Thank You To Bill Esteb, www.patientmedia.com, for allowing me to share this simple yet powerful post of his with you!

Tags: Bill Esteb, Chiropractic Practice Management, Chiropractic Practice Success, Duality, Law of Opposites, Patient Media, Universal Laws

What Do Michael Jackson, Elvis Presley and a long list of other celebrities have in common? Harmless prescription drug and painkiller abuse in volumes and mixtures. These famous celebrities are the ones you hear about in the media.  However, the fact is, many medical errors are not reported, including death by such medicines deemed ‘normal’ to use by society.  Tylenol, Advil, Demerol, Oxycontin, Dialudid, Panadol are just a start. Throw some antidepressants, antianxieties and sedatives into the mix and voila! You have a highly addictive cocktail of deadly drugs. Do we have a global problem? I think so. We just hear about the famous ones…

From the Death by Medicine Report by Drs. Null and Dean in 2003), as few as 6% of adverse drug effects are ever reported.  Sadly, deaths estimated in 2003 due to adverse reactions to prescription drugs is 2.2 million per year. And the leading causes of adverse drug reactions were antibiotics (17%), Cardiovascular (17%), chemotherapy drugs (15%), and anti-inflammatory agents (15%).  Can you imagine what this number is now, six years later, with more and more ‘advancements’ in medicine and big pharma?

As wellness chiropractors, doctors of ’cause’, we want to be addressing the bigger picture in our offices – that health and life come from the inside-out.  If you are not teaching this principle to the people you serve, you are just another modality to them.  Health does not come from taking medicine or cutting things out of the body. It comes from the life force, carried unimpeded over the nerve system reaching to every cell, tissue and organ in the entire body. Do they know this? Do they understand the physiological implications if this nerve impulse is impeded? Do they know that it is your job to remove this interference and allow the fullest expression of life?  If they don’t, they need to.  Or they could end up like Michael Jackson, just not as famous.

How are you using this most recent, tragic death of an icon as an educational opportunity in your office?  We coach our clients to ask thoughtful questions to the people in their offices to illicit a response, rather than just lecture them about the overuse of medicine in our societies.  We need to shift their consciousness and beliefs about health and wellness.  How about the following as a start to get your mind going:

• What do you think killed Michael Jackson?
• Do you know that prescription drugs are just as dangerous as recreational drugs?
• What happens when you give a healthy person medicine they don’t need?
• If drugs can make a healthy person sick, how do they make a sick person well?
• What do you think, can medicine make someone healthier or just take their symptoms away?
• Where does health come from? What causes us to be healthy? What keeps us alive?
• What does the Nerve System control? What part of your body could live without Nerve Impulse?

May I suggest that you look at our LAASR process of communication (Listen, Acknowledge, Ask, Solution, Resolution) when educating, answering difficult questions and in all of your interactions within and outside of your practice.  It will literally transform your level of communication and results!  It is what we teach and how we coach chiropractors to great levels of success! Let’s start to manage your chiropractic practice in a true wellness model.

Tags: Adverse Drug Reactions, Chiropractic Coach, Chiropractic Consulting, Chiropractic Practice Management, Death by Medicine, Elvis Presley, Health, LAASR, Life Force, Medicine, Michael Jackson, Nerve System, Prescription Drug Abuse, Subluxation, Wellness Care, Wellness Chiropractors, wellness practice management

For many people, their understanding of health, where it comes from and how to stay well is as deeply ingrained as some smoker’s beliefs about smoking.

We are living and practicing chiropractic in a medical world. Although we are in a shift of a wellness revolution, the majority of people who show up in your chiropractic office are bombarded by big pharma advertising and years of thinking that health comes from drugs or surgery.  And it is your job to change their mindset and beliefs about health and healing, where it comes from and how to get it. Good luck!

Most chiropractors I coach and consult, or speak with in the field tell me that they educate the people in their office.  And the usually follow up with, “but they still don’t get IT.”  And if they did get it, our entire profession would already have thriving, true wellness chiropractic practices.  So something’s not working in our approach…

What does educate mean? To most chiropractors, they lecture and talk ‘at’ their people until they are blue in the face and the person is tuned out. There is an important distinction to make, between educating by telling or educating by asking good questions.

Try and convince a smoker that smoking is bad for him.  Tell him all the things he already knows (or doesn’t) that it is killing him. Use fear. Use threats. Use your authority as a doctor. Lecture until you’re blue in the face.  Does anything change for the smoker? Nope, he still doesn’t ‘get it’.  That’s right, his beliefs and mindset haven’t shifted one bit from all of your telling.

And this is what most chiropractors who are not having high retention, thriving wellness practices are doing.  Trying to educate by telling.  I gotta tell you, from my experience, that’s never going to work. Why? Because it’s from the outside-in, it is your idea and not theirs. Because how do human beings do react when someone tells them what to do? Resist. So you get decreased compliance, they like you less and wonder when you’ll use your authority again to get them to do what you want.

Remember a smart guy named Socrates? His philosophy was one of asking questions to have the person think. And since doctor in Latin means ‘teacher’, it’s about time our profession stopped lecturing and started asking better questions to really teach the chiropractic principle of health. Why? Because when a person thinks, processes and answers a question, it comes from the inside-out and they own it.  Since it was their idea, there is no resistance, they feel valued and given a voice. There is increased  compliance and likeability and you don’t use authority, you use leadership. How’s that for congruence with chiropractic philosophy?

But oh wait, there’s one more benefit.  Not only will they ‘get it’, understand health, healing and chiropractic at a deeper level, but do you think that it is easier for them to refer their friends and family if they can articulate their newfound understanding themselves?  And the practice itself grows from the inside out by high retention and high internal referrals.

So the trick is to find out how to ask better questions during every interaction of Visit 1, Visit 2, Daily Interactions, Re-Assessments, Re-Reports and in handling difficult questions. We coach chiropractors this day in and day out.  It will transform your practice, your relationship and your life. And you’ll help shift the consciousness of the world. Let us know if we can help.

Tags: Asking, Authority, Beliefs, Chiropractic Coach, Chiropractic Consultant, Chiropractic Philosophy, Chiropractic Practice Management, Chiropractic Practice Success, Chiropractic Principle, communication, Convince, Educate, Fear Tactics, Health, High Retention, Inside-Out, Internal Referrals, Lecture, Medicine, Mindset, Outside-In, Questions, Results, scare tactics, Shift Consciousness, Socrates, Telling, True Wellness Practice, wellness revolution

Many chiropractors have a difficult time with life balance. Whether you are just starting your practice OR seeing 500 visits/week, it’s hard to find a balance between the office and your personal life, your community and your family.

The truth is, wellness chiropractors who are running successful chiropractic practices have to lead by example.  If wellness chiropractors are going to lead the wellness revolution, we have to walk the walk, not just talk the talk!  You can’t be overweight and teaching nutrition. You can’t be a stress case telling people to reduce their mental/emotional stress.  Just like you can’t smoke and tell your kids not to smoke.  It is who you are BEING and DOING, not what you are SAYING that matters.

While coaching chiropractors, it is essential to look at their life priorities and build their life and practice around that.  You get to choose the life you want to create! First you need to know what that is, then you need to create and action plan to get there.

Secondly, it is not about time-management, but it is about self-management. How focused are you?  How effective are you at following through on your plan? How much do you allow yourself to get distracted?  How tenacious are you at pushing through the dip?  Are you showing up in life with the discipline it takes to be a true leader? And who is holding you accountable for your choices?

Lastly, to be of true service, we have to be full vessels ourselves.  Unless we serve ourselves and our personal needs, we can’t truly be of service.  It is about being self-full not selfish.  It’s time for you to exercise “Extreme Self Care” as outlined by Thomas Leonard in his book, “The 28 Laws of Attraction”. Here are the categories to revamp your life:

1. Stress elimination: By focusing on stress elimination in all areas of your life. What is stressful? What are you tolerating? What isn’t adding positively to your life?

2. Environment & Family: Design your environment to serve you and your family relationships to add energy to your life.

3. Pleasure: Know what makes you feel great and then get more of it in your life.

4. Well-being: Ensure all aspects of physical, mental, emotional, chemical are 100% .

5. Support and Experts: Receive wellness care from experts and seek support from a coach.

6. Ingestion: You are what you put in your mouth. Keep it clean. Treat your body like the temple that it is.

7. Appearance: Take care of the outer you as well as the inner you.

8. Sustainability: Make extreme self-care a behaviour not a quick fix.  Take control of your time, learn to say no, delegate finances for self-care.

9. Daily Rituals: Small improvements lead to great results.  What you do daily is who you become.

10. Special-care Items: Add anything else you need that isn’t listed above.

Tags: Action Plan, Balance, Extreme Lead by Example, Goals, Leadership, Life, Personal Needs, Self Care, Self Management, Thomas Leonard, Time Management, vision, Wellness Chiropractic, Wellness Chiropractors

It’s easy to be mediocre.  A mediocre person, a mediocre mother, a mediocre friend, and certainly it is easy to be a mediocre chiropractor.  Look around, most everyone is doing it.  Mastery however is difficult.  Mastery takes hard work, dedication and keeping a big vision in the forefront of your mind and the stamina to follow through.  To be an overnight success takes 10,000 hours of work.  It means you have to push through The Dip. 

What does it take to be a master in the art, science, and philosophy of chiropractic? Even more importantly is what does it take to be a master of communication about our truth of health, healing and chiropractic?  As a start you need to understand personality types and communicaiton/behavioural styles of people. You need to LAASR your Visit 1, Visit 2, Daily Interactions, ReAssessments & ReReports communication to lead people forward.

Do you know what the common denominator of all successful chiropractic practices have? Chiropractors with certainty.  They are clear on their vision and how they are going to achieve it.  They know what they bring to the table.  And they speak their truth boldly and in a way that people can hear them.

Are you the best chiropractor you can be?  Are you communicating chiropractic to the people in your office and community so that they ‘get it’?  Can you turn people on to a healthy lifestyle that includes chiropractic care for them and their families for a lifetime?  Write down what having mastery in your chiropractic career would look like. Then write down the things that would need to change or improve to get there. What support do you need?  A coach?  A consultant?  Practice management tips?   An action plan? Accountability?

Most people get successful ‘enough’ and help ‘enough’ people.  They hit a plateau and get comfortable.  Are you pushing yourself towards mastery?  It’s your life. It’s your practice.  You get to choose. Let us know if we can help. There are too many people sick and dying in your community because they don’t know what you know.

Tags: 10000 hours, Chiropractic Coach, Chiropractic Coaching, chiropractic profession, coach, communication, consultant, LAASR, Leadership, mastery, mediocre, mediocrity, Motivation, Practice Management, Success, The Dip, wellness chiropractic practice management

 

 

A More Effective Swine Flu Vaccine

When it comes to the newly-hyped media craze of swine flu, how are you communicating it in your chiropractic office?  Are you part of the chiropractic profession getting caught up in the fear tactics propagated by the government and media or are you grounded in your chiropractic principles?  How is your certainty as a chiropractor?  It’s easy to talk about chiropractic and immune function when people are well, but what about when faced with the proposed ‘Swine Flu Pandemic’?  Can you keep yourself together, use your emotional intelligence skills and not allow the panic to hijack your amygdala?  Can you keep your critical thinking about cause and effect, and your common sense approach to health, wellness and disease to lead your community through this challenge?

My friend, Alain Desaulniers, D.C. has used this photograph and made a poster for his office that says at the bottom, “Chiropractic Care Strengthens Your Immune System. Stay Well Adjusted!”  (He has given permission for other chiropractors to use it, so email me if you would like it).

The last time Swine Flu made an appearance was 1976 and the government quickly pushed through a flu vaccine (doesn’t this normally take time to manufacture “safely”, if there is such a thing?), used fear to mass vaccinate and 25 times more people died from the flu vaccine than of the flu itself. Congressman Dr. Ron Paul’s video on Swine Flu recalls this event and states, “The government shouldn’t be in the medical business”.  This time it is an interestingly more complex virus, a recombinant H1N1-H5N1 avian/human/swine flu virus never to be seen before.  My microbiology might just be rusty but I can’t help but wonder if this is natural genetic evolution or a laboratory virus gotten free?

Let’s look to chiropractic’s history and originating philosophy to on understand the cause and effect of disease, especially infectious illness:

“One question was always uppermost in my mind in my search for the cause of disease.  I desired to know why one person was ailing and his associate, eating at the same table, working in the same shop, at the same bench was not.  Why? … This question has worried thousands for centuries and was answered September, 1895.”    ~D.D. Palmer, The Chiropractor’s Adjuster (1910)

Dr. Fred Barge continued on this theme when he used to say, “Do rats cause garbage or does garbage cause rats?”  Dr. Kevin Donka of Chirothots has continued Dr. Barge’s message with a twist, “Flies don’t cause garbage!”  

Common sense tells us that rats and flies are attracted to dirty places where there is decaying matter to feed upon.  Just because rats and flies are present at a garbage dump or a dirty restaurant doesn’t mean they caused the garbage, they are an effect of the garbage!  So why do some people get sick and some people stay healthy? It depends on the cleanliness of the body’s environment!  If your body is weak, your resistance is down, and your cells are decaying, doesn’t it make sense that the germ scavengers would find home, food and shelter there?  Of course it does!  The germs don’t cause the disease, they are present when disease is!  It is your internal resistance of your immune system that determines whether you get sick or not. Keep in mind it is called the ‘Germ Theory’ not the ‘Germ Fact’!

Whether or not the U.S. Homeland Security is appropriately given the power to make decisions about the health of Americans, (a political discussion of its own), what are chiropractors doing to coach the people they care for about strengthening their body’s own ‘Homeland Security’?  As a Wellness Chiropractic Coach and Consultant at Rosen Coaching, we coach chiropractors to not only communicate and educate people about the 3 Dimensions of Stress and what causes subluxations, but to provide ongoing communication about the ingredients for a healthy body, first and foremost clear nerve system communication.  What else can people  do to strengthen their immune systems and promote health? Proper nutrition, vitamins and minerals including high doses of vitamin C, movement and exercise, hydration, rest and relaxation, fresh air, sunshine/vitamin D, mental clarity, stress management, emotional peace and fun!

As a chiropractor looking to lead your community to health and wellness, to have practice success and growth as well as to have the life of your dreams you need to stand up, tell the truth and show people there is another way! Let us know if we can help!

Tags: Amygdala, care tactics, Cause and Effect, Certainty, Challenges, Chiropractic Coach, chiropractic profession, communication, Congressman Dr. Ron Paul, Disease, Emotional Intelligence, Fear Tactics, Germs, Immune System, Internal Resistance, Leadership, rosen coaching, Success, Swine Flu, wellness chiropractic practice management

“Look at ever path closely and deliberately. Try it as many times as you think necessary. Then ask yourself, and yourself alone, one question: ‘Does this path have a heart’?”  ~Carlos Cataneda~

What is the essence of your practice?  What matters most?  If you have passion.  If you are ‘on purpose’.  If you love what you do.  The truth is, everything comes down to your focus, your enthusiasm and the energy you bring to your practice and the people you serve.  

In my chiropractic coaching, I work with chiropractors more about their head space and mindset than on their procedures.  I can easily consult you with typical practice management style and tell you a script to say for your Report of Findings/ Recommended Action Plan.  But if you don’t have passion, or certainty, or value yourself as a chiropractor and the care you provide, it won’t help. We have to coach through these intangibles before we can move forward.

At the time of death, the ancient Egyptians removed all the meaningless organs and discarded them. One that they kept – the heart.  I myself have been in ancient Egyptian temples and tombs and am intrigued by their understanding of the human experience.  When an Egyptian dies and goes to receive judgement by Anubis, their heart is weighed on a set of scales against a feather.  If their heart is lighter than the feather, they have lived a good life and move to the afterlife.  How light is your heart?  When do we let ourselves over-think our practice and ignore our true knowing, our intuition and what is in our heart?

Most chiropractors I know or have coached, who have done the ‘scare tactic’ model of communication tell me deep down it didn’t’ feel right. They went to bed with a pit in their stomach and their heart knowing the incongruency.  But it sounded like a good idea to use fear for patient compliance and to get the promised results.  It might work for short term compliance, but to get long term follow through our job is to have passion, tell people our truth, show them the consequences of their choices and build human relationships through hope and loving communication. 

Here are the steps to help you regain heart in your practice:

1.Truly discover your heart, passion and certainty for chiropractic

2. Bring it to your practice in every aspect: communication, marketing, team building etc.

3. Love people where they are and show them there is another way ~ lead them!

4. Make your systems and communications congruent with what is true to your heart

5. Have the practice and life of your dreams

Tags: care tactics, Chiropractic Coaching, communication, Egyptian, Heart, Passion, scare tactics, wellness chiropractic practice management

As chiropractors, hopefully most of us are communicating with the people we care for about the concept of health as a process vs. health as an event.  The accumulation of stress over time and the removal of such stress is the creator of health or disease.  Nothing from the outside. Nothing that just ‘happens’.

After a close family member had a heart attack this weekend I am deeply thankful for event/crisis care that our social medical system provides. It saved her life with incredible speed and skill.  And what I know so conceptually, I was reminded viscerally this weekend where they fall short. Medical care is not designed nor intended to keep you healthy. They view health as an event instead of a process. “This happened, we fixed it. Now take these drugs for life as our best approach to manage it”.  

True health care is the chiropractic understanding: Health is a process. In every moment you are either moving towards health or away from it with your choices. If you accumulate too much lifestyle stress in your nerve system, you will create dis-ease and disease.  We acknowledge this as the CAUSE and make new choices to create a different state of health.  Wellness care is acknowledging what the body needs (and doesn’t need) to be well and continue to take care of yourself with the same level of care, whether you are sick or whether you are well.

But a process takes TIME you say! Ah yes, heart disease didn’t happen overnight. Nor will it disappear with a medical miracle.  They can reactively stop the acute pain of an MI and reestablish blood flow – but the proactive process is just beginning!  But we are a quick-fix society wanting results NOW!  

Even wellness chiropractors, who understand the ‘process vs. event’ concept and communicate this way to the people they serve about symptoms, healing, and chiropractic care can be impatient with their practice and their chiropractic coaching. But I want results NOW they say!  Ah yes, but changes in your practice don’t happen overnight!  Don’t fall into the quick-fix trap, it’s incongruent with our philosophy.

Know what you are trying to accomplish, have an action plan to work towards it, follow through with the actions and produce the results.  In every moment, your chiropractic practice is either moving towards success or away from it with your choices and actions.

Make sure that you are applying the same Process vs. Event principle to all aspects of your life: Your chiropractic practice, your chiropractic coaching, your nutrition, your exercise, your finances… it’s aligned with the laws of nature.  Life is a process, not an event.

Tags: Chiropractic Care, Chiropractic Coaching, Event, Health Care, Medicine, Proactive, Process, Reactive, Wellness Care, wellness practice management

As a chiropractor, do you know what your vision is? Do you know why you get up every day and do what you do?  Without a clear vision of where you are headed it can be hard to stay the course.  Just like a raft guide who doesn’t know where he’s headed, a chiropractor without a vision can get easily lost. If you can’t clearly articulate your vision, that is the first thing to master to have success in practice.  Because you are not just leading yourself, you are leading your team and the people you take care of.

Your mission is how you are going to accomplish your vision. What will it take to get there?  It answers the 5 W’s of who, what, where, when and why. Your vision and mission is what guides your everyday action and reduces the overwhelm of your To-Do list.  It is essential to start with the big picture in mind to have a successful wellness practice and life for that matter!

Like the raft guide, you are steering the raft of your office for the people you serve, your team, and the community.  Do you know which direction you are headed?  Are you padding upstream or with the current flow of the river of life? Your vision and mission are essential to being able to course correct with wellness practice management principles.  As a chiropractor, are you stepping up to the level of leadership required to save lives in your community?

Next, what does it take to have a successful wellness chiropractic practice? Have you got what you need and are you implementing the strategies to do so? Just like the raft guide has to pack meticulously to have the correct rations of food, tools, supplies and emergency necessities, do you know exactly what you need to run a wellness practice and in the correct amounts?  Or does it feel like you are flying by the seat of your pants (or hanging on to your life jacket)?  May I suggest that you start to look at your practice as if you were a raft guide, who is responsible for the lives, the well-being, the nourishment, and the enjoyment of yourself and others on your journey.  Nothing can be left to chance in the wilderness ~ have a vision, make a plan, have what you need and course correct to be in the flow of life and success! But don’t wing it… your happiness and the health of your community depends on it.

Tags: chiropractic, Leadership, mission, Practice Management, Success, vision, wellness, wellness chiropractic practice management

  VS.   

If you are a chiropractor still practicing in a pain based model of symptom relief, I hope you will realize (soon) that the future of the profession lies in wellness care. Like dentistry realized fifty years ago that waiting to pull rotten teeth from people’s mouths with toothaches is antiquated, our chiropractic profession is starting to see the light.  Treating people’s backache’s and using adjustments like expensive aspirin isn’t keeping up with the times.  It’s time to think different. 

People want wellness, look around! From organic food, to fitness gyms people are looking to get well and stay well rather than wait for a crisis.  Our culture is in the middle of a wellness revolution ~ don’t get left behind!  It is time for the chiropractic profession to lead this wellness revolution.  It is up to each one of us.

At Rosen Coaching, we look at two key stats as a litmus test for a wellness practice: your retention or PVA (patient visit average) and the percentage of internal referrals.  You may think you are running a wellness chiropractic practice, but if your PVA is below 60 and your internal referrals are low ~ it tells us that the people in your practice don’t ‘get’ chiropractic like you think they do. If I sat in your reception room and asked the next 100 people through the door why they are there, what would they say?

So what are the symptoms of practice not succeeding and not congruent as a wellness practice?  Of course, low PVA/Retention and low internal referrals as mentioned above.  But what else?  A wellness philosophy for how you manage your practice is key. Do you have systems and a communication model that is reactive as opposed to proactive?  Do  you wait for the number of new people to drop down before you do any marketing or do you have a perpetual, balanced approach marketing calendar?  Do you wait to have staffing issues or do you spend time each week cultivating a Dream Team?  Do you wait for people to drop out of care before addressing their concerns, or do you listen between the words and identify the symptoms of when a person receiving your care is unhappy?  Are you afraid to address their concerns and sweep them under the rug with an assertive or non-assertive ‘brush off’, or do you address them right then and there?  Want some more examples? Disorganization, stress, lack of income, lack of new clients, people don’t ‘get it’, clients don’t follow your recommendations, they don’t sign up for care, they don’t keep their appointments. The list can go on…

Truly the biggest difficulty I see in the profession is the amount of scare tactics that are propagated by some of the biggest chiropractic practice management companies out there.  I truly believe that there is no place for fear and manipulation in a wellness practice, as it is completely incongruent with the very nature of a wellness philosophy.  It’s time to think different and start using trust, hope and truth to help people see what is possible for their well-being. If you are going to have a wellness chiropractic practice, leave the scare tactics at the door.  And start to use a proactive congruent wellness approach in your systems, communications, and practice management.

Tags: care tactics, Chiropractic Coaching, chiropractic profession, communication, future, pain based model, rosen coaching, scare tactics, wellness model, wellness practice management, wellness revolution