EPISODE 440: MPI Mastery Spotlight with Eric Eiselt DC

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today we're doing a MPI Mastery Spotlight. This is with Dr. Eric Eiselt, who's been practicing for about 30 years now, and we dive into some of the essence of what it's, um, taken for him to build a. Really like a raving patient base.

Just a, a remarkable practice, uh, within a big group practice. And we dive in some of the nuances of group practice as well. Uh, present time, consciousness, you know, really building rapport with your patients. See's someone that has done a great job of doing that. And we get a lot of great wisdom and insights, uh, from Doc on this, uh, particular episode.

And, uh, you know, I challenge you. To check out the MPI adjust athon. One of the things we do talk about in this episode is kind of your core product of palpation and manipulation. And so the MPI adjust athon, uh, which is gonna be September 27th and 28th. [00:01:00] In Kansas City, you're gonna have Mark King, Brett Winchester, and Lindsey Mua, Eric Merick.

Corey Campbell, Terry Elder, uh, all there plus others helping out to teach the palpation and the adjustment. And there are two tracks. Uh, there is the student track and there is the DC track. I was, uh, there last year. Uh, my associate, Dr. Gage Winkle's gonna be there this year. Um, I really enjoyed it, and the DC track really helps with more advanced palpation and adjustment with other, uh, you know, advanced dcs.

So check that out. Whether you're a student or a doctor, it's geared towards both of you. And there is a job fair aspect to it as well. So if you're looking for talent or you're a student or a doc looking for a job. Um, there, there is kind of a, uh, cool DC student and intern if you're looking for preceptors, uh, match, um, process they have there.

So check that out. You can go to motion palpation.org, click on their seminars. Highly [00:02:00] recommend it. This is the Super Bowl of adjusting, so check that out. All right, without further ado, here is my interview with Dr. Eric Eiselt.

 All right. Excited to have Dr. Eric Isit on the, uh, call today here to dive into a little bit of background on, uh, practice some things to consider as a practicing dc but before we dive in, all those things, doc, tell us a little bit about yourself personally, professionally, and we'll, we'll go from there.

Eric Eiselt: Okay. Thanks for having me. Um, I practice in Cincinnati and, uh. In a, uh, large group practice with, uh, eight other chiropractors, um, practices, Mark King and that group, Mount Lookout Chiropractic Center. Um, I've been in practice just shy of 30 years. It'll be 30 years in March. So, nice, excited and still have the, uh, fire to keep doing it every day, which I love.

All my patients ask me when I'm ready to retire 'cause we just added my son to the Yep. To the practice. And, um. I said, I'm not going [00:03:00] anywhere. I'm sorry. I, uh, I love what I do and uh, I'm gonna keep doing it as long as my body will let me, uh, keep adjusting people and taking care of people. So, um, I think that's the main thing is I still love what I do after almost 30 years.

Dr. Kevin Christie: Yeah. And I think that's gonna be a, a big thing we tackle today is 'cause you know, I talked to a lot of chiropractors and I, I can't say that they all feel that way. And some of 'em are only five years in or 10 years in. So we, we will, uh, tackle that for sure. And so 30 years, I'm in my 20th year and mm-hmm.

Uh, yeah. You know, you get to that point where. You, you gotta be able to love what you're, uh, what you're doing. And, um, that's something that I think, um, alludes a lot of people. I think there's definitely some strategies in that, and I, and I do want to tackle that, but before we do, uh, I wanted to, I actually wanted to tackle the group practice thing a little bit first, so.

Mm-hmm. You know, what would you say are some of the, what do you love most about having a, a group practice type of setup? And if you could. [00:04:00] I mean, obviously it's pretty self-defined, but if you could define a little bit what that is and, and then why you like it.

Eric Eiselt: Sure. So like I say, we have multi doctors in there from chiropractic standpoint.

We also have physical therapy. Um, we do have functional medicine, so you kind of get a little bit of everything. We have had some acupuncture in the past, um, but all the pro practitioners all kind of have their own little strength and weakness. And I think the big thing with that group practice setting is we all kind of have to know what that is.

And if you're not, you know, I'm not a rehab guy and it's, it's, that's just not my thing. Um, we've got a guy or gal that can do that in the office and you just know like, Hey, I've got you adjusted. Well, why don't you see one of these other docs from here on out? And, um, they'll do some rehab on you. Or I don't do dry needling.

I'll send 'em to one of their docs for my son now is in, he's doing a great job with it. Um, and so I think Mark and I are the only two that don't do dry needling in our office. Um, but it's just, it's [00:05:00] not that we don't want, it's just there's, there's other things we can focus on and we have better strengths and kind of keep the whole practice moving in the right direction.

And, um, I think that's a big thing. I think if you start getting egos in the way it gets, that's when it gets, you know, a little hairy and dicey. Mm-hmm. Um, so I guess, you know, know your role and know. What you're best at and kind of stay in that lane and then let everybody else do their thing. And I think that helps a lot.

Mm-hmm. And, you know, I think the other thing is just try not to micromanage everything and everybody, you know, like, I know it could be easy for me to micromanage my son now that he's there, and I really don't, I really don't. I, I totally stay away from that, you know? Mm-hmm. He'll ask me questions. We have dinner here and there, and, and just one-on-one and say, how's it going?

What do you have questions with? I try to help him obviously in every way I can. But I don't wanna be on his toes like, Hey, why did you adjust that per, I never would do that or say that He'll ask me. Mm-hmm. And so as a, you know, as a group practice with numerous owners and stuff, that's the one thing I don't [00:06:00] think we want to do or can do because it gets frustrating for those other docs or associates, if that makes sense.

Dr. Kevin Christie: Yeah, it does. And I think you, you know, you mentioned the strengths. That's obviously a huge positive is that as a collective and as a group, the practice can offer things and Right. It doesn't mean every doctor has to do everything. And I think a lot of right chiropractors get bogged down where they're trying to do everything for the patient.

Right,

Eric Eiselt: right. And I, yeah, and I think that, you know, I dunno if we'll touch on this later or not, but you know, as in you see some of these new practitioners, and I think they're. They're trying to dive into every single thing for every patient. And, and I mean, I've been doing a long time and seeing a lot of people and you know, I think there, you know, Tom Lotus has said it for years, you know, you gotta, you know, categorize these people and, you know, get 'em in the right place and mm-hmm.

I think sometimes as a young doctor, you want to do everything to 'em, let's do grass and let's do needling. Let's do, you know, some DNS. And you just throw too much at 'em. And I think it just overload for one, their body and two, [00:07:00] their brain. There's like, what just happened to me and why was all this? I think I'm more of a step by step, like, we're doing this for two weeks.

If we don't see an improvement, then we'll move on. Um, it's worked well for me. I'm not saying it's perfect, but it has worked well and I try not to throw too many things at 'em. You know, everybody like, Hey, can I do traction? I can do this. I'm like, no, that's just too much for you. And, um, I think that's another thing is, you know, you can't throw everything at everybody right away, is my, it's just my own opinion.

But, um, and it's worked so far and I think some of these younger docs may get a little frustrated at times and don't know what to use and what tool and, you know, to throw out 'em. So, yeah, I

Dr. Kevin Christie: wanna ask you a question on that and, uh, you can punt it if you want, but I get it, I get this a lot. Right? So, for instance, in our practice, we, we do chi, you know, we're MPI, we do a RT rehab, and we also have, have shockwave, I'll just use this as an example where, uh, I'll get a patient comes in.

Treat them for a few weeks, maybe we're hitting our head against the wall for something and then I recommend, you know, like, why don't we [00:08:00] try the shock wave for it? Right? And, and they might, uh, say it doesn't happen too long, but they might say, oh, how come we didn't do that from the beginning? Mm-hmm. And I'll, you know, what, what's your conversation with that patient where you've tried something for a couple weeks and then it maybe did hit the, your head against the wall and then you tried something else within your office and then it worked.

Yeah, and then it works. So like do you proactively say, well this is why we didn't introduce it the first couple weeks. I thought we could get, get it done with this? Or like, what are some of the conversations around that?

Eric Eiselt: That's one of 'em is just saying, yeah, I thought, you know, I've done this for. 20 years, let's say, before shockwave, and I got people better and I'm actually gonna throw everything at you right away and, you know, maybe increase your cost just because, you know, I'm trying to feed the, the pocketbook.

That's not what I'm into at all.

Dr. Kevin Christie: Mm-hmm.

Eric Eiselt: Um, you know, the money will come if you just take care of 'em. I mean, that's proven. I've proven that year after year. Um, and show 'em that you care, that kind of thing. But yeah, I mean, I've done that like, well, let's try traction now. And I'm like, we're, we did that because I wanted to get more joint movement.

I didn't want [00:09:00] that thing as stuck as it was. And then let that traction be more valuable to you. Or let's work on these muscles a little bit, then let's do the shockwave or dry needling or whatever. But um, yeah, I've had those conversations numerous times with, yeah, why didn't you do this two weeks ago?

Well, you weren't ready for it is another word that, I mean, are words that I use, like you just weren't ready for it.

Dr. Kevin Christie: Mm-hmm.

Eric Eiselt: You have to do this systematically, and if you don't, I think we fail. And I've done that. I've done too many things at one time. And it fall. Usually you, you fall on your face when you do it.

So, um, yeah. So sometimes you just say you weren't ready for it.

Dr. Kevin Christie: Yeah. That's the beauty of a treatment plan is that you Yeah. You know, you're, you are progressing and regressing sometimes. Yeah. And you're not ready for it. Uh, I know one thing that I've kind of brought up a couple times where I'll be like, you know how sometimes there's levels to care, there's conservative all the way into surgical, and there's these different, right.

Ways we can go with it. And a lot of times people have to refer outta their office, do that. Well, we have a lot of things in our office and just like that, we're, we're starting with what we think we can get done with the, [00:10:00] the, the quickest and easiest for you. And that just didn't work. In this case, it's worked a lot, but just like anything it didn't Right.

And we're gonna try the next step in this phase.

Eric Eiselt: Well, and I think when it comes down to that report of findings, maybe for the younger doc and even in the older docs, because we get, we get in a rut. I mean, we all do. We all have. And if you say you don't. I, I think you're lying kind of a thing. 'cause we all, we all have done it is at that report of finding, you say, look, here's what I'm gonna offer the first couple weeks.

We have a ton of other things we can throw at this. We have laser shockwave, you know, taping, whatever, strapping, you know, we have different things we can throw at this, you know, plantar fasciitis or whatever it is. That's a little harder to get after it.

Dr. Kevin Christie: Mm-hmm.

Eric Eiselt: Um, but I think if you tell 'em right away, that's helpful.

Like, oh, there's more to this. You know, there's more to this than just, you know, one thing, an adjustment or just some muscle work. And then they say, Hey, remember when you said that about, am I ready for that? Then they'll, they'll open up about that. So, mm-hmm. Um, I think it comes down to the report of finding, just letting 'em know these are all the things we can do because you can put as many signs in [00:11:00] your office and as many billboard or those, you know, banners and stuff like that on the tv.

We do all this and they're like, oh, I didn't even know you adjusted extremities. I'm like, what? It's going across that banner like all time. So, yeah. You know what I'm saying? So sometimes you just have to lay it out on that report of findings and then say it again. Because that first day, they're in a lot of pain.

Mm-hmm. And they're just not listening as well as you think they are. So you gotta kind of keep leading 'em, leading 'em along, along with what you're kind of seeing, so they know.

Dr. Kevin Christie: Yeah, makes sense. Makes sense. I want to one, one more topic within the Yeah. Group practice aspect is, um, you know, getting to know the docs at your practice and things like that over the years.

Uh, do you feel like, like, so way I kind of would categorize certain things is within a group practice, obviously you could have partners, but you could also have a situation where not everybody are, are partners, but there's a sense of being kind of an intrapreneur where you're like, maybe you don't.

Maybe one of the docs or some of the docs in a particular group practice don't own or [00:12:00] have ownership, but they, they feel like a sense of growth within the group. Has that been something that's been key for Mount Lookout, would you say?

Eric Eiselt: Yeah, and I think, you know, mark set it up that way, that everybody kind of feels like they have some ownership, quote unquote, but by, Hey, if we, if we collect this or that, you get a bigger bonus.

So you want, you know, and if somebody else sees your patient, you know, you're, you're bringing it into the office still while you're gone. And it, and it allows, um. You know, a growth of, of collections and then they get a bonus off of that. Is that, is that kind of what you're asking about? Yeah,

Dr. Kevin Christie: exactly. Yeah.

Where and, and you just feel like, you know what, yeah, maybe I, uh, I don't own the building and I don't own this, but, but I feel like I've got a sense of ownership and I've got growth within this group.

Eric Eiselt: Yeah. And I think if you don't do that, then you're just, then you're fighting for every single dollar and you know, we all, we all wanna make a living doing this.

But you don't, I mean, you can't have too much competition in the office where you're starting to fight with each other. That just doesn't work.

Dr. Kevin Christie: Yeah.

Eric Eiselt: Um, and know, I don't know how many offices have as many chiros, um mm-hmm. 'cause we do in one place, a lot of times. [00:13:00] There's a lot of those, you know, family.

Practice, I think out in South Dakota and stuff. I know there's like a group of like nine brothers and cousins and stuff that work together, but you know, it's sometimes family's even worse. But, um, anyway, yeah, it's tough when you have different personalities, but I think you have to make sure that everybody is on the same page to try to grow that whole place and not just their own practice.

But if you, if you're growing your own practice, you're growing the whole practice too. If you know what, you know what I'm saying?

Dr. Kevin Christie: Yeah, no, absolutely. Within that. So I think that that's a key. 'cause obviously you'll get some practices where they, maybe they have six or seven doctors, but it's owned by, uh, one person and then everybody's on kind of a tough, let's call it a tough compensation structure that isn't really fruitful, and they just have a lot of high turnover.

I think one of the things that's been pretty cool for, for you guys is the longevity of, of those, the doctors that are staying with the practice.

Eric Eiselt: Right. And I think, you know, like I said, it comes down to Mark being a leader and saying like, Hey, you know, I'm gonna do it this way and you guys will be part of the, the leadership [00:14:00] group, or, you know, you're gonna make better, you know, hey, if you, if you all grow together and mm-hmm.

So, you know, you each have your own silo or vertical within, and if we keep, if everybody keeps growing their vertical, then the whole practice will grow. But you do it together and try not to fight with each other.

Dr. Kevin Christie: Yeah. Yeah, absolutely. And then, um, I want to take us into the, the treatment room for a minute here.

Uh, mm-hmm. Uh, one of the things of getting to chat with Mark and Donna both a lot, and they, they've both said the same thing, where you, um, you have a, a good knack of patient communication, but also, you know, you're, you're busy, you're, you're a real busy doctor, but the patient, uh, feels like they're, they're not just a, a, another number and, and you're able to main maintain kind of that.

Pre present time consciousness with, with the patient. What are some of your insights when you're with that patient and, and really, um, uh, listening to them and, and, and, and being an advocate for them?

Eric Eiselt: Okay, yeah. Um, [00:15:00] so I've probably had this thing like, I don't know, it's kind of a weird, weird analogy, but you know, when Michael Jordan put on his uniform.

He was ready to play and ready to go, you know? Mm-hmm. He, he didn't wear his uniform around, uh, town and do anything, but he was focused on that. Not only, so when I walk in those doors, my whole thing is my personality's the same. Like, I'm always the same, even keeled guy. And, and um, you know, I'm not grouchy or anything like that.

If I have a bad day or something's going on, I, I cover it up as much as possible. 'cause the patient doesn't need to see that. Mm-hmm. So I have the same, same hype, you know. I don't wanna say I'm hyperactive, but pretty close. But I, I walk in and, and it's all about them. Mm-hmm. And I'm, I'm happy to see that, that person that day, even though I may, I mean.

Even though they're probably not the most, you know, enjoyable person to be around, I gotta make it like they are. Yeah. And you know, my, my staff, they just always say, well, all your doc, all your, all your patients think that they're a [00:16:00] VIP around here. And I said, mm-hmm. All right. Then they're, then I've sold them because that's what I want.

I wanna walk in and make sure that they know that they're the only one I'm worried about right now. And at that time, and they're a VIP, you know, and I've, I've said that when there wasn't anybody on the waiting, we're like, what's going on? There's nobody waiting for you. I'm like, I don't know, just. I tried to roll out the red carpet for you.

I heard you were coming in. Uh, the, I guess the staff didn't get the red carpet out in enough time, but they were like, they look at me like, wow, they, he really does, you know, care about me. Mm-hmm. And I've always said when they, I like, Hey, how's it going? How was your weekend? What's going on? And they turn and say, Hey, enough about me.

What about you? How was your weekend? What's going on with you? Did you go to any concerts? Do anything, did you make anything? Did you grill anything? I'm like, okay, what, what just happened here? Like, why are they asking about me? And so. Then, you know, I quote, I don't wanna say that word, but then, you know, you have 'em like they, they're sold and it's almost become, I was thinking about this about two, three months ago.

It's almost like my patients now are just coming in like the, the, the old men and women that go to the [00:17:00] diner and to have coffee with their friends. It's kinda like, Hey, I can go see Eric and then I can also get an adjustment too instead of the other way around. Yeah. And I think, I think it comes down to when I walk in.

I give 'em a high five, I give 'em a NI, you know? Mm-hmm. I'm like, Hey, how you doing? I mean, every single person, I shake their hand when I walk in or I give 'em a high five. I'm like, Hey, how's it going? Are you feeling better? You know, give me, you know, let me know how things are going. And they tell me. We talk, I talk to them while I'm doing a stretch, um, some, mm-hmm.

You know, muscle release techniques or, um, Graston I'm doing. Those things, but I'm talking to 'em, the whole, like having conversation with them. Mm-hmm. Um, and it, it usually has nothing to do with their health. It has to do with their life. And I know a lot of people would say, you know, you're supposed to go in there and talk only about chiropractic.

I'm like, I haven't done that in 30 years. I, I don't, because I wanna get 'em off of that whole, I want 'em to think about life and what's going on. And a lot of times what I do is I key in on something. I'm like, wait, wait, wait. What's going on? [00:18:00] That's why you're having these issues. You are stressed out because you know this is happening with your daughter and she had, you know, a miscarriage or whatever, and all of a sudden you start thinking like, Hey, okay, that's why this patient's not getting this.

They're stressed out, okay, we gotta talk about this. And then they know like, you care. So a lot of those conversations lead me into what's going on in their life. The next time you say, Hey, how did the such and such go? And they're like, how do you remember that? I'm like, well, you told me. I'll remember it.

That's kind of the way I am. I'm a little weird, and I tell 'em I'm a little weird with that, but that's, that's okay. But I'm focused on, you know, what's going on in your life and I wanna make sure that it's just not about this adjustment. It's about. What's going on? Are you stressed? Are you having, you know, other things go on that you know you need help with?

So, um, yeah, it's just going in and, and just showing excitement and making sure they understand that I'm, I'm in that time with them and I'll go in with a patient for two to three minutes and I'll walk in the next room like, man, you were in there for not very long. Like, yeah, they weren't that, [00:19:00] not that difficult.

They adjusted their ankle and they went down and did some therapy on it. And then the, I'm in that room with them less than I was with the patient. They're like, Hey, thanks Doc, I'll see you later. Yeah. Like I just laugh. I'm like, I was in that room less time than I was with the last patient, but they thought I was there for 10 minutes.

But it was because it was all about them for that time. Mm-hmm. Does that make sense?

Dr. Kevin Christie: It it does, and it, and it always brings me back to, I've been kind of ruminate on this for a few months now. I saw it probably like an Instagram reel or something, but it's a, it's the idea of being, you know, the, a thermostat versus a thermometer.

And it's just saying is like the thermostat sets the temperature of the room, whereas a ther thermometer reads the temperature of the room. And too many people are the thermometer. Versus the thermostat and you like really going in and setting that tone when you go into the room can make all the difference in the world.

And, and second to that, um, uh, Dr. Bobby maybe had done a, uh, CSA, we have the Chiropractic Success Academy and he did a lesson on the idea of [00:20:00] difficult patients. And I actually released. The audio, uh, on, on a podcast, uh, a, a month or so ago, and it was the idea of like, there's this situation happening with a lot of chiropractors in general where they think a high.

Percentage of their patients are difficult people, but it's more of the fact that they, they just maybe don't mesh with them. Exactly. Like maybe they wouldn't go have a beer with them. And so, because they wouldn't go have a beer with 'em, they, they consider them a difficult patient. And if that's gonna be your measuring stick of a difficult, difficult patient, you're gonna have a, a long road ahead of you.

A hundred percent. And what are, you know, I, what are some of your thoughts on, on that conundrum?

Eric Eiselt: Man. Yeah. I mean, we all have, we've all had 'em. We all have 'em. And they're just like, oh, you're difficult. I kill 'em with kindness. I just, I kill, I mean, even, I don't know if they'd be rude, but just kill 'em with like, trying to open 'em up a little bit and like get, get in there and, and get their psyche and like, [00:21:00] what is, what do, what makes you click?

Like what is it? And you'll find out, you know, they wanna talk about their, their favorite thing is gardening. Well, I don't really garden, but I like to do landscaping. Say, oh, you get my point. And I'll start. Just, just something they're like, wow, this. You just gotta connect. The bottom line is you gotta find that connection with each person.

And I don't, I don't know if you, if you can do that, you're, you're golden. If you're not, you gotta work at it. I mean, yeah. So I find a connection with everybody. I mean, even if they don't see eye to eye to me on like 80% of what the world is going, or, you know what I mean? I'll, I'll find that, I'll find 20% and I'll, I'll build off of that.

That's, that's what you gotta do. Does that make, does that kind of No,

Dr. Kevin Christie: e Exactly. Exactly. It's, you gotta read the room,

Eric Eiselt: I mean. Yep. You know, and it's the way, the way it has to work.

Dr. Kevin Christie: Yeah. And I think you just have to go in with that mindset of there Yeah. There's gonna be, we kind of call 'em the 10 percenters where they really are just a miserable human being.

Oh yeah, yeah. But I think what's happened is like people think 50% of their [00:22:00] patients are difficult, but it's more just the fact that, you know, you're a Vikings fan and they're a Packers fan. It's like, well that's not really a difficult patient. Like, no,

Eric Eiselt: but I get along great with them 'cause we talk. We talk how we don't like the bears.

You know, it's like you can figure out like, we don't like the bear sentence. I mean, it's just, you can't not like the lions 'cause they're just so bad for so many years. But you get the point. You gotta find that one thing that you have connection with them and you can't, if you can't find one thing, I mean, yeah, you're probably not in the right profession because there's, you gotta, you gotta connect with your patients somehow.

Some way

Dr. Kevin Christie: you brought that back perfectly. It is. Just find out that you both don't like the bears.

Eric Eiselt: Yeah, I mean, okay, so we can agree on this and we'll move on, and then, then we talk bad about the bears for a while, and then Exactly. You know, and then, okay, now you need to get this adjusted. Now let's go, you know, tap the seat and like, all right, come over here, let's get your back checked out.

You know, but you can, you can sit in there and shoot the crap for, you know, hours if you wanted to. But, you know, the bottom line is we still have to make a living. And so you gotta be able to do that somewhat quick. Give 'em what they need and then, you [00:23:00] know, show 'em the love and you know, tell 'em, you know, stay outta trouble and I'll see you in a week or two weeks or the next day, or whatever it is that you're gonna do.

And they feel like they, you know, they've been in there for 10, 15 minutes and it was probably. Five minutes, seven minutes. I don't know. Sometimes it's, sometimes I'm in there for 10 or 15 minutes and to me it feels like an eternity because I'm like, we really didn't get a whole lot done other than we shooting the crap.

And that's not always good, you know?

Dr. Kevin Christie: So I want to kind of sum summarize a little bit before we move on to our. Uh, last couple topics here, but a few things is, you know, within a group practice feeling like you have growth within that whatever situation the chiropractor finds himself in it, definitely you want to have growth.

Mm-hmm. Uh, two is, is is definitely that present time consciousness, even if you're having a bad day or that person isn't necessarily joyous. Like you gotta go in there and, and set the tone. Mm-hmm. And find that, and, and really find that thing that you can. Uh, connect with and, and really make sure that, um, you're able to, [00:24:00] uh, you know, relate to them.

And it's more than just the, the, the treatment. And then that kind of ties into my, my kind of topic I wanted to cover with you. 'cause you mentioned 30 years and, and having a longevity and you still enjoy, would you say. Those are some of the factors that have allowed you to have the longevity, uh, and, and that fascination and motivation of still this, of this career.

And then is there any other things that have helped you with that, or is it just in your DNA? Uh, I, I think it's a topic that a lot of people are discussing as far as longevity in this career. I would just love some of your insights.

Eric Eiselt: I, I would have to say a hundred percent. It's, I love my patients and I, and I do truly, I don't, it's not made up that I think they're all VIPs.

I want them to feel like I'm VIP and I like 'em. I like each person for what they're, what they bring to, to me, I've learned a lot from my patients and so that every day I go like, I wonder what I'll learn today from somebody, you know? And I think, um, if you go in with that attitude, like you're, yeah, you're the [00:25:00] doctor, but you gotta learn from your patients too.

And that learning could be something outside of. Has nothing to do with their health. But then the other thing is to learn about their, their life and what's going on and how can I make this better for them. You know, if they're going back and sitting in a bad posture or something. Like, they go, wait, what, what, what are you doing?

Where are you doing this work? Oh, I do it at my island in my house. I'm like, oh geez. Like we can't have that. That's a bad situation. And you know what I mean? You, so you're constantly. Digging in their life. And I've told people, Hey, I'm not trying to be nosy. I'm trying to figure out how I can help you the most and not just come in here and adjust you and leave.

And they too, they truly, um, enjoy that. But that gives me the fire to go in every day, to, to learn from my patients is like, how can I learn or what can I do to make them have a better life? And. Live pain-free and enjoy what they wanna do. And if it's golf or like I said gardening or if it's swimming or whatever it may be, I want to get 'em to that [00:26:00] as fast as possible.

Um, so that, that really makes me want to go in every day. Um, I, I just love seeing people and chatting with 'em, but, you know, when I'm done for the day, I don't wanna see anybody. I, I wanna go home and, and relax and not talk to anybody. So you gotta have a little, you gotta have that balance, and I think, mm-hmm.

You know, the longevity is I have balance. I have a good balance between work and my home life and doing the things that I want to do, and not in a selfish way, but just enough that makes me feel good about what I'm doing. Does that make sense? Because I think a lot of people go, go, go, and they never shut themselves down.

Dr. Kevin Christie: I think it's a huge thing, and I think that's something where you've kind of thread that needle of very busy patient base and, and when you're at work, you're, you're, you're humming along. Um, but at the same time you are also probably taking some days off and you're, and you're, uh, doing things outside of that to where you can recharge those batteries.

Eric Eiselt: Right. And I think that ba, if I didn't have that balance, I, I don't think I would've [00:27:00] lasted. I just, you know, mark set it up years ago. He said, these are the hours that you'll work. I looked at it, I was like, what? Like, I only have work two full days because you need time for balance. I'm like, dude, I wanna work eight hours a day every day.

Mm-hmm. That's just the way I'm wired. And he is like, he looks at me like, no, like, that's not how we do things. I'm like, okay. 'cause I was a new doctor. I thought that's just what you had to do.

Dr. Kevin Christie: Yeah.

Eric Eiselt: And I, I just said, okay, I am gonna do it. And that's what I've done. And you know, now it's, it's almost. So great.

When you're done on that Monday all day and your Tuesday afternoon, you have that off and you're, you're like, okay, I can do these five things that make me happy. Mm-hmm. You know, that make me relax or whatever it is, and gets my mind off of everything at the office. And so he kind of laid that down and it's like, okay, now I understand.

And I, I hope that doctors are doing that. They're taking some time and, uh, I come home. The other thing that's kind of funny. On my full days, I come home every day, a full day, and I come home and [00:28:00] have lunch, and I take a 10 minute siesta and I get back up and I'm ready to go. I change my clothes, I go back to the office and my patient is like, what do you do for two hours at home?

I said, well, I'm not really there for two hours. I'm here, I'm doing some paperwork. I'm home for about an hour and 25 minutes, and uh, I, I eat lunch, I relax, I, uh, return emails or mainly text. I'm kind of a, you know, one, one of my favorites. And then, um. And then just get things done. So I go back and I have a clear slate and I go back in the afternoon.

I'm ready to go again. Yeah.

Dr. Kevin Christie: No, it makes sense. And I think that's one thing that we take for granted as chiropractors is many of us. And if you're not you, you should have some half days in there in a week. And it's not that, um, you know, it's, it's not an indictment on your work ethic. Right. And, and, and having that, and a lot of other doctors don't have that.

Right. I was like, uh, you know, my mom, my mom recently had surgery and then the doctor was rounding every morning and he, you know, the surgeon, I mean, they got a tough, maybe they're not in the office. All the time, but they're, they're doing surgeries [00:29:00] at a surgery center. They're rounding on this, like they don't have a whole lot of free time.

And, and it's nice for us to be able to have that built in.

Eric Eiselt: Right. And I think that's, that longevity thing is I just, I, I know when it's time and there's mm-hmm. I've, I told somebody the other day, I said, you know, um, there's, there, there can be a Saturday where I absolutely, like I'm spam. Like I, I just need to rest.

And I. I'll just be a whole day of just, I'm doing nothing. I'm not gonna do any yard work. I'm just gonna crash and veg out and do nothing. And it, it, it's like, boom, I'm ready to go by Sunday, I'm ready. You know? And then Monday, obviously it's back in the grind, but, um, sometimes you just gotta take a day and just relax and don't worry about what's going on in life.

And it helps. But, um, I, I just think it's the fire of. Helping people for me, I guess is the probably number one. I love trying to figure things out. I've always been mechanically inclined and like, well that just doesn't make sense. Like this makes more sense. Let's try this. And they're like, wow, nobody else has ever said that.

You know, all these other docs, they're like, well, did they ever examine you? [00:30:00] Well, not really. I'm like, well, we're gonna take a look at how things work. And they didn't, they just took a picture of you. Mm-hmm. Um, with an x-ray. So I think that's the fire too, is I just love trying to figure things out and fix 'em.

And that's. That gives me that every day to get up and go do it kind of thing. Yeah.

Dr. Kevin Christie: On your point of like, just like a lazy Saturday, I heard a, a term recently is, uh, there's a difference between laziness and strategic laziness. Can I use that? Can

Eric Eiselt: I borrow that?

Dr. Kevin Christie: Yes, you can have that. Strategic laziness is important in one's life and you shouldn't feel guilty about it, so

Eric Eiselt: no.

No, I, I, I've proven that over and over. I think this is, this is what, this is what's working. I never, never used this strategic, but I'm gonna have to use that from now on.

Dr. Kevin Christie: Exactly. Now, um, kinda lastly, I know we covered a lot of things that I think would really help DC's. Uh, build a raving patient base, but I think too many are struggling with that.

Is there anything I didn't ask or we talked about in addition to all the things we already did that would help them [00:31:00] build a raving patient base, but anything you recommend them to, to do to, to really get that to that momentum going?

Eric Eiselt: Well, I think well as like from a new practitioner or anybody?

Dr. Kevin Christie: Yeah. I would say new.

Someone that doesn't, yeah, it could be anybody, but someone that doesn't have a raving patient base right now and they need that. I know,

Eric Eiselt: I think, well, I mean, I, we didn't even touch on this, but I think the number one thing is please learn how to adjust. Yeah. I mean, I, that's probably the biggest thing is that I, I, people are like, yeah, I went to this, this doctor didn't know how to adjust me and blah, blah, blah, and then you adjust 'em and they're, you know, I heard you can do this, blah, blah, blah.

This, nobody's adjusting. Like, you know, we used to, in the old days, I guess is, if I can say that now that I've been in practice so long, but people wanna get adjusted. I mean, they, they really do. And then some, you know, yeah, there's a, there's a lot that are like, Hey, you're not gonna crack my neck. I'm like, no, we're you, you don't need that.

It's your low back. We'll be fine. We'll check it out. But, you know, so there is still that scare of all that kind of stuff. But the bottom line is we, we have to get [00:32:00] back to the. The adjusting and really moving some joints around, and it really makes a difference on how these people feel for one. And then two, I I, I know I touched on before, you have to come in with the same energy.

I mean, if you don't, people will read you and they're like, yeah, this guy was low energy, or he didn't, you know, you have to be high, not high energy, like you're bouncing off the walls, but just really show that you're, you're into 'em. Like when I'm doing my history, you know, I'm, I'm sitting there leaning forward, you know, maybe.

I'm the Gonstead bench, you know, just kind of sitting with my legs crossed and like writing notes and I'm, I'm just re you know, really into what they're saying. And they're like, this guy's actually listening. Then I repeat what they say here and there, and then they remi then they really know like, oh, he was listening.

And I think it all starts on that first visit. You gotta come in with some, some personality and shake their hand and nice to meet you and thanks for coming in. That kind of stuff. And I think that's. That's the key. I don't know. [00:33:00] Um, I'm sure I have interns that would tell you other things that they've seen me do, but a lot of times I've done done the same thing for so many years.

I just think that everybody's doing that, so.

Dr. Kevin Christie: Mm-hmm.

Eric Eiselt: Um, but I think it's that, and then just telling them a story that they told you and re you know, and reminding 'em and like, they really know you were listening. Yeah. Does that make, you know?

Dr. Kevin Christie: Yeah. It's, it's, it's huge. And then going back to your adjusting part, I had a patient.

Bring this up. He was a really successful business guy, and, and we were talking about business. He was talking about my practice. He's like, you know, I come to you for a, for a core product and Right, that is the adjustment. And he's like, the other things you do, I like, but I come for that. And he, and he was talking about that, and it made me always realize like, uh, that's, I think a lot of chiropractors are struggling is that the, the core product that, uh, people are coming for isn't what it.

Should be, and it's kind of like we, we can make fun of the Bengals for a minute here. Yeah. Uh, you know, it's like building that football team with all the, it's kinda the [00:34:00] outside in approach where you got no, no. In interior linemen, your, your offensive line and defensive line sucks, but you got all these flashy players, right?

Mm-hmm. And it just doesn't work. Versus the, the football team that's built really stout on the interior and then you add layers to it from there, it's like, I think a chiropractic practice, and that's what I love about motion bowel patient, is that you build it from the inside out. It's like, look, we're gonna build you as a really good.

You know, palpation and adjusting your core product is gonna be really strong, right? Then we can layer on the soft tissue work and we can layer on the DNS and the McKenzie and all the other things, right? But I think too many of 'em are, they're, they're building like the Miami Dolphins, right? They got the star players on the outside, but nothing on the inside.

There's nothing that substance to it, and I just think we gotta revisit that.

Eric Eiselt: I agree a hundred percent. And you know, mark and I have had those. Discussions are like, you know, we gotta get back to the basics of getting these guys, get the core. Like really learn how to adjust and palpate and if, and I know Brett's on that whole bandwagon now too.

And then you can start adding these things [00:35:00] because I mean, if you look back, you know, Gonstead did it for years. He didn't have DNS, he got a lot of people better. I'm just saying, you gotta, you gotta start with that core and then you can build off of it and know what needs to be used for each patient and, and that's.

Uh, amen. I mean, that's, that's exactly where I, I try to teach these guys when they're interns, they're like, you gotta be able to adjust and then throw in the other stuff. And people come for that adjustment. You know, I've never had anybody come here and say, Hey, I came here 'cause I, I heard you can, you know, rub my right elbow.

It's like, you know, they want to, they want to have it adjusted and worked on and that kind of thing. So, um, go back to some of the basics and build around that. The other thing real quickly is, you know, try not to sell 'em the moon. I mean, try not to be, quote unquote, a salesman. Just give them what they need and be truthful, and they will, they will listen to what you say.

I've never felt like I've ever, ever, ever had to sell my product, like mm-hmm. And felt dirty about it. Do you know what I mean? Like just, oh, yeah. Be honest and just sell it. [00:36:00] Like this is what you need, this is why you need it. And I don't care if you've been in practice for two weeks, just say it with confidence, you know, it's easier for, you know, mark and my, you know, people like that that can just say, oh, this is what you need.

We've been in practice 30 plus years. People listen to that a little bit easier, but if you say it with confidence, they'll listen to you. I mean, and I think that's half the battles. These younger docs are just going in. They're a little afraid to tell 'em that they need to be in there two to three times a week for four weeks and they, you know, or whatever, and they don't wanna do that.

So,

Dr. Kevin Christie: yeah, and I think that's another step in longevity to your, to your point earlier where like some of the younger dcs, maybe it's not as easy, they don't have the historical years behind them, and, and the patient isn't looking at them. It's like, yeah, you, you look old. You've been doing this for a while.

I, I trust you. Yeah. Yeah. We got great here. It, it, exactly. The gray hair is key in practice. Exactly. We're losing it. One of the two. Um, but ultimately, you know, if you're in year four or six and it's, you're kinda like, how am I gonna do this for another 35 years? Is, [00:37:00] is, it does get easier, does get better.

You get better patients trust you more like the whole thing tends to get better. If it's not, you gotta find someone to help you to, to, to re-engineer that thing. Right. But typically there's that, uh, getting over that chasm for sure.

Eric Eiselt: Yeah, yeah. After year four, it's pretty, it's a lot easier, but those first four years are definitely tough.

I mean, to, to build that for most, most docs.

Dr. Kevin Christie: No doubt about it. So. Well, doc, this has been great. This has been insightful. Well, I appreciate it. Yeah. This has been, this has been fun. And to, to kind of dive into it a little bit, I think, um, more chiropractors need to hear this type of stuff on, on the realities of what it takes to, to grow practice and have fun doing it and enjoy it and, and, and be motivated still after 30 years.

So it's, uh, I, I, I commend you for that.

Eric Eiselt: Well, thank you. Yeah, it, it's been fun and I, I hope to do it for another 20 plus years and keep, you know, just plugging away and, and helping people.

Dr. Kevin Christie: Awesome. Well, thank you.

Eric Eiselt: All right. Thanks [00:38:00] for your time.

EPISODE 441: Priming the Pump

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Hey, doc. Welcome to another episode of Modern Chiropractic Mastery. Today I'm bringing you a solo episode titled Priming the Pump, and we'll dive into that and what that means for your practice. But before I do, wanted to make a little bit of an announcement, I am going to be hosting a free, free for students, students only.

This is, uh, only going to be four students, and it's going to be in Boca Raton on November 22nd. It's gonna be from 9:00 AM to 1:00 PM It's gonna be a free. Student Business workshop, we're gonna dive into, uh, about four hours of business and, you know, the really understanding from a student perspective what you'll be getting into.

And we'll talk a lot about the business of practice, practice analytics, content marketing for chiropractors, strategic community outreach strategies. Our goal is to really get you. Um, primed for practice, whether when you graduate, you are an associate or you own a [00:01:00] practice or you're partnering, whatever it is, these are the things you're going to need to know that frankly you don't get in school.

Uh, no fault of their own, but you don't get a lot of this in school. And we're gonna have to limit it to 24 attendees. But we have turned our practice here in Boca Raton into a teaching facility where we're able to, uh, convert our big open rehab area into a classroom. We've got chairs and classroom tables.

We've got a, a big one of those smart boards now, and a whole nine yards. That'll be a first class experience for you, how to learn about business. So check out that registration in the show notes here again. Uh, we, we will limit it to 24. Uh, it is free. You will have to secure your spot with a credit card, and if you do not show up, we will charge you a hundred because, again, since it's free and we can limit it 24.

I don't want a situation where. Uh, we, we get people signing up and then not really deciding to come. And so you gotta have a little bit of skin in the game, but again, you will not be charged if you actually [00:02:00] show up to it. And so that'll be 24 people. November 22nd in Boca Raton, Florida. So awesome. Hope you, hope to see you there and start learning what you need to learn to take it to the next level when you do graduate.

All right, so let's talk about priming the pump. Uh, I'm gonna share an audio here in a little bit of where, um, I kind of got this, and, and it's something that I've talked about a lot necessarily, not using that terminology, but, you know, priming the pump for business growth involves laying a foundation, uh, for expansion by, you know, optimizing resources, building momentum, and.

And setting up sustainable systems, and ideally, you gotta be doing things and you gotta trust the process that the work you're putting in is going to help you grow professionally and it's gonna help your practice grow. There's such an epidemic of chiropractors. Um, not putting in the work and then [00:03:00] blaming the profession.

Yeah. Is the profession challenging? Are there negatives? Yeah. We see 'em in Facebook groups all the time. People posting and little do they realize every profession. If you had a Facebook group or a, uh, any type of, uh, state association meeting of any type of professional, they're all gonna be complaining.

We just don't see that. We, we know our. Struggles as chiropractors, but there's a lot of other struggles within a lot of other professionals, uh, professions. And ultimately the ones I see that are. Complaining too much or complaining loudest aren't necessarily doing what it takes to overcome the challenges within our profession.

'cause I know a lot of chiropractors that are, I am in a fortunate situation to get to talk to chiropractors of all stripes, and I've got chiropractors of all stripes that are doing well and I would say. There's a handful of characteristics of those docs that are, but one of 'em is, is they've continued [00:04:00] to prime the pump and they've continued, uh, to trust the, the process with that and have some delayed gratification.

Right? Like realizing if I'm, if I'm doing this amount of community outreach, uh, I may not see the new patients tomorrow, but I'll see them down the road. Uh, it's been fascinating now that I've been practicing for. You know, 20 years. And then in this particular practice that I've owned outright for 15 is sometimes I get new patients where it's from an event I did eight years ago.

Right. And it just, this summation effect of doing a lot of stuff over time starts to bear fruit. But you have to be able to prime the pump. And too many people. Um, put a lot of thought into growth, but not a lot of action into growth. And so I wanna, uh, go right into this little audio. This is from Zig Ziglar.

It's a few minute clip of him talking about priming the pump.

I got a couple of good friends who [00:05:00] many, many years ago were riding around in the South Alabama foothills. It was a hot August day and, uh, they got thirsty. Bernard Haygood was driving. Jimmy Glenn was the passenger. They pulled behind this old abandoned farmhouse. And, uh, Bernard hopped out. He ran over and there was an old, uh, pump on the well, and he grabbed the handle and he started the pump.

How many have ever used one of these old-fashioned water pumps? Can I say your hand please? Okay. Well he just a pump in away, you know, and after about three or four minutes he said, Jimmy. Better get that old bucket over there and dip some water out of the creek. We're gonna have to prime the pump. How many of you know what I'm talking about when I say you gotta prime the pump?

Well, for you, underprivileged, non pumpers, that just means you gotta put something in here before you get something out there. Can't you just see an old farmer standing out in the fields in October and saying, Lord, I know I didn't plant a thing this year, but if you gimme a big crop this year, I'll plant more than anybody [00:06:00] next year.

It ain't that way, folks. You gotta put something in before you can expect to get anything out. Well, it is just a pumping away, you know, that's hot. It's August. I mean, uh, the question is, is how much pumping are you going to do for a drink of water and. Finally, old Bernard said, you know, Jimmy, I don't believe it's any water down there.

Jimmy said, yeah, it is Bernard, you know, in South Alabama, the wells are deepened. Oh, we are glad they're deep because the deeper the well, the cooler, the cleaner, the sweeter, the purer, the better tasting the water. And isn't that true of life? Isn't it true that anything worth doing is worth doing poorly until you can learn?

To do it well. We'll never know how much more success we would've had had. We just had a little more pumping in there and pump and pump and pump and pump. Well, finally, oh, Bernard just got disgusted. He throw up his hand, he said, Jimmy, there just no water down there. Jimmy said, don't stop barn Bernard.

Don't stop. If you stop there, water's gonna go all the way back down and then you're gonna have to [00:07:00] start all. Over. The reality is, folks, and I'm totally convinced of this, this is a story of America. This is your story. This is a story of success. This is a story of life. I believe with all of my heart, that if you will pump long enough and hard enough and enthusiastically enough that eventually the reward is going to follow the ever.

And then once that waters. Starts to flow. All you gotta do is just keep a little easy, steady pressure on it, and you're gonna get more water than you can possibly use .

Dr. Kevin Christie: So you can see someone like him has got a lot of energy and if we are all blessed with that charisma and energy, we probably would do better. Uh, but what he's saying is true, and you can apply that to any endeavor you're doing. And we're going to obviously apply it to chiropractic today. And I just wanted to cover.

Kinda briefly, you know, five steps to, to prime your pump for your chiropractic, uh, practice. And so step one [00:08:00] is you gotta nail your vision. You gotta get super clear on what your vision is. What's gonna motivate you to achieve that, uh, vision. You know, I, I, we do a lot with our clients on getting. Um, the overall vision, but then a three year vision, like, you know, and it's goes back to that R factor question from Dan Sullivan, a strategic coach.

You know, what has to be the case three years from now for you to be happy with your role, your results, both personally and professionally, and answer that question, what does three years look like? And I want you to take the time to write out your three year vision plan. What does it look like? In your practice or in your, uh, just professionally.

And then maybe you sit down and you say, okay, now what does that mean for me personally? So step one is you gotta get clear on what your vision is. Step two is you need to know your audience inside and out. We do the audience builder exercise for all our clients. Like I, if, if our clients don't get one thing, they're gonna get clear [00:09:00] on who their audience is.

So that when they actually start to take the action necessary, it's got a higher chance of working. So you gotta know your audience. And we, we do that. I've taught, I read, I wrote about it in the book, right? You can go to amazon.com doing it right? Modern Chiropractic Marketing. It was published by Parker University five years ago Now.

So that's a big thing that I've always talked about. Step three is you wanna streamline your operations. You, you definitely gotta get efficient within your practice. And again, that's another thing we tackle with our clients. Everybody throws around the word systems and that's important. And you really gotta get your operations functioning well so that when you do get some new patients in, it's a great experience for that patient.

And then they refer, right? So many people, their operations are not good. And the patient does not give them a full chance or, uh, may stick through their treatment plan, but aren't gonna really recommend them. We've had, we've all done businesses like [00:10:00] that where it's like, we're kind of pot committed. We do it, but I'm not gonna probably come back after this dinner.

I'm not gonna refer my friends, whatever. Right? So you gotta streamline your operations. It's so important. Next step four is amplify your marketing. Right? This is something I harp on all the time, whether it's consistent content marketing in the, in the online world, you know, Facebook, Instagram, YouTube, and emails, your patients and blogs and just getting content out there.

Uh, or it's, it's community outreach, strategic community outreach to, to where you're really meeting a lot of people in your community consistently. It's, this is such a big one. Uh, you know, you might meet 10 people. And two of them refer to you and that's okay. And then you meet another 10 and then you get two referring like you meet a hundred and you got, uh, 20 people referring to you, whatever you know.

And so it's not gonna be a home run all the time, but you gotta continue to prime that pump And getting out there and meeting [00:11:00] people or putting out content consistently, that is definitely priming the pump. Even if you don't think marketing works, you're, you're, you're, you're not right. But you just probably gotta get better at it.

But you gotta be consistently amplifying your marketing and in step five, plan your finances. You gotta really, really understand your finances. I, I don't have all the details right now, but, uh, each year, at the end of the year, we do a online course that's very digestible over six weeks, and we are going to do one on.

Finances this year. Uh, it'll, it'll be December, we'll probably launch it to sign up in November and it's gonna be good. We've got, uh, Holly Tucker and we've got Christine Odel already kind of signed in to, to do a, a module on that. I'm gonna do the rest and you're. The people that take that are gonna really, truly understand their practice finances and how to plan that.

So you gotta make sure that you've got your a, a really good [00:12:00] grasp of your financials, uh, and that's gonna help you also, uh, prime the pump. And, you know, another way that we, we do this, uh, with, with our practice, with our clients, we have the CSA digital dashboard. If you're a CSA member. Uh, which is only $99 a month, you get access to that.

If you're an MCM member coaching client, you get access to that as part of it. But we have a whole tool on there called the Indicator Scorecard, and it's when you track your leading and trailing indicators, you know, example, the trailing indicators gonna be your new patients or let's make it even more, uh.

Niche. It's like, let's say you want to have five MD referrals per month to your practice. That would be a trailing indicator. What are the leading indicators that you're doing to actually get. Those MD referrals, what, how are you priming the pump to actually get those MD referrals? And so we have a whole scorecard where you track that.

You track all your trailing indicators and then what leading, you know, how many [00:13:00] MD meetings are you gonna do per month to make sure that happens? Where if you're trying to get, uh, more reactivations, what are you doing with that? Are you trying to get more Google reviews? What are the. Uh, leading indicators to get more Google reviews, right?

So we, we lay this whole thing out for you, which is essentially a documented strategy to prime the pump for your practice. And we do it every quarter. And September's always a. A good month. It's one of the ones where we do q, you know, quarterly planning for our members. Uh, so in September, all of our, most of our calls are geared towards Q4 planning so that our clients really finish the year strong.

Uh, you know, I, I've said this multiple times, but as we know, January 1st is the start of every year, but it really feels like September is the start of the year. Everybody's back to school, everything's back to normal. Uh, you know, family vacations are done. And you know, this is when you gotta, you know, everything's back to normal.

I got no more summer malaise excuses, and we gotta get it going and let's finish [00:14:00] it strong. And let's not just kind of tail off at the end there. And so we do a lot of Q4 planning and September's a great time to prime the pump. And if you haven't been priming the pump, maybe Q4 is the time where, you know, I'm gonna prime the pump hard and then, you know, keep on going into 2026 and make sure 2026 is my best year ever.

And then the same thing for 27, 28, and keep on growing there. And so, just consistently do what you need to do to grow that practice. If you don't know, you know, some of you. Know what you need to do when you're not doing it. And we all got reasons why. Some of you don't know what needs to be done and you're kind of frustrated with it.

And that's where, you know, either way you fall on that, we're here to help you out. So, you know, check us@modernchiropracticmarketing.com if you wanna find out more of our programs on how we can help you, uh, prime the pump of your practice, and then ultimately get the results that you've been dreaming of.

 EPISODE 442: Owning Your Practice Real Estate with Brian Wine

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie , and today I am bringing you an interview with Brian Wine from the Wine Group. And we're gonna talk about real estate. Uh, you know, it's something that we haven't talked a lot about in the eight years of this podcast, and I, I really wanted to have this conversation and, and Brian specializes in.

Uh, brokerage of medical real estate nationwide. They have a, a unique niche within the vet, uh, industry, the veterinarian industry, but they work with all kinds of other healthcare practices and they do a wide array of services at the wine group, at anything from investment sales to lease and sale lease back.

We talk about a lot of this in the interview, uh, private business consultation. Buy side representation and, and you know, even things like maybe you want to potentially sell your practice and the real estate together, they also can help with practice sales and [00:01:00] the combination of practice and real estate sales, which is, it's common, uh, if, if, if the seller, uh, does own their, uh, real estate.

But we dive into a lot of the nuances of. When it's a great idea, you know, oftentimes it's a great idea to own your office, real estate for your practice, but not always. We dive into some of the things to look out for. Sometimes we get. Narrow focus on really, really wanting to own our real estate because it can be great.

Uh, but then we end up sacrificing the health of our practice to do so. So we dive into some of that as well. Uh, some different topics around investing in real estate. And he's just a, a wealth of knowledge. And again, this is, uh, Brian Wine from the wine group spelled WINE. Just, uh, really enjoyed diving kind of deep into the real estate side of, uh, of, of a healthcare practitioner, you know, that owns a practice and wants to own the real estate, and then getting to maybe a point, [00:02:00] and I ask certain questions around that of just investing in other real estate properties.

And so we dive into all things real estate today. Uh, before we do dive into that, I just want a couple mentions of things. I've got a. A student business course coming up in Boca Raton in my office. Free for the first 24 people we can hold. 24. And we're going to, it's gonna be a Saturday morning, November 22nd, where we're gonna dive pretty deep into, uh, all things business.

Uh, you know, as it relates to being a, a chiropractic student, probably more on the second half of your. Student career or if you are an intern, a chiropractic intern, uh, the stuff we'll talk about will be apropos for you. And that's gonna be on Saturday, November 22nd from 9:00 AM to 1:00 PM in my office.

You can go to Bitly b.ly/student chiro biz. That's a Z at the end biz. I'll put that in the show notes [00:03:00] as well. Uh, you could sign up again, it's free. Uh, we do, we do, uh, ask that we're gonna put a credit card on file and not charge it unless you don't show up, unless you give us notice. Like if you just don't show up, we're gonna charge a hundred dollars.

'cause we, we do have a limited seating on this and we want people that are committed to coming to this now. Dcs paye a good amount of money for this type of information, and so we are offering it for free. It is a high value for you, even though it is, uh, free, so it's not gonna be fluff. We're gonna really dive in and try to teach you, uh, business as much as we can.

So check that out. B ly slash student, Cairo Biz, uh, that Boca Raton, Florida, even if you're not in Florida, but it might be worth a, a couple ho a hotel night in a flight. To come hear this information and work through certain things, uh, like the business of practice, practice analytics, content marketing for chiropractors, strategic community outreach, and all kinds of other things [00:04:00] on what to consider if you're gonna be an associate partner owner.

After graduation, we will dive into all the pros and cons and details of that, so check that out. Alright, without further ado, here is my interview with Brian Wine.

 Excited to have Brian Wine on the show today to discuss all things, uh, commercial real estate and a as a private practice owner. Obviously, most of our audience is chiropractors and, uh, he works with all different types of healthcare providers. But before we dive into the, the thick of real estate today, Brian, tell us a little about yourself personally and professionally, and we'll get into it.

Brian Wine: I been in the business about 10, 11 years now. We help doctors sell their business and or real estate across the country. The main specialties today are veterinary, so animal hospital, business and real estate, dental and behavioral health. We also do some chiropractic slash physical therapy, and we also do a couple others as well, but we're really dominant in those [00:05:00] three.

When it to real estate, though, I've sold it all. So anything and everything we help our clients achieve whatever their, their, their goals are is really the goal here. Um, you know, I always say ask any question and we're here to help you answer those questions because a lot of doctors, they're very good at what they do.

They don't always know, you know, the other parts of the business, meaning the real estate and or the practice sale, what you guys all worked really hard for. You know, it's either to make a better business or it's, hey, one day I might transition or retire. And really that's where my team and I come into play to help you guys get to wherever that goal is.

Dr. Kevin Christie: Yeah. We recently, in our medical building, had a dentist sell the practice and the real estate. What, what does a loan like that look like? Two different loans. Um, what are some of the details of that?

Brian Wine: Yeah, I mean, if you own your own business, you obviously can get an SBA loan or an owner user loan. [00:06:00] And you know, rates, those rates depend on who you're working with.

I normally outsource that to different loan brokers and make the loan brokers have all the banks compete with each other so the client makes more money, or really in fact saves on their rates. And typically I'd say, you know, it could be anywhere from 10% down all the way up to 35% down, depending on your credit history.

And I'd say rates are anywhere between, you know, if you're really good. Very good credit and have a lot of cash in the account, and you maybe bring some deposits over to the bank I paid you. It's anywhere from seven to 9%. Obviously some banks are really gonna get you on some of these SBAs, but it, again, it really depends on the situation to each borrower

Dr. Kevin Christie: and typically the bank, obviously, let's say the, the, the, the buyers in good financial standing, they, they typically do like that combination of buying the practice and the real estate.

Brian Wine: Yeah, I mean again, if the real estate, so you [00:07:00] have to also occupy let's, uh, most of the time 51% or more of the real estate to get one of those FDA loans. Yeah. There's also these owner user or conventional financing that you can do, you know, if the real estate, I actually had this conversation with a fellow chiropractor last week and he is like, Brian, should I buy this deal?

Well, this client of mine owns, I dunno, 15 locations in the northeast. And for him it makes sense because his goals are one day to sell down the down the road. And so for him, he wants to really build out the business, have several locations, and when he sells his business, he then can put awesome leases into place on the real estate.

So, you know, it really depends on the circumstance and where you're buying the real estate at. I mean, if you're, if you're 30% above market. I'd say maybe think about relocating or maybe it's just not the time to buy [00:08:00] it. And again, every situation is different based on what's being thrown at you in the circumstance.

And having a broker like myself or an advisor who actually cares about your best interest, not about just the paycheck, will really benefit you, the client.

Dr. Kevin Christie: Yeah, it's, it's important to, to know all those details we're, we'll get to the surface level of it today in a, in a podcast episode, but obviously it gets deeper and it gets, uh, the nuances of everybody's unique situation.

But I want, I want chiropractors to start thinking about this, and one of the things I guess would be right outta the gates, and this is, you know, a lot of people. Maybe know this, but obviously be surprised as, as doctors, we, we spend so much time trying to be a doctor. We don't, we don't know the pros and cons of certain things regarding real estate, but what would be some of the positives or the pros for a chiropractor to buy their, their office real estate,

Brian Wine: I mean, pros are that you own the, the facility so your rents not just jumping to whatever [00:09:00] number you or whatever landlord wants, inflation.

There's also sometimes in a lot of the chiropractor, physical therapy space that I've seen, they have units. Mm-hmm. And so the HOA or association kind of dictates where you can go or can't go. You know, obviously it doesn't dictate, but some doctors have issues getting permits or sometimes you wanna do something, but you have.

I'm always a big fan of paid freestanding building. It's way better than having a condo association. But again, you know, the condo way of life in some of these major markets, sometimes it's cheaper to get a condo unit than it is freestanding. Um, but again, it's, it's just really preference. I mean, you charge your own rent one day if you're really building a business, meaning I'm sure you have a great business as a one unit [00:10:00] location, but if you're going to.

Add way more locations over time. There's ways to make even more money on, on your business if you're open to those ideas. The one location unit as well, there's, there's opportunity. It just really depends on what makes most sense for you. The problem with buying a property is it takes a lot of cash out of your business or out of your personal.

You, but you know, if you the right way and you get the right loan in place, that really doesn't matter and you just have more control. There's no one bossing you around. There's a reason you started your own business in the first place.

Dr. Kevin Christie: Mm-hmm.

Brian Wine: So the real estate part I think is a great piece of the puzzle .

Dr. Kevin Christie: Yeah, I think, you know, I've owned mine for 12 years now, and some of the positives that I know of is, is obviously it's a big part of my, fortunately I bought it 12 years ago. It's appreciated quite a bit. It's a big chunk of my future, uh, retirement. There's, you know, my accountant tells me there's tax, uh, good tax [00:11:00] benefits of owning.

I don't, I couldn't tell you what that is. Uh, yes, my. Go ahead.

Brian Wine: Sorry. Sorry to cut you off. I mean, there's depreciation and all these different things you can do with your accountant. Obviously I'm just an advisor, but I'd always say talk to your accountant or financial advisor, CTA, they can probably break down an even more depreciation that you write off off your business.

Mm-hmm. You know, anything you put into that property and or business. Probably lowers your income, but again, talk to the specialist about that. Sorry to cut you off.

Dr. Kevin Christie: Oh, no, it was good. I, I, we needed clarification on that, you know, and obviously I think, you know, owning the real estate provides a lot of stability for your practice.

You mentioned that, you know, your rent's not gonna go up, you don't have to worry about moving. You don't have to worry about, uh, I have chiropractors I, we coach where their lease is ending and they want to bring someone else in there. Uh, so it definitely provides a long term, uh, stability Now. On the, on the other end of the spectrum, I, one of the things I'll mention that I've heard before that [00:12:00] can be a, a, a con or a bad idea to buy something and we can kind of piggyback off that.

Is that in the same way that office real estate, if you own it can provide stability in your business. If you're not careful and you bite off more than you can chew, it can really drain your, your main practice. Um, have you seen scenarios like that and then. Any other types of bad ideas that it is to buy something for your practice?

Brian Wine: Yeah, I mean, doctors, clients of mine all the time, say, Brian, what is a good price point to purchase a new property ad? And we really look at your gross revenue because we also sell practices. So we really take a deep dive into one your goals. And then also your, your practice. How well is the business doing?

What is the revenue and what is your net profit or ebitda, let's call it? Yeah. Um, you know, we really wanna understand what the, the financial situation is before you get into a new property. If you said, [00:13:00] Hey, look, I have inheritance money and I have $500,000, great. But you know, if, if the business isn't where it needs to be, or if the goal is, Hey, I wanna own a property like this.

It's really looking at the financials and making sure you can actually afford the payments every month. If you can't afford the payments every month, you know it, it costs a lot to get into this. You could lose your livelihood and, and a lot more if you overextend yourself. I've seen some clients do it by not listening to some of the advice I gave, and I've also seen some clients, you know, I've seen clients do it and be successful because it really pushed them.

I've also seen some clients where they had to sell more assets and kind of exit some things because they overextended. So I just say to that, just be super cautious before you make too many, you know, decisions. Because, I mean, we recently worked with a client where at first I was like, Hey, this isn't the best [00:14:00] idea.

But once we figured out their loan situation, the write offs and. The lease term, it, it's not even a lease term anymore. They have their own property. So it made sense. But again, if it doesn't make sense or you think you're not gonna hit that monthly nut, it's probably not worth it today. I, I'd say just take your time, wait a year or two, save more money or get your business to the next level, and then.

You know, go for it, is what I said.

Dr. Kevin Christie: Yeah. I wanted to make sure we talked about it because, you know, there's a really, really good picture to be painted of why you would do it. And it, and it's sexy and, and it can be a really good, uh, thing for your long term, but it can also, you know, be a problem. And you gotta, you gotta be right.

Fit 'cause, 'cause frankly, it could be a really good real estate. Purchase or deal, but it could be a, be a bad business decision for your overall. Um, and you and I. Correct. And that's where I know you probably help doctors [00:15:00] make sure that both of those boxes are checked before you make a move.

Brian Wine: You're spot on.

I mean, it's, it's all about how well their financials, how well their business is doing before you decide, Hey, let's just jump and, and own a property. Because if you can't afford the payments, unless you have all cash, which most clients, they rather. Save their cash for their business because there's more opportunity, more return on their actual business than the real estate.

So again, it, it's just gotta make sense before you make that big decision and big leap going forward.

Dr. Kevin Christie: And I know it's tricky, you know, like if you're a chiropractor in San Francisco, real estate's a a different ball game than if you're in Missouri, right? And correct. It's just something you have to take into consideration and maybe it just never makes sense.

And that's okay too. As long as you're getting good. Lease deals, and I know you work with that with people and you're, and you're getting good space and you're, you have a thriving practice and just sometimes real estate just, just doesn't make sense for, for your scenario.

Brian Wine: You're, you're [00:16:00] spot on again. I mean, again, it's what makes sense.

We can also look at, you know, if you have a good broker advisor in your corner, they should look at what the rent rates are today, what your lease looks like. Are you getting the best deal? Because I, I also work with other brokers that specialize in new opportunities. We're really a cure for the seller or for, you know, people exiting, but there's brokers out there that just specialize on the new building or the new location.

You know, again, it's, it's really understanding what the goals are and then what the monthly. Expense. You know, there are insurance, there's triple net expenses that go along with all these buildings, just like the apartment or house you live in. There's property taxes, insurance, there's maintenance, sometimes common area maintenance.

There's, there's a lot of different things that make up just, not just your rent. It's that triple net or modified gross, however [00:17:00] you see it today in your, in your current setup. But, you know, looking at all of that, figuring out what the market rents are. Advisor should do that for you. And if they're not, obviously you can call me.

I'm here to help, but you should really think about all of these factors before jumping into the next opportunity or or building that you own.

Dr. Kevin Christie: Yeah, it makes sense. And then, uh, you know, a little story and then kind of all worked together. When I heard you on a, a different podcast and it was just very informative, uh, a couple weeks prior to that, I have a patient, he's not a healthcare provider, he is a successful, uh, entrepreneur, and he's, he's, he's.

He's done very well for himself. And one of the things he does now is he buys real estate that have leases attached to it, but he deals, he, he's like, I think one of 'em he mentioned was like Verizon Wireless store, Starbucks, some of the bigger companies that, uh, you know, they lease the space from somebody else and then he goes in and buys the space and he is got a lease attached to it.

Now, [00:18:00] uh, with that being scenario, a non-doctor or anything, do you have any. Doctors that do that, like they own a practice or they, and they own their real estate and they're doing, you know, they got money to invest. And, uh, are you working with some that are just going to maybe buy, uh, real estate from other types of private practices that are being leased?

Brian Wine: Yeah, I mean, we have doctors buying all sorts of, uh, properties. I mean, like you said, client, friend of yours. You know, bought Verizon and Starbucks properties because it's leased by a major corporate. There are major corporates in all of our fields as well, in, in the three verticals, plus the chiropractor, physical therapy, they're out there.

There's great credit behind it. And then to your question, you know, yes, there, there are doctors who sold to private equity, so they have a bunch of cash and they see what you guys see. A great business that's not going anywhere. [00:19:00] So they start to invest and have investment property. Uh, typically they're more interested in, in corporate tenants, but I have a, a client recently a physical therapist who, who bought into, they had a, there was a physical therapist selling her real estate.

He saw the opportunity on the return and said, you know, this is a great small business. I'm gonna go buy that property. If she ever goes out, well, I'm just gonna replace it with me. So, you know, there's a lot of different ways to look at it. Um, yes, there's doctors, there's, you know, just investment, uh, buyers who wanna buy into these deals.

I mean, it, it really spans across, across the country of every type of person out there. I mean, I mean, we see it all wealth managers, financial advisors. Uh, all different sorts of doctors, lawyers. I have seen it all at this point. People buying into deals. It just really depends on the deal itself. Mm-hmm.

What kind of returns [00:20:00] there are, what kind of loan you can get. Those really the basics I'd say. And obviously location.

Dr. Kevin Christie: Yeah, no, that makes sense. And it, you know, it helps with a diversified portfolio for folks and, and I'm sure you enjoy getting on calls like that and with some creative ideas with, with people that are looking to make those types of investments.

Brian Wine: Yeah, I mean, I have a fellow doctor, he sold private equity, he's a veterinarian, and he said, Brian, why don't I buy just one deal? I've got, you know, 2 million of cash. Why don't I just buy one? Let's call it five, $6 million deal because I can lever and get more. And I said, look, I don't think that's the best route.

I personally think you buy two to three or four deals with the $6 million of cash. Because then you diversify your risk. If you buy one deal and that tenant has an issue, then you're on the hook for all of it, which hopefully at that price point, you won't really have many issues. [00:21:00] But if you buy three or four little deals and diversify the risk, if one goes out, well the other three pay for that one.

So it just, again, it depends on your risk tolerance and the goal. There's a lot of different opportunities that client today owns two properties and he is on his way to buy another one. So. Um, there's just, again, it just depends what you're looking for.

Dr. Kevin Christie: Yeah. And I guess, you know, there's, I forget the term, but like obviously someone will want it to cash flow and so if you have to take out a loan on something or they like, is it, isn't there like a number?

It's usually in the single digits that you look at for if, if something is gonna cost this much to buy the lease that it's got on it right now for rent, it will kind of be able to show if you're gonna be able to cash flow that.

Brian Wine: I mean, there's different things we can look at. There's rent to sales ratio, which is your rent versus the sales that you do.

Mm-hmm. For a business, if the rent in different spaces, you know, in the restaurant space, obviously this isn't geared towards [00:22:00] restaurants, but restaurants are eight to 10%. I think in medical, in, you know, BC office buildings, or even on your own, it's probably more like below 8%. The three to eight. Every niche is a little different, so I'm kind of vague here.

Yeah. Obviously we can talk, you know, about different niches in the future, but I'd say, you know, the rent to sales ratio, if you're way above that number, then you're probably having issues. Another thing to look at is your cash on cash return. Everyone's got different visions of what kind of returns they should be getting on their cash.

Mm-hmm. You know, I'd say an older client of mine. Above 65, they probably are okay with more of a, a safer return, something in the, let's call it seven to 10%, guys under 40. I've seen a lot of them just say, I'll risk it all because I don't have that much going on. And those can get up, you know, 10 to 20%.[00:23:00]

Again, it's each individual, what they're looking for. There's obviously some more, um, different percentages and things to look at. There's also a cap rate. Which is a capitalization rate. That might be what you're speaking of. Mm-hmm. That's your return on your investment if you bought the property. All cash.

Yep. Um, there's a lot of different metrics, so you know, obviously if you get a new loan, you have to bring the new loan in based on how much leverage and what the rates are. Obviously, again, every situation's different, so I don't wanna say, oh, this is the guarantee, but in today's day. You could probably get a pretty good deal for anywhere from a a seven and half to about 9.5% returns because again, the rates are high today, so mm-hmm.

Rates are anywhere from, let's call it seven to six, seven five to 7.5%. I mean, I've seen as low as six, 6.14%. That client of mine has [00:24:00] a couple million in his bank account. Cash. So I'd say, you know, the best rate is probably 6.5%. If you're a good borrower, have good credit history and then typically 6, 7, 5 to seven point half depending on what's going on.

But I, I think back to that loan situation, make the banks compete. If you don't make them compete, you're not getting the best deal.

Dr. Kevin Christie: Now, do you, um, a lot of times work with, say the doctor's financial planner as well to tie in the whole thing? Like just this, say someone's got 500 K to invest in something, and it's like, okay, do you invest it in the stock market you invested in buying real estate?

Is that a conversation? The three of you would have.

Brian Wine: I mean, typically the financial advisors are not that involved. Some of them are the doctor, um, specific ones who know me in the space. They all are like, Hey, you should talk to Brian. He really knows what he's doing and his team. Mm-hmm. Um, you know, it, it really depends how involved these financial advisors are.

Some of 'em get white glove service. [00:25:00] They're on top of it. And they wanna do three way calls, me the client and the financial advisor. Some situations the clients are like, look, I need more real estate. I'm too stock, market heavy. Mm-hmm. And I want more diversification. Everyone's got, again, I keep saying this different goals, but it's the truth.

It's hard to, you know, I'm on calls with some of these advisors, but also some of the advisors, I hate to say it out loud, but some advisors most. They make money on how much money you invest with them through the stock market. So, you know, there's some really good ones who will say, Hey, yeah, you, you have too much with me, and they're really looking out for your best interest.

But there's also others who, hey, just keep loading more with me because they make a percentage. So again, it, you know, it's, it's hard to say what these advisors are or are not doing. I think most of the time they're great guys, but at times [00:26:00] they obviously want more investment to make more money.

Dr. Kevin Christie: Yep. Now, we mentioned private equity.

That seems to be a trend in healthcare, not just this year, but obviously over the last handful. Uh, is there anything else that's trending last year or two? I mean, obviously we know that interest rates have climbed. We know that real estate in a lot of areas have increased, but is there anything else you're seeing as far as trends?

Brian Wine: I mean, you know, there's more private equity in these niches, you know, chiropractor, physical therapy spaces than ever. Yeah. I think, you know, some of the other doctor verticals have been tapped into and not as much yet in our space. Mm-hmm. They keep going more and more, and the returns, you know, they keep buying 'em up.

I wouldn't say there's trends, but I just say if you are selling the private equity. It was a direct offer to you. I, I would just say, look, typically direct offers aren't the best offer. They're not competing [00:27:00] against anyone. Yep. So I'd say use a guy like me, someone you fully trust as an advisor. And even with our fees, people are always like, Hey, you, you make so much money on the sale.

But pretty much every time, I'd say 99% of the time we make our feedback and more. There's once in a blue moon where maybe we don't make the feedback, but we help clients really understand what's going on, which I still think is worth our, our fee payment because, you know, if you have this direct offer and you don't understand some of these terms, you could be in for a long employment agreement with a boss that, well, you never thought you gonna have this type of, didn't do.

You're double. Mm-hmm. You thought it was a great deal from the front, but on the backside, you know, two, three years in, I have clients who say, Brian, I, I wish I used you. I wish I knew about you upfront, because I wish I never signed that deal. Yeah. [00:28:00] So that's something I would just be cautious of, you know, upfront.

Every direct buyer really, every buyer wants to make a good first impression. They wanna make it seem like everything's great. People who are you And. I, I would just be super careful because it might not be the, the marriage you were looking for.

Dr. Kevin Christie: Yeah. I had, uh, chatted with a private equity firm at one point, not about anything in particular, but they did mention the real estate side of it and even something, and I kind of brought it up before we recorded, but they were looking at, at some point putting together a real estate consortium of, of some, you know, some doctors.

It's like, okay. What Dr. X is selling a real estate, 10 of us are gonna all chip in and buy that. Have you done any work with groups like that, that, that invest in uh, different spaces?

Brian Wine: Yeah, so I have a couple of groups today where they don't so much buy it with [00:29:00] cash. They more so say, Hey look, I'm gonna give you units just like, let's call it the stock market.

Yeah. You own a mutual fund, let's call it. Mm-hmm. You get units inside that business. So for example. Let's say, uh, I was selling a chiropractic business, or let's call it property today.

Dr. Kevin Christie: Yeah.

Brian Wine: The client, Dr. Joe, let's call it, he sells. They typically offer less than what the market really is, and they give you units.

So let's just say you got $700,000 on your, you think it's worth a million, the market's probably nine 50, let's call it. They offer you 700,000. Some of these groups will offer anywhere between probably a six and 9% return on your unit that they call. You know, that they give you, so for example, if you sold or gave them $700,000 of units, you would get an [00:30:00] 8% or 6% return.

If it was 8%, it'd be 56,000 a year. Then you own a piece of, they typically say, look, we have X amount of properties, let's call it 50 properties. The good reason, or a very thoughtful reason to do this is if you've got a couple years left with a, a tenant that you're not the, the user. Say it's a another business, it's corporate credit, and there's a couple years remaining and you know that they're not doing as well.

Well, if you have a piece of, let's call it 49 other properties and they don't renew their lease, well, you still get your income typically. Again, every situation in the documents show differently, but a couple of groups I work with today, they say even if the tenant leaves building, then we will still pay you your.

On whatever that percentage is. So if it was 8% in this [00:31:00] scenario, you would get that until they decide to exit their, typically these funds say, Hey look, we bought it at such a, they don't typically say steep discount because they wanna make it look good, but they'll say, look, we got it at such a good deal, we brought you in.

And as the market evolves and changes and gets better. You know, pro forma numbers that we can maybe two x or two and a half x our initial investment. So some of these groups on the front end will say, Hey look, we're buying it for 700,000 units and we'll exit at, let's call it, you know, 2.1 million.

Mm-hmm. For that property. Do I fully believe that's gonna happen? It say it. Track record. If they've done it before. Mm-hmm. If they're overbuying some of their properties in this fund, meaning spending too much on units at not the [00:32:00] exact worth of these properties. Yeah. Then I would be super cautious if your property, if you say to them, Hey, I wanna see your portfolio and if your property is in your opinion, I mean, most sellers, they always say there's just the best.

Let's just be honest. If you think at all, yours is the worst one and they're overpaying for yours, then again, I, I would just be cautious because if yours is the worst one, when you look at all the other beautiful properties and they're overpaying for yours and wonder what they're doing on the rest, yeah.

Again, it, it's gotta make sense. Will they show you all of that? I don't know. There's a lot of great groups out there, and obviously they wanna do what's best for, for you and for them. On the exit, if they keep overspending, it's gonna affect everyone in the group. Yeah. So that's, that's one way to look at it.

It's just, again, it depends on, on the, the backers, the main managers running this fund.

Dr. Kevin Christie: [00:33:00] Yep. So let's fast forward. We're, uh, we're a doctor, we're looking to exit, and let's say, let's, let's make it independent of the practice. Right now we're looking to exit from the realist. Well, let's, uh, let's reword that a little bit.

Let's say we got two options. We're exiting, I'm gonna sell the practice, um, or, and I'm gonna lease this space out, or I'm gonna sell the whole kit and caboodle and get outta my real estate. I know it's a loaded question, but should the, the, the seller chiropractor, should they sell their real estate, take the money, and then reinvest in other things?

Or should they keep the real estate and rent it out and have that income coming in? Let's say this person has paid off the note, they own it outright. What, I know it's a tricky one and there's a lot of variables, but what are some things that you would talk to that client about?

Brian Wine: I know you said it was independent, but

Dr. Kevin Christie: mm-hmm.

Brian Wine: Let's just say, let's say the business was apart because there's, there's so [00:34:00] many different situations here. Yeah. If the business apart and you're thinking about selling your business one day, I would say, no, no, no. You're not selling the real estate. I, I would highly recommend not to. So a lot of real estate brokers will cold call you or talk to you and say, Hey, let's do a sales effect.

Typically, those real estate brokers do not know. How well the actual business is doing. Yeah. And so it might sound really good on the upfront, Hey, I'm gonna get 3 million for my real estate that I can then pump into my business. But if your rents are too high or you don't account for certain things, or you have a bad market or a bad year, well you could be upside down in three.

It depends how the stages go and your lease and your annual increases.

Dr. Kevin Christie: Yep.

Brian Wine: So that's one side of it. Back to the business. I know you, you didn't fully bring that in, but. I would focus on selling your business first. Get that sorted out. You get one shot. That's it. If you have a bad lease in place by doing one of [00:35:00] those lease back, or Yeah, selling to anyone for that matter.

Some of these private equity shops aren't gonna be interested in your deal because they're gonna have to relocate you because you spent too much money. Yeah. Because again, your business might not be profitable. Right. They're just looking for profit. Making sure in five, 10 years that they can make more money on your business.

Their goal is to grow it right when it comes to the real estate. Your other side of the question, look, if you're exiting the business, you own your real estate. Sure. You, you've exited and it's vacant, you know, at lease that that puppy up right away or get a leasing. Um, broker who's the best in that area, who can give the most amount of time towards leasing the building If it's, Hey, I really wanna sell, I paid it off.

I don't need this anymore. Sure, that's another great idea. Um, you could sell to an owner user where there might be more money because [00:36:00] someone, a doctor, can probably pay more than just a investor for that space. Typically when they're vacant. If they're not full, if they were built out, you probably have a better shot at getting someone in there for that particular use.

But again, it, it can be tricky on the situation. I mean, in my opinion, again, it's, it's about your financial situation. So if, if you need the money, sure. So. But if you don't need the cash that it provides today, I personally think the way you build long-term wealth, even though I'm a broker, is you own as much real estate passively as possible.

The mentors and clients of mine that are the wealthiest, they own a lot of real estate and a lot of 'em, because they buy so much, they don't even pay taxes because you can do a cost segregation study. You can [00:37:00] fast forward the time of your depreciation. Again, I'm not a financial advisor or CPA or accountant, but if you work with the right broker and the right team lawyer, CP, a advisor, and you fast track your depreciation.

I mean, I have a client who buys $20 million worth of real estate a year, just so he paid zero in taxes and he's in California. So taxes there are super high. So, you know, again, there's a lot of different tax strategies you can use and I'm all a, I'm a huge fan of look, bring the building to the highest and best use, lease it out to whoever you can.

If you're like, look, I can take the money out of this and go exchange to a 10 31 tax deferred exchange and go into another property that brings me more value faster, then, then that's a great idea. But if it's to cash out. I'm, because Uncle Sam is, [00:38:00] is probably gonna get some money from you, depending again on this situation.

Just so you know, 10 31 tax deferred exchange for you guys out there. You can sell your property and not pay taxes if you would, if you, if you sell your property or once you sell your property, you get 45 days to identify the next property. You get three properties to identify. 45 day window from you, from when you last sold the property, and then you get 180 days, six months to buy one of those three properties.

So if you buy one of those three properties, again, they have to be like kind or better. So a million dollar deal, go buy a million dollar or more. Gotcha. If it, if it's less than a million dollars, they call it, it's a deal. I or Uncle Sam, however you wanna look at it, can tax you on the boot. Boot is the difference.

So that's a quarter million dollars, [00:39:00] 250,000. The IRS can tax you on that amount. But again, I would talk to your, your CPA accountant, because there's all different things going on from depreciation and your cost basis. Mm-hmm. So there might be ways to get out of that depending on what they suggest. But again, if you're selling and not cashing out, I highly recommend doing the 10 31 exchange.

Dr. Kevin Christie: Yep.

Brian Wine: If you're like, look, I, I wanna cash out, I don't wanna deal with real estate anymore, you know, then, then you'll end up paying the tax, which, you know, again, every situation is different, but in my opinion, long-term wealth is built on passive income and building it up.

Dr. Kevin Christie: Well, Brian, this has been great and very informative.

Uh, I think a mark of a good podcast is when we got more questions that we keep on going, and I'm hoping that our audience will, uh, reach out to you to ask some of those questions and if they need [00:40:00] help in any of these things we talked about that you could help them out. And, um, they, I just, like, anytime I have a guest on and I know that it's like, look, you can only dive into so much you, you need to.

Hire someone that's an expert when you're gonna make these big decisions. We're not talking about, you know, a hundred dollars decisions here. Like these are big decisions for your future. Uh, I got lucky I didn't have someone like you in my corner in 2013, but it worked out that it, it, it, thankfully, but I looked back.

There were definitely were some mistakes, but it didn't, uh, hinder me too much. Knowing what I know now. I would want someone like you in my corner. So how could, uh, our audience reach out to you?

Brian Wine: You guys can look me up on LinkedIn. My, uh, my name's Brian, last name's wine, just like the drink, WINE. Um, you can also find me on the internet anywhere.

Just Google me. Uh, my company's called the Wine Group. Uh, we sell both practices and real estate. So the wine group, r e.com or tw gpa com, [00:41:00] and my phone number is (323) 609-4405. But again. No matter level, if you're a beginner to intermediate to advance, I welcome all, all questions. There's no stupid question.

That's what I'm, here's what brokers are here for. So to end.

Dr. Kevin Christie: Perfect. Thank you, Brian.

 EPISODE 443: Capacity Block Breakthrough: Clinical Capacity

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Hey doc. Welcome to another episode of Modern Chiropractic Mastery. Today I have a solo episode. For you. One of the things we do with our coaching clients is work them through the capacity block breakthrough. We're gonna go over that today of blocks that we see in practice growth, and in today we're gonna dive into clinical capacity block where you're just.

It kind of hits your max of patient visits you can see in a week or a day or a month, and we're gonna dive into that today. But before we do though, I do wanna make mention we, we have a new offering in our coaching program aspect, and that is an associate training program. So if you are an owner, doctor, and you have an associate, whether it's uh, fresh outta school or started with you recently or just needs.

Some, some training. I think one of the things that we've realized with coaching so many chiropractors and practices is that there's really four stages of having an A team. And that, whether [00:01:00] that's front desk, office manager, associates yourself, but essentially, you know, you need to have a talent acquisition plan that is step one.

Step two is you need to have a great hiring process. Step three is a really strategic onboarding process, and then four is continued training. And one of the things we see oftentimes is you may hire. A good associate, uh, but the onboarding and the training wasn't really there, and that's something we've earmarked with a lot of our clients.

And so we developed a, a coaching program. Again, it's gonna be for the associate to attend and for the owner to sign up for and pay, but it's a great investment, uh, in your practice and, and in your associate. And the details are, are simple. It's a, it's a six month program. It's two training calls per month with different coaches of ours.

We have 12 lessons that we work that associate through to make sure that [00:02:00] they are doing everything appropriately from treatment planning to report of findings, to community outreach, to overall communication, to market content marketing. I mean, you know, we, we really sat down and thought of like what would be the.

Ideal training program and skillset for an associate to have and developed a training program around that. And it's only seven $49 per month. It's a six month commitment, and after that, there's no further commitment. You may choose to continue with our traditional marketing and coaching program for yourself or your for your clinic, but this is just a six month um, process.

So just go to our website, modern chiropractic marketing.com. Just, uh, there's a contact form. Reach out to us and just say you're interested in the associate training program. We are only taking seven practices to start out with this and so, 'cause the bandwidth of the, of the different, you know, I'm gonna be doing some of the calls.

Kurt Berger's gonna be doing some of the calls. [00:03:00] Dr. Ashley Jordan's gonna be doing some of the calls and Gage Winkle's gonna be doing some of the calls. So we've got a team of people that are gonna, you know, really specialize in particular, call for your associate. Alright, so, uh, let's dive into today's topic again.

We developed a tool, we have a handful of tools. We work our coaching clients through to make sure they're optimizing their themselves and their practice. And the capacity block breakthrough has been well received and it's a, a whole document where we get clear on maybe our biggest capacity block.

Some of the ones that a practice may have are. Uh, you know, support team members, you're lacking that maybe, maybe you're lacking clinical duplication, which is just another word that I heard from the Scheduling Institute, uh, which would say your associate doctor being able to have duplication of clinical services.

Space could be a block equipment, lack of equipment could be a block. Marketing is definitely a block for many. It could be your [00:04:00] mindset. If you don't think you have any blocks, it probably is your mindset. Uh, time could be a block. Profit, cash, profit margin, cash flow. That could be a block and a delegation could be one of those as well.

And a lot of times we'll get clear with the client like, what do you think is your biggest block right now? And they'll, they'll pick one. And then what we'll realize is that. There's a lot of kind of sub issues from that one block, right? And, and so if you have a block in, um, you know, your c clinical capacity, you can only see so many people right now and you've maxed yourself out and, and, and you're struggling to break through that, um, there could be like five things going on there.

And one of the, the common issues we're seeing, unfortunately a lot with the younger dcs. That are running into this clinical block is I'll get on the phone with them. And they're busy, right? They've got their, they can't really fit anybody in for the [00:05:00] week. Um, but they're really not all that profitable and they're not paying themselves what they would like to, uh, and we're seeing it, uh, chronically in the chiropractors that are.

Um, putting a value on time in, in their clinic. The, you know, the one hour DC or even sometimes the 30 minute one, they can run into it as well. The one hour ones are really running into it and what's happening there, and, and again, even our 10 and 15 minute dcs are running into it as well. But what's happening with the one hour DC is that they're filling their schedule.

Um, but there's just not enough revenue and definitely not enough profit margin so that then they're not able to see more people, they're not able to pay themselves what they would like, let alone hire some help to then free them up to see more people because they're, they're in a finite business. Uh, kind of like a massage therapist runs into that, right?

Like part of the problem with massage therapy is it's a, it's a, a time-based economy, not a [00:06:00] results-based economy. And people pay for, I want an hour massage. I want a 90 minute massage. But people are only gonna pay so much for a massage. And even if you're great at massage, like are you gonna, are you gonna pay, you know, $400 for a hour massage?

Probably not, uh, unless you're at like, maybe a Ritz Carlton in Paris. Uh, and that's a shitty massage, but. You get the point, like there's only so much the market can handle paying for an hour massage. And we're seeing the same thing with our chiropractors that are spending an hour with a patient themselves, is that, uh, even though you're great, you're doing amazing things with rehab.

I love rehab, I love all the things that are, that you're doing. But the reality of it is, is that you can only see so many people in a, in a. In a week if you're spending an hour with a patient and then you can only charge so much, right? [00:07:00] Like people, the market is gonna say, yeah, like I, I like spending. An hour with Dr.

Smith, but can I handle, you know, $400, $500 for that session? Uh, and, and some people can pull that off, right? Like there are some people, I had a great episode with Dr. James Spencer a few years ago, who's pulled it off. But if you listen to that episode, which I recommend you do, if you are a one hour dc this isn't an episode today that's bashing him just.

Given the realities of it and then some things we gotta consider to work through that. But go back and listen to that episode. He didn't start out with that. Like he, over, over years built up to that it built a level of expertise and in, in the eyes of enough people to where it, it has worked out for him.

What I'm seeing too much. Is the only outlet valve for the one hour DC when they hit this clinical capacity is that to raise their rates substantially to try to get the [00:08:00] profit, the revenue, and the profit in there. And they're still only gonna get to a certain level. Uh, and, and, and ultimately there's a, a high sales component to that.

There's a select few. That can pull it off and then too many are trying to pull it off early in their career when they have not built up any level of expertise in the community. That would, people would see the perceived value of spending $400 in an hour to to get treatment. Right. And so we're seeing, um, that, and that's one of the ways why, you know, it's not that it's not completely akin to the massage therapist, but it's the same animal that a massage therapist runs into and why they have a hard time really building a thriving business that pays them a professional living and able to hire people.

And the best, most sustained practices that I've worked with, whether we've coached them or they've been in our masterminds, are the one that can you [00:09:00] know, increase revenues, um, ethically, and then be able to hire teams and be able to hire associates and they don't burn out. I just don't know how many of the, uh, you know, hour long visit dcs, uh, are gonna have associates down the road that are going, they're gonna be able to also pay the associate a professional wage.

And so you're gonna. Either never hire an associate or you're gonna burn through associates 'cause you can't really compensate them effectively or they're not gonna be able to keep up your model of care effectively. And so it runs into a, a problem. And so we see a big clinical capacity block in those folks, but again, we see it, uh, with others as well.

We definitely do and we have a lot of solutions for all types of. Chiropractors to work through that. But as we dig deeper onto why someone would have a clinical capacity block, so again, this is the doctor who is maxed out [00:10:00] on their schedule or pretty close to it and having a hard time breaking through that ceiling complexity.

One of the, one of the other blocks we see is they don't have enough support team members. Right. They have, uh, they, they don't, um. Have that person to help with all the other things so that the doctor can focus on, uh, what they can focus on and maximize their license. So, uh, you gotta look at do, if you had a support team member, a ca, a rehab ca, a front desk person, uh, a preceptor program, would that help you break through that clinical capacity?

Right. If you're only able to see. You know, 75 in a week and you feel like you're maxed out. How do we get you to a hundred a week and not feel maxed out? The next is gonna be clinical duplication. It's obviously that associate, um, if you. The ideal situation is you've maxed out your schedule and you got plenty of profit margin, and you say, yeah, I've got cash on hand.

I've got cashflow confidence. [00:11:00] I can afford an associate because I'm maxed out. The worst scenario is when you're maxed out with visits and you can't afford a. An associate, that's when you don't have enough profit margin and too many practices are not designing themselves early on to provide great care, but also enough profit margin to where when you are maxed out, you can afford an associate.

And so when you do hire, when you do this right, and this is what we try to get chiropractors to do when you, when you do this right and you have enough people being able to afford your care, and I'm not saying. Be cheap, but be to where enough people can afford it. Um, and you can grow your practice and have meat on the bone to hire an associate.

That's a healthy practice, that's a healthy business model. And so oftentimes, uh, practices hit this clinical capacity issue and they can't afford an associate, so they're spinning their wheels or. They can afford an associate, they're just having a hard time finding the right associate. And so those are two different [00:12:00] pathways we gotta solve.

And we often work with practices and and owners to solve that, whichever path they're down. Right. Um, next is space. We definitely run into scenarios where a practice is at a capacity and they just don't have the space. They're like, I'd like to. Hire an associate doctor, but I don't have enough rooms for them and we gotta solve that space.

So we might say, okay, let's figure out what the space. Resolution is may, and maybe that's not gonna happen for some time, but we could have a plan for it. Let's work that out. And then once we solve the space, then we can go hire the associates. So you might be saying, I, I got a clinical capacity issue and it's because I need an associate.

But the real root of the causes, you just don't have enough space for the associate. So space is a common block for clinical, uh, clinical capacity.

The nex is mindset. Um, that one we could probably spend a an hour on itself, but certain things I see there, people [00:13:00] are reluctant to hire associates. People are reluctant to increase overhead even though they've got enough meat on the bone. People are reluctant to pay fairly. People are reluctant. They're worried to hire an associate because they might leave them or take their patients.

Uh, people are reluctant to. Um, go from spending an hour to 30 minutes with a patient or go from 30 minutes to 20 minutes with a patient and have a, a rehab ca do the rehab. People are reluctant in many ways. Um, when they hit this clinical capacity, they don't want to complicate their business anymore. A lot of things happen there, and we have to dive into that with folks as well.

So. Mindset. I think probably mindset is probably at the root of a lot of blocks we have. Next is lastly is profit and cash flow. I kind of touched on it already, right? It's just we gotta build a business that has profit, profit margin, ano, you know, and it's not a profit percentage only, right? So we've got.

A couple [00:14:00] scenarios that we can see happen here is, uh, I'll get a chiropractor that keeps the overhead super low. They're really happy about things. And, and they'll, and they'll brag about the profit percentage, but you look at it and they're, they're maxed out and their revenue is $200,000 for the clinic for the year, and they're paying themselves 50%, uh, so a hundred thousand a year, which is fine on the surface of it.

But now they've hit that block and they can't break through that, um, because there's not enough. So maybe they got a high percentage of. Profit in that practice. 'cause overhead is super low and maybe they're not reinvesting money into it versus a practice that's like a million dollar practice and has a less profit margin.

Uh, maybe they're, they're, maybe they're only 25%. Profit, uh, which isn't only, it's a good profit again, if you're, if the owners paying themselves a full salary, uh, reference Greg Crabtree's work, [00:15:00] but, uh, 25% is 250,000 a year. And, and that's a professional living for a chiropractor, right? And so the. The profit percentage might be lower, but the absolute amount of money being taken home by the owner doctor is obviously way higher.

Uh, I think we all would trade in a hundred k uh, salary for 250 k, uh, but it takes work to get there in building that up. And so profit is important. Cash flow is important. Cash on hand is important. If you have that, you can typically, uh, break through a lot of the, the blocks you have. And like Dan Sullivan of Strategic Coach says is if you have the money to solve a problem, you don't have a problem.

Right? And a lot of us as chiropractors have problems and as part of it's, we don't have enough profit and cash flow to solve that. Problem. And so that could be the root of where your clinical capacity block is there. So we, and we have more to this tool, we really try to break down. Well, like what's the big domino we gotta tackle?

Then go to the next and go to the [00:16:00] next and really help you break through that, uh, ceiling of complexity that is in your practice so that you can grow. And then ultimately, yeah, like pay yourself a professional living. Get it. I'd love for you to pay, be paying yourself 200,000 a year and then have an associate that's making a hundred thousand a year and a few years of hard work and now you're making two 50 in the associates.

Making a buck 15 or whatever, you know, in year two or three. And then you're all, you're both growing from there and you got a great situation. I'm just not seeing that enough. And a lot of the root causes, 'cause the owner doctor is running into blocks and they're not. Uh, working to solve that or maybe just don't have the, the know-how and that nothing wrong with that.

The first step is to admitting what you're missing and, and that's where we're here to help you out, uh, no matter what type of practice you are. Um, if you want to go from an hour and work on how to. Increase your capacity block without, [00:17:00] um, having to, um, you know, charge a, a, a ton of money that very few people can, can afford, and you're just not quite there yet.

And the ability to do that, and maybe you will someday down the road as you build up your expertise like James Spencer has, again, watch that show. Just Google search. James Spencer, modern Chiropractic. Um, mastery Podcast and it'll pop, pop up. I think it's a great timeline if you're going to go that route to do it, but in the meantime, there's some other solutions for you to get there.

Or maybe you just, you know, you're spending uh, 15 minutes with a patient, but your OVA is super low and you don't have enough profit margin there. We work with a lot of chiropractors to increase that OVA office visit, average dollar amount per visit. There. So I hope this was helpful. We'll be doing, uh, on some of these solo calls to finish up this year.

I'll be breaking down some of these other blocks that we have and try to help you out and growing your practice and not being busy and broke.

 EPISODE 444: Let's Retire Retirement with Derek Coburn

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Yeah. Hey Doc. Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I'm bringing an interview with Derek Coburn. I will describe him as an entrepreneur with a background in financial advising. Uh, but he is so much more than just financial advising and, and we do dive into a few different aspects of his entrepreneurial career today.

But we're gonna really focus on the information within his new book. Called Let's Retire Retirement. And I think this is very important for you listening to this on some of his ideas on what retirement should look like and how, uh, we've kind of fallen, uh, victim to maybe old school thinking on what retirement is, retirement age, how to retire, what to do before you're retiring, and we dive into some of that and it will ease some of your anxiety on retirement.

I know for me. Um, as a member of Strategic Coach, it's something that Dan Sullivan has talked about. Uh, but [00:01:00] Derek, in his book, really dives into the details of how to make that happen and what it looks like to make it happen. And, and, you know, I've, I've kind of followed, I would say like the last seven, eight years, where I was like, you know what?

I don't see myself retiring. Well, it's definitely not gonna be at 65. It's just gonna look different, uh, maybe at age. 65, 70, 75 than it does right now, uh, or in, you know, if you're even younger listening to that. And so I want you to kind of switch your perspective on what retirement may look like. Enjoy what you got going on now, and Derek is gonna help us with a little bit of a roadmap on that.

So without further ado, here's my interview with Derek Coburn.

All right, Derek, welcome to the show here. Excited to have you on the podcast to dis discuss a topic that's, uh, you know, near and dear to everyone's heart. Maybe not if you're, uh, 15 years old, but at least when you get into 25, you better start thinking about this and that is, uh, retirement. But you're gonna tell us how to, uh, unretire [00:02:00] retirement.

But before we do that, tell us a little about yourself personally and professionally.

Derek Coburn: Hey, Kevin, thanks for having me. I'm really excited to be here and, uh, look forward to chatting with you and sharing some wisdom for your audience. So, I, I've been a financial advisor for 27 years. I started in 1998, actually sold my practice in 2019.

And, um, pretty early on I began to question just the validity of this concept of retirement. You know, I, I. Saw people that were sacrificing their health, their happiness, their key relationships in the name for having a certain amount of money at a certain age so they could stop working and then do those things.

And um, and I was also seeing people who were retiring, looking around, realizing it, it wasn't what it was advertised to be. Um, they weren't happy. Um, they didn't have the relationships that they wanted to have. And a lot of those people are actually. Going back to work, there's this whole movement called the Unre Retirement Movement, [00:03:00] where, you know, one in five Americans over the age of 65 is still working.

And that's up from only just 10% in the mid 1980s. And, um, and I just, I've never really, it never made sense to me. And if most people have worked with a financial advisor before, when they meet with their advisor. The advisor doesn't say, do you want to retire? The advisor says, what age do you want to retire?

And if you're like most people, you hadn't given it a lot of thought, or you pick a number because you read about it in an article, or because the advisor says, let's pick 65 because that's what everyone else does, and you're on this train, this playing this money game at the, at the expense of, of other things that, uh, might be a little bit more important to you.

And so. I wanna help people realize that they're probably not gonna be happy sitting around doing nothing for 30 years, that they're probably gonna be engaged in some type of work. Doesn't have to be what they're doing now. Doesn't have to be as long the long, hard hours maybe that they're experiencing now.

But if you, if you start planning to have some income coming in later than what you're previously planning, [00:04:00] that means you don't have to save as much. And if you don't have to save as much right now, that means you have more money and more time that you get to spend on, on the people and things that are most important to you right now.

Dr. Kevin Christie: Yeah, I think it's, that's key. Um, have you read the book from Strength to Strength? I have not, yeah, a really good book. Uh, Arthur C. Rhodes, I believe. But he talks about how real quick, you know, in a person's life, they've got, uh, the one strength early on, which is a fluid intelligence. It talks a lot about why creatives are really creative in their twenties, tech startups in their twenties.

You have this blank canvas. You're able to do certain things, you have certain strengths at that age, and then as you get to the second half, uh, let's call it forties. Fifties, you have a different set strength, which is more like crystallized intelligence and a little more wisdom around it. And, and ultimately the essence of the book is, is realizing that there can be kind of a second act, right?

Yep. And I think what happens, at least in my mind when I read it, was I went ba, I'm 45 years old [00:05:00] now, so I'm in that second half of, of the, of the season here and barely. Yeah, just hit, hit hitting into it. Right. Uh, I still have some times for, for some adjustments, but uh, when I was reading, I was thinking to myself, I was like, when I was in my early thirties, I kept on thinking to myself, is it always gonna be like, like professionally?

Am I always gonna be doing this for another 50 years? And that was a little daunting. And what I liked about that book and kind of what you're saying is, is that it doesn't mean you have to be grinding. At 64 years old like you were grinding at 28 years old, right?

Derek Coburn: Yep. Totally, man. You know, there it was just revealed that, uh, Warren Buffet generated 95% of his net worth after the age of 65.

Then you throw in the fact that his replacement, who is coming in to take over Berkshire Hathaway is. 62 right now. And I think that you can make a really good argument that a lot of people are gonna be leaving a lot of money and a lot of wisdom on the table if they stop at that time. Mm-hmm. And I think that there's [00:06:00] gonna be plenty of paths for people that have skills, talents, wisdom, ability to, to find work that they want to do on their own terms.

You know, um, it, it, it might be kind of serving on a couple of boards. It might be jumping in as a consultant for another practice and working 10 hours a week and doing a six month contract. And then. Taking six months off. And I think that as long as you have gifts to share and wisdom to provide, there's gonna be a lot of ways for you to, um, exchange those things for income.

And again, I think that what that leads to right now is hopefully a little bit, a little bit of the pressure that is relieved for maybe someone feeling like they have to grind now at the expense of their health or other things, um, in order to, in order to get to this place where they're going to probably want to keep doing something anyways.

Dr. Kevin Christie: Yeah, I think that's what one of the big things I got outta your book was that pressure, anxiety around it. You know, I've, I've got a good friend. He does, he does well. We're the same age we graduated undergrad together. And, uh, you know, and from all accounts, I mean, he is in a [00:07:00] great situation for retirement except for the fact that.

He, he's in the corporate world. He's worried about his job future 'cause of all the things going on with corporate world. And he's put this like age 55 number for him. So we were 10 years from that. Right? Yeah. And, and then I would say him and I are in a similar, uh, financial situation with retirement, but I have not put that cap on myself.

So I don't have that pressure, anxiety where he has it. And it's just fascinating to see what that can, that can do to you.

Derek Coburn: Yeah, so I, I, I actually share a story in my book called A Tale of Two Tony's. Mm-hmm. And I say, Tony is this guy who's 45 years old and he makes $150,000 a year and he has $150,000 saved up for retirement.

And he meets with his advisor and tells the advisor that he's wants to stop working at 65. And, um, the advisor comes back and tells him that he's gonna have to save $2,400 a month. Mm-hmm. Every single month adjusted for inflation between now and then for [00:08:00] 20 years in order to stop working. And he's immediately feeling the pressure of that.

Like most people, like if you, if you do the math there, that's 20% of what he's making. That's a non-starter for most people. That means you're saving almost as much as you're spending. So he starts, you know, skipping family dinners, uh, canceling the vacations, not going to the gym, not sleeping as much because he's already behind.

The eight ball and, and doesn't know if I'll ever be able to catch up. So then I introduce a, an alternate reality similar to this movie that came out a long time ago called Sliding Doors with Gwyneth Paltrow. Mm-hmm. I'm not sure if you've seen it, but, uh, it's two timelines for this main character based on whether or not she catches a train and how her life will change if she does or she doesn't.

Mm-hmm. So in this alternate reality, I have Tony go home and talk with his wife, and his wife is saying like, Tony, I don't. Like, are you sure you're gonna wanna stop working at 65? I mean, you like what you do, you like the people you do it with. And even if you're not doing that, you've got all these other interests, all these other skills.

I can't imagine you're gonna sit around and do nothing for 30 years. So he calls the advisor back and says, let's [00:09:00] make it 75. I think I'm gonna go till 75. By extending his working years by 10, the amount that he has to save goes down from $2,400 a month. If he wants to stop at 65 to $110, if he wants to stop at 75, it goes down by 96%.

And even if Tony were to say like, I'll work. Five extra years, I'll go till I'm 70. The amount goes down to $600 a month. A 75% reduction compared to him work, him stopping at 65. And, and the reason for this, you know, it's, it's, I have him dying at 95 in both scenarios, but in the first example, he has 10 less years of working, 10 less years of being able to save 10 less years of that money compounding.

And then he needs an amount that's gonna last for 30 years. Mm-hmm. In the second scenario, 10 extra years of saving, 10 extra years of earning an income, 10 extra years of that money compounding. And then he only needs an amount that will last for, for 20 years. And so, um, hopefully people hearing this can kind of like.

Feel a little, a [00:10:00] little bit of relief knowing that if they're gonna work just maybe a little bit longer than what they were thinking, they don't have to feel the pressure to save as much as may as maybe what their plan was telling them now.

Dr. Kevin Christie: Yeah, I, I love that. And, you know, and it's, you can get so creative.

About that. And it's been interesting 'cause we were joking around before we recorded, 'cause I'm in Boca Raton, Florida. And, and uh, you asked if I was like the youngest person there and, and that's kind of, yeah, it's kind of true. But one of the benefits of, of, uh, treating so many patients that are in their seventies, and these are, a lot of people in Bo are very active.

They're affluent. Yep. But talking to them and, and, and having conversations with them and it's given me a lot of perspective. I was just having one. The other day. And I was like, oh, you know, what do you, he was, uh, he was like 68 years old and uh, I was like, oh, you know, what are you, you doing, uh, for work?

And so I was like, oh, I retired some years ago, but I didn't really retire. I just, you know, stopped the, the job I had before. He was also an investing in industry. He is like, and so now I spent about three hours a day, [00:11:00] uh, you know, four days a week, uh, doing some things on investing and consulting. So I don't really call it work, but I really enjoy it and I still get an income.

And I was like, you know, and, and that's the thing that's the key is like, it doesn't mean you're just. Playing golf five days a week. Like you, you could be working into your seventies, but it again, it doesn't look like it did when you were 35 years old. Right.

Derek Coburn: Totally. Man. Look, and I think that everybody can carve out their own path.

Right. But like the friend that you mentioned before mm-hmm. Who's on a, in a similar spot to you, but with a more aggressive timeline. I mean, what I would want to know. Is, you know, and you don't have to share this now, but like, what I would want to know, just, just, uh, uh, you know, generally speaking is like, what's his relationship like with his, with his spouse, if he's married, you know, what's his relationship like with his kids?

Is he, is he in good shape? Is he taking care of himself? Like I. I never had anybody really come into my office with their hand raised saying, I know I don't wanna retire. I would always introduce the idea to them and I would play along with them if they would answer something like [00:12:00] 65. And I would say, what do you want to do?

And they would look at each other and sometimes they would say, we want to travel the world together. I would say beautiful. When was the last time you two went out on a date? And a lot of times they would look at each other and just like, not have a good answer to that. Or I wanna spend a lot of time with my kids and grandkids.

Wonderful. Me too. Um, how often are you home for dinner right now and, and then to your point with, with like golf or tennis or pickleball or whatever it is people are doing, they want to do that five days a week. And so many of the people in their forties are not doing those things now. So it's like you wanna play golf?

Five days a week, 20 years from now, but you're not playing golf now and you're not in good shape and you just had your hip replaced. And so I, I'm not in favor of anybody just working harder and longer for the sake of working harder and longer. I'm in. What I'm preaching is let's just kind of spread it out a little bit and let's like take some of the things that you think you want to do a lot of when you're 20 and start doing those things now and, you know, knowing that you're gonna be having an income coming in later to kind of fund your ability to spend your time differently.[00:13:00]

Dr. Kevin Christie: Yeah, that's the thing is you're not advocating for just like wasting your money and not saving and, and doing all that and, you know, and, and buying things you can't afford. You're, you're advocating for like actually doing the things and enjoying it while you can and setting it up. And I, I did that like a two years ago, I believe it was.

I sat down, I said, I. Like, what would it look like if I was retired right now? What would I do? And I wrote down different things and then I answered the question like, why am I not doing those things now? Is it because it's not really important to me? Is there this some kind of preconceived notion that when you retire you gotta play golf three times a week?

Is it, uh, because I have young kids, like, and then I was like, okay, now. Let's see, when could I do those things? And I started implementing some of those things into my, into my life now. And it was definitely helpful to, uh, put that in perspective, like you said. Yeah. 'cause you have, how many kids do you have?

Two. Two boys. Five and three. So I still, I'm still in the, uh, ringer here.

Derek Coburn: Yeah. Yeah. You know, I think that like society just wants us to [00:14:00] work our hardest and earn most of our money in the years when our kids want us and need us the most. And there's, um. A really great, uh, blog written by. Uh, Tim Urban about 10 years ago, called how many more times?

And you know, he looks at, you know, for example, if you have a kid that goes when they leave to go off for college, you have already spent 93% of the time that you're gonna spend with them over the course of your life. Which is crazy to think about. You know, I, my kids are 15 and 12, so I've got three and five years left with each of them respectively.

You can also flip that around and look at your parents, like if your parents are not living in the same town as you and you're seeing your parents two or three times a year, and. They're 75 years old, you can kind of figure out like how many more times you're going to see them. And so I think for me, especially being a dad and, and, um, showing up as a father that, that, that's at like the top of my to-do list.

And I, I'll share a story. Uh, when my boys were 10 and seven, my wife and I had this nighttime routine [00:15:00] where we would alternate. Reading them a story, tucking them in bed, uh, laying in bed with with them while they fell asleep. And I found myself starting to like, wish it would hurry up. Like I'm thinking in my head, like, hurry up and fall asleep so I can go watch this show and hang out with my wife or respond to this email.

And then I called myself like, man, he's not gonna wanna do this for that much longer. He is 10. And so I should try to lean into this more. And the, the, the, the, the crazy idea that I had that sort of allowed me to really lean into it was I imagined. A company 20 years from now invented a time machine and they were offering me the opportunity to go back in time to have one nighttime snuggle, one nighttime routine with the 10-year-old version of my kid.

How much money would I pay for that? And I was like, I'd rather check for 50 grand without even thinking twice. And so, you know, here I was like, my future self would pay a lot of money to have this experience again. And I was taking it for granted. And even though we're not doing the nighttime snuggle routine anymore.

There's a lot of like $50,000 moments that I'm [00:16:00] prioritizing and solving for and really like knowing if my. If my big picture idea here is that we are gonna make money in the future longer than what we were thinking, and that frees up to spend more of our time differently now then I'm a, I'm applying that on a micro level with my kids where mm-hmm.

Now I'm probably working 20, 25 hours a week. I'm saying no to. To, you know, half the speaking offers that I get and other opportunities and, and my reason, the way I'm able to like, sort of justify that, it's almost like the six year from now version of me is sponsoring my current lifestyle. It's almost like it's writing me a check to lean into being a dad, lean into being a husband, lean into spending more time with my friends because I know once my youngest is gone.

I'm gonna be ready for like 50, 60 hour week weeks. Again, I'm gonna be ready for more speaking gigs and more contribution and um, just more value to share with, you know, with the world at large.

Dr. Kevin Christie: Yeah, and I think that's something that's a, that's a great perspective is a lot of people don't realize is there is gonna be that, you know, a lot for a lot of people, there was a phase of their career [00:17:00] where they were able to work hard without kids.

And there's a phase of your life where you are working and you have family and kids, and then there's another phase oftentimes where the kids are outta the house and you still got a lot of juice left and now you can go back. To, okay, we're gonna grind a little bit more now because the kids are outta the house and, you know, it's less, uh, less obligations, obviously.

Derek Coburn: Yeah, definitely.

Dr. Kevin Christie: Yeah. And then I wanted to switch gears just a little bit. You mentioned, uh, Tony, uh, living in 95, which I love. And, uh, what are some of your thoughts on the fact that there's a good chance our longevity is going to increase for a long period of time, and how that relates to both? Yeah. You should start considering working longer because, you know, dying at 65 like it was 75 years ago isn't the norm anymore.

That's a, it's basically like when you hear someone die at 65, you're like really sad. That's. Too young. Um, if that was a hundred years ago, it'd be like, yeah, he is 65 years old. That's old now we're like thinking, right? Like we're, we're getting into eighties, nineties, a hundred pretty often. How does that relate to working a little bit longer?

Because [00:18:00] we're also, uh, more vibrant at 70 years old than we were 50 years ago. And the fact that, like you mentioned and tying it in is, is you got more years of compounding, uh, if you live longer and you do it right. So what are some of your thoughts on longevity?

Derek Coburn: Yeah, so look, um, re retirement is a fairly new concept.

Retirement was invented in 1889 in Germany. The chancellor at that time, Otto von Bismarck, wanted to set up a plan to take care of his older citizens and selected the age of 70 because, quote, that was the age at which people were expected to live until unquote. Um, and then they reduced it finally to 65, a few years later.

You know, FDR used 65 as the age, uh, for social security. When he set up that plan in the, in 1935, life expectancy in 1935 was 61 life life expectancy in, in 1935, if you made it to 65 was more in the mid seventies. Right. And so. You know, if you retired in like 1950, you would get a third of your [00:19:00] income from Social Security, a third of your income from pension plans, which don't really exist anymore, and you only really needed to cover a third of your income for like five or six years.

And fast forward to today, life expectancy at birth from birth is about 78. If you make it to 65, it's likely that you're gonna get to 87 if you're a, you know, 86, 87 if you're a man. Uh, 88, 89 if you're a woman. And, uh, and look, I think people that have the means and the desire to lean into their health and wellbeing, it's gonna be, it's, it could potentially be a lot longer.

Like, I mean, people like, I'm, I'm using, you know, peptides at times and I get my blood work checked a couple times a year. And so I'm really trying to, to, to stay on top of it. But I think, I think also too, like the more you lean into living a full life along the way, the more likely it is that you're gonna keep going.

Um, the last thing I'll add to this is, you know, I have a chapter in my book called Meaning versus Happiness. Mm-hmm. And there was a study [00:20:00] done by a woman named Barbara f Fredrickson out of Chapel Hill, and she put people into two different groups. Group A were people who were solving for happiness. They woke up every day and their priority was, how do I make myself happy today?

And group two, they had purpose. They had a bigger reason for being here, aside from personal happiness, and they hooked everyone up to brain and heart monitors in the first group. Um, they had, their bodies had the same response that our bodies had when we were dealing with chronic adversity. So like the loss of a loved one or the loss of a job.

Their inflammation went through the roof, their immunity went down. They were more likely to get sick and get diseases and die. Whereas the group that had purpose that said, Hey, I'm waking up and. We're ready to see how I can contribute to make this world a better place. Uh, inflammation was lower, uh, immunity was up, and, uh, they were more likely to stick around.

So purpose will will not only keep, you know, your money lasting longer, but it'll also probably keep you healthier and happier longer as well.

Dr. Kevin Christie: Yeah. And that was kind of part of that book I mentioned earlier, from strength to strength. He talked about where, [00:21:00] uh, a lot of people that had purpose were able to bridge that chasm from the, you know, the first half of the life of the second without falling into that midlife crisis that we, we often, uh, hear about.

And so that, yep, that makes a lot of sense. Now I just want to kind of last topic. Um. I'm sure you oftentimes either are talking with the younger generations or maybe the parents of the younger generations, you know, kind of looking ahead and, and envisioning the next generation, whether it's Gen Z or Gen Alpha.

I, I forget which ones they are now. Uh, but how are they approaching retirement differently or what are some of your thoughts for them?

Derek Coburn: You know, I think that you have a lot of people, like in their thirties, that have subscribed to this, this, it's called the fire movement. Are you familiar with that?

Dr. Kevin Christie: Yeah.

Yes. Yeah.

Derek Coburn: Financial independence retire early and there's different variations of it. But the premise, which is, which is kind of sad for me, is that like the buy-in is that you're supposed to. To, to not enjoy doing whatever you do so much that you need to figure out a way to stop doing it as soon as possible, which I think is a terrible way to approach sort of living.

And like, you got a lot of these [00:22:00] people that are, they're like making their own coffee and they're sharing, you know, apartments with like a bunch of people in the name of being able to, to, to, to get out. And I don't think that's, I, I would rather, I don't know, everybody needs to find like. Their job has to be like their calling and their reason for being here.

Like I changed the language in my book from its first pass away from things like find a job. You love to find a job you don't hate, find a job that doesn't suck your soul. Find a job that, that you enjoy enough, but it, it frees you up to spend your time and your energy on a lot of other things that you enjoy.

Yeah. You know, I think would be a great place for a lot of people to land. I would say that if there's anybody that maybe should not pay attention to the advice in my book, it's people in their twenties because look, I feel like. The majority of all the amazing stuff that I have in my life. Mm-hmm.

Including the flexibility and the freedom that I have to, to kind of live the way I wanna live is, is a direct result of me working 70, 80 hours a week when I was in my twenties and just kind of getting in those reps and earning some money and grinding away. And [00:23:00] so, um. So I think, you know, I, I could, I could be wrong about that, but I think for me it ended up, it ended up being quite the catalyst.

Dr. Kevin Christie: Yeah. I think that's when you gotta do it, you know, and it obviously be wise to, to start a, some kind of, uh, investment fund at an early age and let that, that compound that would be, uh, very helpful for sure. Yeah. Are you. Are you familiar with Cal Newport's work? He's, he, he's not too far from where you're at.

Yeah, he has that whole thing. I think he's writing a book on the deep life, but one of the things that makes a deep, deep life and what he talks about is your craft. Right? And I think your, to your point about the. I think the problem with the fire movement is that they are removing their craft, right?

Yeah. And you get a lot of purpose and meaning out of mastering a craft professionally and, and really pursuing that. And, and once you've removed that, you, you, and that's why I think retiring early for a lot of people, becomes a real big problem. They've, they've taken away their purpose and meaning.

Derek Coburn: Yeah.

You know, I just, I just like, I'm talking like within the [00:24:00] past couple of months have finally started to appreciate some of the wisdom that I have. I'm like, oh, wow, I've been, mm-hmm. I've been a, I was a financial advisor for 27 years. You know, I've been, I've been with my lady for over 20 years. I, I've been a dad for a while.

There are, there are there, I've gotten a lot of reps in a lot of different areas that I think that, you know, maybe my confidence when I was younger wasn't as rooted in, uh, tangible things to be confident about. Whereas now it's a little bit more quiet and I'm just really excited to sort of see. Where I can lead people, how I can help people.

You know, I think the last chapter of my book is called Investing in You, and it talks about like now, now that maybe I've helped you realize you're gonna work longer and you've got a little bit more flexibility. How can you spend your money differently? How can you invest in yourself? And I think there's a lot of.

Entrepreneurs, a lot of practice owners, a lot of, um, you know, business owners who feel like they, they, that they can [00:25:00] sleep less and not go to the gym and not invest in their relationship and not have fun. Uh, because they need to make money. And what the data shows us is that, you know, if we actually take a step back and we, and we take a little bit better care of ourselves, um, that even though we might be at the office less, quote unquote.

Um, we, we might make more money because we might be thinking more clearly. Our, our creative juices might be flowing a little bit more. And I, I think that like ultimately the best person for any of us to be getting advice from is the, is the highest and best version of ourselves. The one that, that isn't sleep deprive, deprived.

The one that, that isn't stressed about relationships or that hasn't processed stuff that happened to them when they were younger. And a lot of people are just not qualified to be making these. Big picture choices, whereas if you start giving yourself the space to reconnect with friends and allow yourself to have a little bit of fun and, and take your spouse out on more dates, I think that version of you showing up in the business is capable of doing like, like [00:26:00] significantly more good than and make more money than maybe the version that's showing up right now.

Dr. Kevin Christie: Yeah. I, I agree a hundred percent. I think one of the. Hard parts for the younger, uh, I'll just say for our audience, the younger chiropractors, younger doctors listening is, is being able to project later on like 10, 15, 20 years down the road in the skill sets that you'll have then that you may not have now, and the capabilities.

And there's just that unease of like, am I gonna make it? You know, and, and it's, uh, it's, yeah, it's tricky for them, but if they do all the right things and put in the right work, it's going, it's going to happen. And like you said, take care of yourself. Yep. So this has been great. I wanna also just, uh, little before we talk about the, the book and how they can get it, uh, talk about cadre a little bit because that was a cool, entrepreneurial, um, endeavor you took on that really blew up.

Tell our audience about that.

Derek Coburn: Thanks for that. Um, so my wife and I started Cadre in 2011, so we're about to hit our 15th year. And, uh, we [00:27:00] essentially started off just exclusively based in the DC area. Um, finding ways to provide access to great content and great connections for CEOs, entrepreneurs and, and business leaders.

And we ran that for a while. We had. 78 members going into COVID. All but three were in DC and we started doing virtual programming where we brought in members from all over the country. And we did a good job with that for a little while, and we started like branching off and having conversations around life and struggle and challenges that people were feeling in that particular season of life.

And what's interesting is we just kind of completely revamped it. You know, we cut our membership by about 50%. We're going back to the business side of things. I think the pendulum swung a little bit too far away from, from that. And I'm a, you know, no, everyone's heard. You're the average of the five people that you spend the most time with.

And I think that that for me, and for some people I know sometimes we're a little bit slow to sort of like, uh, put that into practice. We're hanging out with people [00:28:00] and then all of a sudden, like when my book came out. Um, I, and, and all that I'm doing around the book, I'm feeling this fire burning inside me again and I said, look, I wanna, I wanna reboot the energy of Cadre and we want to get back to focusing on business leaders and entrepreneurs who, who, who are, who want to do really big things, you know?

And, and look, I've got a lot of friends who. Who, like they're solving for ease. They sold their company or they're going through a season right now where they need to, to just kind of take it easy. And I'm, and I love them and I'm happy for them, but that's a different energy showing up than the energy of, um, you know, hey, I wanna, I wanna really kind of level up my impact, my work, you know, my bottom line.

And that's, and that's kind of where we're at right now. So I'm, even though we're in our 15th year and we kind of changed a lot over the years, I'm, I'm, I'm as excited about it right now as I've ever been.

Dr. Kevin Christie: I love it, man. Yeah, it's great. And then, um, tell us a little bit about the book. Uh, I mean, obviously a lot of what we talked about today is in the book, but, uh, who's it for?

What's it called? Where can they get it? I, I just want to [00:29:00] be able to get that information to them and we'll make sure we put it in the show notes.

Derek Coburn: Yeah. So, so far I'm, I'm, I'm really excited. I, I hit the us I did a bestseller list. I've got about, I've got over 175, almost all five star reviews on Amazon.

I'm hearing from a lot of people telling me how it's. Changing their lives, which is amazing. And I'm really in this game for the long haul. I mean, I got to write a book. I started off in 2017 writing the book, and I was going to write the book as a business card to attract more of my ideal financial planning client.

And then I sold my practice in 2019. And just didn't touch the book for like 3, 4, 5 years. And um, when I revisited to go back up, I said, now I've got some money in the bank. Uh, I'm not really looking to grow my wealth management practice. I can write a book that I think is gonna help a much broader audience.

And so, mm-hmm. There are unfortunately probably like 40 to 50% of people in this country that are not saving anything at all for retirement. And yeah. Those people need to read a different book for different reasons. Um, the people that I'm trying [00:30:00] to reach are the people that have bought into this game.

They probably haven't given a lot of thought to it. And, uh, I feel like I'm in like the regret minimization game right now. Like I really, I want to reach people in their thirties, forties, and fifties, stop 'em in their tracks, get 'em to think about this, help 'em realize that they're probably gonna work longer than what they're thinking, so that when they get there, um, not only will they have the money that they need, but they'll have the relationships and the health and all the other things that they might have otherwise put off had they not come across.

You know, some of my thoughts on this.

Dr. Kevin Christie: Yeah, I love it. It's, it's such a needed thing and uh, it's great information and I think it gives a roadmap of what an alternative path is that's not like wild and crazy. This is like, how about we focus on the present and enjoy our life now, and, uh, also realize that we can work under our own terms later on.

Like you're, I mean, you're obviously fortunate enough right now where you're working under your terms, which is just an amazing place to be.

Derek Coburn: Yeah, and I think too, like having the multiple businesses going side by side, [00:31:00] you know, has, has always allowed me to really stick to my guns in terms of who's a good fit.

Like we've been able to curate cadre in a way to, to, to. End up with like really incredible people, mainly because like my wealth management practice has always paid my bills. I didn't need anyone's $500 a month from cadre to fund my kids' college education plan. And so, um, you know, that's, that's, that's, uh, that, that's been a big, a big thing for me too.

And, and even though I've got a couple businesses, I really enjoy and love all the people that I'm supporting.

Dr. Kevin Christie: Love it. Derek, this has been great. I really appreciate your wisdom on it. And uh, again, we'll make sure we put the information in the show notes for the book. It's a, it's a great read and I think it's gonna help a lot of, uh, chiropractors and obviously people in general.

So after you, after the chiropractors listening to this, buy it and read it. Send it to your colleagues and buddies that need to read it as well. 'cause it's, uh, it's, it's a great word and it needs to be spread often.

Derek Coburn: Did I say the, did I say the title? It's Let's Retire [00:32:00] Retirement. Um, how, how to Enjoy Life to the Fullest Now and Later.

And, um, folks, go to my website, derek coburn.com. I'm not selling anything, but I've got like A-A-A-P-D-F workbook that you can download, uh, to help you get more out of the book and sign up for my email. I've written a lot of articles and then continuing to write as add-ons to the book. It's funny, like I.

I turned in the manuscript and started getting all these new ideas and at first I was really mad about not getting those ideas before I hit submit. But, um, but they just keep coming, so I'm gonna keep adding to it and, uh, would love to kind of connect with, uh, as many of you as possible. Sounds great.

Thanks Kevin.

 EPISODE 445: Capacity Block Breakthrough: Time

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. Today we have a solo episode and we're gonna go through, uh, the tool that we went through, uh, on a previous episode a couple weeks ago, and that is gonna be the capacity block breakthrough. Uh, this time we're gonna focus on time and a lot of times.

You have a block with your time and you have that crutch of, I don't have enough time to do X, Y, and Z. And so we're gonna dive into that, uh, today. But before we do, just to make mention in a couple weeks on November 1st, Monday, uh, look out for emails and some posts. We are going to launch our next online course, and this is gonna be titled the.

Cash Confident Chiropractor. Last year we did an online course and it was a huge success. A lot of attendees, a lot of great results, a lot of great feedback. That was on the 30 KA month course where a. We talked about the importance of getting the 30 K [00:01:00] revenue a month. Not that you only wanna stay there, but getting there and what that does as an unlock for your practice.

And we helped you with a strategy to achieve that. And so now what our goal is, is to really turn you into a very seasoned financial. Strategist for your practice, not for anybody else, but I really want you to leave this six week online course, really understanding finances and practice finances and even how it bleeds into your personal life.

And this time around, I'm bringing in a couple experts. I'm bringing in, uh, Dr. Holly Tucker from the Profit First Model. To dive in, uh, and do a lesson. I'm bringing in Christine Odel to bring in a lesson on cash flow and how to predict cash flow and strategies around cash flow. You know, with money, there's a lot of complication, right?

There's a difference between profit and profit margin. Uh, cash flow. You could have a year. We have good profit, but, uh, three bumps in a road. The year where cash [00:02:00] flow's bad, maybe you don't have proper liquidity. Maybe your forecasting's off, maybe your business is doing good, but your personal life is getting outta control financially.

Or maybe your personal life is pretty good, but your business is not, or maybe the business is not doing well, so it's bleeding in your personal life. We're gonna tackle all those things in a six week course, so look out for that. We're gonna make it very reasonable. Investment for you. I want you to have this information.

You can keep it forever, revisit it and just look out for that. We will launch an early bird, uh, for on November 1st. If you did take our 30 K course last year, you will also get a, a little bit more of a discount than even more than the early bird. So. Look out for that. Alright, time. Uh, you know, as Pink Floyd once wrote in their, uh, their song called Time, uh, ticking Away the moments that make up a dull day, you fritter and waste the hours in an offhand way kicking around on a piece of ground in your [00:03:00] hometown.

Waiting for someone or something to show you the way. Uh, you know, it's very apropos and I think oftentimes chiropractors are waiting for someone to show them the way. Of time management or how to effectively utilize the time. And yeah, we, none of us have enough time. Uh, a lot of us have different stage.

We're in different stages of life. We're young kids or, uh, just open up a practice, you know, there's just a, a lot of variations, so I get it. So I'm not gonna sit here today. And preach to you, uh, that you should have more time and your life isn't busy. Uh, I'm not gonna do that, but we're gonna talk about time and when we have a client that we are working with where time is an issue, but they are open-minded about improving their time.

And obviously a lot of times it's priorities, right? We always talk about time management. And that's fine, but oftentimes it's priority [00:04:00] management and getting that straight, and then sometimes it's, it's diving deep into why maybe you have that block in time. And so again, the capacity block breakthrough, we, we write down what our block is.

We've. We've written out a handful. Uh, could be support team members. You don't have, uh, you have a block there. Maybe you have a block in clinical duplication, like you're, you don't have, you need an associate maybe a, a, a block in space. You don't have enough space. Could be equipment marketing mindset, time.

Profit and cash delegation, right? So there's a, a lot, and when we did this on the previous episode, we talked about really that, that block, that capacity block where you're, you, you're just clinically, you, you can't see more patients in a timely manner and, and you're, uh, you're just your schedule. Just booked, but you need to grow.

[00:05:00] Right? And so we taught, we tackled that today we're tackling time. And what we do is we, from there, we set an i a a date of ideal completion. Doesn't have to be exact, but we do that. And then we go and we, we look at like, are there any of the following that I just, or, or the, the ones I just mentioned, all the different blocks.

Are any of those actually causing the block you think you have? Right? So if we, if we have a time block. We gotta dig in deeper and say, okay, um, why do I have a time block? And I'm gonna go through five today of the ones I just kind of listed. And it could be some of these. And this is where we, if we narrow down that one big domino, then we can help you tackle that from a coaching perspective.

But, uh, maybe the first one is you don't have. Enough support team members, right? Maybe you're doing particular things in your business, your practice that frankly you shouldn't be doing, right? It's the, it's the, you know, like [00:06:00] Gina Wickman in his book Shine talks about the $20 an hour tasks. And again, there's nothing.

Wrong with $20 hour tasks, but as a business owner and, and frankly as a doctor, right, like you gotta be treating patients, that's a, that's a three, four, $500 an hour task. And so there's nothing wrong with, uh, it, it might not even be $20 in March, probably $30 an hour task with, with inflation. Um, you, you, you, maybe you're just lacking a team member there, or a half a team member, so a part-timer that could get things off your plate and free you up to have some time.

So is that an issue? And, and as you're listening to this, maybe you start thinking about that, like, do you need support team member Number two is, uh, going back to that clinical duplication, right? Maybe an associate. If maybe you had an associate, um, you could now take Tuesdays off, right? And, and now you have Tuesday completely off and that gives, that gives you, uh, [00:07:00] a space for time to do whatever it is.

Maybe, maybe you're not doing enough marketing in your practice or community outreach 'cause you don't have enough time. Maybe you're not creating enough video content or anything because you don't have enough time. Maybe you're not working out because you don't have enough time. Right. Maybe you're not spending enough time with your kids 'cause you don't have enough time.

So if you had Tuesday off, 'cause you had, you had the ability to get another doctor in there, uh, that time could be used for some of those things that you feel like are missing from your professional or your personal life, right? So, uh, do we need an associate? Uh, number three is mindset. Again, I think this becomes a priority thing, right?

Um, are you willing to, you know, maybe you're like, I'm an early bird, right? And so. Uh, when I had to jump back into care, uh, I was out of, uh, patient care in 2022, middle of 22 to the middle of 23. Uh, had all the time in the world to, to focus on the two businesses that I own and run. Um, and then I had, uh, I had [00:08:00] doctor leave and move and I had to.

Jump back into full-time care. And so I got up at 5:00 AM for about two years straight and worked from five to 6:15 AM uh, to get MCM stuff done. And I'm an early bird, so that wasn't so bad, wasn't ideal, but I did it and it was a priority. And then from six 15 to seven 30, I spent time with the kids in the morning and then I got showered ready for work, came treat patients.

Maybe you're a night owl and, and so maybe the kids go to bed. And from nine to 10 you can get particular work done for your business, right? So, uh, you know, shifting your mindset of priorities that are actually gonna move the needle for yourself professionally and personally. You gotta get clear on that.

And, uh, one of the first mindsets is being open to being challenged on the fact that you. Are saying you have lack of time. Okay. And so sometimes we have to dive into the mindset of it. And sometimes it's just a season of life, right? Like I knew the [00:09:00] 5:00 AM thing was for a couple years. I knew it wasn't forever.

And so sometimes when you realize like, yeah, I gotta grind right now, uh, or you're in your late twenties and you're, uh, and you don't have kids like you gotta be, that's when you're grinding, that's when you're spending a lot more time. Maybe that's 60 hours a week working, uh, but you know, in your mid thirties, late.

Thirties, mid forties, whatever, when the kids are there and things like that. Maybe you're not because you've got that, that career capital that Cal Newport would say is that you've put in the investment earlier and now you're getting the return on that career capital. Okay, so the mindset is a block.

Sometimes people have for time. Uh, the fourth one is going back. This one's always a block for some people is profit and cash. Now it's not always like, I've got people we coach where they've got the profit and the cash, uh, and, and they don't have the time. And it's a mindset thing where it's like, oh, I don't want to hire the doctor for this, that, and the other reason, or.[00:10:00]

Um, you're, you, you're just mired in busy work and not the work that's really effective or you don't wanna add more payroll even though you do have room for payroll or you don't understand if you have room for payroll or not. So you're, you're, you're concerned about adding that support team member. And so there are some of you that don't have a profit in cash issue and it's the other ones only.

Now there's obviously some where you're saying to me as you listen to this, well, you go, well, yeah, I'd love to hire. An associate and take Tuesdays off, but I can't afford it. It's like, all right, we gotta get you to be afford, we gotta be, be able to afford that. That's where we gotta increase revenue. We gotta get new patients in there, we gotta get improved patient adherence.

We have to, um, really increase that revenue. Or maybe we gotta sign up for the Cash Confident Chiropractor course we're gonna do. So you understand. Finances and have a plan to attack it to, to even understand when and how you can afford an associate. And that's some of the stuff we'll talk about in that course.

So, uh, profit and cash as we dig in. Can definitely [00:11:00] be the big block where it's like, yeah, um, I would hire a support team member and or an associate, but I don't have the money for it. And so that's a reality. Uh, next is, lastly is delegation, right? Some of you have the support team members or someone you have, you have someone virtually, uh, you've got that you just haven't wrapped your mind around.

The delegation and strategic delegation and enrolling people and helping you move the ball forward. And like Strategic Coach talks about, you might be that rugged individualist and some of you are like you, you kind of, you, you. You, uh, raise your flag on the fact that you're a lone wolf and you've got super low overhead and like, I'm always gonna be a lone wolf.

And it's literally just you and you're doing everything. And, and that's fine. I did that for a stretch until I could afford someone. But you don't have a vision of getting out of that. 'cause you're, you actually look at it as a positive. Uh, it's fine if you're a lone wolf [00:12:00] right now, but you're just working towards hiring someone.

We've got clients that we're helping with that. But delegation is like, uh, you gotta get things off your plate to free you up, right? And, and it's huge. And then from there, you like, I would, those are like the five blocks we see. Um, you know, I would say. We have a whole kind of time priority management system that we, we teach our chiropractors and a lot of times it's, it's under the mindset thing of just like they gotta wrap their, their mind around it.

And once we go over it, it makes sense to them. Right? Like certain things, you know, like I get ahead of my calendar. Uh, three weeks in advance. And I even put things on there like my workouts and all, all the, all the things, right? It's so, I, my calendar looks crazy, but it's actually by having, um, guardrails there, it does free me up.

'cause I, I'll block out, uh, like this morning I blocked out from. Uh, 7:20 AM to 9:00 AM uh, just free time. And I went for a [00:13:00] walk and thought and things like that. Uh, so you, you would even put in that, or maybe it's deep work blocks where it's like, I need two hours of deep work on something. You put that on the schedule.

So we really try to get you, um, committed on your calendar to do that. And that's one of the strategies we have around. Helping you improve your time slash priority, uh, management. And it's been, uh, very eye-opening for many, very helpful for others. And you just gotta get a grasp of the time, like you, you, if you own your practice.

You need to be spending, you know, four to six hours a week working on your business, whether that's coaching calls, implementing that community outreach, marketing, uh, financial planning team, training with your team. I mean, you gotta be working on the, on the business if you're doing, if you're. Currently, uh, not the practice owner, but your doctor.

You know, you need to be working on the business by getting out and building your own patient base and meeting with people and [00:14:00] connecting and shooting videos and maybe it's learning, uh, business and marketing and stuff like that. So you gotta carve out the time to do this once you signed up. To be a business owner, or you're wanting to be a business owner at some point you've signed up to work on your business too and get better at that and carve out the time to be able to do it.

So time is a reality for everybody. Everybody's in a different stage of life. There are strategies to improve it. It's never perfect. It's a fluid situation. Sometimes it feels good, sometimes it doesn't. There's seasons of. The year in the life where you have more time than others and just appreciate that and have some flexibility around it and you can improve it.

So that is the capacity block breakthrough, and we broke down time on this one, so work on that. If you need help with it, check out our website, modern chiropractic marketing.com. We have coaching options for you to help you improve your [00:15:00] practice.

 EPISODE 446: Radial vs Focus Shockwave; EMTT Details with Nick Murphy DC

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. In this episode, I am interviewing Dr. Nick Murphy, and we're gonna dive into the details of. Radio shockwave versus focus shockwave, also EMTT. We're gonna talk about, uh, the different types of machine, like stores and, and get into the, the details of, we get this question a lot.

Should I have radio? Should I have focus? What is EMTT? What's going on with the technologies? Which one should I get? Should I invest in this? And we're gonna dive into a lot of that, this, you know, this podcast is a practice growth podcast. Uh, we, we want you to be the best chiropractor you can be, whether it's clinically or financially, or marketing and just, you know, just overall.

And so we do have clinical episodes, as you know, and this is one of them. Uh, probably in the near future. We'll also have some on, you know, laser therapy and things like that and tie in. Always we start with patient outcomes. Uh, [00:01:00] we really. We always put that as the forefront. And then from there, once you've done that and you're saying, you know, I, I'm, I'm patient outcomes first, then it's okay to be, you know what, I gotta run a business here.

I gotta do well for myself. I deserve a professional living. I wanna be able to hire people. I need revenue to be at a certain level. I need profit to be at a certain level. That's okay. Be when you put the car before the horse and all you care about is money and you don't care about patient outcomes, that's where it becomes an issue.

And so we always are putting that patient outcomes first and then going from there. That's why I'm probably not gonna ever have certain techniques and, uh, services or equipment that I don't think really has great patient outcomes. I'm a believer in shockwave. I'm learning about EMTT. Our, our goal today is for you to have an understanding of that.

And, and be able to start the conversation if it makes sense for your practice. And, and with Dr. Nick Murphy, uh, he's [00:02:00] got all three, so he was a perfect candidate to have this conversation with and how he's implemented them in the practice. And then kind of break down each one for you. So without further ado, here's my interview with Dr.

Nick Murphy.

All right. Excited to have Dr. Nick Murphy on the phone here, and we're going to. Uh, dive into all things kind of, uh, stores. Shockwave, radial focus, EMTT really break down some of that. There's been a lot of questions, and obviously over the last, I feel like the last couple years, shockwave as a, as a term, has been heard a lot by providers, by patients.

We're getting referrals from orthopedists now. It's, it's been a, a good time to have a shockwave, at least where I'm at. But before we dive into all that details, Nick, uh, tell us a little about yourself professionally and where you're at. Yeah. Uh, thanks Kevin. It's a pleasure to be here with you and, um, discussing Shockwave BMTT and all the benefits that come from it.

Dr. Nick Murphy: Um, I am located in [00:03:00] Austin, Texas. My practice is Pure Relief Pain Solutions. Uh, I've been open since 2018 and been doing shockwave treatment since 21. Um, and that is with the radial focused and EMTT all. I've had all of those for that length of time. I opened my second practice in Round Rock, Texas, um, may of last year.

So it's been a little over a year in operation. Perfect. So you, uh, do both locations have all three? Yes. Nice. So you, you came outta the gates in 2021 with getting all three of them? Uh, actually I started with just radial. Um, I did that for about a month or two, and then I recognized how effective the radial technology was, and for me, I want to complete the picture.

And so, um, from talking with different doctors and, um, the reps of the companies, I [00:04:00] decided that, um, moving on with stores and. Offering the, you know, focused and the EMTT would complete my offering of, uh, shockwave therapy into having the most effective, um, combination of shockwave therapy that we know of today.

Yeah. And then, uh, how soon after that did you offer the EMTT? Um, pretty much directly. Um, you know, I ordered the focused machine and the EMTT at the same time, um, and we. Originally we're using EMTT as kind of like a additional treatment for all, you know, for everyone that came in and had shockwave treatment.

They ended the treatment with EMTT. Um, now as I have, you know, learned more about what I'm doing with the machines. Mm-hmm. Uh, I've refined that a lot more. But, um, in the beginning, you know, it was kind of like, shoot, first, ask questions later, so to speak. Yeah. Love it. Love it. And, uh, give us a little bit of more [00:05:00] of a picture of, of your clinic, aside from these technologies, what are some of the other things you're doing in the, in the practice?

Dr. Kevin Christie: What are some of your, what's your patient population? Things like that. Yeah. So, uh, originally, you know, from 2018 until 21, I was just straight chiropractic. Mm-hmm. Uh, I went to school at Sherman, and so I was kind of indoctrinated into straight chiropractic, which I'm thankful for, uh, because at the heart of it, I learned how to be a great adjuster.

Dr. Nick Murphy: Yeah. And I, I do think that in, uh, for chiropractors having that skill. From the beginning, you know, to build off of is a great basis for going in and doing, um, additional modalities. Mm-hmm. Um, so you know that that was the first few years and then after, after that, the first modality I brought in was the, the radial shock wave.

Mm-hmm. Uh, and now we have, you know, radial shockwave, uh, focused and EMTT along with, uh, spinal decompression [00:06:00] and, um. Laser treatment as well. Class four laser with the, uh, Summas Horizon. Perfect. All right. Great. So, um. You mentioned stores. Tell us a little bit about that. Why you, why you feel like that's kind of the, the technology to go with and how, I guess I, I guess I'll give a little bit of a, um, context for the audience too.

Dr. Kevin Christie: 'cause there's gonna be the technology and that's the stores. Uh, and then there's obviously gonna be, um. Different types of stores, your radial focus, those, and we'll dive into that here coming up. And then there's obviously, uh, companies that distribute stores. Um, and then, you know, outside of that, there's a lot of, you can go to China, which I don't necessarily recommend.

Um, there's a lot of things out there, but, but just, uh, why is stores the technology to have? Well, I looked into a couple of different technologies. Um, the soft wave was [00:07:00] one of them. The Pizo wave was another. Mm-hmm. And I settled with stores mainly because, um, I liked the, the depth of penetration and the ability to control, um, the strength of the.

Dr. Nick Murphy: Of the treatment. Yep. Um, and I also just trusted the people that I had talked to the most that were representing stores. Mm-hmm. And for me, trust is a big thing and I knew that they stood behind their product and I knew that they would be a resource for me in terms of learning the best ways to use the technology.

Dr. Kevin Christie: Yep. Um. Quite honestly, I'm, I'm a pretty loyal type person, so after I had, you know, purchased the units, I'm just gonna stick with that one because I already know how to use those in the best way. And I had, um, success with the, um, durability of the machines. Mm-hmm. And in terms of [00:08:00] maintenance, I found them to be, um, you know, very low.

Dr. Nick Murphy: You know, maintenance cost, uh, monetarily as well as time-wise. Yeah. And, and that's a, a key thing. So you mentioned Soft Wave, and that's got such a, I mean, they all have got a price tag to it, but it's, there's value, but the soft wave's got a, a very substantial initial price tag to it. But then one of the things that if you're not careful, if you don't understand, is the maintenance.

Dr. Kevin Christie: Cost of the soft wave will buckle your knees sometimes too, once you find out what that is with, with that particular, um, you know, uh, technology. So I, I agree with you on that for sure. And I think the other thing I wanna make mention, the way I look at this in my experience, so a little bit of full disclosure, is we've, we've had radial shockwave to date for a year and a half, uh, stores through Ken Medical.

Um, I do work, do some work with them. Obviously they're sponsor of this. This podcast as well. So [00:09:00] full disclosure on that. Uh, but what I've found with talking to a, a lot of providers now, uh, we have a lot of our coaching clients, our mastermind members. Is that, you gotta look at it from three ways. I think there's, there's the technology, right?

There's, there's the stores and the different things. There's, so there's the machine, the technology, then there's the company, right? Like what, how, how trustworthy is the company? How responsive are they? How supportive are they in marketing and promoting it? And, and just even like the. Training the team, help, helping you with ideas on patient communication, like all the things.

So there's the company and then there's the doctor, right? This isn't a particular, uh, technology or treatment where you can just buy it and then have, have a ca do it without training them. You can have a ca do it, uh, that's fine. But you, there, there's a, there's a skill to, to doing this. Uh, and I think what I'm seeing is because more people are hearing about.[00:10:00]

Shockwave, uh, they're just kind of getting it, but they're miss they're, they're missing either one or two of the, or sometimes all three of those components. I just message, uh, mentioned is, is that accurate? Absolutely. Um. The price was not the biggest issue for me in terms of the decision making. Of course, it goes into the decision.

Dr. Nick Murphy: Um, I didn't, I didn't entirely know what I was getting into when I first started shockwave, but, uh. I am a hundred percent agreeing with you that it does take skill to provide the service. It's almost similar to chiropractic in terms of there is a technique with every person that does it in its individual, um, technique.

Dr. Kevin Christie: Mm-hmm. Uh, you can teach how you do it or you know, the general guidelines or protocols. But ultimately the way that you hold the wand, how much pressure that you apply into the, [00:11:00] into the, uh, treatment area with the wand, um, how you angle it, uh, the strength and the frequency that you're using, all of those things come into play with the, um, individual technique.

Dr. Nick Murphy: And as you go on, so say you start with the, the education of how to perform the protocols. Mm-hmm. Every person that does shockwave is going to adapt that into how they provide the, the treatment to the patient. Um, so yeah, I find there to be a lot of skill level, uh, for the individuals performing it. And, uh, in my offices.

Um, I started doing all the shockwave treatments. So when we first, uh, received the technology, I did every treatment that came in for shockwave for approximately. A year and a half. Mm-hmm. Um, at that point I felt fairly comfortable that I understood everything to a, to a point where I can teach it to other people.

Mm-hmm. Um, [00:12:00] I hired a ca to take over doing treatments and took her to a um, seminar, which was held by Kenis in Atlanta, Georgia. And, um, she had been working through my guidance for roughly three months before that. Yeah. Uh, which I would highly encourage any doctor out there listening to first teach them yourself and then take them to the conference.

Um, her ability after we came back from the conference was probably fourfold. Um, she was incredible after that. So I really found it to be a, um, great investment, especially for someone that, um, is going to be with you, right? I mean, it's hard to invest that much for someone that may be short term, but this individual, um, ended up going to chiropractic school and she's there currently.

Dr. Kevin Christie: Yeah, no, I love it. And a little, uh, little correction on there. And I, 'cause I, my doctor went as well and we've had a lot of our mastermind members go, um, probably [00:13:00] the Academy of Shockwave Excellence in Atlanta, right. For the. For the teaching? Yes. Yeah, they're, they're great. And, uh, David Rudnick is someone I had on our podcast and Ben Fergus also on the podcast and they teach for, for the academy there.

And they just do a great job of getting you comf confident because obviously just like anything, you know, the, the confident chiropractor, um, is not afraid to make the appropriate recommendations. And then obviously we'll get the patient outcomes 'cause everything. We try at MCM, whether it's, you know, the podcast or, or coaching, everything's patient centered, but then we, you know, we also realize there is a, a business around this, but as, as long as we put the patient first, we can then say, that's our table stakes.

Now we can talk about, yeah, there is a business side of this as well. Uh, and when we've found that doctors have gone and actually learned how to do this, now you're applying. Really skilled, uh, application to a great technology. You're getting the results. And then when you get the [00:14:00] results, it's easy to sell.

It's easy to get the ROI like, it just, it kind of flows from there. And I want to, I want to talk about money a little bit without going into the details of it, but I, you know, I'm not here, I'm not a, I'm not a financial expert. I'm not a, an accountant. I'm not Dave Ramsey. I don't know. What people, and it's not my business of what people's, uh, uh, advers or like, maybe they're, they're a little adverse to taking on debt or like getting an equipment loan, but I could just say like, there is financing out there.

So if you look at the ticket price and you can't afford X amount for it, uh, it is still within reason. It is reasonable. There is good financing out there. And if you can, if I could tell you like. You know, I think our payment was like 400 a month for the radial, and we've been doing like. You know, seven to 13,000 a month in shockwave sales since we've got it.

Like this is just a no brainer. And then if you, if you are debt adverse and you don't like to take out equipment loan, then [00:15:00] the money you're making off it just pay off the thing sooner. Right. Um, and, and I just, I always get concerned when someone is. Really, like let's say they fully believe in what Shockwave does, whatever unit you want to get, really you're all in on it, but then you're just, I don't have the cash laying around to buy it and then you just don't do it and you delay it and delay and delay it and you're now delaying potentially results and you're delaying practice growth.

So I just wanted to put that out there. I know that was a long ramble, right Nick? No, I don't think it's too long. I think that, uh, you are. You're really trying to encourage people to do something to better their practice and, and not just for their patient outcomes, but also their finance finances. Uh, and I'm, I'm on board for that.

Dr. Nick Murphy: I think, uh, that all chiropractors, um, if this is something that you're interested in doing, don't worry about the money so much. Understand that the, um, [00:16:00] the equipment works, it does provide better outcomes, especially for. Um, extremities. I mean, so many different things that it provides great results for, but, um, you're gonna make better outcomes for your patients and you can easily figure out how to make money with this device.

Um, it's not even difficult. No, it's, it's not. And you know, there's a big difference between a, an equipment loan, like a selective equipment loan where you've got a strategy around it and, you know, putting a Louis Vuitton person on your credit card, right? Like there's different types of debts. And we'll just kind of leave it at that for, for the sake of this episode.

Dr. Kevin Christie: But let's move on to. When, okay. Like you got the patient coming in, when are you, tell us a little bit about radial shockwave right now. Just some of the, the overview of radial, then we'll kind of go to focused and, and go from there. Yeah. So radial is the tank of the [00:17:00] system. It's gonna do the majority of the work.

Dr. Nick Murphy: Um, pretty much any patient that comes in for shockwave, even though I have, you know, all three machines at my disposal. Uh, there are very few times that the radial device would not be involved in the treatment plan. Mm-hmm. And very few times that it isn't the majority of the treatment plan. Uh, I tend to think that it's about a 75% of the work with shockwave can be accomplished with the radial device.

Um, and especially if you take the time to learn about the different tips that can go on as well as the application of those tips. Yeah. Um, you know, knowledge is really. One of the biggest keys in shockwave. If you know how to use the equipment to create the outcomes, then you're gonna be able to do that.

Um, but going, uh, a little bit further into radial, um, most of the time when I am talking with patients, I describe it as. More of a shotgun versus the [00:18:00] rifle of the, uh, focus machine. Mm-hmm. And so, as you can tell from the analogy, it's gonna be more superficial and spread out with the radial device where versus the focus, which is a very, um, pinpointed and deep penetrating, uh, device radial.

I really. Um, I really love the radial device. I love it for treatment on myself. And so when I originally purchased the device, it was because my shoulder was giving me problems. Um, like I said, I, I adjusted high volume for years and years, which I still do, but mm-hmm. Um, I adjusted it high volume and I was having shoulder issues and, um, elbow issues.

Um, so we got the, the radial device. We started playing around with it, and what I came to find is, wow, my shoulder and my elbow feel a ton better in a very short period of time using this. And it's been hurting for like six months [00:19:00] because it can never get any rest from the adjusting. Mm-hmm. Um, so after it worked on me, I was very confident in the fact of, wow, this, this stuff really is what, what it's been billed as.

And um. Started taking on cases and predominantly I started with shoulders because, um, you know, we get a lot of shoulders that come in. We, we tend to see a lot of construction workers, uh, people that are very active, um, and abusive to their bodies and, and in some sit situations neglectful. Um, so we're catching people that, you know, shoulder's been a problem for a year.

Or maybe even three years, you know, stuff like that where they haven't done anything and it's just been continually being compensated for and, um, making deeper problems. Shockwave, uh, radial shockwave in particularly mm-hmm. Works 80% of patients that, that are coming in with shoulder problems. Now, [00:20:00] we know as clinicians that there are some problems that are far more difficult than others.

We're just having. Tendinopathies, things of that nature. We're gonna have very high success rates if it's a deeper issue, labrum, um, you know, different kinds of impingements. It may be a lesser success rate, but you're still going to call, you're still gonna make progress with that patient. It just might not be a, you know, my pain's completely gone and I have full range of motion.

It may be that my range of motion is much, much better, but when it's getting stressed, my joint still hurts. Mm-hmm. Um, and I, and I try to be very clear with the patients in terms of the expectations of the treatment. Um, but yeah, no, the radial device works exceptionally well. Uh, I think that. As we learn more applications of it for different, um, different complaints that it's only gonna continue getting better and better.

Dr. Kevin Christie: Yeah. Perfect. Okay. And then [00:21:00] with, with focus, what are a few areas or scenarios that you're seeing where you're just like, oh, this focus is gonna really get us where we need to? Yeah, the focus device is awesome. Um, you know, it's not, it's not for. Everyday, like maintenance treatments and stuff like that.

Dr. Nick Murphy: You know, there, there isn't, there isn't, there aren't people that come in that are like, Hey, I would love a focus shockwave treatment. Mm-hmm. Um, but when it's needed, it is absolutely unparalleled. Um, let's say you had someone healing from a, a fracture in the foot. Well, you can treat the he. Calf, the plantar, all of that with the radial device.

And then with the focus device, you can actually, um, create some additional bone healing because the focus device, uh, does osteoblastic recruitment. Mm-hmm. That is something that no, that, that patients [00:22:00] can't get anywhere else. Um, now granted as chiropractors, we're not really treating fractures, but we can treat pain associated with a fracture.

Mm-hmm. Uh, and that's really what we're doing. You know, we're aiding the healing process. Um, additionally, obviously deep, deep, hard to reach places. With the radial device, we're gonna be able to get in, um, a lot more effective treatment with the focus. So in the example I used earlier, a labrum. Um, the focus device is gonna be far more effective on that.

Uh, hip impingement, uh, you know, we're, we're able to get through the thick tissue that's surrounding the hip joint, uh, low back. It's absolutely fantastic for disc issues. Um, when I, I herniated a disc in 21 and, you know, I was having the whole gamut and still having to adjust and all, you know, do my normal duties.

Um, we started using the focus device because I didn't have [00:23:00] spinal decompression yet in the office, so we, you know, I'd get a treatment once every two days and within three weeks my entire symptomology had resolved and it got better even from the first visit in the first treatment. Mm-hmm. Um, and that's what really opened my eyes to this is really incredible for even something as difficult to deal with as, uh, disc herniation.

Uh, so those hard complex situations that make, you know, most chiropractors cringe, oh, I don't want to deal with this, uh, difficult, complicated case. Um, focus shockwave is really gonna give you a, a, a weapon to go at these hard cases and be very successful with it. Love it. Love it. Yeah, it's, that's great.

Dr. Kevin Christie: And obviously we could do a 45 minute episode on focused and, or 45 and on radio, but that, I think that gives us a really good breakdown of, of why you would have you use radio for that use, [00:24:00] focus for that. Obviously people get a start somewhere. Uh mm-hmm. I know like what I did when I chose radial was just understanding what my patient population was and what some of our shortcomings were.

And we were, we were gonna get the most use out of it. And I had a great conversation with. David Rudnick about that and he kind of guided me there. Every, every clinic's different. I think understanding the differences and where you need to maybe start and then go from there. But yeah, we see a lot of clinics now that are, uh, using radial and focused to be able to cover all your bases.

And then again, it open like if, if you have the radial using, if for 75, 80% of the conditions or times, and then you got that other 20% where the focus is that 20% enough can be where again. More, better results, more referrals, better ROI On that. So thanks for breaking down the shockwave components there.

Radio focus. Now what is this EMTT all about electromagnetic transduction therapy? Um, something I don't know if a ton of people have [00:25:00] heard about, but give us a little bit of the lay of the land there. Yeah, so EMTT is absolutely. I, I love them all, but I really love EMTT and, uh, there's a few reasons for them.

Dr. Nick Murphy: Practical, from a practical side, the patient can do this fully clothed. Mm-hmm. Um, so you don't have to have private space for the treatments. Um, generally it is not painful, although it can be. Um, so the patient generally doesn't object to the treatment. You know, sometimes with shockwave it can, it can be a little painful in the delivery of it.

Um, so pa you know, patients may have a little bit of fear associated with that, whereas with EMTT, there is none of that. Um, it is also in, in ways diagnostic because as you move the wand, if it hits areas that are having inflammation or, um. Different, you know, damage taking place, [00:26:00] it's going to alert you through the patient's gonna feel it there as, as the wand travels over it.

Um, and now as you get to using it more and more, that is less of a, uh, draw for you because you, you, you start having different associations as a chiropractor, right? Yeah. Uh, we are generally very good at pattern analysis. And so as you get those cases under your belt, you kind of know, okay, the MT t's gonna be really effective if I place it here and here for this type of complaint.

Um, and. You know, we're, we're all learning those things. EMTT is a new technology, so, um, there isn't, uh, there are set protocols for the use of it, but at the same time, we're all in a way experimenting with it as well. Um, but with EMTT, uh, you are getting a very deep penetrating oscillation of magnetic fields.

Mm-hmm. Uh, now. I'm sure [00:27:00] many people are familiar with PEMF. Yeah. And EMTT is similar to the application of that, but it has much different, um, amplitude, uh, and duration of the pulse itself. Mm-hmm. Uh, the pulse is much stronger if I'm, if I am, uh, remembering correctly, it's 40 times stronger than A-P-E-M-F um, impulse, and it's much shorter in that impulse.

Um. I'm not positive of the exact time on that, but it oscillates extremely quickly. Um, now the gradient, uh, can penetrate deeply, I think it's like eight inches. Mm-hmm. Uh, in terms of the, uh, of the depth. And the cool thing is with the EMTT, it comes out both sides of the wand. So you can treat both elbows at the same time or both knees at the same time.

Um. The treatments are generally fairly quick. Um, you may, [00:28:00] the longest treatment you have with EMTT, probably 12 to, you know, potentially 20 minutes if you're really, um, going over many areas with it. Mm-hmm. But, um, in my office, you know, seven to 10 minutes of treatment with EMTT is, uh, about the norm. Um.

Now EMTT as you said, electromagnetic transduction therapy. Uh, we're working with magnetism. Yeah. Um, the pulse is passed, uh, through tissue fairly easily and it's going to be, um, manipulating the cell membrane. Uh, and that's gonna help with the calcium and, uh, potassium and sodium moving through the channels to.

Increase the, uh, cellular metabolism. Okay, perfect. And then, now when your patients come in, are, are some patients only getting EMTT or are you using that as a, in [00:29:00] conjunction with one of the radials or focus? How, how's it kind of breaking out with your patients there? So I will, I will certainly do EMTT as a standalone treatment.

Uh, one, it's, it's far less costly for a single treatment than shockwave. Um, so if someone's coming in and they have a hot disc, I am going to likely use EMTT as a primary treatment. Um, we get fantastic reduction in acute, uh, disc herniation with the EMTT. So that's just one. Um. One example that I would use that individually.

Now, another situation with tennis elbow, uh, I've co come to find that it works extremely well with just as a, uh, specific condition. Um, and again, a lot of times I am considering the finance, the finances of the case. Um, if I'm having someone that has [00:30:00] financial. Um, liability, so to speak, or like, uh, they're, they're on a limited budget.

Mm-hmm. Uh, I might put EMTT as the primary, um, treatment mechanism along with whatever, uh, manual therapy that we're doing because ultimately I can get the cost down for the patient. With that and still pro provide a very good outcome for the case. Yeah. Um, and Shockwave of course is attended, so, um, there's gonna be more investment involved from a clinic standpoint and uptime, um, and labor.

Dr. Kevin Christie: Okay. And then, um, let's say your patient comes in, you do your full examination, all that you're coming up with your diagnosis and your what, your treatment recommendations there. How, how do you, uh, deliver that to the patient? You sit down with 'em, go over why we're gonna do this, maybe what we, some options they have.

How does that look in your, in your practice? Yeah, so generally I come up with two [00:31:00] pathways of treatment for the patient. Um.

Dr. Nick Murphy: This is the , most complete correction of the, of the problem. And then the other recommendation is gonna be, this is gonna be really to get you out of paying the quickest and the least expensive. And I let the patient kind of choose which way they're wanting to go with that. If they're wanting the, you know, full all in exercise, rehab, and all of this other, you know, additional work or do you just want the brass tacks of, I wanna feel better and feel better quickly.

Dr. Kevin Christie: Gotcha. Perfect. And then you just give that breakdown of them and they, they can make their decision from there. Um, and obviously having the confidence in recommending what they, what they need has been probably beneficial to you. Um, what would be your recommendation to. Again, obviously every chiropractor is different, every clinic is different.

Um, what, just, what would you say to someone if they're asking you, what should I do? What, where should I start this process of figuring out if one of these or all these [00:32:00] technologies is right for my clinic? Uh, what, what would you say to them?

Dr. Nick Murphy: Well, I guess the first thing that I would ask is, how are you doing with chiropractic?

Mm-hmm. And. If their answer to me is not well, then I'm gonna say, you need to focus on chiropractic. Uh, that's just a personal philosophy, but, uh, I, I think if you're not able to be successful as a chiropractor, then your ability to be successful doing other stuff is probably not high. Mm-hmm. Um, but with that being said, um, if they say, okay, yeah, I'm, I'm successful with chiropractic, then I'm gonna say likely, then shockwave is great first modality or additional in a modality to go into.

Yeah. You have to be in a place mentally where you're ready to learn and, um, put the time and effort into that because anybody can buy these machines. Any, you know, any doctor can buy these machines. But being good at it is a totally different, [00:33:00] scenario. . I think that if you are not willing to put that time in, then you shouldn't purchase the machine.

Dr. Kevin Christie: Mm-hmm.

Dr. Nick Murphy: Um, it's not. When we were all becoming chiropractors. Now I'm sure some of you have heard from your professors, if you're doing this for the money, it's likely not gonna work out well for you. And I have found that to be pretty true. And I think the same is true with Shockwave if you're doing it just to make money.

Um, or to improve your bottom line and that kind of thing. It's fully capable of doing that, and I, I mm-hmm. Wanna make that really clear. I, like you said earlier, you know, you've taken a $400 a month payment into 13,000 a month. Obviously that's very profitable. Um, but if you are, you know, if that's the, the, the motivation for you doing this, I would say check your motivation and if, um, you're doing it, you know, to try to get better outcomes for your patients and you, and you're seeing things that you really want to be able to help with, um, then yes, absolutely.

This is, this is the pathway to help you [00:34:00] be able to provide better outcomes.

Dr. Kevin Christie: Yeah, I, I agree. You know, it's one of those things where we noticed in our clinic there was a blind spot of some of the conditions, got the talking and knowing some great sports chiropractors, I knew I had to make the, the pull, the trigger on it.

But, you know, it was interesting 'cause when I did buy it, it was before Dr. Gage, who's my associate here now, um, was on board with us and, and you know, my bandwidth was limited with. Treating patients running MCM, creating content. Uh, you know, the first few months we really didn't get it off the ground too much because I just was kind of all over the place.

But once he got in and, and he was at a previous clinic and he had experience with the technology and he was all in and we sent him to the academy and, and, and all that, it is just been having someone in the, now I've been bought in and, and focused on it as well. It's just been become. Really integral in our clinic.

Uh, and we offer other things too, and we still do those things, but being really bought into it and wanting [00:35:00] to learn it and apply it, and then having the confidence again to sit there and look at that patient and recommend like you, this is why you need this, this is what it's gonna do for, for you. And then them, uh, agreeing with you because they, they see your confidence in the clinical decision making that you have.

It's just been a game changer. And when I see. I have seen plenty of practices buy all kinds of fancy technologies and not really be committed to it, and it just collects dust. And so it's just like anything else. You, you really have to understand the technology, patients understand how to use it and be able to recommend it confidently and you will see, uh, better patient results.

And then obviously there'll be an ROI to it.

Dr. Nick Murphy: For sure.

Dr. Kevin Christie: So Cool. Well, hey Doc, I, I appreciate this. This was great. I, it was an episode we needed to have because kept on getting a lot of questions. You see 'em on Facebook groups all the time about should I get radio, what's Focus? And then starting to hear more about EMTT.

And I thought we needed an episode to really dive [00:36:00] into a little bit more of the specifics of it. Not only. Radial versus shockwave versus EMTT, but the different technologies like stores and the different aspects of making this a, uh, you know, a real, just a real game changer for your practice in a lot of ways and for your patients.

Dr. Nick Murphy: Yeah. Well, it's been a pleasure sharing what I know with, uh, with everyone. And I hope that it helps, uh, make better decisions, uh, for everyone's practice and, uh, yeah, I appreciate it.

 EPISODE 447: Instagram Marketing Update Show with Molly Cahill

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Alright, excited to have Molly on the show again. It's been two years. We just looked it up before. We recorded two years since we've had you on it. But, uh, between that we were, uh, fortunate enough to have you come and present to our East Mastermind group in Boston this past summer, and that was very, uh, well received.

And so we. Had a lot of good insights on, uh, marketing and in particular Instagram marketing. And I wanted to get you on to kind of do an update show on Instagram. It's, again, been a couple years and two years in Instagram world is like, uh, two decades.

Molly Cahill: Yes. In

Dr. Kevin Christie: real world. So,

Molly Cahill: yes.

Dr. Kevin Christie: What's what's new in your world, Molly?

Molly Cahill: Oh my gosh. So first of all, I just wanna like, thank you again for having me in Boston. I'm not good at being, um, like disingenuous and fake and I just have to say that your people were a blast. Like I had. The best time. I was like, man, I wish I wasn't leaving so soon and can stay. Like I, I truly had a great time presenting to your group, so kudos to you for curating such a amazing [00:01:00] group of people.

I had a lot of fun.

Dr. Kevin Christie: Yeah, both groups are just amazing and, and the, and the, uh, collaborative work that they do together and then, uh, and help each other out and then also, uh, you know, have fun with our guest presenters has always been great.

Molly Cahill: Yeah. Yeah. Four hours was a long time to present. I felt like I was, I was like, all right, I can do this.

But I loved it. It was great. 'cause normally when I get to do presentations, it's, you know, it's a little bite-sized. You know, I can cover a lot in 30 minutes or whatever. But I loved that. We were able to actually go deeper and be practical, like actually put everything to work and kind of workshop each topic.

So

Dr. Kevin Christie: yeah. And it's obviously the, the design of the four hours is not to be just a, a didactic lecture, but was, it's always good to have heads down work and you facilitate that. Yeah. So people got really clear on, you know, 'cause again, like when you talk about, say Instagram marketing, uh, there's, it's misconstrued sometimes that alls you need to do is get good at.

Uh, particular nuances of Instagram, but you still have to know your ideal audience. Mm-hmm. [00:02:00] And you gotta know your messaging and like you, it was nice for you to work us through that and then we can get to the, the bells and whistles of, of Instagram. Yeah. So, but yeah. Let's, let's start out, um, you know, it's been a couple years since Instagram, Uhhuh.

You know, you and I talked about it. What are just some of the things off the top of your mind that are new in the last, um, six to to eight months? But I, I'm gonna actually. Make you start with one and then I'll let you go to the other ones. But, uh, the thing I'm real fascinated with, which is the IG collaborations that Oh, yeah.

Mm-hmm. That we can do. So if we can start with that and explain what that is, some of the details of that, some of the power behind that, and then we can talk about some other, uh, new aspects of Instagram.

Molly Cahill: Absolutely. That's actually one of my favorite, and probably I would say, most underutilized features on Instagram.

You're right. I actually don't think that was when we spoke last two years ago. I don't think that was a thing. It's, it's been a while now, but I don't remember [00:03:00] exactly how new.

Dr. Kevin Christie: Mm-hmm.

Molly Cahill: But, um, one of the things with, so in our Instagram management agency, for those who don't know, we run about 30 chiropractors accounts.

One of the things we ask for every single month without fail is, I mean, we ask for several things, but one of the things we ask for is, uh, what local business do you wanna highlight this month? Um, now that could be a colleague, right? Like somebody who refers you patients or that you refer patients to, or it could be as simple as the local coffee shop down the street, uh, a boutique.

I mean, we've had people do all, all number of things, nail salons, like you name it. Um, and. We, it, let's just first say if we were doing like the colleague route, we'll do, um, you know, our fa our favorite physical therapists in, you know, Raleigh, North Carolina. And then it's like a, a, you would do like a, you could do it as a reel or like a carousel post, or you're highlighting all of these businesses or, mm-hmm.

A lot of my pediatric chiropractors and pregnancy ones, [00:04:00] you know, they'll do like favorite lactation consultants or doulas or midwives or whatever. So like I said, whoever, uh, maybe it's a CrossFit gym that you often refer to, um, or myofascial release therapist, like anybody who you maybe ever refer out to that could be like your trusted providers in the area.

And then instead of just tagging them in the post, it does say tag. So it's confusing because it says tag. You'll hit Adam as a collaborator. If they accept it, then it lives on their page as well. And so then you're getting, you know, exposure to both audiences, which is gold. And I will say that a common thing I hear is, oh, well they didn't accept my collaboration.

Mm-hmm. My collaborate, they hate me. No, I'm just kidding.

Dr. Kevin Christie: Um, it's

Molly Cahill: like, no, they probably just didn't see it because it only goes into your notifications. Um, you'll get like a DM sometimes too, but it's just so easy to get buried that I encourage. Um, my students and our clients to just send them a DM and just say, Hey, I added you as a [00:05:00] collaborator on this post.

No pressure to accept it, but if you do, you know, it really help us both out, blah, blah, blah. Yeah. So, yeah, like I said, and it doesn't even have to be, it can be really fun. It could be like, you know, this is where the Christie's went for dinner on Friday. Mm-hmm. You know, it can be like, here's our favorite date night spot.

Like it doesn't have to be. Business like colleagues.

Dr. Kevin Christie: Yeah. And then it can be, uh, you know, it's almost like when you would, um, it's different. But, um, you know, when you would check in on Facebook at a, at the chiropractic office, a lot of people would s see that. And that was, that was pretty good. And you would sometimes ask people to do that.

Um, but you know, like for instance in the, we're, we're hosting a, we're co-hosting a workshop for endurance athletes and I'm doing the injury prevention side. And then we got a coach, she's a PhD who does kind of the mental performance for endurance coaches. And so we're co-presenting and we're doing some social media on that.

And, and that was one thing we did was we posted, invited her as a collaborator, but let her know, hey. We're gonna invite you as a collaborator on that. So you can, [00:06:00] you can do that. Or, you know, maybe you just service, uh, you, you go to a yoga studio locally and when you go there, you could take a picture of whatever yourself or you know, you and the yoga person or whatever, and invite them to collaborate.

And so it's almost kind of like checking into that business in a sense.

Molly Cahill: Yeah, we did it. Um, just thinking of, uh, one of our mutual clients that, you know, we, we did it with, um, there's like a non-toxic nail salon, like locally owned or whatever, and the post did not perform well. It got like seven likes, maybe.

Like, I don't remember. It wasn't much. But I checked it. My daughter and I went and got our nails done there and uh, I told her, I was like, oh, I didn't know about you. I heard about you through this post. She goes, you're the fourth person who's come in this week. So I just always like to remind people. I mean, it's a true story.

I like to remind people that it doesn't, it might not on the surface, it'd be like, oh, well this didn't really perform well, but people are still seeing it. Yeah. You have a lot of silent markers.

Dr. Kevin Christie: Love it. Yeah. So I would, uh, if I was a chiropractor, I would definitely dive in and utilize that [00:07:00] strategy. Um, a

Molly Cahill: hundred percent.

I

Dr. Kevin Christie: guess another question off, off of that, that particular topic, obviously everybody talks about Instagram reels as being kind of the thing right now, but you know, there's reels and there's stories, and there's posts. Do, do you recommend chiropractors have a, a healthy mix of all of those things?

Molly Cahill: Yeah, so that's a great question.

Uh, one of the biggest changes I would say, just in the last even six months is. We very rarely, almost never do just a single image post or single graphic post for our clients anymore. Mm-hmm. Carousels are having a big moment. So that's for people who don't know what that is, that's the post that you can just swipe through multiple slides.

Dr. Kevin Christie: Yep.

Molly Cahill: You can have up to 20 now, used to only be able to have 10, so you can have up to 20 slides. And we are finding that rather than there being like a lengthier caption mm-hmm. Underneath a post, people are more likely to swipe through a carousel because it's like. One to two sentences on each. Yeah. Or even three, you know what I mean?

It's just a little bite-size. Mm-hmm. Pieces [00:08:00] of information. And this to me, I love it. Like I, those are some of the most types of content I consume the most. And on top of just carousels being popular. This is such a breath of fresh air to me that Instagram is really return, you know, everything always comes back again.

You know, like a lot of stuff from the nineties is like trending. It's like now it's come back in vogue, which I hate to even call it a trend because I'm like, shouldn't it have just been this all along? Is um, I'm not saying I don't ever do any carousels with professional photography and mm-hmm. That I've made in Canva, but we're really seeing, um, the more uncurated photo dump.

Mm-hmm. Just almost like here's, you know, cam pictures from my camera roll. Yeah. With like little pieces of text over it. Because the biggest thing, like if you, if you've, you said talking about like the bells and whistles, like the biggest thing to take away from this episode if [00:09:00] you hear nothing else is, it's not about whether it's a reel or a carousel or a story.

People are just craving your lived experience. Mm-hmm. And the tips and tricks are no longer cutting it because if I want three tips for, uh, you know, better sleep, I can like put that into ai, right? Like, here's three tips for better sleep. People don't want that. It's, it's boring. It's has no, um, none of your, like I said, your experience and your, um.

Your authority behind it. That's what people are wanting. So, uh, as a marketer, we were always trained to never use the word I, right? Mm-hmm. Mm-hmm. It was like, you always say you, but that's like not a thing. It's like, now people really want to see, here's what I do with my clients. Like, yeah. So for you it's like.

You know, but you know, you were, if you could say, uh, my son came home today. I don't know if you have a son. Do you have a son? Two. Two. That's what I thought. Okay. My [00:10:00] son came home today, um, and I'm, I don't know. Do they play sports?

Dr. Kevin Christie: Yeah, they're five and three, so it's okay. Not pretty.

Molly Cahill: Okay. So like, uh, what do they call soccer at that age?

They call it like a swarm.

Dr. Kevin Christie: Basically. Exactly.

Molly Cahill: Um, so you could even say like, let's just say you had a high school athlete though. Mm-hmm. It's like, my son came home today with bad sciatica and I've been a chiropractor for 20 years, and here's, here's exactly what I did for him, or something like that. Yeah.

Like, people want that versus three tips for sciatica, like they don't care.

Dr. Kevin Christie: Mm-hmm.

Molly Cahill: Mm-hmm. So that to me is such a refreshing shift because people just literally want, like, it's, it's conversations you're having every day in your office anyway. So now just train yourself to be like, oh, this is my, this is my take.

Mm-hmm. Yeah. Like I know, hey, these YouTube videos are gonna tell you to do X, Y, Z, but lemme tell you, this is not my experience. Mm-hmm. Like, this is what's gonna help.

Dr. Kevin Christie: Yeah, I'm sure I, I imagine it helps for, uh, people to feel like they know you. Um, yeah. And that's one way of doing it. Right. [00:11:00] And obviously, uh, you know, a lot of people put their doctors on a pedestal and if they can feel like you're a human.

And you have a life and all that. I think they can connect with you a little bit. You're, you're always looking for that. Um, you know, it's kinda like with video, you get that parasocial uh, effect where you may not know that person, but they see your videos and they feel like they know you. Um, yeah, I've, I've always referenced like if I.

If I saw Brad Pitt walking down the street, I would feel like I knew him. Yeah. And he doesn't know me from Adam. Right. Yeah. And that's that one-sided kind of relationship there in the sense where they, they feel like they know you and they, which it helps them feel like they trust you. And, and if your content is a.

Uh, you know, down to earth, they'll, they'll like you. So it's that, you know, that common phrase No. Like, and trust and I think mm-hmm. What you're saying helps build that. Um, 'cause I think, you know, you can kind of put marketing into two different buckets. Uh, you know, and this is gonna be very, very, uh, quick and dirty what I'm saying here in a sense.

But, [00:12:00] uh, you know, if you, if you put out regular content that isn't that compelling, but it's going in front of the audience of your current and past patients. That is going to do enough to stay top of mind with them. Mm-hmm. And they've already serviced your business, so they have that know, like, and trust.

So they, as long as you can keep them top of mind, there's a higher chance of them reactivating coming in or referring to you. Uh, but then there's the hard part of marketing, which is compelling people that don't know you. Mm-hmm. And getting them to come into your office. And that, uh, everybody's always looking for that quick fix of like, if I run this ad or I create this content, I'm gonna like.

Automatically compel that person to become a new patient versus the fact that you, a lot of times you have to nurture them and Yeah. Uh, can you speak to that a little bit on like how I would love, how would Nurture via Instagram?

Molly Cahill: Yes, absolutely. So I think about content, um, I just put together a new free resource.

It's actually available [00:13:00] now. Um, it's just molly cahill.com/case study. And all it is, it's Canva templates that you can plug and play in case studies. Here's the thing about case studies, you're gonna get. Seven likes. You're gonna get probably zero comments and you're gonna be like, dang it, Molly, I just spent all this time putting together this case study that you said, but let me tell you what's gonna happen.

Mm-hmm. That's the thing that's gonna get somebody to pick up the phone or go to your booking link and actually book an appointment. That is what I like to call conversion content, and it's not as sexy. It doesn't get the big reach. But I teach, um, I've doved it a con content ecosystem. Mm-hmm. Where you have to have exactly what you said, content that speaks to both.

If you wanna think about it in terms of like, cold, warm, and hot leads. Like you're more quote, reach, content, reach, just being meaning the amount of unique people who see your post.

Dr. Kevin Christie: Yeah.

Molly Cahill: Um, that type of content. Is gonna be, like I said, different than like the more hard [00:14:00] hitting, like mm-hmm. You know, I'm only gonna stop scrolling if I see on this carousel that this person had five migraines a month, and now they're having one.

Like, and I have migraines, I'm booking an appointment. Versus like, that's not gonna reach the masses versus something that's, like I said, a little more, um, like viral hook ish. Mm-hmm. Mm-hmm. Um, that is designed to reach more people. So that is, you asked how can you nurture people? On Instagram, it's just making sure that you have, um, a combination of those different types of content.

Dr. Kevin Christie: Yeah.

Molly Cahill: And if you don't have to be, like I said, if you're the type of personality who's like, you know, more, maybe you're more professional, you're not super. Mm-hmm. I don't know. But are, we do have clients who will do like a lot of funny videos. Yeah. And those, those tend to reach a really wide audience.

Dr. Kevin Christie: Mm-hmm.

Molly Cahill: Um. What's cool about those is I see those almost fall into two camps. Like, I mean, not fall into two camps. Mm-hmm. They cover both.

Dr. Kevin Christie: Yeah.

Molly Cahill: Like, we'll [00:15:00] literally have people say, okay, that was the clincher. I'm gonna feel comfortable in your office. Mm-hmm. You know, you have a personality similar to mine.

So my point there isn't that you need to be doing funny videos if that's not your personality. My point is. That no longer is, this is like going back to what I was saying, no longer is there like, oh, here's my personal account and here's my professional that has my logo and everything is made in Canva and everything's pretty, and I've got these stock images of this random guy holding his neck.

Like that's just not, yeah.

Dr. Kevin Christie: You know, it's been funny. I've, I've been noticing, uh, kind of a few buckets of, of that humor or lack thereof. But, you know, you get, there's on one side of the spectrum, there's just educational based content and Yeah. And that's great. And then what I've seen, which has been a cool combination, is people, and we have some of our mastermind members doing it where they're providing valuable health education, but then they're putting a little bit of humor spin on it.

So they're, they're combining both. Uh, and then I see some. And I, and there's one that I've seen quite a bit where [00:16:00] literally everything they do is just some kind of humor thing that has no educational value. Like it's, mm-hmm. It's like literally just people dance, like team members dancing or like there's, and that's all their content.

Like I think, I think if you had a healthy mix of. Uh, educational content with humor, or you could sprinkle in some humor only, obviously you could sprinkle in some education only, but I've seen somewhere it's literally everything. They po and it's not their personal page, it's their practice. Mm-hmm. It's just like everything is humor with no substance.

And I'm like, uh, like I get, it's probably getting engagement and maybe it's also leveling you down, but at some point, maybe some. Information to, if it's your clinical page, if it's your personal, you can do whatever you want. Um,

Molly Cahill: no, I agree with you. That's like I said, it's why I call it an ecosystem, because Yeah, it's hard, right?

Because you get addicted to the like numbers. Yeah. And when you do post something more hard hitting

Dr. Kevin Christie: Yeah.

Molly Cahill: You're like, [00:17:00] oh, well that quote flopped. I'm like, did it because, or is that the thing that's actually gonna make somebody book an appointment?

Dr. Kevin Christie: Correct. And that's the hard part about the whole thing, right?

Is like if I said. You got your humor only video with no education, and you got. 10,000 views and then you got your education only and you got a thousand views. But some of those people would actually come see you for what you're talking about. That's gonna be the metric you want. But then again, I love the sweet spot of injecting humor and having the substance, which I think could be done.

Molly Cahill: Yeah. And another thing you can do is if you're like, oh, that feels like a lot of pressure, I'm not funny, or whatever. Yeah, we do. Um, for our clients, uh, we call 'em can't help myself posts.

Dr. Kevin Christie: Mm-hmm.

Molly Cahill: And it's where it's like an option of like, you know, which exercise would you be happy to never do for the rest of your life?

And you like, list out like burpees or this or this or this. And it's like people can't help themselves but wanna come play along with your game. Like, and that type of stuff. [00:18:00] Yeah. Is not really getting people to pick up the phone and call you. Mm-hmm. But it. It's getting engagement and growing a community on your page.

Dr. Kevin Christie: Yep.

Molly Cahill: And so then when you do post the more hard hitting facts mm-hmm. Then they're more likely to see it because Instagram's like, oh, people tend to like this, like this page's content. So like I said, that's why there's a mix.

Dr. Kevin Christie: Yeah. And so, uh, you know, it's fascinating so far. You know, we talked about the collaborations, we talked about the slide decks or the carousels.

Talked a little bit about the psychology of who's on Instagram and what they're looking for now, versus they may be using AI for certain things that they might've used Instagram for. I, we, my wife and I always joke around it was she basically raised. Our kids early on through Instagram. Mm-hmm. And, uh, now she's using AI for things.

Uh, you know, and it's fascinating the, the trend of Yeah. Things that people are using AI for, so that's gonna impact what they're using Instagram for. And then obviously we've talked about some of the types of content you could have. Uh, anything [00:19:00] else that's trending or new on Instagram that you're seeing?

Molly Cahill: Well, if this isn't necessarily trending per se, but if I could touch on AI and Yep.

Dr. Kevin Christie: Absolutely.

Molly Cahill: Okay. So I use it as my, that's

Dr. Kevin Christie: trend.

Molly Cahill: That's trending. It's trending, yeah. But I, I mean, I use it my business every day, right? Yeah. In this new group coaching program that you've got two of your masterminds and of mine, um, I'm literally teaching AI now incorporated into my curriculum that I've never taught before.

Dr. Kevin Christie: Yeah.

Molly Cahill: Um. But there's a way to do it without losing your voice or, and yes, I know there are ways that you can, you can train it and you can upload all of your stuff. Yeah. And that's just not even what I'm talking about. I'm talking about. I use it all the time. If I'm out for a walk and I have an idea for a post, I'm like, Hey, chat.

Like, let me just brain dump this idea just, and the important thing to say is do not change my words.

Dr. Kevin Christie: Mm-hmm.

Molly Cahill: Because I learned that the hard way. Yeah. Because I like, I would look at the end result. I'm like, that's nothing I said, it's like, don't change my words, just help me clean up my thoughts.

Dr. Kevin Christie: Yeah.

Molly Cahill: And I've [00:20:00] even asked it to.

Hey, I wanna, I have this idea for an Instagram carousel. I'm gonna brain dump some ideas. Please don't change any of my, my words, but, uh, help me clean it up and it'll like parse it out into slides for you. Yeah. So that's how you, you are still using the tool, right? It's a time saving tool, but you're not going, can you please generate 10 tips for low back pain?

Like that's,

Dr. Kevin Christie: yeah. I agree with you a hundred percent. That's one thing in our strategic coach group that I'm part of, uh, we, we dive into AI a lot. I'm actually heading there in a couple days. And, and, and really the, the way they boil it down is it's human plus AI is the secret. Yeah. Love that. It's not human only anymore.

That's gonna be optimal. It's not AI only. So to your point, you don't want to go into. AI and say, write me a, uh, you know, a blog about headaches for a chiropractor. Uh, you could, but that's not gonna be great. Versus, uh, you know, like for instance, when we, we have our [00:21:00] clients that we do marketing for in a sense where they shoot videos and get 'em to us, and we do all that and we will take.

Their videos a lot of times and, and utilize AI to say, Hey, turn this into an email written copy that's compelling based off of the information in the video. So now it's the, it's the human, the, the doctor's information and then AI's just cleaning it up and, and doing that. So it's really that human plus ai, and that's what we've been helping our coaching clients keep up with, is the human plus AI aspect of it, not just leveraging AI and telling it to do everything for you.

Molly Cahill: I love that. That's great. Do you have a good tool you like for, uh, video transcripts?

Dr. Kevin Christie: Uh, descrip is really good. Descrip. Yeah, that's what I,

Molly Cahill: I either use that or Restream, I just re stream's free if you're doing a real small one. Uh, I, yeah,

Dr. Kevin Christie: I mean, I mean, I've taken things like now, like when I do our group, our coaching calls for our clients, I'll, I'll run that audio, uh, through Descrip and take descrip, run it through Rock, and I'll say, Hey, give me a, uh, basically like a, [00:22:00] an outline of what we cover today and it does that, and then I'll get it to our clients.

You know, like, so it's using that. Uh, you know, you don't want to leave it at Descrip, that's for sure. I think really a good process is, okay, you got the audio, you got the descrip, you run it through, uh, an ai, then you run it through Grammarly. Which also uses ai, and then it comes out and it's like now you've got that really polished product that is still the genesis from your original content that you created the doctor.

It's not just AI making some shit up. Right? Yeah,

Molly Cahill: no, and I've even used it yesterday. I was short on time, and so I scrolled back and I was like, okay, this reel performed really well a couple months ago. Mm-hmm. I'm just gonna repost the same exact. But I'm gonna change the hook. So I put the hook into ai. I was like, Hey, can you give me another compelling version of this hook?

And it's like, yeah. It's like, okay, cool.

Dr. Kevin Christie: You could even, yeah, you could take the reel and you could run it reel through, uh, AI and say, write me a great Instagram, uh, written copy [00:23:00] for this. Mm-hmm. And that copy goes right to the Instagram posts or the, you know, the, the, the reel, the written copy part of it.

Molly Cahill: Yeah, the, the first, what I wa walked, uh, everyone through in my group coaching program, I'll give you like a little behind the scenes. The thing we did on the very first week was, I love what you said, the human plus ai. Mm-hmm. I had them scour two to three ideal patients, put on a document, their chief complaint, what else they were dealing with, what they've tried before.

Your treatment plan, what they can't do because of this, you know, I can't

Dr. Kevin Christie: Yeah.

Molly Cahill: Play pickleball or whatever. Um, and then I also had them copy and paste five of their favorite Google reviews. Mm-hmm. And we put that into it. We're like here now. This is gonna be the base of like literally anything.

Dr. Kevin Christie: Yep.

Molly Cahill: And it's just like, like you said, that human plus ai, I love that.

Dr. Kevin Christie: It's fun too, where you get like, I, I like our website at least. I love the, you know, the messaging we have on there. We spent a lot of time in the, in the past getting clear on that. And so something that I went over with our coaching clients is like, I, I took my, [00:24:00] my URL health fit kyro.com, put it in, I used gr, the, the paid version.

I said, uh, you know. Develop a brochure for me based on this and it spit it out like that. And then you could sit and it's say, develop me, uh, Instagram posts based off of my website content, develop a Google ad, like you name it. And it's, so, it's the, our messaging that we've spent time on curating on our website and then taking that, uploading it and telling it to do what it it needs to do.

Um, as far as different types of pieces of collateral you're trying to create.

Molly Cahill: Sorry, I'm sitting here yelling at my dog to stop barking. So

Dr. Kevin Christie: that's how I, uh, I've been podcasting for nine years now. Yeah,

Molly Cahill: yeah.

Dr. Kevin Christie: And now I got my own, you know, like little studio here and all the bells and whistles. But when I started, I was in my condo with a, one of the, remember those science boards Uhhuh Precise project boards?

Yeah. The Trifolds and I, yeah. And I had the foam, [00:25:00] like the sound. Buffer foam taped onto there. And then I had my dog. She's since passed, but I had her and so many times she would be barking. But, uh, in the early days of podcasting, which I consider myself since 2016, podcasting is the early days. Uh, people expected dog barking in the background.

So.

Molly Cahill: Yeah. I mean, it's just real life, right? It's like, like I said, it's like, let's tie this together. The trend is people are just sick of, like I said, the overly curated, the vi, you know?

Dr. Kevin Christie: Yeah.

Molly Cahill: It's like, you know what? This is real life. You're a real human. Uh, I feel like you're, you can meet me where I am and really help me with my problems.

So, like I said, that's, if that, that's the, the summary of the whole like mm-hmm. What's trending is people want your own lived experience.

Dr. Kevin Christie: Yeah.

Molly Cahill: Uh, stock photos have gotta go. They just don't work. They just simply don't work and people need to see you and hear from your own lived experience.

Dr. Kevin Christie: Yeah, no, absolutely.

And so I think, uh, you know, we'll continue to try to keep up with Instagram. Um, is there [00:26:00] any other piece of advice that you want to give our audience and then after that, uh, tell 'em how they can find you?

Molly Cahill: Yeah, I think with, uh, the advice piece, and this is something I know I told your masterminders, it's like if you're having a hard time keeping up and doing it all, it's because.

You're full-time in clinic. Like, I, I get it. Like, and there's some people who just truly love it. They don't wanna delegate it. They wanna keep it. And, and that's fine too. I'm not saying you can't. Mm-hmm. But for those who just feel like, ugh, I would rather do anything else that not being afraid to just know that there are ways to get it off your plate, and it doesn't have to be.

Uh, this huge, like I said, I mean, I literally, my program was literally designed to train. Mm-hmm. Whether it's a front desk, a ca your office manager, your, you know, 20-year-old nephew, whatever. I mean, I've had the gamut inside. You know, you'd be surprised. Um. I was laughing the other day. One of my clients [00:27:00] said, or students in my program, she goes, I walked by my, uh, my 20-year-old son's bedroom and I heard your voice coming out of his room.

And I was like, she, she's like, he's doing the program for her, for her clinic. Yeah. And she said, well, what did you think of it? And he said, I think it's good for the intended audience. So I dunno if that's like an insult or like, I'm not teaching Gen Z. Like, you know what I mean? Yeah. Yeah. Um. Uh, yeah. So like I said, it's, I, I, that would, I guess, be my main piece of advice is, uh, don't be afraid to at least get some support with it.

Dr. Kevin Christie: Yeah. Mm-hmm.

Molly Cahill: Um, and then in terms of working with us, we have kind of three tiers essentially. I have a membership called Holistic Marketing Hub. Um, that's just gotten a huge facelift at the time. This is gonna come out. I'm sure it'll be, um. All the curriculum's been redesigned. It actually got paired major down.

As somebody who teaches a lot, you know the value and [00:28:00] like, you know, in the beginning you're like, I just wanna teach everything. And you yeah, cram your programs full of all of this information and then you're like. Oh wait, like this is, yeah, this is too much.

Dr. Kevin Christie: Yeah, I made that mistake before.

Molly Cahill: Yeah. So I, I have drastically paired down the amount of training videos so that it's, you know, very succinct step by step.

Um, the middle tier, I have a group coaching program. Like I said, I know you've got a couple people in that with me right now where, um, you're essentially when you enroll in that you're buying a seat for your clinic, so, mm-hmm. It. The doc I, last week, I had, um, like the provider would be on and the ca and some of 'em I just had was ca some people just had a virtual assistant.

Like I said, there's mm-hmm. All combinations. Um. Then I also have done for you Instagram management at the time. Right now we're on a wait list, but we're cross training some team right now so that we can expand that as well.

Dr. Kevin Christie: Perfect. Yeah, and I think, again, just to kind of summarize it is that, you know, whether, you know, maybe you're [00:29:00] 50 years old or 40 or 60 and you don't want to.

Do Instagram. Um, your clinic needs Instagram and if it doesn't have Instagram or and consistency going on there, uh, too many people of the age that are your ideal patient base may not, um, really qualify you. If they go and your Instagram and they, maybe they. Refer to you and you have nothing going on there.

They may not, um, think you're legitimate in a sense. It's crazy to think that, but uh, it definitely helps your clinic, even if you don't become an influencer, uh, even if you don't drive 20 new patients a month from Instagram, like it really is going to have a positive impact on your practice.

Molly Cahill: Yep. It will.

Like I said, even if they, if they find you on Google, they're, they'll still come to check out your Yes. Your page just to be like, uh, is this what I want or not, you know?

Dr. Kevin Christie: Yep. Absolutely. So, well, Molly, thank you again. Uh, hopefully we have you on again, uh, short. Sooner than two years from now to [00:30:00] keep up, keep us up to date on Instagram.

And again, I think thank you for all the work you've done and, um, and, and for the Mastermind in 2026 or 2025 for East, I may have to have you come to the West Mastermind in 2027. We've already got 2026 planned out, so I can't fit you in there.

Molly Cahill: I love how, but I know our

Dr. Kevin Christie: west would love it.

Molly Cahill: I love how far in advance you're planned out.

We, I love it. I,

Dr. Kevin Christie: yeah. My wife doesn't love it as much, but it's, I am a, I am a planner. It, uh, it soothes my soul to know things are being planned and are ahead of time. I, I am not a procrastinator, so

Molly Cahill: Oh, well I am, but that's why I can admire it. I'm like, oh, good for you, because I don't operate that way.

Dr. Kevin Christie: Thanks, Kevin. Have a good one.

 EPISODE 448: Margin Expander: Finances

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host , Dr. Kevin Christie, and today we are talking about the Margin Expander tool and how it relates to your finances. Uh, with our coaching clients and our mastermind members, we developed a tool called the Margin Expander, and this helps us get very clear on having more margin in our life.

It's not just about money. It can be about time. It could be about energy, kind of physical and mental. It could be about relationships, work, health, emotional capacity, leisure, right? And so we kind of have eight different. Measuring sticks of margin in our life. And if we can improve those, we can ultimately thrive professionally, personally, and feel good about our progress in life.

And today we're gonna use this tool and just kind of dive into the first one I have listed on the tool, which is finances. Uh, you know, financial margin provides security [00:01:00] and freedom to handle emergencies or invest in growth and. I think it, you know, it, it, it lends itself to some peace of mind, right? Uh, when you've got your financials squared away, I can take two people, two chiropractors, all things being equal, one with, uh, good margin in their finances.

And we'll define what that looks like, uh, and one that doesn't. And, uh, again, with everything else being equal, same, same person, uh, that other one's gonna, with the financial struggle is going to, uh, have a little more anxiety. Maybe a little more frustration on edge depression, um, you know, burnout, professional burnout.

There's a lot of things that come with lack of margin in your finances. So, and, and when we talk about these, I'm just gonna talk about five. And this is pertaining to your business and personal, right? Uh, and one is gonna be cash flow, right? Um, cash flow [00:02:00] crunch is not fun. We've all been there and, uh, you know, and I speak to you not as a.

A complete expert in all these things, but talked to a lot of chiropractors, talked to a lot of experts, been coached by financial, financial experts, been through all the things, financially good and sometimes bad. Uh, and cashflow is one of those ones that can be pretty frustrating, right? You know, uh, payroll's coming up and you don't have the, the money and the operating expenses and, uh, that is what cashflow is not gonna.

D dive too much into it, but you want to make sure you've got good cash flow. Uh, one, you know, can be very unpredictable in healthcare, so you can't beat yourself up too much. It happens, but one of the ways you offset potential, you know, cash flow issues, if some money's not coming in. Is that you would, uh, maybe have an operating expense account that has a basement in it and a ceiling, right?

Maybe you never let your operating account get below $15,000 and it doesn't need to get above $30,000. Just making [00:03:00] those number up, depending on this revenue of your clinic and the overhead, those parameters would change, but. You would have that kind of 15 K to 30 K in your opex account that it can, uh, withstand a little bit of a, uh, maybe a cash flow, um, crunch there periodically.

Okay. Second is margin, you know, profit margin. What's interesting enough is I could look at the, um, profit margin of a practice at the end of the year and it could look healthy 'cause say, you know, 20% margin, right. 20% profit, but you could have had some cash flow issues throughout that year, right? That can happen.

And you were like, oh man, it was such a struggle bust this year. But when you look at the end of it, the margin is there. Um, and sometimes it's not right, but we want to make sure we have healthy profit margins, and I do want you to have some grace in it. Realize in a given year, 12 months, there tends to be.

Two months that [00:04:00] are amazing financially. Two months are just completely not good. And eight that are like kind of your, your typical, uh, and that's not obviously across the board. Uh, but just realize that that does happen in certain parts of the country. Um, you might have seasonality, which you need to prepare for.

So you, like down here in South Florida, we have high margin. You know, let's call it October to June, um, but not any margin in July, August of September, there's only so much I can cut in those months. But you utilize some of the margin from the winter months, which are really busy down here, and we've got all the snowbirds to cover you in the other months.

That's what all the restaurants that down here have to do. Uh, I'm sure there's some that don't, but almost all of 'em have to. Uh, I bet you a lot of restaurants will lose money. In the summer. Uh, so margin, you wanna make sure you have some good profit margin. And, and a lot of us as chiropractors, you know, we're, we're hitting singles all day long.

It's not a, typically a high margin [00:05:00] industry like say plastic, plastic surgery or orthodontics. Uh, but we, we can do things strategically to have good margin. Um, and, and a lot of times it's, there's some fundamental principles that we need to, uh, work with to, to help out with that. Number three is gonna be cash reserves.

Imagine a life where you've got predictable cash flow, got a opex account that's got a little buffer, you feel good about your profit margin, and you've got a couple months of emergency savings and you got a sinking fund for some beer expenses. So you've got some cash reserves in case something happens.

That is a, a big one there. Um, provides a lot of peace of mind. Uh, Christine Del or um. Greg Crabtree would mention having two months of at least two months of business expenses, uh, a Dave Ramsey on your personal side might be all the way up to like three to six months in your personal life for cash [00:06:00] reserves.

I.

Number four is debt. And, uh, you know, there's different types of debts. Country student loan debt probably wouldn't sweat that too much. It is, you know, it's there. You're gonna, it's gonna take time to pay it off. Uh, or maybe you're given down the road it was the, uh, price of entry to, to get into this profession.

You wouldn't be in it without it most likely. And, and don't dwell on it too much. You wanna try to obviously pay down any type of consumer debts, credit card debts, uh, line of credit debts there. You know, if you have a a, a piece of equipment loan, you know you have a shockwave loan, but you're spending 400 a month on the shockwave and it's generating 4,000 a month.

That's not a bad debt. Uh, if you don't like debt at all, you could take the 4,000 you're making every month off the shockwave for a bit and, and you know, take all that money or some of the money and pay the loan off quicker. Uh, I'll let you decide on that, but, you know, feeling good about your [00:07:00] debt.

Um, you know, I think if someone's got a home mortgage, they got student loans and they've got some strategic debt. Not a big deal. Again, everybody's got a different level of comfort with debt. Uh, and or if you have some debt, you know, if you had to take out a business loan or you took, you know, you used some line of credit to, to buy some stuff for the, for the practice, uh, you know, and you got a payment.

Plan and set in your mind, you know, like, oh, I wanna pay $1,200 a month on this line of credit and, and get it done. Or your, your business Amex for whatever reason. That's fine. If you've got a plan and feel good about it, you just need to find what your comfort zone is with debt and tackle it. And then lastly is five is the, what I call the financial fortress.

I shouldn't say what I call, I heard it on a podcast and I can't remember who said it and can't give credit to it. But you wanna build that financial fortress around your family. Uh, that's little thing. We have a whole, [00:08:00] uh, document on this. Um. But basically life insurances for your personal life. Key PO key person policies in your business.

Disability insurance, if you get hurt, um, you know, investment funds. Maybe it's, you know, there's a lot of different things they're gonna go into building a lot of layers of protection. It could be a unused. A home equity line of credit in your house, uh, that you're not using, but it's there in case something massive happens in your house that you need to repair and fix, and you don't want to have any issues there.

So there's a lot of things that we can do to build kind of a financial fortress around your family, whether you are living or if you sadly pass away to where your family. Doesn't feel the brunt of it. And so we, uh, we talk about that often in our, uh, different programs. And, and, and that's a, that's a big one.

I think when I, when we talk about that one, [00:09:00] a lot of people's ears per perk up and, and really wanna learn more about it. And, uh, we are gonna cover that. We, uh, so we are having. Um, a Cash Confident Chiropractor online course. Uh, we did the, if you remember, last year we did an online course that was super successful.

I couldn't believe how many people signed up. And, and it was awesome. The, um, feedback we got and the engagement we got through. And I think we, we, we did a good job of making it more than just some kind of. Course you take on your own and, and you forget about it. Uh, but we're gonna be doing the cash confident, uh, online course.

And what it is, is, uh, it's six lessons dripped out every Monday for six weeks. The first one will be December 1st. Of 2025 and then it'll, every week there'll be a drip and then there's an associated zoom call with me on q and a and going over things. And then we also have a slack channel with all the members where questions can be ans asking answered in there as you're going along with it.

[00:10:00] So we build a little bit of a community and feedback around it. I'm really excited about the lesson plan for this. Uh, I'm actually tackling this. With Dr. Holly Tucker. Um, she's Profit first certified and a chiropractor and, and then we also have Christine Del. And so lesson one, again, this will be in December 1st, we'll be increasing revenues and profit margin.

I'll be doing that lesson. Lesson two will be with Holly Tucker, and that'll be understanding reporting, goal setting, and aligning practice potential to success. Call three will be understanding and planning cash flow. I shouldn't say call three, lesson three, uh, there will be a call with it, but understanding and planning cash flow.

So we mentioned, uh, having cash flow and how important that is. Uh, call four is gonna be the four buckets of finances in your financial fortress. So kind like I just mentioned. So what start, what happens when you have extra money? Great place to be and, and fortunately. [00:11:00] Uh, we chat with a lot of chiropractors are there, but you need a strategy of where to put that extra money.

So we talk about that. Then we talk about in lesson five, reinvesting in your business for growth. And then finally we build your 2026 financial plan. So the last lesson in Zoom call with that will be building your 2026 financial plan. So you'll go into the year. With a detailed financial plan that you'll feel confident about, and uh, you can check that out and register.

So the registration's gonna open. On November 3rd, which as this show releases was a few days ago, November 3rd to 15th is early bird pricing, and then November 16th to the end of the month, November 30th, we will close the doors. At that time, that'll be full pricing. And so we make sure you get into the early bird pricing and that's gonna, you're gonna find all that information at.

BI [00:12:00] t.ly/mcm cash. That'll be in the show notes and we'll be promoting it and letting everybody know and emailing. Uh, if you're in our Facebook group, we'll be putting in there. If you're on an email list, we'll be doing that. Uh, we're gonna make this like very reasonably priced. Uh, I want people to have this information.

I think this is gonna become the real foundation of your future understanding of both practice finances and how it relates to your personal finances. It's not gonna be anything about investing in Bitcoin and all the things that we're not accounting, we're not doing, but we brought in a couple experts.

Obviously Holly and and Christine have the chops. And then, uh, I'm not necessarily certified in anything financially, but, uh. Coach a lot of what the four lessons that I'm gonna go over and have tons of experience with it and been coached on it. And so you can go to Bitly bt.ly/mcm cash to [00:13:00] sign up for that.

Again, early bird pricing is November 3rd to November 15th, and then it's regular pricing after that, and the door is closed completely on November 30th. And then we release the first lesson on Monday, December 1st, just like we did last year. And it flowed well, and I'm excited to help you out as much as I can.

 EPISODE 449: Tax Savings and Asset Protection for Doctors with Christopher Gandy

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] All right. Excited to have Christopher Gandy on the line here to talk about tax reduction in asset protection. Uh, was recommended by a few of our mastermind members and has done some great work with them. And so we're gonna dive into that stuff. But before we do, Chris, uh, tell us a little about yourself personally, professionally.

We'll, we'll dive into it.

Chris Gandy: Thanks, Kevin. I appreciate it. So, I'm a recovering athlete. My previous life I played professional sports and played sports in college. So if you Google me. Christopher or Chris Gandy, I'll pop up and you'll see that in my everyday life. I'm a professional financial advisor, uh, financial coach.

Um, but in my practical life, I help people do three things. Help them protect their assets, help them grow their wealth, and help them mitigate taxes over the course of their life. So that is what I coach my clients and coach our clients to do.

Dr. Kevin Christie: Love it. And where are you based out of?

Chris Gandy: So I'm based outta Chicago.

Uh, we have an office, satellite office in Fort Lauderdale, one [00:01:00] in, uh, California and Newport Beach. And we're continuously working to grow that platform. Uh, you know, a couple a advisors in Atlanta. But we're trying to get our best and try to make sure that our platform is a national platform, but we go wherever planes go, Kim, you know?

Yeah,

Dr. Kevin Christie: that's, that's right. Well, I know you've got a few of our mastermind members that are in different areas, Texas, Florida, um, just outta the gates, what are some of the things you've been doing without naming them, but just some of the things you've been doing for, for their practice or their, I guess we call it personal financial situation.

Chris Gandy: Sure. Well. Kevin, what we've, what we've figured out over the years, you know, I've been doing this now for 26 years and I, my previous life, if I rewind the tape, I worked for a lot of the big companies

Dr. Kevin Christie: mm-hmm.

Chris Gandy: Where they, they limited the access of products and resources to our, to our clients. And so since we came out and we built a, a boutique mm-hmm.

Uh, uh, firm that allows us to work with [00:02:00] all the companies, one of the most important things that we've established is understanding. First things first, which is lots of times with, with practitioners, it's organizing.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: The things that they've done up until now and trying to figure out what are long-term assets, what are short-term assets, what are mid-term assets?

Trying to make sure they understand the, the accumulation phase of building wealth. Mm-hmm. Not only themselves, but in their practice. You know, I know that's always a challenge is. How do a, how does a practitioner optimize and get the most out of their practice with paying the least amount of taxes? I mean, that's always the name of the game, right?

And so how do they do that? What are the techniques to doing that? But there's some unique ways of doing that, both after tax and pre-tax. So we, we, we enjoy sharing with them and guiding them to help them accomplish those things. [00:03:00]

Dr. Kevin Christie: Let's go down the path of, of the tax reduction for a little bit. Um, what are a few things that, that a practice owner could do to, uh, you know, obviously ethically and legally mitigate some taxes?

Chris Gandy: Well, the key is, you know, let me, even before we get there, is Yep. The structure.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Joe, here's an example. A lot of practitioners will have their, their say, chiropractic practice where they see patients.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: But perhaps they're not making. The most capital there a lot. So a lot of times there other capital will be coming from, uh, other things they're doing around chiropractic services.

Mm-hmm. Whether it's rehabilitative services or it's regenerative medicine services, or it's blah, blah, blah, blah, blah, blah, blah, blah, blah. What most mistakes that I, I see. Is that they've just picked up resources and piled them all into one company, and then there's no way to separate the owners and all the [00:04:00] employees.

Okay. What we've actually seen is that when that happens, a lot of times it makes sense to talk about are, is there a management company that charges fees for source, for resources, or is all the money coming into one? So sometimes it makes sense for us to actually help them look at structuring. That is the most important thing to make sure the other pieces work.

So gimme an example. Uh, one of the chiropractors we work with all the monies coming into one company, and then what they're doing is, uh, they're taking some of the capital, and this is none of your, this is not nobody on your mastermind, but mm-hmm. They're taking some of the capital and they're actually paying rents to their rental company in which they're building.

In which they own the building, okay? Mm-hmm. That's 1 0 1. But then you have the other resources. Like example is we'll move, if it makes sense, we'll move billing outside of the main practice and have it be a third party [00:05:00] resource company also. Because at that point then you can have different ownership structure versus the original structure.

Um, so you can move billing, that's another resource. And then for all the modalities that come out of that, you can have those be separate companies. Also. Mm-hmm. If you do that, what you find is that if you just create another company for the purpose of creating a company to reduce the taxes, the IRS can come back and say, well, that's not really a company.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: However, if you have these other companies, these other companies functionally operate differently. And the actual key to this is the ownership structure is different. So I love all your people who are in this Mastermind, but let me, I wanna be clear. You gotta take your name off of all the stuff. I understand the A personality and you want to be like, this is mine.

I get it. But if you own a hundred percent of this company, you own a hundred percent of the marketing company. You own a hundred percent of the billing company. You own a hundred percent of all the other companies, and [00:06:00] then you try to create some tax reduction programs. Whatever you do for yourself rolls up through all those companies.

Yeah. Because it's considered a controlled interest group.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: So many a times. We'll have a spouse own one of the management companies. Mm-hmm. We'll have a spouse or someone own one of the regenerative companies or one of the other companies at the majority share 51%. And the purpose of doing that is because the IRS treats that as a completely separate company, even though it's making money from the main company.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: You can do that. And now all of a sudden, whatever I do in that company that does not have the majority ownership for you. I do not have to do for all my employees. Gotcha.

Dr. Kevin Christie: So theoretically you got a billing company that's its own LLC spouse owns 51%. That is now a different entity, different structure than say the chiropractic practice.

Uh, you could [00:07:00] offer something through that billing company, uh, 401k or insurance or anything like that, that you wouldn't necessarily have to offer in the main chiropractic practice. Is that correct?

Chris Gandy: Correct. Correct.

Dr. Kevin Christie: And then you could probably, that's just one example of other things that could probably benefit.

Correct?

Chris Gandy: Correct. The big one is the, uh, building their own pension plan or defined benefit plan. So, so, so let's get into the, from 50,000 feet to have a company at the end of the day, and a chiropractor is making about 700 to a million bucks call. It is what it is. When net profits, after all the expenses are paid, they feel pretty good.

They're comfort, they're comfortable paying 30%. They're 32, 30 7% in taxes. 320 grand is gone. They hate doing it, but it is what it's in doing this, what happens is that we now have the ability over here. To set up a way which we can defer depending on their age, and because actuarial age, we can do a 401k, which is [00:08:00] limited up to 50 or 60,000 a year.

But then on top of that, we can add a defined benefit plan. A defined benefit plan is a form of a pension plan. Okay? That layers on top of a qualified plan or replaces one where you can put up to 280,000. Dollars on a pre-tax basis. And if design rate, you can actually overfund the defined benefit plan multiple times over.

So essentially we, we have the ability to make the majority of income disappear because it's redirected into a qualified plan. Now we can't do it all through a four through a 401k, but you can do it through those other plans. And some of those other plans are a little more flexible, so a lot more.

Different investments and things you can have inside of those, but effectively you can take your effective tax rate on the left side at like 30, 35, 30 2%, and you can potentially bring your effective tax rate down to 12 to [00:09:00] 15% if you do it right. Yep. Now the key to that is cashflow, because you gotta put the money in.

Yeah. You know, which is sometimes of a challenge.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: But that defined benefit plan is the only plan. Which you have until with full extension. Mm-hmm. You have until the following year to make contributions to it. So, so Kevin, let me rewind the tape. Yep. Your 401k, you gotta make contributions into it during the calendar year.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Okay. During, from January 1st of say 2025 to December 31st, 2025. Okay. If you don't have the money in by then, the company then can do profit sharing to a certain point, and then that's it. Yep. The only plan where you can put significant chunks in, so let's say you, you, you found yourself and you did a million bucks, but now all of a sudden with the accountant comes back, was like, actually you did 2 million.

Sorry. Oops. And now all of a sudden you're looking at like a $600,000 tax bill. Mm-hmm. That [00:10:00] defined benefit plan allows for you to put in so much of that excess that you can bring your tax number back down and you have until September with extension, September of the following year. Gotcha. To make the contribution.

So for many of your, your people listening to this call, it's a way for them knowing what they paid in 2025 and 2024, what they paid in 2024, to say, I don't wanna, you know, I did pay 150, 200,000. How do I get that number down to like 50? Yeah. What do I need to do? So then next year. I'm taking full advantage of that.

So that becomes part of the conversation and everything's an exploratory conversation with us. Mm-hmm. Yeah. So, um, you explore it, you see if it makes sense, if it makes sense. We involve your accountant, involve your accountant, a couple other people on your team, if it makes sense. We implement the plan and strategy.

And Kevin, here's what I'll, I, I will say to you, [00:11:00] what's the downside

Dr. Kevin Christie: mm-hmm.

Chris Gandy: To exploring it, because at the end of the day, it's. We can either A, make the money and pay, give it to the IRS. Mm-hmm. B, we can give it to the people we love and care about, including ourself.

Dr. Kevin Christie: Yep.

Chris Gandy: Mm-hmm. C we could give it to charity.

Mm-hmm. Right. Or we can destroy it, take it outside, burn on fire, but then we still the tax on it. Right. So, so third, the last logic is not logical. So given the three choices, the IRS people we love and care about, or a charity. Most of your listeners on this call would say, who would you like to leave the least?

Who would you like to give the least amount of your hard earned assets during a 12 month time? To typically, they'll say, well, the IRS. Yeah. Right? And so what do I need to do so that I, I can explore that or look at that, those type of things. So when it's that simple, it's. Does it make sense or doesn't it make sense?

Yeah.

Dr. Kevin Christie: I wanna tease it out a little bit to make sure that we're, uh, audience is, is is getting it too. So you mentioned cash flow [00:12:00] earlier, so obviously there's gotta be healthy cash flow. And then I would say, and, and correct me if I'm wrong in any of this, you also have to be paying yourself a certain amount.

To live your personal life, like whether it's kids' school or grocery bill and all that. So there you gotta fund that. Obviously there's certain things you can legally run through a business, but let's say you gotta have the cash flow. You gotta be a person, you know, paying yourself, uh, to, to live and maybe your living somewhat, moderately.

Now, would this need to be kind of a, a higher revenue, higher margin? Practice for this to, to really make sense to where there's just a, a lot of profit that's, that's, uh, sitting there.

Chris Gandy: Well, you need to be profitable. Yeah. That's the most important thing, right? Mm-hmm. If you're like, you're like, I don't know how I pay my bills.

Right? You know, that, that becomes more difficult to do because there's just, you're robbing Peter to pay Paul, right? Mm-hmm. So I would tell you that most of your. Well, let me, [00:13:00] let me go back for a moment. Most of your practices should be, make sure they're set up in a, as a form of a corporation.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Yeah. Not just set up as sole proprietors and 10 99 and everybody, I mean, come on, we can professionalize the service. Okay. Yeah. So once they get to that point, then I would, I would say that they need to be, you know, decently profitable.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Um, they don't even be making a million dollars excess a month, but they need to be decently profitable where they're like, okay.

If I don't bring in the same amount next month, I still can live my same quality of life and pay my and, and pay my overhead and my, uh, and my staff. Right? Um, and at the end, when they add all the stuff up, there's a profit. Right? I would say it makes sense if your profit is over after you've paid yourself.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Yeah. A hundred thousand dollars or more. It makes sense to explore other options. Perfect. That's what give it, give it that space. So it makes sense. Yeah, [00:14:00]

Dr. Kevin Christie: no, it does. And it's um, you know, knowing some of the mastermind members that have, have utilized this and have worked with you and then some other chiropractors, I know there, there are, you know, there's some out there that they, they are very profitable.

They are. Uh, running high, high revenue, high profit, uh, practices, which are awesome. Um, but then yeah, if you're not careful, a lot of that's gonna go out the window and we don't, we don't want that. Um, and so, uh, are, are you seeing a lot of, are you working with a lot of, um, practices that are, say integrated clinics medically integrated a lot of different types of services outside of just chiropractic?

Chris Gandy: Well, yeah. Yeah. You figure that now chiropractic. Care is really whole body care. Yeah. Right. And, and, and holistic care. Right. Um mm-hmm. Everything from, from, from, from peptides to nutrition to, you know, there's, there's a [00:15:00] whole there, whole platform. Yeah. And process for people to. Be the best version of themselves.

Mm-hmm. And so a lot of the practices that I've seen are super successful, integrate a lot of other mod, I gotta call 'em, modalities for their clients to use, even all the way down to plunge and red light therapy. Right. And it's all succinctly wrapped into one, you know, organization. Mm-hmm. Even though it still may be separate.

Um, they're creating the experience. For those, for those for those clients where we come into play. I think that makes sense and I want your listeners to hear this is 90% of the people we've worked with, even in your mastermind, they have other, they have other advisors. And so people are like, well, I have an advisor.

And it's like, okay, okay, I understand, but I played sports. Mm-hmm. So I'm gonna reverse engineer this. Can you imagine me going to play against the bulls and saying, I got one player, all that has [00:16:00] Michael Jordan. You can line up all your other five players, but at the end of the day, I have Michael Jordan.

At the end of the day, Michael Jordan's going to lose every single time. Yeah. Yeah. Right. And the reason why he is going to lose, even though he's the most talented, is simply because he can't do all the things.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Mm-hmm. Right? And so. Um, well, Disney said, you know, and Apple said, you gotta think like a big business before you become one.

Right? That was a Steve Jobs, uh, quote there. And so lots of your mastermind members are saying, I'm not there yet. I'll wait till I get there. But it's like waiting to go on vacation and pack. You gotta pack before you go. So some people are a little ways away before they can, and some people they need a little bit of runway to get that airplane off the ground, you know, because that restructuring part.

If it's not structured correctly or even streamlined correctly, then we may have to create those other entities and enterprises get 'em up and running with the idea that 2026 we're going to do a plan and a [00:17:00] strategy versus in 2025 when we're just picking up the pieces of what was already there. Does that make sense?

Dr. Kevin Christie: Yeah, definitely. And then I guess you have until, you'd have until September of 2026 to get 2025 squared away.

Chris Gandy: Right. And so imagine the lookback, right? Imagine saying if I knew this, 'cause a lot of people get to the end. They're like, if I would've knew this, I would've did this differently.

Dr. Kevin Christie: Yeah.

Chris Gandy: Well, here's the opportunity.

You can't do it unless you have the plan open and you build a plan. Now the plans can be built even all the way until September 1st, 2026. So for 2025, I'm telling all your listeners it's not too late to explore. Does it make sense? To help reduce my overall taxation in which I'm giving to the IRS each year.

That doesn't hurt. I mean, if we take the math on, say your average practice that you coach or that you work with, or that are in your mastermind, that are, that, listen to this podcast, let's say for an average, they pay somewhere between 70 and a hundred thousand dollars a year of taxes.

Dr. Kevin Christie: Mm-hmm. And

Chris Gandy: let's say their [00:18:00] longevity of being in practice is 20 years.

You figure over a 20 year period of time, they're going to give away over $2 million mm-hmm. Of capital to an enterprise or an entity, or an organization or a government process that the rate of return is zero. Mm-hmm. For all right? Uh, yes, we have the schools, the roads, but at the end of the day, we understand that we want to pay our fair share, but not more.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Imagine if they could say, okay, if I can keep a million of the 2 million. And put it in something and it grow at 8% a year mm-hmm. For the next 20 years. Right. That at 2 million that I would have spent and gave to the IRS, that my million now has turned into 3 million because of the way I had put it away.

And so that's the concept is why not take a portion of what we know you're gonna give away anyways.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: And redirect. [00:19:00] Into something that's going to benefit you, your family and and the future generation of, of, of your, of your legacy. And that's the idea. That's the concept. That's where our company comes from.

Legacy Wealth Group, is leave the world a little better than we found it through intentional work and purpose. That's where it comes from.

Dr. Kevin Christie: Love it. And then, um, do you also work with the, the client, let's say again, higher, higher revenue high profit. They're, they're, they're doing well. Uh, but they also have some other desires for capital expenditure within the business to grow the business.

Maybe it is buying office, real estate, maybe it's, uh, uh, capital for equipment, things like that. Do you work with 'em to say, okay, let's put this amount into the, uh, into the defined benefit plan? Let's. Put this amount, reinvest it in the business, help them out with that type of stuff.

Chris Gandy: Yeah. I mean, we're a coach.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Right. What does a coach do? Help draws plays. Right? What do you do? Help execute the plays, so, so a lot of times it's, and and again, a lot of times, a lot of times as entrepreneurs, [00:20:00] myself included, how often do we get a chance to talk to someone and tell people what we want? Yeah. Right. Very rare.

Right? And, and, and the reason why is because everybody's coming to us telling us what we, what they want, right? Our employees, right? You got this vendor, whatever, here's what they want. Right? And we're having to actually constantly react. There's very few times people get a chance to say, here's what I want.

Help me, help me envision how to do it, and the strategy. And so that's, that's what we, that's who we are. That's how we, how we help people.

Dr. Kevin Christie: Now if you could for us, um, I just want to define a little bit what the defined benefit plan is.

Give our audience a little bit of a, an overview there.

Chris Gandy: A defined benefit plan is a fancy way of saying a pension plan. Mm-hmm. Right. And so. If we think about the most successful people in the world as it deals with never running outta money. Yep. They are people that have guaranteed income for the rest of their life.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Right. Most entrepreneurs don't have that. Yeah. [00:21:00] So firefighters, police officers, or civil servants. Then you have the military. You have that university, uh, professors, things like that. They have pensions. Why were pensions so great. If we rewind the tape back to the 1970s where our grandparents were so amazingly successful financially, they used to buy the, you know, grandparents used to buy Cadillacs all.

How did you get a good new Cadillac? Well, at the end of the day, they never ran outta money because guess what? The checks kept coming regardless of how much they saved. So there was three legs of the stool in retirement. Back in the 1970s, the first leg was how much money they saved and put away and pillaged and, and, and saved on their own.

Mm-hmm. The second were retirement plans that they put their money into like a 401k or plans like that. And the third one was a pension plan. Mm-hmm. That their company And because most of your people own companies, right? Yeah. Their company put money into for the benefit of them.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Allowed for them to say when they [00:22:00] retired.

Here, this amount of money I'm going to get every month mm-hmm. For the rest of my life. And then when I die, 50% of that is going to my spouse for the rest of their life. Right? Yeah. And so those three things combined mm-hmm. Allowed for people to never run outta money. Gotcha. And then you dump in social security.

And social security was a gap filler, not a, not a actual hardcore leg. It was a gap filler that filled the gap between what we saved and what we didn't. So if we go back and just rewind the fundamental part of it, most people have relied on saving a little bit of money. Mm-hmm. We hope social security is going to be there and all the pensions have basically, essentially dried up because at the very large companies, yeah.

The crafts. The apples, those type of companies, there's too many people to be able to do that with. And so the pension strategy is still there. [00:23:00] Mm-hmm. Especially for smaller, more entrepreneurial businesses and the, and the tax reduction part of it is so large. Mm-hmm. That people can really get. I say wild and crazy with it, and I'll give you a great example of this.

I have a practice that sold for $17 million in Los Angeles about three years ago. Mm-hmm. Well, if you know anything about California, California likes the state tax, right? They like to make up the difference in state tax. So, uh, his effective tax rate was 47% on his 17 million bucks. So if you, if you do the math on that, let was just say 50, just to keep our life simple.

'cause we don't want to, you know, break out the calculator here, but on 17 million you figure that we're gonna have an eight, eight and a half million debt dollar tax bill. That was not copacetic for him. Mm-hmm. So knowing that the sale was coming, we took part of the shares and we put it in a separate company.

Mm-hmm. [00:24:00] We then took part of the shares, kept it in the main company where he received that, and then, uh, part of the, part of the buyout was paid over a course of a two year period of time versus one. Right. So we were able to separate it into two years. So the 17 million became eight. We paid 8 million in December and 8 million in January, right?

Mm-hmm. Still the same money. Yeah. So we were able to separate it over a course of two years. What we were able to do with the 8 million is now we had part of the shares go over here, so we set up a, a defined benefit plan over here. Remember the 401k was only 50,000, so it was negligible. But we were able to advance, pay the defined benefit plan, almost $2 million a piece.

Mm-hmm. So we essentially took his, call it $8 million and on paper made it look like four. Yep. Now he's got access to those assets. 'cause he was over 60. 'cause all he had to do is be over 60 so he can take those assets out in the future. [00:25:00] Yeah. And now he paid taxes on 4 million. We effectively took his $8 million tax rate and say 4 million in taxes.

And we brought it all the way down to about 1,000,003, 1,000,004 when it was all said and done, $2 million on the total amount when it was all said and done compared to what it would've been. So there's a great example of planning. No understanding and understanding how to really take advantage of it.

And we took full advantage of it. And now those assets are in his portfolio versus in the IRS's, uh, you know, portfolio and doing whatever it's doing.

Dr. Kevin Christie: I love it. And so, uh, obviously for our audience, you know, the 401k has got a lot of limitations on how much can be put in there. Uh, the defined benefit plan is more of like a pension that ultimately down the road will, will pay you, is it age 60 when it would, uh, start paying you?

Chris Gandy: You can set it up, you can set it up for 55, 60, 65, or. And at the end you can roll it over in a lump sum. You can, you know, just like pension options, you can roll it [00:26:00] over in a lump sum, you can take it over 10 years, you can take it over 15, you can take it over 20, you can take it over a lifetime. You can take it over your lifetime of you and your spouse.

You know, there's multiple ways to take it. Mm-hmm. Um, but the fun thing that your people are, are, are, are liking. Mm-hmm. And I know specifically the, the couple that are in your group right now mm-hmm. Is we learned a way. Through a platform that we work with of how to take a chunk out of it tax free later on in life.

So the ability to put in money. Mm-hmm. 60% of it's still gonna be taxed in normal income when you pull it out. Yeah. But 30% of the money that comes out will come out in a tax free basis later on. So we figured that out too. And they love that. They're like, why can't we put more money in that bill? 'cause the IRS specifically says, in documentation you could only have 30% Yeah.

In some of those tools. So, but. It's still a win. It's, it's still a beautiful thing.

Dr. Kevin Christie: No, I love it. And so [00:27:00] that's kind of the, the tax reduction side of things and obviously there's a lot more to it and that's what you help people with. Um, when you structure folks and kinda get their organizations really on point, um, is there an asset protection aspect to that as well?

And, and if so, what is that?

Chris Gandy: Yeah, well there is because. Think of it, you know, I like to talk about things in a way where people can understand it, even if they're not talking to me or someone in my business. Just think about it. If we're gonna go build a castle. Over in England.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: And we're gonna go back to when there was wars and people were taking castles.

And they were taking kingdoms. Are we gonna build that castle with no, no, no gate around it, or no mode around it, or no nothing to protect it so they can come in and take the queen. That's not what we're gonna do. We need to protect our assets. We live in a world, and I want your people to hear me. We live in a world where litigation is silly.

Even if it's not you. It's [00:28:00] silly, right? Mm-hmm. It's, well, you know what? I know, I understand. I Googled you and you are, you, you're, you're a, oh, you're successful. Oh my gosh. I'm gonna throw a frivolous lawsuit towards you. It doesn't matter if it's true or not, at the end of the day, it costs to get rid of the litigations.

Yes.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Right. And and lots of times it's not what you're doing in your practice. 'cause people are like, I got insurance in my practice. No, it's the things that happen outside of your practice. You got a text message from me saying, look, we got 20% on our money. Yeah. And you're like, oh my gosh. And now you hit some.

Now you know what they're like. It exceeds your umbrella or exceeds your limitations, and now all of a sudden there's a liability on your assets. We want to make sure everybody on here, your assets are contained in structures where they cannot be pierced. Yeah, that is critically. Important. Litigation liability, same type of thing.

Your ability to protect your assets from the things that we don't know out there that exist, whether it's [00:29:00] from living too long, dying too soon, someone else trying to make sure they take advantage of you, litigation, like those are things that we need to protect assets from. So I believe that trust are super important.

Mm-hmm. Now with that being said, the right. Kind. I was gonna say it one more time. The right kind of trust are the most important. Mm-hmm. Uh, the trust is not the tool to say, I'm gonna reduce my taxes. A trust is designed to protect assets from outside influence. That's what they're designed to do. Are there some with tax advantages?

Yes. Um, but the idea would simply, think of it like this. All your people should not own much of any of it. They're either corporations, their trust and or their, their, their structure should own most of it. Mm-hmm. And so if you're listening to my voice and you say, well, I own my house. I own, I own everything, I'm the king.

Mm-hmm. Mm-hmm. You know, the [00:30:00] easiest way for you to lose that is a litigation liability and or taxation. And it makes more sense for if you own things. For you to have trust to own them versus you. The trust is more powerful anyways. Yeah. It could live through one generation, not just one your lifetime, our lifetime, but also two, three lifetimes.

So it's, it's a very powerful tool if you understand how to use it.

Dr. Kevin Christie: Yeah. And I think that's a big thing that people don't realize. As you start to build out assets, you know, you definitely have to get someone in your corner to, uh, protect that. And so, um, protect the money you got coming in from a tax standpoint, protect it from an asset protection standpoint.

Make sure your organizations are, are on, on point there. And I think that's something that not enough doctors are realizing these days.

Chris Gandy: Yeah. And even, even the idea of, you know, it used to be really awesome for us to own things. Yep. Right. But it's fair to say some of the most successful people that I know own very [00:31:00] little.

Mm-hmm. Now they control a lot, right? Yeah. Because of, you know, they control their trust or the beneficiary of their trust, or they control their company, but they've given away the ownership mm-hmm. Of a lot of things, like I've just said to you. Yeah. If you don't own 51% or 50%, people are like, I split it with my husband 50%.

No, no, no.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: You cannot own the majority shares. Mm-hmm. 50 49 is okay. Yeah. Or if you own 1%, it's okay. Right. It, it's okay at times. Right. And I think there's a, you know, there's, part of that is the psychological part, especially people that build businesses, right. Is that I'm gonna take over the world and I'm gonna kill it, I'm gonna crush it, I'm gonna do amazing things and I'm gonna take, I'm gonna, I'm gonna leave my indelible mark on society and it's gonna be the most amazing thing ever.

And so there's that a personality. I was a former athlete, not only a college athlete, but a professional athlete. Mm-hmm. I can, I can do anything and everything. Right. And so that, that ego part of it [00:32:00] is what's stopping some of even, and your listeners from actually moving to a place where they're like, I understand I can have the wealth without having my name on the door, my name on all the stuff, right?

Mm-hmm. To, to, uh, to be successful. Yeah. The definition of success is not who has the name on the door. Definition of success is who has the most at the end.

Dr. Kevin Christie: And, and I would say, you know, it's something I see down here in South Florida a lot is you'll hear, uh, of, you know, residential real estate being purchased.

Like, you know, high net worth individuals are buying third, fourth, 5, 6, 7, you know, eighth home, whatever it is down here. Uh, but it's not bought under their name. It's typically, you'll see it bought as like an LLC or, or some kind of corporation is buying it. That's essentially what you're saying on a big scale, right.

Chris Gandy: Yeah. Like my ho my home is, I, I bought it in a blind trust.

Dr. Kevin Christie: Mm-hmm.

Chris Gandy: Because I didn't want people to know who loaned it. Right. And so, um, and when I bought it, the, the lady had [00:33:00] decided I, I had actually made an offer. It's kind of a funny story. I had the lady, I had made an offer on the house and the lady was like, no, I'm not selling it.

I don't care how much you offer me. And I'm like, okay, fine. So then I made my blind trust to actually make an offer at $10,000 less. And she took it.

Dr. Kevin Christie: Yeah.

Chris Gandy: Not sure why. Mm-hmm. But she took it. And so you don't know who actually owns the blind trust until we show up at the closing. Mm-hmm. And, uh, I remember that the look on her face when I showed up at the closing mm-hmm.

She's like, well, what you doing here? I, I didn't sell you the house. And I was actually, no, you didn't, you sold it to my trust. I was, it was kind of funny. But there are ways for you to actually mm-hmm. Be able to have corporations. Not only that. Corporate corporations like Delaware. Mm-hmm. You know, also, Florida's a very, very nice state, but there's certain states in Nevada, there's certain states and corporations are incorporated at, where they're more taxed advantage than if we, we, we don't have that.

So just understanding that I didn't, I [00:34:00] don't have, I'm not an accountant. I'm not an attorney, I'm an advisor, but I work with accountants, I work with attorneys, I work with those people. And if sometimes people have people like that

Dr. Kevin Christie: mm-hmm.

Chris Gandy: Um, then we ingratiate, we ingratiate, we integrate with them to make sure that we have, and again, you don't have to fire your advisor.

Sometimes they need to be fired 'cause they don't know what they're doing. But that's a different, um, you know, they've gotten lazy to the point. But, you know, sometimes it makes sense for us just to enhance or compliment. Some of the things that are already there, um, and to make sure that it's done the right way so that, uh, you know, it's, they can build another pile of wealth for themselves.

Yep.

Dr. Kevin Christie: Well, Chris, this has been informative and very helpful. I know it could probably be a four hour episode to dive into it, but that's why they can reach out to you and, and have the conversation and I think it's, it's definitely worth having the conversation. Uh, how can they find your information and reach out?

We'll put it in the show notes.

Chris Gandy: Sure. Well, they can reach out to me on email. [00:35:00] Mm-hmm. Uh, and or you can call my, my, uh, I'd say my scheduling person and we also have a Calendly mm-hmm. Link where I can present that too. So if Perfect. You would like, I can give my phone number and email on here, or you can place it wherever you want.

Yeah, do

Dr. Kevin Christie: just do the email and then we'll put all the other threes. We'll get a separate, uh, from you on an email to get it from you and we'll put it in the show notes.

Chris Gandy: Okay. Great. My email is c. Gandy, G-A-N-D-Y, like candy with a GC Gandy at Midwest legacy LL c.com. C gandy@midwestlegacyllc.com. And if they say that they were, uh, heard you, you know, on the title mm-hmm.

You know, they can say, you know, podcast, um, you know, interview. Define benefit, something along those lines or your name, if they say your name mm-hmm. [00:36:00] Um, or your podcast name and the title, it'll allow for us to be able to pick it out and be like, okay, we need to schedule a time with them. And I'll give you the Calendly link.

You can go direct, perfect. Press the button, boom, you're in our calendar. And, uh, again, in the title, if you just press, you know, say the name of the podcast, define Benefit Inquiry. I, I'm more than willing to have conversations along those lines.

Dr. Kevin Christie: Sounds great. Well, this was, uh, informative and I, uh, it didn't disappoint.

I hadn't heard about this from a few of our members for a while now and been wanting to get you on, so thanks for your time today.

Chris Gandy: I appreciate it, Kevin. Thanks.

 EPISODE 450: Updates on Chiropractic Design in 2025 with Carolyn Boldt

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I'm excited to bring on a guest. Who, um, has been on before. Um, and she's helped me in my practice, my office and as Carolyn Bolt of Crossfield design. Uh, we did a full renovation, I shouldn't say a full renovation.

We did a pretty good renovation in 2022. Not of structures and layouts and things, but uh, we had a update, you know, we'd. 10 years in things start to get outdated and uh, you know, things started to get worn and we did a full remodel of flooring and paint and decor and, and all kinds of stuff, some office furniture.

And it really came out great and very excited about that. And we're gonna bring her on today to have some updates on chiropractic design in 2025. Like what's. You know, it, it changes. It changes and you know you'll be fooling yourself if you don't think having a nice [00:01:00] office with good design, whether it's the flow of the office, which they work with, or it's the decor or color schemes, office furniture.

It really makes a big difference. And we just, uh, wanted to touch base. On some updates in 2025, how it relates to, uh, chiropractic design. And it does have an ROI, it does have an ROI. And so sometimes you need to figure out when do I invest in that? And that's, uh, one of the topics we actually cover in our, uh, coming up online course called a Cash Confident Chiropractor.

Uh, you can register by November 30th, 2025. The first lesson comes out on. December 1st, and we cover everything from increasing revenues and, and you know, and profit margins. But one of the lessons we have down in lesson five is about reinvesting in your business, how and when to reinvest in your business in yourself professionally.

It's not a one size [00:02:00] fits all topic, but we can definitely provide you with some guidance and ideas on when and how to reinvest. Profits and or use some debt for long-term growth strategically. Um, and so that's lesson five, reinvesting in your business and yeah, you know, remodeling your office or updating your office is reinvesting in your business.

And we dive into that a little bit today. But if you're interested in the online course, go to Bitly, bt ly slash ncm cash. Sign up for that. You won't regret it. You're gonna really. Truly understand practice finances and how it also bleeds into your personal life by the time you're done with this six week course.

So check that out at B ly slash MCM Cash. And without further ado, here is my interview with Carolyn Bolt.

All right. Excited to have Carolyn Bolt on the podcast for the third time. Uh, surprisingly, I, I, I had emailed you to come back on and I didn't realize it's been three and a half years. Uh, I wanted to do an update show on just the, the [00:03:00] 2025 trends going into a. Uh, 2026. And so thank you for hopping on.

Just for reference, we did an for our audience in April of 2021. We had you on talking about the ROI of Office Space and Design, and then in March of 2022, we had you on the psychology of really nice office space and that those were really well received and wanted to have you come back on. So what's new in your world?

Carolyn Boldt: What's new? Um. Not a whole lot. Those two things still impact Every decision that we make is the ROI and the psychology. Absolutely. And I'm sure we can expand on that and see where we go from there.

Dr. Kevin Christie: And I'm sure you know, the psychology of an office space lends itself to increasing the ROI. Or decreasing the ROI of space and, and how that is interchangeable.

And I don't think, uh, chiropractors and, and frankly, most healthcare providers take that into consideration as much as they should.

Carolyn Boldt: Well, one of the things that [00:04:00] by that we did at the beginning of this year. Mm-hmm. So if you ever heard of evidence-based design,

Dr. Kevin Christie: no, I haven't.

Carolyn Boldt: So what's interesting is evidence-based design has been around for.

You know, 50 years. Mm-hmm. And it started with, um. Help with hospitals and started with analysis and a organization called The Center for Healthcare Design was created and they started doing all this research and a big research was done in 2000. It's called the Pebble Project if anyone wants to look it up, but it was a lot of different organizations coming together, but it was very, very much focused on hospitals.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: And how design. The design of the space functionally an aesthetically, how is it impacting the health of the PA patients in the space? And so there's all kinds of statistics and what happened is the HO hospital trended toward [00:05:00] changing their environment because of that. And what's interesting is that it is finally starting to trickle down mm-hmm.

To the, to the doctor's offices. Yeah. So when people in, we started this in 2010, just focused on chiropractic offices after doing all that work at Life University, , as I've told you before, we started just teaching. That, Hey, your office space impacts your success. It impacts your ROI. But what's interesting is the beginning of this year kind of led by some questions that came up.

I really started documenting the evidence. It's out there. There's a lot of evidence out there, but it is quality office environment will make you money.

Dr. Kevin Christie: Yeah. And it's been interesting 'cause I've had a close family member that had, um, pretty big spinal surgery and the hospital, uh, that we were going to was very nice.

You could tell they remodeled it. And I remember just thinking it's like, oh, this is, this is, this is nice. You know, and it stood out [00:06:00] and then, um, same person went up too. Um, a physical rehab facility after surgery and decided to go all the way up 45 minutes away. Um, because had been to this place before for, for a, a friend and it's just nice.

And I went and visited and it's really nice and. You know, so, you know, it went 45 minutes outta the way to go to that facility because of the psychology around being at a nice physical rehab center. Um, is so, it, you could, you could just tell it makes, it, makes a big difference. So, um, let's, let's kind of go into some of the 20, 25 trends.

The last time we had spoke again was in 2022, and then you. And your team were kind enough to give my office a facelift. So just a little background on that. I purchased my office real estate in 2013 and did as much as I could at the time, as much as the loan that I took out. The, you know, it's always fascinating when you buy commercial real estate is, [00:07:00] um, you know, you, you agree to a price to buy.

And then the, the loan is a whole lot bigger than that because you're buying the real estate. The loan is including the real estate, the build out furniture, fixtures, equipment. Then they want you to take some overage just in case like it. Um, so, and they only give you so much for what you can qualify at that time.

In 2013. So I mean, I still spent like 125,000 on buildout back then, but had to definitely cut some corners. And then I came to you guys because frankly it had been about 10 years, um, since we, we did it. And in 10 years a lot of things changed, especially in commercial wear and tear, uh, design flows, things of that nature.

And so we. We redid our office. We didn't change the floor plan. I felt pretty good about that, but we really updated, uh, quite a few things and it's, uh, it's been really well received for sure. And I, is, is there kind of a long-winded way of going, getting into the, the point here [00:08:00] of 2025, but, um, is there like, is it seven years, 10 years, 12 years?

Like where people should really start thinking about refreshing.

Carolyn Boldt: Yes, you said it, it's seven to 10 years. Mm-hmm. And, uh, and it, if you think about clothing trends mm-hmm. It's the same thing. Any kind of design trend, any cars, any kind of thing that's designed that cycles every seven years to 10 years. And, um.

So, yes. And it's also interesting that how leases that people are in leases, how that kind of follows that, that trend also. So, I don't know, it's the chicken and the egg I guess. But really, um, interior design follows clothing trends. Mm-hmm. Clothing trends go move and change faster than anything. Interior design trends change slower.

But I, if you want me to give you some decorator things. So what I'm talking about is decor, the decorator part, not the flow part, but the decorator part, but some of the decorator things that we see. Well, the colors have definitely gotten warmer. [00:09:00] We've gotten away from the gray, gray, gray, everything gray.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: Um, things have become warmer, but they've also become lighter. A lot of white and a lot of, um. Just warmer brown tones. You'll see woods have come back in. They've gotten lighter again, and just softer palettes of. The muted colors. Have the color trends, have that been that way? If you's seen that, right?

It's funny.

Dr. Kevin Christie: Yeah. 'cause even we bought our house in 2025, or sorry, 2020. And so it's been five years. And when we bought it, we were strongly considering redoing the kitchen. And my wife now is like, we didn't do it 'cause it just, it was 2020. We, we had bought it like two, three months before COVID and then.

Obviously things got crazy and we're like, I'm not getting involved in renovating a kitchen in, uh, August of 2020. And so we didn't do it. And, and my wife now in 2025 is like, I'm glad we didn't do it because what I wanted to do then I [00:10:00] wouldn't want now. So,

Carolyn Boldt: you know, it's, it's hard. It's hard whenever you really, especially if you do something that's, I'm gonna call it trendy, right?

Yeah. So the trendy or something is. The faster it dates.

Dr. Kevin Christie: Yeah,

Carolyn Boldt: the more traditional, obvious OB is a word I'm gonna use. The more traditional things don't date as fast.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: So, but it looks. It. The colors do. Colors will always date. Colors are the fastest thing that date, so yeah, they've just become warmer and, but yes, I remember the cycle between white and then dark kitchens.

And then gray kitchens, and now we're going back to white kitchens again. Yeah. It's a cycle. I

Dr. Kevin Christie: edited our neighborhood also, like everybody's painting their house white. Uh, so yeah, it's just, it's fascinating on the design thing. Uh, and then I guess also in a seven, 10 years in a commercial space, you're gonna get a fair amount of wear and tear, right?

Oh,

Carolyn Boldt: yes, definitely. Definitely. I mean, commercial products, like commercial carpets and things of that sort, they'll have [00:11:00] a 10 to 20 year wear, you know, wear on it. Especially if you do like carpet tiles. We specify carpet tiles a lot because then you can. Repurpose them and move them around and stop the wear.

But paint and walls, they need to be touched up on a, you know, every two or years or so, just outta the nature of. Durability. Right? Yeah,

Dr. Kevin Christie: I've noticed that. Yeah. We're we actually just rebought all the paint that the same ones that you guys had had, uh, picked out for us. I rebought it 'cause we're making some changes on the rehab side of things and equipment and it's just gonna be time to, to do some new paint.

Uh, not the whole thing, but definitely in the rehab area and some of the treatment rooms. So, yeah. Um, what are on, on the aesthetics? We'll. We'll just stick for the aesthetics for a minute and then, and then we'll move to the actual workflow of an office. But, um, on the aesthetics, what are some of the trends you're seeing in chiropractic offices?

Carolyn Boldt: Well, another one of the trends is we went from real minimalist. Very minimalist. Okay. [00:12:00] So like the white came in and it became very. Stark. Mm-hmm. And now what we're seeing is pops of boldness coming back into it. So we're not, it's not cluttery. And when I say cluttery, it's not, it's not lots of little things.

We've gotten rid of the little things and, but now we're putting some power back into it. We're seeing a lot of, um, a lot of use of mural wall covering. Oh, okay. Just to create a pop in a, in a, um. It just creates a pop in a room.

Dr. Kevin Christie: Yeah.

Carolyn Boldt: Besides the, instead of art. Mm-hmm. You know, that becomes the art, but it's bigger and bolder and it's more, it doesn't necessarily mean that it's in your face bright.

Mm-hmm. It's just big. Yeah. So we see a lot of big stuff happening, is what I'm trying to say, using big things. Um, I wrote down some other things. Let's see, the other, the other thing we talked about is a lot more texture. So when you bring in the warmth, so. So people understand that [00:13:00] nature in your space is healing, okay?

Mm-hmm. But being more purposeful and intentional about it is happening. And I don't know if that's, as I was telling you a little bit about that design evidence-based design is slowly coming down to the office. Mm-hmm. It's been in the hospitals for a while, but it's coming. I don't know why it takes so long to come down to the office, but it's coming down to the office, so we see a lot more wood, a lot more plants, a lot more nature in the space.

Dr. Kevin Christie: Nice, nice. And I'd say dentists seem to have figured this out also for a while. They, the last few dentists that I've been to, they've got nice offices and, uh, it makes a difference. My wife, uh, we just went to a new dentist as a patient of ours, and, uh, just a good trust factor there. I feel like you have to trust your dentist.

Uh, otherwise they're like filling cavities, they don't need to be. Um, but uh, so we went to a new one and go,

Carolyn Boldt: go into the dentist. I was just. Tell you something in a minute. So dentists really started their change about 20 years ago also. Yeah. And it was design firms. It was the [00:14:00] equipment suppliers were hiring design firms, ah, to help dentists compete with each other.

Yeah.

Dr. Kevin Christie: Yeah.

Carolyn Boldt: And so you see it and you go, you make a choice of going to this dentist. They say 75% of your decision is when you first walk in the door, before you even meet that person, what you're gonna, whether you're gonna be there. So yes, so we're seeing that and, and I'm gonna honestly say when we started this in 2010, 2011, we couldn't find good looking chiropractic offices.

Dr. Kevin Christie: I know it was very few and far between,

Carolyn Boldt: but now you can, 'cause I used to tell our students, don't Google chiropractic offices. Google to find your inspiration. Google, uh, dentist offices. But now you can Google chiropractic offices and find them.

Dr. Kevin Christie: Yeah. You know. One of the things I wanted to talk about was, uh, talent acquisition side of it, because, and I'll piggyback what you just said.

I graduated in 2005 and my, uh, first internship turned into a job. Mm-hmm. And [00:15:00] I remember the first thing I, that stood out to me about, uh, Dr. Wasserman's office was how nice it was. He had built it, uh, it was a building he built and he owned it, and he. Designed it nice. And it was, it was elegant, right? It wasn't over the top, but it was very nice.

And that, I think he did that in the very early two thousands. I, I started there in oh five and I remember thinking to myself, I was like, when I walked here that first time, I was like, I wanna work here. Um, this is a first class office and so not only does it matter to your patients, uh, but it also can help people like to work in nice places.

Carolyn Boldt: Oh, they do. And it represents who they wanna be. Yeah. And um, we had, I don't have it quoted exactly, but I have a, a doctor we finished in Fairfax. And um, that was one of the comments he made. He said, I've got people hammering to work here.

Dr. Kevin Christie: Yep.

Carolyn Boldt: You know, and now I get to pick the cream of the crop instead of me trying to find that good associate, it's, they're coming to him because of his office.

I

Dr. Kevin Christie: love it [00:16:00] because, and it's not

Carolyn Boldt: just the look of his office, I mean, but when you walk in, he's got, he's a cash based practice and he's got a lot of of other modalities that he's able to offer. But it's the whole Wow. When you walk in that mm-hmm. That this is first class.

Dr. Kevin Christie: It is. And you know, especially if you have a particular niche and how you do it, you know, like we.

We have a lot of clients that we work with that have rehab and they, or even a clinic gym hybrid type of model. And so if, you know, the aesthetics are important to that, but let's now go to the, um, the flow, we'll call it, or the function. Right. And, and that's a, that's a big thing it seems like where people.

Are not matching what their, uh, ideal practice style is, or their niche or their offerings to the space to do that. Um, what are some of the trends you're seeing in 2025 as it, as it relates to the function of space?

Carolyn Boldt: I think the biggest thing we're seeing the it and it's being dictated [00:17:00] by all of the new opportunities.

Especially for chiropractors to expand their practice beyond straight chiropractic.

Dr. Kevin Christie: Mm-hmm. I'd

Carolyn Boldt: call it the next new shiny object syndrome. Mm-hmm. But it's like, let's try this. So creating spaces that have a lot of flexibility. Yeah. Um, that we're working with a doctor right now, just got finished working with them yesterday, who's in the middle of building a building and.

It's gonna be a year before he's in the space.

Dr. Kevin Christie: Yeah.

Carolyn Boldt: And so he's going, I don't know everything I'm gonna have in a year. 'cause I don't think it's been invented yet. So it's that type of mentality that I want. Mm-hmm. To have, you know, a space that's going to give me the most flexibility.

Dr. Kevin Christie: Yeah. No, that makes sense.

And that's one thing I like about what you guys do too, is, is kind of interviewing the doctor and figure out like, what, what do you want? Right? Like there's designing a practice for a straight chiropractor versus a, uh, rehab based chiropractor, or interestingly enough, we, um, we just ordered [00:18:00] one of those tonal, uh, fitness machines.

Uh, okay. I had a gentleman on, uh, it's, it's usually, it's the in-home workout. It's kind of like, think of, um. Think of the Peloton, but for resistance training. And it's really nice and sleek and it's very effective. But there's one doc I had on my podcast, he's got like seven of 'em, and he is running this whole gym thing and it's great.

Now he's kind of training some chiropractors to do it. And so we, we went, uh, one of our doctors went to that and learned about it. And that's part of what we're doing with our rehab space, right? And, and doing it. And so what I like about. You know, utilizing a company like yourself where you get to know what that doctor is visioning for their practice, and then be able to design the function around it.

I think too many times people don't make that connection.

Carolyn Boldt: They don't. They don't. And you know, it's a hard thing too. You were asking me, um. Another trend is, and is the economy has kind of [00:19:00] slowed down.

Dr. Kevin Christie: Mm-hmm. The

Carolyn Boldt: building, 'cause building is expensive. Yeah. It's very expensive. And it, you know, COVID kind of pushed it over the edge and slowed everything down.

Mm-hmm. And it's really never come back. You know, you think that COVID iss gone, but yeah. You know, it's hard and, and lead times on things has still is still out there. Yeah. You know, it's not as bad as it was with COVID.

Dr. Kevin Christie: Yeah. So

Carolyn Boldt: people are just. Doing more refreshing

Dr. Kevin Christie: mm-hmm.

Carolyn Boldt: Than they are building right now is overall

Dr. Kevin Christie: all, well, people are doing that in their homes too.

It's like,

Carolyn Boldt: yeah, yeah. You

Dr. Kevin Christie: know, it's like no one wants to get outta their 3% mortgage at their home. So there's like, it's like that show, you know? Love it. Or list it, I think it's called, where a whole lot more people are having to love what they got and, and it's an opportunity, right? Yeah. So maybe. Maybe you got 2000 square feet and in a perfect world, you'd, you'd have 4,000, but it ain't happening now.

And how do we optimize that? And so I'm, I'm assuming, this is a kind of a sidebar question, but I'm sure you get people come to you that want to [00:20:00] rework the function of their current space and their obviously in operation. How do you go about doing that? If they want to rework the, the function and they are, you know, a full practice, maybe they take a couple weeks off and get it done in two weeks.

Like how does that work?

Carolyn Boldt: Well. It depends on the extent of the renovation. Okay. Yeah. So what you just said, take a couple of weeks off and do some things that works if it's a couple of walls. Mm-hmm. And you can get everything staged ahead of time. And then just do a blast. But you had long, it took just to do the painting and the carpet and the flooring in your office, so mm-hmm.

That's probably what, couple of weeks or so of time to just do. Yeah. And

Dr. Kevin Christie: I was able to kind of do it on, you know, I paid extra to do it on weekends and nights and then kind of tease it out over different things and uh, right. To, to try to limit the disruption. But again, I didn't do any big overhauls other than Yeah, we did replace the flooring and, and yeah, you're right.

Yeah. So, so let's say the person

Carolyn Boldt: and you have to move out to replace the flooring. You [00:21:00] know? Yeah. You have to move out so you, but you can move out a piece at a time. But if you do a major renovation mm-hmm. Sometimes they have to go find temporary space to go function in. Mm-hmm. And that's the more you have to weigh everything out.

If they own their building, you know, they're more than likely gonna do something like that. If they're leasing, they're gonna wait for that. They're gonna do a patch until they get the right thing.

Dr. Kevin Christie: Yep.

Carolyn Boldt: You have to weigh all the factors out. But yes, there's um. Some of the common things would be like, we're working with a doctor that he's in Florida and he has a 2000 square foot and he is looking at a 1500 square foot expansion.

He already has the pad for it, owns the building, et cetera. And you know, it's kind of like we build that out, we move part of it over there, we do this. Some of that's the logic, but if you're not expanding, you need to find a place. Mm-hmm.

Dr. Kevin Christie: Because

Carolyn Boldt: you don't. You don't want that disrupt unless you can function in half your office.

Mm-hmm. Renovate and then [00:22:00] function in half, so, yeah. It's a process of working through it. There's not a

Dr. Kevin Christie: Yeah. Black, black and white

Carolyn Boldt: answer to that.

Dr. Kevin Christie: Yeah. It's a tricky one. But if you do the math and if you've, if you're stymied and you, and you know that if you improve the flow and function in your office, you'd be able to increase revenue, then you, you gotta do that math and it, and it may make sense, right?

Carolyn Boldt: Yes, yes. Very much so. If you can, you know, if you can double the amount of patients that you see, you can pay off that. Renovation pretty fast.

Dr. Kevin Christie: Yeah. Now are you seeing because of the cost of everything, people are trying to do more with smaller sizes in, in chiropractic.

Carolyn Boldt: Um, I think chiropractors have always tried to do the smallest size they can possibly get, you know, I don't know.

That's, that's a trend. Yeah, that's

Dr. Kevin Christie: a, you know, that's a 50 year trend.

Carolyn Boldt: It is. I think it's that, um. It's that mentality where every single inch of your space needs to be used for something. And it's like, well, sometimes space and margin actually helps [00:23:00] create the atmosphere, so don't fill it up. 'cause they wanna fill up functionally every inch and forget about.

What that does psychologically to the space, if that makes sense to you.

Dr. Kevin Christie: It does. And I remember when I, um, did my space, I um, I gave myself some outs, like known outs of like, okay, if we outgrow this, all I gotta do is knock this wall, take this bathroom out. 'cause I don't need a bathroom here. 'cause we have actually bathrooms because common ones right outside our door.

Um. And I can knock that out all the way into the conference room and I could expand the rehab area if, if needed. We haven't needed to do that. Uh, but, but we could, I have outs to, to really expand this space. Yeah. And that's been helpful.

Carolyn Boldt: So that's that what you just described is when we take a a doctor through a floor, plant floor plan, we do exactly what you said.

We look at all the different possibilities. Mm-hmm. So that there is. Our goal is to make sure that there's no, [00:24:00] you walk into the space. What if I had done this? We wanna answer as many what ifs as possible and give that kind of opportunity to expand. I'm also really big on all your offices being about the same size.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: So that is, I'm a, I'm a. I've coined nine by 12 is a perfect size office for anything. I'll be just about it. It's funny.

Dr. Kevin Christie: I'm glad you mentioned that. 'cause that's a question always people have always asked and I never found the answer to that. Uh, so nine by 12 Perfect.

Carolyn Boldt: Yes. And you know where that came from is when I, my, the first time I really did a clinic

Dr. Kevin Christie: Yeah.

Carolyn Boldt: Was at Life University and we built out the whole public, the public clinic that they had. Mm-hmm. We had a building that already had spaces in it and they were, you know, as anyone, they're on a budget. So I ended up working with a whole committee of. They were professors or doctors mm-hmm. That were teaching clinic, just analyzing how much space you needed around the equipment, how much everything.

And out of that, we came up with this ideal nine by 12.

Dr. Kevin Christie: Mm-hmm. [00:25:00]

Carolyn Boldt: And so I can validate it Exactly. Yeah. How it came up with it. That's good. But it works for an X-ray room. It works for massage room, it works for adjusting room. It works for your, most of your exam rooms. It just

Dr. Kevin Christie: personal office.

Carolyn Boldt: Personal office.

Yes.

Dr. Kevin Christie: Um, and, and you know, it's, uh, you kind of mentioned like the different trends in chiropractic. You know, we we're seeing more people go into integrated clinics. You might need more space there. You might need sinks in rooms. Yes. You know, if, if you got some nurse practitioners stuff like that, we, I, I mentioned a lot of folks do the open rehab or the clinic gym hybrid.

So you gotta obviously plan for that. Uh, there's people getting a lot of modalities like shock waves and lasers and things like that. And do you want to. Eat up an entire room for a shockwave or if you had a more like a 20 by 20 room that could double as you got a table over there to do laser and then you got area to do rehab, like that might be something to consider.

Are you seeing a lot less people doing like the bowling alley office where it's just like a really narrow and [00:26:00] it's just a hallway with rooms on the side? Uh, are you seeing less of that design unless someone just moving in and not changing anything?

Carolyn Boldt: Wow. Lots of questions. I know. So I, so the one moving in and not changing anything has a lot to do with your finances.

Yeah. Okay. So it, and working with students and things, it's like. Just get up and go and mm-hmm. Get in as inexpensively as you can. Perfect. If you can make the space work, make it work. But there is gonna be a point where that space not designed for you is gonna start impeding your flow and your efficiency, and then that's when you need to.

Move or renovate or something of that sort. Does that perfect? Does that answer that question? Yeah, that, so here you are in the process.

Dr. Kevin Christie: Yeah. And I guess, and then the second part of that was, is like, are people coming you to design their office and they're saying, yeah, I just want the hallway with the rooms all along the side, are they, are they saying, I want maybe this, this side of it, I want it to be this [00:27:00] open 15 by 20 to where we're gonna do multiple things there, but in an open setting and then I want.

Four rooms on this side for the more privacy side of things. Uh, what are the thoughts on some of that layout?

Carolyn Boldt: Um, I don't think that there's a trend one way or the other. I think it just depends on the doctor. Um, for example, you were saying there are some things that really do need to be in a closed room.

A shockwave is loud. It

Dr. Kevin Christie: is, and

Carolyn Boldt: it's annoying to other people, right? So being able to, and I, and anything that people disrobe at all and does need to be, well, a shockwave, we typically put in a drywall room with acoustics around it because it's so noisy and it's annoying to. Everyone in the space. Um, but if they don't have to disrobe, it can be in more of an open area.

Well, I'm, and if glad you if they do disrobe, you can put curtains around it. As long as it's not noisy. You have curtains in your space. Yeah, I do.

Dr. Kevin Christie: Yeah. 'cause we did that and we use it for laser for, uh, out there. Um, [00:28:00] but yeah, to your point. We have shockwave and we have it in a room. And as we reimagine our rehab area, we're gonna move laser out there.

We're gonna move certain things out there. We're not moving the shockwave outta there because it's, it is too loud. And, um, so if someone is going to want to get shock wave or multiple shock waves or have, uh, a shock wave and a laser, like you gotta take that in consideration in your design.

Carolyn Boldt: Exactly.

Exactly. So, and then trying to find that perfect size space so that. If there's a new laser shockwave combo in the future.

Dr. Kevin Christie: Yeah, you

Carolyn Boldt: have that space for that.

Dr. Kevin Christie: Yeah. And you gotta have flexibility.

Carolyn Boldt: Other bigger thing is decompression machines. Oh my goodness. Decompression started like just bigger than a table.

Yeah. Now we have the ones that, what are they? Like 15 feet wide? They're just you. So Yeah.

Dr. Kevin Christie: So you probably have some people where you have to like design a room just for the decompression.

Carolyn Boldt: Just for the decompression. Yes. You too. Perfect. [00:29:00]

Dr. Kevin Christie: Um. Do you find chiropractors making mistakes on having enough space for, uh, I'm gonna get a two part question.

Okay. A is for storage, and b is for team members. Are you seeing, you know, like people making mistakes there? Uh.

Carolyn Boldt: Um, storage is one of those things that when we do our analysis mm-hmm. It's an item we already have in there, is storage. We talk about, you know, what are you storing? If, if you're selling products, do you know, are you gonna have to keep 'em in your space?

Are you gonna, if you've got marketing, big marketing stuff, what are you gonna do and keep in your space? Mm-hmm. What happens as. Pretty much, I'm gonna say it's a natural tendency to underestimate how much space you really need to do what you wanna do.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: And so what tends to get squeezed out is storage, which is sad because what happens is then it ends up clutter all over the office because you still have the stuff.

Mm-hmm. So we see less obviously. Well, I'm not gonna say, obviously there's still [00:30:00] people with travel cards out there, but. But most people don't have files anymore. It's all digital. So that's helped with that storage. We used to have to plan filing rooms, you know, to make, to handle that. So

Dr. Kevin Christie: I had one doc that also, um, he just bit the bullet and he had a storage unit offsite for things that were not.

You know, if, if there was a water issue in a storage unit, 'cause that can happen, it wouldn't be the end of the world. But you know, it, it was particular things and I'm sure you've seen that before too.

Carolyn Boldt: Yeah. So things that we talk about that depending on what your lease rate is or how much money it is, you've gotta, you don't wanna store stuff.

I mean, use marketing material. For an example, if you're gonna use marketing material and you're only gonna use it once a month, why are you it, when I say material, I mean like tables and banners and Yeah, banners and tens. Whole trade show stuff. Things that really take up a lot of room that you know not, it depends on your rent, right?

It depends. If you're in a high rent district, you don't wanna spend that square [00:31:00] footage money on

Dr. Kevin Christie: stuff that you're very true. And how about team? I'm sure your friend

Carolyn Boldt: had did a same similar thing. Okay. Yes. You're gonna ask me what team members, how

Dr. Kevin Christie: about the team members? Yeah. Are you seeing people, they get the littlest

Carolyn Boldt: space, they possibly.

I mean, they're little bitty cubbies. Yeah. Multi, multi-doctor rooms with, you know, they get maybe four feet that they can work and yeah. No one wants them in there. You know, the doctors that have team members, they don't need to be in there. They don't need to be in there, so they need to be working with patients.

So, yeah. Yeah, the team members get squeezed a lot and we don't see, we don't do a lot of independent doctor's offices either.

Dr. Kevin Christie: Unless like yourself,

Carolyn Boldt: you're, you have a reason to shut the door and be in a private room or meet with people in a business setting.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: That's different than your typical just being a doctor where you just need a space to, yeah.

To do your reports if you've followed me.

Dr. Kevin Christie: Yeah, no, for sure. It makes a lot of sense, so, all right, perfect. Now, uh, kind of lastly, like what's your compelling pitch on the importance of, of [00:32:00] really having a, uh, an office that you're proud of? The, the functionality is what you need, and then the aesthetics are fresh, nice, and it's remarkable.

Like what, what, what's your pitch to the chiropractor that's always like, ah, you know, I don't know if I wanna invest that kind of money to do that.

Carolyn Boldt: Well. When I went through this Evide, we created a new report called the Design Trends of 2025, and it was all based on this evidence-based design and some of those things I've talked to you about.

But when you start to really look at the statistics that hospitals have looked at for 20 years to make money, you understand that great design will make you. Yeah,

Dr. Kevin Christie: it will. And I, and I guess you're probably also, you know, I, I will say I, and I'm glad a lot of chiropractors are starting to charge more money.

Um, and when I say that they're either not taking insurance at all, which means you're charging more money or they have higher rates, and it's really hard to. Charge more or [00:33:00] be quote unquote expensive or, or you know, not the most affordable and your office kind of looked like shit. Like that's a hard combination to pull off.

Carolyn Boldt: Well, I think we probably talked about this when we talked about in psychology. Yeah. Because if you think about when you walk into a store. Did we talk about the difference between Walmart and we may have, I'll just talk about it again. Just

Dr. Kevin Christie: go for it. Yeah, do it again. You walk,

Carolyn Boldt: you walk into a store. So your doctor's office is a combination of retail design and hospitality design.

Mm-hmm. Retail is that first impression. It's the package around the product that you're selling. Mm-hmm. And if it doesn't match what you're selling, it's a disconnect and it makes it harder to sell. Gotcha. So think about if you walked into a Walmart. And you wanna buy a diamond ring? Yes, you can buy a diamond ring in Walmart, but are you gonna pay the same price as you would if you walked into Neiman Marcus to buy the diamond ring?

Dr. Kevin Christie: Yeah. No.

Carolyn Boldt: And is the quality that much different? Do you know what I'm saying? I don't know. Yeah. I'm, I'm, I'm not a diamond. Probably not. [00:34:00]

Dr. Kevin Christie: Yeah.

Carolyn Boldt: But it's the idea that what you have to offer is packaged in something that's respectful and appreciated that people will pay for it.

Dr. Kevin Christie: Yep. And they will.

Carolyn Boldt: We, we've got, we've got testimonies of, I have one that,

Dr. Kevin Christie: mm-hmm.

Carolyn Boldt: She was the associate, she's an associate doctor and she was saying that when she, they just moved into, this is the same Fairfax office. Mm-hmm. I was telling you earlier, but they, when she was doing a presentation report of findings and she presented the care package plan, yeah. She said she looked up and behind her there was this beautiful wall covering and she said.

She just stopped and they bought immediately. She said it was so easy, but it was her. I'm worth It changed. Do you know? Because she felt worth it. So there's a, that, it's hard to say. Is it change to the doctor or is it change the patients or a little of both. I'm sure it's both.

Dr. Kevin Christie: There's a lot. And even like the referability, [00:35:00] right?

Like I, I went to a, I had to get a quick dinner last night before doing a little talk, and I went to this little Italian place and the, it was like a real small mom and pop Italian. The guy was nice, the food was good. Fi uh, prices were fair, but it was kind of a dump, you know, like, and I know my wife just wouldn't eat there.

Like, I, I kind of like dumps, like I, I always joke around. It's like I can, uh, I can eat at a roach coach, you know, construction, mobile, and I can eat at a five, you know, I can have a. A $60 steak or I could sleep at the Ritz Carlton, or I could, you know, sleep on the floor in a, in a camper. It doesn't matter to me.

I, I have this wide range, but I do appreciate nice things. Uh, but a lot of people, like my wife, like she just wouldn't want to go to that Italian restaurant 'cause it wasn't nice inside. It wasn't clean really. And, you know, and, and that's same thing is, is referability is gonna increase when people walk in.

It's like, wow, that is, that is nice. Um, and it's a good doctor. You gotta be a good doctor. But it's nice.

Carolyn Boldt: And it, it, [00:36:00] it's, that's another documented thing is people will refer because they're proud. They're proud. Just go, you know, go to your doctor. Something else we talked about is that, um, the doctor that's been in business for, you know, 20, 30 years and he hasn't changed his space and he's got a good living because he's got patients that love him and come to him on a regular basis and all of that.

Now he wants to sell, you know, and he's got a patient base, but those patients come for him. So when he's not there, you know it, that's a hard transition, right? Mm-hmm. And the cost of that, the, the practice value is lowered because of what the doc, the new doctor's gonna have to do to it to bring it up to speed.

So it's an interesting, there's a lot of doctors that don't feel like they have to do anything because they're doing fine.

Dr. Kevin Christie: Yeah.

Carolyn Boldt: But there will become a point. You know where they're gonna have to. It's

Dr. Kevin Christie: multifaceted, that's for sure. And it's, uh, and I, and I, and I wanna be also cognizant of the fact that [00:37:00] not everybody listening to this can frankly afford it right now.

But that's why it's so important that you, you know, you build a thriving practice that has good profit margins because it's not just that you're. Hiding money under your mattress, you're buying the, you know, the Maserati. It's that you need to be able to reinvest and have capital expenditures into your practice Yes.

Into your team, so that you're growing. And that's why it is important to, to become even better because as, as you're saying, as the evidence shows, is that people will get better in their health by going to specifically design type nice places that they feel good about.

Carolyn Boldt: I will. So we didn't really talk about this.

Mm-hmm. But I do have a free resource that, for that doctor that really doesn't have the money. Yeah. What, what do I need to do? Perfect. And it's five ways. The name of it, I'm gonna read it. Five Ways to Instantly Upgrade Your Office Image. And I will give you a link to, to download it. Yep. [00:38:00] Um, that you can share in the show notes.

But what it is, it's basically a checklist.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: That as a, as a designer, it's the first five things we look at. And we always tell you to, and it's in this document, it's like you can't look at it. You gotta bring someone else in because you've lived in it too much. You don't see it anymore. But bring in another person that's trusted, ideally, someone that's gonna be just like your ideal patient.

Dr. Kevin Christie: Mm-hmm.

Carolyn Boldt: And walk through this checklist. But cleanliness, wear, and tear. Things like that, it matters, you know, is it dated stuff, lighting, there's things that can be changed pretty cost effectively, and, uh, awesome. Make a difference.

Dr. Kevin Christie: And then how can they find out more information if they want to get in touch with you and and, and get this figured out for themselves?

Carolyn Boldt: Get that figured out. So our company's name is Crossfields, and our website is crossfields design.com.

Dr. Kevin Christie: [00:39:00] Perfect. Well Carolyn, this was great and uh, we'll have to do another one on more updates as we go along, but thanks for sharing a lot of good new information and I really was appreciative of the evidence behind this.

That's good stuff.

Carolyn Boldt: Good stuff. Yeah. That's one of our free resources too. I'll send that link to, so that

Dr. Kevin Christie: Perfect.

Carolyn Boldt: Thank you very much.

 EPISODE 451: Chiropractic Progress over Last 25 years with Mark Sanna DC

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Alright. Excited to have Mark Sanna on the podcast today. It's, uh, a long time coming. Should have had him on a lot sooner . Uh, I've been seeing a lot of the work you've done over the years. I've, I've graduated 20 years ago and, uh, I'd love to hear a little bit about yourself personally and professionally.

Mark Sanna, DC: Well, hey, first of all, thank you so much, Kevin for having me on the podcast. Um. Eight years and running. This is amazing. And, uh, it's, uh, quite a testament, uh, for what you've done. Back when you started, podcasts weren't even a thing I know, because no one was listening at first. It's just amazing. So kudos for that.

Little bit of my background is I'm a chiropractic kid. My dad's a chiropractor. Grew up in uh, a chiropractic family, so didn't have to discover chiropractic. It was always there for us. And, um, I like to say that that could be a good thing and not [00:01:00] such a good thing. I can remember, uh, having mumps as a child and my dad would get up every hour on the hour and adjust me.

Through the night and the mumps were gone in the morning, so I had to go to school, so I wasn't so thrilled about that. And, um. You know, we ate so healthy and so clean that, uh, no one would, uh, trade lunches with us. You know how you'd go in and the kids would have ding-dongs and mm-hmm. Hoos and all those kind of stuff that you wanted so badly and we'd have like this fresh, homemade bread and beautiful.

. We grew up in a, in a great household. I literally grew up adjusting my dad and, and mom and the dogs and the cats. And, uh, dogs as you know, are pretty easy Cats, not so much dog.

Dog will lay there and do the cat. Maybe you can adjust once and then, then they get smart. So. So I began my practice up [00:02:00] in, uh, the state of Connecticut. Oh, nice. It's a really interesting, uh, time of, of coming in to the profession. Certainly there were some great changes back then. We're gonna talk a little bit about multidisciplinary practice and how that's kind of like a.

Regular thing. Now, back then was not such an, uh, uh, an easy thing as chiropractors and medical doctors really didn't play very well together. Talk about cats and dogs. Yeah.

Dr. Kevin Christie: And

Mark Sanna, DC: um, so we hired this company called Breakthrough Coaching to manage our practice. What year was that about? My goodness. This was in the, probably the mid nineties.

Nice. And, um, it was an interesting approach. Uh, the guy who owned the company was not a chiropractor. His wife was, he came from the publishing world, Columbia House Publishing. And he taught us [00:03:00] about what's a profit and loss statement and mm-hmm. How to run a profitable business and, and back then a lot of the coaching that was taking place was very mindset oriented, which is super important.

You have to have the right mindset, but you also have to have the skills to run a business. Right. So yeah, but my dad used to say, mark, you're in the business of healing and without the business, you don't get the chance to do any healing. So I really was interested in that. Kind of took to it very much.

Few, few years after them coaching us. The guy who owned the company said, Hey, would you like to be a coach? And I'm like, but that's what I wanted to do my whole life, right? Mm-hmm. I, mm-hmm. I'm one of the few people who you'll meet in life. Who knew from age five? What I was gonna do for the rest of my life, and that is to be a chiropractor.

So I have always had that, uh, career path, um, going, going through all the [00:04:00] way. And so we had always great. Um, I'm Italian, so when you have very close family friends, uh, you call them auntie and uncle, right? Yeah. So all my aunties and uncles were the great chiropractors of all time, Gonstead. All these folks who people kind of know their names, um, now Thompson and, and those are folks I got to meet and know, and it was just kind of amazing, um, background.

So here I am. Coaching 75 practices, Kevin, in practicing full-time. So I would coach literally, uh, and this was before we had broadband, right? So you're talking about a OL, you know, you have mail. Kind of a thing. And, uh, curly paper fax, many of your listeners will have no idea what a fax machine is, forget about it.

One that had curly paper, uh, fax and come in and there'd be curled [00:05:00] faxes all over the floor. And, um, so I was really, um. Really working hard. Really working hard, and he was making all the money. Mm-hmm. So I invited him out to lunch. Uh, his name was Brian. I said, Brian, I, you know, we need to talk. Um, he said, sure.

What would you like to know? He, I said, I'd, I'd really like to have your job. I'd like to buy the company. He said, fantastic. I would love you to buy the company. Yeah. So, Kevin, back then, this is 1998. Uh, I went and, and borrowed a million dollars. Now, back then, that was a chunk of change. Yeah. And the lawyers are saying, what are you buying?

There's no assets. There's no capital equipment. You're just buying intellectual property. And I remember telling the lawyer, I said, I'm buying my way out of Danbury, [00:06:00] Connecticut, which God bless, Danbury, Connecticut, small town that I grew up in. Um, I like living in Miami where I am right now. A little bit.

Dr. Kevin Christie: Yeah. Funny, funny story is, uh, my, my mom's side of the family is from Danbury, Connecticut from like the 17 hundreds until the early 19 hundreds. Yeah, there

Mark Sanna, DC: you go. Same deal. Same deal. That's really amazing. So we may have some relatives together. Yeah. Abs that's cool. Um, very, very fun. And so, um, I did buy.

The company. I remember I left the bank, Kevin, I walked across the street. There was a uh, church. The front doors were open. I walked in totally empty, sat down in the front pew and kneeled down, and I said, alright, Lord. You got me this far. Let's go all the way. Yeah. And, uh, and thank God now it's almost 30 years later, right?

28 years [00:07:00] later. And, um, we're, we're going strong and growing and a beautiful team of coaches, uh, that support our clients across the country. We have like two dozen clients in, uh, Seoul, Korea. Wow. So, oh, wow. Think about how the, you know, amazing, right? How, uh, things can grow and, uh, develop over years and over time.

Yeah. Um, but it's been a wonderful journey. Uh, I've loved every bit of it. And, um, it's, it's, you know, you probably always hear this, p people say, there's never been a better time to be a chiropractor. Mm-hmm. Well, there's never been a better time to be a chiropractor than right now.

Dr. Kevin Christie: Yeah. You know, and I, that kind of leads us to a segue and thanks for, for giving us the context.

I, I love hearing the origin stories of, of, of entrepreneurs and, and that risk, right? I think so many people are inherently risk adverse and, and I get that. But, uh, I love hearing the, the big risks, you know, and a million dollars in 1998. [00:08:00] Is a million dollars now is still a lot, but a million dollars then is, is a different animal.

Uh, I don't know, maybe that's like $5 million now. But, um, that, that was a awesome risk that you took and it's obviously paid off. And so over the 25 plus years of, of working with, uh, chiropractors, uh, what are some of the, you know, what's the evolution you've seen within chiropractic that makes you say, yeah, like it's never been better to be a chiropractor, but I would love to hear some of the.

The really positives from there. Maybe some of the, the struggles from back then and then how that's progressed. I know maybe insurance is worse now than it was then, but there's better things now versus that. I just like get a little broad dialogue around this last 25 plus years.

Mark Sanna, DC: Sure, for sure. So, um, I've been really fortunate to serve, uh, on some great boards in chiropractic, some great organizations, uh, one being the Foundation for Chiropractic Progress gives me a really cool insight into what's [00:09:00] happening, and I'm gonna share that.

We've just published a great new book called Adjusted Reality. If you don't know about that one, you want to check it out on Amazon. It's super, super cool. And the other is called the Chiropractic Future. And the Chiropractic Future is an organization, uh, that was developed because we realized as a profession we didn't have a five year strategic plan.

So what, you know, company doesn't have a five year strategic plan. Certainly physical therapists have the a MA has amazing, maybe more than five year plans. And so we got together, we literally pulled thousands of chiropractors to see what the top issues were, top uh, uh, areas of interest worth that they felt that we should be directing ourselves.

As a, uh, profession. And of course, um, research is at the core of everything and I don't, I think a lot [00:10:00] of chiropractors don't. Realize or think about the importance of chiropractic research. Research drives everything when you have the objective empirical data. You know, we have great clinical based data.

Uh, you and I both know that there are people who get, uh, chiropractic adjustments. I mentioned, uh. The moms, right? There's no studies on moms going away. Uh, I remember during the pandemic, I was like so excited because I knew in my heart and soul that a chiropractic boosts the immune system, right? And I was like, gosh, we gotta just shout this out across the world.

And yet there was no, uh, blind, double blind study research published research. On chiropractic's effect on the immune system. And so there have been tremendous leaps and bounds in chiropractic research. And I, I [00:11:00] give a shout out to my good friend, uh, Heidi Havoc. And if you don't know Heidi's. Uh, uh, website or her information or haven't had the chance to see her, uh, speak.

She's a dynamic speaker. She spells her name H-A-A-V-I-K, Heidi Havok, and she is the premier researcher in the chiropractic profession and has done a tremendous amount of research on the impact of chiropractic on the brain. She does PET scans, she's out of New Zealand. She does PET scans. And if you know what a PET scan is, think of like a, a brightly colored MRI where the whole brain lights up and you get to see the activity of the brain and they scan these people before their adjustment and after their adjustment.

And what they find is, is that your prefrontal cortex. Really important area. 'cause that's an area that houses your executive [00:12:00] function. How you are autonomous in the world, how you interrelate with other people. In particular, forward head posture, forward flexion of the head, looking at your tech, which we are all doing too much now, uh, actually turns that dampens the signal from your, uh, frontal cortex.

That's a big problem, a big issue, but a chiropractic adjustment, boom, lights that up and turns it on. You see the, it's almost like a fireworks display, uh, going off. And so she's doing tremendous research on quality of life parameters. Mm-hmm. We have tons of research, as you know, Kevin, back pain, neck pain, and headaches.

Yeah. We got it, right? Mm-hmm. Chiropractic, we got it. What we don't have, but where the research is now are quality of life parameters, how it impacts quality of life, longevity. Mobility, autonomy, right? All of the [00:13:00] things that are very, very important. You know, they say movement is life, right? Yeah. So the less, the more restricted you are.

As you get older, your world gets smaller and smaller and smaller until in fact you are no longer able to be autonomous. And we don't want that. That's not how you want to live a life. You wanna live vibrantly. Especially in the older years, right. Getting out and doing your shopping and being with your friends and doing the things that you deserve to do.

Right. So great research drives legislation. Yeah. That's your scope. And over the years, uh, I've gotten to see chiropractic scope grow. Through different states. You know, there were some states, New Jersey, you couldn't even say drink eight, uh, ounces of water a day. It was illegal for you to say that many states it was illegal to adjust extremities.

You couldn't adjust a wrist or an armor. Uh, [00:14:00] so crazy. And there's still some kooky stuff like that out there that I hear and it just amazes me, Washington say, you can't do shockwave. I'm like, what the hell can't do shockwave. What? How just. When did anyone even hurt anybody? That's

Dr. Kevin Christie: a sensitive subject for a, a couple in our mastermind group.

'cause a lot of us have shockwave and, and they're in Washington state and they, they actually are on the border of Oregon, so we're like, just open up a, a shockwave clinic right in Oregon, only shockwave.

Mark Sanna, DC: What the heck, right? So there's all that kind of kooky stuff, but we've all listen, no one ever gave anything to us as a profession.

We've had a claw for it, fight for it every single bit. They keep trying to get it, taken it back. Um, some of your listeners may be aware of the Wilkes trial, and that was where the A MA got caught. Trying to eliminate us as a profession. They had the Council on Quackery, right? Yeah. And um, they really did try to, to, uh, wipe us [00:15:00] out.

And we won. We won it. We actually won that. A lot of people don't know won that on appeal. We lost it and we had to go back and appeal it and we won that so that, uh, they cannot collude against us, although. We, you know, listen, a MA has the copyright to the CPT and ICD codes. It's like copywriting the alphabet for god's sakes.

Right? And we're writers and the freaking alphabet is, is copywritten. And so there's, there's still ways that that stuff goes on the legislator is not going to be able to pass. Legislation that impacts scope. Unless you have the research, that's what they're gonna say. You're nice people, but show me the data.

And now we can more and more and more. Great legislation, great relationships with the, uh, Capitol Hill locally or, uh, federally impacts, uh, reimbursement. Yeah. Bottom [00:16:00] line, uh, how you get paid. So it starts research and then it moves to legislation scope, and then it moves to reimbursement. And so you can't miss.

One of those steps along the way. Mm-hmm. Uh, in order to expect to have a strong and robust, um, profession. And so that's what the chiropractic future strategic plan, uh, has been doing for the last, it's coming up on five years. Uh, we're in the fourth year of the, uh, plan. We're about to meet up in Boston next week.

At the, uh, chiropractic Congress where we'll all get together and, and, uh, be able to strategize on the next mm-hmm. Uh, five years coming up. So those are exciting times. Um, for, I'll give you an example. I hear a lot about, uh, Medicare with chiropractors and Yeah. You know what that was like back in 76, 19 76 for you and I were, you know, in, in the, [00:17:00] in the game.

Uh, we got accepted in federal. Uh, benefits package of Medicare, excuse me, the only profession defined by the. What it is that we treat the subluxation? Yeah. So there's, you know, oncologist isn't by liver cancer or breast cancer or ovarian cancers, but it's the lesion that we treat, quote unquote lesion.

Subluxation limits our scope. Uh, under chiropractic, I happen to leave. These are important things like the word subluxation, like the word adjustment. It's important for us to own it and use it. Um, nobody else owns adjustment, right? That's ours. You're not gonna see massage therapists, physical therapists, anybody else touch an adjustment?

Spinal manipulation, joint mobilization, fine adjustment is ours. So don't be [00:18:00] afraid of your vocabulary, right? Yet. Here we are pigeonholed as kind of physician, but not physician. We, we, we, uh, got into the system, but we can't get out, right? Mm-hmm. It's like the roach motel, you know, in, but they can't get out, right?

Mm-hmm. And, um, so here we are stuck in this catch 22, that we can't adjust extremities. We can't get paid for our examinations, but we have to do one. Yeah. Uh, we can't get paid for our therapies or exercise stretches that our patients need and deserve. And so there is a Medicare Modernization Act climbing Capitol Hill has more sponsors than ever before.

Mm-hmm. Continues to gain literally hundreds of sponsors. Um, and, um. Listen, like Medicare or not. I know many chiropractors, Medicare is a, a button. It would provide cultural authority. And that cultural authority is something that we [00:19:00] are constantly fighting for. Um, we've constantly had to fight that battle.

You know, many, many, many healthcare providers, many medical physicians have no idea your educational background. You're actually a doctor. Uh, and they think maybe it's something sort of a, you know, you could take some coursework and whatnot. Yeah. And you can be a, a chiropractor. So cultural authority is important.

Patients deserve that. It's still the largest demographic. The boomers coming through. They paid all their careers for their Medicare and, you know, they should be able to use it for chiropractic care. Mm-hmm. Um, and so interesting times. Yeah. To see that happening and changing, uh, up on Capitol Hill.

Dr. Kevin Christie: Yeah, I was kind of flowcharting as you were talking here, and it's been pretty cool.

And, and I just to summarize, obviously with the Chi Chiropractic future and the five-year plan, the, the, the goal with this [00:20:00] research driven. Uh, plan that that's being developed and obviously we're getting the research behind us. It, it's going to increase the legislation and that's gonna help us all the way to the Medicare.

It's also gonna help with probably, like you mentioned, cultural authority, which is gonna increase utilization of what we're doing. Yes. And then what you mentioned, which I almost, I, I kind of. Took another step to it. If you have really strong cultural authority, then your perceived value goes up in the eyes of the beholder.

And you know, obviously, you know, if we were rewinding and it was 1998, insurance reimbursed a lot better. But it. Uh, we didn't really have a lot of cultural authority back then, and if reimbursement of insurance didn't happen, a lot of chiropractors would've a hard time. Uh, hopefully as we increase our cultural authority, it offsets a little bit of the current insurance reimbursement situations where we can, with that cultural authority, [00:21:00] be able to charge more for our cash services or have cash paying patients willing to pay us.

Appropriately. Maybe the insurances aren't, but the the people are. Um, and then, you know, you have like some, I'd like to get your opinion on this. Um. And, and I do want to go back to the Medicare thing, but I want to stay on track here for myself and get your thoughts on it. Is that, you know, obviously, um, a lot of chiropractors, um, are considering add-on services.

It's something you're seeing right now in the profession really that isn't a good place, is that whether the practice is in network with insurances. Or they're not, but let's just take the insurance based practice. Mm-hmm. Because they, you can ex, they can extrapolate out. But if you, insurance based practice, are you seeing a lot of the best practices, um, having add-on services?

You mentioned shockwave or it's decompression or it's other types of therapies and they're able to offset that insurance reimbursement problem?

Mark Sanna, DC: [00:22:00] Yeah, I, I think here's the thing. It's really important is that technology is. Absolutely, uh, an important, uh, component of practice. Mm-hmm. Um. It, the shiniest objects, the, the, the, the coolest toys, uh, will not replace the importance of the chiropractic adjustment.

Yes. And I want people to understand that that's your uniqueness. Yeah. Right. You're you. What makes you unique as a profession is that nobody else does that. And if you focus on the other things which are ancillary to that, which are supportive of that, at the risk of not really mastering your craft, and there's a generation of chiropractors, uh, that are struggling with.[00:23:00]

Learning how to give a great chiropractic adjustment. And, uh, I think that that's super important. You should constantly be polishing those skills, constantly work on those skills so that you can find, locate a subluxation and correct a subluxation. That's number one that's gonna produce the outcomes.

Expanding beyond that. There are tremendous tools. We're seeing things now in remote therapy monitoring, uh, where we're able to increase, uh, patient compliance by. Touching bases with them on an app and seeing that they're actually doing the home care and eating right and doing the things that we want them to do and be reimbursed, uh, by insurance for that.

Uh, there are some great technologies we mentioned, um, shockwave, right? And essentially that's stimulating the healing process. It goes in, [00:24:00] dissipates the, the tissue. You release growth factors, you stimulate stem cell. Turnover and healing. And so these are chronic conditions that we didn't have the technology years ago.

Or if we did, they were typically manual technologies like Graston and a RT that really beat up, they're great, uh, tools, but they beat up the chiropractor and so. Um, if you've seen chiropractors with shot Yeah. Saddle joints in their thumbs. Right. That's, I'm a

Dr. Kevin Christie: 20, I'm a, I'm a 20 year a RT certified doc, so you, you, I know what you talking, you know, you know,

Mark Sanna, DC: and, uh, so how cool to be able to do a, a shock wave laser.

You know, listen so much research and mitochondria and photo bio moul is essentially turning on the mitochondria. It's producing energy that's required for healing and the amazing things that we can do. Even combo there. Yeah, spinal decompression. [00:25:00] Fantastic. There are things we can do with neuropathy patients, many, many things that we can do that our cash pay support the the patients.

I am huge, Kevin, into peptide therapies.

Dr. Kevin Christie: Mm.

Mark Sanna, DC: And many chiropractors don't know that peptides some of the most popular peptides. Are actually available in iontophoresis patches, so they don't require injection, which we can't do in most states as chiropractors, but they're a patch that goes on the forearm, has a tiny little micro battery inside there that drives the peptides across the skin.

And things like NAD plus that you hear so much about dri again, driving, uh, energy in the mitochondria. It moves the Krebs cycle, right? A DP to a TP requires NAD plus as a coenzyme, um, BPC 1 57. The Wolverine, uh, peptide that helps healing after Hugh Jackman in the movies gets [00:26:00] all shot up and, and cut and give bounces right back.

So there are lots of cool areas in science that are really moving ahead, uh, in chiropractic that allow us to be, um. Really, truly looking at whole being health. Um, and that's one of the things as chiropractors, we've always been whole being. We don't look at somebody coming in, they're a back or they're a neck or they're a headache, but they're a whole being.

And that's a really important, um, concept. Um, and again, Dr. Sherry McAllister kind of captured that term, whole being care in her book adjusted reality. That's out now is, um. A really amazing thing that, again, is differentiating factor for us. Um, but we'll get into, talk about multidisciplinary practice in a bit and yeah, how we're now collaborating more, uh, than ever before, um, with some of the new regenerative, [00:27:00] uh, anti-aging types of therapies that are out there.

It's a great, again, a great time to be in chiropractic.

Dr. Kevin Christie: Yeah. And it kind of blends we talked about before research, whether it's research in the adjustment or if it's research in some of these other technologies and, and, and, and therapies. And treatments that are proving it's worth and our expanded scope that we've developed, that you mentioned earlier, which you're excited about.

And within that expanded scope, we're able to do a lot of these things now. There's always gonna be a barrier to our, our scope, and that's fine. Right. And, and then so within that barrier of scope, you can collaborate, which you just mentioned, and, and have a multidisciplinary, uh, what are some, what are some of the things you're seeing there where chiropractors are able to obviously stay within their scope mm-hmm.

And then do certain things that might be without the scope by bringing in, uh, different collaborators and partnerships within that. Are you seeing a lot of that now?

Mark Sanna, DC: Yeah, I'm all for staying within our scope again. Yeah. But our scope is, is. What, what we do best. And [00:28:00] that's, you know, connect the brain and the body remove interference, and, uh, that's an awesome thing, uh, to be able to do.

So I'm really cool with that. Um, I really like expanding who we can serve by collaborating with others. So I, I personally don't have a, uh, a desire to inject, uh, joints and, and, uh. Uh, do any of that. I prefer to, to, um, stick within my scope, but adding to a, uh, chiropractic practice that at its heart and soul has that health from within whole being team approach to care is amazing.

So you can bring on your team, uh, a nurse practitioner or a physician assistant. And have them, you know, do some of these regenerative procedures like platelet rich plasma therapy, PRP. You draw the patient's blood, spin down the platelets and [00:29:00] inject those into a joint or a torn ligament area of low blood supply, and, uh, actually have the body regenerate.

Um, great, uh, amazing procedures that can be done where we can not only stop, but reverse osteoarthritis. And that, you know, years back, you know, it was, you'd show patients there are x-rays, you'd phase place 'em on the x-ray, say, listen, you're in stage three. Once you get to stage four, there's not much that I can do, right?

Mm-hmm. And now we're actually able to stop and reverse using some of these great, um, technologies that are out there. So I love peptides. I love PRPA two M. A lot of people don't know about alpha two macroglobulin and that's used for chronic osteoarthritis. Um, the way the body repairs and cleans up inflammation and areas of damage is through [00:30:00] proteolytic enzymes.

Dr. Kevin Christie: Mm-hmm.

Mark Sanna, DC: And, uh, unfortunately what happens is over time in a chronically arthritic joint. Those proteolytic enzymes get trapped in there. Yeah. And they got nothing else to eat except for your nice cartilage that's left and they chow down on that until it's worn out. And H two M, just like platelets circulate in your blood, we draw the blood, filter that out, inject that into the joint, and it binds with the proteolytic enzymes and stops the chemical reaction inside of the joint.

That's a big deal. Then you can do other therapies like a PRP or um, a Wharton's Jelly. Stem cell allograft, something like that. Um, that actually do regenerate the, the, um, uh, chondrocytes, the cartilage tissue, uh, inside the joints. Uh, ozone therapy. I'm huge on ozone. Uh, ozone is O three, right? You would never inject O2 into anybody.

It'd stroke 'em out. Um, but oh three. [00:31:00] Injected into joints, literally mimics new blood supply. And so we use ozone for everything from trigger point therapies, uh, to, uh, every joint injection. We do anything where you want more oxygen, um, to promote healing. Mm-hmm. So those are all really great cash pay services.

Right. These are not insurance reimbursed services, um, that are game changers because the end of that, uh, railway track. Is a knee replacement or joint replacement? Yeah. We know once they go in and replace the joint, it's never the same.

Dr. Kevin Christie: Right. Yeah. And, and I wanna touch on something there too. 'cause you mentioned like, you know, the cash pay services and I think mm-hmm.

The chiropractor needs to, uh, have some conviction around what services they really are, are seeing results and, and having, and, and then be okay with having, you know, someone in the business having a money discussion with, with the patient. Mm-hmm. I mean, it seems like every. And to every doctor now, you know, [00:32:00] whether it's the md, the dermatologist, all of them now are, are having to do add-on services and you want to make sure you're offering ethical add-on services, but it's just be, it's not just chiropractors now it's, it's like, oh yeah.

I mean, unless you're like a plastic surgeon or a brain surgeon, like every, everybody is struggling with reimbursement and a lot of the ones that are doing well are finding these types of. Ethical therapies and treatments that help their patients, and then getting over the fact that we now don't have a reimbursement model for that, but the patient is willing to pay for that.

Yeah. And, and that's how you're gonna get them better in supplements, like you said, to what you do as your core service as a chiropractor. And, and then you'll, you won't be, you know, dying on the vine. Well, you

Mark Sanna, DC: know, health insurance is there in place for when something breaks. Yeah. Uh, it, it is not there to keep you healthy.

So I like to say to people, you [00:33:00] know, you probably have insurance on your car if you wanna put new tires on the car. Insurance is not gonna pay for your new tires or a tank of gas. Crash up your car, it needs to get fixed. Insurance is going to be used. So it's kind of the same thing in health. It's there if something breaks, but in terms of keeping you healthy, preventing illness, it was never designed for that.

It, it simply, uh, is not just demographic wise, the people there, you know. Could not, it could not support the people that are there. And I'm not saying that there are not tremendous inefficiencies, inequalities, uh, in insurance reimbursement and that fair and equitable, uh, insurance reimbursement should be a goal of our profession always.

And, and access as [00:34:00] well. Mm-hmm. But getting patients to understand. That insurance has its place, but above and beyond that you are investing in your health, in your life. The most important thing you ask anyone, what's your most valuable thing? They're not gonna say their car, they're gonna say it's their health.

You don't have your health. Then nothing. Nothing else matters, right? Yeah. Yeah. And so people are willing if you have certainty, and that's kind of where you were going. That you're giving them the right thing at a fair price, uh, that is something that is going to support and help them. Something that you would recommend to your wife or your mom or your sister or your brother, right?

Because it's the right thing for them to do. And you've done the studies in training and know how to appropriately apply that. Absolutely. [00:35:00] Feel great about charging it. Mm-hmm. Um. I guarantee you go spend one day in the hospital and see what the bill is for that. Yeah. Right. The litmus test,

Dr. Kevin Christie: I, I always like, is that okay?

If you have a service? If I just named a service shockwave and, and your mom, sister, dad, brother had something. Would you want them to come into your practice? Use a shockwave for that. And a lot of times like, okay, yeah, for sure, right? You took, you took the mon, you took the money out of it, right? Mm-hmm. If you would've said yes to that, but then you struggle with recommending it to patients who need it.

It's literally because you just have put the money into it, into the buying decision for them, and you're doing them a disservice. And so that's the thing is like if you would want your significant other, whoever to utilize that, taking the money out of it, yes. Then you should feel great about offering it to your patients.

And there has to be a money component to it, and you just gotta get over that. [00:36:00]

Mark Sanna, DC: Yeah. And you know, I, I agree completely that uh, you know, being able to have those conversations for many folks is uncomfortable. Yeah. Right. You know how you get over it. Practice. Mm-hmm. Yeah. And really, you know, look at yourself in the mirror and say it and say it and video yourself until you get comfortable with, okay, I'm giving them the very best service at the very best price that is gonna really produce the outcome that I want for them.

Um, then I can feel really good. I did my job. Yeah. My job was to prepare. Diagnose, recommend. My job is not necessarily to be the, um, bank, right? Mm-hmm. Mm-hmm. Um,

Dr. Kevin Christie: I love it. And I wanted to kind of wrap up with one, one of the questions of, and you, you've kind of answered it, but the, the question is, uh, what are you excited about in the next five years?

It definitely [00:37:00] sounds like research definitely sounds like a lot of technologies. Are you seeing. And I kind of lead you on this question a little bit. Are, are you, are you excited about the, this whole, uh, field of longevity and health span that we're seeing and how maybe we as chiropractors can play a big role in that?

Mark Sanna, DC: Very much so. Uh, we are really, you know, I've always said we play a central and central in unique role in healthcare. Mm-hmm. And it's being recognized now. At many, many, many levels, uh, where you're being, uh, able to see that, um, not only individual patients, employers are having chiropractors come in and have wellness centers on site for their patients, um, you're, you're really seeing the rest of the healthcare environment understand.

You know, we're not an alternative. We are a, a super, super important [00:38:00] and unique component, and there are things that they do well and things that we really do well. And when we play together, the outcome is the best for patients, right? And so I see that trend. That trend of collaboration continuing, uh, the, the younger generation of, uh, of medical providers coming out of school.

They don't have all the baggage that the older guys had that, you know, they have this big chip on their shoulder, you know, that they're the big MDs. We took their opioids away and that. It was a big crutch for them. For just the stuff that, like I say, you know, is pretty much, uh, our, you know, a party trick, ba back pain, neck pain, headaches.

That's a party trick for chiropractic health and longevity. That's our real wheelhouse, right? That you're staying flexible and mobile and active. Um. They, they don't have stuff for that. Right? Yeah. And so referring to us [00:39:00] cross referring is tremendous. Really important.

Dr. Kevin Christie: Yeah. I love it. We've even put together, uh, you know, a, a big document with some other chiropractors on certain things.

Like we'd find research on, you know, obviously big toe strength in prevention of falls and how that can increase longevity. And what, what can you do to improve that foot dysfunction or, you know, rehab on that. Yes. Grip strength, obviously spinal health things and the spinal health is a huge. Marker of someone not living a good health span.

Mark Sanna, DC: Oh my gosh.

Dr. Kevin Christie: And then it just goes, it just goes from there, obviously, which, which is exciting. And something I'm, I'm trying to keep up with as much as I can too. Very cool. Well, mark, this has been great. I really appreciate your time. Um, how can chiropractors find out more about what you've got going on and what you're doing and how you're helping out?

The profession and chiropractors

Mark Sanna, DC: well. Great. So I'm gonna invite you, um, to visit me on my website called my breakthrough.com. [00:40:00] B-R-E-A-K-T-H-R-O-U-G-H my breakthrough.com. Lots of information that's there. Cool thing is having an unusual name, like my last name, S-A-N-N-A. Mm-hmm. There's not a lot of Mark Santas out there in the world, so you can always Google me and find me.

Um, I come up, uh, on the top, which is cool. I'm gonna ask you though, as well. Please take a look over at the Foundation for Chiropractic Progress website. Mm-hmm. F four cp.org. There's a great Find a doctor list there. Make sure you are on it. Literally thousands of patients every single month or hitting that and searching for.

Chiropractors where you are. Uh, check out the new book Adjusted reality on amazon.com. I recommend doing a reading club with your staff. Everybody read a chapter a week, um, and discuss it. That's a really great thing for you to do. Then check out the [00:41:00] chiropractic Future website as well, and you'll see the great opportunities for you to volunteer as well as chiropractors.

The only way we're gonna actually see these changes through that we've discussed is together. One of us alone, we can't do it. The hill of the mountain is too big. But when we come together in an organization like that, we can make a huge difference. And there's literally hundreds of volunteers, researchers, government relations, technology, uh, that's going on is really amazing.

So if you have an interest and you wanna give back, um, just put in chiropractic future strategic plan. And check out what's available, volunteer, come sit on a committee. We'd love to have you.

Dr. Kevin Christie: Perfect. Well, I'll put all that in the show notes and I really appreciate what you're doing to move the profession forward and what you've done over the years as well.

Thank you Kevin, so much. I [00:42:00] appreciate you very much.

 EPISODE 452: Growing Yourself and Your Money with Garrett Gunderson

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. Today I'm excited to bring back on Gary Gunderson. A lot of you probably know of him. Uh, he's done amazing things over the years and pretty well known in the financial world, and I actually had him on my podcast August 1st, 2018, so it was hard to believe when we had scheduled to have him on again.

That had been seven years since he was on, and that, and, and our podcast was only. About a year old back then, and now we're eight and a half, almost nine years into this. And it's been great to have him back on to discuss, uh, some of the financial strategies you should consider. Uh, our first episode, which again I recommend was Financial Strategies for Chiropractors.

That was back August 1st, 2018. You can just Google that. Frankly. That's what I did to remember what, what that last episode was, and, and Garrett's a dynamic. Personality speaker, uh, just a wealth of wisdom [00:01:00] for, uh, anybody really. But he's got a particular, uh, knowledge connection between the financial aspects and chiropractic, and he brings that in this episode, which is awesome, and to catch up.

What he's been doing over the last few years and some of the things we dive into. Um, I found this, this, uh, episode very fascinating 'cause we don't necessarily only dive into the, the minutia of money, talk a lot about psychology earning potential, a lot of things that, um, I think chiropractors struggle with.

And he's someone that, um, really has a. Has a beat on this stuff and it, uh, really, you know, obviously between the podcast recently, if you've been listening, uh, between the Cash Confident Chiropractor online course, we launched, uh, we've been diving into the money. Uh, this quarter, this kind of Q4 of 2025.

And, you know, every so often we do that, but we [00:02:00] really were diligent about it this time because I just see a lot of great chiropractors clinically and, you know, person, uh, they're just a great person. Like, just all that. And then there's this too many that are struggling financially and, uh, one of MCMs overarching goals is to make great.

Clinical chiropractors also, uh, thrive financially and do it in a way that is elegant and ethical, and Garrett personifies that. So I wanted to have him on again. Uh, and then, you know, after this one we're, we'll be moving on to a different theme within our podcast, but this was really a great. Kind of cherry on top here, and it's always excited to get the opportunity to, to speak to, uh, Garrett there.

So, uh, without further ado, here is my interview with Garrett Gunderson.

Alright, excited to have Garrett Gunderson on the call. Uh, you know, it's been seven years. I looked it up, uh, August 1st, 2018. I recommend people go [00:03:00] and listen to that first episode. Uh, that was a little over a year into the podcast. We're now eight and a half years into this and, and haven't missed a week.

And so welcome back to the show. What's, what's new in your world in the last seven years?

Garret Gunderson: Man a lot. I sold the company in 2021. I filmed a comedy special on the topic of money that's on Amazon Prime called the American Ream. I crazy enough, was in stage four kidney failure with polycystic kidney disease in 2023.

Oh, and I in a great spot now because I got the right. Support and I just did a a session this morning with my nutritionist and biofeedback and my adrenals are a little low, but I'm fully hydrated. I am eating extraordinarily well. I'm the leanest I've ever been. I just went on a hunt where I was keeping up with a 23-year-old the whole time, barely breaking a sweat.

So. Having that happen and then launched a, a business in July of 2024. I really spent a few years being like, what could I dedicate my life to and how could I, you know, 'cause like it was [00:04:00] fun to do comedy, but it isn't as fulfilling as helping people transform their lives. It's definitely integrated in the equation now, but yeah, still married 23 years, have a 20-year-old and a 17-year-old.

I think the most important update is that when I got introduced to chiropractic, my son was in a really tough spot. He had auditory processing issues. He had a really adverse reaction at 18 months to a vaccination, and he ultimately just was struggling. And I went to Total Solutions in 2008 as a guest.

Mm-hmm. And these chiropractors were like, we want to help. And one of 'em came to Utah, found a, a chiropractor for us. That person was instrumental. Then they introduced us to other people, to the point where we flew over the country to, to help him out. And he's at school right now in Miami. And like you would never know that.

I mean, there's a slight issue with language every now and again, but dude, he is just happy and thriving. And if it wasn't for these chiropractors being like, we'll figure this out, you know? Mm-hmm. Patrick and [00:05:00] Temple saying You gotta check out Brain Camp. And then my wife researching and finding My Mind's Eye Institute and Francis Murphy out of Dallas doing a specific adjustment that helped release a lot of stuff.

I mean, the list kind of goes on, but I definitely have an affinity for this profession.

Dr. Kevin Christie: Yeah, that's, that's cool to see. So he is not too far from me. I'm up in Palm Beach County. Uh, is he at the University of Miami down there?

Garret Gunderson: So we've, he's got these like intuitive gifts and my wife has been researching for two years and found like, uh, he can actually get a degree, but it's, you know, right now it's being hosted for eight straight days in a hotel room.

He's by far the youngest person in the class. You know, it's not, that's traditional college. Uh. By any means, he didn't do well in school, even though he had a really high iq. And so we found kind of a nice place for him. And, uh, yeah, it's right, it's like 20 minutes from the Miami airport. I don't really know the area very well.

Dr. Kevin Christie: Awesome. Yeah, no, it's a big area for sure. So, yeah. Um, yeah. So how was it, you know, kind of selling your, your business and that, you know, moving on, that's always everybody's dream, right? Is to build something, [00:06:00] sell it, be able to retire, uh, you know, put yourself in that place to be able to do it. How wa how was it for you?

Garret Gunderson: Uh, 75% of people that sell their business regret it. I was part of that. 75%. Yeah. Part of it was, if I'm really candid, is I just had a lack of leadership when I was creating the company and I didn't confront things that weren't ideal because I thought I was being a team player. And then we got to a place where we scaled to the point where I didn't even know the customer and it took away a lot of the like, soul of it for me.

And the connection and the value started to change as the leadership took over. And so. Had an offer in 2019, decided not to sell. And then in, you know, end of 2020, I was like, ah, I just had this like spiritual moment where I was like, it's time to sell. And it was hard because something I'd been building since 98, essentially.

And, uh, yeah, it took, uh, it took some time to recover from that and be like, what am I gonna do? What could I dedicate my life to? How would I do it differently? What would I need to do to trust myself moving forward, to be mature and to be a [00:07:00] leader and have confrontation in a compassionate way? It was, I, I wrote down 19 lessons from that experience and, uh, just barely been reviewing those.

But man, life is a lot better. Just being around the people that I love, working with the people that I love and just making it more affordable for people. We got to a a point where a program wasn't as effective and it wasn't as affordable. So those two things were like, just crushing me because I just felt so much angst about that.

Dr. Kevin Christie: Nah, that makes sense for sure. And then I guess over, you've been doing this for a while and you've seen all the different financial scenarios, whether it was oh eight or obviously COVID and inflation and, and the whole nine yards. Um, you know, now being 2025, what are some of the things you're seeing, um, maybe on the, the positive or the concerning side around people's, uh, financial situation?

Garret Gunderson: I think the thing that's still most concerning is people have kind of relegated and abdicated responsibility in their finances. They're afraid to look at it and face it, and they have this notion of, I'll just make more money. But if they [00:08:00] have a cash crunch or whatever, they don't have enough cash flow coming in, even if they don't show up to the office, or they don't have that extra, you know, staying power and competence and clarity and peace of mind.

And so ultimately they're putting their faith in a system instead of in themselves. And, and because of that, that's a really fragile situation that a 2008, a 2020, or a 2023 could be really disastrous because of anything from inflation to interest rate changes and economic turmoil. And so I'm really looking at, there's like four things that are imperative.

Number one. The doc has to focus on making more money because if they don't make enough money, then ultimately they don't have enough opportunity to tap into other people's resources, and it becomes taxing to them. They get exhausted, they feel overworked. Number two, learning how to keep more of what they make by being efficient, so that's saving on tax, saving on interest, saving on non-performing investment fees and designing insurances properly so that they, they actually have 10% or more of their income.

Coming into them and not being lost in institutions. Then the third thing, and this is where a lot of people [00:09:00] skip, they try to grow their money, but if they don't grow themselves first, if they don't get their financial house in order and become financially fit, then they try to grow their money and they get distracted and derailed by a lot of things that are very speculative and risky and hopes that it's gonna work out.

But then if it doesn't, it starts to really, it hurts their mindset and their business. And so I always think of it this way. The key is to always grow yourself, invest in yourself, grow your financial skills, your intelligence skills around communication and emotional intelligence, and you know, all those factors.

And then as that grows, grow your money with it so that it will stay. If you grow your money and you don't know why or how, or how to exit. It's pretty much not gonna stay. It's not gonna be sustainable because it's not understood. So that gap of growth of money without growth of self is what I would call risk.

So make more, keep more, grow your money with investor DNA, not by getting derailed or distracted and chasing the newest trend, but knowing who you are and investing accordingly and focusing before you diversify. Then [00:10:00] just always pouring into yourself and into your team. I think that's the two game changers.

You invest in yourself to grow skills and you invest in your team to offload so that you do what you do best. And I mean, as simple as that is, I find a lot of doctors just get stuck in scarcity and they don't know how to do it.

Dr. Kevin Christie: Yeah. That one point there where, uh, a lot of the doctors and, you know, I don't know if it's ego or it's scarcity of being able to replicate services, but they have a hard time letting go.

Yeah. Whether it's letting go of, um, some of the control of their practice and having someone manage it more, or if it's letting go and having. Assistant do some of the rehab exercises or the modality, whatever it may be. Yep. Or, or sometimes it's even letting go and, um, having another doctor. See some of your patients that you can grow.

Garret Gunderson: Right, and a lot of it is, there's a form of scarcity that says, well, if you want something done right, you gotta do it yourself. Yeah, I remember hearing that when I was a kid, and that's a form of scarcity. But the thing is, that's only true if you hire people that are inept or not fit for the job, or not [00:11:00] fit for the culture, or you don't have a hiring process.

And you just do it outta convenience. And then when it doesn't work out, you're like, see, I knew it wasn't gonna work out. Or it's just hard for sometimes people to part with their money temporarily to grow something bigger. Because if we put in a savings account, we see it. If we put it into a person, it takes time to pay off.

And that delay, if you become more expert at that delay and then have a measuring down the road. You're gonna see more exponential growth versus that limited linear growth that you have with the savings account. Yeah.

Dr. Kevin Christie: And that kind of goes to growing yourself that you mentioned. And, uh, you know, I, I always revert back to that term skill stacking.

I, I don't forget if it was Adam Grant that came up with that in one of his books, um, but it's just the idea of like, okay, you're a doctor, you got this clinical skillset that you've. Built. That's great. Now you gotta stack on maybe leadership skills, right? Or financial, uh, where wherewithal, maybe it is a hiring process in, in, in developing people and, and learning how to mentor them.

There's a lot of skills that you want to start working on, [00:12:00] uh, so that you can maybe overcome some of those hurdles that you have to get to step four.

Garret Gunderson: Yep. Absolutely.

Dr. Kevin Christie: Yeah. Alright, perfect. I, I love that. And so, you know, it's just, it's just fascinating, um, you know, make more money. I think there's also, I'd love to hear your thoughts on it.

'cause I'm, I know you've worked with people of all kinds of professions. Doctors sometimes have this mindset where if they think, if they're thinking too much about the money, I'm not being a good doctor. Right? Like, I, uh, I gotta be a doctor, not worry about the money. And the reality of it is, is the way healthcare is now, and especially for chiropractors, uh, people just aren't throwing money at you anymore.

Right, right. Like it's maybe if you're a, you know, you're in LA and you're a top plastic surgeon. Yeah. Like margin is just there. But as a chiropractor, like you gotta really understand that if you provide a an amazing patient experience, you should be rewarded for that financially. Can you, can you speak to that kind of doctor dilemma there?

Garret Gunderson: Yeah, there's, there's [00:13:00] multiple layers to this. I love this point because if someone can heal this, they can really grow. First off, if we look at making money as a responsibility or duty to the patient's health, so if I don't make enough from one patient, I can't hire, I can't build infrastructure, I can't market.

Other people don't even know I exist. But if I can make that money, I can tap into the ability and resources of other people so that we can actually have more reach. An impact. So that's the first thing. The second thing thinking, well, I don't want to worry about money. I'm a doctor. That would be like a patient coming in and saying, well, I don't wanna worry about my health.

I'm not a doctor. It's like, no, like if you don't take, I can't care more about your health than you do. And if I do, you're never gonna get healthy. So it's the same thing, like all the principles of wellness are the same principles of wealth. And if we don't handle those, if we have a, a brain, you know, fart, if we have like.

A, a fracture in our mind that says, making money is bad, evil or wrong, it's dirty, filthy. It's stinking, it's, you know, it's deception, it's coercion, it's [00:14:00] greed. If any of those beliefs are there, instead of it's reward for value creation and that, what I find is people pay attention to that which they pay for.

So if the patient's paying for it, they're more likely to utilize it. If it's so inexpensive that it's not really top of mind, they might blow it off. Or they might think, or if it's free. Like I've done a lot of stuff where I'm giving stuff for free and you know, like nobody utilizes it and then you charge for it and all of a sudden they get a result.

Because I think that, you know, money is just a store of value. And if we can't store the value that we create, it evaporates and is lost. And since you brought up Adam Grant, I love his book Give and Take, where he talks about the givers are at the top and the bottom. The takers are in the middle, the givers at the bottom.

They give with no return. And I know doctors that give with no return, which actually robs from other patients' health because now that doctor's more stressed, more frantic, has to focus too much on cash flow, and even though they don't wanna worry about money, they are worried [00:15:00] about it because they weren't a steward over it.

So it's absolutely a responsibility, just like our health is a responsibility, if we don't take that responsibility, it evaporates.

Dr. Kevin Christie: I think it's such a key thing and, and I, and I don't think enough chiropractors understand that part. Like it's really hard for you to show up into that treatment room or for that patient when you are stressed out chronically fi from finance.

Totally. Yeah. There's gonna be some things up and down here, but if it's a chronic thing and you just can't get it sorted out, whether you're thinking about, I'm not set up for retirement or cash flow's an issue, or you know, you name it, you cannot be. The best version of that doctor for that patient. And it's a, it's a real, it's a huge

Garret Gunderson: point

Dr. Kevin Christie: conundrum that I think a lot of chiropractors have.

Garret Gunderson: Yeah, you said it well, it really is a conundrum. You know, it's, it's like. If we have a faulty belief, I call it a dilemma where we're damned if we do or damned if we don't, right? And so this dilemma that sometimes people feel [00:16:00] like money is the root of all evil, even though they're leaving out the context of the love of money is the root of all evil.

Meaning when we love money and we use people versus use money and love people, that's where we get into trouble. And so if money's just a byproduct of value. There's nothing evil or wrong about value. It's the very essence of how we serve others solve problems. So when we can start to understand that and stop looking at money as what happened with Epstein, or what happened with Wall Street, or what happened with Soros, or all these other figures that might be using it to abuse power.

Versus serve. We can't lump everyone into that and go, that's what money is. No. It's just a byproduct of value creation. And value creation is not evil, bad or wrong. It's actually one of the most significant things that we could do as human beings. So get rewarded for it so that you could then tap into other people providing value for you, because what I find is.

Some of these chiropractors are amazing at serving. They're actually really helpful. I think about that with my son and how they went over the top and made the [00:17:00] phone calls and checked in on him. It's like a loving, like, nobody goes, you know, I wanna be filthy rich. I'm gonna be a chiropractor. Nobody go. I want help.

I wanna heal. Yep. And so you can do that better if you have more money. If you don't have money, then you know you have stress. When you have stress, you're gonna have poor health. When you have poor health, you're not really gonna exonify what your patients are looking for. And ultimately those levels of cortisol start to show up around the belly.

They start to, you know, disrupt sleep. They start to have people become short-tempered and frustrated and grumpy. Like it's just, life is better when you've got cash flow. It just gives that peace of mind so you can focus on what is most important. 'cause money's like air. When there's plenty of it around you, don't think about it.

When it's gone, it's extraordinarily suffocating and it's all you think about. So, you know, it's, it's about mastering this instead of being enslaved by it.

Dr. Kevin Christie: Yeah. And you mentioned a couple things there. Um, I believe you're, you're, uh, you know Joe Polish, I believe, right? We're

Garret Gunderson: very good friends. Yeah, yeah, yeah.

I've traveled with him. He is, I've stayed at his houses and he stayed at mine, so yeah, we're good friends.

Dr. Kevin Christie: Yeah, he has one of my favorite videos that he put out there. And you mentioned [00:18:00] the word evil, and he has that one that's, uh, and people can YouTube it is selling evil and obviously selling great video.

Selling is gonna be a massive component of obviously increasing revenue. And I think what this audience has to understand is, is they are great chiropractors, they're great doctors. They, they believe in what they are doing and what they're offering. And if that's the case.

Then you should feel really good about selling that to the person. It's not like you're selling snake oil, like you're, you're really selling something that is gonna benefit people. , People need to Google that is selling Evil Joe Polish and it's just really good about why selling is not evil.

Right. And it

Garret Gunderson: Yeah. That's a great, great recommendation. I love that video.

Dr. Kevin Christie: Yeah, I think I saw that maybe when he first, 10 years ago or, or so. Yeah. And it just really flipped a switch for me, and it made me realize too, it was like, yeah, sometimes I got myself in a situation where. I wasn't selling something that I believed in, you know, it [00:19:00] wasn't a bad thing or whatever.

I just hadn't sold myself on it yet. And so I had a hard time, uh, having conviction around that for patients. And then ultimately it didn't produce the, the cash flow that either, that, uh, that service, uh, or, or product, uh, would have if I believed in it more. And that's something I think, uh, our audience needs to, to, to pay attention to.

Yeah, absolutely. So, um, what are some positives that you're, you're seeing out there with some, um, with people and, and their finances that you're, uh, that you want to just spotlight for a minute so that uh, people can say, yeah, there's some things out there, you know, like that there's some, some, I know there's struggles, there's always struggles, you know, it's like,

Garret Gunderson: look, I, you know, I took a, I was working.

In the chiropractic profession for basically 12 years, right? Just mm-hmm. Certain. We were one of the biggest financial providers, and then I've taken a break and come back and what I'm finding is the [00:20:00] chiropractors have the courage to face their finances. Um, and they're, they're willing to admit like, Hey, in some ways I'm an accidental tourist to being in business or finance, and they're just willing to handle it in a way that most people won't.

And so I see this like willingness to face and have the courage and to deliver it. And I think that's part of the nature and the DNA of a chiropractor because they're swimming upstream. They're talking about something different than what the world is being indoctrinated with, with pharma. Like, so there's like this nature of them going, yeah, like of course I've gotta handle this.

Where, you know, sometimes with an MD they have an unfortunate God complex, considering that they're basically customer service reps for pharma. It's like sometimes they're hard to get through to, um, I don't even try where chiropractors are very open-minded and they're very mu much willing to learn and adopt.

And, you know, I, I've, I've talked to some that we worked with. 10, 15 years ago, and like I was just at this event in Dallas and someone says, Hey, when I met you, we were at a million dollars net worth. We're at 10 million now. And then I had someone else that said, Hey, we had one commercial property, we have [00:21:00] 15 and multiple locations.

And you know, the tax strategy saved hundreds of thousands. Like just hearing these stories of people implementing because philosophically it just resonates and aligns. And so because there's that alignment. They're willing to do something about it. And so it's the number one market we're serving again at this point.

And it just seems like it's a wealthier market than last time around, so it seems like, oh, that's good. You know, I, I see more people doing well than before. Mm-hmm.

Dr. Kevin Christie: Yeah. You know, we have a, a mastermind group of chiropractors, and these are mostly a. Uh, these are high level chiropractors that, that aren't just trying to figure it out.

I mean, we're all trying to figure it out, but they've got good practices and stuff. And we have a few, uh, 61 and older in the 70. And last year we did a little wisdom session with a couple of them and. Uh, you know, they've, they're still got the passion for it. They've done very well for themselves, which is awesome to see.

They're in a really awesome place, uh, financially in their life, and that was cool. And we, uh, peppered them with some questions of, you know, like, how do we do this for 40 years? Like, what would you [00:22:00] say to the 30 5-year-old in here who you know, is getting started? And each one of them had a, a moment. You know, one was a.com bubble, you know, disaster.

The other was a fire that happened in their, that, that built that, that literally burned down their practice and they, they both overcame it and have done well. Uh, what would you say? 'cause there's always gonna be. Like that, maybe that one event or that obstacle, uh, to, to the chiropractor, whether it's in their personal finances, professional finances, or whatever the economy gets 'em.

What do you say about like, yeah, look, it's, it's never too late to recover from something that's set you back. Or if they're in that place now and they don't feel like they can get out of it.

Garret Gunderson: I mean, like, look, I, I sell my company in 2021. I had 400,000 people in that database. Then I went to zero. Yeah. And here I am, you know, where, you know, I'm just rebuilding.

But what I had was all the mental capital that I could always take with me and all the relationship capital. That I could turn around and ask for help. And so I think it's the person sometimes [00:23:00] that is the most resourceful, not the one with the most resources. 'cause resourcefulness means you tap into relationship capital and allow other people to help you, you, you leverage and, and utilize your mental capital to serve more people.

So because you already have that, you're not starting from scratch or you're not having that setback, you know, you just have to be resilient enough. And what I find is you just gotta be willing to be open about it to the right people so that peers or mentors can help you through those difficult times.

Because we all have those moments where our mind is in scarcity, or we think something feels a bit overwhelming, and here's the adjustment. You've gotta go and say. Can I make my vision bigger than any problem that I have? Because if my vision's bigger than my problem, I'll see a way through which includes being willing to make phone calls, ask for support, do whatever it takes.

And I think that that's the deal. You have that mentality of I'll do whatever it takes instead of did my best, did my best, is isolate and alone, do whatever it takes as a coordinated, cooperative, you know, co-creation, collaboration, effort. And so I, I mean, I don't know anyone that doesn't just go through this [00:24:00] when I was 29.

I went from being at 28 worth $8 million and at 29 being worth zero because I was over leveraging real estate and I actually met with Dan Sullivan, a strategic coach, we're both speaking at the same event and I was like, took him to coffee and I was like, Hey man, like I'm struggling. And he is like, how old are you?

I'm like, I'm 29. And I told him what's going on? He is like, oh cool, you just got here early. Most people go through this in their mid thirties, maybe early forties. This is an early, everyone goes through it. You're gonna earn your stripes. Just focus on a few things like customer service, one thing at a time.

Don't take on too many projects, get focused, ask for support. Make sure you know, like this conversation we're having here right now is helpful. And so like that made me feel immensely better because I felt really embarrassed and shamed about it, that I went from this, you know, over one year working my ass off just to lose money, you know?

But I also then discovered my greatest content investor, DNA. Financial independence, what financial fitness and, and health looks like, and how you protect the downside. I, I learned by going through it, not avoiding it. And so that's another piece. [00:25:00]

Dr. Kevin Christie: Yeah. That's awesome. Uh, Dan Sullivan definitely, um, wears it like a badge of honor that he, uh, says he went through a divorce and a bankruptcy same week, right?

On the same Yeah, same day, same week, same day. Yeah. And uh, and that would've been like, I think he was probably 35 or something. He called it

Garret Gunderson: Extreme Market Research.

Dr. Kevin Christie: Exactly. And if anybody who doesn't know Dan Sullivan, he's the founder of Strategic Coach and he's done very well for himself. Brilliant man.

And, and, uh, yeah, you can overcome anything, which is great. I wanna touch on one more thing. I know this could be a whole even kidney

Garret Gunderson: disease man, like being in kidney disease, right? Like, and honestly, if it wasn't for chiropractors, introdu introducing my son to people, I wouldn't have met the person. That helped me get through that because honestly, I, I met with one of my best friends who, you know, he does a lot of like stem cell and peptide work, and he looked at my blood work and I, I was with him in person.

He just looked at me. He is like, dude, you're in trouble, man, like this, this is concerning. I was like, all right. So he got me on a peptide to lower my blood pressure, but then I completely changed my food. I thought I ate fairly healthy, but [00:26:00] then it was like, no, I'm, I've been dialed in since April of 2024.

I'm the leanest I've been, I'm strong in the gym. I, you know, I'm sleeping well, which by the way, I had insomnia 'cause my adrenal fatigue because the adrenals are right there by the kidneys. And that was really an insane moment. Like when you're not sleeping, I just don't think really clearly. And you know, it was kind of feeling like crashing in the afternoon and just the right person.

This woman Deborah, was like, here, we're gonna hook you up to this biofeedback, which I might have little bumps on my forehead from it this morning. And told me what to eat, what to do, and within a week I was sleeping. And then my blood work all of a sudden was drastically better, which seemed like crazy 'cause my mom had a kidney transplant, my grandfather, my two of my aunts.

So it's like, wow. I, you know, I had already learned about epigenetics versus genetics from chiropractors and, you know, had heard biology belief from Guy Reikman telling me to read the book. Like just all like, I look at my health journey and so much of chiropractic was like. Go here, do this, read this.

Have you thought about that? And it just gave me the confidence that I wasn't condemned to this condition. Yeah. [00:27:00]

Dr. Kevin Christie: Well, yeah. And you segued perfect for me. 'cause I was gonna bring up, you had mentioned earlier about protecting the downside and, and, and as the reality of it is for you obviously was the kidney thing as a chiropractor, uh, obviously you could have a lot of things happen, but we always are, um, at risk of physical injury from what we do and Totally.

Um, uh, what are some of your just, you know, overarching ideas on protecting the downside. Obviously we can't dive into all the details, but they can reach out to you at the end here.

Garret Gunderson: Yeah, so, and I could give them, you know, if they go to garrett gunderson.com/one question, the number one, just the, not the, don't spell it, just one question.

They can take a financial health assessment and that financial health assessment will tell them where they're set, where they're not set, and where they have blind spots and it'll lead 'em down. It'll be, it's fantastic. And if they want additional support, there's support they can ask for at the end, um, to get.

But like the first thing is I want people to be financially fit, which means your financial house in order. So we want to transfer risk. How do we transfer risk? Well, that could be through [00:28:00] the right disability insurance. It's a little bit tougher as a chiropractor to get really good coverage anymore because they, they're, they're trying to be profitable as a company and they've continued to make it worse and worse for the doctor.

So with that being the case, financial independence is key. Financial independence is when we have enough recurring revenue from assets to cover our expenses, which means every time you're actively working as a chiropractor, you could buy more assets because that income isn't required to cover your lifestyle.

So lay your assets, cover your lifestyle, let your business grow your assets, which will increase your lifestyle. That's a completely different methodology than people that just save 10% of their income, chase a 10% rate of return and wait for 30 years. So financial independence is the key factor, and you know, there's really three ways to do it.

One is you build a business that isn't as dependent upon you, so you might be able to go in work in it, but if you could have it work when you're not there. Like I went to Italy for 63 days and my business grew. 'cause we had the marketing team had to learn to run ads without me there. They had to run an event without me.

They had to start thinking before 18 months. I went like, what could we do to [00:29:00] create more, you know, education that's more one to many. And so we figured it out and that made the business more valuable. So how do you make a business where you could work in it, but you don't have to. By the way, why sell a business that's in that situation?

If it's healthy with cash flow, you have influence over it. It's a tax advantage for you. You're helping people with their health. Like if you sell it, who are you gonna sell it to? Like if you sell it to venture capital plan on it becoming a terrible organization, that isn't gonna create health for anyone.

But if you sell it to maybe an associate. There are ways to do that if that's really what you wanna do, but build the business that can run without you so that when you are there, you get to do the things that you do best that you wanna do. The second thing is real estate, but a lot of people have to be careful with real estate because it could derail or distract you from your business.

And you have to go, is this really what I wanna do in the, you know, from 2000 to 2008, I acquired over a hundred real estate properties and it was the worst work I've ever done. I talked to attorneys, I talked to bankers, I talked to property managers, I talked to maintenance people, and no one wrote me a card or gave me a hug that was a tenant.

They didn't care. And so I didn't enjoy it. It might be the right thing for the [00:30:00] right person. Or the third thing is intellectual property. You've done well with intellectual property, you've got a mastermind, you've got this podcast, so it's where you teach other people the very thing that you did. So that you can improve the entire profession.

So really those are the big three. If you can create cashflow generator from one of those in a big way, maybe a secondary, then what's gonna happen is your business is less dependent upon you. You have financial independence, and if something does happen when you physically break down, you already have the associates.

You already have the infrastructure. You already have the system.

Dr. Kevin Christie: Mm-hmm. Ah, I love it. That's, that's important. And I think, um, it just, you know, it's just a big part of. That financial peace of mind. Right? Yeah. So obviously we talked about cash flow. That's really nice. That just gives you a lot of confidence.

Uh, obviously you need to have some, you know, uh, cash on hand, some liquidity there. And, and then obviously having these things that protect you in case something happens is just gonna give you that, uh, momentum to just go to work every day and enjoy what you're doing. Yep. Um, so tell me, uh, let us know a little bit about how you [00:31:00] are now, uh, helping chiropractors out.

What, what are we, um, doing to, to solve and enhance, right? Yeah. Some people have to solve some problems and some people have to enhance an awesome situation, right?

Garret Gunderson: So there's really three things that I'm doing. Number one is I finally, at 10 years too late, decided to really go all in on social media. So I had a radio show before podcasts existed, and it was two hours a day, five days a week, and it just burned me out.

We just started to do like live casting of it and I was like, you know, I don't wanna do this. Podcasts became popular, so I kind of missed the boat. I do have a long form on YouTube at Garrett Gunderson tv or Garrett Live and internet browser, and then I'm posting once a day at least. Sometimes twice on Instagram.

So those people that have more time than money, they can still get the insight. It's a way to serve, it's a way to get reach and reputation. The second thing is a lot of people might not be ready for our services. So we've, I've partnered with someone, uh, Matt and Js, who I've worked with since 2014, and they built an AI platform for people to analyze every [00:32:00] aspect of their finances.

It'll, they could plug in their estate plan, it'll tell 'em the issues. They could plug in their taxes. It'll tell 'em what they're overpaying. You can show 'em what their economic independence number is. It's extraordinarily affordable. Or the third layer is we have a program called Multiplier, where I teach every week on either Make more money, keep your Money, grow your money, grow yourself.

That's the format in one to many. They have one-on-one results facilitators that walk them through every aspect of finance. And we have a lot of accounting firms, legal firms, investment advisors to help them. Get the comprehensive nature of what wealthy people do for the people on their way up. I'm not here to serve the people worth a hundred million dollars.

I've done it. It's very exhausting. I just have great people I can refer them to. I'm here to serve the people that were, like I was, I first generation wealth, you know, didn't have a, a robust network and I love helping people grow and keep that money. I just want 'em to get their financial house in order.

I want them to be financially free from a mindset and I want 'em be financially independent from their cash flow. And so I love working with people like you in your communities because. You guys are masterful at showing people how to make more money, have more [00:33:00] purpose, you know, collaborate. So I come in and go, let me help you keep a lot more of what you've just made.

So it actually starts to turn your business wealth into personal wealth.

Dr. Kevin Christie: Do you guys dive into a little bit on, you know, I would say for me, I've been fortunate 45 years old now. I feel really good about where I'm at. Uh, for the long haul. There's always still things that go awry with the finances, but um, I think the thing that I had to really work on over the years was just the psychology around money and some of the thought process.

Do you guys dive into some of that stuff?

Garret Gunderson: I, I at least once a month, one of my sessions is more like money therapy. Um, you know, and, and we're going through like the layers of a money story. Like the first layer is what people will say, and it's usually protective and limited. Then there's what they won't say, but they say to themselves, which usually holds them back, and we help them feel safe to share it so it doesn't hold them back.

Then it gets 'em to the third level. What they can't say, what's been the blind spot that's been holding them back and they can't explain. And when they're free from that. All of a sudden they produce a whole lot more. So yeah, that's, that's why I like to teach every week so I can do those kind of things [00:34:00] because my guys can make sure that someone saves taxes or they can make sure that someone has asset protection or that they improve their cash flow.

But I'm more like, how do I help the individual and how they view money and heal that relationship with money? You know, my newest book, money On Mass really helps people understand the very thing we're talking about and ultimately. If people, you know, they could do a discovery session with my guys and a report of findings, and that gives them a comprehensive report that they can take to their existing financial team or hire us either way.

But I have a full-time person just building the report of findings that are robust, they're substantial. We spend as much time on that as we do on the phone with someone, and so now they know exactly where they're at and what to do about it. Yeah. And so I think that's like a unique thing that we've really built over the last little while.

Dr. Kevin Christie: That's great. You know, I still, whenever I get into a, a pitfall of it, it's usually just the, the psychology around the money, you know? Yep. And it's, it's fascinating. It's, uh, and it, and sometimes you can't outpace the psychology of money by making more, uh, it definitely helps to [00:35:00] make more, as you know.

Right, right. Uh, but you, you can, uh, outspend that as well. And so, uh, I think everybody's gotta figure out where their weak link is there, and that's pretty cool that you help with that as well. I

Garret Gunderson: had two years where I wasn't really in control of the outcome of my income. I had a licensing deal. It was seven figures, but I didn't really have influence over it.

And that's why I think a lot of retirees feel, they're like, okay, now I'm retired, but I can't control interest rates. I can't control inflation. I don't know what's gonna happen with taxes. And they become very fearful, even though it was supposed to be this amazing situation. So I want them to have a lot more control and options and choice, and that's gonna help them with the psychology so they feel more free.

Because a lot of I, my comedy specialist called the American Ream. Because most people think the dream is retirement, but it's kind of a ream because they get there. Like, what about all the memories you missed along the way? What about the fact that now you're just living off your interest while the institutions get to have the lion's share of your money and they're, they're making ma, ma major profits.

So I just get frustrated. So I was like, I'll just make fun of it and then we can all laugh about it and then hopefully [00:36:00] make better choices.

Dr. Kevin Christie: I'll if they check that out. American Reem, Amazon Prime.

Garret Gunderson: Amazon Prime. Although everyone always says Netflix. Uh, not my kids. When I got on Amazon Prime, I was stoked.

I'm like, oh my God, this is awesome. I wanna get on a streaming service than my youngest is like, why not Netflix? I'm like, dude, come on, man. I'm like, first off, Amazon's a bigger company, even though the streaming service might not be, I'll take it, you know?

Dr. Kevin Christie: Oh yeah. Absolutely. That's cool, man. Now, I know you mentioned a couple times, but how can our audience find out more about what you got going on?

And

Garret Gunderson: I think that that, uh, garrett gunderson.com is my main website. Perfect. Garrett b Gunderson, middle initial, B as in boy on Instagram as a handle. And then Garrett live in an internet browser. I'll take you to my YouTube channel and you know, we're, we're responsive in the dms. Not always quick 'cause there's a lot that it's kind of coming in.

We just had a lot of traction. I got, I think it's, uh, 2.9 million views in the last 28 days on YouTube. So I'm finally doing the work that I should have Kevin, when I first talked to you. Uh, but it's, it's kind of fun because. I, I, I really turned pro in comedy and I'm looking at [00:37:00] that same process and going, what if I did that for media to really help people?

'cause it's not what I know, it's who knows it and can implement what I know that really matters. And so I feel really compelled to serve in that way and, and grow it. Where before I was just like. I don't wanna take pictures of my food. Screw social media. I just had a bad thinking about it, you know? I was like, there's so much bad about it, but you know, if it's gonna be there, why not put some good into it?

Dr. Kevin Christie: Yeah, absolutely. Love it. Well, Garrett, this has been a pleasure again, uh, hopefully it won't be seven years between now and the next time I have you on, and then hopefully we can run into each other in person.

Garret Gunderson: Yeah. Thanks for the work you're doing out there and thanks for having me on. I appreciate it.

Dr. Kevin Christie: Same to you. Have a good one.

 EPISODE 453: MCM Student Business Show

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Welcome to the MCM Student Business Show, hosted by Dr. Kevin Christie and Dr. Gage Winkles with a special clinical segment by Dr. Mark King, the show for chiropractic students and recent graduates designed to help you become a thriving chiropractor. Welcome to the MCM Student Business Show. I'm Dr. Kevin Christ.

Dr. Gage Winkles, and today we're gonna dive into five questions. We have everything from marketing to business to clinical. We have a nice little segment with Dr. Mark King in the middle, and we're here to help you understand what it takes to grow a practice. Aside from just a clinical, there's a lot of different things that you need to understand and where to help you out.

So Kevin, what is the one thing you wish you had known about business when you graduated from chiropractic school? Yeah, I think from chiropractic school, from a business standpoint, would be the importance of an emergency fund and sinking fund to help you make accurate decisions as you're going along.

And so let's, let's define a little bit, let's start with the sinking fund. Okay. [00:01:00] You might have heard this as a slush fund, that's fine. But with the sinking fund, we're trying to plan out. Large expenses throughout the year that are not gonna impact your cash flow, right? If I asked you to write a $3,000 check for a new table that, uh, broke, that might hurt cash flow and put you in a, in a crunch, if instead you contributed to an equipment repair fund throughout the year, you have that money set away in a different savings fund, so it's going to be a separate account.

So I'm gonna say different account, right? We're gonna have that probably in a savings account. You would take all the things you might spend money on, malpractice insurance, equipment repair, new website. At the beginning of the year, you want to just kind of add up all the things. You might write bigger checks, right?

So for the sake of. Let's say that ends up being $12,000 for the year. You would then, starting in January, move $1,000 over from opex. Okay, [00:02:00] so that's our operating account, operating, uh, expense account. We're gonna move it right over to the sinking fund. Automatically, right? And so that would be $1,000. We would just say one K that's moved over there so that when that expense comes, you have it.

You then move it from the sinking fund back over to the operating account, and then you pay, you write that check. And so the importance of a sinking fund is gonna be. Instrumental in predicting your cash flow and really being able to sleep at night when you have to spend money that's outside of your normal expenses for the month.

Now, moving on to the next one here. Let's go right over here. Your emergency fund is going to be for what that actually says, right? Emergencies. This isn't. Something you want to touch and what a lot of people say, whether it's Christine Odel or uh, Greg Crabtree, a really good one is about two [00:03:00] months worth.

Of your expenses. So if your monthly operating expenses is $20,000, you'd like to have $40,000 in emergency savings account. Takes time to build it up. Doesn't happen overnight. If you open up a practice, there could be a situation where you have working capital. That's what that is, essentially. Uh, or you need to build up to it.

One thing I've learned from Christine Odell, she said, get $5,000 in there, then get one month in there, and then get two months in there. And that would be your emergency fund. And depending on how you learn things, you're gonna have an operating account, right? That's your checking account, that's your business checking account.

A sinking fund account, an emergency savings account, would be the kind of core three accounts you'd like to have in a, in a. Uh, practice and that way you can make accurate decisions with your money and feel protected in case something happens. Alright Kevin, so question number two here today. As a new associate, what would be the most impactful marketing strategy [00:04:00] right outta the gates?

Yeah, one of the things I really have fallen in love with, and I first learned this from Kurt Kim Berger, who's one of our coaches, and I'm sure he learned it from somewhere as well, is the Allied Health Network. And I'm gonna. Share a tool here. We actually have on our CSA digital dashboard, we have a bunch of tools and we have one here on the Allied Health Network.

And essentially we want you to be a great doctor. Right? And that's part of it is being able to refer out really well, like part of being a world class doctor is having a world class referral network and that that's important and you do that consistently and then you also will build a referring.

Partnership with other doctors and performance, uh, specialists that will refer back to you. And so we want to go out in the community and actually build what we call an Allied health network. So these are gonna be people that are related to health and performance for the patient. And when you go into a community, you may not have a lot of those doctors.

You may have one or two. And so what we put together here, and I'm just gonna kind of show you, is an Allied health [00:05:00] network. And we have two tabs here. We have health and we have performance. Uh, it can be shown as cards like this, like Dr. Allen Jones. Uh, it could be, uh, on the performance side. You might have Sue Smith, who's a running and triathlete coach.

And then when you go in here and you add a contact, right, you add a provider type. We have health, we have a bunch of different. Types of specialists could be the hand wrist special, the primary care doctor, all the way down to physical therapy, acupuncture, imaging centers, urgent cares. Doulas and midwives, dentists with like maybe a TMD specialist.

Uh, we have all these different types in here and, and then we go down and we've got the performance. This could be running coach, triathlete coach, personal trainer, tennis coach, golf person, uh, instructor. You get it like. Okay. Whether it's on the health or the performance, we want to build out this list.

So what I would recommend as a new doctor going into whatever community, whether you're starting your own practice or you're working for another practice, is to work with [00:06:00] either the existing practice or, again, if you're opening up your own, is build out a world class, uh, referral system. This Allied Health Network, it gives you a reason to go and meet other types of people, right?

And so let's say you need to go find that need. And shoulder orthopedist because you treat knees and shoulders and some are gonna walk into your clinic. And, and you've been in practicing now for a, a year and a half. Isn't that something that you notice, like you're getting certain conditions you weren't maybe expecting?

Absolutely. Absolutely. And um, and I think when you build this out. You can now have a good referral out and then it also, again, you can build connections that will over time refer back to your practice. And so maybe you don't have the knee and shoulder orthopedist, but maybe you have a good foot and ankle specialist that you know.

I would go and talk to that foot and ankle specialist who's the best knee, shoulder specialist I need to know. That doctor gives you the name of the best knee ortho. And you contact that office, say, Hey, I'm Dr. Kevin Christie. I'm new to the area, building out [00:07:00] referrals for our patients. And I heard Dr.

Smith was the best knee, shoulder ortho in the community. I'd love to set up a time to meet with the doctor. Is is there a a good day and time that would work for you? So it becomes a, kinda like a Trojan horse to get that meeting with the other doctor. Right. Um, on the other side of it, maybe it's, uh. You know, you've got a tennis coach, but you need a golf performance coach.

And you start building this network of people that you can now connect with on the health side and the performance side. And you just, I would love for you to, this is just a demo one here, but I would love for this. If I go over here and you just got a laundry list of doctors, uh, and all kinds of health specialists here, you can tease this out by health only or by performance only.

And then you can go in here and search, right? If you need to do, uh, knee. I don't have one in there, but it would pull me. Uh, but let's say we weren't running, running Coach. As I typed that in, you can see it pops it up and it becomes really, uh, good for your team as well. Like we [00:08:00] basically stopped with the business cards and what we do is say, Hey, send uh, so and so to.

To the, uh, to Dr. Smith. And so our staff, the front goes on here, finds Dr. Smith, and then two-way texts it to him. And then that was a really good customer service as well. So that's what I would do. Getting into the community, knowing what I know now, I would work diligently to build that. There's other things you have to do as well, but that would be a big focus of mine.

Absolutely.

All right. Under our clinical segment with Dr. Mark King of MPI, we've got one question here submitted by. A student, and that is, can you give me one piece of clinical advice that every student should hear when they are in school? Mark? Well, this is an important question because I always, I've been asked this question in the past, and, uh, I had a lot of wide ranging answers to it, but I heard an interview with Dr.

Mike Leahy from a RT not too long ago, and they asked him that question and he said that you should try to become great at something. [00:09:00] Now at the Motion Palpation Institute, we are biased and we want you to be great at palpation and adjusting and integration of other techniques. Dr. Lehe wants you to be great at a RT.

Maybe you wanna become a neurology diplomate, uh, whatever you're, you're the rehab, uh, expert, whatever the thing is, but become great at that, and then you can build on, on top of that. Again, our bias is toward the foundational skills of palpation and adjusting, because that's what you're gonna typically do each, each day.

And then we want you to add these other things to that, but be great at something that helps set you apart from other, uh, clinics in your area, sets you apart from other, um, offices around the country. So that's the way where I would start, is that I'm gonna become obsessed and fantastic at something and then build on it from there.

We, I wanted to mention in on March 21st, 22nd, we have our sports summit in Florida, in the Daytona area, and then in, uh, uh, June, June 6th and seventh we're doing MPI disc in Chicago. So wanted to [00:10:00] mention those, uh, as upcoming, uh, classes that you might be interested in. Thanks.

All right, Kevin, so fourth question here of our first episode, talking about communication here, we, uh, we had a submission. What is the biggest patient communication mistake you see with new graduates? Yeah, there's a lot going on. With that, you know, you, you're on the younger side, typically, you gotta look at someone that might be 20, 25 years older and you, with conviction and confidence have to recommend a treatment plan.

And I think the biggest thing that I see is under recommending care, under treating that patient, uh, that patient comes in with something that might be going on for six to eight weeks. And, uh, a lot of times a new doc is, let's come in a couple times, see how it goes, or let's do one twice a week for two weeks.

And really, if you look at the evidence-based. Care guidelines for treatment frequency duration for a lot of these conditions. There needs to be a more substantial treatment plan [00:11:00] to it. Not, it doesn't have to be six months, but it might have to be two times a week for four weeks. It might have to be three times a week for two weeks and two times a week for another two weeks, and then once a week for a couple weeks.

Right. Like, and I think what I see chronically with the, the newer DC is, is the under kind of dosing of. Of treatment on that now, what did, what have you noticed as you've progressed over the last couple years in, in clinic with that? Yeah, I think, you know, being a young DC there's definitely the trust factor that needs to be built in there.

Um, and especially with older patients, I mean, it's still. You know, weekly I get the, uh, the question like, how old are you? Or, or how long have you been doing this now? Right. And so you need to present your treatment plan with trust in yourself. And I think that's the first thing. Um, you need to need to know your capabilities and your ability to help that person.

Yeah. You know, that's, that's huge. Um, and then, you know, the second thing being that. You know, with evidence-based [00:12:00] chiropractic care being more and more popular and taught more and more in schools, which I think is great for the profession, uh, but you can't get caught up in chasing, uh, the pain. Yeah. Right.

You can get a patient out of pain and two to three visits sometimes. Mm-hmm. That doesn't mean that they are then released from care at that point. Yeah, that's a, that's a great point. And, and a lot of times we, we try to phrase that with them as, okay, the first phase of this is gonna be pain relief. Right.

Second is we're trying to build up injury, resilience and Correct the function. 'cause Yeah, ironically. A lot of evidence-based chiropractors will talk about not chasing the pain or focusing on function or movement, quality, all those things which we all believe in. Yeah. But then they use pain as the kind of indicator of release from care or success.

Right. And as you know, we know a lot of times that pain will come back in three weeks or three months. And so we gotta graduate them from, okay, we're out of pain now. Now you can do certain exercises or treatments that you couldn't do. When they're in pain, now you can have some fun [00:13:00] and, and really work on the underlying cause of that.

And so that's something that I, I talk a lot about. And I think the other thing is, is I always use the, the examples like if you, if a pro athlete, if, uh, you know, if an NFL player got, uh, strained his back, how, how often do you think he's coming? For care, like probably every day, right? Right. Why is that?

Because it works. It gets them better faster. Now, I understand the realities of like your regular patients aren't NFL players, but I'm just using as an example of sometimes more frequency, uh, does get them better quicker. And if you asked your patient, uh, would they rather come in two times that week or three times that week, if it meant shaving off a week of getting, uh, of them being hurt, they'll probably take the three times a week.

And you can use that as an example with the athlete. Now, obviously with regular people there's money constraints, there's work constraints, there's a lot of things going on. So we're not necessarily saying you have to see them twice a day for for three weeks, like per athlete, but it just gives you an example of like, [00:14:00] yes, sometimes.

More frequency early on with acute conditions does get them better quicker. Yeah, absolutely. And I think, you know, it's, it's meeting your patient with their goals, right? Yeah. If they have that, that upcoming race, you know, coming up on a a 5K or a, um, marathon coming up right. You may have to see them a little bit more frequently than, than you would if they were just dealing with some, some hamstring pain, you know, and, and no rush to the treatment there.

Yeah. And so build some confidence, work on it, really own. Uh, clinical encompasses evidence-based guidelines to treatment frequency and duration, and realize that, um, you are setting up yourself for failure and potentially the patient if you undertreat them.

So Kevin, our fifth and final question of this first episode here is regarding career development. Mm-hmm. And this is a big one that, that I relate to personally as well. What are your thoughts on picking one location? Upon graduation versus opening up options for different [00:15:00] states or different cities to set yourself up for the best job and success in your career.

Yeah, and it's a reality, right? And, and I want to be cognizant of that is sometimes you are gonna be in a scenario where you have to pick the town or the city and then find a job. There's no doubt that's harder in many cases. Sometimes there's different things where you have a job lined up back at home, but oftentimes you're going away.

For undergrad, going away for chiropractic school. And then if you want to go back to a particular town or city and you have particular desires of the type of practice that you want. 'cause what you're trying to now figure out is. I've gotta figure out a job that's a good job and congruent with my style of chiropractic.

And that can be hard even when you open up the whole country. But then it gets really hard if you pick a town and you say, I want a sports chiropractic clinic that's gonna compensate me well, and I've got professional growth and it's gotta be in [00:16:00] wherever, America, right, in one town. Like if, if I, if you want to be in.

City, Indiana, like, and you're trying to find that exact perfect job that gets tricky, right? Versus if you open up to uh, states completely, or regions, or obviously the entire country, I would say the entire country might be a little bit rare, but oftentimes. Uh, you know, we have a, an intern now, he was opened up, he gave me like a laundry list of Yeah.

10 cities and states and stuff. Yeah. And it, and it helped and, and he's got something lined up. Yeah. Uh, so we saw that there. And so it's gonna be challenging if you're trying to find the perfect job at the perfect type of clinic for you. In one town, when you open it up, you really open up to a lot of opportunities and, and that was something that you obviously addressed.

Yeah. You know, myself, uh, being from a small town in Northern Minnesota, it's about 30 hour drive from where we sit here today. Um, but upon graduating. You know, I was in a position where, you know, no, no ties [00:17:00] to Minnesota there no kids, no wife, nothing like that back home. So it was something that I really wanted to explore any and all options that would give me the best opportunity for growth and success in a career.

Mm-hmm. Um, and so that was something that I had to come to terms with. And it's not always easy, you know, I, you can miss home and, and I do at times, but home's always there for me and, and I can tell you that I don't go a day. You know, regretting that decision, and I think it depends on what your goals are, but when you kind of loophole yourself into that situation where, like you said, you want to practice in.

Small city and specific state, and you want to have this laundry list of things that the practice involves. It's you, you really limit your options there. And so I would encourage, you know, an open mind as you're graduating, especially as a young DC Yeah. And, and there's obviously, there's no right answer and you gotta take all the things into consideration.

If you're, if you're just, you know, dead set on opening up your own practice outta school, then yeah, you [00:18:00] can kind of go anywhere. There's gonna be certain areas that are gonna be better than others, but. If you're gonna do that, then you've got a little bit more, uh, wiggle room there. But if you are looking for an associate position, uh, my recommendation would be is if you have some wiggle room, is maybe start to pick an entire state or a, at least a big part of a state, uh, or a region.

Yeah. And, and maybe there are similar areas, like if you like the Midwest, then great. Like pick different areas of Midwest. If you want a coastal town, start a list of those things and then, uh, prepare yourself. Early on, I think the big thing that, uh, becomes a double whammy is when someone picks a town looking for a job and then didn't do enough while in school, right.

To start finding doctors. Like go like I. I wanted to come back down to South Florida, but I was open to it. But a year and ahead, I started coming down. Whenever I came down, I started shadowing clinics that were sports chiropractic clinics, and that ended up getting me an internship into a job. And then, [00:19:00] and then ultimately my, uh, kind of springboard into my career.

So that'd be my recommendation. Start early in school. Uh, position yourself and, and that will give you opportunities that maybe you, you wouldn't otherwise. Yeah. Now that you're getting a taste of understanding what ethical chiropractic business is all about, head on over to the Chiropractic Success Academy to check out our special student discount and continue your business development.

You can visit csa@csacircle.com to find out more.

 EPISODE 454: MCM Student Business Show

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] All right. Excited to have Dr. Tim Bertlesman on the, uh, podcast second time. Second time has been on, it's been a couple years though, and we're gonna dive into a fresh topic of some AI adoption and, and take it all the way into what it's looking like from an EHR standpoint. But before we dive into that, doc, what's, uh, new in your world the last couple years?

What are you excited about?

Tim Bertelsman: Uh, well, excited about where our profession's going. You know, a lot of data that comes out that continues to show that we're doing a really good job at taking care of our patients and keeping 'em satisfied. Getting on track for the future of healthcare and, and today's healthcare, um, and trying to incorporate that into tools that we use every day.

So we've got the, the EHR rolling, which has taken a little bit of our time in the last couple of years.

Dr. Kevin Christie: Yeah, yeah. No, it's, uh, it's always refreshing to hear someone that's excited about the profession and, and where we're going. I try to hang out with those folks more than, uh, the, the ones that are always pessimistic about it.

I think, um, if we were to interview someone from 19 80, [00:01:00] 19 90, 2000, 2010, you'd always find people that were on the pessimistic side of the profession, and you'd always find people on the optimistic side. And I'd, I'd like to look at the optimistic side, right.

Tim Bertelsman: Yeah. I, I really think, I mean, we can all be optimistic and, and think positively about things, but I think that there's a lot of reasons why we have optimism that mm-hmm.

The future of healthcare really means it's going to be who provides the best outcomes and has the highest levels of patient satisfaction. And there's not a single person, regardless of where you stand on that optimistic spectrum, that's a chiropractor that doesn't believe we can do those two things better than most anybody else.

Dr. Kevin Christie: Yeah. And I think that's the thing that's exciting now, compared to, you know, maybe 30 years ago, 25 years ago, um, not as much research was out there showing how really good we are, right?

Tim Bertelsman: Exactly. Now, uh, now fortunately, we have a lot of people that are giving us data and really that's, that's the future.

That whoever owns the data and whoever can make best use of that data is going [00:02:00] to win the game. And so we're, we're in a good spot in our profession. We need to get stronger. With using that data to let people know what we're actually accomplishing. If the whole world could see what happened in your practice on a daily basis, chiropractic wouldn't have a, a shortage of patients.

We've had a shortage of capacity for getting those patients into our office.

Dr. Kevin Christie: Yeah, it's, it's so true. And obviously there's, there's no doubt we're in a, you know, it's 2025 coming in on 2026 before we know it, and there's a lot of uncertainty with, uh, a, a lot of things. There's always uncertainty, but I think, you know, we're at definitely at a ref, kind of a inflection point here with, with ai, and I know that's gonna be a big part of what we, we talk about.

And so there's. You know, it's understandable that people have a little bit of unease, uh, around it. Um, maybe there's been other times that it's been like that, that is related to the profession. Obviously there's been, uh, challenging times not related to, to the profession or, uh, not impacting the [00:03:00] profession so much.

But, you know, AI is gonna have some, some impact. And, uh, I'd, I'd love to start out with some of your ideas around folks, no matter, you know, whether they're, I just got off. Actually before this, uh, a call with some students talking about chiropractic business. Right. And one of the things I said is like, you guys are coming right out and AI is here, whereas a lot of us are trying to figure it out.

Right. And, um, so whether it's a student 10 years, in, 20 years, in 40 years in, what are some of your thoughts on, on adoption of, of AI into, into their practice, into chiropractic?

Tim Bertelsman: Yeah, I, I think, um, I, you know, one of the things that really inspired me to take a deeper look at this is I was on a treadmill and watching a, a YouTube video.

And it was a bunch of leaders in business. Um, and they were talking about AI adoption. This was probably about a year ago. Mm-hmm. And, uh, the, um, the person, the head of Alphabet said that by the end of [00:04:00] this decade, there's gonna be two types of companies, those that adopt AI successfully and those that are out of business.

And every single leader in the background of all these other companies was shaking their head yes. To that statement, and it was just profound realizing that, okay, these people know something that's coming down the pipe. We better take a closer look at this. And like everybody, you know, I think we all have concerns that we think, you know, what's AI going to do?

How do we control it? How do we govern it? Is it going to take over our world? Is it going to eliminate jobs? And I think that once we can get past that fear. Um, of realizing that no AI isn't going to take over anybody's world. That AI is not some fancy robot that's walking around doing things on its own.

AI is something that we have to inspire. We have to have the creativity, we have to tell it what to do, and we have to edit what it does in order to make it useful. So it's just doing the things that we don't like to do and doing them much faster that the pro, the ability for it to process data and do meaningful.

Things, [00:05:00] and there's a lot of people who say, I don't wanna use ai, but they do that they, they're using Google Maps or ways to navigate to their, uh, vacation. They, they don't like getting garbage in their Gmail account, so they're using filtering or they wanna see what movie to watch tonight. So Netflix or YouTube tells them, you know, what might be a good recommendation.

All of those things are ai and they're not, not some fancy robot. They're just tools that make our lives better. If we can use that in our profession responsibly to help improve our relationships, not replace the relationships with a computer, with a robot, but to enhance those relationships, enhance our care, I think we'll win.

And I think that our profession has to, um, be cognizant of what are the risks, but also be opportunistic to seize the opportunities that are out there.

Dr. Kevin Christie: Yeah. It's, it's human plus ai. You know, like one of the things on a, on a marketing side that I do, um. And, and it's that human plus AI is, a lot of times I take a podcast interview like this [00:06:00] and I get the transcript from it.

I run it through script, get the, so that's where I get the transcript. And then I, uh, will run that through one of the, the ais and I'm say, okay, write me a. 750 to a thousand word blog based off of this transcript. So it's your information to mine, the conversation we're having and it develops it. Then I run it through Grammarly, which also uses AI and makes sure it, it's checked and I then I run through it and removes certain things and adds certain things and, and do it.

And then it becomes an email that we send out. Right. And it's, it's my information, your information. And we're just using that leverage of, of the AI to make it something that's really good versus I'm not going into chat GBT and say, Hey, write me a blog email, you know, whatever. And it just comes out like that.

And so I think that's just one example where, um, you know, you, you're gonna be able to use it, but it's still the essence of, [00:07:00] of us, of our information and our, and our prompting.

Tim Bertelsman: So, yeah, it's, it's an amplifier of your creativity that it couldn't have done any of those things by itself, but with your input and with your guidance, it created something great.

And realistically, how long did it used to take you to do those things? And how long does it take you now? I know

Dr. Kevin Christie: it's, it's, it's eyeopening. 'cause if I was gonna write a really good. Thousand word blog, and I had the idea of what I wanted to write about. You know, I'm sitting there, I'm spending a, an hour and a half on outlining what I want to do, you know, like it is, it's, it's definitely a handful of hours that do a good one.

Tim Bertelsman: Absolutely. Yeah. 6, 6, 7, 8 hours that it seems like you should be able to write a blog in no time. But having written plenty of them, it's, it's a massive investment that you know that in order to make it count, it's, and, you know, we, we can't, um, I'm not using AI to, to write any blogs at this point in time.

It still takes me four, but those three agonizing hours of going through it [00:08:00] and rewriting this paragraph and fixing this sentence, that part's gone. Um, that, that, those are the things that can be cleaned up really quickly.

Dr. Kevin Christie: Yeah. Yeah. I, I wrote a book that Parker had published back in 20, I wrote it in 2019.

Came out in 2020, um, doing it right. Modern chiropractic marketing. God, what a labor of love. That was. It was good book too. It was fun. When, uh, the editor brought it back to me, I was like, oh, wow. My, my grammar not great.

Tim Bertelsman: This was pre Grammarly.

Dr. Kevin Christie: Yes, it was. But um, all right. So, you know, with, with the AI adoption, you know, it's not gonna be complete, taken over the world and everything like that.

What do you think the essence of the AI adoption will be?

Tim Bertelsman: Oh, um, I, I'm, I am a believer in that first statement that businesses will either learn to use it, uh, or, or be outta business because somebody in your profession will learn to use it. That if we look at adoption of, of any [00:09:00] technology. Um, the telephone, it took them 50 years to get to 50 million users.

A computer took 14 years to get to 50 million users. The internet took seven years to get to 50 million users. Jet GPT took two months to get to a hundred million users. So the speed of adoption is, is rapid. The speed of meaningful utilization may be a little bit slower, but like anything, um, we didn't get to be good, um, chiropractors or athletes or business people or anything without practice.

And the same thing's true of the ai. So I think it's just dependent upon how quickly can people practice to, to get good at it and realize what are their use cases? Where do they find great value? Where do they find that it's, you know, neutral? And identifying where are the things that it's negative, that it's better not to use it for certain things.

Dr. Kevin Christie: That makes sense. And then, um, as far as that, like getting better at these things and stuff like that, what are some of your thoughts on, because a lot of people talk about the, the [00:10:00] prompting or prompt engineering. What are some of your thoughts and insights on, on that and improving?

Tim Bertelsman: Yeah, it, you know, if I could tell my kids one thing, um, it would be to learn to make efficient prompts.

So prompt is just the words that you put into that chat box. That, and all of us have used chat, GPT, or Clot or Gemini. You just see a, a, a chat box, just like you would if you did a Google search. And then you get to tell it to do something. So that's where the prompt goes. And the prompt's, just the instructions I would tell my kids to, to do better, uh, prompts.

Um, that initially we'll use it for emails, write this email so that it sounds friendlier, help me write address code for my office. Um, and one of the, one of the, um, things that we found great value is. Is thinking about what could we do to help summarize a note, like a voice to chart type of process? So we know that documentation's the number one hassle in a chiropractic practice.

We surveyed hundreds of evidence-based dcs above [00:11:00] billing and collections. The number one hassle is taking notes. So you think about how can we do something to make that a little bit more efficient, that a quarter. Of a provider's day is spent on notes and we don't get paid for notes, but we also don't get paid without them.

Yeah. Um, so, uh, I use chat GPT and, and again, a, a compliant version where there's not data sharing, um, to say, let's make a prompt. And I started out with the prompt of summarize this transcript into a soap note. Well, it was garbage. That it doesn't work really well. So then continually refining that. Um, and we spent six months just, you know, using it and re and, and then reviewing it and then figuring out what went wrong and refining it, and then using it in practice until we had a prompt.

That is, is really good. It's, um, it, it's a little bit like a slot machine, you know, you pull it except good things come up every time and so it's kind of fun to see. Just turning it on at the beginning of a visit and listening to, uh, the patient and then watching what comes up. [00:12:00] And there, there are times that I'm amazed.

I'm like, yeah, they did say that, didn't they? That when I'd go to do the note, I would've never remembered that they talked about this nuance of their problem. But it catches all those things. Um, and so I think that's more of the evolution of it, but that just comes through the prompt engineering, learning how to make a prompt, and then seeing the magic happen in, in the end of, uh, getting the prompt, testing it, identifying the weaknesses, and then retesting it.

And really the core of any prompt, um, it would be to, um, number one, tell the, tell the LLM, the Gemini or, or chat GPT. Who you want it to be. Imagine that you could have any expert in the world standing in front of you. So do you want, you want a master chef in front of you 'cause you'd like it to make a recipe with the six things you have in your fridge?

Or would you like a social media marketing expert standing in front of you because you wanna write some posts and then tell it about the task that you want to do, the details, uh, what kind of outputs you have. And then asking you to ask questions is, I think one of the big things. So you define the task.[00:13:00]

I want you to act like a social media expert and design a marketing plan to increase my social media conversions for for my chiropractic office. And then what kind of persona do you have? So more specific, the better, and write this toward a sixth grade audience and write it in a casual tone is I'm talking to a friend.

And then what's the output format that you want? Do you want a bullet list? Do you want a spreadsheet? Uh, do you want a PDF? And then if you can give it specific examples, like if you, uh, routinely write social media posts, give it four examples of how you write that it knows your voice. It knows how long you'd like the, the social media post to be.

And then I think the most important part of any prompt, especially a more sophisticated prompt, is to ask it, to ask questions. So before you start, what specific questions can I answer that would help you provide a more tailored solution to this problem? And that's where the real uh, benefit comes in.

It'll ask you five or six questions like, oh, I should have told it to do that. I should have told it to do [00:14:00] that. Well, it knows what you should have told it to do, and then you'll get a meaningful output that you can use and, and then refine. If you don't like it, say. No, I asked for a sixth grade reading level.

If you hadn't specified that, it came out as an expert level. So just learning how to make those prompts and use those prompts and then practice them after you, after you start seeing one use, you'll see more uses. It'll go from just writing an email to then writing office policies. And I think one of the best, uh, utilizations is just a brainstorming partner that if you ever wished, I wish I had a partner, which I wish all the time, I wish I had a, a meaningful, useful partner in my businesses.

Okay. Which I don't, I just have Brandon, and if I did have that meaningful partner and could ask it questions, what would I ask it? And, and just asking it those sort of questions. And you not, can't necessarily trust every answer that it gives you as though it's legal advice or, uh, state law or HIPAA compliant advice.

But you can certainly get a lot of ideas out of it and say, well, think about this, or think about this, or Here's what I would recommend. And it really [00:15:00] inspires thought. And then you can, you can brainstorm with it. And, um, develop a, a lot of ideas very quickly.

Dr. Kevin Christie: Yeah, I, I agree. And then I'd love to ask a question and what your thoughts on it are is, is, you know, the doctor using it as a companion on the clinical decision making of things.

Uh, maybe it's uploading a MRI report that's got stuff on it and coming out with the best practices from their treatment or referrals out and, and. Do. Do you think at this point the patient looks at it as a positive, potentially the doctor, it's Doctor plus ai, or do you think they're, the patient isn't ready, ready to know that the doctor might be using AI for clinical, uh, decision making and recommendations?

Tim Bertelsman: Uh, that's a great question. It probably depends on the patient's familiarity. Yeah. That if a patient has a significant fear of it, they probably won't trust the ai and then they think that their information's going to be all of a sudden used as some sort of extortion plot against them at some point.

Yeah. Uh, or [00:16:00] any other conspiracy theory. Um, I, I think if the patient is comfortable with it, that they would appreciate that. That if they realize that this is just a database is all it is, and it's just pulling from the knowledge of the world, and if I could, uh, harness the world's knowledge to help me solve your problem, would you like me to do that?

And I'm still going to use my clinical discretion that I'm not going to just follow blindly, the advice of any ai. I'm not gonna trust any of the advice it gives me. Mm-hmm. I'm gonna vet it with my knowledge. So there's a couple of things that AI is never gonna replace. It's never gonna replace our hands that plumbers and chiropractors have very little risk of an AI tool ever replacing them.

But fortunately, chiropractors have a very realistic possibility of having AI help them. And I think that our patients can appreciate that too, that, look, I'm still in charge of the decisions, but if I could have a a little bit of clinical decision support in this process. That's gonna help me and it's gonna help you.

It helps me be a better doctor, and you get better outcomes, and that's why you're here. [00:17:00]

Dr. Kevin Christie: Yeah, we had a one not that long ago, and we used the version that's like the deep research, um, which I've, I found useful for this situation. But the person was concerned about shockwave and something that they had done surgically and, and, and, and.

We knew it was not a contraindication, but we ran it through AI looked, you know, and then printed it out, gave it to him. He's like, look, this is deep research. We explained the difference between deep research and maybe not deep research, and then where the, the, the references were coming from and, and gave it to him.

And, and then he felt pretty good about what that spit out as far as Okay. Yeah. It's not a contraindication, you know?

Tim Bertelsman: Yeah. Putting, putting his mind at ease as to there's, uh, there's something that has a little bit of a, a background to it.

Dr. Kevin Christie: Yeah, exactly. And tried to explain to him and, you know, and, and he took, he, he, he, he liked it.

Right. So I just wanted to ask that question. Um, one of the things I'm excited about just in general, is I feel like we've, you know, you, you go through these different phases of [00:18:00] of, of where we're at. You know, there are two things I would say that's happened over the last 15, 20 years that's bogged chiropractors down.

And you already mentioned one, which is. Uh, EHRs and notes. Uh, you know, if it was 1993, you just scribbled some lines on a piece of paper and your notes were done right? And then obviously we had to be compliant and do all that, and that's bogged people down. And I would also say the second thing. Is that a lot of chiropractors have felt, especially over the last 10 years, that they had to create so much content marketing and do all these things to try to compete in their communities.

And so they, we found a lot of chiropractors getting bogged down with both, uh, notes and, uh, trying to be a marketer and create content to, to build their practice. And then what gets, uh, thrown, uh, to the wayside, unfortunately, is a, they're. Uh, sanity, uh, b sometimes their, [00:19:00] um, concentration on patient care or focus on patient care.

And then sometimes, uh, you know, their family, uh, EHR notes and, and having to do, create content and all that. It, it, it's almost like three different jobs and into one. And I think we've, we've hit our, um. The, the worst it's ever gonna be in those situations. And I'm actually excited that I think, um, the, the AI leveraging AI is going to allow chiropractors to, uh, have really good marketing.

I. Without them breaking their backs doing it. And also the EHR note system situation's gonna be a whole lot better and that's gonna get a lot easier. And I'm gonna have you speak to that in a minute. Um, and so what that's gonna then do when done right is now free up that. Chiropractor to really be able to focus on patient care, which is the, the table stakes.

That's why we're all here. And it will free them up to [00:20:00] maybe do more in-person human connection marketing, getting out in the community and having time to actually, um, get out there and meet people. And I think that's gonna. Uh, come at a, at a increased premium to be able to be in person for certain things because you won't be bogged down.

And so I think we got a really good scenario. Um, if we leverage this AI appropriately, take a little bit time. I know there's gonna be a learning curve. You know, it's gonna add another layer, but you're gonna get really good at, it's gonna free you up. And so that's my, my long-winded excitement there. But I want you to kind of.

Tease out to, to our listener here, what you think the future is of of EHR and AI and how it might help with soap notes and that type of stuff.

Tim Bertelsman: Yeah, uh, I'd love to do that. Um, what you said really resonated. I remember in practice, you know, you see your 10 patients a day and you're really busy and, and then you do some marketing, um, and you get patients.

So you turn the faucet on and then you [00:21:00] get busy in practice, which means you have more notes to do and more things to, to, to manage. So you take your foot off the marketing gas pedal, and then when you take your foot off the marketing gas pedal, the good news is you have more time to market because you're not.

As many patients. So it's a constant, uh, hitting the capacity button in either marketing or the capacity, uh, stop point in, in clinical, uh, capacity. And the more that you know, I always think about using the a ED, the automate, eliminate and delegate that. What can I automate in my marketing or patient care and what can't I, what can I eliminate and what can I delegate?

So I think that. One of the things that they, that a good EHR can do is determining what can be automated in these processes. That all the things that we used to do, like letting patients set up appointments. They can do that online. We can send out automated appointment reminders and follow up calls. If they miss their appointment, we can send them a reminder saying, you missed your appointment.

I have another one next Tuesday at three. Do you want that one? [00:22:00] Uh, the automations among, uh, uh, for billing and insurance verification, so pre insurance verification and, um, automated ERA uploads, those are the things that we've taken a lot of time to build in the system to say, what can we automate in these processes?

And then obviously the documentation, which is the number one hassle and by far what we've put our most energy into. Uh, how do we make a meaningful note that can get you paid and keep you paid? But not take all day to do that right now. So many EHRs in the medical field just puke out a note and you don't know if the patient had an auto accident or, or hemorrhoids.

It all looks the same and it's just this, this pile of garbage and getting to the three sentences that are different or a challenge. So we wanted to do something different. Um, our EHR, um, we, we used something called a chief complaint survey to collect patient data. So before the patient ever comes in, you're able to go through an O-P-P-Q-S-T.

And this isn't just a stock series of questions, it's not a template. We spent six months refining [00:23:00] this system as to what's the next question, if this is positive or negative. And our coders put together a good experience that you can text or email to patient. So before the patient ever walks in the room.

My entire O-P-P-Q-R-S-T has done. I ask a couple of clarifying questions like, I see on your medical history you had, uh, diabetes. Are you seeing your doctor for that? Is it under control? Any symptoms from that? Great. We can clarify those things, but my consult has dropped from 10 or 15 minutes, uh, down to two or three minutes of clarifying questions, and then the voice to chart of just capturing those details.

I don't even have to write that down, that the patient is taking metformin and it's been under control for four years. If they, if they mention it during the visit, it shows up in the note, so that's really taken the subjective time down. Then the one thing that we are most excited about is we have a patent pending process that we kind of flip the way a soap note is taken, that we all do similar things for similar diagnoses, that if you have a patient with carpal tunnel syndrome, you're probably gonna do LANs test and [00:24:00] reverse LANs and carpal compression, and a median nerve tension test and rule out the cervical spine.

You probably know that you're gonna do some myo fascial release of the wrist flexors and you're gonna mobilize their wrist and elbow and their neck. You're going to give them some stretching and exercises and you'll do nerve nerve mobilization. Maybe you'll do some laser or shockwave as well. Whatever your protocol is.

Your protocol. And typically it's gonna be pretty similar for all carpal tunnel diagnoses with a slight modifications. So what we do is we let the provider put in the diagnosis because when you see the patient you, you go through the subjective. And then you put your hands on the patient to assess them, keep your hands on the patient to treat them, and then go pick up your pen and do the note.

Well, by the time you know the note, you know the diagnosis and if you know the diagnosis, you know what tests you probably did for those series of diagnoses and you know what treatments you did, and you know what patient home advice you're going to give. So once you drop, drop in the diagnosis, you just modify a couple of factors and your initial note is really customized to that patient, to what you [00:25:00] do and is done very quickly with all the details of what's positive and what's negative.

Um, and I think that's what we're most, most excited about as far as the automation, our notes are. Are, um, very, very, very quick and, and very good. So it's made the toughest part of my job, the easiest part of my job. Uh, and then from there we, you know, we certainly want to collect data because again, whoever owns the data is who's going to own the future.

So we want. Uh, homogenized data. You can't just have, you know, data in random formats and, but if we have homogenized data saying, because we have a chief complaint survey, we can collect, you know, what was the age? What was the character of pain? It wasn't the patient's own terms. It, it was, you know, they had 20 choices for what it was, but it's one of those.

So by taking those homogenized data, we can really define what are the predictors for di diseases and conditions that we treat? What are the most effective treatments based upon what you did? And once we have that, we can use those and put [00:26:00] them into the data lakes, make them publishable insights and truly elevate our profession.

And that's, that's the, the primary goal of the whole project, is to see our profession become that undeniable best choice for patients and payers. We have to make chiropractors more efficient and arm them with the most potent tools. Whoever has the best tools is gonna have the best outcomes and win the game.

Dr. Kevin Christie: Yeah. No, I love that. And it's gonna be. It's gonna be exciting for the chiropractor too, once they can free this up. I've, I've experienced where I've coached some, some chiropractors and I get down to the root of it and the fact that they're bogged down and behind on their notes and they've got 70 notes that they haven't done yet.

It almost subconsciously sometimes, I mean consciously, but it definitely sub subconsciously will. Prevent them from growing their practice because like you mentioned earlier, uh, you know, it's like they can't imagine having more new patients or more office visits because they don't want to deal with the notes of it.

Have you, have you seen that before where it kind of, it blocks [00:27:00] them subconsciously from growing just the note pile up. Well, I, I've seen it personally

Tim Bertelsman: exactly when I started in practice. Yeah. Uh, we had paper charts, uh, and then we went and got to a paperless EHR, which means we had more paper than we ever had before.

Uh, and anytime that I would, you know, I just, I, I just got rid of my office. Now I'm over here at Cairo op, uh, all except eight hours a week. I still wanna stay in practice to understand practice that if you're designing an EHR for chiropractors, you gotta be one. Yeah. Um, so I'm gonna continue practicing those eight hours, but I got rid of my office.

Desk. We brought another chiropractor in and my desk has this little, um, spot on it that the sun has not darkened and it's where the charts had sat its whole life and however tall that tower was, was the inversely proportionate to how many new patients were going to be coming in that week? Yeah. When you get behind the, the universe knows.

And so when you get busier, you bump that capacity limit and all of a sudden the new patient faucet slows down.

Dr. Kevin Christie: It does. And then even from your staff, like, um. [00:28:00] I'll kind of go a roundabout way here. The Scheduling Institute, they work a lot with Front Desk and they have a whole thing about incentivizing the front desk on new patients because one of the things we fail to realize is that.

A lot of times our, our front desk dreads more new patients because it's usually more work for them. Right. But if you were to incentivize them financially, they would be okay with the extra work because they see money attached to it and they inherently, you know, they put more effort into getting, oh, Sally mentions her son needs to get come in and he makes sure the sun comes in.

Right. Um, and I think it's the same way as if you have a, a system and it's using ai. That makes that new patient experience way easier for not only the patient, but also the front desk. Then they're not gonna look at going from 25 new patients to 50 new patients in a month as a big deal. Whereas if, if it's [00:29:00] cumbersome for that new patient on both the patient and the front desk, that can be a block there too.

Is that something that you've, you've noticed?

Tim Bertelsman: A hundred percent that, yeah, that, that, um, vibe that the front desk is getting off when, when somebody calls or when somebody comes through the office is very perceptible and a hundred percent that if the front desk isn't on board, if all the raindrops and your, your cloud are not moving the same direction, um, you, you're, you're not gonna have much power behind that, that channel.

So getting the staff on board, and fortunately that's where AI can really come into play. And automations can come into play, that it's hard to automate the things that you and I do in a treatment room. Yeah, you can enhance the relationship, you can enhance your decision making ability, but you can't really change how we're touching patients and impacting them and, and.

You can at a staff level though, that so many of their tasks that they don't like anyway, they don't love answering the phone. They don't love rescheduling appointments. They don't love taking payments. [00:30:00] They don't love collecting intake forms and insurance data and taking pictures of driver's licenses.

Those are things that, that they would love to automate too. So. That's one of our goals is to, you know, continue to make care, feel more human, not more technical, but take away those things that just are not contributing to that human relationship. Yeah. And automate those processes.

Dr. Kevin Christie: Yeah, I love it. I think there's a world where you can increase your volume of patients, so obviously revenue and profits, you can, um, increase your.

Free time as a doctor and you're not using your Tuesday afternoons that are off to do notes. Instead, you're maybe spending time with the kids or on the golf course or going to the gym, something like that. Uh, and I think you can get, you can increase your energy and, and enthusiasm around being a chiropractor.

Tim Bertelsman: Yeah, it's amazing what a little bit of, of time and taking away those, those tough tasks that we're all empowered by certain things and we're all drained by certain things. And most of us, [00:31:00] especially, you know, your audience could do most anything that they're given any task. But the things that empower them, um, are giving energy.

The things that are. That are taxing to them are draining the capacity to do that. And most of these things that are able to be automated are the things that are draining us anyway. None of us went into the profession so that we could get better at processing paperwork. Uh, we went into the profession to be able to use our minds and our hands to help heal people and to be that authority in the community.

And I think that's where technology and automations can help move us more quickly to make us feel more empowered at the end of the day. While having seen twice as much and hopefully cutting our overhead in half because so many of the things that used to take manpower now don't.

Dr. Kevin Christie: And I think that goes back to why you're probably excited, uh, for the profession in the future amongst other things, is that I do, I I, I do agree.

I think this is, you know, as it goes, is gonna be that thing that gets, 'cause a lot of people go back to, oh, I wish I was back in the nineties [00:32:00] with chiropractic, you know, this, that, and the other thing is like, this could be, not that it's gonna go back to the nineties and we're probably not gonna get reimbursed by the insurances like we did back then, but.

We can decrease overhead reasonably, we can free ourselves up. And if, I think if you take that, if you, if you leave here with one thing, I would probably sit down and I would jot down all the things I hate doing in practice and then start to look at where could this, where could AI do it? And just start tackling that.

Have you, have you run through any type of audits like that of like a, I hate this audit.

Tim Bertelsman: Oh yeah. Time audits and we, we do those, uh, here on the Cairo upside. Having, having everybody say, what are you doing throughout the day? And it's no fun to write that down to say, okay, I did, uh, I processed insurance claims and then I made phone calls.

Uh, but really looking at that and then, yeah, going through that, a ED saying what could be automated, what could be eliminated, what could be delegated in this process, and [00:33:00] determining who's supposed to do each of those things, and then finding the tools to help make, make that happen. And starting with the low hanging fruit, that it doesn't have to be some comprehensive plan that radically changes your world.

Um, you, you don't want to start with projects to boil the ocean. Start with projects that solve your biggest problem. Find, find out what that is, what's sucking up most of your time, and what's one solution that you can do right now to help, help ease that process? Can you just get rid of that task? Can you have somebody else do that task?

Or can you find a, a tool that automates that task?

Dr. Kevin Christie: I'm gonna add a tagline to your a ED, the defibrillator of your practice,

Tim Bertelsman: of your life.

Dr. Kevin Christie: Really breathe some energy into that thing, right? Get it, get it. I love it. Yeah. Alive. That's why you're the

Tim Bertelsman: marketing guy.

Dr. Kevin Christie: Well, Tim, this has been, uh, this has been fun.

Is there anything I, I didn't ask or anything that you, any other, uh, insights for the chiropractor in this as we navigate this?

Tim Bertelsman: Um, I, I think just being willing to embrace that change that [00:34:00] I always think of. My father-in-law who is a painter and he's gone now, but he, uh, said, you know, when airless sprayers came out, by the way, we sprayed this, Brandon and I painted this office, um, and it's the Cairo op office when we moved into it.

Um, and so we got an airless sprayer and we spit out 15 gallons of paint in about three hours. And so obviously far quicker than a guy with a roller. Yeah, especially these two guys with the roller. And he thought how, when they came out there was a lot of concern of people saying, I'm not gonna use a a, an airless sprayer because it's gonna take our job away.

We use brushes and rollers. And he said that those people who didn't adopt no longer got jobs because you could do it so much faster and so much less expensive. And people who did adopt didn't get slower or didn't go out of business. They had more business. In the same way that iPhones didn't replace computers, and technology is not going to replace us that we're here, but technology can help us deliver those hyper-personalized experiences, and that's gonna mean happier [00:35:00] patients, it's gonna mean better outcomes, uh, if we can co cut costs by eliminating those, uh, repetitive tasks that nobody enjoys anyway.

We're good. So in the future, those automations, including AI, can help us make better decisions, can help us do what we're here for, and give us more time for what, what we're not, uh, we're not getting enough of now. So I would say just be willing to adopt that. Keeping an open mindset and picking one task and, and trying to make it happen and realizing.

Uh, that our profession is in a tremendous spot that no one delivers outcomes like we do. No one delivers patient satisfaction. Our patient satisfaction survey that we sent out to all of our providers, so now we have 3000 providers in 16 countries. We had almost a million, um, not encounters, but a million different presentations.

So somebody comes in with carpal tunnel syndrome, that's one presentation for their whole course of care. We see that, um, the satisfaction of that is that [00:36:00] 99% of chiropractic patients are satisfied somewhere between good and excellent, that it's less than 1% that considered their care fair or poor, which is absolutely unbelievable.

97% likelihood to refer to that provider in the future. Now we're getting tremendous outcomes. We're doing it quickly and efficiently. We're in the driver's seat. Now we have to leverage that data, spread that message, and let other people know, uh, what we have to offer and we can accomplish that if we work together.

Dr. Kevin Christie: Yeah. No, I love it. It's, it's exciting for sure. Um, obviously Cairo Up still has its bread and butter and you guys are just amazing for the practitioner and the patient and the reports and all the things you guys do. And then now, um, you know, with the EHR stuff, how can, uh, our audience find out more?

About what you're doing both on um, your traditional chiro up, how we all know you guys from the last probably what, 15? Have you used it 15 years now?

Tim Bertelsman: 11.

Dr. Kevin Christie: Yeah. 11. Yeah. Awesome. You guys have been a amazing over that period of time. And then, and now the [00:37:00] ehr, is it the same place to go? Is there, is there different URLs?

Tim Bertelsman: Nope. All the same. Just chiro.com and, um, chiro is the platform, so we're the business. We have, uh, anything from free assets like our blog, our newsletters, our webinars. If you just wanna learn new stuff that's out there, we summarize everything that comes out. We monitor all the research that's published each week for different providers summarizing it.

Uh, so we have free resources. Maybe you need more to include patient education, um, and Google reviews or, um, you know, PCP newsletters. So we have our essentials product, which has been around for a long time. Is incredible because of the providers who have helped us refine it for the past decade, literally.

And then we have our EHR, which now has a few hundred subscribers to it, and we're evolving every day based on their input, uh, to become that tool that, that, uh, allows our profession to get the, the recognition that it deserves to become that undeniable best choice.

Dr. Kevin Christie: Yeah. And I [00:38:00] can speak to the, the, um. The feedback you take and improvements made.

You know, we, in our mastermind group, we have quite a few now that have, um, added your EHR and even within our group, they've kind of started a, a little focus group to help each other out and then also bring it to you guys. And then you're, uh, this, this episode will come out after the fact, but you're coming to New Orleans for our mastermind meetup and doing a little focus group there also, and, and getting feedback from everybody.

And so it's been good to see that, uh, that kind of back and forth.

Tim Bertelsman: That's the only way we build. You know, we, everybody has ideas, but without making those ideas something that's good for the community, they're just a small pool of ideas. Uh, we appreciate your help, your, your group's help and all of our subscribers help.

And really, the profession's help in building this into something. This is a co-op. This isn't a Brandon's product or my product. This is our profession's product, and that's, that's what we're here to build.

Dr. Kevin Christie: Well, this has been [00:39:00] great. I appre really appreciate your time and then, uh, we'll have to have, have you on again, uh, sooner than two years from now.

Tim Bertelsman: I'll, I'll look forward to it. Always do. And, uh, I hope everything goes well for, for you, uh, continued success and your missions. Thanks, everything that you're doing for our profession, proud to be on that same team.

 EPISODE 455: MCM Student Business Show

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Hey docs. Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie. And today, uh, as in every year in December, I do an episode where we do our positive focus for the year, and a little bit about my vision for the next year. I, I'd spend a lot of time towards the tail end of November and then into December.

Uh, on working on this and, and really getting clear. Uh, I think the big thing, you know, I start with the positive focus and I learned that from Strategic Coach is to, uh, look at what was positive for the year because undoubtedly there was struggles. I mean, whether it's your personal or professional life, there is hard stuff that is, that is life.

And I think the more you can become resilient at that and understand it. The better you'll be for it. And uh, one of the ways to do that is have some gratitude for the positives. Uh, that helps offset some of the negatives in a lot [00:01:00] of times. I mean, it's just life and business is hard. Uh, there's, and you have to be able to navigate that.

And so I like to look back on the positives and so I'll start out with that today. Uh, first is we had a lot of great family trips. Uh, you know, we did our two week trip in the summer up in the Carolina Mountains. I got a cabin there that was great. Um, the family tagged along to Key Largo Mastermind in January.

Uh, they were with me in Whitefish, Montana in the, in the summer. Uh, they were also with me in, uh, in Charleston, South Carolina. For our mastermind in April. So they, they were with me on a lot of those trips and we did a bunch of local stuff as well. But overall was a, a lot of great family trips and experiences and excited to, uh, continue that.

Uh, we just, we had a really good time. Uh, second was the mastermind groups went really good in 2025. You know, we've got the full, full group in East, uh, [00:02:00] uh, that is 25 members. We were in Key Largo, Charleston, Boston, and then we were in New Orleans. Uh, the West group is, uh, growing and I, you know, one of the positives is that we've filled even more and we're getting close.

To our 25 going into next year, but our west group had a great year as well. Uh, just really enjoyed the year. Last year we started in Park City, Utah. That was awesome. Then we were in Boise, Idaho, which was a, a very underrated city. We had a great time there. And then we were in Whitefish, Montana, and again, we had the east west meet up in New Orleans and just overall went really good, good presenters group.

Our return rate is, is just honestly at this point, it's ridiculous how many. Uh, how good our return rate is, and I'm proud of that. Uh, since we started the Mastermind in 2022, it's been, the one thing I've been, um, really proud about is the amount of people that come back each year because they're seeing [00:03:00] the benefit of the group, the ROI, the accountability, the comradery, getting away from their business for a little bit, bringing some family to some of the trips.

Just been really cool to see. And so I was really proud of our. Effort in our group and the members and how everybody helps each other out in 2025. Uh, next was Cairo. We had our best revenue year, uh, and, and that was cool to see. Definitely still some bumps in the year. Uh, we had a. Just a really great January to June, July, August, September in South Florida is just hard to navigate.

Uh, we tried a couple things to improve that a little bit, uh, wasn't terrible, but wasn't, um, what I'd like it to be. And then we've had a good. October, November, and we digested the physical therapy group that was running for me for seven years. They left in October and we have navigated that. Well. It's been actually nice, really excited about that.

And that's been a [00:04:00] positive, something that might have been a, that was a concern. I thought we had a good plan around it, but, um. It, it, it, uh, ended up being a, a positive. We had our best revenue. Uh, we just gotta clean up a couple things in the middle of the year and towards the end of the year, uh, and, and see if we can improve that.

But overall, a really good year. And then lastly with MCM, we had a 23% growth in revenue. As I record this, which is the, the middle of December, and I can kind of track the rest of the month 'cause we're mostly recurring revenue. Uh, we're gonna end up with a 23% growth in a. Revenue and even more importantly, an impact, right?

More mastermind members, more coaching members, online course members, people. Our podcast numbers are up. We did a student business workshop that that filled up. That was great. We, we've just had a lot more things out there, and it's been cool to see the growth that we've had in a short period of time since we started coaching in 2019.

[00:05:00] That's when we, you know, we started the podcast in 20. 17, and we started the coaching in 2019. We started Chiropractic Success Academy with, with FTCA and Bobby maybe in 2018. , You know, sometimes incremental and then sometimes exponential. But I'll take a 23% growth. Uh, if I can do that every year, it'd be real happy.

Uh, so yeah, just really cool to see. Uh, the growth within MCM and how we're helping doctors and how it's just, um, been cool. We've added some really cool collaborations. We got some things in 2026 we're excited about. And so overall just, uh, some big positives in 2025, not without its obstacles, but over a very good year.

I'm so excited about that. Now, going into 2026, I kind of break down. Our vision. For me, it's personal. It's MCM, it's health fit, my, my private practice. Um, on our personal side, the, uh, [00:06:00] we're gonna continue with the trips. The, my wife's coming with me, uh, to Park City, which will be our first East Mastermind.

Yeah. We're bringing the east coasters over to the west, and then the whole family's coming with me to Tucson, Arizona for the west. And, uh, the whole family's coming to Tampa. Then we are, uh, going to Sonoma, my wife, and I'll be for in Sonoma for the West, and we'll be in Bar Harbor, Maine. I'm bringing the whole family for our east meeting and then on top of that, really excited, A little bit nervous, but we've.

We've burned the ships, we've paid the big deposits, we've bought the flights, we got the rental car. Uh, we will be doing our first six week immersion trip, uh, all of June and, and partial of July. That's gonna be in the UK mostly. In the Twas, but we will have a little bit on the coast, a little bit in London, but we're gonna be doing that each summer.

And, uh, a lot of work's come to, uh, fruition on that [00:07:00] five year vision that my wife and I have had. And still a couple things to tie up, but I'm confident we're on good pace with that. And so that's, uh, a big personal vision for 2026. Uh, from a health perspective, you know, doing pretty well, been staying on top of the longevity thing, blood work, all the, all the stuff.

I'd like to, to shave off about 5% body fat, probably eight or nine pounds. Uh, but did a lot with strength training this year and supplements and, and definitely felt good about strength and, and muscle gain. But definitely gotta clean up the, the, the body fat just a little bit. I got my VO O2 max test done recently and resting metabolic rate RMR was good.

VO two max was shitty. I gotta improve that. Um, so I've got a game plan there to, uh, to decrease body fat a little bit, decrease the weight just a bit, not a lot, and, uh, get the VO two max improved. So that is my personal [00:08:00] vision. Then with MCM. Um, I kind of set a number of where I want revenue to get to, and I, uh, said, okay, what if we, how do we get there in, in, uh, three years?

And, uh, it would take 22% growth. We had 23% over the next few years. So I set that a goal. I want to, I want to grow revenue by 22%. Um, we had, we've had good profit too, so the revenue growth. Has come with good profit and we really try to abide strictly by the profit margins that we, we want to adhere to. Um, I think we're going to increase revenue, uh, pretty well in 2026.

I think it's going to, I think in 2026 we may not see an expansion in profit, uh, percentage. Somewhat into an amount, we'll definitely have more [00:09:00] profit, but I I, I'm looking at a revenue goal actually, which I don't do often, but I'm looking at a revenue goal in 26 and then in, and then in 27, have it match with a revenue and profit.

So I'm gonna, I'm gonna spend some money to get revenue. Okay? I'm gonna reinvest in the business that gets some revenue. I'm gonna take some capital from 2025. And use that to get some growth goals that we have. Which kind of brings me to why I might be spending some money into that, is that we are gonna do a little bit of new branding.

Nothing crazy, um, nothing crazy, but it's just a little bit and, uh, looking at certain things, um, working with a company of like, okay. I wanna actually get a valuation of MCM. I've had evaluation of practice. I wanna get a valuation, but not because I'm, I'm not selling it. Um, but I wanna know where some of the improvements could be.

Right? And so one of the positives of [00:10:00] valuation is that . It's like a investigation of your business. And they'll say, these are some of the issues that are, uh, depressing the valuation. And then you can solve that. I, and then if you can solve that, then you can become more profitable and more revenue and clean up some of the processes and like you become a better business.

Right? Like one of the great things like that book Build to Sell, if you build something to sell, it's so much more profitable and lucrative while you own it. And that's why I'm doing it, not to, not to sell it. Uh, at least now, that's for sure. Right, right off in the sunset. Not at, not at this age. I got plenty of years of kids that are too expensive.

Right. Uh, but yeah, I just want to do that. And, and part of it might look like, um, you know, new CRM gonna take a look at the website, kick the tires on that, and, um, there'll be a little bit of a tweak on the, on the branding that I'll, I'll let, I'll let y'all know. Uh, in 2026. Uh, the other thing I'm excited about with vision on MCM is, is I will be in the UK and gonna gonna [00:11:00] collaborate, um, with Chris Chippendale over there at the uk and we're gonna do a masterclass on the patient experience.

We'll be letting you know more about that in January. But, uh. You know, just email me Kevin, at modern desk jockey.com if you're interested in being put on the list for that. It's gonna be a small group. We're gonna try to get 25 people there. We got some people from the, uh, from the Mastermind. So the US based doc's going to fly over there for it.

But if you're in the, in, in Europe or you know, anywhere that you want to get to there, uh, we'll be in London for that. So I'd love to see you. And so that's a little bit about the vision of 2026. Now, I really tease this out. Uh, I'm not gonna bore you with it, but I put a document together. I, I break out the finances of things, new financial, uh, kind of breakdown for next year.

I get really into it, and this is something that we're doing. We do that with our coaching clients. Um, I, if you haven't done coaching or if you've done it with us, I just highly recommend. Reach out to us, go to our website, modern chiropractic marketing.com. Let's have a conversation. We really [00:12:00] wanna help you with these types of visions and goals.

Um, but yeah, that's, uh, that's my MCM vision. Uh, lastly with Health Fit, our practice, um, we, I wanna thrive with me on unlimited care. I've knocked another day out, and so I'm two days a week, and then I will be gone for six weeks. Right? So we gotta navigate that. So that's a big vision and goal. And be, and me g I've been working through that.

I'd like to have 15% growth in revenue in 2026. So I've got some ideas around that. We're gonna, we're gonna raise our rates and we're gonna January 1st. We're actually, we're bringing on Cairo Health USA to help us navigate all things fee schedules and personal injury in Florida pays well and then you got your cash rates and we got shock rates, and we're just trying to make sure we're doing everything compliant and so we're gonna do that.

Uh, and then, uh, we got really clear on our critical number. One of the things, and this is what we're doing with a lot of our new clients now, and even [00:13:00] our existing ones, uh, we had the great game of business. Come speak to our East, west New Orleans, uh, group, and we have one of their facilitators and one of the things they talk about is a critical number.

You can Google great game of business and critical number, and you'll see some stuff on there, but a lot of times it's a deeper layer than what you expect. But ours for our practice is new patients. Um, we're doing really well with the ones we get. Adherence is good. The buying packages we're, we got a lot of reactivations, like we're, we're doing a lot of things, but.

Um, to grow how we need to, we need to improve our new patients. Uh, I don't think new patients is always a critical number. I, I have plenty of clinics I've coached that get just an absolute shit ton of new patients, but they don't have, they have an adherence issue, right? Um, or they got good adherence, they got good new patients, but they do nothing for reactivations.

They get no reactivations and how do we do that, right? So there, there's like seven or eight things that could be a legitimate critical number. [00:14:00] For a practice, we're helping practices figure that out and then literally just go all in on hitting that critical number. Incentivize it for your team, gamify it.

That's all the stuff that the great Game of business talks about. And I know if we get our new patients up by 10 a month, the revenue's gonna follow. So we're gonna just, uh, you know, I was listening to. Uh, Mr. Wonderful, I forget his full name from Shark Tank. He was on a podcast and he talked about the big successful diff.

The big difference between successful people in business and not is the successful ones can really focus on the signal and not as much the noise, where a lot of people are just spending too much with the noise, like they're not doing the things, you know, and you know, in your heart of hearts. To achieve what you want in your practice.

There are certain things, but you just find yourself dilly daling with all the noise. You know, you're doing things that aren't really moving the needle with, and if you flip the, the switch on [00:15:00] that and you focus 80%, he said 80% of your day on the signal and 20% of the noise, the go, the, the. The results would be amazing.

And so that's something that we're gonna be doing in our practice. I'm helping chiropractors out with that. So, um, if you're interested in that, again, reach out to us. But, um, so we got really clear on our critical number and we've been working on really dialing in what it would take. You play like kind of a thought experiment around that.

What would it take to get 10 more new patients and how do we want to do it? So that is my vision for 2026. And if you need help with your vision for the year, for the next three years, um, I. One of the things we we're doing with our new clients now is really getting clear on a critical number. Having you tease out the three year vision, what are the opportunities and obstacles within that?

Distill it down into six months. Let's attack it and help guide you there and get the results that you deserve that a lot of practices are getting [00:16:00] that do take on coaching. So, uh, check us out modern chiropracticing marketing.com. I wish you a phenomenal 2026. If you got banged up in 2025, don't worry about it.

Come back strong in 26. One of the things I learned years ago from Strategic Strategic Coach is that some years are stabilizing years and some years are accelerating years. Uh, we just had an accelerating year in 2025 in uh, both businesses, which was nice. And I'm looking for another, uh, another accelerating year.

'cause I feel like we've. Done a lot of things to stabilize and so excited about it. One reference, one book I'll give you, um, is Science of Scaling by Ben Hardy. He's the one that also co-wrote with Dan Sullivan, who not how. And 10 x is easier in two x, but science of scaling gives you some ideas.

It's very expensive coaching. It may not be right up your alley, but um, it's something that I'm really, uh, looking at the [00:17:00] lens of with my clients that we coach. Uh, and so check out that book Science of Scaling. You can either listen to it or read it. Have a great 2026 and have a happy holidays. Enjoy yourself.

Work hard to finish it, but enjoy family. And then I will talk to you in 2026.

 EPISODE 456: Increasing Your Mental Resiliency with Amy Bukszpan, PhD

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today bringing a, uh, really cool conversation from Amy Bukszpan PhD. And, uh, I know her, uh, for my community. And we did a collaborative workshop in my office on injury prevention and performance for endurance athletes.

And, uh, she is an endurance athlete, an ultra runner. Um, works with endurance athletes on the mental performance side of things and, uh, just was really impressed with the information that she had brought to the workshop that we had in our community. We had about 20 people attend it and was very well received and realized, you know, after that I emailed, I was like.

Is some of the information you discussed applicable to business owners, so, or people that are high performing in work? And she said absolutely. She also works with people in that regard. And so I wanted to have her on to discuss some of the principles of [00:01:00] resiliency and, and, and mental toughness and some of the things that we have to do on a performance side.

When it comes to the mental aspect of it, and as we know, whether it's sport like endurance athlete or maybe your traditional, uh, sports like football, baseball, hockey, all those, there's a mental side to that and there is, uh, being a doctor and there is running a business and there's no doubt about that.

And sometimes it goes unsaid. So I wanted to have Amy on. The show to discuss some of that. And I think one of the things that I want you to get also is that yes, obviously there's a difference between mental health issues and diagnosees and things like that, and. And not having that and, but still having challenges emotionally or, or mentally with work.

Uh, it doesn't have to be a diagnosed condition and we're not gonna dive into that type of stuff today. Um, [00:02:00] but putting the diagnosed conditions aside. I do, you know, I do believe from just a regular mental performance standpoint, as a business owner, you can get better, you can get more resilient, you can become more flexible.

Um, you can deal with the ups and downs better that we do. And that's why my, my goal is, is when we work with chiropractors, that's part of what we do. Um, but it's also why I love having this podcast and be able to bring on true experts to bring you some value in all kinds of different things. And so without further ado, here is my interview with Amy Bukszpan.

 Alright. Excited to have Amy on the show here. As I mentioned in our introduction, we've, uh, we've done some work together in the past, mostly with, uh, endurance athletes, but we're gonna make the connection between what she does for endurance athletes and also you as a chiropractor practice owner, future practice owner, uh, you know, on the [00:03:00] rollercoaster of, of life and business.

Before we dive into that, Amy, uh, tell us a little about yourself and what you do.

Amy Bukszpan: Sure. Thank you for having me. Um, I am a doctor of the behavior analysis, um, and I am a board certified behavior analyst and I am the owner of Bux Fan Behavior Consultants and Nana Champs, which is a performance coaching and, uh, behavior consulting company.

I work, um, primarily with ultra endurance athletes. Um, I coach a team of. Ultra Runners and I provide them with their day-to-day, um, running programming, which involves their mileage and their runs and what that looks like, along with their strength and conditioning programs. And then their mental coaching, which is their coaching for their.

Mental preparation to, uh, take on the rigors [00:04:00] of training for what could be something from 30 miles, uh, half day effort to 250 300 miles, which could be a whole week's worth of running effort. So we do how to prep for trading for that, how to mentally prepare for. Uh, race, race day and how to build that mental resiliency and mental toughness and those types of strategies.

Dr. Kevin Christie: Yeah. It, it's, it's awesome. And you and I were, uh, doing a injury prevention workshop and performance workshop for endurance athletes in our office, uh, a month or so ago. And it was, it was really cool to, to dive into that. Uh, tell us a little bit about also your personal experience with these endurance events.

Amy Bukszpan: Yeah, so I have been running ultra marathons myself since 2018. Before that, I was a half marathon marathon runner. Done a New York City marathon [00:05:00] about five or six times now. Been lucky enough to do that, but uh, at certain point I just started, I pivoted, I started doing back to back marathons. Mm-hmm. Then, uh, it was like, oh, there's this thing called ultra running out there.

Did a. Hopped in, did a 50 mile trail race down here in South Florida, then immediately signed up for a hundred mile road race.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: And then started looking out to the mountains and going out west and, um, jumped into a 250 mile mountain race. Through the desert of Arizona up into the mountains. And then, um, recently finished a Mountain 200 in Tahoe.

And uh, actually this summer I'll be going out to Alaska to race, um, 135 miles up the old Alaska Road through Denali, and then going back out west and racing another two more, two hundreds. Nice. So, uh, not only do I, uh, coach this

Dr. Kevin Christie: mm-hmm but I

Amy Bukszpan: use it in my own practice and as a. [00:06:00] Small business owner person.

I own my own company, my two companies. Um, I use a lot of these strategies, what we call organizational behavior management strategies, um, behavioral psychology strategies, but is the same mental development strategies, um, in my practices and as an ultra runner that I do. Um. With, when I look at how to build and work with, uh, my company, and I also, um, I, I work with companies and, um, their leadership as well.

Dr. Kevin Christie: Yeah. Well, I was like, when I was listening to your talk at, at my office, uh, not being an endurance athlete, uh, myself, but I kept on like, when you're teaching us all this stuff, it's like, well, a lot of that applies to business and ownership and, and just professional life in a lot of ways. And, uh, one of the things you obviously talked a lot about was, uh, mental resiliency.

Um, and, and how do you kind of define [00:07:00] that for someone?

Amy Bukszpan: Mental resiliency.

Dr. Kevin Christie: Yeah, I guess it's in the, it's in the phrase, right? It's in the term. Well,

Amy Bukszpan: you know, know what it is. It's, it's, it's this thing, it's, it's interesting. It's, I think it's a fuzzy topic, and as a behavior analyst, we're always looking, we, we try to define everything we do.

We talk about operationally defining things and like what we can measure and what we can see. And mental resiliency isn't one of these things that's so easy. To measure and to see, but like when you go through it and you're doing it, you're like, oh, and you see somebody do it, you're like, oh, that's a resilient person.

But it, it is the ability to take risks and put yourself, I would say, in risky situations or put yourself in, uh, positions where you're under pressure and you don't. You're not in your optimal safety net. Yeah. Um, and you, and you go through it anyway, and you come out the other side [00:08:00] and you're no worse for it, right?

Mm-hmm. And you can move forwards and you learn from those experiences, and that's the best you can hope for. Um, I always preach too to, to be, um, curious in your skills and to learn to be flexible. And that's the part of, uh, resiliency that I think is one of the biggest. Being adaptable and flexible and being curious as to what happens.

Mm-hmm. And then when you have a business or when you're an athlete, um, not being afraid. To move towards what's scary and to take risks. Um, and then if something fails, being able to adapt or being flexible to that failure and then learn from that failure and move forwards. Mm-hmm. Um, that is the mental resiliency.

Like not going, oh, I'm gonna sit here and, and wallow and what could have happened or what should have happened. But rather you pivot and you go, okay, here's where I'm at now. And here's what my next steps [00:09:00] can be, here's where I can go and, you know, that's, that's, I'm gonna keep moving rather than just stopping and being stagnant.

Dr. Kevin Christie: Yeah. And, and I know you had told some stories of some of that, some of that resilience were, or flexibility in, in your own running adventures, right?

Amy Bukszpan: Yeah, I mean, I, uh. I've, I've had quite a few, um, most recently when I was in, um, when I was in Tahoe. I, I mean, I, Tahoe 200 is a very challenging race, especially for those of us that live.

At sea level going and racing somewhere in altitude. It's, they say that we train at poor man's altitude, which is in the humidity.

Dr. Kevin Christie: That's true.

Amy Bukszpan: Um, we, we, as Florida runners learned to train, uh, doing bridge repeats for getting our, our, our climbing legs. They went out there and I, and I. I prepared as best as I [00:10:00] could.

I put a, I, I did, I didn't miss a single training day. I had a solid training block going out there. I did everything my coach could ask me for. Mm-hmm. I was, uh, our flight was delayed going out there. I got sick the night before the race. I showed up as best as I could, um, a hundred kilometers in, which is about 61 miles.

I wasn't, I, I pushed and I wasn't feeling super grave and I kept going. I had met with my, my team the first time and they, they're like, all right, we're gonna fix you up and you're gonna keep going. Then a hundred miles in. Um, I pretty much was wheezing and I could hear my chest wheezing and I felt really awful.

Very, very sick. All the pollen had gotten to me out there, all the dust, and I, um, I just was like, I was ugly crying as I describe it. Mm-hmm. Begged my crew to let me quit. And, uh, was like, that's it. I'm pulling the plug on this. I don't [00:11:00] care how much money it had cost me to get out there, how many months I had given up, you know, things that I wanted to do, things that I'd wanted to like, you know, have a, have a cocktail on a Friday night and stay up late.

But I didn't because I gave up to go, you know, wanted to go train in the morning, early mornings. You, you give up your late nights or anything. Um, but I was like, at that moment ready to say. I give up everything because I just was, I was done and I felt awful. Um, but then they said, you make this decision, they left me alone.

And I had these thoughts in my head and, and I said, you know, um, this, that's the, it's never gonna get worse. That, that was what I said to myself. I'm like, you put in too much. And I was like, you put in too much work. All these people showed up for you and they support you. Um, I had some colorful words that I shared with, uh, the people at your office that I won't share here, uh, with my crew [00:12:00] and, uh, picked myself up and, you know, and finished that race and finish the other half of that, the other a hundred miles of that race faster than I ran the first half of the race, which is pretty amazing.

But, um. What it did tell me, and it taught me, is that it really doesn't get worse. Yeah. Um, and you think it is, you think it's gonna be more painful and. It is a really powerful learning experience. I, I learned more about myself and who I could be and who I am hitting that bottom and making that choice to dig myself out than if I hadn't gone through that a year before.

I had run Coca Donut 250, which is a incredible 250 mile race in Arizona, and I ran for me a perfect race. It was my fir first race over. A hundred and, uh, 25 miles. So it was 250, a huge leap. And I had a [00:13:00] really wonderful race. I had everything positive that could happen, and so I really wanted to capture lightning in a bottle, and I thought that that was what was gonna happen, going out for my second 200.

And then I had this other type of experience, and I learned more. From hitting that bottom. Mm-hmm. Then I, then I would've learned having another perfect race.

Dr. Kevin Christie: So, yeah. And I think that's the thing that's fascinating, whether it's endurance or it's business, is that it, it seems like it's a feedback loop, right?

Like it takes opportunities of this. Really mustering up the, the resilience to get through an unknown, because I think a lot of people get fearful of the unknown. Mm-hmm. Uh, they haven't been there before in that sense, or haven't gone through that cashflow crunch or that employee turnover. All the things that, you know, they, they may not have gone over, gone through before, and so the unknown prevents them from.

Taking [00:14:00] those steps, like for you, the, the, the next 100 miles for the chiropractic practice owner, it could be just, you know, taking that next step in business or opening up that office finally, or buying, investing in that team member equipment. They never take those steps 'cause of the unknown ver, but if they did.

Maybe they take their lumps, maybe it's a perfect race, it's a perfect hire, but maybe they do take their lumps. But you figure out how to overcome that, which you do, and then it becomes a positive feedback loop of like when you hit that next hurdle or a hundred miles, you say, I did this before. That could be, you know, it could be worse.

Right. Is that what you see often with people you work with?

Amy Bukszpan: Absolutely. Absolutely. And I think that. In business and in running. It's the same thing. And you know, I was just thinking, I put on a race last year and we had, it was my first time as a race director.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: And we were putting on a 24, it was supposed to be a 24 hour, 12 hour, and a six hour race.

Mm-hmm. And [00:15:00] we find out about a, we had people signed up for all, all the different, uh, types of races. And we find out about myself and the Cora Director about a month ahead of time, that the school's no longer gonna let us do a 24 hour race. And I was like, oh my God, we have all these people that are so excited to run this 24 hour race.

What are we gonna do? And then the platform that we put the races on doesn't allow for refunds. I'm a new race director, what are we gonna do? And I said, you know what? I'm gonna do what's right. I'm gonna give all these people a refund. I'm gonna take it out of our own cashflow. I'm gonna pay them out.

What needs to happen? Because at the end of the day, you have your reputation. Mm-hmm. And we have a learning experience, and we're gonna move forwards and we're gonna put on a great race, and I'm gonna do what I can do and it stinks and it's financial hardship. And we still have all these things that we have to pay for for this race, and we're gonna move forward.

And we did that. And people love the race. Now, fast forward to this year, we had. Additional issues. Put a different, we have the, the race we moved, we have a 24 [00:16:00] hour, a 48 hour version and a 12 and six hour version of this race. It's gonna happen in two weeks. And I signed a contract with a university.

University fires the guy that I have a contract with, they noll and void the contract. This was a whole nother story. Mm-hmm. And leaves me two months before the race looking for another location to, to hold the race at and. I am crying in the backseat of an Uber going, I can't believe I'm in this position again.

Yeah. What am I gonna do now? Lemme tell you something. The amount of money that we spend people get for, for, uh, a 48 hour race, people spend a lot of money. It's a lot to, to do and a lot to spend renting these facilities. Um, but I said, you know what? We fixed this once. I'm gonna fix it, fix it again. And instead of just sitting and wallowing in it, I immediately.

And, and trying to get retribution, which I think a lot of people too would do. Like be [00:17:00] angry at the situation. Yeah. I was like, I just have to go in fast. I have to go in forward mode. I have to contact places. I have to figure out how we're gonna move forwards and make this for my customers who are my runners and move forwards.

And I think that that's, again, those are those signs of resiliency is like, okay, I can be upset. And I could definitely, and I definitely had my emotions, but then you have to pick yourself up and go, what do we do next?

Dr. Kevin Christie: Yeah. And

Amy Bukszpan: I think that that is, that is resiliency and business as we do resiliency and running and, and it's all of those things.

It's not, it's not wallowing in it. It's taking your lumps when you have to, but then it's also learning from those past experiences and just, you know, and there's certain things that are gonna happen and you're gonna go, I can't believe this is happening to me twice. But it happens. And employee turnover is one of those things.

Like I deal with it as a behavior analyst in my other practice as much as I do with running. And you have to think like, as a [00:18:00] coach, we constantly give turnover in clients. Yeah. So, you know, how do you, if I was upset every time I lost a client, I, you know, it would be killing me slowly. So, you know, every time.

So you have to like, be able to move forwards and just pull yourself together.

Dr. Kevin Christie: And it sounds like you're not saying, you know, you can't have emotions around it. It's, it, it, you can have those, like, you can have the moments where you're. You know, screaming four letter words at your crew, but it's also about being able to, like you mentioned before, kinda be flexible and have a range of like, okay, yeah, I feel like this now, but it doesn't mean I can't get my mind right.

And, and then overcome this. So it's not about being this. Completely emotionless human being that nothing ever phases you. It's about maybe having strategies to overcome things that are obviously phasing you at that [00:19:00] point, but not letting it make you retreat completely and and throw your hands up.

Amy Bukszpan: Absolutely. It's, I mean, anything. You wanna have good coping mechanisms and it, it helps in life in general, right? Like we can't, you can't ignore your emotions. And as a behavior analyst, we teach people. You know, you have a behavior and you have a behavioral response, and you could either reinforce those behaviors mm-hmm.

And they keep happening, or you punish those behaviors and they decrease. And when you have a problematic behavior that you want to go away, you replace it with an alternative appropriate behavior.

Dr. Kevin Christie: Yeah.

Amy Bukszpan: So you, you can identify and go, look, these are things that scare me. These are things that upset me. I can identify that.

It makes me upset. I can say I'm upset, but then we have to choose an alternative behavior instead of going look. I'm upsetting. It's upsetting. I'm just not gonna deal with it. Which I think a lot of people choose just to not deal with things when they're upset. And that's one. And like athletes [00:20:00] and runners go, oh, this is too hard.

This is too painful. I'm just dropping out of this race. I'm just not gonna do this anymore. I'm gonna stop training. It's too hard. I'm bored. Whatever. Or like business, some people choose to ignore their bills. Yeah. Like I'm not paying this. Like that's not a good, it's never gonna go away. That's not a good answer.

So instead you have to figure out what is it? You can go, this is problematic. I have a stack of bills that are piling up. This is problematic. I need staff. This is problematic. I'm, I'm hurting in a part of this race, but what is the choice that I can do? So, you know, for me, like I have, I have business strategies for work.

Like these are the strategies that I have that can assist me when I have. Financial issues. When I need to talk to somebody, when I have questions, I have a mentor for my business and for behavior analysis, I have a mentor. Mm-hmm. And then for running, I tell my runners, if we're in a race, here are things I can control.

Mm-hmm. Here are things I can't control. If in a race situation this comes up, what do I do then? Yeah. And [00:21:00] here's what my crew knows what to do, here's what I'm flexible about. Mm-hmm. Here's what I'm not flexible about. So it's all a game of. Problem solving if, when these things happen. Mm-hmm. So we have these replacement behaviors.

So you do learn to identify it, and you can have the emotion, but then you gotta move on. Yeah. So like, yeah. Identify it. Say, I'm, I'm in a really bad place right now. I'm, I'm emotionally broken. But we can't stay there. And it's okay. Like, it's okay to feel the feels. Mm-hmm. But it's not okay to like, let everything fall apart on you and then.

At the end of the day, the whole, you, you know, there's other, when it comes to a business, there's other things you have to do. Yeah. You know, at the end of the day with a race, if you decide to drop out, you decide to drop out, but probably the next day you're gonna feel pretty curdy about it anyway.

Dr. Kevin Christie: Would you, would you, would it be accurate if it was like, it's, it's kind of the quickness of the response that you have to it and recovering from the faulty [00:22:00] thought processes.

Is that a, a common theme you see with people that are resilient?

Amy Bukszpan: Yeah. Yeah, yeah. We would call it like the latency in it, like the time in which it takes for you to do it.

Dr. Kevin Christie: Yeah.

Amy Bukszpan: Um, yeah, I think that resilient people. Will tend to like snap out of it pretty quickly and be able to turn it around. But some, it just depends on what it is and they, I think that you'll also find that there's a support system in place and like people will have like their support circle and those people that they know that they can have and that helps you be more resilient as, as a course of it and help you make those decisions more easily.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: Like I said, I have, you know, when you have a crew for runners. When you have a business mentor or somebody that supports you, then you can have, you can have somebody talk you through it, which helps make those decisions and having somebody in your corner.

Dr. Kevin Christie: Yeah.

Amy Bukszpan: Um, and I think that it makes that aspect of being resilient come forth a little bit easier.

And I think that, that, you know, you'll find that in other things as well. I think, you know. When people have [00:23:00] traumatic experiences in their lives. Mm-hmm. One of the things that helps them get through those traumatic experiences is having other people in, you know, trusted professionals, trusted family members that can support them in that system.

Well, it's like you, so I think that that's,

Dr. Kevin Christie: yeah. I've even read where, you know, military, they do pretty well when they're in there. Platoons and they're with their fellow soldiers in the thick of battles and, and, and they're, uh, they're pretty good in that sense. It's when they, they leave and they go home and it's, they don't have their band of brothers anymore, like the, the movie show, and they struggle because they don't have that group anymore.

Amy Bukszpan: Yeah, I would say after. After a big race. Yeah. And you go home and you're by yourself. Mm-hmm. Um, plenty of us, the people just get like a little emotionally void a little after you go through one of these big experiences and you're not with the, your crew anymore. My husband has stopped crewing me and showing up at the end of my races, not [00:24:00] because Yeah.

You know, he doesn't want to or anything like that. It's just because he has work and he can't come out for a week. But, uh. You know, it's, it's hard to, to then you have this experience and you have to like, you know, there's like, I would say it's, you know, in building a business, there's all these like little micro traumas that can go on throughout your experience with it.

So learning how to cope and who to talk to about that. As that happens, it's a big deal. And then, you know, you don't wanna go through that again. Mm-hmm. So the same thing with races. People are like scared. Oh, I remember what happened. Remember what happened to me when I was at mile 60, 65, 70. That was really scary in a dark place.

I don't wanna put myself through that. Or, you know, we talk about injury, that memory of being injured. Yeah. You start to feel it happening or, oh, this is how I strained myself. This is how I tore this. I don't wanna do that again. So they stop before it happens. 'cause they're, they're fearful. Mm-hmm. You know, that causes a lot of people to do things.

And the same thing, like I [00:25:00] got burned by business before I put me in financial straits before. Or I hired a person that was similar to this. Mm-hmm. I don't wanna take that risk anymore. I don't wanna put myself out there. So I think you wind up with this like a little post-traumatic experience that you're always kind of riding, but you know, if you're resilient and you can go and you can start to trust.

What you, the systems you've built around yourself and go, you know what, that was that experience. What are the alternatives? Mm-hmm. What can we do? So I always talk about, you know, the, the coin and there's two sides of the coin. And, you know, here's everything I want to have happen and here are the possibilities that, here are the things I have to give up.

Dr. Kevin Christie: Yeah.

Amy Bukszpan: To get what I want. Also, here are the things that might occur to also get what I want. Mm-hmm. And am I willing to come into [00:26:00] contact with the bad, to pursue the good And like we talk a lot about values and like, are all my values aligned is what I want? Mm-hmm.

Dr. Kevin Christie: So

Amy Bukszpan: business, if it's with you, want your business, or if it's with ultra running.

So with ultra running, I said a little bit of this before. You have to give up a lot if you want to really reach your good outcomes. I've never seen anybody have a successful a hundred mile race that didn't put the work in. Yeah, I mean, you could. You could definitely go a hundred miles, but you're not gonna feel good.

I wouldn't call it successful. I'd call it like walking. Yeah. Maybe limping across the finish line. 40 hours. I mean, it's not, it's not comfortable. It's not, it's not how I would recommend anybody do it, but you gotta put in the hours, you gotta put in the work, you gotta put the time in. It takes, it takes sleep, it takes nutrition, it takes lifestyle, change it, it takes giving up stuff.

And you have to have all those values aligned. And that's the same thing as starting a business and working in your business and giving up all this. [00:27:00] You have to give up a lot of stuff. When you're invested in what your values are, and then you gotta go, okay, well my other values are my family. My other values is my, my religion and my other values is being able, maybe it's reading a book and having downtime and not doing work and having, you know, this, this Sundays I don't do anything.

So am I okay? Does that fit in with these values? Am I okay not getting those things? And like. Where is that? And then like, you know, the other stuff is what am I scared of and how does that all align? And I think that like, you know, for me with my runners, we have little um. I have them do little tasks and we, we practice this.

Mm-hmm. Like we would do how we train physically. I have them train through these tasks and they have to run through little assignments and think through these strategies and what they're [00:28:00] willing to give up and what they're not. Mm-hmm. And what happens when their values for two different things. Bump pets the when I wanna give time for my kid.

I need to be training at the same time. How do they do this together?

Dr. Kevin Christie: Yeah, no, it, it makes sense. And one of the things I wanted to define, you mentioned flexibility being a key to, uh, mental resiliency. How do you define mental flexibility?

Amy Bukszpan: Oh, mental flexibility. I think mental flexibility, again, it's another one of those super fuzzy.

Mm-hmm. Fuzzy fuzzies. well, I'll tell you what it's not and we can work backwards from

Dr. Kevin Christie: there. There you go.

Amy Bukszpan: I mean, so we all get stuck in like, this is how it's gotta be. Yeah. And, and, and like, this is how my perfect, my perfect race is gonna go. This is how my. My business has to look.

Dr. Kevin Christie: Yeah.

Amy Bukszpan: And [00:29:00] I've told so many, my runners are like, I don't understand my mental flexibility.

Why we have to be flexible and how we're thinking about this. I don't think it, it, I'm like, trust me, it's gonna help you because when something doesn't show up and you're not, and if you're not prepared for it. Whatcha are you gonna do, you're gonna hold onto and you're gonna be an emotional wreck. So we have these ideas, how things go, and you have to throw it out the window.

Um, and that's really what, that's the heart and soul of mental flexibility, is just being able to go, go a little bit with the flow and not being so stuck and rigid in the way that we think about things. . , We'll go with running and I'll, and I'll explain it through. So essentially in running we're a little bit, we can be very rigid about our paces, our times, um, what we're eating.

Yeah. And, and how we set and how we, how, how that goes about, how many calories we're going to [00:30:00] eat, what we're going to eat, um, throughout a race, throughout a run. Now how we see that that's all that's rigid, just how we perform. Mm-hmm. Um, how we think about it. Also in that rigidity is, again, it's all performance based.

Now being able to wrap our head around. Okay. It's not gonna play out that way. And I'm gonna be a little, I'm gonna be okay if it doesn't. Mm-hmm. And I'm gonna be okay if things get a little less strict. Starting to widen our graphs and widening, widen our thoughts on what we can do and how we approach it, um, that starts to get in.

So like the actual performance and real, like, flexibility of what we're doing day to day. Mm-hmm. And then, and how we think about it gets into more of that flexibility of what we're Yeah. How we [00:31:00] approach it. And that's, I mean, this is how I, I train it because we have to do it. I go from a tangible to a like, okay.

A more overt understanding of it to a more covert understanding of it. So they do it and they practice actually doing it to like, um, like having more control over their environment Yeah. To like not having control over it. And then we learn to be more mentally flexible in other ways.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: So we do, um.

So it leads to them being more mentally flexible in the way that they approach like racing and performance later on, because they've already learned how to be physically flexible mm-hmm. With how they take in things. I don't know if I'm explaining this very clear. No, it,

Dr. Kevin Christie: it does. And I had taken it on a note, um.

On one of your slides when you were speaking and, and it was the definition of resiliency and it was adaptability. [00:32:00] Mm-hmm. Plus learning, plus flexibility.

Um, yeah. And, and when you, when you apply that flexibility to adaptability and learning. Uh, how that becomes resiliency. Um, what's the learning part? Is that just kind of learning about yourself or learning strategies around it?

Amy Bukszpan: So the learning part, so all of it. Yeah. So all of it has to do, so I, I try to like stepwise at all.

So learning is. We do as, as I was kind of just explaining kind of roughly is yeah, we take everything and uh, and we practice, and we train it and we learn and we compound. So the more times you have to actually practice it in this, in this kind of safe environment, and then we go into a simulated and then we go into a race.

Yeah. So you are practicing it daily learning and then. You have more opportunities for that kind of skill to get reinforced.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: So you are, you're learning and inquiring [00:33:00] skills of adaptivity, being adaptable, flexible, and that learning piece all leads to that ultimate resilience. So the more you practice flexibility, the more you're okay with, and this is what I was kind of getting at.

Your nutrition not being there. Mm-hmm. People not meeting you where they need to be meeting you. Something going wrong, say your spreadsheet doesn't load up right or somebody doesn't show up on time. The more you are okay with that and that's your flexibility that shows that you're, the more you're learning, the more learning experiences you have under your belt.

The more you're adaptable to that and to change, the more resilient you're gonna be so that they all work compounded. So the more we can learn from our past experiences, the builder and the, they compound on top of each other. Um, and if we don't have those learning experiences to draw from

Dr. Kevin Christie: Yeah,

Amy Bukszpan: right.

Then we just wind up just stagnant and we can't move forwards. And if we don't put [00:34:00] ourselves into those learning experiences. Then we don't move forward. So we have nothing to gain. So the idea is every time, you know, I think about like ev, every time I put myself in a hard situation, every time we deliberately manipulate a situation to make it so it's not your ideal.

Like go train in the rain, go train in high humidity, go train in high heat. You're becoming more flexible and your thinking becomes more flexible and you're adapting. Makes sense. You're adapting biologically too, and you're adapting mentally. Mm-hmm. And you're becoming more resilient. So that's all you're learning altogether.

Dr. Kevin Christie: I love that that puts you in those different environments. Um, and I remember you talking a lot about, um, self-talk and I know that's something you've mentioned a few things today where I know for myself personally, I've gotten better with my self-talk over the years. Uh, I've done a lot of work to, to do that.

I'm [00:35:00] not perfect and when my self-talk is failing me. That's where I do rely on my kind of surrounding group of chiropractors in our mastermind group and other mentors I have. Uh, and I know a lot of our, our clients, whether it's our group coaching or mastermind, they've gotten a lot out of that where it's, it's allowed for them to then have that backdrop of, okay, my self talk's not winning right now.

Um, but I've got a group of people that. Can help me on the learning side, uh, or even on the flexibility side of giving them new thoughts and ideas of like, look, you're, you're, you're, you're overthinking this a little bit. How about this here? It's like, oh, okay. And when you hear it from someone else, sometimes that helps you become maybe a little more mental, mentally flexible.

Uh, at least I found that for myself. I,

Amy Bukszpan: I agree. I think like I sit down, I have one particular athlete that I work with. He told me yes. That's the one that's like, I don't understand why, what [00:36:00] mental flexibility has to do with any of this.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: And I will never be able to visualize, and I don't do self-talk.

Fast forward a year and he is my, oh he, he's like, I can visualize every blaze on every tree from here on the Florida trail all the way to Lake Okeechobee. And I'm, he, I mean, he's like, I'm talking to myself every day out on the trail in the sauna doing all, and he's my champ. I mean, he's, yeah. He's ready to go.

And I think this, it encapsulates what we're talking about because I had him practicing this skill. Mm-hmm. Like, you practice running, like you practice anything. And he worked with me deliberately on it. Mm-hmm. And I think that there's things that we do and we, we actually, there's a book called. Expert coaching in the world of organizational behavior management, and it's a beautiful book and it's about all these things and these pieces that we can put into place to support workplace.[00:37:00]

Skill development and it, it, that particularly is looking at schools and school scaffolding. Yeah. But it works and it speaks to, it speaks to everything. It speaks to coaching, it speaks to leadership and business development. But we have to be very deliberate and, and purposeful when we're talking with whoever we're talking with about what the skills that we want them to develop.

Dr. Kevin Christie: Mm-hmm.

Amy Bukszpan: And, and that's, you know, when, when I talk and I work, I'm very much. It's very behavior specific.

Dr. Kevin Christie: Yeah. And it's

Amy Bukszpan: very targeted. So when I'm working with a runner and we're looking at how are we gonna work at resiliency, adaptability, flexibility for you, it's for you and it's skills that you need to work on.

Mm-hmm. And in the environment they need to work on. When I'm talking with directors that I'm coaching at a school back in New York and they're in a special ed school, it's like, what? What skill do you need to support your team in this [00:38:00] environment? And it might be adaptability and flexibility and the same types of, um.

Same types of traits and, and behaviors, but it's specific for them. And we might be talking the same thing, a little self-talk and visualization before they go into a meeting. Mm-hmm. Mm-hmm. Um, and getting themselves prepared for that or before they do a professional development with the whole school, but.

What that rehearsal looks like and what that maybe pump up looks like is very unique to them. But all of these strategies certainly work, and I think you have to make sure, regardless of what the strategy is, that it's very specific for the environment and the individual and that they also, the other key piece that I found is that it is.

Important to them and that they find it important and that we define why it's important to them. I always think a rationale, like a rationale [00:39:00] that's unique to the individual is like, this is why, like the guy, like, I can't do self-talk. I won't do visualization. Well, here's how I, this is gonna help you and here's why it's important to you as you become.

The ultra runner that you wanna be. This is what it's been shown to do. Here's how it's gonna connect you. Here's why you need it in this setting as a leader in the school, and this is what it's gonna help you do and how you're gonna enhance your performance as a director. You know, I think that that too helps tie things.

And we often wanna teach people skills and want people to attain these skills, and we forget to tell them or teach them why it's important to have those skills in the first place. And they're like, oh, why am I doing this? They don't realize the importance that it has for them.

Dr. Kevin Christie: One self-talk that I've, I'm not big on like the motivational rah rah type of stuff.

Uh, I, I like a lot more of the deep rooted stuff that you, you teach and stuff. Mm-hmm. One thing that I did [00:40:00] take from, uh, Navy Seal, uh, I think it was Jocko willing, but he had a thing where, when shit was really hitting the fan. In training or or whatever in the military with the seals, he would just blurt out, alright, full benefits.

And he just meant that like, yeah, if I'm going on a, if we're going on a training run and it's down pouring, this is the full benefits because now I'm benefiting from this crap and now I know I can make through it. Right. And I, mm-hmm. I can do. So whenever things got tough, that's what he would say to himself and his team.

It was like, all right, good full benefits. And that's something I try to do when, when things aren't going the way I wanted to. Uh, I, I do that. The other, there's a really good book that I read by Ethan Cross. I think he's out of the University of Michigan, called Chatter. And I found that really helpful.

And that's essentially what that book was, was about the, the subtitle is, uh, the Voice in our Head, why it Matters. And how to harness it. And he comes at it from [00:41:00] the kinda research side of, of, uh, psychology. And, and I believe it is, it's either Michigan or Michigan State. And, and I thought, I thought that was a really good book for me to have some strategies, uh, around it.

Um, but it's, it's nothing like having a coach do that. And so, um, how, how can our, our audience, I wanna first thank you. For this, this has been amazing and I think it's information that people really need to first understand and then actually work at it because you, you can, you can get better at it. I know that.

Um, so what, what would you say to that person who, who's like, been struggling with this and doesn't see that they can get better at it, and then just finish it up with how they could reach out to you and find out more information?

Amy Bukszpan: Yeah, I think it just takes, pick a small target. What, what small step do you wanna get better at?

Um, and break that down into small component steps. Mm-hmm. And then take it one step at a time [00:42:00] in like, even, even micro components.

Dr. Kevin Christie: Yeah. So

Amy Bukszpan: if it's, if it's self-talk mm-hmm. Self-talk around what. Then how do you wanna go about it? And then make it part of one part of your day and then track it and like, did I do this once today?

Can I then do it twice today? And do it just small little steps and then make it part of your daily practice and hold yourself accountable for it. Um, I, I think that that's a good way to start, you know, as you would start any habit. Yeah. Um, and then if you wanna get ahold of me mm-hmm. I have. A fun website called banana champs.com.

Um, that has a contact page in everything that I do in my coaching world. Uh, easy. And then banana champs on Instagram, banana champs on Facebook. If you start typing banana champs, I'm the only one out there.

Dr. Kevin Christie: What, what's the story behind Banana Champs? [00:43:00]

Amy Bukszpan: Uh, so Banana Champs is a nickname. That I was given the banana champ out in the ultra running world by a Reese director.

Mm-hmm. Um, one. Early morning or late night, depending on what you're calling it. When I was out, uh, accruing for a friend and I put his banana suit on and ran after him and paced him in a hundred mile round and I said, get out of this aid station, or I'm gonna run the whole rest of this race in this banana suit.

Um, and then he purchased a banana suit for me. And ever since then, the banana seed goes everywhere with me. And so, um. Yeah, it stuck.

Dr. Kevin Christie: Love it. Love it. Well, Amy, this has been great. I really appreciate your time and expertise and uh, hopefully I'll see you soon.

Amy Bukszpan: Yeah, thanks so much for having me. I appreciate it.

 EPISODE 457: The Benefits of Being a Chiropractor

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

[00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I am bringing a solo episode and we've titled it the Benefits of Being a Chiropractor. Um, you know, there's challenges of being a chiropractor and we see it all over. People posting and concerns about student loan costs and what you can earn as a chiropractor and our respect in the healthcare community and, and you know, and the insurance reimbursement, we.

We hear a lot of the negatives. We hear a lot of the, uh, hard things that it is being a chiropractor, dealing with certain types of people that we have to deal with. And, uh, there's just no doubt that there's challenges. But at the same time, you know, I think we've all have a lot of friends in other professions.

I know I do talk to other types of doctors. I talk to other types of professionals, and every industry has its issues. We just don't see the issues. It's almost like. [00:01:00] How you see someone's sizzle reel on their Facebook, how great their life looks, but you don't know if it is or not, right? You don't know the underlyings of their lives.

And it's the same thing with certain industries. Like you may think it's great that, uh, orthopedic surgeon's life, they make 600,000 with no sweat. But have you ever, you know, kind of talked to an orthopedic surgeon how challenging the life is and how expensive? Rev or, you know, running a clinic is, and the overhead and the type of staffing they have and the surgeries that go wrong.

And you know, like it's just a lot, you know, being on call in hospitals and working 70 hours a week. They have struggles too, right? Maybe not a financial struggle as much, but they have others. And so I thought, you know, I posted in the Forward Thinking Chiropractic Alliance Facebook group, there's always a just great, a lot, a great amount of engagement in there.

And so I wanted to post, you know. What were people's, um, the things they loved about being a [00:02:00] chiropractor? The positives, and there's a ton of great answers in there, a lot of engagement. So I kind of sourced that. Uh, if you haven't been in that group, I highly recommend it and, uh, asked to join that if you're an evidence-based chiropractor.

But, uh, really good group. And so I just had posed that question right. And, uh, just gonna run through some of them, uh, that are positives because again, just like the world, right, the world's hard, but you can choose to enjoy life and have a great life. And in a, in a world that's hard. Or you can choose to dwell on how hard the world is or how bad it is, and, and be miserable because of it.

And it's the same thing. With our profession or anybody's profession, you can choose how you want to look at this. And so we're gonna go through the positives of what it's like to be a chiropractor. And so here are some of them not, this doesn't pertain to everybody, but these are some that pertain to a lot.

And I think, you know, I do have a, a [00:03:00] fortunate. View of, like, I talk to a lot of chiropractors, I coach chiropractors, I mastermind group, I, you know, interview people on the podcast. They just get a, a, a unique opportunity to see the gamut as it is for our profession. And so a lot of these, and I mentioned there are plenty of chiropractors that have this, and frankly, there's plenty of chiropractors that are making a very good professional living.

And so I, I know you can too if you start to do the right things over and over and over again. Right. Um, but here we go. Um, you know, many, one of the ones was, um, you know, many more integrated settings with hospitals and orthos and performance facilities that didn't exist as much back when I graduated 20 years ago.

And now you're seeing, I, I know some car that are. Heading up clinical side of performance facilities with professional athletes. That's awesome. I had that opportunity in my career. You, uh, you know, orthopedic clinics [00:04:00] and hospitals, big hospital groups doing it, va uh, so there's a lot of cool opportunities there and people that are in those settings tend to really enjoy that.

Another one is, uh, you know, obviously the half days, uh, a lot of cardboards have half days, right? We typically have Saturdays, Sundays off, and then. Typically have two more half days. So it's kind of like four full days of of work, uh, at a seven. I know a lot of chiropractors have Fridays off. Uh, they have three complete days off a week.

Uh, so that's pretty cool as you get later on in your career. I know many chiropractors. Like myself, I work a couple days a week with patients and, uh, yeah, I, I'm not only working a couple days a week, I spend a lot of time with MCM, but I treat patients twice a week. And you know, if you build a business down the road, you might have that ability as well, but the schedule is pretty friendly.

Right. Um, the two hour lunches someone [00:05:00] mentioned. That's definitely a, a nice one. Obviously we're probably doing notes and things like that, but there's a lot of other healthcare providers where they're kind of eating a sandwich on the run. Right. And we get to have our two hour lunches. I obviously like the common theme that was on there was just, I think we sometimes forget 'cause we get mired in the weeds of treating patients, but.

How unique it is on this grand scale of humanity, whether it's the 8 billion people that live on there on the earth now, or in, you know, earth's time of all the people that lived on there, how many people actually get to heal people that can help people in that way where you, you actually heal conditions.

That's, that's pretty cool. That's pretty rare and it's pretty impressive. So you, you really need to, to, to. To take solace in that too. Right? Um, another one is the benefits of entrepreneurship. I do believe it. Entrepreneurship can [00:06:00] be a double-edged sword. I do believe some people get into entrepreneurship that probably shouldn't, and I think that's one of the struggles with chiropractic.

But there's a lot of benefits of being an entrepreneur. Setting your own schedule, setting your parameters, what you want to do, how you want to do it, building a business, building a side hustle, right? So there, I think the. Entrepreneur. Nature of chiropractic is a positive. It can be challenging, but it's a positive for sure.

Uh, another one is, we talked about briefly, but flexibility of scheduling patients around time with kids, family sporting events. Someone had mentioned to that where they block off times ahead of time, get their kids sport or dance, whatever schedule. And go in ahead of time and go in and block that off.

You know, leave at Thur Thursday at 3:30 PM instead of 5:30 PM that particular Thursday, because you're not gonna miss a sporting event and you just block it off and you don't schedule patients there. [00:07:00] Right. I. Uh, someone mentioned on here, and, and I do know people that do this, I or have this combination.

I do know people that have this combination. They typically worked hard, very hard for a period of time, built something really good, but he mentioned, uh, making six figures in 20 hours per week. Uh, you can do that. Typically the mistake I'm seeing and kind of a joke, uh, but not a joke, uh, with the younger dcs as wanting six figures.

And working, uh, part-time and, and treating 10 people a day, uh, that, that math doesn't typically add up early on, but if you work really hard for a period of time, um, in your forties, give or take, uh, you can pull that off. And I know many that do. And so that's rare in the grand scheme of most professions, and we do have that ability to do it.

Uh, someone mentioned we have a movement based day and not stuck behind a computer and zoom calls all day. I can't [00:08:00] stress that one enough. I know our job is physical, but it's not on the, typically, it's not on the like physical construction type, physical labor and, and that type of stuff. It definitely is physical, but I think.

The amount of movement we do get is so good and not being stuck behind a computer and zoom calls all day. Talk to people that do that all day. They are not happy. So movement based day, I love that. Uh, next one is great social interactions all day combats, loneliness. You know, the, there's that Harvard study that showed over like a hundred years or something.

The people that had the highest level of happiness was all based on relationships. And I do think there is a. An epidemic of people that work from home and, and, and sit at a computer all day. Um, and lack of a social life outside. Some of them don't have families. Some some of them do, but they don't have any relationships outside of the family, which is, is a, a really stru big struggle for people nowadays.

And, [00:09:00] and we get just great social interactions all day long, which is awesome. Uh, impacting people in communities, that's huge. We talk about healing, but in general, we can impact communities for sure. Uh, you get to pick when you take a vacation. Someone mentioned you definitely get to pick when you take a vacation and how much vacation.

Someone mentioned a large scope of practice. Obviously that depends on what state you're in, but yeah, like I'm in Florida, we have a pretty large state, uh, scope of practice, which is awesome. We typically have a, a much less or lack of hospital administrative load and red tape. Right. Um, that can be tricky for sure.

Uh, someone mentioned providing jobs to other people. Yeah. I think that's a big thing. I think that's a lot of satisfaction out of that. You're providing a livelihood to other people when you build a business and, and do this, right? Uh, the ability to potentially purchase the office real estate, this is something I think is a very big positive.

[00:10:00] It's not. For everyone. It's not necessarily a smart idea for everyone. If you're in very expensive areas, it can be very challenging and not something that could be worthwhile. But yeah, uh, I was able to do it back in the day when it was, uh, able to do it in in my area. It's a little challenging now with the cost of it, but, uh, yeah, purchasing real estate, your practice being the main renter is a benefit.

And then, uh, lastly. AI can't replace your hands, right? Um, that's a lot of people are scared, scared, scared of the AI thing because of what it's gonna do to their jobs. And it's gonna be a long time. I don't think it's gonna be anybody that's a current DC now is gonna worry about ai. Changing their, uh, or, or taking, replacing their hands, right?

Could replace other things, but I don't think it's gonna replace the hands. And it could enhance people's desire to get treatment by human beings. Right? [00:11:00] And so that was a list. Uh, I thought it was really good. A lot of positives. I want you to kind of. Take a time to sit down, you know, especially early in this year, write down which, which of those positives or any others that you have that offset the negatives, right?

Um, if you're making 85,000 a year right now, and you are 30 years old, 35 years old. Would you rather make $135,000 of some corporate job behind a Zoom call and hate it and hate your life around it? Or would you take the 85 um, with your benefits that you have now? I want you to get the buck 35. I want you to get to a 2 35 and you can, you can, you can build a practice that can allow for that even in the current insurance reimbursement.

Um, you can do that. Um, but just, you know, sit down and write out the positives. And I'm gonna leave you with this, uh, I, I referenced it before. I really like Cal Newport's work. He has a lot. I reference his deep work stuff a [00:12:00] lot, but he also is in the midst of writing a book called The Deep Life and he breaks it down into four things, community, craft, constitution, and contemplation.

So, um, community, uh, you know, obviously we know a community is family, friends, et cetera, but you're also your work community, your team members, your patients, like I talked about. You that serves a deep life, the social component you have at work. Um, that's a big one. You have quite a community as a chiropractor, craft work, and qual, you know, and really honing your craft if you sit down and really try to keep on getting better as a chiropractor and work towards that, it's a never ending pursuit.

It's working on the craft and having that. A lot of people hate what they do or they see no meaning in it. We have that built in. There's a lot of meaning with what we do, and you might just need to hone that a little bit and prove the craft. Right. The third is [00:13:00] Constitution, which he has kind of parentheses health.

I think, uh, we know a lot about health. We have a movement based job. We have access to other chiropractors can help us out. We know. You know, I, I know not all of you are maybe healthy, but you know what it is and I think it gives us a leg up. A lot of chiropractors are, I bet you if you took a cross session of section of chiropractors, we're probably healthier than other healthcare providers, and we're probably way healthier than the general population.

So, uh, being a chiropractor helps with constitution and in contemplation. Which would be, he has in parentheses called Matters of the Soul, whether that's religious stuff, meditation, uh, maybe it's mindfulness or wellness practice. You have stoicism, right? That would be something, uh, that maybe we don't naturally get from our profession.

It could, um, but consider that. And, and he talks about if you can really hone in those four things. [00:14:00] That is how you can have a deep life. And if you can do that, I think you can become more resilient against all of the challenges that our profession and frankly our world faces. So I hope you take this into consideration, a little bit of homework, of write down all of the benefits of your current situation as a chiropractor, and then how can you improve your deep life between community, craft, constitution and contemplation.

 EPISODE 458: Is A.I. Search Finding Your Practice with Solomon Thimothy

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

[00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I am excited to have Solomon Timothy on our podcast. I've gotten gotten to know him over the last couple years from Strategic Coach and like to call him a friend at this point. He's got a great marketing agency.

I does a lot of things down in Naples for a lot of different type, uh, types of businesses and stuff, but we're gonna dive today into. What you need to know about being found from AI search, AI search, uh, he'll talk about it like a EO and GEO, um, but basically search from ai. People are finding their chiropractors and other things using ai, and it's a very, uh, unique prompting they're doing and things like that.

We're gonna dive into it and ultimately how you can be found on AI search, like the, the chiropractors. That are gonna win this battle in their communities are going to see more patients and they'll see, [00:01:00] uh, less being taken from them. Right? Like you're probably gonna lose some Google new patients, right?

Google search organic Google search. But you be able to gain the AI side. You don't want to fall in a situation where you're losing. Google new patients from organic search and you're not getting, uh, AI search new patients. And so we're just kind of at the tip of the iceberg with that. One of the things I'll say is those chiropractors that are creating content consistently and getting it out there are going to win the battle.

Gary V said it, Parker Vegas, uh, last year, and other people are saying it, Solomon's gonna say it on here and you really need to be doing that. Um. And it's kind of interesting, you know, we, about three years ago we, we pivoted our coaching program, which was purely coaching, and we still have pure coaching if that's what one only wants.

But our signature program, which most of our members are on, is we do coaching with you, but we also. Do the [00:02:00] marketing for you. We coach you how to shoot videos, and then we do all the distribution for you. Uh, put it on YouTube, we brand it, edit it for you, put it on YouTube, Facebook, Instagram, email your patients post on Google Business profile, like getting it out there so that your content is being done consistently.

And I just implore you to find. The desire to look at you and your clinic as something, an entity that needs to be a content creator of EDU health related Education that serves your audience and serves your clinic. But you need to be doing it and just doing it consistently. It becomes very easy once you do it consistently.

It's that early hump that people have a hard time getting over, or the fact that they started a little bit and then realize like, oh, I'm not an influencer. I'm not getting a million comments and likes. It's not necessarily about that. You need to be feeding that total web presence that I've been talking about for a while.

When I first started talking about it was just for Google search and some social media. And, [00:03:00] and things like that. And obviously staying top of mind with your patient, but now it's about AI search as well. So we're gonna dive into the nuts and bolts of that, with my interview with Solomon. Timothy, I.

 Alright, Solomon, pleasure to have you on. Um, I was on your podcast. I'm not sure if that's been released yet, but I'm not gonna call you out on that. But before we, uh, make fun of each other during this interview. No, I'm just kidding. Um, tell us a little bit about yourself. Tell our audience, I know you and I know each other from Strategic Coach and we've been, um, really getting to connect on marketing, but give our audience a little bit about yourself.

Absolutely Kevin, thanks for having me. This is a, an amazing podcast. I'm so grateful to be part of it. Uh, you are a champ running this for years and years without missing a week. So you're nothing but inspiration and motivation for me. You have no idea. Um, if I'm ever thinking about not making a podcast, I think about you and it's like, it's coming.

It's gonna have a [00:04:00] podcast this week. So thanks for having me. I'm happy to share a little bit about me. I'm an entrepreneur since 2006. Officially. Uh, before that I was like doing freelance work. Uh, we started off, uh, in marketing. Very similar story to you. It was just a web design shop that turned into a lead gen agency.

Kevin, funny story. We built all these websites when GoDaddy was new and mm-hmm. You know, people were buying domain names for the first time and uh, they would be like, I would ask 'em like, Hey, so Kevin, do you enjoy the new website we built you? They're like, it didn't do anything for me, for my business.

Mm-hmm. I don't know what you did, but that is not what I was hoping for. So clearly the clients wanted sales and phone calls and everything else, and we were thinking that we're a web design shop. So I went back to the office and said, guys, we're no longer doing websites. We're gonna figure out how to get them customers.

That's the only thing they matter. And so that's how we pivoted from being a creative shop to a performance based [00:05:00] lead gen, uh, focused business. And, uh, life has, has been crazy ever since. Good. Yeah. I mean, obviously things change and we're gonna dive into a fresh kind of topic for a lot of people now, but, uh, lead generation has changed over the years.

Yeah. Obviously, I don't know, 10 years ago it was a lot easier to get leads off of Facebook ads than it is now. Right. Everything was cheaper. I'll just be honest. Right. Yeah. The cost definitely has changed. I mean, we have inflation problem, but there's more people moving from traditional to digital. Mm-hmm.

That cost everything to go up. You know, people that are in certain industries, you know this in, in Google ads, they pay hundreds of dollars for a click. Yeah. Not a lead. I mean, so it's, it's just not. Mm-hmm. It's not cost, you know, effective anymore. Yeah, and that's one thing we struggle with with chiropractors, the ones we coach, is that, you know, uh, too many.

Are priced out of, uh, Facebook ads, Instagram ads, Google ads, and you know, you [00:06:00] gotta pay to get a good agency. A lot of times you gotta pay a good amount of money to the agency, and then you gotta, they want you to spend a fair amount of money on the ads now because that's what it takes to actually get leads and, and new patients.

But when you do the math, sometimes it can be a, a challenge now. Definitely chiropractors doing well with it. I think there's a lot of things that need to be discussed before taking on an agency for, for Facebook and, and Google ads. But, um, I, I always talk about content marketing, right? That's like been my thing for 10 years is content marketing.

And it's been interesting to also see the evolution of, of content marketing. And, you know, there's the misconception that. You need to become an influencer, um, to, for content marketing to work for you. Right? So they'll, they'll create some content but not get the engagement that they think they're gonna get, and they give up on it.

They don't realize that even the ones that are getting a lot of engagement, it took a lot of consistency and a lot of time to get there. Right. That it's very true. And I would just go on to say that [00:07:00] content marketing is probably still the number one thing they should be doing. Mm-hmm. Uh, even though the whole world of marketing has changed and that part creating content is still probably gonna be the cheapest way to generate leads.

And it's so, I mean, it's still, I would say the number one thing, there's no reason you shouldn't be. Doing content content's still king, right? Yes, 100%. Yeah. And that's one thing I try, I try to get chiropractors to understand, and I know you get, you try to get all kinds of other industries to understand.

I'm, I'm a, a very narrow niche. Is that. Co chiropractors need to just understand that part of their responsibility, uh, of trying to build a patient base or a practice is, yeah, you gotta be a good doctor and you gotta get results. But the vast majority of chiropractors are o, especially if you're still trying to gain traction, is you gotta think of yourself as a leading educator in the community.

And that is creating content through various means, and that's gonna help you move the needle. It's gonna help you. [00:08:00] Position yourself better. You're gonna stay top of mind to your current and past patients and they'll, they'll come back in and they'll refer more often. Uh, you'll get more SEO, you know, optimization from that.

But then what we're gonna talk about today, and I think this is what's been fascinating as I've seen the progression of content marketing. 'cause sometimes you do things, you do something over and over again. And you don't know what the future may hold and how that would benefit you, but it does, right?

It's like there's some people that became a chiropractor, you know, went to school, opened up a practice, and they're chumming along. They're doing a good job, doing a good job, and all of a sudden. Um, the sports team, the NFL team needs a chiropractor and they get that position and it was like, okay, wow. Uh, I didn't foresee that as a possibility.

It was a dream, but I did all the right things consistently over a period of time and an opportunity arose and I got it. And that's kinda what I [00:09:00] feel like now. Where those that have created have been creating content. It's not too late if you haven't, but those that have been creating content as a chiropractor have been humming along and, uh, seeing different, uh, benefits from it.

But then now all of a sudden we got this thing called ai. Right. Um, and that's where you and I are gonna dive in today. And, and my, my first question I have on that is, explain to our audience. They, you know, SEO is search engine optimization, but what is a EO or GEO Define those for us so we can, you know, set the, the, the landscape here.

A Absolutely. So a EO is the new norm for everyone that's been doing SEO. And if you're doing SEO and and you're losing organic traffic, that's because a lot of people stopped clicking. Basically, when you go to Google, you search for something, it just gives you an AI overview, and you don't really have to click anymore because you've got the answer.

You're looking for [00:10:00] 58% of. Searches on Google doesn't go past that first page of Google. Yeah. And so that means that everybody that would've gotten a click in the past is no longer getting a click, so, mm-hmm. What is happening? Well, what's happening is they go to. An answer engine like Chad, GPT mm-hmm. And it's called answer engine optimization, a EO.

And so they're chopping in their question with more context than ever before. Um, I did some, uh, work with you, Kevin, to where I, people are putting in, like get me reviews and companies in with this particular experience. So they write a much longer prompt because they're just giving chat. G pt, their biggest problem.

And then they're waiting for chat GPT to solve their problem for them and answer it, organize it. And recommend me the best company to use. Um, so that's answer engine optimization. The other word in the industry that's kind of thrown around is GEO, generative engine optimization. They're both the same thing.

Yeah, they're not any different, um, except just, you know, different flavor and different things. Mm-hmm. And I think the industry will come together on some sort of name that. I like the answer engine because we go to [00:11:00] these platforms looking for answers. Uh, a lot of Google's um, first page is people also asked if you just go scroll down on Google.

You see people also asked, so everybody's been writing content to answer questions anyway, so I might as well call it answer engine optimization. Why create a new neuro, uh, new term? Yeah, so basically a e, o and g, EO, same thing. I'm sure the industry will come to one where it went out and we'll use that moving forward, but I just wanted to make sure people understood that.

And then, you know, really what was the, um, the genesis of you and I hopping on this podcast was that you were kind enough, we're in Strategic Coach together and then we're in a WhatsApp group and you're cutting up to offer, doing an an audit. Of, uh, some of our businesses. And so I raised my hand and you did an audit of my practice.

And, and as it relates to some of the competitors in the area, um, what were the software tools? What, what are you using to, to do that? I know it's not cheap. [00:12:00] Yeah. Uh, but what are, what are you using to do that? So at this moment, cheap is not even the thing we should be asking because of the fact that it's so new, we don't know, uh, how to actually make this work.

Right? So from a consumer perspective, entrepreneur perspective, if you can show up where there's no advertising at all yet, which is Chad, GBT, Claude Perplexity, there's no ads. And you are the number one recommended resource. You have undivided attention from your customers, and most of the time these people that are searching are much more, that's a considered purchase.

So they'll just, they're bottom of funnel. They're asking for me to tell me what to do so I can click it and buy it. So if you have bottom of funnel searches or prompts and nobody else is. Claiming it. 'cause their ads on Google always have gotten more clicks than organic. So no matter what you did, you know, you're always past the ads, you have one.

So, um, so long story short, what I, what I want to convey with folks here is you should be thinking about how you [00:13:00] show up inside chat, GPT mm-hmm. Or clot or perplexity. Put in a prompt like best chiropractor near me, or put in a particular city zip code. And see who shows up. That was the audit, right? Like it's a, it's a very simple process.

Yeah. No, for sure. And then, um, are there any particular softwares that are optimized? Yes. Writer, writer, Sonic. We use a tool called Writer Sonic. It's not cheap. Yeah. Uh, but it doesn't really matter 'cause that's one of the tools that actually track the results. The second one we use, we've always used is SEMrush.

Everybody knows SEMrush in the industry. Em um, so any. Any tools that can give you questions. So SEMrush, HFS will give you questions that is what we call a prompt because you don't go in. Yeah. It's prompt engineering now. Right? So, so take the questions from one of the platforms. We also have written custom, GPT, uh, when you give it your bottom of funnel keywords that we will output the prompts for our customers.

Yeah. Because we're now tracking prompts. Back in the day, we used to track [00:14:00] keywords, you know, SERP rankings, and now it's prompt. You know, uh, basically a, a library of prompts for every client. And then what writer, so, or any of these tools are doing is it is actually going into these platforms on your behalf and then punching it in and then telling you what your, um, what the result is.

So then you catalog, catalog it, we save it into a database, and then we are measuring where our customers are ranking. In that, and then we're doing that every week. You can do it every day, depending on how aggressive you want to go. It's very expensive because of the fact that there's massive amounts of data being stored and it's a hundred prompts times three platforms.

Claude, you know, Gemini, uh, and then perplexity you, you multiply it. It's an exponential complex problem. But it's worth it because different people love different platforms. Some people are married to cloud, some people are perplexity, some people are chat, GPT. Some people love Google Rock. And if you didn't do that, yeah, if you didn't do that, [00:15:00] I'd think you'd be missing out.

For sure. And then, uh, yeah, 'cause my first patient was actually grok that found me, ah, this was like a year ago. But he went into gr gr and he was like, he was an older guy too, like in his mid seventies. Yeah. And he had, he had typed in, you know, find me a chiropractor like Dr. So and so in West Palm Beach who practices the same, but that is located in Boca Raton, Florida.

And, and I was the answer. Right. Oh man. Well you're the answer for a lot of your searches and I was very excited to see that. Yeah. And that's, we're gonna dive in a little bit 'cause I, I pulled it up. You were kind enough to do the audit on mine, and I'll have you kind of speak to it in a second here. Um, and part of why I think we've done well, we've, we've also done well on Shockwave.

So we offer, we offer shockwave therapy and we built out a. Really good page on our website. We've been getting Google reviews on it and we're, we're definitely getting pulled up when people are, there's a lot of people searching for shockwave now. It's kind of having its moment and it's getting really good results.

So, uh, we're getting new [00:16:00] patients when people are searching for shockwave. We even had a doctor look use AI to find shockwave for one of his patients and then send 'em to us. So that was pretty cool. Wow. Um, but yeah, let's. You did, you did the audit on, on my practice. What were some of the strengths you saw from, from our practice?

Well, I'm talking to the. Basically the marketing guru himself. So I didn't think anything otherwise it wouldn't make sense. I make plenty of mistakes, trust me. And I was just like, okay, this is the man who knows what he is doing. Uh, but first of all, I think you've built a really good Google business profile and citations and so fun o over the years we did.

That has tremendously helped you. Yeah. So Google, yeah. Always had, uh, you know, if you wanted to show up in Google business profile in the places section, you always had to go get consistent nap, name, address, phone number across in every one of your practice. And doctors that work with you, Kevin knows this, is that you have to have consistent address, phone [00:17:00] number, even the suite number has to be, you know, if you have LLC or PC or anything like that, has to be everywhere the same, literally down to the period.

And I believe that, that you've done that really well over the years. That is like sort of the foundation. The second thing is I'm sure the website is highly optimized, mobile friendly. Mm-hmm. Um, and then it's probably fast loading and you have schema markup and consistently adding more content. So there's, there's there.

And then third is that you have third party mentions or citations. You have to prove that you're an expert. Right. So the things that Google looks for is the same thing that chat GBT will be looking for is where else can I make sure that Kevin is who he says he is. And in Google we have the EEAT experience, uh, authority and trust.

Right? Experience and, uh, what's expertise, authority, and trust. It's the same exact thing that we see in Chachi pt. It wants to know, make sure that when people are searching and we're giving an answer that this is a trustworthy answer. So they look for consistent mentions, uh, of the [00:18:00] same thing. So it is doing all the dirty work for you by checking all the places.

And if it's these consistent information that Kevin is still the best doctor is going to put Kevin first because it's an algorithm like everything else. It's going to do the same thing over and over. Right. 'cause other's, it's not an algorithm. It's not random acts of like, you know, answers. So because of that, I think you just won, you've done so many things right?

From an SEO perspective, which all carried over. And then the fact that you have so many mentions and from press releases or, uh, just articles that you con mm-hmm. Computed to or been on other podcasts, those all help you mm-hmm. Become number one. Cool. Yeah. And that kind of goes back to my analogy I gave with like, you know, becoming the sports, the, the team chiropractor, you know, prep, preparation meets opportunity.

Uh, you know, we have been, I think it was 2014 that we started in my practice consistently creating content. And we've put a lot of videos [00:19:00] on YouTube. We've built out our website, our website's, a content platform, uh, Google. Yeah. Google Review all the things we, we've been doing and, and you know, it can be a.

A slow process sometimes, but I just remember making the decision as like, I'm always going to, my practice is always gonna create content. No matter if it's me or one of our other doctors in the practice. Uh, we're gonna try to. Be the leading, uh, educator in the community. And I know that's gonna work out in the long run.

I didn't know anything about AI at the time, but it's, it's helping. It's not, you know, it's not that we're getting, like, we're not getting 10 new patients a month at this point from, from ai, but we're get, we're getting 'em. And I think it's gonna, uh, I think the AI search is gonna continue to, um, improve more so.

Let's talk about, you know, I got a good spreadsheet here you gave me with everything, and the first column was, was all the prompts on there. I like how, you know, you, you kind of went in and uh, was like, okay, I have, I have chronic back pain for two years. Need shockwave therapy [00:20:00] providers in Bo Ratone area.

And that was like a prompt. Was that a prompt that you put in? Or did something like SEMrush develop that? Yeah, so that was a prompt. So any of the prompts. That have visibility. It's sort of like keywords with the search volume. So think of it like that. So that has already been. There's probably lots of those kinds of people punching in.

Mm-hmm. That was one of them. We tried to put in the ones that we think, um, are a good prompt. So we, we just take the products and services and then we go bottom of funnel searches. Where can I find a doctor who can help me with back pain or something like that. Yeah. Where's chiropractor with X, Y, Z? So we only generate bottom of funnel because of what I shared earlier, the cost of maintaining such a large data set.

So we just want to do what we think is the bottom of funnel. Of course, we can do top of funnel, but it's not worth tracking, if that makes sense. You can do top of funnel, but we, we don't, we want to track and measure, uh, the influence that this thing is going to give to a buyer so that we can get another sale at the end, end of the day.[00:21:00]

Love it. Love it. And then, um, I'm gonna read another one and then I'll give, I'm gonna go over what the answer was. It says I have shin pain from running, need to go chiropractor in Bo Raton, Florida, where, who treat athletes. Um, and I popped up number one. And it said, if you have shin pain from running and are looking for a chiropractor in Bo Ratone who treats athletes, one good option is he fit chiropractic and sports recovery.

And then it goes, why this may be a good fit. Their website states they specialize in sports rehab, uh, soft tissue therapy, joint manipulation, uh, just for sake of. Um, the legalities, we didn't say we specialize. I, you may not know this Solomon, but you can't say you're a specialist in something unless you have like a diplomate, um, and that, but that's what it obviously, Chachi Petit just said that, uh, they list runner, runner type overuse injuries is among conditions they treat, which likely covers shin pain from running.

We have a really well-developed [00:22:00] conditions page. Yes. Um, they aim to help both weaken warriors and serious athletes. Ideal. If you run regularly and aren't a pro, the clinic address is blah, blah, blah, blah. So, geographically con, convenient, near Bo, near Boca. Here's a phone number you can call to describe your shin plane pain, and ask if they have shin splints or running related leg issues.

Not half if they handle. Yeah. So yeah, I guess is, I mean, this is so much better than what you typically old school Google was, right? Yes. And the fact that you don't have to go through five, six blue links and make this assessment and judgment yourself, which is what people don't have time for anymore.

It's overwhelming. When there was only one or two Google business profile, you just clicked on the one that is now, there's 20 and 30 per search. No one, no one knows what's good anymore. Yeah, I can't sit here and call 20 garage door guys to figure out who is a good fit. I'm done. I just wanna ask something and tell me what I need to do.

Yeah. And in all these, like this thing spit out, um, the next column is like, what platform was the answer on, you know, [00:23:00] chat GPT or Google AI Overviews or Perplexity. Um, and then if they mention, you know, like all these different prompts you put in, if it mentions my brand, it says yes. So there's a lot of that, which is cool.

And then. Um, visibility. Uh, a lot of these say a hundred percent. What does that mean exactly? A hundred? Like what if I was 70%? That means that of across those platforms, you've only showed up 70 times. But those, uh, particular ones, you have a hundred percent. You showed up in every output. So in track, GPD perplexity in Google, you were listed, so you have great visibility.

So for you it was either a hundred percent or zero. That means that some, some of those things we may not have enough content on our website, and I'll probably give the mm-hmm. Prescription for everybody here so they know what to do to fix this for themselves before we end. Yeah. Uh, but long story short, we do need to work on content for any of those, and we might need to actually create content with that [00:24:00] question, uh, being the page or the H one or H twos or h threes, because it literally looks for that question within a schema markup to make sure that this is what it is.

Uh, you know, this is relevant, so I love your conditions page. I think that's a great strategy. But within the conditions page, you can actually create question, answer, question, answer format. Mm-hmm. And then give variations of that condition. What would they punch in, right? Like you said, runners with shin, right?

There's a condition for that. Here's going nuts. And, uh, yeah. And yeah. So that way not only are you describing the. The condition you're, you're describing every kind of questions they put in when they have that condition. Yeah. And so all of a sudden your, I don't know, 500 word page becomes 2,500 words.

Mm-hmm. Because of the fact that every condition now has FAQ sections. Yeah. And that will crush it on chat GBT. That makes sense because a lot of times people, you know, if you put blogs and, and we do this for our clients, we get blogs on [00:25:00] there and, and things as they. Uh, it's almost becoming like, it's not about having a million people read your blog, right?

It, it's about putting content on there that's gonna be found findable through this, right? And then you can reproduce that content like that. If you do that, like you just said, then you take that and you also make it an email to your patients. You know, you, you, you post a social media to your, to your website to blog.

Like there's a lot you do with it. Um, you repurpose it essentially, right? 100%. I don't think people are reading blogs like the good old days before, we used to subscribe to blogs and wanna read everything it used to be, right. There used to be blog aggregating tools, so you can subscribe to 50 blogs and see the latest posts, but we got no time for that.

We now just go to Google and Google will find the relevant blog or content pieces for that. And that has now shifted to going to chat GBT. And we go and ask like, Hey, how do I go find this? And it's doing the exact same thing in the background. It's searching for content that it's indexed and [00:26:00] it's trained on and outputting an answer so we can skip the whole thing.

Here's the other fundamental thing. We start out with content marketing. We will not be mentioned in an AI overview if there was no content on your website. Yeah, you are out of luck. If we don't have the content on our website, you're definitely out of luck inside Chat, GBT or perplexity or any of those if we don't have the content.

So going back to content is still king. That is the number one focus is that first party information that you control, that you own. Mm-hmm. It's your asset. You can write as much content as you want. Make sure it's not regurgitating what chat GBT knows. Yeah. It's in your own words. You're the subject matter experts.

You're the doctor. Write what you tell a patient, but for the world, right? Mm-hmm. Don't think that they didn't pay you, so you can't tell them. Tell 'em exactly what they need to know because yeah, Chad t wants to learn that you're the expert, as that answer alluded to. And so he knows that, yo, I'm pretty sure Dr.

Uh, Christie, you know, [00:27:00] uh, can deal with patients with chin, you know, shin issues, bam. Because of you what you've, what you've contributed. I feel vindicated too 'cause I've been harping on chiropractors to create content all the time and you know, we, one of our services where we have a unique signature program where we coach them, but we also like coach 'em on all things practice growth.

It could be anything from I. Finances to, to marketing, to patient experience and, and staff training and stuff. But then we also do their content marketing for them. Yeah. And I've been telling them like, you keep doing it. And we, we've had quite a few clients that when we started this. Three and a half years ago that are still with us doing it.

And they've seen the benefits of it and I've been harping on it. And now this is really where it's like, I, I need Carre to understanding you gotta be doing this consistently. And, and, and it's been nice to be able to do this and, and we built out a lot of processes to help with coverage, but we don't have this type of stuff.

It's pretty cool to see what you guys are doing [00:28:00] for all kinds of different entities, uh, on this side. Now, are you. Who, the next tab I have on here is current citations, which Yeah, has got like 200 and, but this is basically where the AI is finding stuff, right? Yes. Um, what spit all these out on this spreadsheet was it?

The ai or was it part of the, one of those two softwares you mentioned? It's, no, it's, so, it's from the software because of the fact that every one of these ais inside its answer gave a link to where it got the answer. Yeah. So you can, I can go and find out where are they getting the answer from. See if we can figure out where it got from, then I can influence my customer's website.

You know, people are saying like, oh, we can now influence, you know, manipulate what you IGBT saying, no, it's not. We're not trying to manipulate anything. We're just trying to help our customers get found because they could be really, really good at the business, but they never did what they should be doing online.

So they're missing out. So if your business is not showing up in those answers, you could be the [00:29:00] best doctor in town with the most amount of patients. But if you have zero mentions of you in your local press or press release or podcast or anything else, third party validation, we will not show up. Right?

It's as if we don't exist. And so we could fix that. And then every single day chat, GPT does the same search again. That's why we have to save the answers. If you ask the question, it will do the same thing tomorrow. But the good thing is it's not trying to remember what you asked yesterday and regurgitate, it's re redoing all of this insane things in the background.

So if it has new information, it will then update and give you a better answer. Yeah, so, so we are all lucky that it's not copying and pasting what it gave you yesterday, like a lazy employee, right? It is doing all new work every day, every time. That's why, you know, these data centers as big as Manhattan, uh, because they're not, they're not trying to be efficient, they're trying to give the best answer.

So you [00:30:00] keep coming back. But it works to every single entrepreneur's advantage. Mm-hmm. So if you're getting more citations or more links. Right Kevin? They're going to show up tomorrow. Yeah. If they don't show up today. Yeah, it's interesting. I'm looking at all the links and you know, some of this is like, I have a lot of links on here from my website there.

Some of 'em are from my competitors. Some of 'em are just from like, uh, you know, full resource, not local resources. Um. You know, like a runner's world and things like that. But yeah, it's pretty interesting to, to see this and you can learn. I, I'm looking at it like, oh, like, well, I could kind of look and see what some of my competitors are doing and what that looks like and how, how maybe they're doing on it.

Correct. So you're already doing really well. You don't have to do much. However, if you stay on top of that. Yeah. No one's gonna come near you. That's what I'm trying to say. Right. Love it. At this moment, that information is available to everyone else well. Mm-hmm. If they wanted it. Yeah. So Couldn, they sit there and try to claim those [00:31:00] citations.

Probably if they put their time and energy, anybody can do it. However, if Kevin does not Right, he doesn't give a break. He's just going and going. No one's gonna catch up to you. Basically, you own Boca Ratone forever. Yeah. If you just follow that blueprint. And I believe everybody here has that same privilege in the towns that they operate in.

There's only so many links you need to get to be number one in your town. Yeah. And I know from a economic perspective, you don't need a million patients to make good money. You don't. Yeah. You just need it. I'll have a whole bunch of patients consistently coming and referring you. It's a, it's an engine, right?

It's a flywheel that works. So if they can nail this component. And it's still free, right? We're not running ads on Zuckerberg to show up inside JGBD. We're not paying anything to Sam, right? Altman, to show up. We are simply taking care of our own things like. Writing an article and submitting into Runner's World or getting invited to a podcast like this and showing that we're the expert, [00:32:00] and I think I'll mention like what everybody should be thinking about.

Is that okay? Mm-hmm. Kevin, just talk about it. Yeah, go. Love it. Yeah, love it. I love a little prescription for everybody. The first thing we need to do is we need to model our buyer's intent. So that's what that first, uh, sheet was like. What are they punching in? Because we are not the one punching in. This is a customer in pain or some sort of issue.

They're searching for an answer. Everything stems from that, right? Those all questions, that's what we call prompt. Mm-hmm. It's modeling thereby, so you can go to ch, you can go to your search console and look through the long tail key. They're probably in line with that. If you have done SEO for a while, your your search console page 3, 4, 5, 6, with very few impressions.

They're exactly the long questions that they're being asked. The second thing we have to do is we have to answer them clearly. So on our website, put the question and answer them clearly, which is the reason why you showed up about that shin thing is because you have a page about it and you've answered it clearly.

When I say answer, clearly it's not, we, [00:33:00] we, it's a maybe fix. It's a yes or no fix, right? Like we. Serve these types of patients and this is what we do. Here's all our different, you know, models of, uh, helping you put costs. Anything that you can give to answer them as clearly as possible, you win. And the third one is that you have to prove that you're an expert.

That's easy for a doctor. You are already an expert. You've done all the hard work. You just have to go do the legwork and claiming around all these web pages and properties that you're the expert, because in digital, that's the only thing they can check against. It doesn't call your office and see if the doctor's legit.

It just checks digitally, and I think that's so much easier to to fix. Even if you had to pay, right? If you had to pay a link or article or something, it's going to fix it. And if it gives you a finite number of links to go get it, yeah, it's like a pretty cut and dry. And the last one is tracking, optimizing, and keeping your content fresh.

Because, you know, everybody's business is [00:34:00] changing. There's new stuff coming out, there's new ways of treating the patients. Probably more efficient way of doing it. Um, and maybe pros and cons, putting that on the webpage. Mm-hmm. So our website is by far the best resource for our patients. You're gonna win, right?

Yeah. If you put no content since three years, you're probably not gonna win that. That's the challenge that I have for everybody. I love it. Um, it's, uh, sorry, Becky. Cut that out. Someone. Okay. Um, 1, 2, 3. Yeah, no, it makes sense. And then that's one of the things that I, I wish people get more stuff on their website.

That would be amazing. Um, now I just want to, you know, we don't have to dive too deep into it, but I want to. Get a little bit of a clearing on what the two were. Now, are you using SEMrush to help with prompts? Is that accurate? Yeah, so we use Somer and or whatever, anything [00:35:00] that, anything that can track questions.

Everybody's building questions because of Google Carryover. Mm-hmm. Mm-hmm. But they do have their own answer engine optimization, but it's just not as user friendly. I think Rider Sonic did a better job in solving a. Industry problem, but they were already in the AI business. Yeah. Um, however, we are actually building tools on top of all of this just because it's, it's, we have small businesses as clients, as well as large businesses.

Yeah. Sometimes the cost doesn't carry over. Where it starts to break economically is when you have 300, 400, 500 prompts. Yeah. It just sort of becomes a very expensive ordeal to track because again, no one's figured it out yet. I don't even think chat. GPT knows that there is an industry is being built around tracking what it's outputting.

Yeah. You know, it's like that's what we're doing. But essentially that's, yeah, that's, that's why we're building our own thing so we can keep costs low and serve lower, uh, budget clients on a very massive problems that no one's ever figured out yet. So we're [00:36:00] fortunate. Yeah. And, uh, you obviously the per the chiropractor could probably start to just search certain things on their own, on, on these different platforms and get an idea.

Absolutely. I would search as someone, not themselves, because Chad, GBT and Perplexity knows all there, you know. So you, you'll always get what you wanna see. You, you should log in from your wife's account or somebody else's account. Yeah. And then just sort of search as if you were a consumer and then see what it is.

Um, it's, that's what my recommendation is. Also, you can go chat to BT and not log in and search, uh, until it tells you to log in. So you do things like that just to see how you perform. You don't have to use a tool, you don't have to use anything. You just need to do what. Average marketers we're doing.

Yeah, you'll get above average results right now because the algorithm's very simple. Right? Yeah. It's like if you haven't claimed and gotten a bunch of locations claim for your, you know, Yelp and MapQuest and whatever else. Mm-hmm. [00:37:00] Talk to Kevin, get that done, because that's like half of your work. Yeah, for sure.

Of the things you should have done anyway. Now, um. No, that makes sense. You got me thinking. Um, is there, do you offer a service for anybody, like on, on doing the audits or is that just, you know, part of what you work with clients? Absolutely. So, um, I do, the reason I do that, it's essentially not even the audit.

Audit is part of a blueprint, right? Yeah. So everybody needs some sort of a blueprint. My buddy's building a nice house. He's moving just like you, and he's in the construction business, believe it or not. He builds half a million dollar kitchens. So if I ask him, did you build your house without a blueprint?

He say, no way. I'm in the business. I've done millions of kitchens. But he wouldn't do it because he needs to know exactly where the, you know, electrical and pipe mm-hmm. And plumbing and everything goes. Yeah. All of us are trying to solve this giant problem of showing up in a complete new platform and no blueprint is that we're just gonna execute sort of like blindly and not know what is going to happen.

So [00:38:00] this audit. Recommendation. Right. What to do in actually helping someone execute sort of becomes our blueprint because it's such much more strategic and we could just sit down and ask, is this the problems that we want? Which is what I said to you. Are these the proms that we wanna show up for? Yeah.

Are these the competitors that we really are competing with? Does that make sense? Mm-hmm. And then let's track our visibility. And so when we show up for those prompts, we're that's actual money, you know, prompts. Yeah. These are the ones that our customers need and we need to be there for. And so which, go ahead.

Sorry. Which software, um, gave you the visibility Me measure of like 30%? That's, so that's writer Sonic. Yeah. Yeah. So writer Sonic is where you could plug in your. What your, your prompt? Yeah. And then do you, do you also give them like what your URL is or brand and things like that? Absolutely. So they're building every single day They're mm-hmm.

Crushing it and just sort of engineering things 'cause it's new to everybody. Um, so [00:39:00] they, when you put in a domain name, it'll tell you what the topics are based on what it reads, and then it'll give you prompts that it thinks, or you can override that by putting in your own prompts. So we've been opting in to write our own prompts 'cause we've made a custom GPT and we put in, you know, a lot of.

Parameters on what a good prompt is because of years of, you know, being in the search business. So we plug in our prompts and now we have a library of prompts for every client we saving in a database. 'cause now it's like as valuable as it can be. And so we can plug that prompt into any software, any of 'em, perplexity, chat to whatever, and see the output.

So we may prompt sort of a middle. Does that make sense? A database. Beyond an Excel spreadsheet so we can tag everything down to a prompt. What prompt are we working on? Where? Where? Where's the page on our website that this prompt would go and find? Mm-hmm. Mm-hmm. Like we have to think like a site map, right?

So every prompt is technically something you're doing on the website to get better. And so prompt isn't one thing, and then we just use these tools for tracking because [00:40:00] nobody wants to do that. They're just going to be machines that track for you. Yeah, man. It's like drinking. It's like drinking water out of a fire hydrant, but I love it.

I did not know any of this. What, like two quarters ago? Yeah. We were just like, okay, chat GBT what it can do for you. It can save you time and all these things. And then one day, um, our team start to track, we get a lot of leads. Uh, we have a field on our website that's called, how did you Hear About Us?

Mm-hmm. And then we kept seeing leads coming in with ai, grok and a million chat GBT. And so we're like, wait a minute. Wait a minute, what is going on here? Yeah. And so we realized that. One of our business, 50% of our leads are coming from Chad, GPT, and it's free. And they're not only seeing it, they go to our website, fill out an 18 field form.

Yeah, we're like this. This can't be ignored. This cannot be ignored. And so we went on a rabbit hole to figure out what the freak are we doing [00:41:00] right. To get this and how do we replicate this? Mm-hmm. Right. So it was a problem. And obviously our customers all are paying us for search and all of this. We're like, we need to incorporate this for everyone because, because there's not a, you know, there's no like a EO school you can go to.

Yeah. At this moment. Not yet. Not yet. Not yet. Yeah, exactly. There's no, that's your next idea. I know. And they were like, okay, we have to first figure this thing out. So that's how got us into this thing. And then we became, like you said, a leading educator. So next year I plan on having a webinar every week.

Mm-hmm. Because there's so many small business owners that don't understand this from, you know, and so we just wanna educate people and then help them solve their own problem or help, uh, execute if somebody needs help. But I just love sharing everything we know. Because of the fact that I think it's, it's so new and exciting.

And also I think just like we used to be Google, uh, fanatics. Mm-hmm. And that's all we talked about. This is going to be our next thing. Except instead of one brand like Google dominating [00:42:00] it, we have five or six companies. Mm-hmm. We now have to please. Yeah. Grok is a different training set than, you know, Claude.

And it is different from perplexity and, and so we are like learning six languages at once. It's kind of different, right? Yeah. It's used to be just Google. There's been millions of articles written about how to go up and show up on Google, but now it's kind of like, wait, like everything is different, which is that one chart I showed you is how well you perform per brand.

Mm-hmm. Which is why this whole thing gets very interesting. Yeah. I love it, man. This is great. I, I really appreciate it. We probably have to do a, a part two, three, and four at some point this year. Uh, but how can our audience, uh, find out more? How can they reach you? Well, uh, you just have to go ask Kevin and okay, get my information.

But I've created a free 45 minute presentation, and, and we're both in Strategic Coach. We love 10 x is easier than two x, so I bought a domain name. It's called 10 x Info. You can just go and watch [00:43:00] everything I said in a free presentation. You don't have to pay us anything. Watch it. You're not gonna get cold calls, no one's gonna email you.

It's a free presentation. Go to 10 x, do info. Watch what we've done. What we do to help entrepreneurs like yourself show up inside Chad pt, Claude Perplexity, grok, you name it, Gemini Copilot. I mean, every one of them is the same, but they're just different engines that would help you get up to speed and then hey, you know, just execute everything we just talked about.

I love it. Have a great one. Okay, you too. Thanks for having me. Absolutely.

 EPISODE 459: Signal vs. Noise: How to Tune Out Distractions and Win in Business

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

459 Signal vs Nose

[00:00:00] Imagine you're driving through a storm rain, pounding the windshield wipers, going crazy, radio blaring warnings. Yet somehow you still spot that faint exit sign and gets you home safely. That's the difference between signal and noise and business. Most entrepreneurs are drowning in noise, but the ones who build empires, well, obviously we don't care about empires, but you know, build really good businesses.

They lock into the signal. And today we're gonna talk about how to exactly do that, the signal verse, the noise in your business. But before we do that, uh, do want to make mention that uh, we have a. Fun opportunity. If you're in Europe or if you're in the States and Canada, you wanna travel over to Europe.

Uh, but we do have quite a bit of a European audience, which has been pretty cool to dive into the statistics of that. And so if you are listening, uh, we're going to be in, um, London, June [00:01:00] 20th. So it's gonna be June 20th. We're gonna be in London for a patient experience masterclass. It's gonna be myself.

And Dr. Chris Chippendale, who is in the uk. And so we're gonna, uh, it's gonna be a one day event. It's gonna be in London. It's actually gonna be at the drafts London. Um, so drafts like D-R-A-U-G-H-T-S, that's how they spell it over in the uk. But it's uh, cool. Actually, uh, two friends of mine. Um, uh, started the drafts.

Uh, there's two in the London area. This one will be in the Stratford area of London, but it's a, it's a board game cafe. Really cool location and uh, we're gonna host it there. They've got a whole setup where you can host meetings and classroom style. We're going to probably limit this to 25 people. It's gonna be all day on the Saturday, June 20th, and the morning session will be with Dr.

Chris Chippendale on the Dr. Patient communication [00:02:00] experience, and then I'll be in the afternoon. Um, and that'll be service versus hospitality and marketing essentials for the patient. And this information will be, uh, you know, suited for any car, whether you're in the Europe or if you're in the States or Canada.

Um, gonna be suited for that. So don't worry about that. Um, that'll be from 9:00 AM to 5:00 PM on June 20th. And you can just simply go to.

Bitly, BIT LY slash MCM UK 26. So that's Bitly B ly slash mcm UK 26, and we will put that in the show notes, so hopefully we will. See you there. Excited. Uh, there's an early bird right now, uh, before the end of March, so please sign up if you're gonna go. I really, uh, hope you sign up soon. We're trying to gauge.

How many people [00:03:00] we are gonna have there, but we're gonna probably cap it at 25 and we're getting some good feedback and we'll actually probably have a few people over from the states, from our mastermind group there as well. So, alright, um, not that long ago, what made me think about doing this particular podcast, solo episode of.

Signal versus noise was, I was listening to another podcast. I, I listened to so many podcasts. I, I forget which one it was, but they were interviewing, um, Mr. Wonderful from, and I can't even remember what his real name is, but he's from Shark Tank. And a simple question was, you know, what do you usually see amongst the successful entrepreneurs versus the ones that struggle?

And, uh, he mentioned that the successful ones do a really good job. Of focusing on the signal and not the noise. And he said, you know, um, your day should consist of spending 80% on signal and 20% or less on [00:04:00] the noise. And I think as chiropractors we struggle with that. And part of it's inherent to the fact that, you know, if I said to you, you gotta grow your practice.

And you gotta focus on the business side of that. Only doing things, uh, marketing and business growth related. One would consider the signal and everything else, the noise, but we have to spend so many hours on treating patients and so. I think one of the things I bring to the table is being able to apply business and marketing strategies, uh, to the real world of, of being a, a practicing chiropractor.

And so I would say, you know, obviously treating patients is the signal like you gotta be when you are treating patients, you have to be focusing on treating patients and providing the best care and experience you can because that will drive a ton of referrals. So a very. Often, uh, distracted or, [00:05:00] um, chiropractors that are not, uh, really present, um, with the patients struggle.

And, and, and then there's a silent killer of the, you know, you have the net promoter score. You can Google that. If you don't know what it is, but, um, you don't have a high net promoter score and so not enough people are screaming at the rooftop to refer to you, and that could be a problem. And so you might be focusing on the noise even during patient care.

So if you're doing patient care, that's the signal doing notes, you know, it probably is. It's, it's, uh. Feels like noise in our life and it, and it is in a lot of ways for sure, but we just have to do it. So it's part of it, part of getting paid to. So we'll put that in the signal. But then when you have downtime.

Uh, within your work week, not on Sunday or whatever, but you have downtime in business hours and you're not treating patients, you have to consider the, the short periods of time that you do have that [00:06:00] is not with family and not with patients, but still working is you gotta get really, really good at focusing on the signal.

'cause you might only have four to six hours a week. To work on business and marketing, right? And so you better be very strategic with the that time and not be filling it with noise, right? And so how they define signal would be meaningful, high leverage information that actually moves your business forward.

Core metrics, customer truth, long-term trends, your unique vision. You know, like really focusing on the things that are gonna move your business. Forward. And then noise is everything else that feels urgent, but isn't important, right? Just all that type of stuff that we know. And so we gotta to really figure out how much of your week is spent reacting to things that won't matter in a year.

And we gotta be able to define signal versus noise.[00:07:00]

And then now I'm gonna kind of marry. You know, a strategy around that and essentially defining your North Star, or I've mentioned it quite a bit over the last couple months, whether it's coaching, uh, clients or maybe on the podcast. Um, but we, we had, uh, the great game of business, come speak to our East West Mastermind meetup in New Orleans back at the end of October.

And, and it was all about the critical number and getting very clear on the critical number of a, of a business. And then for us as a, as a chiropractor. And so I think if you can get, and that's, we're really hitting this hard with our coaching clients and, and we've onboarded quite a few new ones beginning of the year.

And this is where we're really starting out with them a lot. Is getting hyper-focused on the critical number because then that is what I'm finding, at least in my practice. And in M-C-M-I-I, we did our critical number for health Fit [00:08:00] my practice, and we've done it for MCM and it's really helped, um, focus us on the signal and the, so there's four characteristics of the critical number.

Uh, and if you heard this, sorry, you hear it again, sometimes you need to hear it seven times before it really sinks in. But how the great game of business defines it is one is the critical number is a weakness or a vulnerability. Two, the critical number is measurable. Three, the critical number is a performance yardstick.

And four, the critical number is a rallying point for your team. And so we as a group and MCM, we, we kind of teased out what some probable critical numbers could be for a, a chiropractic practice. And then sometimes you have to dig deeper, right? So I'll list them out and I'll give you an example how sometimes you have to dig deeper.

New patients could definitely be a critical number. Um, it's not always, we've actually had a lot more of our clients [00:09:00] where it's not new patients. We have quite a bit of practices that they're getting a healthy amount of new patients. It's not a new patient problem, but there are definitely pro practices that need more new patients.

Another one is office visits. Now that's the one I'll, I'll tease out a little bit that. Office visits could be a critical number, but if we're not careful and this is what we've been working with our clients, that could just be a surface level thing. And as we dig deeper, we were like, you know what? Um, yeah, we need more office visits, but there's a reason why your clinic is lacking office visits.

And so I've had clinics where the new patient's numbers are great, but the office visit amount doesn't really match up, uh, with. The new patients they're getting and the historical years they've had behind their belt and their practice and the, uh, reactivations they, they should be getting right. So, uh, you know, a practice, if I gave you two practices that do 30 new patients a month, one's been in business for two years and one's been in business for 12 years, the [00:10:00] one that has 12 years is gonna have a lot more reactivations and potentially more visits because of that.

More maintenance patients, more vi, more reactivations. Than the practice that has only two years, as you can imagine. But, um, an office visit could be a critical number, but I, I could dive into it and say, you know what, it's not office visits. That's the problem. Yeah, it is. But deeper than that is your patient adherence is bad.

You're getting new patients and you're getting reactivations, but not enough of them are following through with what your treatment plan is. Right. And so that's one example. There could be five things causing lack of office visits, but I just want to give you an example. Of how it could be deeper rooted, right?

Uh, yeah. Revenue could definitely be a critical number, but a lot of times that's a, uh, we gotta dig deeper there, but sometimes it, it is the critical number and we, we need to tackle like three things to do it. Patient adherence could be a critical number. Office visit average, right? The dollar amount per visit average, right?

So if I took your last three years [00:11:00] of office visits divided by revenue, there's a number, 50 bucks, 75 bucks, $80. A lot of our clients, OVA is the problem, right? They got good new patients, they're doing good with patient adherence. Office visits are good, but they have a very low OVA due to maybe particular insurances or cash rates they're charging, things like that.

Another one could be. Percentages of new patients scheduled scheduling their treatment plan entirely. So how many of your new patients are scheduling their entire treatment plan out? That's a really good key indicator for a practice. Um, higher patient adherence when they do that. Lot of reasons for it.

I'm not gonna dive into it on this episode, but this is something we tackle a lot. Uh, reactivations could be a very, um, common. Critical number you might be doing good in, you know, new patients and offices are good. OVA is good. You're doing pretty good at patient adherence, but we're just not getting enough reactivation.

So we need to target maybe a [00:12:00] marketing strategy to get more reactivations. Uh, you know, another one could be packages sold, right? Um, if you sell reasonable packages, that can be a great indicator for a practice. And so those are some of the things that, you know, you gotta get really clear on. For your practice and then build a strategic plan around it.

And then that strategic plan becomes the signal and everything else, the noise. It doesn't mean you don't touch up on this or improve that a little bit and, and, and monitor that, but you're spending a lot of time tackling that one critical number or what your North Star is, right? And so you, you want to try to, once you've gotten clear on that.

You want to try to create some noise filters, right? Maybe a weekly review, right? What did I spend time on this week? That won't matter in six months? That's a good question to ask yourself. Maybe you need an information [00:13:00] diet. Um, curate your feeds, ruthlessly unfollow, mute, batch check, you know, the news or.

If you're listening to too many audio books and, you know, or podcasts, you keep listening to this one, hopefully. Uh, but sometimes you gotta, you know, I've done this every so often. I, I consume a lot of information. I just enjoy it so much, whether it's reading or listening to podcasts or, uh, whatever. I, I just try to digest as much.

And, and part of that is too, 'cause I try to digest a lot of information. And tease it out and then be able to present it to you, the audience. And, uh, this is an example. This episode's an example. This was something I. Uh, listen to on another podcast like, oh, you know what? This makes a lot of sense for, for, for all of you.

And so it's part of my job, but sometimes I go on an information diet and say, I just gotta go heads down. Um, you know, build some deep work habits. Um, this, one of the things, I love Cal Newport. I love a lot of his work, but he has the book called Deep Work. So like kind of [00:14:00] time block focus periods, turn off notifications.

And really do some heads down work that you need to, to grow your business, right? Um, another one is, uh, say no gracefully, right? Uh, practice scripts like that's interesting, but it doesn't fill our current or doesn't fit our current focus, right? And so if you get really clear on what your North Star is and your current focus, it becomes easier to say no to things that don't serve you.

Okay. And so, um, you know, I think Signal is quiet, persistent and boring. Boringly powerful, uh, noise is loud, urgent, and ultimately empty. Okay? Uh, and I wanna just challenge you this week, right this week, pick one source of noise in your business. And eliminate it, and then, uh, see how that feels, and then go to the next one.

Right? And so, you know, the, ultimately the, the quietest companies are often the strongest, right? Tune out the [00:15:00] noise, lock under your signal and what happens next? Watch what happens next in your practice. And if you need help, uh, figuring out what the signal is for your practice. That is something that as we at MCM have grown quite exponentially over the last few years with helping chiropractors, whether it's in our traditional coaching and marketing programs or our masterminds or online courses, is we're, we're getting even better to understand.

What our signal is as a company to help chiropractors out and what your signal is to help you have a direct path to achieve the results you need because it's different for everybody. And being able to tease that out when you're in it is sometimes hard. And, and us, uh, our coaches, me, uh, Kurt Kippenberger, who we got an episode coming out with him, Ashley Jordan.

Um, Brendan Donahue, who is, uh, wanna welcome him. He's one of our new associate coaches outta St. Louis. [00:16:00] And, uh, you know, our whole team, uh, Becky and our account coordinators, Emily and Anthony, uh, Darcy helps us on the SEO stuff. We got quite a team around here to help you out on what the signal is for your practice.

 EPISODE 460: The Current Landscape of Evidence-Based Practices with Curt Kippenberger DC

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Kevin Christie: [00:00:00] All right. Excited to have Curt on the, on the call today here in our podcast, one of our, actually our first associate coaches for MCM and really helped us, uh, go from a, a small mom and pop shop of me doing some one-on-ones to building out a team here at MCM helping out, uh, chiropractor. So, so welcome to the show.

Curt Kippenberger: Yeah,

thanks. Always a pleasure to come on and, uh, connect with our MCM community in a different way. Absolutely. And before we dive into it, uh, what was your positive out of 2025 as we record this? It's the early part of January. Might be late January, early February as it come out, comes out, but what was positive for you?

Yeah, I think we'll probably get into some of the topics that really helped me in, uh, in the Portage 2024 to 2025. But everybody has rough times in practice, rough times with family, rough times in their professional career, and 2024, I mean, it, it just flat out. It sucked, man. It was hard. . Lots of, lots of other [00:01:00] things going on personally in my life. Yeah. But, um, yeah, between my team internally here at Focus on Health, uh, my family, my MCM family, including the, the coaching clients that we serve and mm-hmm. The, uh, mastermind communities, I mean, all of those troops, rallying behind 2025 was a complete turnaround.

We went from, uh, a, a fairly decent loss to a fairly decent, uh, profitable. Uh, gain in 2025. And so obviously you can imagine financially that's huge for us, for the practice, for our family. Uh, and you know, I don't wanna say for your ego, but for your purpose, right? Like you, yeah. You spend a lot of time trying to refine your craft and be really good at it, and especially in the evidence-based world, and then you just get dinged up and you're like, well, is this even worth it?

Um, so yeah, I would say, uh, just an overall flood of my purpose and my passion. I was actually talking with one of our clients this morning and he said, I'm stepping into 2026 inspired. [00:02:00] And I was like, man, I'm right there with you. That's exactly how I feel. Mm-hmm. I've got as much fuel on my fire. For what we're doing here internally at Focus on Health, what we're doing with MCM and uh, yeah.

Um, as Brett Winchester would say, I'm more on fire today than I was yesterday.

Kevin Christie: Yeah. And you know, it's one of those things where I, I learned some years ago from, from Strategic Coach, they talked about it is, um, some years are stabilizing years and some years are accelerating years. And, uh, they're not all accelerating years, even the best ones.

And, uh, you know, it's, it's okay to recognize that, you know, probably for you, 2024 was a stabilizing year, and then you were able to stabilize that and accelerate in 25 and then. Probably compound that acceleration into 2026, and that's what we look for. You know, if I were to, if I were to do a cross section of a 10 years of a chiropractic practice and, and it, whether this was mine and or yours or others, is, I feel like in those 10 years, there's probably [00:03:00] two.

You hope that they're not back to back years, but there's probably two out of the 10 that are real stabilizing. Like, okay, we gotta right this ship. And then, uh, you know, then from there, the eight would fall into hopefully. Some sort of accelerating, but I think there's a, a, a spectrum of that. Some are just kind of like, yeah, we're, we're doing pretty good.

We're not great. But then we have maybe 4, 3, 4, 5 of 'em are like, oh, this is a really good accelerating year. And I think that is what one should expect when owning a business, uh, of any type. Right?

Curt Kippenberger: Yeah. You know, everybody talks about the seven year rich and so many different facets. Right. And I had this weird crossroads in my life, I think.

I think it was right before Krista and i's seven year anniversary, or maybe just after it, but it was before I was seven years in practice for sure. And I, I just reflected back. I was like, man, okay. I was a high level wrestler for seven years and then, and then it was done [00:04:00] and I raced my bicycle semi-professionally for seven years and then like that's behind me.

And I was like, okay, we made it to seven years in our marriage. Like we're in year eight or nine. Like, okay, cool. Then I was like, oh shit, I've got this chiropractic career. And I can remember when seven years came, I was like. Yeah, this wasn't so bad. And then, uh, of course, a couple years later at the 10 year mark, that's when COVID hit.

And so yeah, the, maybe, maybe there's different niches, but you're certainly right. Somebody at some point is gonna focus a, a tough time or something that really requires a high level of acuity to Portage. Within your first 10 years. Yeah. Then there's always that funny saying about it is, uh, sometimes in your business, you know, are you the, are you the firefighter or are you the arsonist?

Uh, sometimes I think we might get bored sometimes and we set fire to our own business maybe. Subconsciously, or we know some people that do it consciously. Um, you know, it's kind of, it, it kind of goes back also to, you know, whether you use the fire [00:05:00] analogy again. You gotta kind of burn some shrubs there.

Or, or, I always really enjoyed, uh, Dr. Henry Cloud had a book and he talked about. It was called Necessary Endings was the book. And he talked about pruning your, you know, your bush and, and you gotta prune that sometimes to allow for growth. So sometimes you do have to be a little bit of an arsonist. You don't wanna burn the whole thing down, but you gotta clear the, the brush and, and that way you don't let it really burn on fire.

Right. Um, and, and you have to be able to navigate that strategically, um, sometimes. And that, that can be the tricky part. Absolutely. And you know, the, the brush that you're speaking of could be. It could be human resources, it could be procedures or processes, it could be systems. And I think just constantly evaluating those needs is what takes to drive a business forward.

Yeah, no, absolutely. And one of the things I also wanted to mention from what you were saying was. You know, you are a coach to other [00:06:00] chiropractors. I'm a coach to other chiropractors. We have Ashley Jordan. We're onboarding, uh, another one we're growing. Um. And I've faced this and you probably did sometimes, you know, even us coaches, we have our own struggles in our practice.

Like it, it would be, it would be uh, really a farce if you thought even the chiropractors with good practice. 'cause you have a really good practice. I know I do and Ashley, like we have good practice. But even with that. It doesn't mean we're, we're immune to the struggle. Right. It's part of it and, but sometimes you as a coach, you're like, well shit, like my practice is having a bad month or a bad day or a bad year.

Uh, you kind of get a little bit frustrated with that 'cause you're coaching chiropractors to do that. And I've been in that. I mean, we've had some years where it's like, shit really bad. But it's being able to work through that is a skill set and, and having. Coaches or mentors or groups, accountability to help you through those times, [00:07:00] right?

Yeah. I can't tell you. I'm, I'm sure it's 100% if it's not, let's just call it 80% of my clients after our, as we're approaching the end of our call, I think I've thanked them for giving. They gave me more than I gave them that day. And I, I think that's the unique thing about mentorship is it's not a, it's not an I'm a leader.

Follow me. It's a we're learning together and we're, we're going through these processes together and hopefully we identify some things that you mm-hmm. Maybe haven't navigated that we can help you navigate. Maybe you see some things that we're about to have to navigate and that co-learning I think is something I really appreciate about the Mc M community and both in our coaching and in our mastermind.

There's not a lot of ego in the room and there's no gurus, and people are really just out to help make the profession better and make the person on the other end of the phone or the other end of the table better. Yeah, and sometimes when you're coaching, I, we talk about it when we have our, every other week coaches meeting is, you know, we have our, our trainings and lessons [00:08:00] and all that that we have for MCM to help chiropractors, better at marketing, business, communications, finances, all the things.

And we, we work. Clients through that stuff, but then we have to recognize sometimes, uh, it's a call where we're just putting out fires or there's an opportunity like, oh, you got a really good opportunity. So it's on the positive note. Sometimes we have to come in like it's bar rescue and, and and, and try to get it going.

And that's fun too, right? It's, uh, it's always interesting navigating the different scenarios that we do face that these, these practice owners do, you know, deal with. He just inspired me to wear a suit to every call and, uh, grow my hair back and slick it back a little John Popper style. That's awesome. I would, yeah, I mean, it would be fun to go and actually go in person and do chiropractic rescue missions at, at clinics in person.

Yeah. Well, I know you and I have talked about that idea of going and auditing a practice that we're, you know, engaged with in coaching and Yeah, sometimes spending an hour or two just as a fly on [00:09:00] the wall, you can really identify some. Some opportunities or really pat some people on the back and say, wow, man, like we've seen this.

200 other times and what you're doing is a well-oiled machine. And you know, I think that that's, that's a cool idea. It's, it's very logistically difficult, but I think, uh, I think on down the line, maybe that's something we should look forward to. Yeah, it probably comes with a price point that too many car partners and I might not want to pay.

Um. But I wanted to switch gears a little bit. You know, based on your clients you have that you're coaching or some of the members we have in a mastermind that you collaborate with and work with, what are some of the things you're seeing, some of the best, uh, practices do the right way to, to get where they are?

Yeah. You know, if we, if we look at that idea that you were talking about, the pruning, um, one of our mastermind members, Ben Fergus, he, he uses a phrase blowing stuff up. Um, yeah, yeah. And. Ben is probably one of the best in the world at just like really objectively evaluating [00:10:00] things and just like this isn't working, and he either flushes it or significantly changes it to pivot on a dime.

Yeah. And I think that that realization that nothing is concrete, everything is plastic, everything's moldable. Uh, that's. That's something we should strive for in private practice as clinicians, as business owners. Because if we're doing the same thing that we were doing two years, five years ago, like we're, we're stagnant.

We're not serving our community, our patients any better. And so, yeah, I think the constancy of evaluation. The adaptability, that's what we're seeing some of the top practices do. And. One of my, my wife's favorite quotes is, any system can be changed on your next new patient. And so you don't have to sit there and ho hum and, and give it 90 days to release this idea.

You just, mm-hmm. On a dime and start tomorrow or next hour. Yeah. Uh, definitely, and, and Ben, I feel, is a really good representative of what an MCM doctor is. You know, he's, he [00:11:00] is very clinically skilled and knowledgeable, but he also cares about running a good business and doing it ethically, and it's been cool to see him do that over the last handful of years.

Absolutely. So cool. Now let's, uh, go ahead. Sorry. I was gonna say, and I think the other is, you know, we, we evaluate the front end, so all of the, the systems and the stages, but I think something that the Mastermind is really. Empowered me to do is really looking at the financial backend of everything, and we talk about delivering ethical care.

Well, there's ethical ways to run your business too, and not just, not just trying to money launder and not just trying to, you know, bill for more what you do, but literally protecting a profit margin that protects your practice, that protects yourself, that encourages good, healthy growth. I, I think until we heard Ray Tuck.

Talk, you know, two or three years ago in Mastermind, uh, I had judged everything off of our top line revenue and not necessarily on purpose. It was just easier numbers to look at. Right? And it's like, [00:12:00] yeah, collect a million bucks and, you know, 995 went out, you're like, cool, we make, we made 500 or $5,000.

Yeah. Uh, but yeah, you know, long term, that's not very sustainable. And I think that. To have the ability to maintain grit, you have to have a healthy profit margin, and I think the cash confidence course that MCM released is a really great platform to understand your numbers. In depth and, and make sure that you're doing this not only two days from now, but two years, 20 years, 40 years down the line, and it's got some equity at the end to get rid of.

Yeah, no, absolutely. And, and that's one thing we try to do is, you know, I think there's a, I think there's a misconception that chiropractic practices aren't worth anything when you go to retire now. Yeah. I mean, the vast majority of chiropractic practices. Probably won't sell for your entire retirement nest egg.

There are some that will, if you can get into the two to 3 [00:13:00] million revenue range with good ebitda, you could probably get a good, very good chunk for something like that from private equity. Granted, a person that's got a practice doing that kind of revenues probably living a little high on the hog, and so.

You need more nest egg to maintain your lifestyle. It's all relative, right? Yeah. Um, you give someone $3 million and they would probably be doing jumping jacks and set for retirement and others is like, okay, that's one part of my retirement. I need more. But you get the point. You, you can sell it for a pretty good, you know, piece of your retirement, not everything.

And we wanna build it that way. We wanna build, build it that way from the beginning. And I think that's what we. Our aim is as coaches, so not even for the fact of selling it down the road, but if you do it the right way like that, now it becomes more profitable and becomes your kind of golden goose. And then you're able to do things like we've had, I had posted in our Facebook group, we've had I think nine I.

Uh, MCMs, whether they're coaching clients or mastermind over the last three or four years, buy their office real estate that [00:14:00] I know of, and that's, that's a big chunk of your retirement down the road. And so if the practice can spit off profits to be able to do something like that, then you're. You're on a whole other playing field with it.

It's not, I don't think everybody has to buy, I don't think it's the end all be all, but it's definitely nice in the scenarios that it makes sense to do that. But, uh, let's, uh, let's switch gears a little bit. You know, you've been coaching for a while, even before you're coaching with us, but, um, what are some of the kind of mistakes you see with, with some of the clients you work with and something they need to keep an eye on?

Yeah, I think. I think the majority of our profession probably looks at mentorship and coaching as a luxury or maybe on an as needed basis. And I really think that regardless of you surrounding yourself with like-minded peers and creating your own mastermind, whether you engage with a formal coaching service like Mc M or whether you join formal groups like.

Uh, the Mc m mastery for Mastermind or [00:15:00] Strategic Coach, those high level rooms, you have to have that. It's not a, it's not a luxury. It's a non-negotiable. Yeah. And I see a lot of people. Come in having a specific need, and then they might withdraw for a while to go work on that. Mm-hmm. Uh, but the problem is just like our patients when they self-release or when they withdraw their acuity, their audit to, you know, come back in, it's, it's not always there.

And then life gets busy and you have a kid or something else changes and it just gets pushed off. And so I think making mentorship, whatever that means to you and non-negotiable, and something that holds you accountable too. A monthly phone call, a quarterly would be, gosh, bare minimum. And I say the same thing to my patients.

I don't trust anybody's biomechanics past 90 days, so mm-hmm. Don't be flocking out in the world on your own. Like, let's at least put a Snelling chart to the damn thing and see if your mood can still see. Um, so, but I think the, the other phase of that is [00:16:00] when, uh, when things get hard mm-hmm. People tend.

To wanna pull back the reins and, and maybe leave their coaching or leave their consultant. And that could be financially hard. I get it. Sometimes you just gotta. Split hairs and, and do what you do financially. I, I understand that, but I, I do think there's a certain percentage of folks that are, they have difficulty compartmentalizing and prioritizing their practice needs or their professional or personal needs.

And so that's where mentorship can be really great because not only do we identify those things, when we say, Hey, you know what? Like, you've got these six big projects. Let's prioritize what's an A project? What's a B project? What's a C? Let's assign a date to the A projects. Let's put a, a barometer on the Bs.

C's are gonna be in the parking lot until we knock off some of these A's or B's. And I think that when you're stuck inside the pic, or when you're stuck inside the frame, it's hard to see the whole picture, right? Mm-hmm. So when you're, when you're in the trenches. You got two choices you can fight and you can be the buffalo [00:17:00] and go through the storm or you can withdraw.

And I see too many people withdraw at the wrong times. Yeah. And, and to your point with like affordability or you know, you're getting a little crunched, I often tell the story I haven't told in a while, so I'll, I'll tell it now. But you know, I. 20 15, 20 16 was really hard for me financially, both in, in the practice we were trying to navigate going outta network at a time.

I lost a doctor, I was going through a divorce. It was a lot. And I definitely had started to bury myself financially and it was hard. Couldn't, couldn't write the ship. And I remember, I, some people don't know, but I had a. A different podcast called the Modern Desk Jockey, which is the first podcast I started in 2016, before I started this podcast in 2017.

And I was, uh, I had a podcast, a different, a podcast producer back then, and he was a, uh, he had changed careers from a financial advisor to podcast production. He's done really well with that, which has been cool and really helped me get started. And he would listen to my episodes, obviously [00:18:00] producing 'em.

And he, he had emailed me, he's like, Hey, you know. I know your podcast is about health and wellness for the, the desk worker, but you know, financial peace of mind is, goes into that. Would you want to interview someone on that? And I was like, yeah. So he connected me with a guy and I interviewed him and I'm interviewing this guy about financial wellness and I'm like, man, he's hitting all the right buttons with me and I, and I, I need some help.

And so after I got done recording that interview, I reached out to them and I remember it was, you know. It was gonna cost $1,500 a month. And I mean, I was, I was losing two or three times that a month at the time. Right. And I, but I, I did it and I found a way to do it. And, um. It really, it really got me out of it and on a good pace and I, I just owe so much to that.

And it was a hard decision to spend money when you're losing money or even if things are tight, but having the, the trust that I needed someone to help me out of [00:19:00] this and, and I did. Um, and I, I'm much better off for it. So sometimes it feels tight to make it happen, but that's kind of when you need to do it a lot of times.

Yeah. And I think like there's a, there's a reason why it's tight, right? You may. Yeah, exactly. Yeah, you, the definition of insanity is continue to do the same things over and over and get the same result, and I think that we get caught in that hamster wheel effect, but you know, the opportunity cost of something like that, if you have a good group of people that you know, like, and trust, I mean, one of the favorite things about the Mastermind is our hot seats, right?

Mm-hmm. What obstacle or what opportunity do you have? And sometimes they are significant obstacles. I mean, we've had people up and relocate their practice thousands of miles away. Yes, that's right. We had a good, healthy thing going. Yeah. Um, we've had people like the real estate things. We've had lots of, lots of different great conversations.

And um, yeah, to be able to run that at the flagpole of known, liked, trusted colleagues is invaluable. And I, I [00:20:00] did a kind of, on the other side of it is on coaching is there are those that are doing very well and still have coaching. And I did a, I had kind of wr went through our coaching client list and also our mastermind list.

And um, and I don't say this number because you have to have this number to have a great practice. I, I am, I, I've never been a big fan of like. You gotta have the $1 million practice for it to be good practice. I, I don't believe that. I think it's awesome and amazing milestone. You get there, get there.

Like, I, I love it. But I accounted. We have 16 practices that I know of that are above that 1 million mark in revenue and some of them quite a bit more. And yet. They're getting our coaching or they're in the mastermind, some do both. Uh, you know, they're just trying to get even better, right? And I think that's cool is when you also have clients that are, have great practices, which we have many, but they know they need someone in their corner to get even better and, and have that [00:21:00] accountability.

Also, we have a good group feel both on our coaching and mastermind where you, if, if we don't have the answer, we have someone in our, uh, sphere that does. And so that's been been pretty cool to see as well. Yeah, I think what's really interesting, and I'm sure this is not just intraprofessional to chiropractic, but um, you know, I don't know how many NPI seminars I've taken, I don't know how many times I've taken the same seminar.

I've been to adjust Aon just about as many times as in years I've been in practice, at least 15 over the last 18 or 19 years of opportunity that could have been there. Guess what? I still learn something new every damn time. Even though they are allowing me to be a co-instructor, I still learn something new.

And the same things with mentorship. Like once you start to feel like you've got it all figured out, you either need to get a bigger room or you need to quit looking in the mirror for advice 'cause that person's telling you the wrong things. Yeah, no, absolutely. Um. What are you excited about in [00:22:00] 2026? Or just in, in, in some of the things that you're seeing practices do or the profession?

Yeah. Personally, we are really, even though I suspect that this will be, you know, another really great year, we, we did plant a lot of seeds in the soil as we came to the end of 2025. So, mm-hmm. I've done some tech upgrades. We're doing some 3D motion or, uh. 3D Markerless capture system through, and we're gonna integrate that into our functional movement evaluations.

Mm-hmm. Finally bit the bullet after years, uh, and got a shockwave unit, we're integrating that into, you know, the orthopedic side of our practice. We're doing some other things for our gym. So I'm just really excited about reinvesting some tech and some healing technology that's gonna help us take focus on health and movement lab to another level.

Uh, I think, you know, you, I was reading one of your emails this morning about, you know, cash versus, uh, insurance and what to do. I think what's really cool is you don't, it's not a binary decision anymore. [00:23:00] Like you don't have to just be cash. You don't have to just be insurance. I think this hybrid practice that you referenced is really.

I don't wanna say the next step, but you know, there's certain areas that it's just very advantageous to remain in network and it, it removes those initial barriers of access. And so long as you're doing some of these add-on services ethically and empathetically to your patient population and their needs, everybody wins, right?

Like we've talked, what's the phrase we use? Like if, if it improves your outcomes and improves your incomes, that's actually a good thing for both parties. Uh, so I'm excited to see a lot of. All of these big cool technological advances happening around the periphery of our profession and seeing how it's really elevating chiropractic as a whole.

Yeah. Uh, you know, a RT was such like a mind blowing breakthrough mm-hmm. When Mike Lahey dropped this soft tissue technique and it, it's helped so many practices. It's still to this day, standing the test of time. Uh, I'm looking at shockwave and high level laser and needles, all is the same way. And I [00:24:00] think that, uh, we're just gonna see better and better things from our evidence-based chiropractors.

Yeah, I, I had sent out that email 'cause you know, it obviously there's a big trend going cash and I get it. Um, I think there's a misconception that going all cash is the holy grail. Um, I think there's a misconception that being in network with insurances. Is, is evil and it's terrible. Uh, and this coming from someone that dropped all the insurances and gone cash, and I, and I'm personally glad I did, but the circumstances were, were there for me to, for, for me to do it.

Uh, but yeah, the reality of it is, is, is a lot of the big healthy practices that we see. Um, they are in network with insurances and have found a good way to, um, have cash packages, you know, easy, like ours is eight visits in our practice for cash patients or add-on services like dry needling, laser shockwave, and get good at that.

Because the interesting test case [00:25:00] on that is if you, if you're happen to listen to this and you're an in-network provider and you're thinking about going outta network. Why don't you test run, seeing if your practice can sell, add-on services, or to your cash patient patients now and get good at that.

And because if you can't, if you can't get good at that, good luck going cash. You're not, it's gonna really struggle. Now, if you can get really good at it, you may find that you don't need to do it. You might find that your office visit average is pretty healthy because a fair amount of your insurance patients.

Are paying for cash services to add onto the insurance. Yeah. Or you might get really good at it and you find, yeah, I do want to drop some of them, or all of them and that's fine, but let's work through that. And that's something I think a lot of, we, we've been working a lot with our clients on getting good at that in an elegant way.

You know, it's not the. Six month care plan. It's not the $6,000 care plan. It's not like the hard sales tactics that those things take. It's an, it's an elegant way of doing it [00:26:00] at a reasonable, um, offering. I think most providers make that decision on cash versus, you know, in network based off of emotional charges.

You are like, oh, it's hard. Oh, I gotta file all this paperwork. Like, no, you still gotta take notes. You still gotta do your diligence and take good care of people. Um, when you evaluated yours, I mean, I know the story like you were watching your reimbursements rates continue to plummet and you literally just did a cost benefit analysis of how long is this sustainable?

And we've had to do those same things and you just get creative. And if you are seeing that trend, I mean, I've been in practice 15 years, I'm sure everybody else that's listening, whether you're here 15 months. Or you know, twice as long as I have, none of us have probably seen a big increase in our reimbursement rates, and that's just the simple truth.

Um, but you can sit there and bitch and moan about it and you can continue to do what you're doing. You can define insanity. You can adapt yourself and become a hybrid, or you can just burn the boats and, and go all cash. But just make sure you're doing it objectively. You're not [00:27:00] just doing it because it's hard or it's easier or whatever.

It's, yeah. And we have plenty of clients that are cash based and, and doing well, and we work with 'em on that. Again, that's my practice. So I'm, I'm, I'm very attuned to it on how to make it work and it could be good. And, um. You know my concern with like the big. The big care plans like the, when you get into the three, four, $5,000 ones, is that, um, on, on the surface it seems like it makes sense because I'm all, I'm all for chiropractors escaping the commoditization trap.

I'm all for them charging what they're worth. I do think chiropractors are worth a, a, a lot. Um, so I'm all on board with it. But I think the problem is when you see a lot of people doing it is inherently there's a very small percentage that can. Do it, and you might see those. Testimonials are those people that have done it, but it's a small percentage, just like there's a small percentage of NFL quarterbacks that are worth $50 million, [00:28:00] like, and there's a lot of quarterbacks that are worth nothing.

Um, and so in any industry, there are gonna be the outliers or small percentage that can do something pretty unique. That, uh, being able to sell those large care plans and the long care plans, those takes a very, uh, certain type of person and a certain type of sales tactic, uh, to, to do it. And so that's tricky and something that you have to definitely navigate.

I do think there are plenty of. Cash. I, I shouldn't say think. I know there's plenty of cash-based practices and styles of cash-based practices or the things we teach where you don't have to do that and you can still do very well. And uh, that's some of the things we try to, to thread that needle. Yeah.

And one last thing to add to that, unfortunately too, it just takes time and experience. You know, when, when we were 15 days outta school versus 15 years, the acuity on your cases are so much different and you can make such. [00:29:00] Faster clinical decisions. And so school's great. It teaches you how to assess people, make sure you're not going to hurt them and qualify them for chiropractic care.

And it checks all the boxes that you are smart enough to pass all the boards. Beyond that, I mean, you're starting at patient zero when you get out and, and to try to sell somebody, you know, a package that's probably elegant, probably really good for them, right? Like, you know, if it's. Chiropractic and some, uh, exercise management and some diet and lifestyle how whatever, whatever arms that you're delivering, uh, that's great.

But yeah, to, to sell that up front is very, very challenging. You gotta get good at what you call the table stakes, like get good with your hands, get good with. Manipulation and soft tissue and get good results, and then let people start spreading the word and use your patients as your ground soldiers. I, one of my friends sent me, uh, uh, Instagram video, and it was a medical doctor evaluating something that Peter Atia had on his podcast.

Mm-hmm. He was like, everybody thinks that just because we have an [00:30:00] MD or a do behind our name, we know everything and, and we're impervious to air. He is like. We get zero nutrition, we get zero lifestyle, we get zero. This, like, Peter Atia spent a good chunk of his middle career learning how to be a lifestyle and health span expert.

He didn't get that at Hopkins or I, I can't remember where he went to school. I think it was Hopkins. And, uh, same thing here. Like we went to Logan. Both you and I, like, we did not get the experience that we have had over the 15 years, 20 in your case. Uh, to replace that. And so, yeah, unfortunately, I hate to say it, it just takes time to get good at it.

And those other skill sets are great, like being able to talk, being able to sell things. Those are very great traits, but you've gotta have that clinical experience behind what you sell to really be, um. I don't know. Ethical in the delivery of it. Yeah. And we do know Logan is akin to Hopkins, right? Yeah. I I think it's the Hopkins of the Midwest.

That's okay. Um, but to your point, yeah, like I, there's a good episode I've, it [00:31:00] was three or four years ago now with James Spencer. He's actually not too far from me here, and I've gotten know him. When he was a student all the way up, and that's a good episode where he was someone that he charges a lot, like $500 an hour.

Now it might be even more since that episode, but, uh, he spends an hour and, but he didn't start with that. He, he started regular, worked his way up, really built an expertise and a niche, and he's on the, you know, top 5% or 1% of demand. And he's in a, in a very affluent area, and he kept on just increasing his rates incrementally to get there.

And it worked out. I think what we're finding is too many the, the docs haven't been able to position themselves as an expert yet. 'cause it takes time and word of mouth and all that and they come outta the gates with the four or 500 an hour and then it, that becomes really challenging. And again, some can do it, some can do it, but I just don't know if enough can for it to make sense for a lot of people.

And I [00:32:00] think there's a lot of ways you can build a great practice without. Doing that early on. And then if you get to the point where you are now the expert, you can keep on increasing rates or you can drop the insurances. I mean, that's obviously what I did was I did have, you know, people forget, I've kind of led two lives in this profession and people think of me now with MCM and business and marketing.

But, um, I was the sports chiro and working with a lot of pro athletes and going to combine and, and all that. And, uh, I really built up. Luckily a level of expertise, you know, traveled on the PGA tour for a year, did a lot of cool things so that when I did go drop insurances, I had a level of expertise in the eyes of the holder.

At least. I'm not saying I was the best chiropractor, that's for sure, but enough people thought I was, um, that it worked out. It still still was hard. Yeah, and I think the other thing that's hard if like let's say you go with that high, high value model right outta the gates. If you get one or two patients to sign up for that, you're like, [00:33:00] man, that was a thousand bucks.

Like, yeah, that's good. Mm-hmm. But unfortunately, if you go 30 days in between that next one, I know that's where you start to starve a little bit. Yeah, so well look it, man. I'm, I'm excited. We're gonna see you here next week in Park City. Then we'll see each other in, uh, Tampa. We're gonna see each other in Sonoma, in Bar Harbor, Maine, in Dallas, and then probably at an MPI seminar.

Yeah, I think, uh. I think you and i's, travel schedules have gotten closer and closer to each other. If we go a couple weeks without seeing each other, I get withdraws. I don't know about you, but Exactly, exactly. So no, definitely looking forward to it. And um, thanks for your time today, man. This is great.

Absolutely. Yeah. Thanks for having me again, Kevin. Look forward to 2026. Absolutely.

EPISODE 461: Cognitive Distortions

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I'm bringing a solo episode to you on cognitive distortions. And I, uh, had sent an email out about this a couple weeks ago and, uh, you could always get on our e list if you wanna go to the Facebook group and just search our email.

As you can get on there, you could email me. kevin@modern-jockey.com. If you'd like to. We send out a Tuesday email that's, uh, informative and we also send out a Thursday email, uh, letting you know about our podcast episodes and a little quick breakdown of that. Uh, so I wrote a little email about that, but I, I thought it'd be good to, um, do a podcast episode on it.

We. We have a lot of listeners. We have, you know, we get about 50,000 downloads a month on the podcast. The email list is healthy too, but not as much of a reach on the podcast. So I wanted, uh, I wanted to get this out on the, the podcast. Before we do just a couple little housekeeping [00:01:00] things. We're kind of, uh, in the early part of 2026, we, we had a great 2025 at MCM.

We had, uh, 21% revenue growth maintained. Healthy profit margin. We, we grew our, our East Mastermind has been filled for a couple years now. We grew the West Mastermind very steadily, and we're getting close to maxing that one out. But I, I would venture a guess in 20, the 2027 West will be filled. Uh, we've added quite a few clinics.

Uh, we have. Quite a few clinics now that are under our traditional coaching program slash marketing done for you. We have a lot of people that do both, uh, the coaching and the marketing done for you. We have a lot of people that do the coaching and so it's been really cool to see that growth. We had another good turnout in 2025 for the, um, online course we did on cash confidence.

So that was exciting. And we, [00:02:00] uh, brought on, we had some co opportunities, right? We're working directly, we've been working directly with Motion Palpation Institute for quite a few years now. Um, FTCA, uh, we, we've been working with Kenis Medical. Uh, we've been working with, um. Uh, Darcy Sullivan as a podcast sponsor.

We had track set as podcast sponsors, you may know. And, uh, it's just been great to work with them. We added, um, another entity. We added, um, a fix, right? The International Federation of Sports Chiropractors, where I'm on their commission for helping them with marketing. So another great collaboration there.

Uh, we, I don't want to forget, we also work with the North Carolina. State association. So if you represent a state association, we have a really cool program around marketing to help, uh, the, your members with marketing at a very, um, [00:03:00] digestible way. So that's been, that's been cool. Uh, we've done a lot of good work with Cairo up, and so I think one of the things I'm proud of, not only in our.

Just overall business growth at MCM, um, but how we've helped chiropractors, um, grow their business, how we've helped, um, other entities like, uh, state associations and other companies. I think that's been, been really fun to, to do and, and see that, um, grow as well. I think our. Uh, I'm just, I'm proud of the collaborations we have at MCM.

I don't think every coaching group or entity, um, has that, uh, for various reasons, and I'm, I'm proud that we do have that. Um, the Chiropractic Success Academy's been going strong still. Me and Bobby, maybe of FTCA. We started that in 2018, and that's still. Going strong. So that's exciting. And, uh, just, yeah, a lot of, a lot of cool things and looking forward to 2026 with a few [00:04:00] other new wrinkles and, uh, growth opportunities for us and for chiropractors to, to grow.

And one of those is, uh, London Masterclass, June 20th. Go to. Uh, Bitly, BIT LY slash MCM UK 26. I'm co-presenting with Dr. Chris Chippendale out of the uk and it'll be all on the patient experience. The first five people to do the early bird will. Also have dinner with Chris and I and we do have early bird pricing right now until the end of March.

So hop on that. We'd love to see you there. We're gonna really dive deep into making sure you have a, uh, improved patient experience. It's not just gonna be didactic lecture, you're gonna get some heads down work, build out a great patient experience. So check that out at bitly bly slash mc uk two six.

Alright, so. Let's dive into it. I'm gonna kinda read what I had, uh, [00:05:00] wrote about this, and that'll be the, the episode there and I'll probably inject some little caveats and such. Um, all right, so I recently listened to an app series on changing how you think by Dr. Seth Gillihan. He's a licensed psychologist and author of Cognitive Behavioral Therapy, made Simple and also, uh, retrain Your Brain.

He was discussing the concept of cognitive distortions, often referring to them as thinking errors as systemic biases in the way we think that contributes to stress. Sorry, that contributes to stress, anxiety, and depression according to Gallahan. These are not just wrong thoughts, but specific patterns of irrational thinking that lead us to view reality inaccurately usually negatively.

He emphasizes that while everyone engages in these thought patterns, occasionally they become [00:06:00] problematic when they are frequent and intense. Now. I'm gonna read some of the distortions he discussed. Now there's more, right? That's where it comes from. These books that he has, cognitive, uh, behavioral therapy, made simple and retrain your brain.

So don't have all of 'em, but, but definitely worth the read in those books. All right. First one he talks about is all or nothing thinking, viewing situations in black and white categories. If a situation falls short of perfect, it is seen as a total failure. That's, uh, not a good one. Next one is catastrophizing.

Obviously we deal with this with our patients, but we, um, well chiropractors deal with this with their business, right? Uh, predicting the worst possible outcome will happen, even if it is unlikely. Next one he talks about is overgeneralization seeing a single negative event as a never ending pattern of defeat.

Next emotional reasoning, [00:07:00] assuming that your negative emotions reflect the way things really are, if I feel it, therefore it must be true. I think our society has a massive problem with this. Honestly, I think this is what we're seeing a lot in our society. They, they think their emotions are a reality and then take it from there.

We do that in business as well. Entitlement expecting that things must go your way or that you deserve a specific outcome without having to work for it. As I read through those, I want you to kind of put the framing of a, as a chiropractor, you know, this obviously can pertain to your personal life, but I want you to put the framing of it as a chiropractor or a business owner, right?

So you think about that all or nothing thinking catastrophizing, overgeneralization, emotional reasoning, entitlement, entitlement's a big one, right? Expecting that things must go your way or that you deserve a specific outcome without having to work for it. Um, there were [00:08:00] quite a few more, but you, you get the point there.

And the goal of the series was to improve your thought process for everyday life. And yet, and he provides a framework, uh, for that, uh, Gillihan suggests a three step process for dealing with these distortions, often referred to as the. Think Act B approach. So one is catch it. Notice when your mood creates a downward spiral and identify the specific thought.

Two is, check it. Examine the evidence. Ask is this thought 100% true? Or what is a more accurate way of viewing this? Next is change it. Replace the distorted thought with a more balanced, realistic thought. Not necessarily positive thinking, but accurate thinking. You know, um, this series kind of made me think about how cognitive distortions often play a role in [00:09:00] our, in our growth management and leadership of our private practices.

And what's been cool too. You know, I've been practicing for 20 years and, and I've suffered from this over the years, whether it's in practice. I've had one practices, I've had two practices. I've sold a practice, I've bought real estate. I've been associate, like, I've kind of run the gamut and, and, uh, I'm very pleased with where I'm at now in my mid forties, but it's not always easy and you kind of suffer from these things for sure.

And it what's been fascinating over the last, um. You know, eight or nine years of getting to work with chiropractors and definitely over the last four years, really, whether it's our co 'cause our coaching group has expanded and I've just coached hundreds of chiropractors now. Um, or they've been in our, in our, working with some of our other coaches and talking to our, our coaches like Kurt Ashley now, um, all you.

Brendan Donahue. Want to a little interject there. He, we, we've added a new [00:10:00] associate chiropractor to our practice. He is, uh, one of our MCM coaches shouldn't say to our practice, to our business. He's one of our MCM coaches now, and he has some clients and that's exciting. So we are growing, we're adding coaches and uh, we add them within.

He's someone that I've worked with directly now for probably eight years, and he is just applied the. The work and his practice has exponentially grown and so now he is one of our, our coaches. But yeah, going back to like just talking to our coaches, talking to, you know, being in the mastermind group where these are a lot of high level chiropractors that are all going through things.

It's been, I would say the thing that. Has been really help. There's a lot of things that have been helpful with what MCM has done for chiropractors, but we can kind of be that, catch it, check it, change it for the chiropractor. 'cause you do get left on an island. And that's just the nature of it often. And it, and it's hard for your friends and family to understand it and talk to them about it.

Um, and maybe help with [00:11:00] good thoughts, right? So. You know, catch it. Notice when your mood creates a downward spiral and identify this specific thought. Uh, a lot of our clients will reach out to me or our coaches and say, Hey, I'm going through this. What's, what's the deal with my practice? Or this week or that month, or whatever.

And so then we're able to help them with that thought and kind of check it. And let's examine the evidence, right? So I'll, so the coaches will say, it was like, is this a hundred percent true? What's a more accurate way of viewing this? And kind of work through that and then help that client with the third part of this, which is change it, right?

Replace the distorted thought with a more balanced, realistic thought. It's not necessarily positive thinking, but it's accurate thinking, right? And giving them a strategy to overcome that. And so that's one thing. That I've been proud of with MCM is to help chiropractors think, act to B. Right? Catch it, check it, change it.

So my question to you is, are cognitive distortions negatively impacting your practice growth and or [00:12:00] career satisfaction? You know, um, potentially, or maybe more than likely, right? And I'll be the, you know, first admit I have and, and do suffer from these cognitive distortions in my own business. And then that's why I never leave myself on an island, right?

I've got my mastermind group, I've got colleagues that I rely on. I've got strategic coach. I've, I just always have coaching and people around me because I know that I'm limited in what I can do myself, right? And so, um. Aside from strategies such as think It, you know, think, act, be one key way to help manage these cognitive distortions in your business decision making is to have a coach and or a group of like-minded chiropractors to serve kind of as your board of advisors.

You need a board of advisors. And my challenge is you, is to find that board of advisors and, um, I think MCM has done a great job. I know M MCMs done a great job. [00:13:00] Of being that Board of advisors and really helping develop strategic plans for chiropractors. So check us out. Go to modern chiropractic mastery.com, modern chiropractic mastery.com, and we'd love to help you out.

Have a great week in practice and talk to you soon.

 EPISODE 462: The Non-Surgical Joint Replacement with Ben Fergus DC

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I'm excited to bring Dr. Benjamin Fergus onto our podcast. This will be. The second time, but we're gonna dive into a little bit of a different topic and excited to dive into, um, his, uh, development and concept around the non-surgical joint replacement and how it pertains to knee, shoulder, hip, and what he's doing to help patients out and help chiropractors help patients out, uh, to avoid the, the actual surgical.

Uh, hip, knee, joint, uh, shoulder replacement and what patients are doing in his clinic, and then what he's doing to help chiropractors implement this system that he's developed with that clinically. And, uh, we dive into it. We dive into the, uh, the details of it, how it started. Um, I. Commend him on the naming of it.

I love it. Um, and so we, [00:01:00] uh, every so often love to have, uh, really good clinicians on here to dive into the clinical side. And then, you know, I'll, I'll, I'll provide a little bit of my, uh, business and, and marketing, uh, touch to it as well. So, without further ado, here is my interview with Dr. Ben Fergus.

 Alright, welcome to the show Ben. I appreciate having you on. This is the, the first time, it's been a little while since you've been on, so update our audience on what you've had going on over this period of time.

Ben Fergus: Yeah. Thanks for having me on again, Kevin. I, I know I haven't been on in a while, but since we see each other four times a year, it feels like it hasn't been much time.

Uh, yeah. Think things are good. Uh, uh, a reminder for the listeners, I, I practice just outside of Chicago, Illinois in. Evanston and aside from my private practice, I, I hop around and teach and participate in seminars. So I've been doing a lot of teaching. Recently, I teach for some different organizations like, uh, Texas [00:02:00] Chiropractic Association.

I've been doing a series with them the past few years, both their, their big state conventions and then some little regional ones as well. I'm teaching for the Academy of Shockwave of Excellence and, uh, my time in between where I, where I'm not teaching with my own material grip approach, I'm really focused on just building my practice in terms of the people I work with and the culture that we're establishing and just leaning into that and, and, uh, I've seen a lot of benefit from that.

Kevin Christie: Yeah, it's been cool over the years. You were an original cohort in 2022 of the Mastermind, but you know, we've known each other some years before that.

Ben Fergus: Mm-hmm.

Kevin Christie: And I think the thing that stands out, uh, to me for about you and, and a lot of our mastermind members is that, you know, you're, you're very clinically oriented, but you also are willing to, uh, dive into the business side of things and make sure that you marry.

Great clinical outcomes and, [00:03:00] and clinical delivering, uh, whether it's you or, or your, your team members, but also, you know, understanding that this is a business and we gotta make a business out of it. Mm-hmm. We, the, the better the business is doing, everybody is, is gonna benefit from that. So that's something that's been cool to see over the, the handful of years we've worked together through the mastermind.

Ben Fergus: Yeah, I, I appreciate that. I, I, I agree with you. I, I am like 110% clinically minded. Um, but the, the business helps you with that, and that, that was a big realization for me is the healthier the business side, the better equipped I can be to do what I really want to do on the in depth, uh, nerdy clinical stuff.

Kevin Christie: Exactly. Um, and it's been, uh, neat to see a lot of members in our mastermind, uh, like that. And then you obviously have the kind of the dual thing going on, which I've always admire of chiropractors, where you're not only in the trenches in your own practice, but you are teaching other chiropractors. How are you managing that dichotomy?[00:04:00]

Ben Fergus: You know, at one point I was, I was teaching this, or hosting this class, the DNS class in, uh, Durham, North Carolina. And our instructor was Brett Winchester. And the whole thing almost got canceled by this crazy snowstorm. Uh, my flights got canceled, drove through the night from Chicago. His got rerouted.

And, but it was really cool. We got, we got to chat there and I asked him a question, kind of similar to that. 'cause I, you know, he, he teaches probably a whole lot more than I do. Mm-hmm. And I, I asked him about that, that question about how you seek balance between professional life, personal life. Mm-hmm.

And he kind of, uh, joked that there really is no balance. Balance is kind of an illusion. And I took that to heart. I, not in a, like, I'm in a work all the time type of way, but. The real, uh, I think way to find that balance and equilibrium is to just really enjoy what you're doing in the moment. No matter what that is, [00:05:00] whether it's work or playing cards with your kid or whatever it may be.

It's like fully invest in the moment that you're in and that it, that, that kind of helps me. Uh, reframe the flights back home at 2:00 AM from teaching in Iowa when I'm working the next morning.

Kevin Christie: Yeah, it's, uh, I reference it off often, but Cal Newport, he's in the midst of writing a book called The Deep Life.

He wrote the book Deep Work. He, he, you can Google the blog he wrote on Deep Life, which I, I really liked. It was kind of four parts and, but one of 'em was craft, right? Mm-hmm. And, and he, he dives into those that really. Enjoy their craft and, and the process of honing that craft. You get a lot out of that.

And I think

absolutely.

Kevin Christie: I think that's, uh, sometimes onset.

Ben Fergus: Yeah. I, I think, I think craft is a huge part of it, and mission is another one, and this is definitely see this in, in my group is mm-hmm. If you don't have like a really clear [00:06:00] mission of what you're trying to do at work, then it's just work. And if you have a mission, but not everybody is on board and that mission doesn't resonate with them.

Then again, it's just a job and I don't really want to be in a position where I'm just giving a job. I, I wanna like to have a really fired up team of people that's working on a mission, and then you can lean into like the craft of it, the excellence of it, moving things forward together, and, and that really does motivate me every day too.

Kevin Christie: Yeah, no, it's, it's great. And, um, you know, you've been doing a lot and, and I forget how I first heard of it, but it just, uh, it really stood out to me and I, I just love when we marry great clinical and, and messaging. Uh, it might've been. It might've been Jeff Fluid, I think you hosted at his office at one point.

Mm-hmm. Maybe. Right. But was the idea of the, the non-surgical joint replacement and, and that titling of it and then applying it [00:07:00] to the hip, the knee, the shoulder, and what that is, uh, it really stood out to me. It was like, oh, wow. And then I talked to. A handful of people that have taken this course with you and, and the substances there, like the, the material that they're learning and the things they're able to apply to their practices is there.

And so it's got the, the great clinical underbelly to it. And then I, I just think it's a great title too, to be honest with you. Mm-hmm. How did you, how did you come up with this? Obviously the start with the, the concept of what you're teaching of it, and then we will work to the title of it.

Ben Fergus: Yeah, there, there's a whole lot of power in a good name.

And yeah,

Kevin Christie: there is.

Ben Fergus: Sometimes you try, try, try to get the right name for something and it doesn't work and other times it's right there. Um,

Kevin Christie: yeah.

Ben Fergus: Kind of funny story on the name. I, I had the technique, I had the approach that we're doing. And I, I wasn't thinking about teaching it to anybody else. I wasn't thinking of naming it, but I, we posted something on the social media of, you know, a [00:08:00] technique we're doing and I was just trying to grab some attention and I kind of ingest, called it the non-surgical hip replacement.

Yeah, and it just, it blew up. It resonated with a lot of people. I had like local ER docs pop in to see what it was about. I'm like, oh, there real, there's some power in that name. So we went through the process of trademarking it and kind of leaning into it and ended up naming the seminar. Um, that, but that was like a random social media caption that really took off.

But behind that is, is a really robust clinical system that's evidence-based. It's new material that supports some existing, uh, knowledge and material that we had from the research. There's a lot of new development novel approaches that are put in here to help make the attendee. The best choice for a patient to conservatively treat degeneration in the knee, the hip, or the shoulder.

And we apply the concepts to other joints, but the systems we teach are really [00:09:00] focused on hip, knee, and shoulder. And if you look at patient volume, that's pro, probably similar to an ortho office, 70% of the people seeking us are gonna be those knee cases. Um, probably our most outstanding results, like mind blowing results are with the hip.

Mm-hmm. And the shoulder is really fantastic as well, but everybody who treats frozen shoulder and rotator cuffs and shoulder degeneration knows how sensitive that joint can be in comparison to some of our bigger joints. Like the, like the hip and the knee. Um,

Kevin Christie: yeah. Abs Go ahead.

Ben Fergus: Yeah, go ahead.

Kevin Christie: No, I said it make, it makes sense to me.

Ben Fergus: Yeah. Yeah. I, when we, when we try to market, I really want to get a hundred hips walking into my office where we can prevent their need for hip replacement. And we end up getting about a hundred knees and maybe one or two, two hips trickling in. But, uh, the background of it is, uh, my clinic and my mission, like we talked about [00:10:00] before, our, our clinic mission is to resolve chronic pain in Chicago.

And then the world, and I've always been in this realm of chronic pain. It then, uh, kind of transitioned into athletic care. I, when I realized that pro athletes, collegiate athletes are often, you know, fighting through some chronic conditions. And I kind of married those together and worked that into to grip approach, which we teach.

Uh, but as, as the years went on, as I really specialized in these chronic complex cases. Early on, a lot of the sources of the chronic pain had to do with nerves. Mm-hmm. Um, that were inflamed, impinged, irritated, or injured. Uh, then we were looking at muscle and connective tissue, and as we kept going, we had more and more patients where a degenerative joint was really at the epicenter of why their health deteriorated, why they were in a chronic state of [00:11:00] breakdown, and I didn't even really think about.

Trying to have an answer for that. I did as I was trained and as you were trained, you get somebody in with grade four knee degeneration, what do you do? You get 'em connected to the best ortho surgeon, you know? Right. And you'd say like, I'll try to make you feel better until then. And I think that was the mode of operation for me until about six years ago, is just refer out, refer out, refer out, and eventually.

I had a patient who I'd helped her through a whole lot of other things leading up to this, and she came in with probably grade three needy degeneration. And I looked at it and I pulled up my reference for the best knee surgeons in the area and I was getting ready to refer her out, and she asked me if I would at least try because she didn't want surgery.

She had had some interaction to anesthesia in the past. It just, she would rather [00:12:00] not play tennis ever again than have to go through surgery. And she viewed me as maybe an option that could help her. And so even though that's not really in clinical standards, how I was operating at that day, I decided, okay, if I look at the, this degenerative knee.

And I wanted to put together the absolute best approach to slow halt or reverse needy degeneration. What would that look like? What, what does research have for us that we already know is effective? Um, what are some new things that we can build onto that research and how do we package it together to make an impact?

And that kind of sparked this journey. I dug deep into the research. I learned new techniques from uh, pm and r Docs and orthopedists. I took some of my training in Europe, applied it to this system. I looked for technology. I [00:13:00] dove deep into nutrition and really. Folded all of that into a plan that could be streamlined, consistent, effective, and we found that it was, was really effective.

It worked really well. We got astonishing results with this first patient. Um, still to this day, I think we saw her six years ago. She's back to playing tennis surgeries completely off the board. Um, the grade three needy degeneration, which she had confirmed on imaging. Is functioning really well. She can extend her knee, bend her knee, lift weights.

All of the things that we would hope for in an outcome for surgery are there in a completely conservative approach. Yeah, so that's, that's kind of the background that led into it is a patient asked me and we, we dug into it and found a way.

Kevin Christie: Sometimes those are the best ideas from, they come from the patients, right?

Ben Fergus: Mm-hmm.

Kevin Christie: Um, now let's take that particular patient, you know? Yeah. What is a treatment plan? Obviously it's all different, but what [00:14:00] are we looking at as far as, uh, potential frequency and duration? Sure. Uh, did we, did you guys, uh, package up certain things like, okay, you're gonna do some rehab for the hip?

Mm-hmm. Or, you know, like, give us a little bit of insight of what that looked like. Just so you know, it's, it's obviously, it's a, it's a framework. Every treatment plan is gonna look different, but just want to get people to have a context. Yeah.

Ben Fergus: It is a framework.

Kevin Christie: Yeah.

Ben Fergus: It is actually a, a pretty highly structured framework.

Kevin Christie: Yeah.

Ben Fergus: And, uh, just to preface that, if um, if you had a, an orthopedic problem, like you thought maybe you needed a hip replacement, would you go to your family practice MD and ask them if they would do a hip replacement for you?

Kevin Christie: No,

Ben Fergus: probably not, right? They, they, they don't have that exact, they're an md but they don't have that exact skillset.

But let's say we go to that same family practice [00:15:00] MD and you give them, uh, some anesthesia, a surgical saw. Uh, a new hip joint and some nurses to help, would you then ask that doctor to do your surgery? Is that, is that enough supplies for them? No. No. Right. It's, it's, they, they're not specialized in the right way to do that procedure.

Yeah. And even if you load them up with all the same tools, all the same equipment, that's still not the right person to put all of that together For your hip replacement, you want to go to somebody who actually has not only a framework, but a consistent result of we have to do A, B, C, D, 1, 2, 3, 4, and then we're gonna get the the right result.

And so what I've found in doing all of this is there's really good chiropractors, just like there's really good. Family medicine doctors who you could go and ask, Hey, will you work on my hip? And then you could [00:16:00] give them a bunch of the same equipment that we use and say, okay, will you work on my knee? Um, but really getting the framework and the whole system down consistently and getting the training to do that.

What's gonna elevate them to actually get the results? 'cause these are not easy cases. Yeah. With training and systemization, we can make them much easier, much more effective. But as I get into the system, I don't want people to necessarily just go dabble, throw in darts at it, and put and put the name non-surgical joint replacement behind it.

That's why we trademarked it so we can kind of control what that looks like in the clinic setting. But yeah. All of that aside, what the system looks like is about an eight week program. Mm-hmm. It's eight weeks in the office. They have to continue to do a few things on their own. Afterwards, in those eight weeks, they're gonna work with me two times per week.

Me or my, my team here. On each session that they come in, we're gonna [00:17:00] be addressing their joint health, not only in the degenerative joint, like the knee, but we're also gonna look at the chain. We're gonna look at the SI joint and spine be, be good chiropractors in that regard. Look at the foot.

Kevin Christie: Mm-hmm.

Ben Fergus: We're going to be using some existing and some novel capsule mobilizations to put some load and change into different aspects of the capsule around the joints. We're going to be treating that. Entire area and some specific areas with radial and focused shockwave therapy. Mm-hmm. And if you have access to it, we have a protocol that brings in, uh, extra corporeal, magneto transduction, EMTT, which is like a superpowered pimp machine, which can really, uh, synergistically amplify what you do.

Mm-hmm. And then they've got really crisp grip style rehab that can be run. By the doctor or by the staff of the doctor to build up, um, what they're [00:18:00] doing movement wise. Mm-hmm. They have to repeat some of the movements at home and we like to pair it with BFR. If they're a little, uh, too small on muscle mass, adding some muscle mass and strength will be really helpful.

Kevin Christie: Mm-hmm.

Ben Fergus: And we try to get them on a specific dietary protocol as well. We, we need, if we think about the language that we have to be able to communicate with cells for change. We essentially have load. And repetition over time, but all of that is washed in the body's biochemicals. Yeah, so those are the three things that we can affect.

We can affect how much load goes into the cell, how often it's rep repeated over time, and what kind of biochemicals it's washed in. So the, the nutritional component is to wash all of those cells, supply all of those cells in better biochemicals so that we're essentially starting kick, starting a healing process.

That will go on for three months to a few years for the patient.

Kevin Christie: Mm-hmm. Yeah. No, I love [00:19:00] that. And it, one thing, again, we, we try to hang our hat here at MCM is, you know, marketing can be great, but I think we all hate when marketing is lipstick on a pig. And, you know, we, we, we, we do see it often where good.

Messaging really doesn't match up with what they're getting in the office. And, and too many times people do slap good, uh, ideas or, or, or names on things. But then you go there and it's just like, yeah, you're getting your hip distracted and you're getting, uh, you know, a, a couple basic exercises and, and they're gonna call that.

Uh, maybe a hip replacement, non-surgical, you know, so it's, mm-hmm. We don't want that. And it's really, you gotta have the substance in, in the, in the meat of it. And then no matter what, what, what, what we're talking about today, or just any in general, bring the clinical goods, however that looks like for you.

You know, like I've got. Some members or people I know that are just, they just do a RT, that's literally all they do. But they stay in their [00:20:00] lane and

Ben Fergus: Yeah.

Kevin Christie: And that's what they do. And if they need something else, they've got a good chiro or PT to do the other thing and, and, and, and so their substances, the a RT only, or you know, the adjustment, whatever it may be.

Um, so you have to bring the, the clinical chops of what you do and, and feel great about, and then be able to package it where patients can understand it. And I think that's what's. Awesome. Here is, is obviously you got all the backing of what you've done over the years with the clinical side, and then you've packaged it well named it.

Well, uh, that's one thing I learned at Strategic Coach is, is unique naming can really go a long way. 'cause people can, they can picture it, it resonates with them.

Ben Fergus: Mm-hmm. And,

Kevin Christie: and they say yes. Like I, I want, I want my knee to be. Functioning well and not, um, hindering me from what I want to do, but I don't really want to go do the knee replacement.

It's, and as some people are 47 years old and their knee is, is shot, they definitely don't want the knee replacement at 47. Uh, mostly, absolutely. [00:21:00] So it's not just the 70-year-old that we're, we're talking about here. So can you give us a little bit of a, what kind of, you mentioned earlier athletes and chronic pain.

What are the range of people you're seeing getting results, uh, from this, from this system?

Ben Fergus: Yeah, that's, that's a good perspective. Um, I think I'll try to answer that in two ways. Part of my expected prognosis with my limited, honestly my limited sample size. This would be different if I had 20 certified practitioners that have 20 years of data.

It's, we've got a handful of people that have been doing this for five to six years now, so that's my data pool. Um, we grade the level of degeneration in the joint, grades one through four, four being the ones that are true bone on bone. You can hear the stones rattling together when you move the joint.

That's true. You know, grade four. So we've run this on grade one through grade four [00:22:00] and in different joints. It's, it's slightly different, but. At across all ages, our success rates with grade one degeneration are greater than 94% success rates in grade two, depending on the joint, it ranges between 80 and 87%.

Success rates. In grade three we're in the 70 to 80% success rate marks. Grade four, I, I can't really name a percentage on that. It is much more hit or miss. Um, we've had patients where they've made 60% improvement on their oats and functional assessments, and greater than that in, um, their subjective reporting that I would look at that knee and still say, yeah, you know.

That one might still be a surgical case. Mm-hmm. Um, we've had others where they got really good results, but they wanted to run a half marathon [00:23:00] and they didn't think they could still run that half marathon. So they made a choice to go on. But I, I would say a grade four. I, I really make my patients ask me to approach it with that one still, um, because the results aren't as consistent as grades one through three.

But to color that a little bit, I think most of the really severe joint degeneration that's seen in a chiropractor's office are usually grade three or grade two. That's, it's rare that a grade four gets to you. Honestly, in this stage, um, most of those are already on a surgical plan. Um, so if we're talking about grade three, where I'm seeing across all joints in grade three, a 70 to 80% improvement, and we compare that to.

What most hospitals set a mark at for successful outcomes on an intervention, which is between 30 and 35% for most hospitals would be considered a successful intervention. At that point, we're [00:24:00] doubling what would be considered a successful outcome and a completely non-invasive approach for those grade three.

So it really opens up a lot of cases in terms of age range. Probably the youngest person we've taken this approach with was a 21-year-old football linebacker with a rather significant labral tear. No osteoarthritis but labral tear in their hip. And the oldest patient that I've taken through this approach successfully is an 81-year-old that had, um, complex rotator cuff tear, um, acromial osteoarthritis, and early stages of adhesive capsulitis.

Mm-hmm.

Kevin Christie: Nice. Nice. Yeah, it's, that's one thing I think I wanted to, you know, get some clarity. I, I kind of knew the answer, but, uh, for the audience, just, yeah. It's, it's not just the 70-year-old, [00:25:00] right? Mm-hmm. It's, there's a lot of people wanting highly functional joints. Oh, for sure. For their age.

Ben Fergus: It's a lot of people that are picking up, running in their forties or, you know, tenants or pickleball in their thirties and their body's not doing as well as they envisioned it doing.

Kevin Christie: Yeah, just recently had an ex professional baseball player. He is my age now. And, uh, yeah, his right hip is, is, is toast. Um, but he's managing as much as he can and so,

Ben Fergus: mm-hmm.

Kevin Christie: Uh, a lot of people out there that are, are still wanting, they're still healthy, young and wanting to function at, at a high level, so.

Ben Fergus: Mm-hmm.

Kevin Christie: Um, you know, I think one of the things too with this is that if one were to go through. You're training with this, you're, you're gonna gain, you're gonna gain a level of clinical competence, which is gonna lead to clinical confidence. And then you ultimately would have the conviction to be able to, um, you know, offer this in, in your clinic.

Mm-hmm. And, and promote it when you are, uh, [00:26:00] trained in this and be able to communicate with that patient with a certain level of, um, I wanna say, um. It's not a guarantee. And I think that's the thing I want is like, it's, it's conviction around, it's like, yeah, I have a, I, I feel good that we can help you.

And obviously based on the grading of the, the degeneration, you're gonna be honest with that patient. Mm-hmm. Uh, and then you're gonna have patients that are going to, uh, get a lot of benefit from something like this. And, uh, you're gonna really change some lives.

Ben Fergus: Absolutely.

Kevin Christie: Um, tell us a little bit about what it looks like, the different types of, um, training opportunities for something like this.

Uh, anything coming down the pipeline in person. I know there's virtual. What, what does this look like to, to start to get some clinical confidence around this and be able to implement in your practice?

Ben Fergus: Yeah, I'd love to share that. And actually, even more than that, I'd love some feedback from your listeners.

I, I've been involved [00:27:00] in chiropractic continuing education since 2011. That's when I hosted my first course, uh, overall, and I think that whole. Business and opportunity of furthering your skillset has changed dramatically in the past five years. Mm-hmm. Uh, definitely a much bigger push towards online training, remote training.

Obviously I'm doing a lot of in-person business training with you, which, which I, I love the in-person setting. Um, but I think the whole thing is different now that we can get the majority of our CEUs from the. Comfort of our home or our vacation spots. Just a different experience. So I'd, I'd love to hear from your listeners how they are getting their CEU and their skill advancement, uh, currently.

And I'll let you know what we offer.

Kevin Christie: Mm-hmm.

Ben Fergus: My emphasis is still being in the room with somebody and helping them gain their hands on. Excellent [00:28:00] skillset. So we have some upcoming courses in, uh, may in St. Louis. We're doing a combo course of non-surgical joint replacement and one of our classic grip courses with another mastermind member, uh, Tony Kataki at his facility, uh, in Chesterfield.

We are running a few similar combo courses at my clinic here in. Chicago, Evanston and those combo courses, day one is one of the joints of the non-surgical joint replacement. Mm-hmm. So we'll pair like a knee non-surgical knee replacement with our grip lower extremity course on the following two days.

And that gives you a really in-depth learning over a three day weekend.

Kevin Christie: Mm-hmm.

Ben Fergus: One full plug and play system for the non-surgical joint replacement. And then pair it with the in-depth grip approach that you can train yourself or your staff in. So those are some in-person ones coming up. And then we've [00:29:00] built out a, a pretty incredible online platform as well, which is learning at your own pace.

That's at grip approach.com, and we have a three day. Nonsurgical Joint replacement summit. That's all virtual. Mm-hmm. We filmed it over three days in my clinic, high definition video with a professional videographer. We clipped that into, uh, crisp long segments that range from eight to 12 minutes, and then we further clipped that down into a one minute quick reference guide.

So as you go through that course, you receive the material the way you would in person, but then afterwards you can go back and search it and really quickly pull up an isolated technique to refresh your mind or train your staff. And that online virtual summit is also, uh, available for pace credits if you're in a pace state.

Kevin Christie: Hmm. Nice. That's awesome, man. I love it. Yeah. [00:30:00] And uh, yeah, I took a look at it. The virtual part looks amazing. Um, very professionally done. I, I must commend you. I've done a lot of online courses and stuff. It's not easy.

Ben Fergus: Yeah. It's, it's a, it's a unique challenge for the chiropractor skillset.

Kevin Christie: Yeah, definitely.

But, uh, yeah, this is great and we'll put the information in the show notes as well, uh, on how to link to that and, and get going from it. But it could be a great opportunity in 2026 to advance clinical, uh, skillset and then be able to package it, you know, and, and be able to mm-hmm. Understand how to go out there and, and really help with these particular, uh, conditions.

So, great work.

Ben Fergus: Yeah. Thank you. I, I think on that point, and considering this is a, a marketing and, and business podcast. If you do this and, and do it well, it, it's a really big benefit to the business side of your practice. Um, and I've, I know I've spoken on that in a closed room setting with the Mastermind, but [00:31:00] this is really the way I envision chiropractors moving is into a more specialized skillset where they're not being viewed as.

Let's see if an adjustment would work for this.

Kevin Christie: Yeah,

Ben Fergus: they're being viewed as the real. Conservative expert in helping somebody overcome joint degeneration, and by getting the training and eventually promoting it, you really quickly become that expert in your community. And. Because we're doing an advanced technique that requires some extra training and extra equipment, it's, we charge a good amount for it as well, a healthy amount.

That's really good for the practice, but it's not absurd either. It's something that patients can make a decision to do and and hopefully say. Hey, uh, maybe I'm gonna skip the trip to Cancun this year and get my hip feeling good so I can go next year. And I, I've had a patient say those exact words to me like, this isn't a travel year, this is a [00:32:00] health year, and ultimately you're setting your patients up for.

An incredibly healthy lifestyle after they work with you on this joint because everything that they're learning to do are like the foundations of health that we all know about, and this gives you the opportunity to make it real for your patient and for them to buy in and to do the things that are gonna make their life better afterwards.

Kevin Christie: Yeah. I love it. I love it, man. That was great. And um, we'll put that in the show notes. I look forward to seeing you in a couple days in Park City for our mastermind. I know this

Ben Fergus: absolutely

Kevin Christie: episode will come out after that, but looking forward to talking, uh, business with you and, uh, having some, some brown drinks.

Ben Fergus: Absolutely.

Kevin Christie: All right, Ben, have a good one.

Ben Fergus: You too. Thank you.

 EPISODE 463: Entrepreneurial Alignment and Optimal Leadership with Shannon Waller

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Speaker: [00:00:00] Hey chiropractors. Welcome to Modern Chiropractic Mastery with your host, Dr. Kevin Christie, where we discuss the latest in marketing, business and professional growth with some of the leading experts in the industry.

Hey doc. Welcome to another episode of Modern Chiropractic Mastery. This is your host. Dr. Kevin Christie, and today I'm excited to bring someone that I've got to learn from and know for a while, and that is Shannon Waller of Strategic Coach. As many of you know, I've been a member of Strategic Coach for quite a long time, and it really has become the, uh.

Uh, the operating system for me as an entrepreneur, and, and Shannon was kind enough to do a webinar for our mastermind group in 2025 on entrepreneurial alignment and optimal leadership. So we did a bunch of, we did a few webinars last year for our mastermind group around leadership, and Shannon was kind enough to do that, and so I wanted to bring her on the podcast to share.

Some of what [00:01:00] she taught us in the webinar and really dive into that. And it really gets you to think about what leadership is. 'cause I think there's a lot of misconceptions and she does a great job, uh, in this episode. Uh, before we do dive into that interview, I want to let you know that, uh, we've made mention before, but between MPI, motion Palpation Institute, FTCA, forward Thinking Chiropractic Alliance and MCM, uh, we are going to be starting a yearly.

Live event, a conference. The first one's gonna be January 30th, 31st of 2027. So you got a year and it's gonna be in Atlanta. We're making this easy to get to and we're making it, uh, you know, like direct flights. Mostly decent weather in January in Atlanta. I'm take a short tram to the conference center at the Marriott we're gonna be at, and it's, we're gonna thread the needle of it being a larger conference, but not a just potpourri of random speakers with no consistency and congruency.

[00:02:00] There. We're gonna have six great. Presentations actionable. There's gonna be some heads down work and it's gonna be around, um, you know, business growth. We're gonna have Mark King talking about leadership. We're gonna have Bobby Mabe talking about ethical sales. I'm gonna be talking about marketing. We've got Holly Tucker speaking on financials.

We've got Brett Winchester talking about the IT factor in clinic, and we will round it out with Ashley Jordan talking about community outreach and also the patient experience and we're gonna. You know, we're gonna bring good information and you're gonna walk away with a guided plan, and you're gonna also connect with other like-minded chiropractors looking to grow their business.

And so we're, we're actually launching the early bird right now, but this is a special early bird. It's for founder members. It's limited to 45 members, and there's a lot of perks in that, and I want you to check that out. You can go to Bitly b.ly/. Thrive 2027. And you can also just go [00:03:00] to our Facebook group, modern Chiropractic Mastery and you'll see it all there.

But by, you know, between now and March 1st is the deadline to sign up for this founder's member and the Early Bird special. And it's limited to 45 people and it will go, it will sell out. Uh, it includes also you get to pick, to have a cocktail reception with. Either M-P-I-M-C-M or FTCA and a bunch of other perks that you can check out on that, uh, website.

So I encourage you to sign up for that. Again, go to bitly bid.ly/thrive 2027. We're really excited about it. We're getting a lot of good excitement around it, and we hope you will become one of our founder members. So, without further ado, here is my interview with Shannon Waller.

All right. Excited to have Shannon Waller on our podcast today, and it's been, uh, exciting to get to, to know Shannon over some years. I've, uh, been with Strategic Coach since 2013. Uh, [00:04:00] you've been with Strategic Coach, uh, as a team member for quite a bit longer. You started in 1991 over those 34 years. Uh, what initially drew to the organization?

I'd love to hear that story and then how it's your role has evolved over the 34 years. Oh my goodness. I'll try and tell the quick story. Mm-hmm. So I was working for another organization, uh, it doesn't exist any longer actually. And our largest client was General Motors of Canada. And so I worked with them to be able to sell.

Dealer assessment programs and things like that. So I ran these $2,000 programs. Uh, I was really bad at the administration though, so I would take forever. And if you get to know how I'm put together, like my Colby profile, I have very little mental energy for those kind of administrative tasks. Much, much more fun talking to you.

I have lots of mental energy for that. Anyway, so I was doing that, but I was getting restless. So when I first, so we would actually, we had seminar rooms space in addition to the administrative offices.

So Dan and Babs would [00:05:00] rent seminar room space 'cause they only had tiny little. In on Queen cast. And so, um, so what would happen is they would rent our seminar room space and all of a sudden their clients were so different than the regular corporate training. They'd be like, do, do, do talking. They're like, oh, hi, I'm Bob.

Mm-hmm. I'm like, I thought they knew each other already. Turns out they're all entrepreneurs. Right. Very open, very gregarious, wanting to learn from one another. So I'm like, oh, that's different. So anyway, they approached a friend of mine to work with, work with them. Uh, he told me, I'm like, oh, I could do that.

Long story short, saw Dan present, salesperson called me. She asked me the magical two questions. She goes, did you enjoy the presentation? I said, yes, I loved it. And then she said, are you happy with what you're doing? And out of my mouth, pops, no, I'm bored. Five weeks later, I joined Strategic Coach working for her.

She asked me how much I needed to live on. I calculated that, but forgot taxes. And I live in Canada, so that was some very lean years. So I did sales for the first [00:06:00] three, almost four years. And then I started getting a little bit restless and went back to school and took a training and design program, and then came up with the idea for the team programs.

And, um, that is now my career, part of my career. Yeah. So now I do coaching, I do, I do sales from a presentation, a large scale level, but I don't do one-on-one sales anymore, and I build my own sales team. You know? Mm-hmm. Um, so, you know, I, I got paid last, I had my own little team, you know, it was, I got paid, the commissions, paid them, I took what was left over.

So I have that entrepreneurial experience as well. Um, but that I'm excellent, but not unique at, at sales. I could make it very healthy, six figure income, but not, I was frustrated, so that's why I went back to school. Yeah. Yeah. So my current coaching career is a result of a school project. Love it. And we are gonna tease out the difference between.

Excellent and unique, uh, for our audience that might have heard you say that and, and why that's important and how excellent can be a great thing, but it could also be a hindrance as well. Yeah. So we, we will dive into that for sure. [00:07:00] Uh, you were, you were kind enough to do a webinar for our mastermind group back in November.

Of 2025 and it was very well received. And we, you know, we had a, within our mastermind we do a set of a few webinars, usually around a topic. And in 2025 it was around leadership. And I really wanted to have you come and talk about that. And you, you dove into the entrepreneurial alignment, which, uh, was really helpful for us because I think.

You know, there's so much stuff out there on leadership, and I think a lot of, uh, everybody gets kind of, um, just confused of what a good leader is. I think we have this mental picture of this charismatic leader that is, you know, uh, just oozing with, uh, charisma. Right? And, and it, and that's great, right?

Sometimes they are not actually good leaders, they just have the charisma to overcome it. Uh, but there's a lot of different shapes of what a. What a leader is. And you did a, I thought a great job of taking a group of, I think there was probably 30 plus chiropractors on that webinar, and everybody [00:08:00] runs practices a little bit different and, and how to get in line with what your entrepreneurial style is.

So I really enjoyed that and I wanted to tease out some things, uh, from that for, for our audience. And so the, one of the things that I loved, and it's one of my favorite things that I've ever gotten from Strategic Coach, which is a lot, but as a doctor. You had framed a, a question and I'll just kinda read it and I'd love to hear your thoughts on it.

You framed a question for the group. Are you a chiropractor or an entrepreneur with a specialty in chiropractic care? What's the mindset shift there that is so transformative for professionals that are, are typically doctors. It is interesting 'cause Stan Sullivan, co-founder of Strategic Coach hit on this because we attract people and in our, you know, we're a coaching company, it's what we do.

We coach entrepreneurs on how to break through their current level of, of complexity, ceiling of complexity, and go to much greater heights. That's really what we're. There a reason, reason for being, [00:09:00] but we realized that we were, when, when we tried to market to, or work with people who, who were just in their professional mindset, which by the way, it's not a bad thing.

I'm really glad that they, I'm really glad that you're here. Mm-hmm. I see my chiropractor all the time, so I'm a, I'm a big fan, but then you're kind of stuck in that industry mindset. Mm-hmm. And so there's, when you, then you just really wanna get very, very good at your craft. It doesn't say much about running the business of chiropractic.

Right? And so when you can actually look at yourself as an entrepreneur with a specialty in, that's part of what we call a shift. You know, there's an entrepreneurial shift there, and then you're like, oh. And it, especially if you're one of those people that has lots of ideas, you're like, oh, we could approach things this way.

Maybe I could market that way. It's like, oh, if I did a collaboration over here, maybe we could, I could, we could feed together and take care of people even better, you know, if you're, if you're that type of person. You're an entrepreneur with a specialty in, and it allows you to think more thoughts just [00:10:00] ex basically experience much greater freedom in terms of your thinking, your actions, your behavior, the relationships, what you're pursuing.

It doesn't mean that you get. You know, it, it doesn't detract from you being a doctor. Mm-hmm. But it just doesn't mean that's not all you are. Uh, so that for me, it, it just creates a whole bunch more room for you to go play in a much bigger sandbox. Yeah. And I remember when I first heard that and Dan had said that, it just really resonated with me because I, I was kind of confused with what I was and, and almost, um.

Guilty about it. And I do think doctors may be in, in particular, uh, maybe struggle with it. It is like, you know, I should just be a doctor. I should just do that. And only, like you said, work on my craft. But there's this tug that's happening that they need to recognize that you can still be a great doctor.

Mm-hmm. But you gotta try to, uh, the way I put it, strategic Coach has helped me, um, really. Tease out the spirit of what my entrepreneurship [00:11:00] is and feel good about that versus maybe having any type of guilt. Oh, good. I, I actually had someone fill out an application form for coach one time. Mm-hmm. And we, we then asked, what do you wanna get outta the program?

And the answer was No guilt. No more guilt. No more guilt about taking time off, no more guilt about how they run their business. And I think it's really important. This is a little bit like birds and feathers. Mm-hmm. Not, you know, all business, all chiropractors are doctors by definition, but not all chiropractors are entrepreneurs.

Right. And so it's like, and guess what? The entrepreneurial doctors are the ones hiring. Doctor doctors. Does that make sense? Yeah. Like, because you, you want those people, if you wanna expand your practice, you want those people, 'cause they just wanna do what they wanna do. They're great, they're a specialist, hire them.

Mm-hmm. But that also frees you up to do the part of chiropractic that you, you still wanna do and all the other things. So it, it really is kind of binary. I, I do think people are [00:12:00] either just this or they're that expanded version and, and trying to make one into the other. It feels confining. It's like you're wearing a, a, a suit of clothes that's too tight.

Yeah. Yeah. And it is a struggle we have within our, that may be, I wouldn't say unique to our industry, but. You know, uh, a lot of chiropractors to earn a professional living that they really want, like, that's gonna get into the healthy, let's call it six figures. Mm-hmm. Takes a level of entrepreneurialship, uh, just being a, a treating chiropractor to be challenging.

And then we have this cycle of not enough entrepreneur chiropractors, um, fulfilling their. Vision of that and, and optimizing it to be able to hire good chiropractors. So we have a little bit of a glut of hiring in there. That's good jobs and you know, like it's this whole, whole thing. And so if we can get more of the entrepreneur chiropractors to be more entrepreneurial and successful, and then provide levels of jobs those entrepreneurs, or.

You know, the, the, the ones [00:13:00] that would just really wanna work on their craft, which there's nothing wrong with that, can also make a very good professional living as well. So that's a kind of grand vision I have for 'em. Well, and this is, but this is what you do, right? You provide that platform and the conversations and the outside expertise to help people see a bigger picture and to reach those higher levels and to break through that ceiling.

That's why you and I are simpatico is because we both want that for. People, you know? Yeah. People we really care about. We wanna help them grow. So, and there is always, we talk about this, one of our models is to go from rugged individualism to unique teamwork, right? Mm-hmm. And you're, you get to the peak, you know, you're rugged individual, you're successful, you can make this much money, whatever.

But then if you keep working longer and harder, you actually experience a lot of diminishing returns. And then there's this period of crisis, which looks really dramatic, but. But, and when you can start to hire other people, free yourself up, including other docs, you know, then you start to climb [00:14:00] that, you know what we call you communicability teamwork, where you're doing what you're best at.

Other people are doing that. But in the meantime, there's a hard part and what you were just talking about for me, related to that, because it can feel like, oh my gosh, the downside of one, you haven't really hit the upside of the other yet. Yeah. And there's no avoiding it. Just get through it as quickly as possible.

You know, that is, that is really the answer. Tough it out, it's worth it. And then on the other side you're like, woo, this is so much better. And then we get to do it again. So, yeah. I'm glad you mentioned that there is that chasm and, and I, I try to. Tell young chiropractors is that you have to have some delayed gratification and you gotta plug through that.

And then on the other side of it is, uh, where it gets fun. And, you know, you mentioned unique teamwork, and that was a big flip for me years ago with Strategic Coach was understanding with leadership. It, it really hones in on what Strategic Coach teaches is unique ability, but then also applied to unique teamwork.

So I want to go down that kind of path for a minute and I want to go back to one of the [00:15:00] early things you said that I, that I earmarked was the difference between unique ability and excellent activity. And then if you want, you can tease out the other two, uh, categories that people fall into as well. And this will set us a good context for the rest of the conversation.

Cool. Um, and I'll, I'll give you even a bigger context at the beginning. So to be a great leader, the model that I've just hit on in the last year or so is that you need to be self-aware. If you're clueless about yourself, really hard to be a decent, a good leader in my books, but then, and that hopefully will also help you become team aware, which is where other people's strengths, non-strengths, et cetera are.

But then you also have to be business aware. You can't be clueless about the metrics because everyone can just be in their happy place, but if you're not actually productive again, so it's that kind of trifecta. All of those things need to happen. So going back to self-aware, a very powerful. Probably the most powerful concept in Strategic Coach is uni ability.

Mm-hmm. Um, so if you think about, if you think about this [00:16:00] big circle and those, all of the activities you've ever done, okay? Mm-hmm. Um, and we're gonna work from the outside in. Okay? Now the center is the, is the sweet spot. So, mm-hmm. Bear everyone where, bear with me. So if you realize there are some things on the outside where you put in the time and effort and you do not get the result, that's what we call incompetent and truthfully.

Even though incompetent is a really bad word in most people's vocabularies, it's like, truth be told, you are not put on the planet to do those things. Fear, fear of frustration, stress, conflict. Yeah, and, and I'm a pretty handy person. Chainsaw is a summer hobby for me. But anything to do with mechanics? Not so much.

The one time I tried to change a tire on a trip with my husband, um, I put the, I, I didn't know what I was doing. Put the jack underneath the car, upside down. Which means I'm trying to push the earth away from the car. Yeah. And then Bri's pointed that. I'm like, okay. And I got back in the car. That was, that was the beginning and end [00:17:00] of my, my auto mechanic career.

Uh, which is fine. I'm totally cool with that. I'm fine to be incompetent at certain things. There's that, because I know there's. The opposite to that too. Then there's things and people get stuck here a lot. Mm-hmm. Uh, where they're competent, they're adequate, they're okay, but so are a lot of other people.

Mm-hmm. So there's a lot of competition and that means repetition, which is boredom, anxiety 'cause it's stressful. Uh, and yet people talk about, oh, competencies. I'm like, Ooh, I don't wanna get stuck there. Uh, so. Not, I don't wanna be incompetent in basic business things. You need reading, writing, arithmetic, and 21st century dance as retrieval of information.

Yes. Also good. Um, and then we start getting into the fun part, and this is a little bit going back to our conversation about, are you a chiropractor or an entrepreneur? Entrepreneur with specialty in, um, there's the excellent level and I find most professionals. Anyone with a designation behind their name mm-hmm.

Um, often get stuck here. We've actually called the excellent trap in one of our books, and that is where you have superior skill. You are [00:18:00] better at it than most people, which means you get great teamwork. People are like, oh, can you do this with me? And you're like, sure. Um, you get a great reputation. Often you're very well compensated for it, but at some level.

You're bored. And that is the challenge. And there's certain things that used to be interesting that aren't anymore. And so the excellent trap is the biggest danger. It's not incompetent or competent. Mm-hmm. Most of us are savvy enough to be able to figure or del figure that out or delegate it. But if we get stuck at this excellent trap party, 'cause that's your training.

I've invested this much money, this many years of school, this many practicum, like all the things, and you feel guilty going back to what we were talking about before. That you're not totally thrilled and happy with that. Yeah. But you're bored. So intellectually you're not stimulated anymore. It's not burnout, but it, it's not, it's brown out.

Just get warned. Yeah. Been there, done there, I got a few too many t-shirts. Mm-hmm. Now finally we're back in the center, center circle, and that is, this is where you have superior [00:19:00] skill and passion. You'd love it, your eyes light up, you lean in, you can see me. Right now, I'm literally leaning into the screen.

Um, and it gives you energy. At the end of the day, I, I find I'm physically tired 'cause I love coaching. Um, but in any, every other way, I am lit up. I'm like, I'm excited. I've got new ideas happening. I'm connected. I'm connecting all of the things I'm just like in my best place. Um, and, and this is the little trick, and this is why people don't often wanna acknowledge that it's actually their uni ability mm-hmm.

Is because, oh, I, you know, I, I coached a big workshop, 44 people, 10 x last week, and. At the end of every time I'm like, oh my gosh, I could have done this better. I could have done this better. So you can always see a room for never ending improvement, but people don't realize that the only reason why you know, you can get better is 'cause you care so deeply about it and you do have superior skill.

So the opportunity for, I would say chiropractors, um, for you listening is that look at where you are. [00:20:00] Excellent. And then see, okay, what, what's still fun and what's not. Mm-hmm. And tell the truth about that. And frankly, that is a very hard conversation to have with yourself. Mm-hmm. But when you can figure out what am I really passionate about?

And maybe, maybe it's a specific type of treatment, maybe it's a specific type of clientele or a specific issue you love solving, when you can lean into that. Your future gets bigger again. Yeah, it's huge. And you kind of mentioned a little bit is I've talked with some chiropractors about different things and it can be limiting what you do in the clinic.

Uh, you know, you might like to do the examination and one other thing and try to build your business around you doing those things and having other. Uh, docs or other team members do the other things. That's a really good way of wheeling down unique ability. Yeah. There's obviously ones that are purely entrepreneurial and they don't want to treat patients anymore and that's great too.

Uh, the other thing I've seen a lot of chiropractors do, and I think our audience, you know, listen to this for yourself, is, and it's been cool in our [00:21:00] mastermind group 'cause these are all, uh, more, you know, business savvy, good clinics, they own 'em and they're, they've grown pretty well. We have quite a few in there.

That are, um, teaching for other techniques, like whether it's a, you know, a technique protocol, but they travel and do that, or they speak at seminars on particular health information. They've found a niche that they become, like, like what I talked, uh, or which, which I learned from Strategic Coach a long time ago, was the book Industry Transformer.

They become an industry transformer in a particular niche, and so that really fills their bucket there. They still, you know, love coming back to their practice and treating patients, but they have that. Passion and and uniqueness in that. So I've seen it sliced many different ways for chiropractors. Well, and thank you for applying it so specifically because I think like, what's the nuance for you?

And it's very individual, it's very unique, right? Like sometimes you like the initial examination, I maybe you only wanna work with pregnant moms. Like what? I mean, there's [00:22:00] interesting, people have audiences, they have techniques, they have processes or systems they're passionate about. And when you can share that.

Again, it just to give you a, a little bit of a number thing this flash into my head was, is like a flash of inspiration. So I, I trust it. Or we were coaching this actually at one of our couples workshops and I had this insight that incompetent was like a, had a minus 10 x return. Mm-hmm. You put in a time and effort.

You do not, I get the result. Like me. Yeah. With a jack in the car. Right. And then competent is a one x. Not terrible, but you just, you don't, there's nothing extra there. It excellent is a two x. Mm-hmm. Right. When you have superior skill, you are faster and do it better than other people. But still, no. When you're, when you can hang out any unique ability, it's a 10 x return.

Yeah. It's a 10 x impact and that's, that's a multiplier and that's how you grow. So I don't know how to coach anyone to grow if they're committed to incompetent or competent. I'm like, I can't help you. I can help maximize you if you're, you know, wanna, if you're at excellent and you wanna go to unique.[00:23:00]

I'm your, I can, I'm your person. But if someone's committed or arguing for those other things, doesn't have have, have at it, good luck with that. Well, I wish them well, but I dunno how to do that. Yeah, yeah. I have strategies for that. Yeah. So that's cool for sure. It, the thing that was interesting during the webinar is you, you get a scorecard, which I love those scorecards and, um, you know.

Yep. Exactly. And a lot of people on this leadership, basically, um, self business and team, they scored our, our mastermind group scored pretty high on self-awareness, um, which was cool, but identified that like team or business, they struggled a little bit there, even though they're, they had some blind spots.

They're better than most, but they still realize within this, uh, leadership aspect, the team and the business. Aspect struggle there. So if you could just touch a little bit on the kind of unique ability, teamwork, and then how, once you've gotten clear on yourself and then you go to your, your, is it [00:24:00] team next or business, how, how would you go about team?

Team? Yeah. Perfect. It's, um, because team is where you interface between the individual and the co and the, and the company, right? Yeah. Um, and, and this is my sweet spot. You know, I am, I am passionate about how people work in business. Like teamwork is my jam. I am a sponge for all the strategies, all the profiles, all the things.

'cause I want to help people be even happier. In life in general, but especially at works, I actually think work is the best place to grow personally and professionally. I think when you've got an interface with the world, when you're tasked with creating value for people, it is incredibly educational. And sometimes things you thought worked didn't and vice versa.

So it just keeps you very alert and effective. So I'm very passionate about business as a place for personal and professional growth. So the model, and again, I've just, once I say it out loud, it's like, oh, it doesn't sound all that. Sexy. But it has transformed aware how I coach people in terms of how to think about their own growth, their team growth, their business [00:25:00] growth.

And I can categorize all the, the Cajillion tools that I have and Coach has. Mm-hmm. So it really helps. So just quickly on self, self-awareness, we, I love profiles. I'm certified in four. I set my friend my favorite 17 the other day. 'cause he wanted to know them. I'm like, here's my favorite. Oh my god, there's 17.

And then I did two more. They were also good. So I'm up to 19. I've done way more than that. I referenced those ones, but there you go. So, knowing yourself means you know your strengths, you know your non-strengths, you know your triggers. You know how to show up in best self. You have hopefully some emotional intelligence, intelligence to know how to self-regulate.

You just, you can talk about yourself effectively. You can identify your strengths and you know how to play to them. And you also know what you have no business doing. Again, incompetent. Mm-hmm. Um, and hopefully you've, and the team part though is, is like, okay. This is how I can be most effective in the world, but a lot of other stuff needs to get done.

Mm-hmm. Who do I need around me, right. That can help me do that. And the who's include [00:26:00] technology. I love how Dan talks about technology as automated teamwork. Love that, right? Yeah. It's like, that's true. I can get predictable enough, someone can program it. Um, AI's been a really great friend lately, and so the, the self-awareness turns into team awareness.

And again, I'm talking about people here. Yeah. So if I understand you, Kevin and I looked up your profiles before Alright. Before I started this conversation. Right. I know what's important to you and so I'm, I'm going, it'll help me work with you better. We can produce results better. I know what's important to you.

I know you wanna succeed and achieve. I know you wanna have things be perfect. Correct. And right. I know what your kolby is. Um, I just was referencing print, you know, so I know how to bring out the best in you. Mm-hmm. Well, one of my Clifton strengths is maximizer. That's pretty much the definition of maximizer, taking something great and helping become even like superb.

Right? That is the definitions and that's my number one. Um, so when I know that I can, I can be more effective in the world, but I can also help you be more effective in the world. Mm-hmm. And together our teamwork, we can [00:27:00] see it for a match. Can we support one another? I love, um, Clifton strengths is just a great access point, uh, to things.

It's very understandable. It's research to death. If anyone is like, needs things to be researched and accurate. I think they're at like 36 million profiles. Oh wow. Their validation sample was 2 million people. That's good enough for any testing. I mean, it's Gallup, right? And so go to clifton strengths.com, get your all 34 totally worth it because your top five are, those are like the cards you've been dealt.

And for me, so it identifies talents and then they say talent times investment. So investment of time, skill, your brain. Yeah. All the things equals a strength. A strength is where when it's applied, you accomplish near perfect performance. Hmm. That's sexy to me. Yeah. I want near perfect performance and I want that from the people around me.

I don't want people playing to their non-strengths. That makes no sense. So the top five are fantastic and this is, I have, so I do this for myself and [00:28:00] then immediately I have everyone with whom I am working. Do them as well. So that is how to get self-awareness for yourself and for others. Um, and then another profile that I think is the only teamwork profile I've found, and I'm kind of mad that I didn't come up with it, which is very arrogant of me.

See, but say, but you'll understand why so is working genius. So working genius is if, you know, if they're. One of the things Patrick Lencioni, one of my heroes, team Heroes has identified is that there are six different phases for teamwork. So one is wonder, asking the big questions. So the acronym is widget, by the way, took me way too long to figure that out.

Um, invention is number two. Coming up with ideas to solve the big question. So 30,000 feet, 25,000 feet elevation. Then you get to discernment 20,000 feet elevation. Which of these ideas make sense now or never? Okay, I have invention, discernment. Uh, then once the idea has been decided on let's galvanize people, shall we, that's [00:29:00] the g.

And then once you've galvanize people, sometimes they still need support. That's enablement. And then, so we're down at 10,000 feet at this point. And so think of any project where you went from idea, do, do, do, do, do down the process to when it came to fruition. 'cause you had someone with tenacity who made sure it, that plane landed on the ground, you crossed the finish line.

And in any of those. Those six things, two of them give you joy, your genius. Mm-hmm. Two of them at which you feel competent and two, that frustrate the, you know, what out of you. Yeah. Um, and wonder and tenacity are my two frustrations, right? Mm-hmm. Let me hang out in that upper middle and I'm a happy camper.

The very, very top, the very, very bottom frustrating for me. Um, but it's fun. 'cause then I know how to, how I know how to orchestrate people. I can put them together. I know one of the things I think I did when on the webinar was I. We call it a uniquability re relay. I look at teamwork as a relay race, and so there, I never ran track.

Most [00:30:00] people could tell that I'm not, not athletic in that way. Um, so there are two rules in a relay race, right? Runner in the right place in the race. Number two, don't drop the baton. Right. So this is when you have, when you know who to pass it to and you, and they grab it and they run like the wind. 'cause their uniquability, they don't drop the sucker or go, oh, I've got 18 other batons.

What do you want? Right? That's powerful. So that's the team portion. 'cause it's all great. You can have individuals, but how are we working together? And then finally with business, you really have to understand the why. What are you up to? What are the core values? What's our goal this year? You know, how are we going to apply this amazing teamwork to a defined result?

And so as an entrepreneur, it can't just be same, same old, same old. It's like, oh, where are we gonna improve the practice? By the way, your team knows how they think the practice should be improved. Mm-hmm. Ask them, you know, what are our goals? What are our financial goals? What are our profit goals? What are our learning goals?

Um, [00:31:00] who, how many more people do we wanna serve and care for? Yeah. Right. So that's your job as a leader. Whether you feel entrepreneurial or not, to actually just set some of those bigger targets. Maybe you're not the person to galvanize others what have you. But that is a huge part because then people can orient their talents, they can orient their efforts towards producing that bigger picture.

So that's the self team and, and that's my entrepreneurial leadership model. Mm-hmm. Um, and then, but the team part is really kind of what. What, where the magic all comes together. Yeah, I love that. And um, it's been really huge for us. Uh, we, I really liked the working genius. It was interesting 'cause it line mine lined up with, I felt like my unique ability as well.

So there was a lot of congruency there and you know, we built a team around it, which was. Great. I want to, um, touch on something that you mentioned. I really enjoyed the relay race, uh, analogy and, and kind of lesson you gave us. And definitely love the right person, right place. And then don't drop the baton, but there was a couple things that you talked about, [00:32:00] which I found very fascinating.

I suffer from one of them pretty, uh. Egregiously. Uh, but you talked about the delegation, death grip, and then you also Yeah, exactly. You got the, the great pictures. That's one thing I love about Strategic Coach too, is you guys have amazing, uh, artistry and branding. It's really cool. Uh, but you talked about delegation, uh, death grip and also drive by delegation.

Can you talk about those two extremes that really sabotaged the teamwork? Oh my gosh. Yeah. And, and, and you know, most people recognize the term micromanager, right? Yes. Always looking over people's shoulder. So one of the things that we coined, and by the way, this is from me, coaching entrepreneurial team members.

Mm-hmm. Right? This is just not come outta my head or just talking to entrepreneurs. This came out of working with your teams, so. This is all me just having, putting us actually putting fun names on a reality. Mm-hmm. So, and we all know this, there's something that we love to do, we're really good at. We've done it for a long time and maybe we don't love it anymore, but [00:33:00] we own it.

Yeah. So what happens is we go to pass it over to someone else because we think we should, because we need to be freed up. But we hand it over to them and then we don't let go. Mm-hmm. Right. This is the death grip and they're trying to take it from us. And by the way. You're in charge, you write the checks, you're in the power seat.

So they're gonna tug, but they're not gonna go, dude, give that to me. Like, they're just not gonna do that. They're nice. They're kind and they're like, oh, I guess he doesn't really wanna give it up after all. Yeah. Right. And I'm saying he, it could be easily be she and, and you. And they're like, and they're frustrated.

And you're frustrated 'cause mm-hmm. You won't let go. Right. And maybe you haven't set up the success criteria. Coach has tools like the impact filter for that, which is actually mm-hmm. Everybody, um, you can say what the success criteria are, but it's, it's hard. And, and this is us being a rugged individual that I talked about earlier.

Mm-hmm. Now, the other one that happens. It's kind of hysterical 'cause it's so different. It's the delegation drive by. Yeah. You take that baton baton [00:34:00] and you roughly toss it sometimes quickly at someone's head and you're gone. You're the one running. And they're like, what? And they, they try and catch a baton.

Maybe they do, maybe they don't. And they're like, what about? And you're gone. You're not there to answer questions. It's called obligation, not delegation, by the way. Uh, and you're not there to answer questions and they're left holding this thing that you're expecting them to do with no direction. Um, we are all guilty of that sometimes.

Um, so yeah, those are two of the extremes. Or you surround yourself with this beautifully kept, talented, capable team and you still do it all yourself, and they're like, come on. Like you're paying us, like let's go. And then finally, there's a good handoff. And I do actually use impact filters for this. It was like, oh, here's what I would like done, right?

Mm-hmm. So I'll give that to John, right? I'm like, John, I think you'll be great at this. Just to let you know what's in my head. Here's the purpose, importance, and ideal outcome of this task. Here's an example [00:35:00] of when I did it really, really well. Here's a worst case scenario of when I really screwed it up.

Mm-hmm. Learn from my mistakes, please. And here's the success criteria, which is a checklist. Checklists are awesome. Um, for, to how to ensure the best and prevent the worst. Mm-hmm. And then John feels well equipped. It's a good handoff. And then he's like, okay, can I check back with you? And you're like, absolutely.

Let's meet tomorrow at, well, let's me meet, meet in three days at 11 for 15 minutes. You can let me know how it's going. And then he is like, okay, I'm really good on steps 1, 2, 3, and four, five. Do you mean this or that? Mm-hmm. You're like, oh yeah, that was clear as mud. I mean, this. All of a sudden you've done a good handoff, but it was, unless you're conscious about it, it's messy.

Yeah. Yeah. And that's the one thing you did also talk with us and, and you mentioned, uh, the impact filter and that, I think that is a free resource. It is, yeah. Just strategic coach.com go to downloads and it'll be. Highly recommend it. It's been something that, uh, I've used a lot. I could [00:36:00] use it even more, but essentially, uh, you know, it, it does a great job.

Like whether you need to develop a community outreach plan for your team Yeah. Or you need to do some kind of new treatment protocol, whatever it may be. Yeah. As you actually sit down and you write out what this looks like and if you sit down with that person and do that and go through that and delegate it.

Strategically like that, uh, there's a high, high chance it's gonna get done and get reported to you. I've suffered from the drive-by delegation. Uh, so I, I, I know I gotta con continue to improve on that, but the impact filter can really help get clear on what that looks like. One trick actually, if, if, if you know that sitting down for you is.

It's gonna take you a while. Are you gonna procrastinate on that? Lemme put it that way. Yeah. There's another trick is you actually pass it to someone. You, maybe you write the ti, the title of it. You are like, you know what, can we meet, you know, two o'clock tomorrow, noon, whatever [00:37:00] time works well. Yeah, two o'clock tomorrow.

And can you interview me on this? 'cause it's really a series of questions and most of us are much better at talking than writing. It's what we do all day. I mean, everyone hates to doing case notes, let's be honest. Um, right. So it's, it's one, when you get interviewed, it's great and the person's job is to capture it, you know, and maybe the treat them as your collaborator.

They'll probably have some good ideas too, and help you, and help ask questions that you'll answer more precisely as a result of their. Being a sounding board for you and have them capture it. So that's an option. Um, great. If you have someone that you think well with. But one other thing I wanted to add, and one of our team members took Dan down the studio one day 'cause we like to interview him.

Mm-hmm. Got good stuff to say. And she said, Dan, why do you have people write things down? And I thought that was the most in end question I've ever heard. I'm like, and then he said something, I was like, oh. He goes, I have people write things down so they can get emotional distance from their thoughts. And I was like, mind [00:38:00] blowing.

I was like, darn, that was a good question. I apologize. And it's true because we have all these thoughts running up in our head and we're like, should I, shouldn't I, I don't know about this. And you're just like, worry and excitement and all the things. It's messy up there. Yeah. We're we're chaotic thinkers by like lots of neurons are firing when you get it down on paper.

And these are all thinking tools. Coach does not do forms. That's, that's for the DMV and, um, but this is, this, this is your thoughts on paper. So they're thinking tools and I love our tools because I always feel smarter at the end. Mm-hmm. And I am smarter at the end 'cause I know more what I want. Right. So it's a brilliant way for you to get some of that emotional distance, see your thoughts on paper, refine them, be able to pass them effectively to someone else, have that conversation.

Mm-hmm. It's amazing how much faster things happen when you take that. It could be five or 10 minutes to get it down. And then all of a sudden this idea, and sometimes you look at it and you're like, oh, this sounded really good in my head, doesn't make any sense at all. [00:39:00] Uh, and other times you're like, oh, this is even better than I saw it.

And then you take action. So, and that's why it's called a filter. Dan is someone with a cajillion ideas. Only about 10% of 'em get through to the team. Mm-hmm. But we know if we get one. Dan thought it through and he's filtered out the other 90% that we don't, that it would be a waste of time or that we're only for him.

So when, if you're someone who has a lot of ideas, please use the impact filter just to protect your team. Mm-hmm. From starting ideas that three weeks later you go, oh, I don't wanna do that anymore, and they've just wasted three weeks. Yeah. Right. So the filtering aspect is real. You waste three weeks and I think you also start to chip away at them taking other serious Yes.

Delegations or things serious because like, oh, it's just another one of Kevin's ideas. I know I had a team member, actually a good friend of mine, he said, oh, I have the hear it three times rule. You what? He said, yeah, I need to hear it three times from my entrepreneur. Mm-hmm. I'm like, that's horrible. Yeah.

Right. I'm like. If that were, if I were the [00:40:00] entrepreneur, I would be so disheartened. Mm-hmm. That first of all, there's some things I'd be really upset, didn't happen right away, and someone wouldn't actually push back at me and say, Hey, can we have a different process for your ideas? Oh my gosh, I was horrified.

But people have that rule. He is not the only one I've heard that from. So yeah, it's you, you erode the credibility with your team if you have too many ideas or they're not thought through or you change them too often. Um, so having a very simple 10 minute tool, like the impact filter is profound for teamwork and trust.

Yeah. Love it. Love it. So to kind of encapsulate that, you know, leadership is the combination of really that self-awareness and that's gonna be your unique ability, teamwork, or sorry, unique ability. And then you have your team and that's gonna be unique ability, teamwork, and all the delegation stuff we talked about.

And then it's, you know, the business having the core values and all that. And, and ultimately if you can really encapsulate this, that's where you probably get the self-managing company. Is that right? Yes. Exactly. When, when, and the cool thing is when [00:41:00] people are doing what they're really best at, so Uniqueability mm-hmm.

They become much more self-managing. Yeah. They, they don't need managing, they need direction. Mm-hmm. Which is where the business, you know, comes into. So that means there's way less. Handholding way less babies. Oh, we're, we're adults here, please. Right. And if you have someone who's not an, an adult mm-hmm.

Find someone who, anyways. Um, yeah. So first of all, way less management, way more leadership, providing direction. That's our definition. Um, and then it frees you up to do more of that and everyone gets to great at that highest level. And you need fewer people. Fewer people at the uniqueability level. Mm-hmm.

Um, if you have a lot of people who are merely competent. Uh, that to me is a bureaucracy. Um, then you do need a lot more people. Yeah, right. That's true. So this is a way to have a lean, successful growing organization. Now you, you need some backup. Let's be clear. You need people in training in case one leaves.

Uh, but it's, it's amazing how, how fast you can go and how quickly you can grow. 'cause it isn't bogged [00:42:00] outta bureaucracy. It's because people are really clear on how they can apply their best talents to the goals and go. It's, it's really, it's really energizing. So yeah, you had a self-managing company and then maybe even a self-multiplying company, which is one that grows itself.

Yes. Love that. And that's so always the goal. And you know, we, uh, a little anecdote on, on our practice, not MCM, the company, but our, our, my private practice here. I had, uh, my other doctor lead our team meeting the other day and start out with a positive focus. I treat patients twice a week now, so I'm not here a few days a week or I'm here, but I'm doing stuff like this and, or I'm traveling with work stuff.

But my positive focus was. You know, I was outta town, uh, for our mastermind and then I was, you know, there's a lot of days I'm not here. And I said, my positive focus is like, um, I feel like I don't have to be here some days and, and things are really good. And so it was nice to realize that we're, we're at that point where we're.

Really close on it. We're gonna really know, uh, soon in June. I'm, my family and I are [00:43:00] taking our first, uh, six week immersion trip. We're gonna be in the uk. Woo. Uh, yeah. So I'll still be doing MCM work, uh, not a ton, but definitely be doing some client work with all that. And creativity stuff around MCM, but I obviously won't be in my practice for six weeks.

And we're, we're hoping to be able to do that every summer. And that was actually something I got, I think it was in 2018, it was a strategic coach member. I was in Atlanta 'cause when, when you guys had a workshops in Atlanta with Kim Butler, who was my coach. And um, someone had done a six week trip and I was like, I need to do that.

So it's been on my. Kind of vision board for a while, and, uh, I wouldn't be able to do that without what Strategic Coach has done for me and helped me with that. And then, you know, ultimately building a self-managing practice is what I, I call our practice as a self-managing practice, hopefully, and we'll find out at the true test with being gone for six weeks.

It's, it, I, first of all, congratulations. That is fantastic. Thank you. And probably lots of [00:44:00] strategy circles. Okay. What could possibly come up that you would need help with? Um, and there's something about team as well, and I haven't mentioned this lately. Mm-hmm. So thank you for bringing it up to me. And that is that you never know how good your team is until you're gone.

Yeah. So one of the things we coach at at Strategic Coach is free days. So taking time away. In this case, you're taking time away for free days with your family, but also M MCM work, but not chiropractic work, right? Yeah. Not hands-on stuff. And so, but here's the corollary to that. Your team never knows how good they are until you leave.

Sure. And so that really is the sign of a self-managing company. And, and what sometimes happens is that people, when they leave their companies. The company does even better. Mm-hmm. When they're not there and then their ego gets a little dented 'cause they're like. Maybe you don't need me, but, but instead, and that is, that's a legit feeling.

I, I would, mm-hmm. I would be like, you're like, oh, but they do need you. They need your leadership. But also it means that you've created such an [00:45:00] effective system for success. Yeah. This is a pat on your back moment, but then you need that, that allows you. To ask, okay, what do you want me for? Mm-hmm. And then just do those things.

I've had clients take a six week sabbatical, they come back feeling un unnecessary, and the team's like, yeah, we still want you for this. The one thing, not the 18 million you thought you had to do. Like, we still need you for this. And you are like, oh, okay. And then you get to see if there's some other places that your wonderful brain wants to take you.

Yeah. Or some other places that need value creation that aren't being served yet. So it provides this new floor. And you're a new platform for your growth. Uh, but, but don't go back. Don't go back and start micromanaging and be, yeah. Don't do the, the death grip delegation. 'cause then you just frustrate everybody.

Um, so that's amazing. I love that. No, that's great. That's, that's a good way of, of putting it. Um, one of the things I've always enjoyed, I'll kind of wrap up with this, is that when a chiropractor, uh, inquires about Strategic Coach via Strategic Coach, [00:46:00] um, one of your team members usually will reach out to me.

I've been on a lot of calls with prospective clients as the mm-hmm. Chiropractor. I don't know if I'm the longest standing one or not, but I've been there for a while now, since 2013. Uh, I'll get on the phone with 'em and tell 'em about my story. And I was also, uh, very grateful. I was interviewed for the testimonial recently from Strategic Coach, and they just did a wonderful job with that, that testimonial.

And it, it really has, uh, it changed my life. And I know obviously Strategic Coach has a certain level of entrepreneur that can qualify for that. And so that's one of the things that. Obviously the ones that you guys connect me with to talk to, they've already reached that barrier. Yeah. Um, but I get a lot of chiropractors reach out to me directly about Strategic Coach, and obviously there's a, you gotta be at a certain level, otherwise you're not gonna be able to really get what you're, what, what you're, uh, intending to.

If you're just, you know, if you just started your practice last month and your revenue is $75,000 a year, like it is just not gonna make sense at that point. Yeah. But I always will [00:47:00] really try to. Ask some questions of that chiropractor or where their mindset is, and uh, and I think if it'll be a good fit for Strategic Coach, but for any chiropractors listening that are thinking about that, how can they find out what are some of the steps they can take to make sure that they're a right fit?

Uh, so great. Thank you for pointing that out. So, strategic Coach is for, uh, creative, successful, collaborative, ambitious entrepreneurs. That is who we are. So, and with a specialty in Yes. Yes. Fill in the blank. Um, and we have a lot of, we have a actually medical is, I would say, yeah. A big growth area for coach.

It's growing. Yeah. It's really fun. Which I love. Well, goodness. I'm, I just turned 60. I'm. Yeah, aging is a thing. I need help. And mind you, I've had, I think I've had a chiropractor since I was 12. Um, oh, that's great. Yeah. Yeah. So I'm, I'm a big fan, um, keeps me upright. Uh, so coach is, that's who we're for.

Mm-hmm. And the minimum qualifying income is, is actually 200,000 personal income. So we don't [00:48:00] actually do it by. Practice or company size. Yeah, without too many variables depending on the type of business, because we serve all entrepreneurs. So am I a fan of industry specific coaching absolutely helps you get better at what you're doing, but also what's gonna feed your entrepreneurial brain and who, and you could get a brilliant idea for someone who does.

Manufacturing in Columbia or someone who's got, you know, an IVF practice over in a different state, or someone who's in internet marketing or information marketing or who knows. Right. Or coaching company. Like you could get inspiration from the community that is mm-hmm. Far none our, our, I think our rooms of entrepreneurs.

I know you love yours. Not to, but I love our clients. I think we have the best. Um, so that's, that's a minimum qualification and, and, and in business for a minimum of three years. Mm-hmm. So we are not a startup company. Our tools and stuff are great for growing entrepreneurial companies. Mm-hmm. But we don't wanna be competing with your rent or your mortgage or your salaries that you have to pay your team.

Um, so that's the minimum. And then we also have another at 500. Mm-hmm. [00:49:00] So when people are starting to bump up against that ceiling of complexity. That we are the missing structure to help people grow and to minimize that crisis period that we, we referenced earlier. Mm-hmm. And to give you the, the mindsets we're really a mindset program.

I've decided, uh, is how to think about things. Dan has this great quote you said, the problem is never the problem. The problem is not knowing how to think about the problem. So we give you lots of different ways to think about expanding your freedom of time, your freedom of money, because that funds everything.

Uh, your freedom of relationship, working with people front end backstage, with whom you, mm-hmm, love and trust and wanna care for. And then finally, freedom of purpose. Why are you here? What's your uniquability? What impact do you wanna have on the world? So that's what we're about. So if someone is, wants to expand their freedoms, sees themselves as an entrepreneur, wants to appreciates the field that they're in, but also wants to be exposed at a, a kind of larger framework, I guess, or framework, larger audience then coaches a phenomenal place to be.

Um, our clients are like [00:50:00] you, right? So if you wanna hang out with a room full of really cool Kevins. Coaches to be, they're a lot cooler, but I do, I do love going to the room and, and having other industries and be able to, uh, uh, you know, get out of our box. Sometimes we do within our industry specific seminars and workshops, and I know one of my, uh, overarching motivations working with chiropractors is to.

Get them to be making at least $200,000 a year. And then I would love for them to graduate me and, and go to coach or do or do both or whatever. Right? So that's something that I always have because, you know, we work with a lot of different levels of chiropractors above that and below that. But love getting 'em to coach, uh, especially if they, um, if what you said resonates with them on, on, if they check those boxes of, you know, ambitious and entrepreneurial and those things, and just have a bigger vision than what.

We typically see in chiropractic profession, no, no offense to my profession, but there is a, a ceiling that's lower [00:51:00] than it should be, I think, and I want people to really kind of bust through that. Well, it certainly is lower. It's too low for some people, not everybody. And I'm kudos to all the ones who are just really good craft.

'cause I'm, I appreciate you too. And, but, but I don't want anyone to be frustrated and if, and there is, if there's another level for you, you provide this phenomenal pathway, Kevin. And it's interesting, I am, when people say, oh, sorry. When people say, oh, I'm, I, I'm in this other program, I'm like, great. Mm-hmm.

If someone shows up a coach and has never participated in any other growth platform mm-hmm. I'm like, Hmm, not sure how this is gonna work for you. 'cause, because they'll treat it like school. Yeah. And they'll only wanna listen to the coach and they won't contribute to the other people and they won't be contributed to.

Mm-hmm. So I actually, you know, by anybody else, so I actually deeply appreciate when someone has invested in themselves to learn and to grow, rather than just their schooling. So I love when people participate in masterminds and when they see, when they start to build that structure, and then they get to [00:52:00] a certain point and then we can kick in.

Awesome. But to my mind, people who've actually seen that, oh, I wanna keep learning and growing. That I'm like, okay, now you make sense to me. Um, I think you and I are very aligned in terms of that being pretty important. Perfect. Well, Shannon, I really appreciate your time today. This has been great, and, uh, look forward to running into one of the workshops again soon.

Yeah, I just thought of one more thing. I'm, I forgot to mention the website, strategic coach.com. There you go. Lots of fun downloads. And also if anyone wants some of the other team tools that we were talking about. Mm-hmm. Uh, then you can go to your team success.com. So that's where you can download things like the Communication Builder.

Um, positive focus is also on there, um, some do's and don'ts, which are kind of cool. So anyway, strategic coach.com to learn more about that and get the Impact filter, and then your team success.com for other other resources. Perfect. Thanks again for your time today, Kevin. Thank you so much. Always a pleasure.

Bye.

[00:53:00] I hope you enjoyed this week's episode, and if you wanna make the shift from busy broke and broken to time free and cash confident, or you just wanna continue with the exponential growth, check us out@modernchiropracticmarketing.com. Look at the MCM Mastery tab, watch the short video on there, and check out what we are doing now for evidence-informed chiropractors.

We are equal parts coaching and marketing done for you. Yes, you shoot some videos. We help you with campaign strategies and ideas and really become a thought leader in your community. You shoot those videos, you send 'em to us. We produce, edit, and brand them to you. Then we distribute 'em through all of your channels.

We also take them and we turn it into one good blog per month and every other month we have Darcy Sullivan producing a robust blog with a topic that you pick from her database to help with your SEO. So we essentially become your content marketing agency to make sure your practice is always having ethical, elegant content marketing to help grow your practice.

[00:54:00] On the coaching side, we also help you with everything from marketing ideas to business communications, finances. Anything, practice growth and really try to help prevent you from being stuck on Ad Island and we hold you accountable. We have a great group of doctors that are just doing amazing things, and we look forward to help you out to take that next step in your practice.

So again, check us out@modernchiropracticmarketing.com and learn more.

  EPISODE 464: Evidence-based in clinic, Gut-feel in business

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Speaker: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today excited to bring you a solo episode and we are going to talk about maybe the. Disenchantment of the evidence-based chiropractor and coaching, or are evidence-based chiropractors adverse to coaching and some of the thoughts around that.

Uh, you know, questions, concerns, ideas, reasons, the theories, um, evidence even. And so we're gonna dive into that today. But before we do, I want to make note that we are in a two week window of launching. The founders member for Thrive Thrive 2027. This is an M-P-I-F-T-C-A and MCM conference. Uh, we're hoping for 200 plus people there, but we've opened up a limited amount of spots of 45 that I think will sell out, and so far so good.

Uh, these are founder members. You get the early bird pricing, but you [00:01:00] also get. Special perks such as front row seating. Uh, you get the MCM 30 K course, A follow up , zoom training. Uh, you get raffles for certain things like MPI Seminar, clinical Excellence Channel, uh, a raffle for MCM Group coaching for six months.

You get a free month of CSA that, uh, Bobby maybe and I work together on. And then you also will get to pick, we'll have three different receptions, cocktail receptions. Uh, it'll be, um, an MC M1 limited to 15 people and FTCA one limited to 15 people. And an MPI one, limited to 15 people. Uh, that'll be a cocktail reception after the fact.

And you will. Uh, be able to network with us and even further, uh, than you will in general. Uh, so we're gonna be a lot of great opportunities. We've got a lot of great speakers. Uh, we've got a lineup of Mark King, Bobby Mabe, myself, Ashley Jordan, Brett [00:02:00] Winchester, and Holly Tucker. This is designed for.

Owners, associates, eager students, key team members, right? So the content will be very actionable and strategic. It's not gonna be a potpourri of speakers, kind of random speakers. This is gonna be around practice growth, essentially business, right? We're gonna have leadership. Talk and it's gonna be broken down where, uh, like say when Mark King speaks, it'll be two thirds information and a third heads down work, uh, work together and really put this stuff into action.

So we're gonna have topics such as leadership and practice. Ethical sales, the latest chiropractic marketing strategies, the patient experience and community outreach, planning, the IT factor in practice and also financials. And so we're really diving in on this. . You can go to B DO LY slash thrive 2027 BI do LY slash thrive [00:03:00] 2027.

You can also go to, uh, our M mcm Modern Chiropractic Mastery Facebook Group, and you'll see information in there. You can sign up. We've been sending out some emails, uh, so this is limited to the first 45 for the founders early bird. There will be early bird pricing after that, but you will not get these perks that I mentioned today.

So go ahead and check that out. That's gonna be January 30th and 31st, 2027 in Atlanta, Georgia. We're making it super easy. Direct flights to get to Atlanta, tram to get to the hotel, making it easy, making it. Actionable, not a lot of pomp and circumstance, but there will be vendors, there will be networking opportunities and uh, we're excited to really collaborate an M-P-I-F-T-C-A and MCM event.

And this will be annual, we're gonna do this each year. We're kind of staking our flag on that weekend in January and an Atlanta each year. And we'll have different speakers and themes around practice growth each year. So check it out. B ly slash thrive [00:04:00] 2027.

Alright, so let's, let's dive into today's, uh, topic here. It's, uh, I got kind of like seven. Subtopics within the, the topic of, uh, coaching and our evidence-based chiropractors, uh, coaching adverse.

My first thought on it is what we call the coaching paradox, right? Evidence-based dcs pride themselves on clinical reasoning.

But many avoid business coaching despite evidence, showing mentorship accelerates growth. And we are gonna go into some of the evidence of, uh, accelerating growth a little bit later. Um, you know, and so some of these doctors demand RCTs for treatment, but, but resist, uh, proven business systems and it's, uh, ironic a a little bit there.

And I think. You know, some of that, uh, comes from [00:05:00] the fact that you, a lot of evidence-based chiropractors are very good clinically and maybe hang their hat on. Alls I need to do is be good clinically and business will take care of itself, or business is a dirty word, or if I'm business focused, I can't be patient centered.

Uh, one of the things that I know that I've heard, really, I thought it was just framed well. Is that for a doctor to be good at business just means you're providing the ultimate inpatient experience. Now there's a lot of layers to the patient experience. It's not just the clinical right, it, it's team communication.

It's um, business systems, it's financials are sounds, so you're not stressed about that. It's knowing when you can get good equipment, knowing when you can expand office space, hire team members, uh, there's a lot that goes into the ultimate patient experience, but if you focus on that. You are gonna get better patient outcomes.

And if you're really, really [00:06:00] honed in and focus on the patient experience, you in turn need to learn and have, um, business mentorship and, and, and business acumen. You just do, and you can be patient centered. You can be great clinically, and you also can. Continue to improve on the business side. So that's the, the coaching paradox.

Um, the next one is the, I can figure it out myself. Trap, right? Um, it's kind of how the independent mindset that got you through Cairo school becomes a liability in business. A lot, a lot of you figured it out on your, by yourself. You've, you've figured out a lot of things on yourself. You're, you're smart, you're capable, you are diligent, and you have figured a lot of things out.

Uh, yourself, but sometimes the, the cost of trial and error, reverse learning from someone who's already made the mistakes, uh, or, you know, done things well in certain things, uh, [00:07:00] can really help you get outta that. I can figure it myself out trap. Next is imposter syndrome and, and vulnerability. Uh, definitely.

I recently had a, a client mention that was, you know, going through our practice audit and filling out the details of that and, and, and sharing with me. Really the, the details of the practice was a vulnerable moment for him, and he was nervous, but also excited to be able to have someone really from the outside in, take a look at the practice and help with that.

And so admitting you need help with business sometimes feels like admitting. Like if you were, if you had clinical in inadequacy, right? Uh, it would be like that. Um, even though they're just different, completely different skills, right? No, no one's expecting, you know, you graduate from chiropractic, so we go to eight years of school.

No one's necessarily expecting you to be a. A business person or business savvy, right. It's a completely different skillset. I mean, people [00:08:00] typically, the, the conundrum we run into is we go to eight years of school to become a chiropractor, whereas a lot of people go to 4, 5, 6 years of school to be a marketing specialist.

People obviously get business degrees. Uh, you know, there's communication degrees and there's all these things that we need to hone our skills in that are, that people go to four years or plus the school to, to gain that knowledge. And so it's, it's no doubt it's hard, but you need to, um, you know, get into that rhythm of learning business and being in a group to help that.

And I know, uh, I think one of the other things. Is the fear of being sold to or, or kind of judged by a coach, and that's that vulnerability. Um, and I, that's not a good coach when there's judging. Uh, that's for sure. So, um, I, I can definitely understand the imposter syndrome and vulnerability aspect of that.

Number four is bad coaching experiences in [00:09:00] the industry, right? Traditional chiro coaching often pushes aggressive sales tactics and cookie cutter systems that really conflict with evidence-based values. And we're seeing that it's, it's fascinating, and I'm like, I'm so four. Escaping the commoditization trap and I'm, so for you making good money and having a great value and hourly capacity that I've been talking about for years, I want that to increase and increase.

Uh, but it's been fascinating over the last few years. We're seeing, you know, traditionally the evidence-based chiropractors have really. I've been turned off by the hard sales tactics of, you know, six month care plans, year long care plans, $6,000 packages of things, and, and, and really having to do the hard sales tactics.

To overcome the product. I've talked about this before there, [00:10:00] sometimes in practice there's a product market mismatch, like the market, your community's not really looking for that in droves, and so it takes a hard sales tactic to force that wedge, right? Like to sell that six month care plan for $5,000 is not easy.

There's a, I think it's, it's a pro first, it's a product market mismatch. And in second there's, there's like a 5% or so amount of people that can actually do that well. And then you'll hear those people kind of shouting on the rooftops of how they are able to do that. But then you end up with, um, a. A drove of followers, uh, trying to recreate that.

And it's just hard and it don't feel great about selling those six month care plans and, uh, or year long care plans or those $6,000 packages. And so that's, I think traditionally been something that's turned off a lot of evidence-based chiropractors. But then ironically, we now are seeing it [00:11:00] kind of come to the evidence-based side where, uh, on the rehab side is selling.

You know, five, $6,000 packages for 10 visits or 12 visits. And that's a, there's a, there's a small percentage of people can do that, uh, effectively. And then, you know, what do you, what happens when you don't get the person better in 10 visits and they just spent $5,000? That's, that's a tough pill to swallow for sure.

And that's. Another example of it's, it's kind of a product market mismatch, and you gotta do a really hard sales training and tactics to get that done. And that's just not for everybody. And only if really a small percentage can do it effectively. Uh, but then you, again, you'll hear them, um, you know, show or, you know, talk about they can do that and they can maybe, but a lot of people follow and have a hard time with that.

And we're, we're kind of seeing that in the industry a little bit right now in the ev even in the evidence-based model. And I just think it should be more like frameworks versus force protocols. That's why we've, uh, at MCM. And [00:12:00] again, like I I, I, I've had people on my podcast say James Spencer. I think he's amazing.

He charges a lot. He's built up a, a really good reputation. He's in a very affluent area. He is a, he's a great chiropractor. He is over years has gotten even better. He's just built something special and he's able to, to charge for that. Uh, I, my concern is when people try to charge for that, um, and they don't have the clinical chops or.

The expertise, recognition in the community yet, uh, to, to command four or $500 for a session. And so you gotta, uh, that sometimes can take time. And even in that podcast with James, he mentioned he didn't start at those rates. He worked himself up over time and kind of, uh, cured or curated his patient base there.

And so, um, you know, be careful. I know like there's just been a lot of bad. Coaching experiences in the past of where you feel like you've been put in a box and it's forced protocols. And if you don't do it that way, [00:13:00] you're, you're going to fail. And it's the only way to do it. So I don't like that. Uh, I really like frameworks.

That's why we develop the MCM doing it right framework, so we're not, you know, we're not putting you in a box. It's more about we teach you entrepreneurship, we teach you the financials, we teach you marketing. We really hone in on the patient experience. We help you build a great and train a great team, and then ultimately give you the practice systems that you, uh, desire.

So, uh, be, just be careful of the force protocols, the hard sales tactics. I want you to get good at sales. I really want you to get good at ethical sales, but it's gotta be a product market match to do it at scale and, uh, for a heart, a, a large percentage of chiropractors to be able to do it and feel good about it.

Alright, number five, the ROI skepticism quote, I can't afford coaching. Um, well, you know, you can leave quite a bit of money on the table annually [00:14:00] through inefficiency, right? And you just kind of need to reframe coaching as the highest ROI investment that you can make versus a lot of other, um, expenses.

And so I actually went to, um, perplexity, right? So using AI. Perplexity is a really good one in particular for research. And so I asked it like, what's the, uh, ROI Do you have valid, this is my prompt. Do you have valid research on coaching ROI? Yes. Here. Is the research backed data on coaching ROI. And there's, there's a bunch here.

Key statistics. Um, just read a few metrics. Global study, fortune 500, a 7.88 x return from executive coaching. Um, so that's pretty fascinating. Another one here. I-C-F-P-W-C, global Survey Companies. Median seven x return on a coaching investment, um, Manchester Inc. Study Fortune [00:15:00] 1000, executive average six x return on coaching investment.

Um, first time managers program. Had a, had a big one there. Small business impact, 92 rep. Uh, percent reported direct impact on business growth. 88% deemed coaching va. Invaluable. Invaluable. Uh, 75% said value. Far exceeded investment. Um, you know, and. There's just a, a lot to, to consider there. I know, you know, sometimes numbers can be, can be challenging, but when you look at a return on something, you do coaching for a year or a couple years or continuously, like I've, I've just, I've been doing coaching since 2012.

I've been with strategic coaching since 2013. I've hired. Specific coaching, like, um, I had a leadership coach for a couple years. I've had, I had financial coaching for four years, five years maybe. I had a public speaking coach for a [00:16:00] year, so I always have my bread and butter coach. For me, it's strategic coach, and then I just inherently being, you know, kind of leading MCM and, and having our group coaching calls and our one-on calls.

I learn having our mastermind group I learn, so I just, I have a lot of people around me and. And I honestly just, you know, couldn't do achieve what I have with without it and what I've found fascinating. With, um, being in the Mastermind in particular and being able to coach chiropractors is we've got a lot of high level docs in both our, um, our coaching program and our mastermind program, and they stick with it.

They do the work, they, um, implement things. They know it's gonna help out. They don't get left on an island. Uh, are vulnerable sometimes on things when they need help, and it's just amazing to, I, I've got so many examples of chiropractors that have joined us, put in the work and have really taken off. I've had quite a bit on them on the podcast.

Um, there's quite a [00:17:00] few that I just really am impressed with how good they are clinically, but yet in our mastermind group or. Doing our coaching program. Some, a lot of them did our coaching program now in our high level mastermind group, and they just, they've seen the ROI, but I wanna give them the credit because, uh, from the outside end, those are the ones you think, oh, they don't really need coaching.

They got it. Figure it out. They got great businesses. Well, they'll be the first ones to say they do, but they're also the first ones that take action. They don't sit on the sidelines. They don't. Procrastinate chronically, they actually put in the work and continue to get even better because also the times always change, right?

Like, uh, if you've been practicing long enough, the environment of practice always changes and you need to keep up with that. And so I. Um, the ROI is there. If the ROI is not there, it's because you're running into maybe a coaching program that is trying, is not aligned with your values. It is trying to do force protocols or frankly, you're not implementing the, the, the [00:18:00] strategies, right.

Just for whatever reason. Um, sometimes valid, sometimes not. Uh, but the ROI is statistically there and I would challenge anybody on that if they don't think it is. Number six is one of the things, um, we gotta be careful of with evidence-based chiropractors is they're often in isolation in echo chambers, right?

They, they often practice in isolation without peer groups who understand their approach. And the, the compounding cost of not having a sounding board for decisions can be pretty substantial. I think that's one of the great things about our programs is you get outta your echo chambers in isolation and you get a lot of great ideas.

From us, from other chiropractors, and it really helps you grow and evolve your practice and sometimes take on really hard challenges. We've had quite a few clients, you know, a lot of times po like good challenges like having to buy office real estate on a whim, um, having to navigate EHR [00:19:00] changes, having to navigate insurance changes in particular states we're dealing with right now.

And so having a sounding board to work through that can be very, very helpful. Our signature program had they, you have access to me through Voxer messaging as much as you need, and they get back to you and help you out. Um, we have one-on-one coaches that really get the intimate knowledge of your practice and help you grow.

And so, uh, it's, it's just been amazing for chiropractors that have put in the work I. And then lastly, number seven is the timing excuse. You know, I'll get coaching when I'm more established. We have, we have someone right now that, uh, hasn't even opened their, we have a few, we've had quite a few over the years, but right now, just off the top of my mind, we had someone to join and he hasn't opened up his practice yet, but he wanted to get a six month running start on it.

And so he's getting after it, which is pretty cool. And so if you, um. Use that excuse of get more established. You might, you might be stuck longer. And so we want to [00:20:00] make sure you don't have that as well. And so, um, sometimes the timing doesn't feel right. I remember when I joined Strategic Coach, I, uh, it was 2013, we.

I had just, uh, bought my office, real estate, spent all the money I had on down payment, do all that. I had to move. And, uh, there was, we, we had a, a massive EHR situation, and it was like a, it was that same, within that same six month period of time. I dolled out the money for Strategic Coach, which you had to pay up front.

And I think at the time it was. $7,200. It's not, it's, it's more than that now. Uh, fair amount more than that now. But, uh, I had to write that check and I just, you know, I just was, I was believing kind of more in myself than anything. I, I knew Strategic Coach was good, um, but I also was believing in myself that it, the timing didn't seem perfect, but I needed it and I can make it happen.

And I, I did it and, uh, there was no looking back from there. So, um, you know, whether you're. [00:21:00] Um, struggling right now in practice where practice is going good. What you wanna get even better, or you got a really big thing you want to tackle. Like we, we talk a lot in our groups about opportunities and obstacles and you need help with that.

Um, check us out modern chiropractic mastery.com. We've got a handful of different programs that are suited for you and its frameworks and coaching. It's not practice management and force protocols. And we meet you where you are, give you a lot of ideas and guidance, but don't try to, you know, put you in a box and do it our way or the highway.

So, uh, I hope that helps. I hope there's some insights there on why coaching, whether it's with us or someone else, is beneficial for you. I highly recommend it. If you want, take that next step in your career.

 EPISODE 465: The Start-Up Practice Journey with Steven Reinlie DC

Hey, chiropractors. We're ready for another Modern Chiropractic Mastery Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Speaker: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. This is your host, Dr. Kevin Christie, and today I'm bringing an interview with Dr. Steven Reley from Austin, Texas. He's been in our MCM coaching program for a bit now, and we really lay out his career path and then, uh, making decision to go from, uh, working for a practice for quite some time to opening up his own practice a little over a year or so ago and, and how that journey has been for him and some of the.

Lessons and the good things, the hard things and, and all the stuff that goes into opening up a practice. And we, we kind of dive into that, which was great to sometimes, you know, spotlight some people that are making that dive into, let's call it chiropractic entrepreneurship and, and what it's like and how they are navigating, being able to do that.

So before we do, I just wanna make mention. We are gonna be, if you're in Europe or you want to go to Europe, I'm gonna be with Dr. Chris Chippendale in the [00:01:00] uk June 20th, 2026. And we're gonna talk about the patient experience. It'll be a one day masterclass. He'll do half of it. I'll do the other half. You will leave that day, uh, really, really understanding how to apply a great, remarkable patient experience to your clinic.

You will leave with a new patient experience. It won't just be theory and didactic lecture. You will work through improving. What your patients are experienced, and it's not just clinical. There's a lot of things that go to it, so we'd love to have you there. We have early Bird until March 31st. You can go to Bitly b.ly.

Forward slash MCM UK 26. It'll be on June 20th in London. So check that out. We'd love to see you there. I know we got quite a bit of, uh, listeners here that are from Europe, and we'd love to, to see you there and connect with you even further. So without further ado, here is my interview with Dr. Steven Reley.

Dr. Kevin Christie: All right. Excited to [00:02:00] have Steven on the show here today to, uh, really talk about kind of a origin story of graduating from school, going into a, a, a career path and, and where we're at now. Uh, before we dive into some of that, tell us about yourself.

Steven Reinlie: Um, yeah, thank you for having me on. Always a pleasure to do something like this.

Um, my story is probably not all that different from a lot of people's stories that decide to go into the chiropractic field. I graduated December of 2021 from Parker, um, and I was our class valedictorian. I don't say that to boast, I say that to put out there that there was nobody knocking on my door to hire me.

Yeah. So I always like to remind people that it's about who you know. How you present yourself that's so important in this type of work. I mean, the clinical skills are obvious. I think we all aspire to be good at it, but just getting [00:03:00] good grades on your test questions doesn't mean much. Uh, so, you know, I got out just like many of us do.

You're looking for finding a way to pay back your student loans and pay for your life. Uh, joined a practice here in Austin, Texas. Uh, I grew up in Round Rock, Texas. Um, so moved home. Got married a few months later. I mean, it was a lot of life happening at one time, which I'm sure many of us can relate to.

And got off to a really great start as an associate. And I was with that practice, uh, up until about, um, two years ago, let's just call it that. Mm-hmm. Before branching out and doing my thing. And here we are doing this now and it's been a lot of lessons. It's been a lot of fun. It's been sometimes staring at the ceiling and wondering what the hell did I get myself into?

But I feel like many of us probably experience those emotions regularly.

Dr. Kevin Christie: Yeah, and I'm glad you kind of brought up, you know, the fact that we are in a unique profession where, you know, if you go to Harvard Medical Medical School and you are top of your class, like you're gonna get a top residency, [00:04:00] then you're gonna get a top job offer that it's gonna be $500,000 a year.

You know, like there's certain medical professions where a lot of that. Does carry a lot of weight, but, uh, like they say, uh, the, the, the DC in our last of our name is basically what our grades are. Alls you need to, to graduate and you can still, you can still be successful, right?

Steven Reinlie: That's right. Yeah. I mean, the only, the.

The only thing I got out of it was, uh, a sleepless night. 'cause I did have to give a big, you know, speech and, uh, that like, I prepped for months. I had a feeling that that was coming. So I went to Toastmasters, did the whole thing. I kept questioning like, am I the right guy for this? 'cause I'm not like, super rah rah turned the power on chiropractic.

The guy that went after me that was like. The, uh, big speaker of the event, I can't remember his name, but he was talking about your blazing PISA forms. My father-in-law still brings that up and very not like how many probably of us practice. Not anything against an adjustment, but like it was very talk the tick [00:05:00] for those that understand that world and, uh, like that's just not me at all.

Dr. Kevin Christie: Yeah, no, it's, uh, but yeah, it just kind of shows that, um, there's more to it when we do become a chiropractor and we actually graduate. There's, there's a lot to becoming, let's call it a, a, a successful chiropractor. And there's a lot more, uh, sleepless nights. Probably the best thing you got outta that experience was the learning how to do some public speaking, right.

Steven Reinlie: Yep, absolutely. So it's just like anything, it's a muscle that you have to exercise. Some of us are blessed with more muscle than others, but it's a trainable thing and uh, it was a good thing to go through. It's helped me, you know, uh, I, for whatever reason, get asked to do stuff like that from time to time, and it's good for building your network.

Dr. Kevin Christie: Yeah, I, you know, I wanted to bring you on, you know, I've been fortunate enough to coach you a little bit here for the last year and a half or so, and, and kind of that, that transition from associate to, uh, owner and, and, and dive into that transition there. And I, I want to set the [00:06:00] tone a little bit for the audience where I, I believe you did a good job within your associateship to grow a practice within a practice.

I think one of the. Mistakes that a, a lot of young dcs make a lot of associates is they, they might go into it with a mentality of like, oh, I don't want to build his or her practice. You know, you almost kind of go into this job, uh, wanting everything to be provided to, to you and, and not. Also build your own patient base because you have this feeling that, oh, I'm gonna leave in a, in a fair amount of time and I don't want to put all that effort.

It's something I can't take with me. And, and you didn't have that mindset. You built a, a really nice practice patient base within that practice. And I think, um. You know, young kyber need to understand that when you do open up your, your own practice, if you decide to do that, right, like I don't think it's for everybody.

Not everybody has to open up their own practice to have a successful [00:07:00] career, but if you de, if that is what you want to do, you probably rather it not be the first time you've tried to build a patient base. If it happens that way, fine, but. Look at it as a really good test run if you are working within a practice.

So what were some of the things you took out of that experience of like building a patient base within the four walls of say, another practice that, uh, was beneficial for you?

Steven Reinlie: Um, I come from a father who's a serial entrepreneur, so I have some level and understanding and did the ride to work with dad stuff in the summer and

Dr. Kevin Christie: mm-hmm.

Steven Reinlie: Location, location, location, son, and you know, all that. Right. So. Some of this wasn't completely foreign to me, but it's very different. Um, yeah. You know, trading hats from associate to owner or even if you're an associate and they feed you versus like you're an associate that you gotta go out and get still 'cause your paycheck is dependent to some degree on it.

Um, I am a pragmatist by nature, and [00:08:00] after two or three years of in this practice, I realized that my income was very much capped if I didn't go and learn how to get my own clients, develop my network. And so I was able to negotiate myself into a purely revenue based share split. Mm-hmm. Um, and I pitched it to him as, Hey man, this removes overhead from you.

Like if I don't show up, you don't make, you don't lose a dollar. Right. But I'm taking risk. You're not taking as much risk anymore. Now I want to, since I'm taking some of that risk, I want more ownership of the revenue share. Um, and so we were able to agree to some terms that made sense for both sides. Um, as I like to bring up to him, every dollar that comes to my paycheck is a dollar less in your business.

So I'm not, you know, I'm not, uh, unaware of the negotiation that we're doing here and trying to provide values. He can also expand. Um, I say that because, you know. I had to go out and learn how to look for opportunities. That's probably one of the best things that came from setting up our [00:09:00] arrangement.

Like that you listen to your patients and they say, oh yeah, I'm working with a personal trainer, or blah, blah, blah, and it's, you know, that's important to know, but it's important to go, oh, that's great. Would you like me to coordinate some care? You know, I can talk with your personal trainer or whoever.

Just like many of us might send narratives to PCPs or those types of things. So I just made it a habit and then I put it in our intake paperwork. Do you work with a personal trainer? I'm, you know, data mining for contacts. Mm-hmm. Um, so I'd go out and make some phone calls. Some people are super interested in connecting and some aren't, and you just play that game.

Um, and then I learned some of that on somebody else's dime, I guess you could say. Mm-hmm. Nurtured it. Schedule. Got busy enough. You know, get into life and you kind of put some of that stuff on the back burner. Um, I was able to negotiate myself in a, a good enough place that I could say for most associates I was probably in the top percentile of earning and I had some version of our life of golden handcuffs.

And then it started to become [00:10:00] apparently clear that that practice life cycle. Was very much changing from where, um, I had learned and kind of developed some of those skills. Mm-hmm. And a couple years ago I started packing my parachute for a variety of other reasons. And, um, one of my personal, or I guess you'd say professional goals several years ago was to meet with 40 people that I had never talked to, you know?

Mm-hmm. Practice hold leads, practice developing. You know, just getting a warm intro and an email and that's it. That's all I have to go on. Um, basically once a week so I could learn to navigate those. Because I knew that was a skill, like I was gonna have to have a lot of confidence with to go out and develop my network.

Plus, you never know what opportunities are out there. I was hunting for, Hey dude, I got a room over here, you can rent it for me. Mm-hmm. That stuff just doesn't show up on, you know, uh, LoopNet or whatever.

Dr. Kevin Christie: Yeah. So

Steven Reinlie: it was a skill to that I find invaluable, which gave me a lot of confidence for kind of stepping up and [00:11:00] going out and doing this thing now.

Dr. Kevin Christie: Yeah, definitely. And then, uh, let's, let's chat about where that transition was. When you left and opened up your own, you, uh, were subletting a space. How did you find that space? Was it through a contact that you had met?

Steven Reinlie: So, honestly, um, it was through exactly that exercise. Um mm-hmm. I had a patient. Say to me, she didn't know any of this was going on.

She goes, Hey, you should meet my personal trainer. He actually is in your neighborhood or near where you live. I said, oh, I'd love to. This was during that year of the 40 people.

Dr. Kevin Christie: Yeah.

Steven Reinlie: And I walked in there and she set me up, said nice things about me. Um, he was super easy to talk to, get along with we same in terms of age, relatively speaking.

So there's just, you know, you're looking for any one thing and we do this all day long. We are intervening. Yeah. Literally all day long trying to find like, oh cool, you're into barbecue. So am I. What kind of smoker do you have? Just finding something to develop a relationship. Yeah, so, um, we hit [00:12:00] it off. He was a former NFL player for a few years.

He was looking for someone that did the work that I did, 'cause it helps him and his business and its appearance. And there was just enough space that we needed to throw up a ceiling and another wall. So we made that happen. Um, so I knew, like I had that in my back pocket. It took several months before this all transpired.

Mm-hmm. But I knew that that was there. And then I had another, uh, contact that I had made here in the Austin area that I had been seeing his, uh, uh, he's a personal trainer, his clients for probably eight years at this point or whatever it was. And that was again, from just. Person mining, talking to a previous client that we both shared.

She said she loved him and then I went over there. Mm-hmm. He's a stalwart, Eric Cressey, uh, blog reader, um, that I've done all of his mentorships up there in Boston. So we hit it off right away, spoke the same language, and then he just started sending me business. And so I had called him about a month before I thought stuff was gonna hit the [00:13:00] fan and said, Hey dude, like.

I think I'm gonna need a space. Can I put my portable table in there for a little while? And he said, sure. So after, um, you know, the transition happened, I was over there cleaning his space up, readying it for mm-hmm. Potentially the next day's business. And I'm walking out of his facility and a friend of mine has a clinic right across the parking.

So I walk in there, it's like a Tuesday at 10:00 AM and he's, we get to chitchatting and he's like, what are you, what are you doing here? Like, you know, because I'm usually busy seeing patients.

Dr. Kevin Christie: Yeah.

Steven Reinlie: And I explained to him what was going on and he is like, Hey man, I got a third room right over there. You can rent it from me.

And then that's how that happened. So

Dr. Kevin Christie: yeah,

Steven Reinlie: it goes back to relationships who, you know.

Dr. Kevin Christie: Mm-hmm.

Steven Reinlie: A great book that I read was Rejection Proof. I probably read that 10 years ago. You just, you don't know what opportunities are out there until you ask. And most people don't want to say no 'cause it's uncomfortable.

So even if they can't please you, there might be this adjacent [00:14:00] door that's available that you had no idea to ask about. Mm-hmm. Because I didn't walk into his office thinking like, maybe he's got another room. I walked in there, just say hi. 'cause I had shit else to do that day. Yeah,

Dr. Kevin Christie: yeah.

Steven Reinlie: And uh, he was like, oh man, look at this opportunity I have.

And I'm like, sweet. Actually do need that opportunity. Um, your relationships with people is probably the. Biggest thing I've learned over this last several years. And, uh, your opportunities are directly tied to that.

Dr. Kevin Christie: Yeah, I have a, uh, story, uh, I'm getting old enough now where I have stories from quite a long time ago, and they seem to, uh, come, come to a pass here every so often where you're like, oh, I didn't realize that was going on there.

But, um, I had an opportunity back in 2009. I was inside of a gym. And I'm, and I'm gonna, uh, tease out a little bit with you on moving outta the gym, but we'll get there in a second. Uh, I, I kind of knew the gym situation I was in at the time was on Delicate terms because the business of the gym didn't seem like it was [00:15:00] doing so good.

And I had someone connect me with this woman. She had a place called Ellen's, uh, fitness Studio. Right? So I go over to Ellen's fitness studio and I check out the space and it really wasn't gonna be a, this space was okay, but I can only use it certain during certain times and it wasn't gonna work out too much.

And this, this woman was like in her fifties, right? And I just kind of. Kind of poo-pooed it and, and didn't do it. And, and I move on. And so fast forward, it's like 2015. And the person that, uh, had connected me with that Ellen's fitness studio, she's like, did you know what Ellen ended up doing? I'm like, do you know, do you know who Ellen is?

And I'm like, no. What? She's so Ellen like a year later. Gets connected with this person that knows how to franchise things and they opened up Orangetheory Fitness together. The first one was, the first one was in Fort Lauderdale, Florida, which is next to Davy, Florida, which is where her studio was and my practice was.

And I was like, you gotta be [00:16:00] kidding me. 'cause I mean, if I could have hitched my wagon to her

Steven Reinlie: Yeah,

Dr. Kevin Christie: you could've been huge

Steven Reinlie: corner in every big city.

Dr. Kevin Christie: Yeah, you could. You could have chiropractic clinics in every Orangetheory fitness. Right. I'm sure it wouldn't have come. Come to that. But yeah, I just was like, man, I can't believe I, I, I blew that opportunity.

Steven Reinlie: Well, that's kind of how you and I first got connected is I was. Being tasked potentially with a similar opportunity in another fitness studio that is a big franchise and you know, that has come and gone as quick as it came on. You know, I remember when I filled out my first forms, I thought maybe at some point in the next year or two I'd have six locations just because of the nature of the business that was asking me to potentially put offices in all those places.

And we've gone from six down to one, one really good. That's, that doesn't sound good, but it's super successful. I'm very happy with it. But again, you don't know. You sometimes you think, Hey, this is a golden ticket, and it just dovetails a different way. Sometimes you think this isn't gonna work and it is a golden ticket.

[00:17:00] It's, you know, it's keeping options alive, finding, um, high upside, low risk, which is what that was, and negotiated that agreement to be extremely low risk on my end. And who knows, it could have been a high upside and it just didn't work out.

Dr. Kevin Christie: Yeah, it, it, it didn't, but, uh, probably for the better and I know.

When you and I started working together, you know, you had, you had the few different locations going on and you were growing and obviously running yourself ragged with all that. And one of the things that I always try to recommend, because you just never know the nature of the, the particular gym you might be running, and I, I do think it's a great launching pad for.

Uh, chiropractor, especially kind of, you know, evidence-based sports, chiropractor types. I think it is, it can be really good, but you need a plan to get out. And that was something that, that you've, you maintained, but you did a great job of getting busy enough to then, um, you know, kind of graduate from renting from the gym.

And, and so tell us now where, where you're at, what you're doing and, [00:18:00] and why you did consolidate down.

Steven Reinlie: Yeah. So, um, I realized two major things. One, I'm not in the luxury practice situation. I have kids, I have a mortgage, um, in my late thirties, turning 40 here pretty soon. We've got 4 0 1 Ks and Roth IRAs and five 20 nines and all the things like, I'm sure many do.

So the idea of just staying myself with a tiny, tiny little nut to crack is not really a thing. If I were a made man and already 55 and just, this is doing it for fun, saying low overhead and inside of a gym would be nice. Most, most gyms, I think there is a, there is a huge, huge fab going on right now.

That cash base is the only way to do practice and you have to go that route. Clinic, gym, hybrid, um, maybe not even that, uh, BV clinic inside of a gym, rather. Yes. And you'll always have an influx of patients [00:19:00] and it's the Goldilocks of practice, which couldn't be further from the truth.

Dr. Kevin Christie: Mm-hmm.

Steven Reinlie: Um, I have a very close friend of mine, uh, that was with this previous practice that I was part of, and he is in, still in one of the biest gyms here in town.

Dr. Kevin Christie: Mm-hmm.

Steven Reinlie: And he can command any price. You name it, he can command it. Yeah. It's not even, it's like. Pocket change. Cool. No big deal. But he's only so scalable and maybe he'll do more, I don't know. I'm not casting judgment. I'm just, he's one guy. Right?

Dr. Kevin Christie: Yeah.

Steven Reinlie: So at some point you still end up trading time for money.

And as I said from the outset, I am interested in building a business. I've already had a job. I'm not interested in building another job. I would like a business. And so most of these gyms with high, high earners and people that have lots of. Uh, disposable income, they, they just don't exist. They're hard to get into.

People that are in them don't wanna give up for obvious reasons. So then we're left with most of these other gyms, right?

Dr. Kevin Christie: Yeah.

Steven Reinlie: And they're [00:20:00] all, you know, 1 49 a month or 1 79, 2 25, whatever that is. And that's a nice spot. And most of those people have some disposable income. So it is a fertile ground. But if you think you're gonna go into a gym with 140, uh, members and you're gonna run some, some bang in practice, like you got another thing coming.

So when I got into this gym, my, I, I didn't just rest on my laurels and just do a bunch of workshop to 140 members. Uh, you have to go out and still make connections, meet people and keep your, your, your mindset very broad. Mm-hmm. Because, I mean, truthfully, in my opinion, I think it takes about three or 400 members to service one PT or chiro inside a gym.

And I just, there's very few gyms that have that type of membership that isn't like transactional in the sense that it's more value budget. Mm-hmm. Focused, um, but 69 bucks a month and then they can grow a membership to 500 people. You know, if you're commanding 300 bucks a month for your membership, [00:21:00] it's unlikely you're gonna grow a gym business so large that it will solely support a clinician.

And then if you have any business. Savvy, you're gonna be like, well, why am I just renting space? I should hire a clinician. Yeah, right. So like there is just this constant cognitive

Dr. Kevin Christie: Yeah.

Steven Reinlie: Dissonance that's going on there. So I don't think this Goldilocks exists. I think it is, is exciting. But

Dr. Kevin Christie: let me touch, I want to tease that out a little bit 'cause that's, it's, it's a really good point.

And then, and then we will, I'll let you get back onto that. Sorry. Sure. Um, it's a great point because I. You know, for those that in a gym, there's definitely some, and we actually have a few clients where they've got really good gym situations. The gym's been there for a long time. Very stable, very busy.

Good, good flow. Um, but to your point, those particular doctors aren't. Reliant on just the gym members. And I think that is a huge mistake and, and I, uh, haven't really talked about that on, on the podcast before. So I'm glad you brought that up, is that if you [00:22:00] do go into a gym setting, uh, even if it's a great gym, and if you do get some patience from the gym, awesome.

I want you to think of that as kind of gravy and you need to build a real practice. You need, you need external people coming into your practice for it to be a legitimate practice. You can't just rely on, on the gym members. So I'm, I'm glad you brought that up.

Steven Reinlie: Yeah. I view it as two things, uh, a floor.

Right. Yeah. Like just being present, I'm likely to land some clients. Right. Yeah. And that helps.

Dr. Kevin Christie: Yeah.

Steven Reinlie: And then, um, it was inexpensive, relatively speaking

Dr. Kevin Christie: for

Steven Reinlie: sure. Um, and it's hard to find a room to rent. It just really is. Mm-hmm. Um, it's doable, but it's hard. And so my goal with that was. Awesome. This gives me as much runway as I possibly can with the finances we already had saved.

Yeah. And then it keeps my nut as low as possible. Yeah. And it allows me to hoard money. 'cause I didn't, I, I've [00:23:00] have hardly paid myself anything compared to what I'm used to and mm-hmm. We're fine in getting by, but it's not sustainable. Mostly because I needed a hoard of money to go pay for this new office.

I can happily say I've paid for outright, yeah, a fully funded op, you know, OPEX account syncing fund, emergency fund, all the stuff from, you know, things that your program teaches from profits, first model and et cetera. Um, being in that micro clinic situation. And not taking my eye off the goal, which was to build a real clinic, I was able to position myself to go after it with money and not debt.

Dr. Kevin Christie: Yeah, yeah. No, it's, it's huge. And that was the thing that I do preach. You know, I, for me it was, I was in gym then I was in an orthopedic group. But if you're gonna be in those situations, definitely try to leverage the low overhead. Get external, get people in there, into the, into your practice. Even if it's in [00:24:00] a gym, save up money and be able to, um, at some point, if it makes sense, which I think I would say, uh, the vast majority of the time, it does make sense.

I do again, know some chiropractors that have had a really good long term situation and that's awesome. Um, but to, to get your own office space so that you can then. Think about the next steps there. So, uh, tell us about your, your new space and, and what you're excited about on the future with that.

Steven Reinlie: So the new space is great.

It's about 1300 square feet, which is a huge upgrade from 150, whatever that was, you know, and then, you know, places that I was at had common areas for exercise and rehab, but I paid for the 150, if you will. Um. Outside of that, you know, I've got two offices for care or you know, tables, and they have their own very minimal setup for bands and lightweights for exercise.

The flow that I see in this office is I can bounce between two rooms. I can mm-hmm. Leave. [00:25:00] Needles in people and run therapies or et cetera, eventually have patients staged once we scale to more volume where it's really necessary because I'm, uh, my billables per hour are too low. They fit the model that I was in.

But I don't have the, the volume quite yet to demand all the other pieces that go with running a more sustainable billables per hour type practice. Yeah. I also have a small space for exercise in gym, and then I have a very small space for, um, a staff room. And I have just recently, uh, at the beginning of January, hired my first full-time staff member.

Who is an hourly wage who has helped take some of the burden off me. Now we're still early on and we're creating an our wheel for what that looks like, but as I was commenting a moment ago, today's the first Friday and god knows how long months that I have my paperwork done, when I'm gonna walk outta the office, which is on my [00:26:00] KPIs, and I can finally go red to green for once.

It's been months since I could say that. So this clinic is, is. Um, not efficient right now, but that's growing pains. I've only been in, in it for two and a half months. I, I signed a two year lease with first right of refusal, with the goal of, I could always tack on another year or two. Mm-hmm. If I need to.

And I'm not ready to move out of this space, but it allows me to stick my elbows out. 'cause before I, I was stuck. I couldn't hire a staff member. There was nowhere for them to go. Um mm-hmm. And I hadn't, I did not have a second room, so I had maxed out what I had and my schedule was, you know, if you look at your Jane stats or whatever, it was just a hundred percent utilized for months and months and months, and I had no lunches staying late.

Dr. Kevin Christie: Mm-hmm.

Steven Reinlie: So now I can become a touch more efficient, which improves my billables. I've got a place for staff so they can start taking over my social media things, and I can just become the, the, uh. You know, character, if you will, in all of our [00:27:00] videos. Um, so this clinic, it's going to grow to three to maybe four patients per hour over time.

I have space for my sports science stuff. I have space for actual real exercise. I have space that I can brand my own videos. I have space for a staff member, and then if I'm lucky, I can start bringing on other. Therapies, whether it's shockwave, laser or something else. Uh, you, you name it.

Dr. Kevin Christie: Yeah. And you know, you are a cash-based practice and it's something that we've been kind of, you know, you've built up the practice and I think you and I have worked together to try to now carve out the, the future in a sense.

And, and you've been putting all the work to do that. And, and part of that was Yeah, we needed to. Maybe get a little more efficient with the patient care on how many you can see within an hour without sacrificing quality of care. Uh, how do we, we've increased rates, you know, and you did well with that, and that there was no blowback on that at all.

And so we're, you know, I think a lot of the, a. Let's call it the, the, the rehab based [00:28:00] or sports chiros, uh, that are cash based can struggle with that hourly capacity number. And so we, you know, kind of worked through what those capacity blocks are. Money wasn't really a capacity block for you. It was more of, like you said, time and space and maybe a little bit of a, of equipment.

We've, you've, you've done a good job of fixing the space block and you got new space and doing all that. And now hiring, uh, you know, you took on a lot. You know, you moved, you hired you, you did, you, you closed down a, a location. I wouldn't say close it down, you consolidated, which really I think is gonna be a, a, a higher leverage point for you, which has been great.

And so you just, you you're consistently taking what the next block is in, then attacking it. And that opens up to the next level there, uh, which has been pretty cool to see, which. Has allowed you to utilize profit to then reinvest in the business. And I wanna commend you on the delayed gratification. Um, 'cause you're not 28, you're [00:29:00] 38 or in the late thirties.

Right. And so it's, it's even, it gets even harder to have delayed gratification in your late thirties and then in your late, late twenties. Right.

Steven Reinlie: It is tough. I mean,

Dr. Kevin Christie: yeah,

Steven Reinlie: my wife's been literally barking at me for years to buy a truck. 'cause our family needs it. Yeah. And I'd be taxing in our personal life for years 'cause I didn't know what was gonna happen in my professional life.

Yeah. I mean this has really been four or five years, basically since the fall of 2020. I've just been in taxi mode. I have not been in attack mode. We paid off our student debt, um, which everybody knows that's a huge thing. Whenever Uncle Sam decided to turn that back on, I can't remember what it was, but it was literally the night before it was like, okay, payments are due.

And we had been just saving, 'cause you know, you didn't have to pay anything for those couple of years. And we wrote that last anti-climactic check off and it was done. I remember like, that's it.

Dr. Kevin Christie: Yeah,

Steven Reinlie: that's just go to bed now. So we, we just took care of that and then just took care of the next thing and then took care of the next thing [00:30:00] and just.

Uh, to, I view this business as a vehicle for us to mm-hmm. Either buy back time or, as I've always said, I retire when I choose to go to work, not because I have a certain number of money in my account. I don't know if I'll work forever and see patients forever. I don't know. And at this point, it's not a thing that I need to know.

I'm really focusing on. How can I build this to be a real business? I don't want it to revolve around myself. I don't want people to just only refer to my business because of who I am. I want to provide kick ass jobs for people that come in here and either want to be, you know, they are a clinician and mm-hmm.

Want to be a part of it, or it's. Some type of support staff or a personal trainer. I want people excited to show up.

Dr. Kevin Christie: Yeah.

Steven Reinlie: And in order to do that, that takes time. It takes energy, it takes some vision, it takes some money. It takes being really disciplined fiscally and delaying, delaying, delaying. Mm-hmm.

And [00:31:00] you know, you have to toss, you have to play tug of war. Um, yeah. Between what are your personal goals? What are your professional goals? Um, and so I have a very supportive wife and spouse, and she's been wildly patient with me. She's an entrepreneur as well. Mm-hmm. She's the complete opposite of me in that regard.

She's, she's a creative, so, um, it's, it's been fun to see how your personal finances. Your business. Finances almost mirror each other in a lot of ways. And so we've been, you know, prior to running this business, very conservative with our, uh, financials personally, which lends itself to just operating a clean, uh, optimized business.

Dr. Kevin Christie: Well, it's a, I've referenced this before in a podcast, but I think it's a good time to do it again. Uh, I listened to a podcast, I, I mean, it was like six or seven years ago, but the gentleman was talking about. In life, you know, kind of the first half of your life is [00:32:00] you're building the vessel and then the second half of the life, if you build that vessel, well the second half of your life is filling that vessel.

Right? And and it really, um, it resonated with me because I think. A lot of us have our buddies, our friends that are corporate, uh, since they graduated undergrad and they just went into corporate careers. And for them the vessel is like family and house, early house, get a house early, uh, 401k only. You know, like it's a.

It's, it's looks different for us a as chiropractors. And then if you decide to, to, uh, you know, own your own practice at some point it's a whole lot, it looks a lot different than your friend that is the, the corporate employee. And so you, uh, you may start behind, right? Like you might be 26 years old when you graduate school versus 22, like your friends, and then there's a lot of other things going on, but when you.

Decide, you know, get, whether it's get married, have kids, that's part of the vessel. Buying a house that's part of the vessel [00:33:00] you're building, opening up your own practice and doing all that. Uh, you know, for me, I didn't, I didn't buy my first house till I was 40, but I did buy my office real estate at 33.

And to me, that was part of the vessel I was trying to build professionally. And if you do it, sometimes it looks like. You're 40, 40 years old and you're like, wow, I just now feel like I can really put some gasoline on this. And, but from 40 to 60, the, if you do, if you build the vessel right from 40 to 60, you're earning potential there.

In your asset building, there can be so exponential that you just. Bypass all your corporate friends that are just kind of saving for 401k and hoping that they can retire at some point. And that's where that delayed gratification goes. That's where instead of buying the new car, you're, you're, you're moving into the new office space and instead of buying the watch, you're buying the shockwave, [00:34:00] uh, you know, like it's certain things like that.

You have to make that decision because then. You're gonna really be able to bear fruit that second half there.

Steven Reinlie: Well, it's, it goes back to, you know, the Rich Dad Poor Dad book. Yeah. That mentality. You know, if, let's say my monthly nut to crack is 10 K for the lifestyle we wanna live.

Dr. Kevin Christie: Yeah.

Steven Reinlie: You know, if, if I only have a few minor assets that are making a few hundred bucks a month and a little 401k here and a little of this and a little of that, like.

Okay, cool. You know, like I can't sustain my lifestyle where my money works for me. This business, and the reason why I want to build a business is 'cause I want the business to be that asset. It's just, it is my 401k. It's where everything's going. That's the goal. Now we may find out 10 or 15 years from now.

That didn't work out. That is the cost of doing business. But the same is true for a 401k or a Roth IRA. I mean, just ask some of those people several years ago that were retiring and they're like, oh crap, the market tanked. What do I do now? Or inflation is going crazy. [00:35:00] Like, do I cash out? Do I ride the inflation bug?

Should I work a few more years? So there's nothing certain in this world. I do know I have. A lot more control over this asset than I do just sticking it in, in ETF and hoping that I pick the right handful of 'em and trusting that, you know, every seven or eight years it's gonna, on average go up and double or whatever.

But at the end of the day, um, so much of this boils back to. Being satisfied in your person and finding mm-hmm. Purpose and why are we on this planet and what are we trying to do? And it can change and it can fluctuate. But where I know right now I'm in my late thirties and have kids, you know, those existential questions can wait for a little while.

Right now it's put head down and grind and work hard, and that's where we're at.

Dr. Kevin Christie: And now you're at that point where you'll be able to, you know, you're, you're building the golden goose essentially. And then you'll be able to take profits and do what you will with it. One, one thing that was fascinating, we, we had [00:36:00] just gotten back from our West Mastermind and we kind of went around the room 'cause it was the first meeting for the year and, uh, introducing some people and some of the unique things that they have going on.

And, you know, we have one member that. Uh, has done well in practice and now owns like seven, uh, waxing salon or parts of waxing salons. He's invested in that. We got another one that owns a basement. Uh, I don't even, I don't, we don't have basements of Florida, so I never even know what it is, but it's like base basement proofing company.

We had about six members that have investments going on in other types of, of businesses, or they own their. Practice real estate. And so every time you're writing that mortgage check to your real estate, that's, that's for savings and, and it's exciting when you get there, that's where it becomes exponential.

'cause not only do you get to pay yourself more and you, you know, max out your 401k or your business and that type of stuff, but then you take profits and you can either reinvest it into your business to pay yourself more or you reinvested in other things and [00:37:00] become a little bit of an investor. Which to your point on the Rich Dad, poor dad, I guess that's the, uh.

That's the holy grail of the development. What is it? Uh, job is, is stage one, I think. Then owning a job is stage two, and then owning a business is stage three, and then being an investor is stage four. Is that right?

Steven Reinlie: Pretty much. Yeah. So I mean, we know right now we have our highest nut to crack and it's only gonna continue to expand.

Like this isn't ultimately the nut we're looking for, but this is the, uh, investment vehicle that we are investing in. Mm-hmm. And right now it's a lot of sweat equity, um, and over, and some of it is financial for sure, but the business has been able to pay for the business so far. Yeah. Which has been great.

You know, my seed money from my person. Was probably what, let's call it the last six years of practice. I mean, this is my 15 year, 15th year of practice. But the last six or seven years were like, things started to click and I started to understand mm-hmm what game I was playing. Um, [00:38:00] and so there was a lot of that.

That was. Seed money, if you want to call it that way, those relationships. But the seed money to start my business was a few thousand bucks. Yeah. I mean it was, I had a portable table and you know, like no down payments on anything. They're all handshake agreements, which I don't recommend, but you got to judge your relationships too.

Some of those, I just wasn't sure if I pushed a hard paper copy. If they're gonna be like, nah, take a hike. I'm not really interested. Like I'm not recommending that. But you have to have some. You, you, you need a little bit of luck. I definitely had some of that, but some of that was already built in. And then being really, really patient and smart with your money and keeping your, what is my focus?

Okay? Mm-hmm. What is I need to get my own space 'cause my biggest threat to my business right now. Mm-hmm. Is anybody could say, Hey, get out. We have another use for that room. So, okay, cool. Now we've gotten to that part. Now my biggest threat is just making sure that I can continue to expand my margins, not because I'm trying to retire early.

It's [00:39:00] so I can sustain growing this business in a way that. The business better for the people that we serve. Mm-hmm. Which I know is a, a point that you've talked about before, which is it's not evil to make money. Um, we need those things to become better clinicians so you can have better tools so you have some space in your mind where you're not stressed constantly and you're not focused on the thing that's in front of you.

And so that's where we're at right now, is improving how this clinic operates.

Dr. Kevin Christie: Love it. And I think you're at the tipping point here soon, which is exciting to, to see. And so, um. A LA just last question. Like what, you know, the, speaking to the audience, if someone is either, uh, looking to maybe open up their own practice or they own their own practice, but they just really haven't necessarily hit that tipping point there, what would you recommend for them?

Or what would you, what would you say? What kind of advice do you have for them?

Steven Reinlie: I have two big pieces of advice. Um, and I say this to my boys all the time. I've got a 10-year-old and a 7-year-old. We have a rule the first week of school that [00:40:00] their job is to go meet three new people. Mm-hmm. Okay. We are trying to develop the skill of connecting with people.

Okay. So if you struggle with that, then you need to work on it. Mm-hmm. And I am left-brained really good at taking tests. It pissed me off when our dean at Parker said, straight A, students tend to struggle in practice 'cause they don't connect with people and then they go to research. And I was like, bullshit.

Uh, it just, I still remember that it bothers me to this day. So if you don't know how to make relationships, I'm here to tell you it's a hundred percent learnable skill. You just have to show up and care and be curious, which is, what is that the art of? What's that famous book that was written?

Dr. Kevin Christie: Is it

Steven Reinlie: the,

Dr. Kevin Christie: the Seven Habits of Highly Effective People?

Steven Reinlie: It's the same author, but it's like, yeah, it's one of those, I can't remember off the top of my head, but I read it and I was like, cool. Okay. So be curious and actually care. So like that, that is vitally important and if you can't do that, then stay where you're at. Um, the [00:41:00] other piece is get serious about knowing where your money goes.

Yeah. 'cause your business will stress you the heck out no matter what. And finances are half the reason why marriages fail. And finances, I would have to be really certain, I'm not an expert, but it would be the biggest reason why a business fails. And a lot of it isn't because you can't make money is 'cause you don't know how to manage it.

And um, I'm really, really a big stickler for where our dollars going. How are we best utilizing them? Not in a, uh, miser kind of way, but because they need to have purpose and those two things, I think give you a good chance.

Dr. Kevin Christie: Yeah, no, I love it. I think is it win friends and influence people.

Steven Reinlie: That's the one.

Yep.

Dr. Kevin Christie: All right. Good. Yep. And then, yeah, I just want to, you know, lastly, commend you also, like you're a very capable person, um, but you haven't tried doing this alone and you knew you had to. Kind of take on some coaching to just [00:42:00] even sometimes be a sounding board. And so I, I think more people need to consider having someone in their corner to help out with it because it's, uh, never easy.

Even if you are, uh, you got a good strategy and, and, and, and the wherewithal to do it, it's, it's good to have someone to help you out.

Steven Reinlie: Yeah, I mean, when I took my associate job, I still remember the last little bit of an interview, um, yeah. At dinner, and they're like, well, why do you want to be an associate?

Dr. Kevin Christie: Mm-hmm.

Steven Reinlie: And I said, I want exponential clinical growth. I care less about the money. Right now I care more about getting good at my job and my craft. Mm-hmm. And that was in line with when we had our first dialogue, I was like, look, I already know I'm gonna have bumps in the road. I'd prefer not to pay for them two and three times.

I'd rather just pay up front a little bit and sign up for some coaching. Know that I'm doing this right. Uh, and right is a broad term. There's different rights of course, but mm-hmm. Um, you know, I have mentors in my life. My, like I said, my dad's a previous entrepreneur. I've got both [00:43:00] my, uh, college roommates are, were entrepreneur or entrepreneurs now.

So I have resources and it's good to have different angles. Mm-hmm. But it's also have someone that's been in the trenches and that understands some of the nuance. Because you know, some of these buddies, they might run a IT company and they don't know the first thing about like clinic efficiency and structure.

Now they know efficiency for their business, and it's my job to play. Interpreter, right. But being able to talk to somebody like you and point me in certain directions, that just shortcuts me and it's, for me, it made the most sense to invest the money to take those shortcuts, then bump my head and learn from hard knocks.

Dr. Kevin Christie: Yeah. And I know it is hard for. Some, you know, that are listening is, is I kind of similar. I, I spent about five years before I opened my own practice and I was all in on the clinical and I really wanted to do that and I, I really want to make sure chiropractors understand is like, you gotta get good clinically.

I think there's this weird dichotomy where we get some chiropractors that [00:44:00] go all in clinically and forever and then never actually learn the business side of it and they struggle and then you get some that. Don't ever get good clinically and then try to put lipstick on a pig with tactics and strategies.

And that's not a, that's kind of house of cards. I, what I've found, and, and I've seen this now over the years, is the ones that have really come out and, and learned the clinical and mastered that within reason over the first stages of their career. And also are not afraid to realize I gotta also learn the business side.

I think marrying those two things is where you really have sustainable, long-term growth, and your patients, uh, are, are all the better for it, right?

Steven Reinlie: Absolutely. I mean, so much of this is self-discovery and I know from, I read the book. To sell as human. That was a big pivot point for me. Mm-hmm. In understanding, I had to learn how I needed to sell.

And you're either in a product business or you're in a [00:45:00] service business. Yeah. And chiropractors are no different than copy salesman, car salesman or whatever. Uh, orthopedic surgeons. We are selling that. We have a solution and then you need to trust us and we can help you. Right. And so for me. I know how I sell is I sell from a place of confidence and conviction.

So I needed to improve my clinical chops and I needed to understand that I've seen this 6, 12, 15, 25 times before and yeah, you're having a shit day with your disc, but like it's going to pass and I need to be able to say that because you're gonna get found out real quick. Yeah. And so that I feel like.

Was really helpful for me. That way I could do the business part because I can just do the clinical part. The business part is, is hard enough.

Dr. Kevin Christie: Yeah. Yeah. So, well, Steven, this is great, man. I really appreciate your insights on this and it's been excited to be, uh, kind of having a, a, a, a front row seat to the, to the growth and excited about this, uh, next stage for you.

Steven Reinlie: Yeah. I appreciate [00:46:00] you having me on and, uh, look forward to it in the future.