Hello everybody, and welcome to ChiroSecure’s Look to the Children show. I am your host, Dr. Monika Buerger, and I am beyond excited, excuse me, today, to welcome a very good friend of mine. First of all, I want to tell you a bit about this amazing person. Not only is she beautiful and an amazing chiropractor, she’s absolutely brilliant, one of the business minds that I’ve ever met. I can’t wait to pick her brain. She graduated from Life University in 2001. She is the founder of Dominate Chiropractic Marketing, the dominators, and we are going to dig into that. She’s got a heart like no other. We met in person over, excuse me, between Christmas and New Years while we are both guests for a Spinal Missions trip, an amazing organization by the way, one of the most profound experiences of my chiropractic career. I got to listen to her lecture there, and she brought the house down. There’s no other like the amazing million-dollar practice builder, by the way, in a small town in Asheville, North Carolina, Dr. Nicole D Lindsey. Hey, baby.

Hey. Well, thank you for that awesome intro. I appreciate you. You’re one of a kind yourself.

Yeah, you deserve it. I mean, really, your heart and your soul and your brain is just profound. It was an amazing experience hanging out with you for that time. Speaking of then, we were free birds, right? We were free birds.

Totally, we were. On many levels.

On many levels. But we were talking before we went live about what’s going on in today’s paradigm. I know a lot of docs out there are a bit stressed and a bit concerned and feel a bit trapped or caged. At the same time, you brought up this great parallel about the most profound documentary of its lifetime. Right?

Right, right.

You have to talk to the audience about your thoughts there.

Yeah. I’ll start it with this. Hey, all you cool cats and kittens, right? If you’re watching this right now, you know what we’re about to say is the Tiger King. Everybody that sees it, you can’t stop watching it because it’s just crazy, right? But at the same time, I think it’s very ironic that that is the most popular thing right now, because it kind of symbolizes what we are and what we feel like right now. A tiger trapped in a cage, you know? It’s really interesting how we are drawn to this. The whole world is drawn to this concept of the tigers being trapped in cages, just like we are.

I thought that was such a profound parallel that you put together, because I hadn’t thought of it in that context. You and I went back and forth a little bit on Messenger about what we wanted to bring to the docs right now because this is a very unique time for all of us. We threw out there, a lot of the docs that I mentor, I’ve been saying pivot, don’t panic. Let’s look at this as an opportunity. You’ve done some really awesome things in your office just in this last couple of weeks getting ready for when this thing lifts. I believe, and I think you’re right there too, that we are going to have a huge opportunity explode once this crisis lifts. Can you just tell some of the docs what you’ve done in your office this last week or two to get ready for that?

Yeah. Yeah, absolutely. I mean, I feel that the momentum is building and that this is a great opportunity for chiropractors to shine, to come out shining saying, “Look, this is what we’ve been saying. Take care of your bodies, take care of your immune system so that you are not in that pool of people that is more susceptible to getting sick.” Let’s utilize this time to build upon that, be ready for that so we can pull these patients in and let them know we can help.

What we’ve been doing is we’ve sent out letters to medical doctors in the community, which I do anyway, but we’ve done it with a different purpose and intent. We’ve done it with a feeling of, look, we want to take that burden off of you. You are seeing patients and you’re trying to triage, do they have COVID or just is it bronchitis, that’s really more important to the MDs right now. If you have patients that are musculoskeletal, send them to us, we will be happy to assess them and help them and take that burden from your plate. That’s one thing, is sending and faxing letters and just building that relationship now. You can continue to build on that, and we’ll talk about that over the next few minutes, once this is over.

Then the other thing that we’re doing is we are preparing our office and our business for a huge reactivation campaign. I have been wanting to do this forever. I’ve been wanting to go through all of my entire database and make sure that we have all of their emails in our CRM, which I thought my CAs were doing. If you think that that was being done, I challenge you to check that, because we entered 200 emails in just yesterday that we’re not in. They’re active patients that were not put in my CRM. So we’re tackling that, getting our list ready to do a huge reactivation campaign via text, when it feels right.

Yeah. This is a great time that we should be using our extra time to look at those things and almost like you’re starting from scratch in a way, not from scratch, but like when we start our practices, and now this is a good reboot time to reactivate and get our message, and maybe even a clearer message out, and that we’ll talk about in a minute here. But you even said that you and your associate were in there tearing down your front desk.

Yes, yeah. We kept hitting this wall with the number of patients that we could serve in our office and it came down to we needed another CA, a tech CA. We needed hands on. My office is, we’re maxed as far as space goes and what we’re serving, and I could not hire somebody until I made space for them. I needed a workstation for them and it wasn’t efficient the way that my office was set up. So my associate and I, the other day, it was a lunch break and we actually took apart our front desk, it’s in modules. There was dust everywhere, there were cords, and we tore it up. We rearranged the whole front desk area and we created another workstation. So we’re ready, we’re ready. Letting the universe know we’re ready.

That’s a big thing. I think when we move space, when we create space, the universe will provide. As chiropractors, that is part of our thinking, right? That’s the way we live, right? We look at chemical, physical, emotional, head space, all those things to be as successful as possible. I think the message out there to all of you is create the space in your head right now and if you have to create the physical space in your offices, do it now, because get ready for the implosion, right?

Right, exactly. Yeah, pivot, pivot. Pivot and get it done.

Absolutely. Your expertise is hooking up, I shouldn’t say that, is connecting … Watch my lingo here.

That’s right.

Connecting with MDs around your community. You have a company, Dominate Chiropractic Marketing, and it’s really teaching and helping docs connect with MDs in their community. Question for you, what do you find is the one thing that they want to know about us?

There’s quite a few things, but if I had to pull out one of the most important things that would be they want to know that you are professional, because let’s face it, the medical profession, they have all these different wild ideas from what they’ve heard, what they’ve seen, what they don’t know, what they think they know about chiropractic and chiropractors. When you meet them behind closed doors and you start building a relationship, they will say to you, “It’s so nice to meet you. I had no idea.” They almost have this like they feel guilty saying it, letting you know that they thought the worst about us and about our profession. It’s simple. They just want to know that you are a professional. They want to know what your office looks like. They want to know how you process patients. I’m saying, the simple things.

When I go into their offices and do a presentation for them, I actually include slides, pictures of my office, and I walk them through, I take them through how I process a patient. This is my front desk, the patient will fill out paperwork. The patient will be brought back into an exam room, we will do a full exam. The exam includes this. We will check their range of motion, we will take x-rays on the patient if necessary. They want to know that you are a professional and that you’re going to properly assess and diagnose this patient. That’s probably the most important thing that they want to know about you.

Another thing is they want to know exactly what we do as chiropractors. Number one, they want to know that you’re not woowoo and wacky, that you’re a professional. Number two, they don’t understand chiropractic.

Right.

I’m not talking about … I mean, what you do, Monika, you’re light years ahead of a lot of us in the way that your brain works. I so appreciate that I learned so much from you and being around you and the program you’ve put together for us chiropractors. We think as chiropractors that in order to build a relationship with a medical doctor, that we need to have DAC bars in neurology and have all this extra special stuff in order for an MD to be interested in having a relationship with you, and that is simply not true. The fact that you are a chiropractor, period, is enough.

That medical doctor wants to know what you do, so we break it down to them. We explain to them how we look for subluxations, and that’s going to be unique to your specific technique. If you give your clients in your program [inaudible 00:12:27] to utilize, those are the things they want to know. If for example, say it’s a migraine or headache patient, they want to know what you’re going to look for in that patient. Are you going to look for trigger points? Suboccipital muscles? Are you going to look for decreased neck range of motion? Are you going to look at the cervical curve and see if they have forward head posture? These are the things that they want to know.

Thanks for bringing that, because we take that to a family-based or pediatric paradigm, that right there is huge ammo because what are kids doing all day long?

Looking forward.

Especially now, right? At home.

Mm-hmm (affirmative), yes.

Would you say, if we want to take this approach with a family pediatricians or a family practitioner, even with the pediatric paradigm, using posture as one of the things we look at?

Yes, absolutely. Absolutely. In fact, I did a presentation for neurologists. Two of them were young and they had younger children, and the presentation I did was specifically on the effectiveness of spinal manipulation in the treatment of headaches and migraines, and tension-type headaches. The way that I explained to them, because I always like to give medical doctors an objective tool, something they can utilize in their office to assess a patient to see if they’re a good candidate for chiropractic referral, and one of the things that I taught them was forward head posture. I went through with them how to do this and had them do it on each other. One of the neurologists, young guy, his mouth dropped and he’s like, “All I can think of are my kids playing video games.” I said, “Yes, exactly. This is what we’re seeing, is more and more young children presenting with headaches because of their posture.” So yeah, yeah, this is what they want to know.

Absolutely. Just a spin up on that, we know that … My brain’s a little weird and I get into the neurology stuff, but we even know that we look at things like asthma, dyslexia, ADHD, we have studies on that from the neuroscience realm on those postural changes, those postural imbalances are associated with those kinds of neurological issues. Asthma, for God’s sake.

This is a great dovetail into … Oh, now I’m going to let you, you’re the expert on working with MDs. In the situation like that, would you maybe provide just some journal research on some of those other offshoots, aside from headaches and so forth, but just say, “There’s some interesting articles,” or how would you maybe bring that into the picture too, like asthma or something?

Yeah, that’s a good question. I get that a lot. You have to be careful because your audience does not understand this language and they think chiropractic, musculoskeletal, chiropractic, musculoskeletal. Okay, so that’s the language that we base the relationship on initially. It doesn’t mean it stays there, but you want to meet them where they’re at. You don’t want to try and change their paradigm on the first date, okay?

But your question to me in text was how do you foster a relationship with an MD? One of the ways you can foster a relationship with an MD is once you date a little bit, right, you have this initial meeting, you’re dating, and then they start sending you patients. They’re happy, you’re happy. It’s going well. “Now I would like to talk to you about this next topic, the effectiveness of spinal manipulation in treatment of asthma for children. Would you be interested?” Now they’re a little bit more interested because they’re seeing results. They like what they’re seeing. They may even have a few patients that were asthmatics that they sent you for something else and they’re hearing that their asthma is improving.

This is how it’s done best. However, when you initially set up a meeting with an MD, whether it’s through a lunch and learn or a 10-minute meet and greet, it’s important to pick a topic. If your topic is asthma improving with chiropractic, then that’s what it is. If they allow you to come in talking about that right off the bat, then do it. Okay? But be careful throwing too many things at them. You and I know that chiropractic care can fix just about anything, right, but that’s not their language, so we have to be careful in that area.

Basically, primo bullet point, meet them where they’re at and try not to go in with the we cure, fix, everything, but give them some meat and potatoes to grab onto first.

Yeah. You may have those slides in your presentation there, and if you’re going through it and you’re getting a really good vibe, there’s a lot of gray in this kind of marketing, it’s not black and white, it’s not say this only, that MD may be tracking and asking you some really good questions. This happened with an OBGYN with me. Then if that happens, you take it there. Take it there, you know? But you may not be able to do that with every single one initially, initially.

How did you first get in their door? What’s-

Yes. There’s a couple of different ways. I have found the best way to do this is by setting up a … Now, of course we can’t do this right now because of our situation, but setting up a lunch and learn and going into the MD’s office, in their office, right, where they’re comfortable and bringing their office lunch. There’s all of their staff, I invite all their staff because I want all ears. You can get just as many referrals from their administrative staff than you can them. Pick a topic, stick to it, and go educate the MD. Because when you do this, you are positioning yourself as the authority. That’s what they want to know too, right? That you are the authority in your subject. I have found that that is the strongest way to build a relationship with a medical doctor. It’s not the only way.

Another way is setting up a 10-minute meeting with the MD. If the sound of or the thought of presenting to neurologists or medical doctors freaks you out, I get it, it still freaks me out every time, but I do it, then a 10-minute meeting might be better suited for you. You’re calling the MD, you are setting this up with the medical doctor, and you go in and you meet them before their shift, after their shift, for 10 minutes and use a smaller version of the lunch and learn, but hitting on some really important points in that 10-minute meeting.

When I got to hear you speak in Jamaica, I was just like, “Wow.” If you haven’t got to hear her speak, A, she needs to be out there speaking on more platforms, this is my opinion, but I mean, it was very enlightening. Some of the stats you said in creating that referral network and the longterm success rate of your practice, it was really eye opening. So kudos to you, because that’s not easy to do.

If I understand you correct from that little last pearl, it really takes us to be confident too in what we do and knowing what we do works, right?

Yes, exactly. That’s why doing programs like yours and really owning it is really important. Again, you don’t need all this extra certification, but if where you are you’re not comfortable with your technique, with who you are as a chiropractor, you need to fix that first, right? Confidence, that will help you with this so much. Absolutely, absolutely.

I do want to say something about what you said about from a financial standpoint, what this kind of marketing does. It’s something that I hadn’t thought about until you just said this now, but back in 2008, when the economy crisis happened, this was pivotal for me because it didn’t cost me a lot of money. Here we are, everybody’s practice is down, some 15%, some 60%, some down 100%, right? I’m hearing this all over the place. This type of marketing is going to really help pull you out of that hole because it doesn’t cost that much money, it’s just a lot of your time.

I think, I don’t know, sometimes when you put your own time and blood, sweat and tears into it, I think sometimes the pay off can be a little bit more profound, you know? I don’t know. I just thought I-

Definitely.

Yeah. When we were in Jamaica, I mean, some of those numbers you showed on the potential referral aspect, and I don’t know if you want to throw just a few of those out there, it is quite profound there. Where was I going with this? We were talking about the pivot, pivoting your practice right now. What would step number one be for people you think right now, during this lull?

Yes. If your office is open right now, even on a limited basis, go ahead and get that letter out. I’ll be happy to give it to you, just message me on here, on Facebook, Nicole D Lindsey, and I’ll give it to you in Word so you can edit it for you. But fax those letters now to every single MD in your area to let them know that you can help them. That’s one of the first things you can do.

Number two, you can start building your MD log of medical doctors, healthcare providers, that you want to build relationships with. Start building that list. Go on yellowpage.com, look on Google. Search all the healthcare providers in your area and get them on that list, their phone numbers, fax numbers, emails, so that you can start making these calls as soon as this stuff is lifted.

Yeah, and do you send out progress reports?

Yes. You were asking what do the MDs want to know about you, that’s the other thing that’s important. They really want to know how their patient is doing. They want to know, first of all, did the patient show up? They know they made the referral, did the patient show up or did they not, and what happened? They want to know what you found, your diagnosis. Then, yes, I send a progress report. I also send a discharge report, discharge from acute care for the initial thing that the MD referred the patient into, it doesn’t mean I’m releasing the patient forever. They learn this, you have to explain this to them in your verbiage in the note. But yes, they want to communicate with you. They want to know. That’s their language.

We’re talking about MDs, but we could really take this premise into the physical therapy world, the OT world, right? It’s crossover [crosstalk 00:25:00].

It’s all interchangeable. Yes, yes.

Before we depart, I mean, we could sit here for days like we did on the beach in Jamaica.

I would love that right about now.

We were talking in Jamaica about … I was on the big Tylenol kick and I think I sent you the little thing. By the way, viewers, next month I am going to do a special presentation on the effects of Tylenol or acetaminophen, because this is an incredibly important, and it’s even more important now with this whole COVID thing going on. But like I told you, I said, “You know what? 65% of pregnant women in this country and 50% in Europe report taking Tylenol for low back pain,” and there’s a lot of risks to the fetus on this, linked with ADD, asthma, allergies and we’ll get to that next month, but that is something we also can start from a pain base, right?

Yes, absolutely.

Low back pain in pregnancy, and build on that, right?

Absolutely, absolutely. I think like we were talking about earlier, before we got live, is now this is such a great opportunity for chiropractors to shine. I think more and more people, more and more medical doctors, healthcare professionals, are going to be looking for ways to help their patients get healthier. When you have an OBGYN that has a pregnant patient and they’re seeing studies come across their desks about acetaminophen and they can’t ignore that. So yes, I think that that is definitely going to be a hot topic for OBGYN marketing. OBGYNs are great MDs to market to and in my program, my online course, we have a presentation that I actually use to build relationships with OBGYNs.

Awesome, awesome. Well, I know you’re super busy. I thank you so much for being on here. I miss you. I wish we could hang out together, not in quarantine-

And happy belated birthday.

Oh, you’re so sweet. But again, the brilliance this woman has to share and her mind, her brain, I just love her brain from a chiropractic and a business standpoint. I mean, I’m telling you guys, if you don’t know her, get to know her. Please get to know her because she will turn your life around. I want to thank ChiroSecure for always being there for us and giving us this platform. I think I failed to say you are actually one of the hosts of ChiroSecure’s Empowering Women show.

I am.

So thank you for putting that on. Again, ChiroSecure, Thank you for having our backs, for giving us this platform, for always sticking up for the chiropractic profession, especially right now when so many people are struggling. You’ve been out there to be an anchor for all of us, so we thank you, both Nicole and I. I’m speaking for you, but I know you feel the same way.

Yes, yes. Absolutely.

Thank you to the ChiroSecure family for being our anchors. Be sure you join Eric Kowalke the first Thursday for Look to the Children show. Then again, I’ll be on the third Thursday of May, and you guys want to hear this presentation that I’m going to do about the effects of acetaminophen. It goes beyond glutathione and it goes beyond pain. It is going to be involved in neural development. With that said, I bid you adieu. You guys all hang in there, and pivot, don’t panic and together we will rise.

Today’s pediatric show, Look to the Children, was brought to you by ChiroSecure.

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