Is there a difference between wellness and maintenance care in today’s chiropractic practice?

As a chiropractic coach, I speak to chiropractors around the world day in and day out about their practice and life challenges, wins and how to create the life of their dreams.  And I get a good idea of the head space of what is going on in our chiropractic profession. This is a discussion that arises frequently and feel the distinction between Wellness Care vs. Maintenance Care is an important one to clarify.  From the standpoint of practice management, as well as from a person’s experience with care.

We have a Wellness Revolution that has fallen onto our laps.  The public truly wants what chiropractic can deliver, they just don’t know we do that.  They instead view us as pain relievers and back pain specialists, because that’s what we’ve educated them on in the past 90 years.

And the truth is, our chiropractic profession is still stuck in the antiquated 3:2:1 communication model of, “We’ll get you out of pain: then do corrective care: then onto maintenance”.  The only difference is now, we substitute the word “wellness” for “maintenance”.

So are they the same thing?  I think not!  From a definition perspective, maintaining something at the same level is much different than increasingly enhancing and moving towards new levels of health and wellness.  From a care frequency perspective, you might be able to “maintain” someone’s level of symptoms at a once a month frequency but you certainly won’t be helping them move forward towards greater levels of health and well-being.

Wellness care would have to be much more frequent to evolve someone’s nerve system and optimal health, depending on their lifestyle of course.  And from a person’s perception: if we are providing maintenance care at a maintenance frequency, is it possible that they have settled for their lower level of symptoms as ‘normal’? That they finally feel that chiropractic “didn’t work” because they still have x,y,z?  Or that they feel chiropractic care is only for symptom-relief care?

The big question is, how often do you and your family get checked? Isn’t it time that we told the people we care for the truth and offered them the chance to live the lifestyle and levels of health and wellness that our families do?  What’s the worst thing that can happen if they come in more often to get checked? That’s right, they don’t need to be adjusted!  We need to celebrate and educate them that this is EXACTLY what we hope for - to be functioning at 100% for that period of time.

I challenge you to look at what you are recommending for ongoing care.  Is it congruent with your understanding of chiropractic, our vitalistic philosophy and the goals of what you are trying to accomplish with people?  If you are still focused on pain relief, it might be time to recognize that people want TRUE wellness, not just an expensive aspirin.  A profession will step up to lead the wellness revolution, the question is, “Will it be chiropractors”?

If you want support and coaching, how-to’s on communicating this message, please contact us and see how we can help. Our mission is to have chiropractors be the leaders of TRUE health care and the wellness revolution!

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Tags: Chiropractic Coach, Chiropractic Practice Success, maintenance care, Rosen Chiropractic Coaching, Wellness Care, wellness chiropractic practice management, wellness revolution

One of the biggest classic blunders chiropractors make is to forget they are human first and doctor second. What do I mean?  They are so quick to jump on ‘teaching or telling’ the person in front of them what they think (they are the doctor, aren’t they?), before they really find out what is going on and clarifying the person’s question or statement.

During the Daily Interactions in your office, my favourite question to ask someone who has a question or a concern is,”Why do you think that is”? Assuming we’ve nailed our Visit 1 and 2 communications, we can use this question to help make the picture bigger without lecturing people. The old Ask vs. Tell!

“Doc, my neck hurts more today”, is a good example. The assertive chiropractor comes out with both guns of blame and shame blazing, “What’d you do to wreck yourself”?  The non-assertive chiropractor doesn’t address the concern with a meek, “Okay” response.

We coach our chiropractors to not get caught up how they want to respond but to connect with the person in front of them and clarify what they mean. “Why do you think that is”, is a good start. This little question allows us to:

1. Check in with them and find out what is really going on

2. Help them come to the answer, by asking questions and without you lecturing them (which concurrently creates less resistance and more ownership)

3. Connect the dots for them so that they get it! For example, “Wow, Mr. So & So, your neck is bothering you more today?  Why do you think that is? The last time this was subluxated, do you remember what lifestyle stress you were having then? Yes, it was stress “X”. Have you been having stress “X” again? Interesting… What do you think about that? Can you see that this lifestyle stress is recreating this subluxation?

We need to ensure that every visit people feel valued, given a voice to speak their thoughts, feelings or concerns and that there is a chance for us to give specific feedback.  We are either going to Celebrate & Educate or Commiserate & Educate. And what do we want them to get from our education?

1. The way I live my life can either recreate subluxations or help me stop recreating subluxations

2.  If I have subluxations, there is limited life force getting to my cells, my body is not healing or  functioning at it’s optimum, and I am not living at my greatest potential

If the people in your office are not able to give you the “Whole Story“, give us a call and we’ll help figure out how to communicate this and THRIVE in a True Wellness Model of Chiropractic Practice!

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Tags: Ask vs. Tell, Challenges, Chiropractic Coaching, Chiropractic Education, Chiropractic Practice Challenges, communication, wellness chiropractic practice management

In the book, Change or Die by Alan Deutschman he studies the 3 keys of change, and what works and doesn’t work.

In a recent blog post, Ask vs. Tell, I explored the power of asking questions to shift consciousness, beliefs and therefore behaviours.   This follow-up post is meant to look at the two types of questions we can ask: Scare Questions or Care Questions. What do I mean?

A good portion of our profession and practice management companies uses scare tactics and fear to manipulate people to do what we want.  Our perspective, at Rosen Chiropractic Coaching is that fear and manipulation have no place in a chiropractic wellness model.  We stand for clean communication with compassion.

In Change or Die, Alan Deutschman explores the three “F” words: Force, Facts and Fear and why they don’t work. When the three “F” words become too much, people go into denial as a protective mechanism. They make irrational decisions that could cost them their life (only 10% of heart attack patients changed their lifestyle despite the fear and threats).  In contrast, Dr. Dean Ornish had 75% of heart attack patients change their lifestyle with the three “R” words: Relate, Reframe, Repeat.

So we need to relate to the people we care for. We need to build rapport, bond, connect, offer hope and relieve their fears.  We need to reframe their consciousness and beliefs about health, and ask questions to shift their current paradigm, to plant seeds and teach under the radar. And we need to repeat these questions in our daily interactions, our Touch-Tell-Ask-Teach and find ways for people to become successful every visit, working towards a new goal. We as their doctor, need to lead them, inspire them and empower them.  And we need to create a culture in our office creates a supportive community.

Because making changes in life can be challenging and these new behaviours need to be reinforced with love and support, not fear and commitment. This is exactly what we do at Rosen Coaching to help you have a thriving wellness practice! We address the 3 R’s in the LAASR Mastery process. If you want a communication system based on the 3 R’s then give us a call!

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Tags: Alan Deutschman, Ask vs. Tell, care tactics, Change or Die, Chiropractic Coach, Chiropractic Coaching, Chiropractic Practice Management, Chiropractic Wellness Model, communication, Denial, Facts, Fear, Fear Tactics, Force, Leadership, Reframe, Relate, Repeat, scare tactics, Scare vs. Care, True Wellness Model, wellness chiropractic practice management

As a chiropractic coach it is my mission to help chiropractors reach the level of success they are looking for and to create their dream wellness practice.  For some, that is a small retirement practice, and others it is to manage a high-volume practice that serves hundreds of people each week. Either way, part of my role is to help chiropractors clearly define what they want and then to help them get it.

When looking for big changes in life, whether different results in practice, or in helping the people you serve to make changes in their personal lifestyle there is a key element to remember: small things lead to big things.  It is the consistency of action on small things that will get you the big results you are looking for.  You can’t climb a mountain in one stride ~ it’s one inch at a time. Without keeping this in mind, it is easy to get frustrated at any moment with your progress. Without a coach, it is difficult to see the forest for the trees.

One of my mentors, Robin Sharma, uses this quote with high-powered executives to get them to live great lives and run world-class businesses, “Small daily acts of greatness lead to stunning results.” 

Your frustrations with your progress in practice are the same as your practice member’s frustrations with their progress and results.  It is not only powerful to remind them of this concept, but to remind yourselves as well.  

1. Know what you are working towards - have a clear vision.

2. Have a plan to get there. 

3. Take small actions steps daily and over time you will create the life and practice of your dreams.  If you improve 1% each day for 30 days, you will have made a 30% leap forward (not including compound improvements). Be better today than yesterday.

Here is BJ’s quote on The Big Idea to really hit this home.  Found in Chapter 1 in Volume XVIII, otherwise known as The Subluxation Specific-The Adjustment Specific:

“A slip on the snowy sidewalk in winter is a small thing. It happens to millions. A fall from a ladder in the summer is a small thing. It also happens to millions. The slip or fall produces a subluxation. The subluxation is a small thing. The subluxation produces pressure on a nerve. That pressure is a small thing. That decreased flowing produces a dis-eased body and brain. That is a big thing to that man.

Multiply that sick man by a thousand, and you control the physical mental welfare of a city. Multiply that man by one hundred thirty million, and you forecast and can prophesy the physical and mental status of a nation. So the slip or fall, the subluxation, pressure, flow of mental images and dis-ease are big enough to control the thoughts and actions of a nation.

Now comes a man. And one man is a small thing. This man gives an adjustment. The adjustment is a small thing. The adjustment replaces the subluxation. That is a small thing. The adjusted subluxation releases pressure upon nerves. That is a small thing. The released pressure restores health to a man. This is a big thing to that man.

Multiply that well man by a thousand, and you step up the physical and mental welfare of a city. Multiply that well man by a million, and you increase the efficiency of a state. Multiply that well man by a hundred thirty million, and you have produced a healthy, wealthy, and better race for posterity. So, the adjustment of the subluxation to release pressure upon nerves, to restore mental impulse flow, to restore health, is big enough to rebuild the thoughts and actions of the world.

The idea that knows the cause, that can correct the cause of dis-ease, is one of the biggest ideas known. Without it, nations fall; with it, nations rise.

This idea is the biggest I know of”.

Stick to the small things that will create big things!

Photo Credit: Jamen Rhodes Photography/ Climber: Chris Meyer (my brother)!

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Tags: Action Plan, Big Things, BJ Palmer, consistency, Dreams, Frustrations, Goals, Progress, Results, Robin Sharma, Small Things, Success, The Big Idea, wellness chiropractic practice management

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.

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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!

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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

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

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