A Doctor's Perspective Podcast: Recent Episodes

Dr. Justin Trosclair DC, Chiropractic, Physical Therapy, Optometry, Dentist, Podiatry, Marketing

Dr. Justin Trosclair interviews other doctors about their speciality, success, trials, marketing, and home life balance.

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Stop taking your clinic home in your head. Learn a simple 4-part system (Clarity, Container, Calendar, Control) to finish notes, keep marketing consistent, and show up fully for your family—starting this week.

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Join Dr. Justin Trosclair in an engaging podcast as he unravels the mysteries of scoliosis, from early detection to cutting-edge treatments. Discover the keys to preventing curve progression, relieving pain, and achieving better posture, whether you’re a healthcare professional or someone seeking to understand and manage scoliosis. In a recent solo episode, Dr. Justin Trosclair...

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Discover valuable insights on achieving work-life flow and real estate success in this exciting podcast episode featuring Dr. Michael Bugg. Dr. Bugg, a veterinarian and real estate investor, shares his experiences and wisdom, offering practical tips and strategies for finding balance, aligning passions, and maximizing earnings. Read on for a glimpse into the highlights of...

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If you’re an entrepreneur struggling with delegation, outsourcing, and productivity, this podcast episode is a must-listen. Kate Lingoni of BonBon Strategic offers actionable advice and strategies to help you optimize your time and energy, delegate tasks, and achieve your business goals. In this podcast episode, Justin interviews Kate Lingoni from Bon Bon Strategic, a business...

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Get ready to be inspired by the amazing Mark D’Aunoy, certified Christian life coach and chair of Kitchen Table Counseling, in today’s thrilling edition of “A Doctor’s Perspective” podcast! With a master’s degree in counseling and licenses in marriage and family therapy and professional counseling, D’Aunoy is an expert in his field, offering cutting-edge services...

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Get ready to hear an inspiring story of perseverance and innovation on the latest episode of our Acadiana podcast! We’re thrilled to share with you the tale of Drew Cornell and his business, Lafayette Signs. Imagine losing your top 5 clients all at once – what would you do? Drew faced this very challenge in...

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His view on staff, handling customer concerns and reinvigorating himself with family will get you on the right track this quarter. Ty Greneaux also has exclusive info released first on this podcast. Acadiana Garage Doors, let’s learn more about this 35 year company. Once upon a time, Ty Greneaux had no intention of leading Acadiana...

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If you’re looking to learn about the most exciting and innovative businesses in Lafayette, LA, then you won’t want to miss this podcast! Our host, an experienced chiropractor and podcast enthusiast, has pivoted the show to shine a spotlight on the best local businesses in Acadiana. In each episode, you’ll get an inside look at...

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Time to get concrete numbers about computers, screens and chair distances to see if you have good ergonomics to help reduce low back pain occurrences. Ergonomics factor that cause low back pain Main measurements to impress companies with your ergonomic assessment: working posture, screen to keyboard, distance to chair, height of computer… do it wrong...

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Discover a simple 6 email sequence that can take a cold lead that downloaded your lead generator and walk them to a sale. sites mentioned: www.writesonic.com for AI to help you write emails. Show notes can be found at https://adoctorsperspective.net/m77 here you can also find links to things mentioned and the full transcript.

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Quick look at the Medical Journals that recommend chiropractic and the truth about spinal steroid injections. The frequency of patients who filled a prescription for opioid medication six months after their initial visit was significantly higher in the group that started with a primary care physician compared to those who did not. In contrast, a...

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It’s a simple 5 step template that paints the picture on how to write an email, social media post etc to take a person along a quick journey and make a sale. Start with the problem. Offer your practice as the solution. Bullet point with a three step plan. Explain the negative states if they...

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Take a journey and see how the right coach and approach can tap into your Unseen Potential. Emmanuel Ayiku brings his degrees, faith and life experiences together for your benefit. Get driven with a listen. Emmanuel Ayiku holds a Masters in Higher Education & Divinity and a Masters in Leadership and Human Development with a...

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If you are frustrated with the soaring prices of healthcare and feel confused or powerless to make changes that benefit the average person, then listen to Dr. Gilbert Simon talk about his book Ripped Off.

Dr. Gilbert Simon, MD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

1 Myth of Universal Healthcare is it’s Socialized Medicine

If you are like many people, aren’t those interchangeable terms? Find out the 3 different systems - compared and contrasted. Really though, universal kind of just means everyone gets it, like universal K-12 education.

2 Myth, The American Healthcare System is Number One

We are 11th out of the top 10 countries that are similar to ours. Life expectancy is that of Costa Rica.

3 Myth. Healthcare would be Free

Wrong. We would pay for it by taxes.

One benefit of universal healthcare is that every hospital would be ‘in-network’ so you would not have to worry about which one is going to give you surprise exorbitant bills.

Is there some way to CAP the Profit that health insurance companies could make? He mentions that other countries do cap how much the C-levels can make by a multiple of the lowest paid worker. SO, we can’t set the amount but by the ratio.

Even worse that insurance companies is the Pharmaceutical companies.

How is that Medicare and Medicaid have different drug prices? How much do politics play a role in prices and competition.

Out of Network Charges but In Network Hospital Services

What is the back story of how you can to an in-network hospital but still get seen by out of network providers and yet we are still on the hook for those rates?

What are the 3 General Types of universal healthcare? Our GDP spends 8% on healthcare which is double other similar countries.

Price Transparency

There are laws that hospitals have ot post their prices but with the complexity and surprises of the human body, it’s hard to say just what a gallbladder removal will cost. It’s not as easy as saying all gall bladder removals in New Orleans will cost $400 (made up price).

Why the shift from private practice to being a hospital employee affiliate?

70% of doctors are no hospital employees. Part of it has to do with all the red tape and hassle of getting paid for legitimate services provided.

How do we get the EHR to talk to each other and transfer data so that redundant tests are not ordered and the doctor gets all the information they need without doing unnecessary expensive tests. 12% of the workforce is in healthcare and most of those are not administering patient care.

Is it true that big pharma has slush funds set aside for the lawsuits from drug reactions?

Ask yourself and politicians, do you know it’s broken, if so whats the course of action to fix the problem?

Show notes and the transcript can be found at https://adoctorsperspective.net/185

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks descript!

Live from Louisiana and Sacramento, California. Today on the show, we have a doctor who’s been doing this thing for 50 years as primary care. In the eighties, probably in the nineties, he was serving 40,000 low income patients.

And over all that. He decided to write a book and it’s called ripped off. It’s about being overt, tested overtreated and overcharged pretty much kind of makes the case that maybe we should maybe go universal healthcare, how that could work out and just all the blah money that has been spent in a poor way.

So I’m excited to dive in, please. Welcome Dr. Gilbert, Simon.

Okay. Thank you, Justin. So the career span half a century, it really does. Yes. 53 years, actually, once you, once you passed 50 years stop county, but it was 50, 53 years. And there were years where I saw the, in the medical profession undergo tremendous change.

Not to the better,

I don’t even, I mean, sometimes you, I get into these interviews. I’m like,

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If you are frustrated with the soaring prices of healthcare and feel confused or powerless to make changes that benefit the average person, then listen to Dr. Gilbert Simon talk about his book Ripped Off.

Dr. Gilbert Simon, MD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

1 Myth of Universal Healthcare is it’s Socialized Medicine

If you are like many people, aren’t those interchangeable terms? Find out the 3 different systems - compared and contrasted. Really though, universal kind of just means everyone gets it, like universal K-12 education.

2 Myth, The American Healthcare System is Number One

We are 11th out of the top 10 countries that are similar to ours. Life expectancy is that of Costa Rica.

3 Myth. Healthcare would be Free

Wrong. We would pay for it by taxes.

One benefit of universal healthcare is that every hospital would be ‘in-network’ so you would not have to worry about which one is going to give you surprise exorbitant bills.

Is there some way to CAP the Profit that health insurance companies could make? He mentions that other countries do cap how much the C-levels can make by a multiple of the lowest paid worker. SO, we can’t set the amount but by the ratio.

Even worse that insurance companies is the Pharmaceutical companies.

How is that Medicare and Medicaid have different drug prices? How much do politics play a role in prices and competition.

Out of Network Charges but In Network Hospital Services

What is the back story of how you can to an in-network hospital but still get seen by out of network providers and yet we are still on the hook for those rates?

What are the 3 General Types of universal healthcare? Our GDP spends 8% on healthcare which is double other similar countries.

Price Transparency

There are laws that hospitals have ot post their prices but with the complexity and surprises of the human body, it’s hard to say just what a gallbladder removal will cost. It’s not as easy as saying all gall bladder removals in New Orleans will cost $400 (made up price).

Why the shift from private practice to being a hospital employee affiliate?

70% of doctors are no hospital employees. Part of it has to do with all the red tape and hassle of getting paid for legitimate services provided.

How do we get the EHR to talk to each other and transfer data so that redundant tests are not ordered and the doctor gets all the information they need without doing unnecessary expensive tests. 12% of the workforce is in healthcare and most of those are not administering patient care.

Is it true that big pharma has slush funds set aside for the lawsuits from drug reactions?

Ask yourself and politicians, do you know it’s broken, if so whats the course of action to fix the problem?

Show notes and the transcript can be found at https://adoctorsperspective.net/185

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks descript!

Live from Louisiana and Sacramento, California. Today on the show, we have a doctor who’s been doing this thing for 50 years as primary care. In the eighties, probably in the nineties, he was serving 40,000 low income patients.

And over all that. He decided to write a book and it’s called ripped off. It’s about being overt, tested overtreated and overcharged pretty much kind of makes the case that maybe we should maybe go universal healthcare, how that could work out and just all the blah money that has been spent in a poor way.

So I’m excited to dive in, please. Welcome Dr. Gilbert, Simon.

Okay. Thank you, Justin. So the career span half a century, it really does. Yes. 53 years, actually, once you, once you passed 50 years stop county, but it was 50, 53 years. And there were years where I saw the, in the medical profession undergo tremendous change.

Not to the better,

I don’t even, I mean, sometimes you, I get into these interviews. I’m like,

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Time to learn about fine needle aspiration and cytopathology with Dr Celina Nadelman. She has a private practice and that is a rate situation. Get inspired and enjoy her episode.

Dr. Celine Nadelman, MD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

How does one go from psychology (neuroscience), art and then switch it up and go into medicine? Dr. Nadelman even spent multiple years in Italy developing her artist vibes but ultimately the practice of medicine is an art as well as a science so the two melded nicely.

Some people know they want to not only do medicine but which specialty from high school age, but she was a bit unsure and had to try out a few things to figure out that Fine Needle Aspiration (FNA) pathology was her best fit.

When she was in the process of residency, the big push was primary care but through a series of events and personal contact she found that pathology was her path. She was also a talented surgeon but with her desire to have a family and balance family with the surgery responsibilities, Dr. Celina decided that wasn’t her path.

Fine Needle Aspiration Biopsy

Smallest needle possible, getting a smear of tissue, looking at in the microscope and determining what it is you have. It’s the smallest amount of tissue needed to make a diagnosis.

Pathologist is the Doctor’s Doctor

A lot of anatomical pathology is pattern recognition. You know what it is supposed to look like and in what location and then you start to recognize what’s wrong and what patterns wrong have.

Her specialty is cytology aka thyroids and head and neck tumors.

She has her own private clinic doing FNA biopsy but it’s a pretty rare thing and Dr. Nadelman is hoping a platform like A Doctor’s Perspective Podcast will help others to do the same thing. It is a little hard to be private because you compete against the hospital pathologists.

A problem is that any MD can do a fine needle aspiration but many many times they don’t get enough readable material, or it’s full of blood (bad) and both make it difficult to make a correct and confident diagnosis.

Having to get more than one biopsy is not a pleasant experience for the patient and in her private practice, she can get the sample, smear it on a slide immediately and put it in under the microscope she has in the room to make sure it’s readable. (Rapid On Site Evaluation).

She gives a great story around minute 18 about a case that she did that required a second FNA because what she saq bedside would require extra tissue for further testing. This also saved the patient from having to come back to the office and from another pathologist reading it as, need more tissue for evaulation. Especially in this case it could have been a 1 year terminal diagnosis or not.

Diagnosing normal and cancer is easy she says. The tough stuff are the tissues that are irregular and make you need to send out the sample to molecular specialist and beyond.

Who is a good referral source for a private practice pathologist? Would it surprise you that she has to meet face to face with doctors, just like you do, so they refer to her instead of the hospital?

Dr. Nadelman has been married for 24 years and this was during both of their professional school years and have 3 kids. Listen at the end for her marriage tips. A top tip is to not be in cruise control on your marriage. You have to engage each other in partnership. Also, don’t be afraid to go to a counselor.

www.drnadelman.com IG:drcanceranswerShow notes and the transcript can be found at https://adoctorsperspective.net/184

Dr. Celine Nadelman, MD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks descript! Episode 184 cytopathologist and FNA specialist. I’m your host, Dr. Justin TRS, Claire. And today we’re Dr. Selena Nadel man’s perspective.

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What led an DMD/MD to create a virtual assistant company hiring medically trained Filipinos?

Dr. Steven Kupferman talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Steven Kupherman, DMD, MD, FACS (UCLA Med School, Harvard for Dental Medicine) tells his story of how he parlayed being a dentist and then continuing his education at medical school to be an Oral and Maxillary Surgeon. What drove him to do an extra 10 years of schooling? While he doesn’t do root canals anymore, he can do facial traumas as well as non trauma cases of the face.

Six doctors, 30 staff and he was the one doing most of the admin and hiring and firing and finding people to cover when someone is not in the office. Everyday someone was not in the office, whether it was sick, family obligations and so forth.

What can a Medical VA do for you?

It was 2018 that he started to dabble in VA’s from the Philippines. He uses medical professionals like nurses and physical therapists etc to perform the admin tasks like verifying insurances, scrips, inventory, letters to other doctors and even answering phones in some cases.

Scribe is one of the best uses of a VA. Also, nonone should be in your office calling insurance companies.

It’s good practice to record your training so that video can be sent to teh next hire and the next without taking up your time again.One resource for making calls is RingCentral and Zoom for the training.

When to Hire?

When is the best way to know when you should make your first medical virtual assistant hire? Replacing someone who quits is a great first step.If they don’t touch a patient - it potentially could be outsourced

Pay

They get paid 1.5-2x the amount they would make in their country. Plus they get health insurance, paid time off, retirement options and other perks.

Risk

The Philippians virtual assistants have access to privileged patient information. The laws their are very strict and harsh if you misuse that information. Technically he says, the janitor that comes in after hours, the nurses on a regular basis, and all the people who have access to payments are all a risk as well to the clinic.

Relationship Advice

He got married young and not only a little bit of luck was involved but they grew together, had mutual respect and had the same ideals.

www.medva.com

Show notes can be found at https://adoctorsperspective.net/183

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks descript!

justin: [00:00:00] Up and you’re still in Los Angeles. Okay. All right. Here we go. Live from Louisiana and Los Angeles today on the program. We’ve got an amazing guest. I’m gonna think because he does medical virtual assistance and he’s not only a dentist. He’s also a medical doctor. Can you believe that a glut for punishment? Anyway, I’m looking forward to hearing everything he has to say, because we’ve done some virtual assistance in the past, but not to this level in this detail. So please welcome the show Dr. Steven Erman. dr steven: Thank you. Thanks for having me. justin: Absolutely. Well. Okay. So when you meet someone that has a dental degree and a medical doctor, Of course, we have to ask what happened there, because we have seen some people where they’re like a chiropractor and then they become a lawyer and I’m like, wait, you’re double dipping. So were you able to do like more riskier surgeries or like what happened there? dr steven: Well, you know, I, I when I was in college, I decided that I was gonna be a dentist. I have a few uncles who are a dentist and I just thought it would be, you know, a great profession to, to go into, and it is and so I went to dental school after college and then from college, Sorry [00:01:00] from, from dental school. You know, I was trying to think about what I was gonna do and what kind of dentist I’d be first. I thought I’d be a pediatric dentist. Cause I like kids.

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A unique way to build meaningful connections and future collaborations on Linkedin involving video messages.

📍 Minisode 74 LinkedIn personal video messages. Welcome back to a doctor's perspective podcast. Do me a favor. Listen to this episode and the previous episode I've been using a different editing software. This one is called de script. I heard it on another podcast and it does similar things.

It does some similar things like it'll stretch the sound audio, if it's low it'll. Also, if it's too high, bring it back down to an acceptable level. So you don't hear any loud pops in your phone or in your car when you're driving. It also has automatic. Like, you know, type of expressions, it can automatically find those and replace them.

And of course this one, it also does space reduction. So if somebody takes three seconds to answer the question and actually cut it out and it does all this automatically artificial intelligence, and if you've been following me at all, you know, I've been excited about that. Like from the last episode with right Sonic admin letter, just artificial intelligence stuff.

Making things easier to get started. I mean, I'm not saying you should just go directly with what they have, but if you're trying to create a Facebook ad and you don't really know where to start a very good way to put in, I have a couple steps later and you've got five templates. Have them started write a blog article.

He also thought I'd mentioned just, trying to be. Out there AppSumo Noah Kagan. He has a podcast, but absolutely buy a whole bunch of stuff to be like lifetime deals since where I got those two programs from there, but they have their own stuff. So if you'd like a customized email signature, they have a really nice way we do that.

They also have a really good calendar. It's not just basic though. Are you going to actually have payment? But if you're trying to work on side projects, I wouldn't say for your, your entire clinic, if you have a brick and mortal, you probably want to get Charles Callan more robust, but a few podcasts ex inner scheduled and personal clients, like a house call chiropractic.

You'd probably be you'd probably do. Oh. Also with the script audio platform with mix, it really. It transcribes everything automatic, which normally have to pay for. And if you delete a phrase from the transcript, it deletes the audio. And if you pay a little bit of extra, because this is free, typically free, but there is a paid option where you can add more options where you can, if you said sky is purple today.

Well, that will stupid. Sky is blue. Purple put blue and it'll automatically change for you without you having to resist those huge time-saver. I've read this stuff. Well, if you need more information, you can always go to a doctor's perspective.net/all links that gives you everything from swag to support the show, all the books that I've written coaching best of for the different years, the top 10 or 15 downloads.

All that can be found there. So let's not wait any longer. Let's jump into today's mini-sode lesson, which was from rebel entrepreneur podcast. All the show notes can be found at www.adoctorsperspective.net/m74 .

This was recorded in my car. So it'd be a bit of a wind noise. But the content is good. So I decided not to rerecord it. And miss. The freshness. Of when I first did it.

All right. Rebel hunter, no podcast is the LinkedIn episode. The guy there was talking about a new way to be proactive with LinkedIn.

You got to find your list of people where you would want to actually target. And that could be the marketing directors or the HR department, you know, CEOs of small businesses in your city. And then you got to connect with them. They have to access. But once that happens, then you're going to do a video.

It's a quick video, less than two minutes. And you just want to, do you want to personalize it with their name and then something about them that caught ...

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Learn a strategy that only requires 1 post a week but supplies content for a whole year using snippets that are only the top producing for social media likes and clicks.

📍 Welcome back to a doctor's perspective podcast. This is mini-sode number 73, long form post a week strategy. So I was listening to Amy Porterfield episode 429, and she had a guest that was talking about circular. Verocity.

And it turns out it's not as complicated as it sounds, but it's definitely time intensive. So you'd want to probably have like a virtual assistant or a staff member or a social media person that can do this for you. So here's the skinny, you got to create one long form content a week and listen with things like Jarvis or whatever they call their.

Content writer for that form or what I use is www.writesonic.com and you get a. certain amount of credits per month. I used AppSumo to purchase it. So I get like a lifetime value of certain amount of credits per month. And they have everything from creating LinkedIn ads, Facebook ads, Amazons descriptions, bio's a pain agitates solution for your copywriting.

They have even content long form. Now it burns through a lot more credits, but you can have everything from a topic to headlines and in the actual paragraphs, all from. A sentence or two that you actually have to write and then you just go back and edit it. And now they even put picture for you. So you don't have to like figure out what picture you gonna use.

So it's pretty awesome. So just to say, like, if you just do stenosis and chiropractic treatment, then you can create a long form post just from that. Anyway. So what you do there, you create one long form post, and then you break it up into quotes and little clips. Now you could also. Record this as an audio and then have those as well.

But let's just say you have a software maybe like missing letter.com where you actually pull the blog posts and it puts those snippets for you. It breaks it down and you can have those actually be scheduled out nine times a year. So technically, I guess you can do all this automated you post the blog post missing letter notices that you go there.

You made sure you got the quotes that you like, and then it'll go to all your social media. Oh. At whatever pace that you want over a three month and six month plan nine months. But the point is all these little clips point back to the long form article. So you can get more hits and more hits on your site.

So you want to pick stuff. That's interesting out of the article to get, when people want to read it.

And what they're saying is every three or four weeks after you post the long form, you put those clips, you find out which ones got the most traction, the most clicks, the most likes. And then you just save those in a file. And then you just bring the best one out again in three weeks or in four weeks. So you, you post it, split it.

The winners go into a file. And then those get re posted three weeks later, four weeks later after that, and then continual, and you can just kind of do that forever cause they already liked it. And then it can be as easy as sharing it or reposting it like that.

And so that's it, that's the strategy. Like I said, missing letters, a nice way to do it. It keeps it automated, but you don't know which ones are going to be the best, so that, that that's a problem, I guess, a little bit. Could you would want to like flood your social media that first week that you came out with a new blog post to kind of see which ones work best for the following ones, but, , as a way to modify it, , if you're like, I can't do all of that, but I could do a one-time setup with missing letter.

There you go. So I feel like the resources today, if you need any chiropractic swag t-shirts et cetera, you can go to the doctor's perspective.net/. T-shirts are you go to slash support and you can support the show with as little as buy me a cup of coffee,

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Make a budget and execute a plan to pay back all your doctor student loans in a short amount of time. Dr. Caroline Clerisme did just that and we find some practical tips in this episode.

Dr. Caroline Clerisme, DDS talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

To start with, she paid back 250,000 of student loan debt in 4 years. Now that's a success with doctors out of debt.

How is it that someone can get 120-150000 salary but still not make any real dint into their student loan debt? Dr. Clerisme tackles the reality of living the doctor lifestyle and the balance between the I Deserve It Mindset compared to the slightly more Conservative Approach for a few more years.

Should you buy a house before a practice?

Percentages for House, Car, Food based on your annual income matters. For instance, 25-30% of your income should be the max for a house payment otherwise you get house poor and can’t do any other saving and spending.

Must have Intention and a Plan for your Finances.

A Budget isn’t supposed to be Restrictive,

A budget is used so you can see it, analyze it and have a road map. Many people don’t actually know what do they make, what do they spend. Student loans and debt repayment early is not by accident and she gives us good tips today.

How many Stream of Income should you have? (real estate, stocks, retirement accounts, crypto, investment real estate groups, go in with someone else on a business, write books etc).

At the very least be a good dentist and if need be, learn procedures that can be billed out at a higher rate.

Make sure you check your credit report because you don’t want something unknown to mess you up and cause you to have a higher interest rate on purchases.

https://www.doctorsoutofdebt.com/ this is her program.

Author of a kids book Lily and the Talking Piggybank: Let's learn about Money

Lily and the Talking Piggybank

entreMD book and podcast

EntreMD Method

When asking if she helps with figuring out the type of loan repayment to pick (straight 30 years, income based repayment etc) she said that is not really her specialty. She focuses on the other side of the coin. So if you want a direct lesson on payment structures then listen to this episode https://adoctorsperspective.net/128 and if you want the full financial series from the past go to this link https://adoctorsperspective.net/financial. This episode focuses heavily on generational wealth, budgeting, getting out of debt, and other revenue streams all at the same time.

Show notes can be found at https://adoctorsperspective.net/182 here you can also find links to things mentioned and the full transcript.

Dr. Caroline Clerisme, DDS talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

award winning podcast host, investing Justin Trust player People behind the curtain and talk to doctors and experts about their specialty marketing and home life balance. Let’s, Week is going to be a good one for you. Because in the past we had an entire episode about which repayment program you should have or there’s financial based or just a steady payment and you can find that episode at a doctor’s perspective.net.

00:25 / 128, they also had an entire series earlier at the doctorpec.net / financial and that will cover all sorts of ways to make money and how to get it, your head around it all. And this one is gonna help you go through, really, making a budget. What percentage should you use a little bit about side incomes?

00:37 Second job, stir jobs investment properties. And she has a program that eyelines everything because let’s face it. Some doctors are really bad with money. They don’t know what goes in. They don’t know what comes out at least to a bunch of mess, all the books and all the guests in the past have recommended, are they,

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Can a membership model work for Podiatry? Dr. Tea Nguyen discusses why she left insurance, avoided an early career burnout and is now offering more MIS options and non-surgical treatment in a direct care practice.

Dr. Tea Nguyen, DPM talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Dr. Tea was first on the podcast episode 28 and we do a quick recap of what was going on 5 years ago and how things have changed since leaving that clinic, having a kid and going to a direct care - cash - membership model of podiatry offering unique minimally invasive procedures.

Once becoming pregnant, she found herself having some peculiar experiences at her insurance based associate positioned job. We discuss those as well as growth, freedom and flexibility issues.

She began to consider opening a solo clinic to accommodate her new to be mother role and the flexibility that would grant her. However, she quickly found out about all the hats one must wear as the clinic owner.

Insurance Headaches and Burnout

Dr. Tea freely discusses the horrors of the insurance pay model, how and why she was losing money hand over fist in 2019, and the pinnacle moments that made her really question to continue and face burnout or make the shift to cash pay and no insurance.

She has a few versions of herself: v1, v2 and now v3.0. These range from a surgery and insurance focus, to minimally invasive procedures, to another clinic and starting a podcast to help more podiatrists (especially women) to become direct care membership model clinics.

Starting a clinic during the pandemic was not easy nor was being overstaffed for a variety of reasons and she explains what she did during this time to pivot and develop professionally and clinically.

Minimally Invasive Surgery

MIS, minimally invasive surgery, has perks like less overhead, patients are happy to not stay in a hospital and when she really critically thought about it all, she was the only one offering these services - so why be at the mercy of insurance.

Dr. Tea, DPM has a pretty simple formula for calculating her hourly rate and cost for procedures.

It’s not her place to judge how someone budgets their money. She puts her prices on her website for transparency reasons and it also helps people make a decision before even calling.

With the insurance model you don’t even get to shop around because it’s usually some line like “we don’t know exactly what your insurance will cover” and then you find out months later that you have a huge bill.

Reasons to do Membership - Direct Care Model

Poor insurance reimbursement, accompanied by heavy patient load can lead one to feel exploited and burnt out much quicker than you would anticipate.

Nobody wants a Surprise After The Fact Bill without Freedom To Choose. People Do want, peace of mind and convenience and a direct care doctor provides both.

What services would you offer if insurance would actually reimburse for them that would give superior clinical results? Between needing to be efficient and maximize patient visits and services, how do we do what’s best for the patient but also allow us to not burn out or not even make a living? Is there anything else we can offer (shockwave, PRP etc) instead of surgery?

Insurance patients aren’t as attached to the doctor, as the doctor is attached to the patient. Virtual Assistants to answer phones and do tasks are talked about at the end of the interview.

here a few of the direct care rules I have looked over

https://www.dpcare.org/state-level-progress-and-issues https://www.dpcfrontier.com/states https://boomcloudapps.com/2016/08/25/house-membership-program-state-regulations

links to its no secret and her podiatry legends interview

https://www.tysonfranklin.com/news/podiatry-legends/10989-198-dr-tea-nguyen-direct-care

https://adoctorsperspective.net/itsnosecret

link to the podiatry series https://adoctorspective.net/podiatry

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Learn the In’s and Out’s of house call chiropractic. Going to someone’s home or office has many questions and Jillaine St. Michel DC answers them. See if mobile chiro is right for you.

Jillaine St Michel, DC talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

While working in a traditional brick and mortar higher volume practice, she quickly gained lots of experience but also learned some of the negatives of a traditional practice. This led her to pursue the mobile - house call - doctor comes to you - type of chiropractic practice.

What is a good niche for mobile chiropractic?

She noticed a niche in people who couldn’t keep asking off from work and those who hated the traffic and commute to the doctor’s office. As she crunched the numbers, she also realized that house call chiropractic could be profitable as well.

You can offer services like: pinch and release, myofascial tools for muscles, kineisology taping, of course the adjustment, laser, rehab, stretches and ergonomics

What kind of niche is a good idea to target for house call: individuals, corporate, small businesses or is anyone who actually wants the convenience of a mobile chiropractor good enough?

Liability for a Business Having a Chiro there

In a sue happy society, if you treat someone in a business, is that owner liable if the patient gets hurt? Can you just treat in a van or RV right off the premises? Can employees sign a waiver releasing the business of liability and consider it just a non-mandatory service that comes over once a month? (obviously she isn’t a lawyer and all these questions are not answered completely. Seek professional advice for all law related questions)

Although she does not use a camper, RV or van, what are some of the pros and cons that she has heard from being in the mobile chiro forum?

Does it make more sense to target under 5 employee companies, 100, 500, 1000+ employees etc?

How do we handle pets at a house call visit?

Considerations in Setting Fees

What are the considerations when picking a fee for service? Do you include travel time to and from, equipment, actual treatment and listen to hear the other things she mentioned?

Reasons to have your fees on the website.

Should you do paper or electronic notes? Any regulations with paper driving around town?

How do we determine what the travel fee should be? I’ve heard of flat rates and different prices based on mileage from a center point.

How do you schedule your day so you aren’t bouncing from the north and south end of town 5 times a day?

How automated can you get with scheduling, calls being answered, payments being made as well as automatic text or email reminders to schedule, appointment reminders and asking for reviews?

What is a typical treatment plan for a house call chiropractor patient?

Staying Safe in Other People's Homes

Dr. St. Michel is obviously a women and now a mom, so of course we discussed dual-working parents, how are the roles divided and the nuances that women doctors usually have to deal with more than their male counterparts.

Any corporate rates or discount rates for X amount of people or buy 5 get 1 visit free or a yearly fee?

What precautions can you take so that you as the treating doctor feel safe going into a stranger’s house as well as not being accused of inappropriate behavior?

Dr. Jillaine gives 2 examples of her way to make sure she was physically safe during early years as a mobile chiropractor.

House Call Marketing Ideas

She discusses several ways she was pounding the pavement to market herself that first year. Everything from 5k’s to networking groups and well, listen midway to hear some ideas you can implement.

We also talk about instagram check in, geotagging,reels for organic growth and hashtag strategies for local influence.

Major shot out to Billy Sticker and ChiroCandy Marketing. Learn more at www.chirocandymarketing.com/

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The last two years have been intense for healthcare workers. With long hours, canceled vacation and strained home life, how do we manage mental health and what should we be aware of. Cardiac surgeon Simon Maltais, MD discusses his new book.

Simon Maltais, MD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

What trends do you find causing the most mental anguish for physicians and staff?

How are they coping with a pandemic, overtime, extra stress and strained family life?

What are some of the symptoms of maladapted health care workers mental health?

Last year health care workers risked their life to help covid-19 patients and were seen as heroes and this year if a medical staff is skeptical about taking a vaccination they can be fired ... how do we make sense of this? A underpinning emotion with the way it’s been politicized is that, health care workers feel a bit left out and lonely. We canceled vacation, risked our lives and now what.

Are people being misdiagnosed or delayed diagnosis or delayed symptom onset of more serious heart issues because of the fear of corona virus?

ICU beds are filled up, hospital resources are strained and that means surgeries that should be easier and quicker to access are delayed.

When on call as much as many have been the past two years, has that led to burnout, being tired and perhaps not performing at the level the health care workers would expect from themselves and make mistakes?

One of the unintended effects are highly experienced doctors retiring or quitting early and now the patients suffer and younger doctors don’t get to learn from them.

How are doctors and nurses handling home life when they are required to be on call or just plain work more hours than usual?

How do you keep your family happy when at any moment you called back to work, this could be at your kids game, a wedding or even on your hard earned vacation?

We must find a way to get relief from the High Alert State that we find ourselves in because it can damage our family and lead to mental health problems.

Being called away from family vacation and date night and your kids game is a part of the doctor life and each time you do it, it can chip away at your family’s foundation if you aren’t proactive to mediate these disturbances.

What can hospitals and clinics do to support the staff?

Books:

Healthcare Anonymous

Dr. Simon Maltais is a cardiac surgeon and author of Healthcare Anonymous. He advocates for healthcare workers' mental and physical health. Dr. Maltais is has a doctorate degree in biomedical engineering and heart regeneration. He does heart transplantation, mechanical heart devices, and alternative cardiac interventions and has published more than 160 articles

He is forming a community to help health care workers in dealing and healing of chronic unhealthy behaviors, addictions, and associated physical and mental health-related issues like depression, burnout, and anxiety.

Show notes can be found at https://adoctorsperspective.net/179 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

E 179 Health Care Workers Mental Health Simon Maltais MD

00:00:06 – 00:05:10

Episode one hundred seventy nine healthcare workers mental health. I’m host that the justice trust claire. Today we hear dr simon multi perspective your joint award winning podcast host and bestselling author. Dr justin tros declared as people behind the curtain and talk to doctors and experts about their speciality marketing own life balance. Let’s hear a doctor’s perspective looking back to the show. I got some big news coming up soon but for now just know. This is my last hurrah in germany. By the end of the year. I will be out. It’s been a good two years especially during all the corona virus and restrictions that we’ve had ...

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Narcissism and co-dependency are not healthy behaviors and KP_Straatmann of TIKTOK viral videos on these topics will explain it all for us.

Kelsey Phalen Straatmann talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

As a collegiate softball athlete she naturally became a personal trainer (9 years now). She was fascinated by the mental aspect of sports. When asked why she didn’t do sports psychology instead of a Master’s in Social Psychology and a Master’s in Mental Health Counseling with an emphasis on marriage and couple therapies (still in progress), the answer is quite surprising.

How does an elite athlete like Simone Biles make a decision to quit or continue with the impossible amount of pressure laid on her shoulders?

Narcissism and Co-dependency: what are they and how do the co-mingle so often

Narcissism: lack of empathy, dissatisfied with life, bouts of anger, always center of attention, self-obsession, thinking you are better than othersCo-dependency: people pleasing, not able to function without the other person

Don’t be surprised that a narcissist will gaslight a highly empathetic person who doesn’t understand proper boundaries to get what they want and everything they can out of you. Commonly they will make everything your fault and not take any personal responsibility.

What is Love Bombing and what - how - when does the switch get flipped?

Watch out for Negative Comments ie normally I don’t like girls in glasses but on you.. type of comments.

Person was so enamored with gifts and love tokens and kind words that when negative comments or criticisms do occur, they think they did something wrong and try to please the narcissist.Listen to find out why this is not the case and how a narcissist will always take more and manipulate you.

Fight - Love Bomb - Fight Cycle

Fight - Love Bomb - Fight Cycle is all too common and even family and friends have a hard time getting the victim to understand that this is not healthy.

Narcissist has a hard day. Other person does something and narcissist yells at them and then later instead of apologizing will say something like, I wouldn’t have yelled at you IF YOU did not do xyz. Then the normal person feels guilty and tries to fix the situation.

What are the warning signs when they are trying to separate you from your friends and family?

MARKETING

How did she get 2.9 million views on a single TIKTOK video?

What is her strategy to have made several other viral videos and to keep the entertaining but learning aspect of mental health going?

How do you pivot that to making money, endorsements and of course getting new clients?Analyze why you watch the videos you watch

Who are you following on social media and actually consuming their videos? As we say, it could be videos related to your profession that you find interesting and engaging and you can mimic that style. Is your goal to appeal to new patients or to other professionals because that will change your creativity.If you do find yourself watching mindless videos, what do you gravitate towards that are funny? Can you imitate that but with a learning and fun way for others to enjoy about your profession?

Business Types and practice setups for Psychologists are discussed.

Relationship Advice: It’s not just about communication but Comprehension on what the other is talking about. Also, respecting each other’s boundaries.

Books:

The Body Keeps Score The Sociopath Next Door The 5 Love Languages Boundaries

Follow Kelsey at kp_straatman instagram and tiktok               

Kelsey Phalen Straatman has her undergrad in Physical Education, masters in Social Psychology and will soon have a masters in Mental Health Counseling (marriage and couples). Also she has been a personal trainer for 9 years.

Show notes can be found at https://adoctorsperspective.net/178 here you can also find links to things mentioned and the full transcript

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Minisode 72 Video Creation Ideas and Restricted Content

How to discover what videos to shoot for your own patients. Why embed them on your site with log in restrictions?

Again, just want to thank you for choosing an end to these short minisodes today. It's about content creation for videos, that kind of alluded to this at the end of a, the last episode. But let's expand a little bit an easy thing.

You can do is just bought, go online, go to YouTube, find some doctors that you like to watch, or physical therapist, whatever, and find videos that you enjoy. Are you think that I really show the exercises that you would want to teach a patient for whatever song? And you want and you can just link those.

Like if you have an email list set up for low back patients, sciatica patients headache. Patients, older patients. You can curate your top six videos and drip those every day or every week to these patients.

So, when they come in, you put in your software that they have this condition, and then they're on a certain email list and then those emails are set up with these videos so that they can watch them at their Leisure. You could potentially be also have a web page with say shoulder problems. And then, you just linked those videos in your bedroom in your site and then you get to go.

Now if you want to take it to a step further and get your own views and have yourself look like the expert at home. Anyways, you just record you doing the exercises that you like to watch or the stretches. And the nice thing is, if you spend an hour or two watching different videos and different exercises, you can pick the top, whatever you like, top ten things that you like for low back pain and you can show them and you do like progressions and just you doing, it doesn't have to be high quality and all the bells and whistles, you know, just take out your smartphone.

Have your staff help you record it off. You can actually send that the fiber and have someone put a logo to the front and the back and brand it, but your phone number in it and they can do that for you for a few bucks, maybe 5 or 10 bucks. That might be worth it because now you're going to get views and then you have it all in your web page, and you can email your own links to these people. And I think it's kind of nice cuz if you're if you're in a busy practice and you don't really want to do a lot of rehab, then you just tell patients, hey, this is a practice member only section of the web page. So if you're on WordPress, there's plenty of membership, site plugins some, that causes some that are free that you can go through, and I did get a course Builder from appsumo. That's for like an entire course. This is like, you can do like, a restrict content Pro. That's a one that I use, but you can just put it behind a a membership.

So if there are patient, then you can give them the username and the password that they can access this area with member patient only information and that'll give you a lot more clicks on your site, more pageview time which is great for Google. So they'll say wow this is a really popular site because wage Actually watching the videos that they're supposed to be doing at their house.

What do you think about this? What would you be recommending? If you want to leave a message in the, in the reviews or on Facebook, just took em, c, c, or whatever you want to do it, but let me know what were some of the exercises that you would give for headaches or back pain, knee, pain, shoulder pain and maybe we can get a, a list going.

So takes the guesswork out for other body else and the easy button for everyone.

If you're looking at ways to support the show, whether it's downloading a book or a couple of chapters buying, an electric acupuncture pen getting a a one-sheet for your speaking gigs or a curriculum vitae, the remodel redesign and do all of that for you is no problem. I believe it's a nice competitive price,

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Minisode 71 Teach and Pitch Ads

Learn the simple formula for getting new patients from the teach and pitch video ad. Also covered are cold and hot leads and what ads to serve up for them.

transcript by audioburst, yes there are errors.

Thursday. Well, sign off on minisode, 71, teach and Pitch. Add it's summertime, I hope you're enjoying it off. These were Ahmed, the coronavirus has reduced enough, so that countries are open, so violent going to be able to go and travel. Oh, can't wait to the end of August. Now it's trying to find hotels or airbnb's if you remember in the beginning of a doctor's perspective podcast, I used to do travel tips.

The first fifty episodes is always at the end of the episode, if you're ever interested in knowing wage, Those are going through the transcripts and the show notes Pages, have fun episode. We're going to talk about teach and Pitch type ads. So I'll break that down for you real quick in a minute. But first choice, if you want to support the show in any way, you go to a doctor's perspective. Net / support. It's got different ways you can buy cup coffee. You can use affiliate links for different products that I use a class on Amazon, all those types of things. I really appreciated, okay?

A short sales pitch for Justin today. Anyway, teach in Pitch, the beginning of the video, you got to do some kind of motion. I've heard things like throw a book, wave your hand, put something in front of the camera and you know, then drop it just something that it catches your eye, but you also want to do a cock logo. So within the first five seconds, has something to like catch their eye with your scrolling, through Facebook and Instagram and things. And then you want to have like a your logo pop up somehow, you know, fiber, you can get this done really cheesy. They have all sorts of styles that you can choose from people that do it on. Fiver is just a program and then they just type in whatever you want to put your logo in usually, as a p e file where there's a clear background and then they can animate it for you. They'll give you a few few samples for a few bucks, it's pretty convenient. Once you have that, you can use it, whatever you want.

So anyway, you want it to be a square video square. And then less than two minutes. So there's that. So these you want to teach something it could be, you know, if you're a chef, I'm just saying. If you're a chef, you show them how to do a quick scrambled egg, a really good scrambled egg. So obviously, we're not chefs were talking about Chiropractic, physical therapy, so you can do like some quick wins.

Do this to improve your neck range of motion today how to do a pelvic tilt throughout the day, I bought a strengthened your abs and pelvic girdle. Three steps to increase your shoulder range of motion that you can do anywhere, right? So then you quickly show them these three things at this one thing, really.

And then afterwards, You invite em. Hey, if you like this video, if you tell this was helpful, then you just subscribe to the show. It's a YouTube or click this link and find out what we can do for you.

Here's, you know, faith in or discount exam or even a full price exam, just say, especially if it's an impressive thing that you showed, you know, you just do the full price exam, but you want to get them to click a button, fill out a form, especially on Facebook. If you set it up correctly, all you have to do is like say they agree and then whatever email phone and name that they have registered for Facebook, you'll get that as a lead they don't have to do anything else. Pretty much click. Yes.

And then of course, your staff needs to follow up within 20 minutes that way. They don't forget why they even came, which apparently is a big deal but this can be scaled a lot really dead. And you can actually change this up based on the co-lead versus hot leads.

So let me break down that for you for a second.

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Sabrina Starling , PhD talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Discover the profit first system for doctors. Implementation, red flags, and we discuss onboarding staff to get A players. Dr. Sabrina Starling of Tap the Potential shares so many nuggets you can implement.

If you treat profit like a leftover you will never have profit and for many, not much of a salary neither. The business owner should not have to experience sleepless nights worrying about paying their personal expenses.

Profit First in a nutshell.

· Bank accounts: Income, Profit, Owner’s Compensation, Taxes, and Operating Expenses· Tax and profit accounts at a different bank to make it more delineated and harder to spend· When you make a sale money goes to said accounts as follows: Taxes 15%, profit 15%, salary 25%, expenses 45-55%. (For 250-1m of revenue)· For sub 250k: Taxes 15%, profit 5%, salary 30%, expenses 45-55%.· Take 50% of amount in the profit account as a dividend quarterly.· Rainy day / emergency fund· Cutting expenses, up to a certain point

The owner salary can eventually be a set dollar amount instead of percent because when the business makes enough money, you want to pay yourself in more tax advantage ways than to just keep it a percent.You can only cut a certain amount of expenses before you start letting key members of staff go or reducing marketing that is important.

How do we deliver more value so we can charge more for our services. Hint: part of finding that balance is niching down.

What mind-shift and best practices do we need to go from a sales- expense = profit model to the profit first model of sales- profit = expenses.?

Some profit does have to be reinvested into the business, how do we know when enough is enough?She has the Tap The Potential Solution to handle implementing Profit First, On-boarding, and more business coaching needs.Owner salary is for the work they do in the business and the profit is your compensation for the entrepreneurial risk you bear.

Line Of Credit

Don’t forget that a Rainy Day fund or Emergency Fund does need to be in place. Cash is king as they say and it really helps you to get a bank loan or line of credit for operating expenses or equipment purchases when the bank sees a cash reserve. Plus, they usually wont give you enough money without you putting up a certain percentage.

Onboarding Employees

What are the 5 components to hire the best and actually trust the employees so you can unplug for a week or two?What do employees most want so they stick around: coffee, sleeping pods, money, autonomy, the best micro manager?

Best Ways to Train New Employees so we Hire the Best

Why are task flow videos not quite the best way to train your new staff? Instead of videos to save you time, listen to her view on setting goals as to what makes an A List employee a year from now.

Hire with a clearly defined role and someone who has the personality strengths to achieve the goals of that role. Then identify a clearing defined result that they are responsible for. Train this person for 1 clear role. For a receptionist it could be answering the phone for new patients and rescheduling.

How do we become the Employer of Choice even If you are in a Rural Area?Where do the A players hang out: online and offline? What values in a person are you looking for?

Marriage and Kid tip: have blocked out time with your loved ones with no electronic devices.

Show notes can be found at https://adoctorsperspective.net/177 here you can also find links to things mentioned and the full transcript

Dr. Sabrina "The Business Psychologist ™" Starling, Phd www.tapthepotential.com and the podcast at www.profitbydesignpodcast.com/ and to find Profit First Professionals in other areas https://profitfirstprofessionals.com/

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

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Tricia Nelson talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Emotional eating can create the yo-yo effect of weight loss and weight gain. Many people overeat as a way to ignore pain, escape emotions, and punishment from the day. It's not about will power, you need a community and an action plan. Listen to the podcast episode.

At first a person may just realize they need to lose weight and join a myriad of diet plans. They do the plan, lose the weight but the unfortunate happens. The root cause of why they overate pops back in their life or an emotional stressor happens, gain some weight back and now the Yo-Yo effect of gaining and losing weight begins.

Diet plans can range from ‘traditional diets’, weight loss pills, intense exercise etc coupled with counseling, 12 step programs, over eating groups and the like. Big problem with all these methods is they tend to focus on food and avoidance behaviors instead of finding out WHY it’s happening on an emotional and trauma level.

Emotional Eating vs Boredom Eating

Boredom eating is habitual eating. It can be triggered by routines and mindlessness. It can also be a way to fill the silence and avoid thinking about stresses of the day or dealing with issues in our life, especially at night by yourself in front of a TV and the business of the day slows down.Emotional eating can be from stress and avoiding dealing with emotions.

Busy mode keeps us from thinking about life and emotions and stress so when we have a silence part of the day, food can fill us and we don’t have to process those feelings.

When you are eating, overeating for sure, it can numb you out and you don’t think, feel or need to process the drama of the day or what is coming.

Many over-eaters are over feelers and super critical about themselves and about eating to much so it becomes a cycle.

Start your day with a Centering Routine.

Many of our overeating is due to stress. If we can have a list of things that may happen today then we can better plan for those stressful encounters throughout the day. A gratitude journal can be helpful too.

Meditation, music, prayer, or journaling can be a centering routine.

Get grounded and in tune with ourself first before tackling the day. This can be a deeply spiritual 20 minutes and those deposits early in the day can last and help you during those difficult times throughout the day. You can feed on teh truths of the morning instead of coffee, chocolate, chips, alcohol etc. (also taking a quick walk can help).

PEP Test- What does the food do For us?

Is this food going to service one of these functions, and if so don’t eat at that moment.

P: Pain Killer from emotions or issues w work,E: Escape from what needs to be dealt with ,P: Punishment from the day and being critical or guilt

I lost control. I can’t believe i just did it again. This can lead to self hatred and depression and begins the food addiction type of behavior where they can’t course correct.

Are there any foods you can over eat on that are less caloric dense?

Counseling

Counseling has it place when you have trauma and these coping mechanisms to deal with abusive people (parents as a kid for instance) that served you well as a child but are no a hindrance in your adult personality and adult relationships.

Willpower is generally not enough. We need a support group, spiritual guidance and those type of things.

Anatomy of an Emotional Eater: 24 traits explained in her book (people pleaser is #1)

It can be hard to live with a chronic over-eater - dieter person because there is a lot of self absorbed behavior and when you feel bad about yourself you may not accept the love someone else is trying to give you as well as not want to be touched intimately.

Author HEAL YOUR HUNGER and podcast of 300 episodes www.healyourhunger.com Take the quiz to see if you have an issue.

HEAL YOUR HUNGER , love notes from hell , boundaries

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Fitness to Rehab is a system Dr. Teter calls "a linear load application continuum approach". Utilizing this method, the practitioner can take patients through a process that starts with injury care to soft tissue treatment to rehabilitative exercise. As opposed to tracking symptoms like most standards of care models Fitness to Rehab seeks to find where the root cause is coming from and address it.

He built this program out of necessity when asked to create a collegiate fitness and wellness degree program from scratch.

Ideal audience to learn from Dr. Justin Perspective :Physical Therapist who was doing joint replacement or strokes but is now on their own doing sports and athlete injuries. They like spinal manipulations but it’s just a tool in their belt not the bread and butter like a chiropractor. They are in need of learning more exercises, a program, and a system to implement.

Chiropractor is technique heavy (could be instrument based or not). They know rehab is important and gets paid by insurance so they want to learn more. Their current active care wheel house is... PNF stretches geared for home use, McGill big 3 and extremity problems are given Resisted ROM with resistance bands.

Load Application

Applying an external load to a biological organism, see how that person responds to that stress, and if they can get chronic and consistent exposure to that stimuli, then there will be some long term adaption.

Big component of rehab to fitness is quantifying the load and stress that a particular activity has on a person and progressing and regressing them as time goes on.

6 Stages of Load Application for a Linear Care Continuum

Acute Management - Fundamental Kinematics - Motor Control - Functional Integration - Progressive Kinaesthetics - Foundational Capacity

Dr. Teter walks us through a sprain/ strain ankle with what treatment would look like for this linear 6 step load application progression. Also he breaks down the process for a basketball player that needs to get back to jumping at a professional level.Do we need to take any prerequisite courses to understand rehab to fitness? FAKTR is recommended because it’s like his class picks up where Dr. Todd Riddles ends.

Dr. Tom talks about rehab but he really teaches fitness, while Dr. Todd talks about fitness principles but teaches rehab.

We are biological creations designed to move that respond to stress loading in very specific and predictable ways. Each patient has different needs: one may only want better motor control but a basketball player needs functional control based on that sport.

There is a deficit in function, that they need to improve upon, so they can be tolerant to the load of their day.

Patient Profile - Need Analysis - Exam

He even goes through a mock history of questions he wants answered and of course the goals the patients want to achieve and why or how they can’t do them now. It’s a nice patient profile he gives insight into. The needs analysis is figuring out what are the Functional needs and movements you have to do to perform normal function for their goal.

Minimal Effective Dose

What are the movement, fitness and skill tasks you need to do XYZ?Start off giving a person the Minimal Effective Dose that will get the desired results.

People’s Aliments Classified Broadly into 4 Categories

Pathological (fractured, torn)Irritable (inflamed tissue)Dysfunctional (joint or tissue not injured but not functioning quite right and it hurts)Weak (joint, muscle etc is just not strong)

Activity Intolerance - what is that one thing you want to do but pain is stopping you from doing it?

Know the Language of the professionals or people you are targeting to get referrals from or to have as patients.

Coaches and trainers are key referral partners for this type of load application and fitness based chiropractic clinic.

Always appreciate your spouse for how they contribute to the relationship and show them g...

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Minisode 70 How Adversity Leads To Winning

Start with a growth mindset and be willing to take criticism so you can improve. If you see effort as a path to mastery then fails are ok and success is the intrinsic high you get later. Learn how adversity leads to winning. Obstacles, challenges and criticism will happen if you are trying to be successful. It’s how you grow and learn during these times that set you apart.

In a bridge too off shots tape sold seventy coming at you from germany months. Thirteen of the two week lockdown this kind of fitting for this Episode it's called how adversity leads to winning his from donald miller in the bins made simple because and classes. Just take a minute real quick.

And tell you about a couple of Podcasts that have been a guest on if you want to hear more about. Cv's in one sheets. I was on. Dr kevin christie's in dr osborne's podcasts. So you can go to doctors. Perspective dot net slash tcp are modernchiro. And you can hear more about that. They have different perspectives on things. Of course i'm excited about those pretty here. Those there's also a discount if you listen to him. I was on the get foxy show talking about acupuncture in the different books ahead in moving to china and just how that played out the other books coloring books just kinda is audiences for females so geared towards what they will be looking for so you may check that out as well as a show called you love the universe go to dr perspective dot net slash deal you forget foxy show was just slash foxy in. This one is Advice i would give a twenty two year old now that i'm almost forty and lots of college in what thirteen years experience so choose a younger person. She had a role thrive trying to find her passion until her shows trying to find passion from other people. So we talked about that anyway.+

Moving on here are some traits. That someone who succeeds would have jumping. You can get his book if you wanna learn more about it like always tell you the synopsis. A growth mindset always reading always learning things about business self development. It could be about politics. Religion better ways to view the world listening to podcasts about social media marketing. Biographies from other people just always trying to grow your mindset to expand into grow except challenges. Who a lot of people do not like this. They hit a roadblock or two and they give up they think we're all gonna have a podcast that comes out and just get thousands and hundreds of thousands of downloads in the first month first year.

Are you don't realize just how much effort it took for that popular. Authored a bill. They are so much perseverance. The ways reading your blog and then finally something happens. You make a connection and then you explode or whatever but there's always a challenge That's just maybe you're in college in l.

Often you have a kid or you're going through a divorce or something. my goodness. that's a challenge to finish the doctorate school so it which leads into persisting through obstacles. Those are definitely obstacles. maybe put some bad marketing. He spent the ten or fifteen thousand dollars. Marketing with the hopes that it would return the value. But you didn't even break even as a tough lesson to learn. I learned that one.

You see effort as a path to mastery so sometimes we put effort and it doesn't work and then you feel you launch a product. You create something. Nobody wants it. Not somebody would say should be tested that the landing pages even get on a wait list but we don't go that route. I we live and learn again something that we can learn and hope that.

Listen to this podcast. Even though these minnesota short whatnot. I i hope that you understand that. It's not me saying these things. I'm getting this from other professionals in experts. So hopefully you just cut you some time. You know the my show. If you really want more you listen to. there's so.

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Dr. Rob Pape, DC talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Quadrant analysis helps practitioners navigate treatment based on a subclassification system breaking down biomechanical failure into traceable patterns.

Dr. Pape was evidence based and patient centered before these were buzz words and before the internet made it easy to collaborate. It was like being on a chiropractic island and taking trips with different professions to iron out what he was seeing work.

What is the reason that some doctors blame the patient when they don’t get the results that the doctor assumes you would get?

Should this be taught in schools with diagnosis and student clinic so they can apply these concepts (not cookie cutter programs)? This can help bridge the gap from being excellent at diagnosis and bridging all the techniques you know with practical application based on what the patient presents.

Test - Treat - ReTest

Are they hyper-mobile?Do they have Systemic Inflammation? (abdominal sub-classification)What’s their motor control with dynamic stability like?Regional interdependence also plays a part

We really are missing key components to injury and relief if we only focus on the area of chief complaint.

When asking about ‘magical’ areas that tend to be overlooked... what is his answer?

Can we say mechanical dysfunction and drop the ‘subluxation’ word?

Dr Rob Pape may not have easy answers but he has easy ways to ask better questions.

Do you want a n=1 shirt, hoodie, mug etc? Then head over to my spreadshirt account and pick one up.

Codifying how you process and work on patients, while actually working on patients is a difficult endeavor but he managed to compile the quadrant analysis system and hopes you will see it as a way to be more efficient and effective with your patients.

Pain with normal range of motion could be hypermobility or random pain all over, tender to touch, massage and exercise may make it worse could be systemic inflammation are just a few of the ideas you learn about in quadrant analysis.

Relationship Advice:

When you are having important conversations, slow it down and really listen and actively listen to fully understand what the other person is saying. The thing you are UPSET about, if you slow down, is probably something on Your End that You need to Own.

Take time off - build a practice and a lifestyle that you can pre-plan vacations for the year.

Here are links to his Quadrant Analysis courses.

https://southeast-sports-seminars.thinkific.com/courses/quadrant-analysis-movement

https://practice-mechanics.com/quadrant-analysis/

We discussed the anterior neck and here is a video on Practice Mechanics showing the basics of how Dr. Rob Pape approaches that. https://practice-mechanics.com/anterior-neck-manual-treatment/

As a summary and bridge to southeast seminars here is how all 3 fit together. You would take Dr. Riddle’s FAKTR course to learn the myofascial release, cupping, bands etc and then transition the patient into rehab to fitness and functional loading with Dr. Teter. However you would learn Dr. Pape’s Quadrant Analysis (breaking the body down into traceable patterns) to make a diagnosis and find functional deficits and patterns to apply those other two seminars to get the results.

E 85 Rehab Focused Chiropractic Professor Dr. Todd Riddle DCTom Teter E 175 Functional Loading Rehab Blueprints Tom Teter DC Rehab to Fitness www.adoctorsperspective.net/175Other episodes mentioned in the show that would enhance this whole topic are:E 115 Eradicate Chronic Pain GRIP Approach Benjamin Fergus DCE 169 Shared Decision Making in Patient Centred Care Chris Chippendale DCE 106 Cash Practice PT, Modern Manual Therapy, G Suite EMR, EDGE Rehab EQ Dr. Erson Religioso III DPTwww.forwardthinkingchiro.com/Book list from all the past guests book recommendations

Show notes can be found at https://adoctorsperspective.

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Steve Anderson talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Building out 1000 dental offices since 1997 gives you deep insight into all areas to consider plus practice management tips. Steve Anderson wrote a 300 page book on the subject Dental Ease.

Should you build out a leased space or buy your own.

You have blueprints drawn up for a dental office, now what is the next step?

Ask yourself, What is Most Important to You and your OFFICE FLOW?

Do you need a big reception room?

How high end do you want the decorations and build out?

Check in vs check out areas, chairs or no chairs at check out?

How many doctor offices should you have?

Left vs right chairs, single or double entry to treatment rooms?

Fast or slow pace, 1 doctor or many in one location?

4 Steps to Building A Profitable Practice of Your Dreams.

34% return on build out investment nationally over the first 2 years.

Dental office can cost 30-40 more per square foot than non dental offices.

How important is a BUDGET when approaching the banks? When you are in certain professions and have experience banks can give you way more than you need.

Dental Ease Book has all the blueprints and checklists you would need for not only budgets but also time-lines for construction to move in.

Things to consider for reception and waiting room design

Why is putting all your trust into the designer, architect etc is the WORST way to do a build-out?

Don’t delegate to the wrong person.

Have Checks and Balances with all your employees and know what is going on so you don’t get extorted, blackmailed or held hostage by them.

Blind Trust vs Earned Trust: what are the key differences?

Make sure you hire professionals who can be held responsible.

What are the FISTS of success.

FICA Score 720+, intelligent spending, satisfy your passion, time for relationships, family and patients, savings

Stories of bankruptcy, poor build out decisions, bad investing decisions, restoring a marriage: are scattered throughout this episode with Steve of Denco and Dream Dental Practice, Dental Ease.

When is the best time to have meetings with other professionals? Partially it’s because with a finite time you tackle the big important topics first.

His marriage advice is stellar. Fifteen years of it being about him and the forgiveness and redemption that has kept him happily married for 40 years.

Take time for each other and do for the other things they appreciate.

Get Steve Anderson’s first chapter of his amazingly thorough, hard bound, full color, nearly 300 page book FREE at https://dreamdentalpractice.nethis construction business can be found at  dencodentalconstruction.com

Show notes can be found at https://adoctorsperspective.net/173 here you can also find links to things mentioned and the full transcript

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

Episode one hundred seventy three out your office space. I mean holes. Dr justin frostburg and today we are steep anderson’s perspective join twin seventeen and eighteen. Podcast awards nominated host and bestselling author on amazon. As we get behind the curtain. Look at all types of doctor. And get specialties. Let’s hear a doctor’s perspective Hello everybody how are you doing. It’s twenty twenty one it’s march. The vaccines are rolling out like crazy. Hopefully in the next few months life we’ll get back to normal but that is not what we’re talking about today but today we’re gonna talk about a guy that has thirty years. Experience does in dental offices. Like thousand of them. Okay and when you build out that many clinics. You’re going to talk to a lot of dentists and other medical professions needed other ones as well. But you gotta ask all these questions like what kind of flow do you want. What your style you want rich. You want middle-class excetera.

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Minisode 69 Charisma Personified

4 ways to show that you have charisma and know what you are talking about in your niche topic. Hand gestures matter.

In adoctor's perspective minisode sixty nine charisma personified. Hey this is dr. JustinTrosclair. Thanks for tuning in.

I got some cool news all the books from the past. One hundred seventy six episodes all those interviews if they recommended a book. It's all my amazon book lists you can search through it. Business marketing personal growth All those types of things. www.Adoctorsperspective.net/booklist. It's an affiliate. we're not talking lots of money. But if you're going to buy the book anyway. Thank you for the click.

And let's get into the episode today. Charisma this just a few things that you can do kind of show that you've got that going on okay was using metaphors more metaphors. You used. you've got a grip a good grip on whatever you're trying to teach and so by using that related to something that everybody knows why it just really shows through that you're good use hand gestures.

They did a study where they reviewed all the top. Ted talks and those who had the most views tended use more hand motions more gestures with their hands two times more. So don't just go out there and start shimmying unshaken with your hands and being crazy but there's a few can incorporate more hand motions to illustrate your point. Apparently that's a good thing but remember the movement of your hands and your voice should match. If you watch in study some of these videos you can see that. The voice goes out the hand. Go up when you talk about good things. Maybe that's on the left talking about bad things. That's on the right. And throughout the whole show contestant you consistently or have that kind of frame so people realize oh yeah. He's telling us something good. he's pointing to the lab. Just something to think about you.

Want to have a unified vision. It's like the message to one person that can be felt by thousands. So if you've got susan your target client target. Patient your avatar. You know her name susan. She's thirty six. she's got two kids maybe. Her marriage isn't super great. Maybe she stressed i work. Maybe home school is a bit tough for her and her family trying to balance all these things. She's got stress. She's got headaches. Boom that your target market you want to produce a message just talking to her and by just talking to her yes you weed out a bunch of other people. Maybe it's dude. You must pass those out but that one susan there's thousands of her and that's who you target with this one speech this one video so think about that they also made an interesting point when accompanies high on profit versus.

If they're kind of leaning growing they use a different type of leader when it's it's high on profit and if things are going good they want a hard messenger. What you gotta do this. You're going to do it. But when they're growing they're trying to be inventive. They want more that charismatic person. That person's going to draw other people into them like him relate to them and then they can tell their friends about it.

Okay that's what we're doing. Please leave a review on your podcast app. We thank you for listening. If you know a good guest send me an email. Thank you come hashtag behind the curtain with me.

I'm excited. I need to probably do a many cells. Page a landing page about this looking to write a book mall the past advice that people given from that second to last question of every interview. How do you keep your marriage live. How do you stay connected. How do you take time off of work when a book. I'm gonna pile that. Make it a little book at it. I'm in the process of kind of leila down right now. What i need to put. What do you take out So i haven't really written a bunch on it yet. So are you interested in that leno. is that something that doctors save. Your marriage is a just a catchphrase.

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Minisode 68 Video Ad Rules

8 Key elements to script into your video ads for maximum results. Not just hooks, social proof and a good call to action.

Welcome back to the episode. Sixty eight video ad rolls. Today's show is from capitalism with kevin anson. He apparently does a viral video ads with like click funnels in all those types of people. So he's made some really big videos made a big splash. People excited about it so he was interviewed on that podcast. And this is the summary for that.

Before we jump in if you are a doctor or professional of some sort that needs a curriculum vitae. The cv reworked. And you don't wanna do it. Let me do it for you. Gotta do is go to adoctorsperspective.net/onesheet. And you can actually hire me to do that for you. I enjoy it as well as a one she s you know one page. Pdf where you can highlight topics that you wanna talk about and what you can provide to another business so they hire you for podcast hosts to invite you onto their show or even to get a second meeting or a room meeting with a medical doctor or other referral partner. That you've been warning.

So let's jump in if you like what you hear but you want more information than you have to go and check out that actual podcast.

Here's the summary super-duper summary need to have at least a pattern interrupt. Identify who you're gonna talk to what's gonna be your hook throw some social proof and then a call to action. That is your most basic video simply that you have to do.

But so a pattern interrupt could be anything from throwing a book on the ground. Are lighten a book on fire. Just something that gets you to stop in. Look what are you doing. Could be moving your fingers in front of the camera just to catch people's attention something like that.

Then you gotta identify who you talking to stay at home. Moms parents who are now teachers. Who aren't really into that chiropractors. That do spinal decompression etc and then the hook so going through all eight steps real quick the hook at your marketing.

Hook it bridges. Who you talking to in why they'd actually want to listen and you at into the paint point and desires. So are you tired of having pain. He can't play with kids and stuff like that results.

The promise What what can you do. Can you get or accomplish x by y because of z. So that's another step step for a thorny. You wanna talk about people you've worked with. Who's famous it'd earlier. This guy with click funnels so that's kind of a big thing you have some kind of certificate that other people don't have or somebody else thinks is important and they like you so you don't mention that somehow in the video you don't have to do all eight things in this video every time. It's kind of a lot. But like i said in the beginning those top four. Repeat at the end.

Okay you to have a new opportunity is not so much you want to be different than somebody else like are yoga mat is point two millimeters thicker than the competition. Now you need to have something that differentiates you completely and that blue ocean theory. How was it. You know not just superior but it's like a new opportunity. Can you do that with what you're doing in chiropractic physical therapy named can you position a code laser like that Some special decompression table. You're the one that offers small group sessions that nobody else does.

Then you had the value perception. Which would be like if you bought something else. It would cost you more time and more money but you just come to me and get better faster. You can go try yoga. You can try doing exercises. You can go into this by yourself. You can watch a bunch of for youtube. Videos are just come to me and now four five six visits you'll be pain free and able to de lift again. Something like that.

The last social proof you want to get reviews reviews reviews reviews wherever you want them get them remember. You know just want to say oh. I got pain freer.

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Murs Tariq, CFP talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

We saved for 40 years now what and how do we plan to take out the money once we are in retirement. CFP Mars Turiq helps us understand the pitfalls and what to do now so we can be comfortable later.

What are his views on the student loan forgiveness proposal?

How do we manage a mortgage, student loans and retirement savings during this current virus situation?

What type of goals setting does he find most important?

Living within your means.

A terrible sentence for some and the mantra of life for others.

You can spend all your money on houses and cars etc but not amass affluence.

CFP, Certified Financial Planner - Murs is a Fiduciary, but what does that mean for you?

Fiduciary vs Suitability standards. He covers the differences.

What is the ideal amount of money for retirement?

How much does your expenses and standard of life dictate what is enough money to retire?

If you are fully invested in the stock market, at what age is it a good idea to switch some to bonds, annuity’s, life insurance, real estate and more?

Common pitfalls people make and could avoid when planning for retirement thats 10 years away or sooner.

what is your risk exposure to a fluctuating marketwhat is your plan for liquidate your retirement accounts so it lastssocial security benefits, pension withdrawals, 401k and Roth IRAs, real estate income, annuity income etc

Is a 15% savings rate enough?

Advantages of Roth vs traditional IRA retirement deal with pre or post tax savings. Mars sheds some light not just that taxes may go up in the future but what happens to the tax brackets could greatly affect your long term gain and tax burden.

529 Funds for your kids education. What happens if you super fund it and they don’t use it all? What can we do with that extra money and the taxes and penalties involved?

What lessons can we learn from a 1st generation American?

With a 1 year old and his own business, he finds that being present in the few hours he has with his kid and then his wife is paramount to keep the family side of life healthy.

Podcast: the Daily, Rory Vayden Influential Personal Brand, Secure Your Retirement show since September

Murs Tariq 10 years as a Certified Financial Planner with Peace of Mind Wealth Management.

www.pomwealth.net Raleigh, NC

Show notes can be found at https://adoctorsperspective.net/172 here you can also find links to things mentioned and the full transcript

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

Episode one hundred seventy two year retirement now. What host. Dr justin trust glaring. Today mars respect during twenty seventeen eighteen. Podcast awards nominated best selling off author on amazon as we get a behind the curtain. Look at all types of doctor. And get specialties. Let’s hear a doctor’s perspective now the second month of the year. Twenty twenty one. I hope you’re still at the gym. I still hope you’re trying to reach your goals. If you haven’t yet reached out to people including myself we can help you. Create some manageable goals goal setting and all those types of things that you need that way your rest of twenty twenty. One is your best year ever. It’s easy to get distracted with all the election. Thank goodness that’s over corona and all those types secondly if you haven’t revamp jer curriculum vitae your cv. If you will in a while you’ve never had one to begin with reach out to me. I can do those. enjoy him. The people who have done them for have said good things and you can find that. At a doctor’s perspective dot net slash one sheet and of course that one sheet is a single pdf. It looks good and introduce you. In a way that podcast host a local businesses local chamber would say yes. Please come to my vent speak to my audience. You have value for them at this point.

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Colin Dombroski, Phd talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

One shoe to rule them all? I think not and Dr. Colin Dombroski will break down why that is not the case and discusses his books on foot aliments and prevention.

Canadian Certified Pedorthists - design and manufacturer of foot orthotics and the rehabilitation around that. While they can’t prescribe the orthotics like a podiatrist can, they are the ones that literally make them.

He holds a PhD with over 6 published papers that can be found on pubmed and will do the research using techniques like: bi-planer fluroscopy, Ct, 8 camera motion capture system, and 3D printing. His goal is to see what these devices are actually doing once in the shoe.

He also owns a massive shoe store (it has a 92 year local footprint in his city) and athletic specialty shoe store.

Casting Foam Box or Plaster Cast

If you have a low arch the foam box is the better choice especially in relation to the medial longitudinal ligament.

How much stress is put on assessing the patient to get the right orthotic versus just educating on how to get the most appropriate shoe for that individual.

Taking into account

their level of activitywhat type of activityprevious injuriescurrent biomechanicsfailure of normal biomechanicsgaitloud walkerand so on

Good price range for a great shoe is $130-150+.

Differences between a Barefoot Shoe and a Minimalist Shoe

Biomechanical Control: Cushioning, Stability and Motion Control - which shoe style is right for your patient?

Make sure the shape of the foot matches the shape of the shoe, regardless of the biomechanical control goal or price of the shoe.

Pregnancy can change a women’s shoe size from 0.5-1.5.

Have you heard of Carbon Based Running Shoes?Asics metrolyte, Saucony endorphin pro, Hoka One carbon x, New Balance fuelcell

Business Lessons from 20 years of Retail Shoe Sales

How did they manage to survive during covid restrictions?Hire For Culture of Company FIT. He explains what that means.Hire for Fit and train for skill.

What are the business leader influences and programs he has taken?

He explains his view on the advice, Get Clear on Your Why - why did you pick this major, career, practice style etc.

What are some good KPI’s to measure performance?When should you fire someone?

Look at Leading Metrics that the business will be doing in the near future not the trailing past metrics that you can’t fix or redo.

Growth. What is the purpose of your growth?

Many people grow for the sake of growing and then actually take home less money. When is enough, enough?Find Your Point of Scale.

Fun fact: he also makes watches

solescience.castuffaboutfeet.com

Books by Dr. Colin- Canadian Certified Pedorthists The Plantar Fasciitis Plan, Foot Strength Plan: The Truth About Orthotics And More, Sole Selection for picking athletic shoes, Kid book on thanks and gratitude called A Special Thank You, and one on pregnancy to be released in 2021

Shoe Dog by Phil Knight, Perennial Seller by Ryan Holiday

Community Made Podcast (episode: Scaling is Stupid)

Show notes can be found at https://adoctorsperspective.net/171 here you can also find links to things mentioned and the full transcript

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:05 – 00:05:12

Episode one hundred and seventy one foot strength and shoe sales from your host. Dr justin transparent today dr collins and brodsky’s perspective twenty seventeen and eighteen. Podcast awards nominated host and bestselling author on amazon as we get a behind the curtain. Look at all types of dr. And guess specialties. Let’s hear a doctor’s perspective twenty 2021. Welcome welcome graduate tuning in today. This is a good episode. Our first time having a canadian certified doris and he also is actually dr. phd style.

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Calum McGuigan of Shape and Foster talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

4k to 4M in one business, Calum McGuigan now focuses on video and community based lifestyle development focused on 6 aspects of health. He does this with a site and app called Shape and Foster.

Scottish man, Calum McGuigan, moved to Canada to play Rugby, loved it so much he stayed, then started Fervent Events with $4000, hit Canada’s top 500 fastest growing companies, fast forward a decade it sold for 4 million, and now started Shape and Foster.

We spend some time talking about his event company. Really it is an In-store sampling, demonstrations for consumer electronics (phones) and food, pop-up shops and even food sampling in Costcos’. They would do all the logistics for set up, finding locations, staffing the events and more. After 9 years he started getting burned out and really questioning his WHY?

Why am I in this, do I want to keep creating events and promos for things that can make us sick like burger and fry restaurants?

How do you sell an event company in the middle of covid 2020 when everything is shutdown? Did it hurt the selling price to the point of backing out?

What can we learn from unicorn business acquisitions for companies that really haven’t even turned a profit, think Uber or companies bought out by Facebook.

Disclaimer: Yes, this episode’s interview is a paid sponsorship.

Shape & Foster

A 12 month journey to revamp your life from all angels. They have 6 experts delivering information and exercises (homework) in less than 20 minute videos each month. You have to finish the first month before consuming the next months information.

Actionable Insight

It’s a Lifestyle Development website and app covering mental health, fitness, nutrition, financial planning and life coaching plus live yoga classes. You should be able to watch these lessons and make changes, even small ones, into your life and over the course of a year see a better you.

Why is so much of Lifestyle Development so Retroactive?

As in, we start a gym when we are out of shape, we learn about mortgages and interest rates during the process of buying our first home. It’s kind of backwards so what happens if we can plan ahead and finally be proactive about our physical and mental health.

When promoting a paid membership app, how far out do you set goals and what do the goals look like?

There are no up-sells once you join the Shape and Foster app and the experts are not luring you off the program to sell you their stuff neither.

Calum does recommend and encourage signing up and paying for Shape and Foster via the website and to help out he is offering a 14 day Free Trial exclusive for web sign-ups (also the app store is more expensive than the web purchase).

We go over the details of how new months and material are unlocked. www.shapeandfoster.com

4 Part Marketing

be a podcast guest, digital social media, PR agency, and Lift Off (running ads on other apps that relate to your target audience)

Podcasts: Pat Flynn’s Podcast, Membership Guys and How I Built This

Family: Have 1 on 1 time with your wife and kids and friends and yourself.

Show notes can be found at https://adoctorsperspective.net/170 here you can also find links to things mentioned and the full transcript

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:05 – 00:05:03

Episode one hundred and seventy actionable insight into lifestyle development with shape foster justin chocolate and today. we’re kalem acquaintance. Respect twenty seventeen and eighteen podcast awards nominated host invest celie author on amazon as we get a behind the curtain. Look at all types of doctor. And guess specialties. Let a doctor’s perspective first episode of twenty twenty one today. We have a membership app about health and wellness in six different aspects.

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Be a customer again and write down the good and bad experiences. Tailor your marketing to those findings and appeal to prospects as a fix for their problem.

If you wanted to learn about working abroad as an expat or writing books and ranking first on amazon, then visit asHeardon All the past book recommendations from guests covering everything from marketing, headspace, self help, relationships and more can be found on my amazon store here booklist Finally if you want to see the top 10 lists, past profession based series' - visit all links

In a voyage to off shots tape. He sold sixty seven. This is from story matters with andrei chaperone. Effective mail copy. This will be the last episode of twenty twenty. I do hope you enjoyed our cluster of minnesota releases at the end of the year. The last couple you could use for goal setting. this was going to be a little bit about more marketing.

Before we jump in doctor perspective dot net slash book list again is for all the books that all the past guests have recommended all in one place on amazon. So you can just go through and see what has impacted other doctors lives and you can get the book yourself is an affiliate of course and if you want to go to dot net slash all links that gives you everything about me.

The books written consulting when she creation for your help. You book your next speaking gig past episodes that i've actually been on as guest. I'll have two or three actually coming out in the first quarter of twenty twenty one one about talking about your why i was in a eight percent of the people are clarify in this guy's system of classifying people.

Really cool just talking to end up being almost like a like a counseling and a business coaching type of session while he was exploring might type of personality. Because there's not as there's not that many of so it was a really good oh becomes out sooner versus later. I like to listen to it again. He has some good information. And of course turn about china and amazon bestsellers and things like that are are on that links list as well so of interested in hearing the reversal of someone. Asking me questions. Because it's definitely a different experience. The talk that much typically but whenever asking you questions all of a sudden it's like whoa wait a second second. It's good to practice okay.

So email copy jumping in. You wanna treat every prospect the same as your customer. What does that mean. That means the customers already now. You got to keep that relationship. The prospect needs to pick you but the courtship the email copy the that that gets them to that point of pulling the trigger and giving you money still be the same you need to see the world through there is not really yours. Remix very easy. It's what's their problem.

What are they experiencing that. They can't solve on their own. They need your help for. Make sure you tell your story on. How the patient life improved got results. Remember there the hero. You're the guide.

Now we can find inspiration for this outside of normal marketing. Don't have to buy the youtube ad front of your video with a guy with a big labor giddy. Gonna be at house. I'm on an airplane. You don't own any of that stuff. In that pet peeve.

I'm a coach to coaches about a program a repackaged it boom nam selling to somebody else yay so frustrating that the such a market right now of people just no business experience all they did with twenty years old took some courses. They're the got charisma. They're good at marketing. People are impressed by that and they they buy come frustrating anyway. That's a side tangent.

Someone you might wanna look into. Is noah keegan are kagan. Whatever he says it. And then seth Golden they both got blogs and programs and things books amazing Marketers storytellers. find them do amazon links

So how do you figure out what your customers pain. Points are. And sometimes that can be difficult.

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Introspective questions we ask ourselves during each decade of life. Evaluate yourself now so you don’t have regrets in the future.

Learn 16 ways to hold chopsticks from the PDF found at https://adoctorsperspective.net/chopsticks Every important A Doctor's Perspective and Justin link can be found at https://adoctorsperspective.net/alllinks It has the specific doctor series' over the years, books from guests, my books and swag, and top 10 download lists.

In a village to off shots tape a mini sold sixty six. I think you're going to enjoy this one. That's going to be a little more introspective based on your decade of life but really it should hit home for the twenty twenty one. We've had kobe for a year.

Now maybe another five or six months when you make decisions the travel vaccine or not and still wearing a mask but trying to get business back in order so these will be a good question. Asking yourself are still on break and trying to figure out what to do before we jump in. If you've ever been curious about how to use chopsticks bloom. I got guide for you. Sixteen different ways. You can hold them awesome at the next time. Buffet are sushi restaurant so doctors perspective dot net slash chopsticks with an s. at the end. Of course that correlates with the doing business in china or weddings in china book.

So you're interested in different cultures. That could be a fun book for you to read. It's a quick read is not very expensive at all. But it's jam packed with information that you to be more culturally diverse and gain face and

last self promo doctors perspective dot net slash all links. This is everything you can imagine. All all the doctor series is i've done in the past the top ten list of each year. The book links the coloring book. One sheets free chapters anything. Everything that you would want to know is on all links okay.

Today is gordon macdonald. I guess he was a pastor for a long time and he's famous for riding questions we ask at each decade and

so let's just jump in teenagers. Most of us have kids what they're asking. Who am i. And who am i becoming

when you're in your twenties. What am i going to do with my life and with whom so. This is a school or not with my career going to be. Should i get married. The person who wants to the rest of my life with the thirties now that i have all these responsibilities and obligations. How do i manage all these priorities. Right probably got kids a mortgage. Maybe bought a new car and boat. Maybe not financially responsible. Maybe you are but what do you do with all these. How do you manage that. Still be like i have time for me. I still think that. I wanna do oregon shape. I want to do this. I want to do that all that together.

Not once you hit your forties. You've been doing things for a while. You got fifteen to twenty years experience in your career. You're asking yourself. Am i a success or a failure. Now that's an interesting because you can get your personal life or your business life. One of our past guests. He had a forty million dollar business but he is looking back like main. My marriage was almost on the rocks. I didn't treat my kids like i needed to all of that. Money and twenty wasn't instances. You was successful. But another instance. He was failing. So which priorities.

And they're you know case when you're in your fifties you're moving the second half of life. Who is his younger generation. That wants me out of the way. And how do i cope with the disappointments in my life. Who as interesting. Yeah when you're mid fifties some people look at you. The dog stuck in their ways doesn't want to learn new things. But what are the young people bring to the table. Was this instagram and tiktok. What is all that. We don't need that in my practice. I don't know maybe you maybe you do. And then of course disappointed live.

Maybe you maybe have a divorce. Maybe you did a couple of bad investments and comparing yourself to yo...

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Company goals can be broken down to individual roles and should be daily and weekly repeatable, measurable tasks with specific outcomes.

Need a CV - resume updated but don't want to do it? Need a powerful one page About You Flyer so local businesses invite you to speak, increase doctor referrals, and other speaking engagements can occur on a more frequent basis? Then head over here to get a onesheet.

Adoctorsperspective minisode sixty five. This is going to be a good one. I think is the story. brian podcasts. At one hundred fifty one with keith cunningham. I really just took this one snippet out of it so this'll be a shorter episode.

We jump in and this will be about goals as you can tell from the title of the episode before we jump in. You can find me on. Modern carpeting marketing as well as the carpeting philanthropist. Sometime in the first quarter of twenty twenty one of course if you're on my social media allah come out but talking about one. She's and see revisions. See revision of courses your resume before doctors a lot of us have. It doesn't look good. Maybe hasn't been updated a long time. That's things that i can do for you. It's enjoyable for me. It's kind of like a puzzle sometimes and the when she is a one page. Pdf designed pretty unwritten. So that a podcast host. Our local business will say. Oh this is what you can offer my people. I like it. This'll be great. I'll look good. You get some exposure in already. I mean if you host the podcast you're going to get all these emails from people and they always typically will have one of these papers and one she and then when you look at that this would not really fit my show or yeah actually this would and those come out much better than someone who just writes a simple to paragraph email so considerate. I've been doing this for a while. Now it's it's fun. It's affordable a doctor's perspective dot net slash one sheet.

Okay twenty twenty. One is rapidly approaching. If you haven't already figured out your goals. I guess now is the time to start this episode and the next will be helpful for that so as a company or a bunch of doctors.

Goal Setting Flow - Big to Individual

You should have a company goal right. I want to save ten thousand people from surgery or something like that. I want you have a goal. You may have more actual goto. You might actually say. We want two thousand new patients this month. I mean that'd be great. Maybe one thousand new patients for the year. Maybe wanna increase your membership plans. You want to grow to three hundred members this year.

But you didn't start with any so that could be a new financial thing for you trying to figure out how to do memberships in your clinic so that it's beneficial for you but beneficial for the client. Does that mean you have to change the services that you're offering me at the package and bundle things that you normally maybe wouldn't have are you. Insurance are not legal in your state so all these guys are going do casey's versus just pay as you go so what you go all right.

So when she had that goal you can get a plan right. That plan could be everything from where to market how much money you should spend for that marketing and so forth. Who who do you need a higher future. Dini replace anybody with specific skills. You need a have for people to make these goals work and then that plan goes into department goals.

So would you have basic plan of what you need to do. Then he does have broken out if you have another doctor or you're the only doctor. What are you going to do. What is your facebook ads going to do your marketing department. Are you need to community events. That could be a part of your department goals. If you wanna look at it like that a your insurance people you need more money. What are they doing to increase collections. Do they need to get you to do your records better. Do you make sure that your billing what you're supposed to be billing and not under ...

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Time to get creative when trying to sponsor running clubs, marathon groups, Athletic Groups and youth sports. Get a few tips on how to approach teams and what to offer.

Grab a trilingual (english, spanish and chinese) 5 coloring books series https://adoctorsperspective.net/coloring Help someone with my no needle acupressure book and electric acupuncture pen https://adoctorsperspective.net/nab or just get the book here https://adoctorsperspective.net/acpamazon

In a voyage to minisode sixty four. Prepare yourself learn more about running groups in commissions from the cash based practice podcast episode sixty one now before we jump in little self promo. Y

ou got christmas money. You need to burn awesome in head over to amazon. Why my trilingual coloring books are still there of course mammals flying swimming exotic spanish chinese english all of that on one page. So you get the animal you got the three languages of the animal's name. You do flash cards style you they can color. It's for kids. It's coloring books. It's pretty cool. It's a way to challenge them in many different ways with language memorization and how to color pick those up there at a super duper price. I'd recommend the one version. 'cause it's all the animals of five other books into one Over two hundred pages of cool stuff.

Also if you're into the no needle puncture aka acupressure you want. Wanna get that book along with the Electric pen would visit a doctor's perspective dot net slash in a beat. And you can find that at a great price and the price. it's also on amazon.

So this episode. They were talking about how to get more involved in may running groups and those types of things beneficial to your clinic because you can go and you can spend time you give talks. You can approach these running groups in your community and said hey. I can give you talking how to prevent ankle sprains or shins plans. Make sure your heads up ryan position you can evaluate their gate all of that but other option because it takes so much time as you can sponsor the group itself right and that's helpful but you could also sponsored athletes.

Tiers of Individual Sponsorships

If you know that. Jane is amazing. Well maybe she deserves some free treatment and twenty percent off some logo. Something like that. So when she wins the race bow. Your logo is on her shirt. You can have a couple of tears like 2nd tier could be more like a twenty percent off and maybe you get of course a hat along with that.We don't get free treatment. You just get a percentage off third year could be maybe just fifteen percent off treatment but you also get some free swag and that could be really helpful so becomes ambassadors for your clinic and then you look good and these people are actually winning so you know.

It's not just jack who barely finishes the ten k. No these people are running marathons. They're coming out in the top five type six and so they're going to get pictures taken. And you know maybe you look into triathlon. Jerseys are runner jerseys. I've found some places. You can really design the whole thing like you probably go and fiber and have an entire mock-up of you know the pretty colors. The cool design with your logo and your information on it like that would be top notch like you're getting quality stuff but it's going to be more expensive of course than just getting some Dry fit with your name and stuff on it.

So yes something to consider just google trough elite outfits customization and you'll you'll see some companies pop up because it's much more work much more money involved in doing that but obviously if you do it right then that really isn't sweet swag to give away and if you know that you've been part of group maybe it's a cross fit group.

Maybe it's a triathlete group in your being a part of it for a while. Then you know how many you should order. And then it's become look. I wanna ho team. So i need to know how many mediums largest malls.

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Planning to move to a new country can be daunting so listen here to find out what you should and should not bring. What can you just repurchase and why should you?

for headphones, ear buds, mics and wireless and bluetooth speakers check out https://adoctorsperspective.net/jlab all the books recommended on the podcast can be found here https://adoctorsperspective.net/booklist

aged off shots tape minisode sixty three. Thanks for tune-in again. I'm going to drop a new episode four total before the end of the year. Give you a little more head space for your new year's resolutions. Hopefully today will be no different but before we jump in.

Of course it's still the holiday season. You might have gotten some gift cards. If you're looking to spend some of that money on amazon for instance you can go to a doctor's perspective dot net slash book list. It's all the book recommendations from all one hundred and sixty nine guests so everything from personal development marketing advertising sales relationship. Advise all of that. All those books are there. You just got to scroll through if you like it get it. Of course it's an affiliate link and what are you listening to me on right now. Do you like the speakers you have. If not merriman g lab or one of my favorites. It has amazing battery life. The sound is spectacular but the price is great. It's a fraction of the cost of these big name speakers but the The sound is very comparable. They've got microphones as well. If you're looking to enhance your zoom calls and virtual office visits that might be a good good purchase for yourself. There's three versions and they have everything from a headphones that go over the ear in the ear. There's no wires. some have wires. Whatever you want they got it. Got stuff for gamers so anyway. A doctor's perspective dot net slash j. lab

so today we're gonna talk about really decluttering your space but also considerations if you ever decided to move you know if you have questions about moved to moved to china twice and in germany and then i moved from denver to louisiana and houston and baton rouge in. You know so moved a lot. Now it's not a not everybody's into that but I have and i enjoy it.

And so of course. I don't have a lot of stuff. And this i do was able to fit into my parents storage. Shed well a workshop. And then i just got like a corner shelves and i've got to put myself there carpet table. So if you want to buy some by decompression table or something like that. Let me know With the right price. I'd be willing to pass that onto somebody else still worked perfectly but anyway you have to ask yourself some questions okay.

When you're trying to declutter has in the past. But i'll say it again in my closet. I've got close. Polos got dress shirts. T shirts with the whole eric. Everybody else before work. Since i don't just like wear scrubs and i can wear anything. I want you usually. We typically have our favorite shirts. You wear those so if you find yourself in that category where you're like. Yeah this is a top six served that i always wear and all these other ones. I really don't wear. They haven't moved there collecting dust. This time the donate those. Get rid of those. You're not gonna wear them however if you go into your closet. Hey these don't even look good anymore. That are out of style rid of those to melissa did that.

You went through your clothes. You found the ones that you are still in good shape you just forever really care where start cycling san yourself i am not gonna to where any of these clothes. They have a system. Maybe you wear a shirt on the left and when you wash it dry it you put it on the right side only pull from the left and you work it through and you get to all your clothes and there's certain clothes that you just don't feel good. I feel fat. I got a bad combo. I didn't get a compliment. Or i just don't feel confident in this outfit. Put that in the box. Donate it and that way.

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Chris Chippendale, DC talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Learn to communicate what you do and goals for the patient based on what they want. Patient centered evidence based care evolves and Chris Chippendale DC talks shared decision making and much more.

Chris Chippendale, MChiro DC PgCert MRCC (Pain)  and I just briefly talk about qualifications and differences of a UK vs USA trained chiropractor.

Most chiropractors in the UK are cash based. He talks about how he set up his fees and we touch on membership practices, charge per hour and flat fees. What is the biggest determining factor on the price per visit?

When is it appropriate to do a double charge, how to handle flare ups if you do a membership plan and what about case fees instead of per visit?

Do case fee patients vs per visit change how you recommend care?

What is Patient Centered Care versus Doctor Centered Care?

Follow the doctor orders and what I think is appropriate. The doctor will ride in and save the patient. This type of model is normal. Patient care is about the hero journey. The doctor is the guide to the patient so the patient can reach their health goals. It’s about shared decision making, giving the patient a choice.

How do you handle the patients who say, You are the Doctor, You tell me the Best option?

I’m here to help you get what you want out of care. I want us to work together and for you to be an active part of care.

When trying to get patients to do exercise or make changes, it’s easier to meet them where they are than to steer them in a direction they don’t desire to go. Understand they may have a ton of things going on in their life so to do 3 exercises is the best they can handle at the present time. This could be the essence of patient centered care.

What do you, Patient, want from care so that when we are done you would say this was a good use of time and money? Patient may think they coming from pain but really that was there for 3 years, what has the pain taken from their life that they want back.

Link their words that they described their issue as, during your report of findings. We are grabbing, cracking, stretching and pushing so that area can move better and working better.

Bone out of place is obviously not something he would say, but when do you correct a patient’s wrong beliefs and when do you just let it go?

Ask for a referral when a patient is expressing enthusiasm but before they get better.

Intimate Time With Yourself - not what it sounds like

BOOKS David Allen Getting Things Done, Jonathan Haidt The Righteous Mind 5 Love Languages

facebook.com/patientcentredpatientcentred.co.uk

Show notes can be found at https://adoctorsperspective.net/169 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:05 – 00:05:00

Episode one hundred and sixty nine shared decision. Making in patient centered care. I’m justin trust player. Today we dr chris. Chippendales perspective starring. Twenty seventeen and eighteen podcast. Awards nominated toast invest. Sally often on amazon as we get a behind the curtain. Look at all types of doctor and specialties. Let’s hear a doctor’s perspective looking back to the podcast who merry christmas. Merry holidays because it is upon us be similar was a fun month so far. I got interviewed on the modern carpeting. Marketing show as well as the chiropractic philanthropies for the when sheets and revisions. That i can do so i was super pumped about that. I’m sure they’ll be released sometime in january february of twenty twenty one. So that’s a good way to start the year. One last little plug. Those trilingual animal. Coloring books are still around there on amazon. The five and one book is the one i’d recommend is less than ten bucks makes great christmas gifts stocking stuf...

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Dr. Frederike Rützenhoff, DDS talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Learn about dentistry and Germany and the bio health conscious dentist movement and how it can be a game-changer for women dentists. Dr. Frederike Rützenhoff (University of Bonn, Private Practice 9 year, Elected Member Board of Cologne Board) discusses this health revolution.

Learn a little about medical and dental university in Germany. It’s a bit different than America and perhaps it’s a viewpoint that we can integrate in some way.

Periodontics, endodontics, prosthesis, implants are all learned in uni not a specialty after graduation.

German Dental Insurance

What can you expect your standard health insurance to cover for dental procedures?

Does German health insurance subscribe to an ounce of prevention is worth it or do they like the only fix it when it breaks?

Are the materials (like mercury) a danger to our body as a holistic system? Do some toxic materials leak into our body and if so what type of long term health reactions may we experience?

History of Dentistry Materials used versus newer options

What were some of the trial and errors that dentists had to figure out as long term and safe materials currently being used (and the past) and this BIO healthier alternatives that are gaining traction?

Did you know if you are pregnant and a dentist you are not allowed to work because of the materials used.

Fluoride has it’s purpose but does it need to be in the water? Can something be done with the Oral Biome?

Wouldn’t you think it is a good idea to support the body (bone strength, proper mcirobes in the mouth etc) with vitamins, and other biological whole body support before doing an invasive surgery like implants?

Your body needs to be healthy enough to heal from the dental procedures.

CERAMICS

Titanium is in lots of products including teeth whitening toothpaste. Can someone build up an unhealthy reaction to this metal? A doctor in Switzerland is teaching lots of international dentists the benefit of using ceramics.

Some would say ceramics break but this guy has been using ceramic implants and doing research on the best methods for over 20 years.

Root Canals

Most dentists are trained in the basic of a root canal procedure, but when you can have 4 or even 5 roots (not just 3) the complexity can quickly become overwhelming.What is the big deal with a half dead tooth saying in your mouth?

A specialist could take 5 hours with a microscope to make sure the whole bad area of the tooth is removed but most dentists will not do that. After max 10 years these teeth tend to have to be extracted. Therefore, is it better to just get a ceramic from the get-go?

Employed - Motherhood Dentist Situation

Dr. Rutzenhoff is spear heading a movement of female owned dental businesses but set up in a bigger shared space to meet all the other obligations that most female dentists have to overcome ie child care, while also providing the environment to do these complicated and bio style dental procedures.

More women are dentists then men now but old men are the ones who still own the clinics and hire new doctors. Her goals is to help empower women to work together to share expenses and give optimal bio care but still be moms who don’t have to work 50 hours a week. Different Dentistry, Different Structures

Show notes can be found at https://adoctorsperspective.net/168 here you can also find links to things mentioned and the full transcript. More info on her can be found at https://ruetzenhoff.eu/

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:06 – 00:05:01

Episode one hundred sixty eighth biological ministry and motherhood. I’m your host talks with justin tros claire today. Dr ferrick roots in hav perspective during twenty seventeen and eighteen podcast awards nominated host and bestselling aut...

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Michelle Hammons talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

High Performance Coach is broken down for us. How to use the DISC, should we compare ourselves to others, best way to take a vacation and Michelle Hammons even covers virtual assistants.

We briefly touch on DISC Profiles and what you can do with the results as well as Financial Peace University money ideas.

We want to build support structures (people in our life) that aren’t exactly like us which is why you shouldn’t just use a DISC profile alone to hire or not hire someone for a specific role.

Learn what Rock Your Launch can do for you.

If you are starting a new project, podcast, taking on the first partner etc this helps set the framework for launching correctly and future cast what success would look like. This certification can even help clients who are looking for a second career path.

What kind of support will you need, budgets, skills, and obstacles you may face?

Certified High Performance Coach

A landmark study done by a wide array of professionals studied high performing individuals. Once they got the results, the coaching and certification program was created to teach others how to implement the findings.Topics such as: Clarity, Energy, Courage, Productivity, Influence and NecessityShe likes the accountability and refresh training that even she gets as a Certified High Performance Coach. Think about it, laws, rules, medicine all change year to year so why would your coaching program be any different?This is her job, not a side hustle, and she has logged over 2500 hours of coaching clients.

Take CE, continuing education, that you actually want to learn about. When you are excited to learn a new topic, the time and money invested (even if it’s mandatory) aren’t a seen as a negative anymore. You can grow as a person and a doctor and a business person by finding what you like and being the best at it.

Comparisons

Do yourself and a favor and don’t compare yourself to other people. Even if you find someone exactly like you on paper, you both see and experienced life differently and that could mean one is set up for success better than the other.What you define as success may not be what someone else will. Are you a stuff person or an experience person. You may not understand why someone would purchase a 65000 car and they dont know why you take 3 weeks off and travel Asia.Sure a comfort zone life seems nice but the fully charged life is where growth occurs. If you live in that stress free, coast life of comfort zone you will find that inner voice that says I Want More will show up. If you don’t act, then the cage zone happens and you feel stuck and get burned out.

Sustained improvement over the longer term above standard norms while maintaining healthy relationships.What are a few reasons a client does not see the results… or what makes a client not succeed in coaching relationships?

Virtual Assistants

How do you know when it is time to hire a virtual assistant?What type of tasks should we off load on them first?

Want more time away from work? You have to block out that time far in advance and cherish that blackout. Also, train your employees so you feel confident they wont ruin everything during your vacation.

Want your significant other to stay that way, make time for them, intentional time with them.You aren’t going to be the best for anyone (for long) without taking care of yourself.Did you bring your best to what activity you are doing?

Podcasts: Pat Flynn Smart Passive Income, 48 Days To The Work You Love, Entrepreneur on Fire John Lee Dumas

Books: Bo Eason There's No Plan B for Your A Game Pat Flynn There's No Plan B for Your A Game

www.creativityplaybook.com

Cross-industry experience in Health Care, Energy, Utilities, Travel and Transportation, Information Technology, Real Estate, Small Business Owners and Entrepreneurs, both Online &. Brick and Mortar.

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Larry Benz PT DPT OCS MBA MAPP talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Go beyond empathy in connecting with your patients and learn about biopsychosocial aspects, positive psychology and even using placebo to your and the patients benefit. Also find ways to avoid burnout with physical therapist Dr. Larry Benz.

Dr. Larry Benz, PT DPT OCS MBA MAPP has just a ton of educational experience and degrees. He also teaches, has a private clinics, handles continuing education across the USA, wrote a book, is a veteran, has an organization in Haiti and his passion for physical therapy has no end in sight.

Today we focus on the PsychoSocial factor of physical therapy.

We also discuss the impact Doctor Empathy and Communication with the patient has on their outcomes.

Therapeutic Alliance, Bed Side Manner - what role do these play?

Bio-Psycho-Social Attributes were aspects covered in his Masters of Applied Positive Psychology Degree. The capstone project is what led to his book Called to Care. Topics like: research on empathy, compassion, what is a high quality connection, goal setting for patient care, peak end effect lead to, placebo and Nocebo effects and capitalization.

How to reduce your own burnout?

The care and outcome is better - better EQ the outcomesBusiness gets better as well

Is Dehumanization and Burnout the Same thing?

How does the term Calcification play in and can it set in a little each day or is it all encompassing.

Besides the PQRSST piece of the exam (who, what, when. why), how many of us ask How the patient is Feeling about the scenario. What is their truth with their situation and how it affects them and their life?

BODY LANGUAGE is important: tone of voice, facial expressions and body movements.

With a telehealth visit the doctor can lose at least 2 of these with the patient. That means the patient doesn’t since the empathy from you and clinical outcomes may be less.

Excessive documentationThe number one complaint is that it robs the patient of actual practitioner time. Too much is spent clicking buttons or dictating notes. Too much documentation is number one reason for physician burnout by the way.

What role does Placebo play for the patient? Should we use it more and how can we?

In trying to get students to retain more information, you can even tell them that a placebo is happening and it will still get them to retain more than if it wasn’t mentioned at all or no unknown placebo was in place.

Positive words and the way you set up positive parameters of outcomes can play a huge way to get an ethical placebo effect.

Nocebo Effect: if you tell people it will hurt, then it will actually make it hurt more. A percent of people will get those negative effects only because you mentioned them.

Keep a relationship healthy by creating Novelty (curiosity) and watching your Cognitive Biases (the stories you tell yourself about things aka don’t be judgemental).Process improvements ; like excessive documentation, regulations, and a variety of other hoops and ladders have replaced time spent with patients.

An emphasis on kind, compassionate care will give you and your practice a differentiation in the marketplace that converts to market share and profitability. 

For more information, please visit PThelpforHaiti.org and CalledtoCarebook.com.

BOOKS:

Dr. William R. Miller Motivational Interview, Kevin Hogan Covert Persuasion, Malcolm Gladwell Outliers, Blink, Helen Reese Empathy ability to make me the best, Steve Herz Dont Take Yes for an Answer

www.calledtocarebook.com www.goconfluent.com larry@physicaltherapist.com

Show notes can be found at https://adoctorsperspective.net/166 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

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Dr. Colin Zhu, DO talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Combining a plant based nutrition education on top of a primary care osteopath degree is what Dr. Colin Zhu has done and created a book and podcast to explore these important nutrition concepts to help treat disease.

Growing up with a Chinese mother who has been doing Traditional Chinese Medicine for nearly 40 years and helping out in the office from time to time had a big impact on Dr. Zhu’s life. Originally thinking he would be a chiropractor but then switching over to Osteopath and bridging the East Meets West healing approach.

Dr. Colin graduated off cycle so he had some free time on his hands before residency. Upon graduating he quickly realized that the day to day diseases we treat (diabetes, high cholesterol) can be benefited by what we eat. Since school was a bit of a let down on those topics he enrolled in the Institute for Integrative Nutrition and the National Gourmet Institute.

What was his journey to integrate cooking classes and being asked to lecture on these topics covered on the podcast.

How did his audience become other doctors instead of direct to patients? The ripple effect is a big reason.

TEACH - INSPIRE - EMPOWER

Thrive Bites Podcast

1) plant based diet2) emotional resilience3) thriving

What is Plant Based Nutrition?

Why are the Research showing the huge benefits of this lifestyle not promoted on TV and most doctor offices?

Have a humbling attitude with your friends and family and spend time with them asking deeper questions and listen to their answers. Spend the time to reinforce your relationships.

www.nutritionfacts.org for great nonbias information on nutrition.

What does he define as a Default Life vs a Thriving Life?

What vegetables and grains does he recommend for the best benefits in health?

Is meat and bacon a class 1 carcinogen?

Discover his Philosophy and Strategy for Grocery Shopping.

What’s his pick for the best cooking oil? (It’s not EVOO - find out why)

(naturally occurring oils that come from nuts, seeds and certain vegetables(not sunflower, peanut or canola)) high heat cooking - grape seed or avocado

Differences between Wet and Dry cooking methods

Colin Zhu, DO, Dip ABLM, Chef is the host of podcast Thrive Bites, written a book Thrive Medicine and can be reached at www.chefdoczhu.com

Books: Dr. Dean Ornish The Spectrum , Reversing Heart Disease Colin Zhu Thrive Medicine T Colin Campbell The China Study , Rethinking the Science of Nutrition Dr. Michael Greger How Not to Diet , How Not to Die Neal Barnard Foods That Cause You to Lose Weight , Your Body in Balance , Program for Reversing Diabetes Dan Buettner The Blue Zones , The Blue Zones Kitchen

Show notes can be found at https://adoctorsperspective.net/165 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:06 – 00:05:02

Episode one hundred sixty five discussing chef and osteopath host. After justice dr collins choose perspective during twenty seventeen and eighteen podcast awards nominated host and bestselling author on amazon. As we get behind the curtain. Look at all types of doctor and guests specialties. Let’s hear a doctor’s perspective. Thanks for tuning in again. We just came back from berlin trip before the shutdown second wave beautiful city. Lots of great buildings. Food was nice to traffic was terrible. Well driving a stick in our long traffic. I don’t know why you would do it. I just don’t know before jumping today. If you’re looking for the list of all the books that all these great guests have recommended you can go to doctors. Perspective dot net slash book list and today’s guest definitely dropped about six different authors. So there’s at least twelve books reference today including his own again.

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Why Are People Reaching Out More?

Anxiety is increasing for kids and adults. The way we dealt with these emotions may not be helping in 2020. We discuss a range of ideas to help with Jennifer Bronsnick MSW.Many people dealt with anxiety, depression and hopelessness before the pandemic and of course they still are.The main difference in 2020 covid climate is that many of the constructs they used in the past, just aren’t working effectively now. People are now reaching out to friends and professionals more.

Learn to Say NO

Biggest obstacles to overcome right now is learning to say NO to requests and making sure your mental health is in check so you can be present for others as well.

Holidays Are Approaching

If you are feeling extra overwhelmed with Christmas and Thanksgiving and kids and work and school and a spouse ARGH! ... ask them what is most important and special to you that we should do for these holidays.

Your kids may not care about Elf on the Shelf or your holiday cookies. Great, don’t spend your time on them this year. Or maybe you have to have them take the helm on certain activities, festivities, and decorations.

MICRO- Self Care

Discuss with your company about Flexibility with meetings, deadlines and more.Stop Burnout before it happens, otherwise it takes way more time to recover and heal.Each day do the small things to keep your health strong and mentally relaxed.Set a Time and Day to have those hard conversations with your significant other. Do I go to work, stay home with the kids, work 2 days, I need more help around the house, etc.

They say happy Wife, happy Life. Did you know research actually backs that up?You would be shocked at home many people (especially moms) are never actually alone with themselves.

Strength, Resiliency, Flexibility and how to get along with people you are around 24 /7 now.

Health of Children - they are resilient

The belief we have about our kids ability has a big impact on how they handle situations.Model as a parent how to manage our own emotions. Maybe one day is bad adn the next is okay but show them the ways you switch your environment, self talk etc to change your mood. It teaches the kids how to handle things via modeling.Having a routine is important for children including, I have to work, don’t interrupt me for 1 hour.

Would you be surprised that a pet dog has many reasons to support your mental health.

Anxiety Kids - Why?

What is it over the past 20 years that has caused kids to have so much anxiety?Would you be shocked that Helicopter Parenting really took over after 9/11?

What about the parents who rescue their children and they never have struggle with consequences of actions?Many kids don’t know how to do with uncertainty and being uncomfortable and that leads to anxiety as well.

With social media you also see children trying to be perfect, what if I fail, what if I try and I’m just not good enough and seeing fake positivity from others.Showing your kids love and support for them being who they are and allowing them to make mistakes and grow from them.

Keep your significant other happy by accepting them for who they are and not try to change them.

Jennifer Bronsnick is a licensed clinical social worker and also has her Master in it. She is the CEO of Mindful Family and works with BelieveInspireGrow. She has 3 kids, a podcast and had a radio show for a long time.

Books and Podcasts

Panic Attack Survivor Guide FREE at www.jenniferbronsnick.com

Kate and Mike Show (now its ended- but still great info)Wealth and PurposeSpace for MagicAnxiety Proof HerAmy Porterfield https://www.amyporterfield.com/

Tara Brach, Ph.D Self Acceptance Project Ken Follett A Column of Fire Elin Hilderbrand Heres To Us, The Island, (4 book series) Winter Street

Show notes can be found at https://adoctorsperspective.net/164 here you can also find links to things mentioned and the full transcript.

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Learn about bio electric spectrum health and how to measure it with blood, urine and saliva. We discuss his supplement and telemeres. Welcome Dr. Darrell Misak, ND RPh.

Bio-electric Spectrum of Health - Frequency and Vibration

As a pharmacist working at Duke in the oncology department, he always wondered why he couldn’t give IV vitamins that were shown to be helpful to these patients that could really use them.

Live and Dry Blood Analysis

A big focus is on blood quality. Is it healthy and carrying oxygen correctly or is degradation? Size, ratio of white blood cells, destructive patterns, glutanation patterns etc.Plus in depth urine analysis.After analysis all these things Dr. Misak can say are you gaining or losing energy, inefficiency and what stressors are nutrients are needed to support this chemistry.

Where are the burdens of the body and support it to heal.

Liver can be seen as the nuclear factory of the body. It determines what is good and what needs to be eliminated. Can we generate energy or is it a burden?Blood is the health and stress of the body, HLB analysis or oxidative stress test. Live blood carries nutrients.Urine and saliva shows energy efficiency: liver stressed, sugar regulated etcUrine pH that you can test at home can help you focus in on the foods you eat that are helpful and harmful for you specifically. He gives some basic numbers and ratios we should be concerned with around minute 15 or so.

What are his 5 Phases to Reclaim Your Health?

Clean up your environment: foodWhat are your stressorsSupport that you need directlyNow you can detoxify and then heal… a processSelf awareness to recognize when you aren’t right

Telomeres

When telomeres shorten it creates the natural aging process.Is there a way to stimulate telomerase?

Around minutes 22 he goes through the ingredients of his product “vitelometry”.

We discuss drug and herb interactions.

How do you find quality products, sources and combine it all and make the pills?What’s the benefit of reformulating his product to serve the health needs of animals?

HighBrix farming aka remineralizing our soil - how does that benefit society?

SPONSOR DISCLAIMER: I want to tell you about a podcast I recently discovered that I know you're going to find interesting. If you're like me, you might have thought about learning a language but maybe you found it too daunting or too boring. Well, if you want to learn Spanish so you can more effectively connect with your Spanish-speaking patients and staff, you should definitely check out the Learn Spanish Con Salsa podcast. Every week, host Tamara Marie brings you one step closer to fluency by making language learning fun and effortless. Learn Spanish Con Salsa immerses you in Latino culture and teaches Spanish through music and conversation. Delete all those boring, robotic language learning apps and listen to authentic Spanish you can use in conversations with real people. Subscribe to the Learn Spanish Con Salsa podcast wherever you're listening to this podcast. An get your free guide to Spanish for medical professionals at spanishconsalsa.com/doctor. That's spanishconsalsa.com/doctor. SPONSOR END

Love is a choice and a sacrifice.

When taking a vacation from the self owned office, consider doing super sales and offer discount on services that you don’t have to be there for during your time off. This way you recoup some of the money lost.

docmisak.com and vitelometry.com discount code JUSTIN 10% off

Books: CHOOSE! LIFE OR DEATH pdf Carey A. Reams

Show notes can be found at https://adoctorsperspective.net/163 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst! E 163 Telomere Testing and Bio-electric Chemistry Darrell Misak ND RPh

00:00:00 – 00:05:07

So we’re 163 telomere testing and bio electrochemistry.

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Frank King talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

What is suicide and how can we approach it? Frank King does it with humor and landed 5 TedX events helping us understand what we can do to help.

What is generational suicide?It’s suggested that a 1/3rd of business entrepreneurs are depressed and suicidal. (Could be from long hours, little sleep and unmet expectations.Are entrepreneurs more likely to have a mental illness?

Talk about Robin Williams/ Kate Spade/ Anthony Bourdan and a few of the other big names that have done overdoses or suicide. A common theme could be: I can quit my job, pursue my dream, if I make it great and if I don’t succeed, I can always kill myself.

What is a good supplement to help with these mood disorders (samE)?

Signs of Depression

Not enjoying the things they used to, sleep all day, to tired to wake up but rally in the afternoon, personal hygiene is a mess even for a skype and zoom meeting.

Are you depressed? Are you having thoughts of suicide? Do you have a plan? If they don’t answer look for the signs: giving away their possessions, suddenly happy, google or talking about death, giving away pets.

What is a Welfare Check done by police?

He also goes over how to get free services if you can’t afford counseling and what is a sliding scale based on your income style.

Book: NAMI, the National Alliance on Mental Illness for free help

free, guts grit and the grind Guts Grit and The Grind 1 and Guts Grit and The Grind 2

8/10 suicide are men, 3x as many women tryShow notes can be found at https://adoctorsperspective.net/162 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst! E 162 Lessons on Suicide Frank King

00:00:00 – 00:05:00

Episode 162 lessons on suicide. I’m your host. Dr. Justin trosclair Thursday with her Frank Kings perspective start 2017 and 18 podcast award-nominated host and best-selling author on Amazon as we get a behind the curtain look at all types of doctor and get Specialties. Let’s here’s a doctor’s perspective. Welcome back to the show Halloween month off of that autumn leaves are changing and guess what else can change the way you present yourself to other doctors for referrals whether you’re a PT or a chiro looking to get some referral from medical doctor. Maybe you’re looking to do a podcast guest beef up your resume in that area or local speaking gigs whether it’s chamber b&i or workshop with a dog. Big Corporation. What are you going to send these people so that they actually return your email or if you go to the office and you give them something. What are you going to do a tri-fold brochure? I sure hope not it’s 2020. So one sheets. It’s a one-page. It’s concise. It’s a quick bio relevant to being a speaker or a referral partner of your keynote topics examples of how you’re awesome news and testimonials your social media contacts, you’re you know, webpages all of that stuff in a pretty layout. That’s what I do but doing it took a little while the side. Okay. Let me start mention it on the podcast. I can go to a doctor’s perspective. Net / one sheet. Look at some samples and it’s affordable. I’m not charging five hundred or even four hundred bucks for these things which you would pay if you went to a dedicated maybe graduated graphic designer, but the quality is still there. Just take a look. All right. So anyway today Is a tough topic but our guy is actually a comedian who deals with Suicidal Tendencies and depression and things. So we’re going to cover as a doctor. What are we going to look for a month? What can we do about it? Some great resources and we’ll even discuss people like Kate Spade Anthony Borden. How do they people that seem to have it all end up killing themselves? What’s up with that will also give you some resources for your patience.

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EXCEL asking great questions and follow ups to find out your customers What, Why and more. By asking a clarifying question, I can help guide you to your goals.

What questions

It sounds like...

Repeating last 3 words to show understanding and empathy or even to get them to expand on their answer.

If - Then Statements

00:00:12 - 00:05:02

I should take off and on and you listen to the show for a while, you know, I'm kind of into sales and marketing and all this and not necessarily like sells for Thursday, you know, your doctor services but like books or designing webpages coaching things like that.

So Once it's videos recently and one of them was talking about, you know, the used sales as like an acronym and you know, that's was serving just make sure you talking to people and hear their to sounds like a fiduciary, you know where you're doing. What's in the best interest of the client and the way you find that out is by asking questions.

What being the good question what this what that how sometimes you jump too quick to that one because I was trying to get exclusion without finding out, you know, what's going on, you know the why perhaps and then the the wise sometimes can be I guess misconstrued.

So the panel where the client is in there with confidence what they're doing, you know, just it can come accusational to just gotta be a little careful with that one.

Which reminds me if you haven't checked out the episode on finding your why with Gary Sanchez encourage you to listen to that one is also on his show which is kind of fun a little oil change, but I took his questionnaire and I'll give you the cheat sheet for me. Mine was clarified, which is only about six percent of the population of the nine types that they created and off-premise as a lot of questions. That's you know, that's something that did ever since man since even elementary junior high. I'll ask the questions that other people would ask or silly just got the answer especially even in the carpet of school et cetera just took us questions. And if I do understand that I'll try to find out so that's something I've always done got better at it, you know aka the regular episodes for a doctor's perspective podcast, but my wise to clarify what is kind of the the right way and then how is that contribute? So it'd be like by asking the right clarifying questions.

I can help guide you to a clear path to reach your goals. So what I'm explaining to somebody how to do something. I want them to feel like yeah to get it. They understand what I want what's expected not micromanage, but they understand like the process and then I asking those questions are getting those questions. They are delivering the information. The goal is to find the right way to do the job. You know, what is your goal? Let's find the right way to get the go. Let's not reinvent the wheel right? And then that's my way of contributing to the process or the in-game that this client wants is by clarifying their thought pattern or their goal and and asking the questions. I mean, they may not have even thought of so that they can you know, get out of their own way sometimes.

All right. So back to the you know, the sales when we're listening, you know, of course not insane. Yes just helps people know but it's cheating and some that for a long time is always like make good eye contact, you know with the patience for least make good eye contact and let me know you care and I think there's a time when you have to do that the very beginning find out what's wrong with them.

Then you should take notes. It actually shows that oh you care. You thought what I just said was important. They might elaborate more on that and later on you come back you find out if you ever been to a restaurant and they don't even take your order on pay-per-view Mei sure. They didn't mess up. That was 10 people, right? Oh, then you mess up, you know, well not surprised. They don't always do it,

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Bart Kay (physiologist) talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

HIIT training, cholesterol debunking, CD 34+ adult stem cells and what Bart Kay with 3 physiology degrees says is a species specific diet that best suits us, the carnivore diet.

Disinformation being spread around and pseudoscience are major reasons he started his youtube channel.What is a species specific diet and why does he think it’s the right way?What were his main exercise and physiology take aways from working with the New Zealand All Blacks Rugby Team and the NZ and Australian Navy Seals Equivalents?How can we extrapolate his findings in sports that we love or activities we try to get our own patients to do?What would cause a 20 year senior lecture in cardiovascular pathophysiology to walk away from a solid career?When by law a professor can literally say anything they want, how did he feel censored?

Train for Your Sport Accordingly

What does an elite rugby player actual do on the field: Stand around, run miles, sprint, how strong should they be etc? Sprint, Strength, Power

A major take away is to analyze the actual requirements of your sport and train accordingly.

Stem Cell Supplement

Blue green cyanobacteria and the harvest method is the proprietary aspect of this pill. It is an L-selectin ligand which causes a bollous of CD 34+ adult stem cells to be released from the bone marrow and those stem cells travel throughout the body.

The FDA, of course, says you can’t claim to cure or treat anything, but they have found many things improve and while they can prove the release of the CD 34+ adult stem cells, your body does what it wants with them.

Species Specific Diet: Carnivore, Ruminant

Do we need vegetables? What about fruit? Are grains and fiber necessary?

According to the carnivore movement the answer is No. Just eat animals.

Does nitrogen 15 isotope testing of fossilized humans indicate a non balanced, carnivore (meat and animal fat) heavy diet? Are the statistics trying to prove grains faulted by statistic signal to noise ratio combined with underpowered subject amounts?

Can gluconeogensis really provide all the glucose are body needs?No Fiber… he dissects a paper discussing how we don’t need it, nor sugars.

Can we eat all meat and/or just ruminant animals?

What is Bart Kay’s view on vegetables and intermittent fasting versus real fasting?

Is Cholesterol the biggest thing to worry about in health? Do statins do anything?

What is causing atherosclerosis?

What happens when we mix carbs and fat at the same time?

HIIT high intensity interval training

HIIT is by far his biggest recommendation for exercise. Nice thing is, you can get creative on how to do it, as in you don’t to do sprints only.Repeat burst type high intensity cardio or strength training for 4 or 5 repetitions to failure in less than 10 seconds for a total training of one hour.

Show notes can be found at https://adoctorsperspective.net/161 here you can also find links to things mentioned and the full transcript.

youtube.com/bartkaynutritionsciencewatchdogtwitter.com/bart_kaynyhttps://bkaynutrition.cerule.com

SPONSOR: Thanks to Himalaya Botanique for sponsoring this episode of the A Doctor's Persepective podcast. Himalaya Botanique— the toothpaste that’s free from fluoride, SLS, and artificial colors and flavors, but bursting with foam and flavor! Enjoy 20% off your purchase of Himalaya toothpaste, using discount code “20DOCTOR”  Amazon. To learn more about Himalaya Botanique and Ayurvedic wellness visit Himalayausa.com

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:06 – 00:05:05

Episode one hundred sixty, one species specific Korneval Diet I’m your host Justin Trust today we’re Bart case. Perspective. Two twenty seventeen and eighteen podcast awards, nominated host and bestselling author on. Amazon,

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Dr. Jackson Tisdell, podiatrist, talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast.

Podiatry isn't all cutting nails anymore. Dr. Jackson Tisdell is part of Kinetic Therapies teaching others about strength and conditioning for feet and ankle problems.

Did you know that a podiatrist can specialize in helping people become stronger and mobile?

Build strength and educate so they don’t need much long term care.

Since Australian podiatrist can’t do intensive surgeries, he has chosen to focus heavily on rehab, biomechanics, orthotics and strength.

What were some of the benefits of being a trained Strength and Conditioning Coach before even starting podiatry school?

Books and courses are great but it’s the practical application and hands on experience that makes a good s&c coach.

Hip and Core Muscle stability are key components he looks at, not just the foot and ankle complaints. Go up the chain to address the underlying problem.

Top 3 Conditions Dr. Tisdell Podiatrist treats

Plantar FascitisHeel PainBunion PainForefoot pain (1st MPTJ, Morton’s neuromas)Stress fractures of the foot

Does pain equate to injury and does that change how you approach treatment, including chronic pain?

Rest your injury in most cases is just bad advice: movement is essential. Especially for an Achilles injury, load and strengthening is best.

Myth buster on orthotics.

Orthotics do not realign the foot to neutral, the spine or change structural biomechanics. Orthotics are a way to redistribute loads and reduce tissue stress.

Dr. Tisdell is big fan of creating videos and he explains his thoughts on quality, quantity and motivation behind spending the time and effort to records more of them.

Create value with your content and don’t be a pushy salesperson. The trust will build and you will be seen as the expert they can turn to when their need arises.

Mentoring for new grads: He has over 30 videos on linkedin for new podiatrists and he is hoping to hit 100.

Being that chiropractors and physical therapists do treat feet conditions, when should they stop and refer over to a podiatrist?

If you have to make up an answer or you feel uncertain and are questioning yourself, that is a solid reason to refer the patient on.

Kinetic Therapies

What is Kinetic Therapies, who is it for and what type of education exercise and conditioning courses will they offer?

The podiatry lessons are geared for practical tips and implementation for your patients, not just lectures on research and PPT’s.

Time management and scheduling are his keys to a home life -work balance.

App called Forest. They plant a tree if you stick to your goal of not opening your phone for a user specified amount of time.

More information and contact Dr. Tisdell jacksontisdell@gmail.com also on Linkedin

Books: Tyson Franklin (and his podcast) It's No Secret Podiatry, It's No Secret Small Business, Gary V (and his podcast)Jab Jab Right Hook, Crushing It and Robin Sharma Greatness Guide

Show notes can be found at https://adoctorsperspective.net/160 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst!

00:00:05 – 00:05:00

Episode One, hundred and sixty and conditioning Connecticut therapies I’m hills Dr Justin clearing today reducted Jackson sizzles perspective during two, thousand, seventeen and eighteen podcast award nominate host and bestselling author on Amazon as we get behind the curtain look at all types of doctor and guess specialties. Let’s hear a doctor’s PERSPEC-. Oh, thanks for tuning in its September. The NFL has started this weekend college football has started and social distancing is still in effect regardless of your politics on to get crazy over the next sixty days. So good luck with all those political ads but Dr,

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Dr. Cliff Tao, DC, DACBR talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

What is a chiropractic radiologist? Let’s discuss job outlook, day to day responsibilities and compare it to the MD program. Dr. Cliff Tao is a DACBR with a sense of humor.

What is the reason to become a DACBR (Diplomat of Chiropractic Board of Radiology)?

What is a typical clinical day look like for a chiropractic radiologist?Can you work at a hospital or orthopedic office?How did DACBR become a thing in chiropractic to begin with?

Listen to some of the crazy past jobs Dr. Tao has had and learn what to avoid?

Dr. Cliff Tao DACBR also explains how he gets paid, and how we can pay or get reimbursed for sending our films to a chiropractic radiologist.

Should you take the extra 3 years and learn a ton about MRI and x-ray?

How much marketing goes into growing a radiology based practice?Can you read from across the country or only in your state?Who should you expect to get referrals from?

Hear how many reports and films a hospital MD would read in a day versus what Dr. Tao does regularly? This is also a reason you should have a good grasp on films so you can make an educated reading on films taken outside your own office.

Book: The 5 Love Languages

www.clifftaodcdacbr.comwww.facebook.com/clifftaodcdacbrhttps://www.linkedin.com/in/clifftao/

Show notes can be found at https://adoctorsperspective.net/159 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst! E 159 Chiropractic Radiologist DACBR Cliff Tao Should You Do It

00:00:06 – 00:05:15

Episode one hundred and fifty nine chiropractic realities back ball should you do it? Just trophy and today we’re Dr, clip? House perspective. Two thousand seventeen and eighteen podcast awards nominated host and bestselling author on Amazon as we get a behind the curtain look at all types of doctor and guests specialties. Let’s hear doctors perspective. Hello Hello. Hello Welcome back to doctors. podcast thanks for tuning. In. A self promotion if you’re looking to learn Spanish Chinese or even English for yourself or for your kids, most of your kids are the coloring books are live on Amazon check those out. Very Fun Passion Project for me. It’s animals. Insects is water based. It’s mammals from Africa, and Australia Etcetera the holidays are coming up schools are online for a lot of people is might be a fun way to have activity for your young as well as educational. Alright well, today on the show, we have Akbar the diplomat of Carbon Border Radiology Dr Cliff Tau. He’s a chiropractor who decided to do a another three years two hundred. All about xrays is CDs excetera. We’re going to discuss things like can you get a job at a hospital with this? What does the day to day look like potentially come fees that you can charge he gives them fun stories about past jobs that he’s had advice on. Should you do it? Should you not what to expect and even some marketing? A lot of radiologists are kind of introverted. So. Thought of having to put yourself out there could be a little scary but he gives us some good tips on that. By the way if you listen to the MINNIE’s odes I, think there’s been a few good ones especially episodes sixty one where we’re talking about the thousand dollars challenge. If you haven’t listened to take less than ten minutes, check it out and see if you can earn or save an extra thousand dollars this month for investing. More details there Vinnie help practice wise coaching wise etc. Let me know DM me on Facebook instagram or on the web page on the top right is all the icons to reach out. Well, let’s jump into the interview. All the show notes and transcripts can be found at a doctor’s perspective dot net slash one, five nine. Let’s go hashtag behind the curtain.

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Minisode 61 The 1000 Dollar Challenge

The $1000 challenge. Find ways to save money, sell stuff and a few other tips so you have $1000 to start investing.

DISCLOSURE: This episode is sponsored by Podcorn. If you host a podcast and would like a very customizable way to get temporary sponsorships, then visit the link. Also read the transcript for more details.

Hello everybody and welcome back to a doctor's perspective. Minisode 61, all the show notes and transcripts can be found at a doctor's perspective dot net slash m six one.

This was a fun episode. It's again a money when you know what I like. If you go to chapters again, you can find a nice big chapter on budgeting expenses that might have and you might look at that because this episode is talking about...

the thousand dollar challenge from Choose FI

WanNa take a minute and talk about the fact that I've had sponsorships recently, and that's thanks to podCorn Dot Com. They are the sponsor for today's show. It's a pretty cool platform whereas host I sign up and I'm able to see businesses that are wanting to advertise on podcast, and so I just. Put my stats give him a sales pitch and they review it. Of course they actually tell you what they're looking for. We would like an interview we would like are these are the type of audience that we're looking for you both at the resonate. Was 'cause with popcorn. Any right to your podcast is just a place where you can go to find businesses that are looking to advertise and you just present your show in the best light possible so that they will hire you. So, if you have a podcast and I know a lot of people in my audience do because it's a nice way to do marketing Seo to your local crowd. Just go to pod popcorn dot com slash podcasters, check it out for yourself. And again, you can do anything from thirty seconds pre roll mid roll doing interviews discuss a topic that the company would like to hear discussed. So all those things are options. So check again, pod corn, dot com slash podcasters.

It's actually called the Roth IRA conversion ladder episode 163 but I'm not GonNa talk about the Roth IRA conversion letter but it is quite cool being that I don't really have a 401k maybe you're you do or your spouse does depend on where you work that might be an episode because it really shows you how you can pull your money out tax free but it takes five years and extra planning now for later.

So thousand dollar challenge. Start, with no, a lot of people don't have an emergency fund. So thousand dollars is at least a good start or they want to invest but they don't have that first thousand dollars to open an account of course, companies like Wealth Front I, use them and sponsor but you could You know they have a minimum amount that you have to have to open an account even vanguard with their index funds low-cost. Have a minimum that you to get. So this is a help you get there.

It's you might think that way you kids retirement you could school fund so that when they get married one day, your have it in there. Maybe just put a thousand dollars. Let it grow for twenty five years. They get married boom.

Here's your whatever it grew too much. I'm willing to give you. All right. So what is here we go I looking garage you shed yeah. House water some things that you don't use anymore. Whereas the clutter yet that treadmill that ethical machine is just turned into a fancy expensive clothes rack. Okay. Go online find the model number, find the product going line Amazon Walmart target whatever see if it's still for sale what the going rate is and just a gesture price accordingly maybe have maybe sixty percent depending on what you know maybe depending on the quality that you have.

Being sold, you can check craigslist to sell it facebook to sell it .

One of the things that excited about garage sales, Doug, like if you've got a bunch of shirts or a bunch of things that only like a dollar, a piece,

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377

You know how, I do this to solve it, and proof is a great foundation to an elevator pitch. Listen for another way to enhance this for a dramatic impact.

DISCLOSURE: This episode is sponsored by LetsGetChecked use code DOCTORS30 to save 30% : the leading provider of at-home health tests, including thyroid tests.

Minisode 60. Welcome back to the show. Please share picture of the episode on your Social Media Spread, the word tag somebody you. No really appreciate the love and thank you again for listening.

LetsGetChecked Dot Com is sponsoring this episode talking about Thyroid Health that you can test at home with just a prick of your finger they delivered the test, they do prepaid shipping back. The LDC medical team is available twenty, four seven to help you with the results they would like to highlight thyroid function today if you or your patience that's right. The patients you can just send it as website or experiencing constipation depression fatigue weight gain potentially low. Sex drive muscle cramps, impaired memory, all those types of things it could be a thyroid problem I mean because it helps regulate the metabolism bone maintenance brain development, cardiovascular stuff. So send a motor LetsGetChecked dot com use the Promo Code Doctors30 and receive thirty percent off for your patients over today.

Today's will be probably short again, it's about the elevator pitch a couple of different ways to do it's kind of. Two. Exercises for you. When you look at your webpage like above the fold, which means before you scroll down, it should be able to answer the patients questions. In the right place, what do you treat?

Can you tell me things like that but three questions you can ask identifying your customers problem Then explain your plan to help them. Describe a successful ending to the story. It's kind of like a one liner, right? The elevator pitch from what this person was talking about is very similar.

Identify Customers problem. He says, you start off your elevator pitch, you know how and you talk about that problem to.

Explain your plan to help them. It sounds like this I do this to solve it. So you know how you always get headaches around three o'clock in the afternoon I do this to solve it. I can show you nutritional ways to help remedy that ergonomic training or deliver carpet adjustments in their part.

Describe a successful ending to the story which can be translated to finish with proof carpet adjustments for headaches, and we have an eighty five percent success rate finished with proof and patients are getting better and four five visits consistently, or we got fifty five Google reviews and get more every month. Now, that's probably a good one too because that's showing social proof. Really. It's a similar formula for that.

Infamous one liner mine is please help me if you don't like it. Tell me if you get headaches low back pain or numbness that's my bread and butter cases help with stop suffering come experience Dr Justin's car party treatments.

Yeah. No it could use a little work another variation of head. This was all my web page right now.

This is a results based clinic that offers quick pain relief care. You get the relief you've been wanting with customized treatment in straightforward pricing and the called action callers right now are. So we can determine if you're conditioned qualifies for treatment.

So a quick recap, you want to start off your one or two cents elevator pitch with you know how the problem how do you solve it I do this to solve it and finish with proof. You got a couple of you wanted but brainstorming, talk it over with your staff.

If you'RE GONNA be no group or networking group in use that as your thirty second pitch, see what the responses you know everybody loves to put their opinion and those types of groups. So try out. visit the site for all the information.

You might need clean that one sheet,

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Start with a personal budget, then add in your business budget, now add in a profit margin and work backwards to create your yearly income projections and goals.

DISCLOSURE: This episode is sponsored by Let's Get Checked use code DOCTORS30 to save 30% : the leading provider of at-home health tests, including thyroid tests.

Transcribed by audioburst

The transcript of the show is automatic and will have grammar andpunctuation errors. If you would like to make the shownotes flawless, please send me the corrected version and I will copy and paste it: thanks in advance.

Show notes can be found at https://adoctorsperspective.net/m59here you can also find links to things mentioned and the full transcript.

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Taking a nap is advantageous for many reasons. I discuss a few of these. If you wondered if kids and adults should nap for better cognitive function, you would be correct.

DISCLOSURE: This episode is sponsored by LetsGetChecked use code DOCTORS30 to save 30% : the leading provider of at-home health tests, including thyroid tests.

Minisodes Series Number 58 today is GonNa be Kinda quick, but of course we've got a sponsor today.

Now Were talking about sleep deprivation from Ariana Huffington, it's an article that I read. So it was talking about how we're in a culture where it's go go go also grind tenax baby. To what end?

That was different podcast you to the west end part, but this one is do we need only sleep for hours nine should we sleep six wind as a matter and what their knows who like students? They stay up late sometimes are they just really their clocks? Their internal clocks is too early to wake up.

And so there was a sal schools who were wake up at seven, thirty, eight, thirty or school started I should say at seven thirty versus eight thirty and it was massive difference like when they put him back to sleep. And measured how fast go into deep sleep it was super-quick. which is so that means they just were not even in a environment that it would want to learn in that could process all the information as fast says, if they would start at one hour later.

Corporate offices are commonly seen nap rooms and there's a wait list, and of course, it's like part of San. Francisco Tech startups that are doing it the most but the notices hey, people get tired.

They take fifteen minutes they're rejuvenated good to go.

As definitely my thing, you can also take vacation that are and are they do so that it improves performance and acupuncture as well as the lavender smell can help with the circadian rhythm.

So I'm not suggesting you light a candle while you sleep.

But if you do have trouble sleeping, you know they turn off your phone about two hours are at least an hour before you go to bed that blue light at least program your phone to turn off the blue light as much that timeframe you don't Wanna go to bed and I guess you could burn smell avengers smell or lavender oil on your arm or something like that to become more calm and tranquil before you sleep.

And what's the best leap for you tried out six seven eight hours and to me it's it's there's no wrong answer. But if you find yourself gregory tired and not focusing very well like you have to have coffee and I just avoid the headache but the just stay alert and all that or earn energy drink the apprentice enough sleep.

I love my naps ten or fifteen minutes. I'm good to go arrest of the day. Don't always get them but a definitely feel the difference I do energy.

So that's the episode for today all the shots and the transcript had doctor perspective dot net slash fifty eight there have a great week. Joy The song by Dr arton.

This episode is brought to you by LetsGetChecked. They're the lead provider of at home health test this week let's talk about checking your thyroid levels because forty two percent of the people have never had a tested and yet they're experiencing things like weight gain for t all the time hair loss depression baby some constipation irregular periods muscle cramps excetera to the thyroid is super important irregular metabolism stimulates digestion, bone maintenance, cardiovascular health, all those types of things. So here's how it. Works. So here's how it works the tested delivered to your house. You Self collect your blood through the tip of your finger. You Mail it back to an accredited lab with their prepaid label and a few days. Later, you get the results in members of the L. G. C.. Medical Team who are available twenty, four, seven we'll give you personalized advice on what to do next with this week. LetsGetChecked Dot Com invites you to join their community thirty percent Discount Code Doctors30 getting checked a...

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Dive into a few interview basics and ways to say sorry at work and ways to respect other people’s time. Should we really ask to grab coffee with someone?

DISCLOSURE: This episode is sponsored by swanson.com use code DOCTORS20 to save 20%

Transcribed by audioburst

The transcript of the show is automatic and will have grammar andpunctuation errors. If you would like to make the shownotes flawless, please send me the corrected version and I will copy and paste it: thanks in advance.

Show notes can be found at https://adoctorsperspective.net/m57here you can also find links to things mentioned and the full transcript.

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Minisode 56 Creating Intrinsic Happiness

What is the 3 to 1 happiness ratio, the initial stages of learning new things is hard but don’t let it stop you, and embrace the ‘not good’ factor.

Welcome back to the Minisode version of A Doctor's Perspective Episode fifty-six. Hey. This week's episode is brought to you by.

But today's episode how to make yourself a little happier. Okay, a lot of people are in jobs. They don't like a boss. That's bad. Just monotonous. They questioning. What are they doing with their life? But they don't know what else they can do about it to get out of that. So, it's A. It's a tough situation. It's a tough situation, so the author of a book that was reading this was on.

Blink is by the way bleakest is an APP. The month of April they gave premium version for free, which means you can just? Read our lips any book summer. You want and usually less than fifteen minutes. For the Book Summary by Chapter Amazing I'm plowing through some books. If I ever feel like it wasn't enough then I can always go back and read the real thing, but so far they are really. They really nail these summaries in the night. Even a sponsor blinking hook me up. I will definitely support you because I like what you're doing. Okay so today's.

Episode you gotTa do a three to one ratio of things you enjoy, and it's to be. Happy enjoyment doesn't have to be like I won't watch. The Saints Football Game Okay Well. That's I mean that's great, but. Once a week, and you should be doing these things daily, so it takes three three place. One Bet, what can you do it could be? You got the right breakfast. You Love Moseley, Granola okay. You had that for breakfast. Fantastic. That's one you got a good memory or a nice photo of something and you looked at it.

That counts you help the patient get out of pain boom. Take note of that. Your Wife spouse I should say complimented you on your clothes or appreciated. Housework that you did. That's something that can give you enjoyment so anyway.

The point is doing small. Things counts though don't have to be these massive things to as Jerry. You're join me, and then you're happy with it. Okay I. Some people, it could be a good idea to learn something new.

Maybe learning makes you happy or could make you happy, but then. I'm afraid I'm not going to be good at it I'm GonNa suck at whatever like say you fought? Wrecking ball would be awesome. Let's say you thought fencing would be cool because I did some fencing for a while. Now. I don't know if I want to get stabbed. I gotTA learn. They look silly walking like that. Where am I going to go to class? And so there's all these reasons why you wouldn't want to do and you're gonNA. Get destroyed by these people for so long. It's like well.

Yeah, because you've never done it before, you will be bad at it, but don't let that stop you. Don't let fear. Stop you just embrace it. McKay you learning something new. Oh, they got me I tried a new move boom. They countered and got me in. Oh okay well cornell for next time, so you get my point. A lot of people apparently do not like trying new things. They know they're not going to be good at.

They'll look silly, and we just don't like looking silly, but you can just embrace that for a little while and look at the learning process as a positive You might find that you might be really good at it whatever it is. You WanNa do taking a cooking class or learn how to knit something like that. So, anyway, that's what I'm encouraging to do. There's anything that you've ever wanted to do. And you have the time and you have the money and you have availability.

Just go out and try it whatever excuses you were giving yourself just put those away for a little while.

Did you remember how to succeed China businesses still available on Amazon? You just go to adoctorsperspective.Net/Chinabook directly traced to Amazon. If you've ever considered moving there visiting there for a wedding doing...

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Dr. Kevin Christie, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Learn how to do Content Marketing and over 6 strategies to implement it. Dr. Kevin Christie joins us to discuss his new book Doing It Right, Modern Chiropractic Marketing.

Dr. Kevin Christie of Modern Chiropractic Marketing and DeskJockey Podcasts joins the show. He has a new book coming out called “Doing It Right, Modern Chiropractic Marketing” and should be available to purchase now. Disclosure I did get a complimentary copy of the book. For more info visit: bit.ly/doingitrightmcm

We cover how busy doctors can do Content Marketing. From the first year out who has more time than money and the seasoned businessman who can spend money and delegate the work out to professionals, this interview will cover strategies in modern marketing.

DISCLOSURE: This episode is sponsored by swanson.com use code DOCTORS20 to save 20% on supplements and other products.

Content Marketing for Doctors is educating your community on conditions that you want to treat in an engaging and informative way, actually providing value.

3 Types of Patient LifeCycles

  1. Patient Never contacted your office

  2. Patient Experience as a client

  3. Inactive patient who was a patient at some point

Which leads to the point of why a Weekly Email to past clients is so important.

Do your past patients refer to you as MY doctor or That doctor I went to before when telling others?

You can Create or Curate Content or Re-purpose the content you already have.

Good idea to target for Value and People Already In Your Office

When and why would we want to purge our email list from people who haven’t engaged with the emails.

How does retention and referrals play together?

Education Based Marketing and the Patient Experience

Concise Report Of Finding - Got to have great patient communicationProvide Content during the Treatment : This could be videos or handouts of FAQs or you demonstrating exercises you always give by sending a link to your youtube videoReception room physical handouts to read instead of magazinesOnboarding Email Series (welcome and what to expect, info on low back problems, neck issues and fourth is a soft sale on other products or services they can purchase)

Automate, Outsource, Delegate Marketing is what we should strive for as doctors.

We touch on his Recovery Center options (cyrotherapy chamber, compression boots etc) and if he thinks it a wise decision these days.

When should you be sending out high quality newsletters and birthday cards, since postage isn’t cheap? (average total patient value and per visit average)

Facebook custom audience strategy from your own patients for reactivation, keeping your name at Top Of Mind Awareness and prospecting for new patients.

When should we do a lookalike audience versus more of a broad topic versus a niche based on activities, hobbies etc?

How do you break up your budget into broad vs niche social media ads?

BOOKS: Kim Walsh-Phillips & Dan Kennedy No BS Guide to Direct Response Social Media Marketing (be 85% PBS and 15% QVC), Crossing the Chasm Dr. Kevin's book Doing It Right Modern Chiropractic Marketing bit.ly/doingitrightmcm

Dr. Kevin Chrisite, is a chiropractor and host of the desk jockey podcast and modern marketing for chiropractors podcast and now an author.

Show notes can be found at https://adoctorsperspective.net/158 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand. Thanks audioburst! E 158 Content Marketing CheatSheet with Kevin Christie Modern Chiropractic Marketing

00:00:06 – 00:05:02

Episode One. Hundred fifty eight content marketing Chichi. Talked to just entrust Clare in today’s winners Christie’s perspective. During two thousand seventeen and eighteen podcast awards,

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Dr. Michael Greiwe, MD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Why did an orthopedic surgeon decide to build ortholive telehealth video platform at a scalable and functional level?

It’s not the most obvious doctor specialty to be able to implement, yet a big chunk of his practice is virtual.

DISCLOSURE: This episode is sponsored by swanson.com use code DOCTORS20 to save 20% on supplements and other products.

People get nervous going to a doctor office, some medical devices at home are fairly accurate (taking blood pressure everyday at the same time), and in many cases, the patient can be more comfortable staying at home doing a video chat - telehealth appointment.

In some areas of the country, the best doctor is 4 hours away. Should a patient be forced to drive that far for a post-op appointment that isn’t showing signs of complications?

Most doctors using ortholive actually run on time so the patient isn’t getting frustrated and the doctor can maximize the day.

Many conditions can be diagnosed with an amazing History which can be done from telehealth. Of course some conditions will still need a physical exam to discover the extent of an injury, but after an initial work up on video you can filter those who need to come in physically or not.

Would you have ordered an MRI or certain blood tests that you couldn’t do in house anyway, then why not let the patient stay home and email the orders over. Telehealth has so many practical uses, but sometimes you have to think outside the box.

Ortholive telemedicine platform even has a virtual waiting room, messaging area and ways to send files and videos. Yes, it's HIPAA compliant.

Midway we discuss an amazing SEO and marketing tactic to make your website rank higher while providing the education you planned to give the patient anyway.

Prescriptions and opioids, how do you do with telemedicine?

Ortholive is integrated with many EHR softwares so you do not have to double entry.

How important is mental resiliency in the recovery process of say shoulder surgery?

We dive into how important repetition of surgery and exams etc are to being a well trained practitioner.

One of his keys to relationship success is to carve out dinner time with the whole family. Also, leave work at work and be present with your family.

Show notes can be found at https://adoctorsperspective.net/157 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes,created by audioburst). Just Click to expand

E 157 Ortholive Telehealth Platform from Dr. Michael Greiwe, MD

00:00:05 – 00:05:00

Episode one hundred and fifty seven Ortho. Alive Kelly Hill Platform. I’m Hosaka Justice Tressler date Michael Grievous respected. During twenty seventeen and eighteen podcast awards nominated hosts invest selling off Amazon as we get a behind the curtain. Look at all types of doctor and guess specialties. Let’s hear a doctor’s perspective. On the recently, we’ve been discussing telehealth telemedicine. How can it work for neurosurgeon? How can they work for just the everyday Dr Carr brighter physical therapist and you heard us mention another product in the past, but today. We’re GONNA. Talk about Ortho live in spring. Health live pretty much main differences. One is built for rolling muscular-skeletal people and the other one is for the other type of professionals, but it’s a hippo compliant. Compliant skype or zoom with a waiting room and all these cool features that would make it ideal as you’re going to do telehealth and you want to do it in a very appropriate way. Sin Files all kinds of things, so we’ll just dive deep into this also hear about orthopedic Shoulder Surgery, and the training and collaborations with bts in Cairo’s. In those types of things really informative. Yes, it may seem like. Like, a sales pitch,

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Minisode 55 Future Outcomes, Back Casting and Failures

We should imagine our future with strong details but also reverse it and try and visualize all the roadblocks we will have to overcome to reach those goals.

Welcome back to a doctor's perspective the Minisode series. Number fifty five. About future outcomes, and while our futures are crazy with the corona virus.

I am offering the virtual visits so if you haven't heard about that, it's telehealth. There's definitely a onslaught of people celine program, but look it is not that difficult to get started if you want more information language user. Keep things hip Leno back to justintrosclair.com/virtualvisits. If you know someone who needs some help.

Patients Wise, you know sitting posted and poorly house on the computer whether they're watching TV or working. Having to spend more time with their kids than usual on the floor, although since can be helped, but let's discuss today future outcomes.

Suzy Welch has Tinton rule I'm GONNA butchered a little bit, but it's looking at your day ten minutes ten hours ten weeks ten months ten years down the road. Right I'm part of the thing of the future is thinking. Thinking about what you want now sometimes we do have to say Plane Day Times where we just don't do anything kind of a little bit bored, and if you can do that whether it's every day or once every two weeks or something, it helps you reassess your priorities.

Maybe you're board a little bit. You're unplugging from your phone and you just Kinda sit. And you think you know. Some people say I was in my shower that created this idea. I came up with this fancy idea, and then I had to implement right, so one of the things we can do when we're trying to. Reach goals in the future is called casting.

Okay, so you're looking at it like all the goals that you ever had Mitt, so whatever that goal is you started with? You know there's a whole another episode of setting goals and things, but let's say you've already said those now you look back.

How did you do it? What were the obstacles that you had to go through? Maybe did you have to get a degree? Did you have gain experience that you have to go through some crappy jobs? And gain the the the work experience so that you can. Then have the skills to take.

The next position are the next step. They also made a comment about pre mortems. Is Thinking about how it all could fail all the issues that lie ahead. What are some of the obstacles? And how could you beat them?

If you're trying to do. Amazon dropped shipping as a side. Hustle well. What happens for instance when coronavirus stops the chain? Did you think about the head of time? If so you might as well, the Philippines are open.

Let me see how I can pivot pivoted them, or maybe at this point you just go to another country in general and skip you know China completely, but the point being that can happen if you did something or some custom reported you falsely and Amazon says down your account for a while. What do you do? Is there any other avenues that you can to sell or have?

You ever thought of how to actually get out of the Amazon penalty box right so trying to fix all these different issues before they come about, but be careful because you can. Analyze to the point of paralysis, and you just don't do anything and you give up. There have been plenty of people who've just jumped in and looking back two years later. Maybe they were profitable, but they're like. Wow, if I would've known all the things that I would have done i. Would have done it. And so I.

Guess You gotTa. Be careful with A. Over analyzing and stopping yourself from doing it I guess you gotTa. Really have a passion. I WANNA. Do it right.

So you got the future casting what you WanNa do and then the back casting, which is working backwards the how to get that and then pre mortem trying to fix those obstacles one of the things they said was.

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Minisode 54 Let Them Shadow You

Teenagers and College aged people need help to narrow down career options. Be the guide for them. Let them come to your office and shadow you.

An Hey. An episode coming out Dr Alex. Vitton and he does lots of TV appearances, so we're GONNA. Go over how to do videos on TV tips and tricks. If you want to prepare yourself, you can go to adoctorsperspective.net/marketing, and you will see the marketing series that we did a while back. Really great timeless information several episodes on videos there and that get your feet wet for his new take on it before to that but today.

Making goals and taking small steps to get there. Remember. We might have high hopes high dreams for ourselves. But you just can't jump into a clinic and start seeing three hundred a week. Good luck. You might want to have a goal of fifty. I right, and all the growing pains go in.

We were just talking about future casting in back casting, and all that on the last episode of the Minnesota. So you may want to double check on that one. One of the things when we're talking about goals. I feel bad I. Guess

High School like you're eighteen going to college. Somehow you're supposed to know what in life you're going to do, so you go to college at first year? Maybe like this change of that later on, it's just so much information one of the things we can do in trying to find these careers. These things that will make us happy in life is the shadow other professionals I mean the numbers chatel Accountant.

What are they do all day? Don't do one do like a corporate guy. Independently tax verses, maybe investments versus you know there's all kinds of different accountants and lawyers and. Doctors I mean goodness.

If you went to a chiropractor, I didn't even know what an osteopath was for a long time, and then well so similar to Chiropractic in similar to medical doctor. Well, that's wild.

What does a physical therapist job actually looked like a hospital setting versus a private practice sports versus knee Rehab. Right, and just kind of go through problem like when you're senior in high school.

I guess I'm encouraging people. Mentor at this point mentor. These people kind of is.

Can you give somebody? Could be the tell them to go out there and shadow Docs shadow other professionals, and most people cool with it I did that a ton throughout college with mostly Chiropractic and when I thinking about being an eye doctor shouts in different people to see what it looks like, and you start to really even as someone who's not even their feet wet in the program.

I don't like this I do this while this is what your job really is. I don't want that at all so diverse. Try it out.

That's what I would encourage. The listeners a few mentor.

Have you talked to somebody WHO's trying to figure out WHAT THEY WANNA? Do in life all you just pick up the phone call. Most people are more welcome to come for a couple of hours and experience what they do these. That's been the experience that I've had like. They're always open arms.

Sure come on down dress like this. Don't say nothing in the room If you have any questions, we can talk about it later. I mean I. Guess the kind of thing about somebody else.

Hey I heard you. Could like. Watch what you do for a couple of hours. You're like oh! My Ego stroked a little bit by this person. Share come on down left the teach something all right.

That's what I got for you today. Leave Review Five Stars. If you can follow us on social media, Easiest thing is just to go to a doctor's perspective dot net, and on the top right, and you'll see all social media, flavors, transcripts, and shown us are adoctorsperspective.net/m54 have a going.

Welcome back to a doctors Perspective minisode episode Fifty Four. Once again I'd like to mention drjustintrosclair.com/virtualvisits . It's telehealth excises stretches ergonomic training all kinds of things when you got back p...

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Tyler (Fairlane) talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Fairlane discusses partnerships in the music industry, tips from 180 million streams for doctors to utilize for their local audience, and behind the scenes of the DJ, EDM, Trap music genres.

How did these 100,000 people in attendance electronic dance music festivals (EDM) come about and is it a goal to headline one of them?

What are the unique challenges of bridging from an online music guy to live venue entertainer? Why do someone people have millions of streams but can’t sell out a 500 person venue?

REMEMBER: every like and stream is an actual person. How do we leverage those likes and fans?

Partnering:

Sometimes you have to do free stuff, so the right partner, agency, other doctor or crossfit gym in town takes notice of you. Then you can do joint ventures or joint collaborations and leverage each others audiences. This could be youtube video series on certain conditions or what have you.

Much like all aspects of life and business, who you know, meet and connect with (inner circles) can play a major role in building these partnerships and ultimately your big break.

Favors Come Around Full Circle

What is your Unique Viewpoint, Angle, Unique Selling Point (USP) so that others want to work with you?

Another option he has done, is being a part of a bigger group (trap nation) allows for reciprocal favors. You put my song on your channel and I will put one of your core artists on tour with me for a few shows. Both individuals are happy because of the different types of exposure they are looking for. One person wants more youtube clicks and the other wants more live show experience.

Sony, Interscope, Capital Records all license their music exclusively to Trap Nation. This is how you can find so many artists to listen to for free without being taken down for copyright infringement. Side note: just because it’s licensed doesn’t mean the Nation gets to solely monetize, they still have to work a deal out with the record companies.

Because of the fact that most trends or artists can fizzle out over time, how and what do you do to plan for longevity and diversification

Importance of branding and maybe a small gimmicky piece. Could be a special font you use, icon, visualizer for video intros, a sound or a piece of clothing.

Fun question: why do dj’s always fiddle with the buttons?

Is syndication (sync) on commercials or TV shows as good of a deal as it appears to be?

You can hear a 30 second clip of his new single Replay featuring Syence and Kwesi at the end of the episode.

And to hear many of his original songs as well as two other artists, watch the Valentine Mix 2020.

Artists and People mentioned in the show:the District for bridging record labels to license songs on youtubeAndre Benz creator and curator of Trap Nation, Chill Nation etcGriffenIlleniumWilliam BlackLowly Record LabelMonsterCat Record LabelProximity Record LabelRezTroveNeovaiiZachery Moxley video producer

Tyler goes by the stage name Fairlane. He is a Canadian musician that helps product multiple music podcasts (Trap Nation and Chill Nation) as well as his own singles. His own songs have 12 M, 13 M, 8 M views and more from songs like wildfire, uncover you, first time, butterflies, replay and his imagine dragons remix has 135 M views.

Show notes can be found at https://adoctorsperspective.net/156 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand

00:00:06 – 00:05:03

Episode one hundred fifty six takeaways one hundred eighty million youtube streams. I’m your host Dr Justin Today we’ll hear Tyler also known as fair lanes respected during twenty seventeen and eighteen podcast awards nominated host and bestselling author on Amazon. As we get behind the curtain.

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Dr. Bethany Buryta, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Mobile - drive to your house- chiropractic can be a profitable practice style and allows for flexibility for parents. We also discuss software, social media influencer ideas, cash practice tips.

With over 10 years experience, 3 state licenses (currently Rochester, NY), and a desire to stay active in her kids lives (part time stay at home mom - part time chiropractor), Dr. Bethany Buryta dives into how she landed on mobile chiropractic in New York.

Tips for New Grads looking for an Associate Doctor Position

Mobile Chiropractic, don’t forget to log your miles to and from each house.

A perk of visiting their house is that you can see exactly their desk ergonomics setup, offer tailored pillow advice and other nuances we can only guess at while in office.

As a women, how does she stay safe going into ‘strangers’ homes. (3 options)

Not everyone has a clean house, how do you handle those situations?

Influencer Opportunities and Amazon

Instagram is a source for her new patients, as well as getting DM’s for influencer opportunities. Discover a few tips to help your local reach and authority.

Dr. Buryta was always told she takes too much time with each patients: now that’s actually a selling point for mobile at home services. She has more time to explain and show exercises, a thorough exam, nutrition advice, ergonomics, ADL’s and more.

When a common treatment plan for the first two weeks is 3 visits to the office, how can most mobile chiropractic practices only recommend once or twice per week?

Software for Payment and Records

Why does she use ChiroHealth for her discount rates even though she is not in-network with insurances?

She still accepts EHR forms of payment and JaneApp makes it easy to give patients a ‘superbill’ as well as tons of online forms, scheduling and makes telehealth a breeze.

Reasons you should consider having an amazon associate/affiliate store to have patients buy direct through your links.

Also, an online supplement distribution website has been really helpful for her to recommend to patients without having to carry products.

Jen Faber’s episode, Aaron LeBauer and Jarod Carter’s episodes on cash practice - mobile services could be an excellent follow up to this interview.

Books: Profit First, Good to Great, 12 Week Year

@Drbethanyburytadc www.rochousecallchiro.com

Show notes can be found at https://adoctorsperspective.net/155 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (it will have grammatical errors and mistakes). Just Click to expand

00:15 – 05:07 off shots tape absorb one hundred fifty five mobile. Mom chiropractic. Dr Justin chose Claire Today. Reductive Bethany burqas prospective join two thousand seventeen and eighteen podcast awards nominated host and bestselling author on Amazon. As we get behind the curtain. Look at all types of doctor and guests specialties. Let’s hear a doctor’s perspective. Thank you so much for listening to the show today. We talked to Doctor Bethany. Who is a mobile chiropractor? After being an associate three different states you will find tips for new grads why she uses Cairo health and Jane APP. How did you live Amazon commissions to make a little extra cash the power of Instagram? And more things you probably would like to know about a mother of two who is forced to home school while also doing mobile chiropractic so this falls right in line with some of the other mobile health that we’ve done in cash practices because she has cash practice. If you check the show notes page. You’ll find books that she likes as well as some of the episodes that you might be interested in as follow up so just check the show notes. At a doctor’s perspective dot net slash one five self plugged two of them. Sixteen different ways. You Ho- chopsticks if you’re ever interested i...

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John Vuong talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

2020 SEO strategies. Niche topics, pages, back links and more are vital for top search page rankings. Let’s go behind the curtain with John Vuong (160 podcast episodes) and learn what to do.

Okay, You Were Jaded By Your Last SEO Hire and Didn’t Get the Guaranteed Results, Now What?

What’s a black hat vs white hat SEO strategy?

Niche is the Key to SEO

John mentions throughout the episode about first being good at business. You also have to be in business long enough to know what you like to treat, what you get good results at because the first two years you are probably just treating anything that comes in the door.

What are ways to discover and grow a niche you find yourself enjoying?

How do you grow your blog and back links for that niche in an organic Google friendly way?

Which comes first, growing your local popularity for a niche or bloging and SEO strategy first?

What are some of the signals Google is looking for to say Yes you are a Quality website?

Should you own URL specific clinic and condition names or not?

What can we do for pictures on our website to have the SEO juice?

Should we be creating info-graphics?

Backlinks aren’t dead but how do you get a backlink that is SEO valuable?

Are the search engines looking for a certain length of article for it to be worthy of a first page ranking?

Google has lots of tools for free to see how your site is doing with keywords, page errors, site speed etc.

But in reality even if you monitor whats going on, how do you implement and fix any issues?

Are you going to do it or would you rather pay someone who does this all day?

Even if your site looks healthy and you rank well, are you leveraging that to actually get phone calls to your office?

His 5 Pillars at Local SEO Search: Content, Link, Technical, Dev elopement, SEO ... not to mention all the sub categories in each.

How long should you expect to hire an SEO company for, months, years, a one time ‘clean it up’ fee?

www.LocalSEOSearch.ca

Date night and putting those times in the calendar are important to keep family life a top priority.

Also, hire out the tasks you aren’t good at, don’t have time to do or someone else could do better than you.

Authors he recommends (link goes to their work on Amazon) Seth Godin, Neil Patel, Gary V, Rand Fishkin

Show notes can be found at https://adoctorsperspective.net/154 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand

Justin Trosclair 0:30 Episode 154 niche to win at SEO. I’m your host, Dr. Justin Trosclair. And today they’re john bones perspective during 2017 and 18 podcast Awards Nominated hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective. Welcome back to a doctor’s perspective. How are you enjoying this? Dare I say sporadic episode releases, trying something new for 2020 Like I said before, so let me know your thoughts. Also like your thoughts on the new music that is brought to you by Dr. Amy or Tom, the song depot calm if you’d like it or have another genre that you would want to hear. Reach out to her, she can help you out. hope everyone’s doing okay with Coronavirus. A lot of states are starting to open up a little bit. I hope your profession is considered essential and they let you do social distancing and wear a mask and whatever necessary so that you start treating patients again and not go broke. Speaking of not going broke, if you want to support the show, a doctor’s perspective dotnet slash support. We got everything from buying a cup of coffee to one time, easy PayPal button payments to get free gifts like shirts and some of the books to monthly payments, all those types of things.

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M 53 Investing With Profit First

Hiring your next associate or purchasing a piece of equipment is a big financial decision. Listen to a formula that could help you decide if you should do it and be profit first.

Today's episode, I was watching some futur videos again with Chris doe. And he was discussing, you know, how much you should bid him for design and project. And of course, they do logos and website design and brochures and all this and he charges us a premium price.

And he was talking about, if you were going to hire someone else to do it for you, with your experience level, what would that cost?

How Much Should You Pay an Associate Doctor?

How many days would it take to do this project that this person wants? You got a number. Now increase it because it might take longer. Then you got to add a sales rep percentage in there, a manager that oversight everything.

And you also have to add profit into that. And then you have this much bigger number than you probably would have initially said, you know, you maybe you would have recorded this person 5000 this business, but now the price is almost like 16,000. It depends on the business you're talking about.

They might say, Yeah, that's a great price. Obviously, a small mom and pop might not think that's a good price, but a medium sized company could say, yeah, that's a fair price. I like your work, etc.

So how do you translate this into a medical practice? pT Cairo, etc. So I was thinking, an associate or a piece of equipment. So if you add all of these things together, you know, what does this equipment associate need to bring in per hour, so that all the numbers work financially, and it's a good decision.

Pricing Formula to Pay Salary and Bonus

So here's kind of what I came up with an associate 5500 a month. Gonna add some tags in there, let's say 1200. These are just simple numbers. Okay? That's 6700 a month.

Let's assume you work 36 hours a week, 4.3 weeks, that's 154.8 hours per month. So let's go with that number, say 150 4.8. So just to cover that it's 43 per hour.

Now, this person probably needs an extra marketing, let's say 10% of their salary would be an increase in your marketing budget. That's 670.

You're gonna have extra staff. Let's say it's 1200. Maybe it's not staff. Maybe it's partially staff. Maybe it's more paper, maybe it's more hand sanitizer, you know, disposable goods. Let's just put a number in there. Okay. Then you got a subtotal.

That's 8570 you want a profit built in. That's a 30%. That's 2571.

So the total was 1141. You divide that by the 150 4.8 hours per month, and it's pretty much $72 per hour.

So now you have to find out, can you increase your business? Let's say you keep working the same as you are, and you're just busting through the seams. So you need to hire somebody else.

How many people does that person need to see to make an extra $72 an hour for the clinic, because even at 72, that's a 30% profit, right?

Now, obviously, if you're trying to step back and not do as much work, that's a different factor, you have to play with these formulas a little bit better, but even a piece of equipment.

Formula for If You Should Get a New Piece of Equipment

So you want to get a new cool laser was that laser costs? Do you have to have an extra staff person doing it? What does that cost? How much profit Are you wanting to get as a percentage, and then you can find out Okay, I need to actually make whatever I'm just making the number of 60 bucks an hour on this device to pay for it and make it profitable.

So that means how many patients can you see in an hour doing a cold laser? Well, some of them are like a 10 minute program, some of them like a 20 Minute. So you got to figure that out.

And then you can divide that amount per hour by the time treatment you get, maybe have a little cushion in there. And then you know, like, Okay, this will be a profitable adventure or not.

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Ever wanted to be the TV News Doctor? Alex Vidan DC will discuss how that role works as well as doing videos (and staying motivated) for your clinic. We also find out how he got involved with trips to China and a small section on coronavirus.

Why should you start doing or revisit recording videos?

This interview will cover the how and why to do you tube, face book live, IG Stories.

Tips for equipment

How hard is it to get on the News?

Pitfalls of being Live on a News Station.

Inspirations to find topics to make videos about. Best way to continue to do videos beyond one week after this podcast is to find what you are most interested in, and explore that area.

What does Embrace The Suck mean and how can you apply it?

A live news spot has spoken and unspoken rules and criteria that need to be met, especially if you want to be a repeat guest. What are those?

Timely news segments that relate to health and what is going on in the community are some of the best ways to get asked on the local news.

What happens when another person in your profession ruins the opportunity for others to be on the news because of how bad they performed?

You will not be able to give the news station questions you want to be asked, that is reserved for a paid interview.

You need to stay in your lane of expertise but not just in what you think but also in what the News Anchor thinks it is.

Find a Timely News Segment - Combine it With What You Are Good At, and now you have a better case to go on air.

During this Telehealth pivot for many doctor offices, he found that most ‘office desks’ are now the kitchen table, bar or couch.

Why did Dr. Alex visit 14 cities in China in a two week span... two years in a row?

Years of personal headaches multiple times a week from a concussion and only a chiropractor helped, hear the longer version of why he choose this field instead of mainstream medicine and that piggybacked into him wanting to be the TV- News based chiropractor.

This isn’t a heavy focused coronavirus episode, but we do discuss switching to scrubs for the time being and how that is important.

Personal:

You have to take time to recharge and reset. Date your spouse and make that a priority each week.

Is work your life or is family your life and the career is a passion?

Www.Tictv.rocks Www.drtmd.com

Show notes can be found at https://adoctorsperspective.net/153 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand

Justin Trosclair 0:00 Episode 153 news tv doctor in video help. I’m your host, Dr. Justin Trosclair. And today we have Dr. Alex Madonna’s perspective. During 2017 and 18 podcast Awards Nominated hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective. Thanks for tuning in to another week. If you heard from the past couple episodes at the end of the episode Actually, I play the new jingle want to thank Dr. Amy auto Episode 97. For that if you have any questions or would like to talk to her about getting some sort of jingle for you and a variety of different actual genres of music, the song depot.com is where you can find her. Secondly, created a PDF a giveaway on 16 different ways to hold chopsticks. If you ever were curious about that, obviously that coincides with the excel in a Chinese business dinner.

Could be a good read for you. If you’re interested in just different cultures and those types of things. It’s a short read, but it’s jam packed

packed full of good ideas and takeaways that you can implement immediately. And today on the show, Dr. Alex, we’re going to go through things about video. We’ve had a few episodes here and there about how to do video so we’ll get his take on it. Find your passion, and then He is best known for his work on TV.

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Amanda Kendall talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

CARES Act, paycheck protection program and other loans that help with employee payments and business expenses. Learn what you need to do to get a forgiven loan, the EIDL and ways to pivot. Amanda Kendall clears the confusion.

Paycheck Protection Program PPP

Can the owner get "unemployment"?

Do the employees get unemployment while the doors are closed on lock-down?

Are these Paycheck Protection Program loans that a biz can get or are they forgivable? How do we know the difference?

How to apply for these programs? Who doesn't qualify?

What are the typical rates of interest and pay off lengths?

What supporting documents do you need to have for the applications?

A percent of the loan has to be for employees (75%) and the rest can go for expenses like rent and commercial mortgage interest and other expenses . However if it is less than that 75% spent on payroll, then the difference becomes a loan. Right now the amount of money you can receive is the employee salaries times 2.5.

Is it better to ride it out for 8 weeks and see what happens or should we apply because the limited funds may run out?

Also, you can’t fire people or reduce salaries. Make sure you have great records and book keeping. Also, tax filed plays a part in the application process. If they quit, what can you do so you don’t get this forgiveness turned into a two year loan with a 1% interest rate after all.

A company that has 480 employees is going to get a huge sum of money from a bank. Amanda discusses how the banks make money on this program and once again, small businesses like solo or 3 doctor practices are going to get less attention because the banks cut will be so much less.

Be Quick but Be Accurate With All the CARES Program Paperwork

Should we apply at huge banks, local banks, credit unions or any other options?

The PPP is really set up to keep people off unemployment benefits for at least 8 weeks.

Any rent deferments?

Economic Impact Disaster Loan (CARES)

What is the EIDL, who qualifies and what is it for? 2 months of operating expenses with a max of $15,000.

Plus Another Type of Loan (CARES)

Pretty much you can potentially get $1000 per employee with a max of $10,000. This is a non-payback grant.

*If you google sba coronavirus loan you will find the link.

Kind of what people would be asking if they owned a biz but couldn't see patients...so they can't pay the bills.

Inspiration and creativity from restaurants on how to pivot in business

What will the Covid-19 version of yourself look like in 90 days?

Did you learn new skills or just binge watch Tv?

Amanda Kendall is a tax professional for 16 years and is with Elevating Profits LLC in Denver. consulting@elevatingprofits.com 303-847-0836 or linkedin and facebook*Disclaimer, please remember, I'm not a tax person. She's not your tax person. We're just giving you the information that we have. Please consult with your own people and just consider this as general information to help you to get a better understanding and to ask your own professionals and of course, the rules may change by the time you hear this.

Show notes can be found at https://adoctorsperspective.net/152 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 152 paycheck protection program and other cares loans. I’m your host Dr. Justin Trosclair and today we are Amanda Kindles perspective during 2017 and 18 podcast Awards Nominated hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective.

Thanks for listening again, whether you’re in your car at the gym or just at your house during the Coronavirus, quarantine.

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Jennifer Thompson of DrMarketingTips talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Gathering online reviews, responding to negative ones, telehealth considerations, oneliners, type and how to do videos for your site blog and what do you need on your website as a bare minimum. Jennifer Thompson host of DrMarketingTips gives us the secrets.

Top Ways to Grow Your Practice

Focus on Online Reviews

Should the reviews be on just google and facebook?

Should you get video testimonials or a headshot and a few sentences? When should we use each?

Having a Nice Website is a MUST in 2020. Hear her tidbits to make it most effective.

3 Most Frequented Section of Our Websites. (Have a current picture of the doctors)

How do we use reviews to make our doctor office and procedures better?

3 of the Most Common Reasons for Negative Reviews

Wait time, billing, and customer service. Your negative reviews will shed light on which you need to remedy.

What are some ways to respond to negative comments?

Once again, record a video of a patient testimony, transcribe (www.otter.ai) it and put both as a blog post to not only show how good you are but also to get great SEO.

Reviews can also be subtle. Think about the last time you recommended a product on social media trying to help someone out. What if when someone asks for the best chiropractor in Louisiana, several raving fans say your name. You have to learn to cultivate and monitor those type of online relationships.

How to get your staff to become marketing warriors for your clinic?

What is Jennifer’s two cents on one liners?

3 Reasons (and where to go) to Claim Your Doctor Profiles on other sites.

Why should you check your NPI address right now

Telehealth considerations

Telehealth considerations on what to use for video, updates to your website and ways to market it as well as keeping the patient experience great?

She unpacks a ton of info on telemedicine in the last 10 minutes of the interview.

· Here's a link to the show with the Womply study (including a link to the study).  https://insightmg.com/ep-193-understanding-the-impact-of-online-reviews-on-your-practice/· The telemedicine company Jennifer referred to is https://www.ortholive.com/ . Like she mentioned, it’s pretty cool to get telemed / telehealth help from a surgeon’s perspective. (PS she is doing some type of financial work with this company)· The DrMarketingTips Lab (free for now 04/2020): https://insightmg.com/dmt-lab/

Finally, Jennifer Thompson of insight mg and dr marketing tips has two episodes on telemedicine for us: https://insightmg.com/ep-221-how-to-get-started-on-telemedicine-in-a-hurry/https://insightmg.com/ep-219-how-to-communicate-during-a-health-scare-or-natural-disaster/

DrMarketingTips Podcast and President of Insight Marketing Group since 2006 which specializes in marketing independent doctor groups (800-1000 clients) like orthopedics, ENT, gastroenterologist etc. where patients have a real choice on who to see.Drmarketingtips all over social media and podcast streaming sites

Show notes can be found at https://adoctorsperspective.net/151 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Unknown Speaker 0:05 Episode 151 Online Reputation secrets we host Dr. Justin Trosclair and today we’re Jennifer Thompson’s perspective.

Justin Trosclair 0:14 During 2017 and 18 podcast Awards Nominated hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective.

Welcome back to the Easter edition of a doctor’s perspective. Today we have a fellow podcaster over 200 episodes called doctor marketing tips. It’s really right up the alley of what I do, except this just marketing tips and she does massive corporations as...

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Dr. Michael Verdon, DO FACOS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Should elective surgeries occur during the coronavirus pandemic and how can a neuro surgeon and you start telehealth with your patients? Dr. Michael Verdon DO FACOS explains his view on the current covid-19 doctor patient landscape.

Should elective surgeries happen right now?

What would be considered Elective Spine Surgery right now?

Dr. Michael Verdon makes a good point: does the gloves and mask I wear now to treat a non emergency case that could be ascertained via doxy (video calls) be worth it, if down the line we have a massive shortage of supplies for more life threatening complications from the coronavirus?

What precautions are being taken so everyone is safe from covid-19, especially in hospitals?

Should neurologists, orthopedics, dermatologists etc be on the front line of helping with corona patients: ie operating ventilators?

Is being a healthcare worker a Calling, Profession or just a Job when you and your family could be at risk to covid-19?

How long can a surgical center stay open without elective surgeries?

Most will think “rich” doctors will be okay, but what do the nurses and other support staff do when they are paid hourly?

How does a spine surgeon convert to telehealth?

Efficiency, screening, lower overhead... is the virtual visits a paradigm shift we have been waiting to see?

How do we set up a practice with other physicians with a mix of virtual visits (telehealth) and in office care?

Finding the Pain Generator.

Find the pain generator, and you can pick the most appropriate procedure or referral to chiropractic or physical therapy. Don’t treat an MRI - treat the Patient.

How being a physical therapist fueled his desire to learn spine surgery is discussed and how that impacted his residency and clinical experience now.

Dr. Michael Verdon is a Doctor of Osteopath , a Fellow of Osteopathic Surgeons (spine) and a past Physical Therapist who also holds a business degree. He practices in Dayton (Ohio) at Dayton Neurological Associates. His passion is minimally invasive spine surgery with an emphasis on motion restoration and procedures that only need a 23 hour stay in hospital.

Show notes can be found at https://adoctorsperspective.net/150 here you can also find links to things mentioned and the full transcript.

https://youtu.be/n8P5a03WOZg

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Dr. Justin Trosclair, DC 0:05 Episode 150 elective surgeries in 2020 and telehealth, I’m your host, Dr. Justin Trosclair. And today, we are Dr. Michael burdens perspective. During 2017 and 18 podcast awards, nominate hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective. don’t adjust your stereo. You heard correctly. 150 episodes. Wow. Now, honestly, this should have happened in 2019. However, I had some cancellations and it didn’t happen. And then I took a break. But we are back we got a few more minisodes coming out as well as a few more interviews, doing something different this year. If you haven’t noticed, we’re just going to put them out when I finish them, record them, edit them, put them out. And this is wild times. We’re in april two 20 in the middle of a worldwide social distancing, self quarantining, Coronavirus, COVID-19 environment. And the guest Dr. Michael Verdun is a spine surgeon, osteopath fellow, and he’s an independent doctor, which means he doesn’t work like a corporation. And so he was able to pivot quickly with telehealth. So we’re going to go over what does that look like? How to do perks? A couple hindrances, but also right now, elective surgeries, I mean spine surgery. Sure, there are some cases that are like mandatory we got to get this done, but a lot of procedures what like what his special...

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Dr. Shiloh Catanese PsyD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Forensic psychologist and true crime podcast host Dr. Shiloh Catanese Psyd will discuss the rise of her show as well as what a FP does. We cover police counseling, suicide awareness and how she has come full circle from her previous interview.

Why did she and her best friend and fellow forensic psychologist start the podcast, LA Not so Confidential? It’s a true crime podcast but they approach and talk more about the clinical psychology side of these cases. It’s conversational and non-scripted. Definitely worth a listen if you want a more ‘clinical’ style of true crime entertainment.

Listen to see how they got sponsors, why she uses anchor to host her podcast RSS feed and the opportunities they have had to do live shows at multiple true crime podcast conventions. They even keep a reference list for all the credible resources they use for each show.

We discuss what is Forensic Psychology. Is it criminal profiling and helping police find serial killers?

Dr. Catanese discusses what her day to day looks like as a police based forensic psychologist. What types of issues do police officers and their family see her for? Also, part of her job is to be on scene for hostage negotiations?

She was a previous guest (episode 22 - top download for nearly 2 years) and she counseled a completely different group of people (inmates) but now treats officers. Since nearly her entire family (including herself at one point) are police officers, it’s like she came full circle with her career and offers her clients amazing insight.

Suicide prevention is an important topic these days because it is on the rise for teenagers as well as police officers. At the end of the interview she gives a PSA on suicide and why we need to pay attention.

What is the Deadly Triad?

How many times would an officer most likely see a psychologist after a fire arm release? Would it surprise you to know that it is extremely rare to ever have to fire your gun in the line of duty.

Dr. Shiloh (of the LA Not so Confidential podcast) has to be able to offer counseling services to officers who are arrested (and should know better really), without judging and only confront how they are processing it all. Her unique background with sex offenders gives her quite the edge to remain unbiased.

Why does she recommend that police have non law enforcement friends?

Books: Emotional Survival for Law Enforcement - Kevin Gilmartin

www.la-not-so-confidential.com

T lanotsopod Ig lanotsopodcast Fb lanotsoconfidential lanotsoconfidential@gmail.com

Show notes can be found at https://adoctorsperspective.net/149 here you can also find links to things mentioned and the full transcript.

Her daughters podcast (who is 7 years old) is Career Quest with Sydney

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 149 psychology cop doc True Crime podcast. I’m your host, Dr. Justin Trosclair. And today, we’re shallow. During 2017 and 18 podcast awards, nominate hosts and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective.

Unknown Speaker 0:30 Welcome back to a doctor’s perspective, couldn’t be more happy to have you listen to the show. Once again. I was on hiatus since mid November. I moved back to America for a few weeks and then moved to Germany, which is where I’m at right now. And now. It took a while to get internet get familiar with the new job, the New City and all of that. So thank you for being patient, but two weeks ago, I literally to the minisodes so we had a little bit of fun with those episodes. As always, if you need any information about the show supporting the show books, free PDF, top 10 lists etc. It’s a doctor’s perspective dotnet slash all links.

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Minisode 52 Why Keep A Small Office Footprint

Lessons from a 18000 sq ft office with $75000 monthly overhead. Group and specialized youth classes are amazing but why would he have chosen to have a smaller place but more expensive fee office footprint.

So today's show, masters of fitness Episode 42 is bigger, better. Their interview a man who has a million dollar gym, 18,000 square feet, that's huge is in the DC area. And we just they pick his brain. And so let's go over some of the highlights today. Okay, stay tuned to the end, I'll tell you about if he had to do it over what he would do. We'll talk about care packages, visit packages, that's been working. But first, he definitely says look, you want to be a mentor.

All right, if somebody younger than you or just doesn't have the experience you have I'll ask you questions. Think about it, maybe offer them some advice. You don't know where they are. Maybe you were in a spot where you needed a mentor, and maybe somebody was nice enough to give it to you. And I'm not saying you gotta you don't have to charge them. You know, we just It feels good to help other people. Right? Of course Be careful the leeches, but you know General, it can help spark someone overcome their own obstacles. And as they say, when you teach somebody, it really solidifies what you know.

Alright, so the downside, we all want a plus employees to have ownership that just really love the vision that you have and want to see you grow in the practice grow, okay, but the thing is, most people, they don't care. Right? You know, they don't care if they make the boss more money, they just want a job. And of course, as the owner, you expect a lot out of your employees, probably more than they actually want to give.

So there's that balance of how do you get the most out of your employees without driving them away? And how do you get them motivated to take ownership in the in the clinic that you have?

Now, the second piece, he said, You know, when you're out on your own as a personal trainer, you know, in this instance, or maybe as a new doctor, you might not have the confidence or the skill level or the problem or to the confidence to command the higher fees.

Okay. So you might will indeed, oh, let's Do a $29 initial exam. Let's let's do 50% off eyeglasses, oh, I don't know this, this and that. But like in the gym world, there's always these deals, you know, especially for personal training, maybe you charge $75 an hour, but I just read in the heat this month or a new, I'ma just charge them 55. And if they buy like a package of 10, or something like that, and then my gosh, there's so much more work and you get kind of burned out because you're not getting paid for what you know, you should be worth ends up, just bite you in the butt.

They say, between you not making enough money and then if you have to end up raising the fees and they get upset or maybe they're like a troublesome client, and you're like, dude, you got a good deal and you're this much trouble like What in the world?

So, one of the things he had it was he got an office manager, and they she was streamline thing is like you gotta stop giving deals. The price is the price. Especially if like they refer somebody and they get a different price. They might feel cheated, like wait, I paid I was paying 50 this guy's paying 49 right, so anyway, so everybody gets upset. All right.

Next up, the sexy beast is pro athletes. All right? Oh, you know, Jerry Rice, who is Drew Brees? Yeah, let's let's treat these guys. Well, here's the thing. A lot of these people are, it's seasonal, right? It's a seasonal thing. You get the hot time and the low time. Now if they make it Pro, they probably have their own doctors on staff and they don't want to see you.

Secondly, they might think it's a privilege for you to treat me I'm not paying, think of all the referrals that you're going to get if they let you take a picture with them.

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Minisode 51 Examine Why You Buy

This review discusses how to write email stories that hit on your customers pain points for your clinic and overcoming the objections. Make a note of marketing pieces that get you to purchase a product.

Hello everybody welcome back to a doctor's perspective podcast minisode Episode 51 today is going to be story matters effective email copy with Andre chaperone that may or may not be said correctly. So let's jump in it we're gonna be sub 10 minutes. So onward with the show. So when you look at an email, when you have prospects, cold emails, things like that, gotta treat the prospects the same as the customers. And how do you do that is you have to see the world through their eyes, not yours. And it's very easy to mix that up.

You need to tell stories, right? Because you were your other customers were where you were once or that prospect was once. So you have to start think about what was their fears of pulling that trigger, right? What's the fears? What were they struggling with, you know, where were they in the cycle of the cell cycle before or what made them want to contact you or when you when you made that decision to purchase the product that helped you through that bad time. Now you can write a compelling email.

You have to remember to tell the story, how that patient life improved. There were times we're talking to doctors and you get results but there's Hero, they did the work but you're going to be their guide you know, kind of going back to that. Look around when you're purchasing things be cognitively aware. If you're gonna go buy that brand new TV, the new computer, why are you buying the new Samsung Galaxy phone? Right? Or maybe a shower me with 108 megapixel camera? What? Though they are not sponsors? I'm just saying that like 108 megapixels, What are y'all doing? Your phone's gonna be empty or full? I should say in no times. I don't understand that. Maybe that's something but anyway, when you looking at why you're going to purchase that, think of it outside of like marketing.

What are your feelings? What are you having overcome? What are your objections, write those down, make a mental note so that when you're crafting your email stories about your own product, but your own clinic and medical procedures, you can twist it to where the patient understands.

One thing you don't want to do and I think everybody gets, you know, not everybody but a lot of people Get problems with this is the shiny object syndrome. You know, maybe you're looking for a new course a new technique, a new thing. And oftentimes, you know, for least for chiropractors, and for some of the business owners out there, it's the marketing thing. They had this new product, and this new product is this much money. And they said, I can make this much on reselling.

Or, if I offer cold laser, I can make all this extra cash, you gotta remember, you actually have to sell that to the patient now, you know, especially be charging 50 bucks, 60 bucks for a 15 minute appointment for some cold laser, you have to be convinced that it works or they're not going to do it. And there's so many other options, other things there too, but maybe you didn't need to buy the $50,000 unit. Right?

What was the marketing what was their gimmicks to sell to you. So being aware of that might actually stop you from purchasing bad equipment that you could have got for a better price. And you know, pass those savings on to the patient if you want it to so that they get the results that they want without having to take out a loan, which is not good. Think about how you want to be treated.

If you had to go somewhere else and pay out of pocket potentially for a service, would you want to be nickel and dimed? Would you want to be sold something that when you do more research because you know how to do the research to find the product, you realize this product not even that great? It just looked good.

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Minisode 50 Spend on What You Love, Save on All Else

Cut expenses and save money on the things you don’t really care about. Spend  money on the things you love. Have expenses saved up and  invest in low cost target retirement funds. Do you make to much to cut grass or buy pre chopped veggies?

What's up to Episode 50 of the Minisode A Doctor’s Perspective series. I'm your host, Dr. Justin Trosclair. Before we begin, you know, I've been doing the series for 2019 having a blast with it. And I realized, hey, there's a couple of series I could put together that I didn't create a PDF form, like the cash practice physical therapy. So if you just go to www.adoctorsperspective.net/cashPT , I'll put all the episodes, there's only four of them that correspond to that. So you don't have to guess. And we had a marketing series www.adoctorsperspective.net/marketingseries , it was three and then three others kind of randomly. So I just I'm going to put those together and you just go to, and you'll be able to get that. That's all I wanted to chat about with you today. The marketing was quite good. A cast VT was good. So hopefully you will look at that and we just sort of wrapped up the dentist series. So that's www.adoctorsperspective.net/dentists , Lastly, check out the Financial series earlier in the summer of 2019 www.adoctorsperspective.net/financial . So enjoy those PDF reference sheets. So You don't ever have to guess again.

This week was Noah Kagan. He's the app Sumo guy. And he interviewed Ramit Sethi. He's got several books. One of his books is your move the underdog's guide to building your business. That one's less known compared to the I will teach you to be a rich second edition. I believe he was on Tim Ferriss as well. But it's like, hey, if you would have done what I told you to do, 10 years ago, you'd be in a much better place. So just do it.

So one of the things he talks about is a rich life means you can spend on the things you love as long as you cut costs mercilessly on the things you don't.

So let's dive into that. Of course, as always, you gotta get on a budget, you got to reduce your spending. One way to reduce your spending for some people is to get off the email list to all the stores open it up, hit unsubscribe, if you didn't know that, that there was a 20% off sale. You probably wouldn't spend that money you just said that you would have never known but it's like there's something about seeing the sale. You know, thinking about getting there and go ahead and just get it or I didn't even need it. But hey, 35% off Amazon do it.

One of the ways you can lose a lot of money is by doing a lot of house remodels. The kitchen in the bathroom could get a return on investment. A lot of times the landscaping in the backyard and all that it's just money that goes down the drain. So if you're looking for ways to cut Spence's and save money, that's a good way to do it.

When he's referring to investments. He likes low-cost funds, target funds, like a Vanguard target retirement 2045 or 2015, wherever you're going to retire. He believes having like a new account for each fund, and having three months of expenses saved. And he does prefer like a Vanguard versus a wealth front. I use both.

New bank account for each fund as just saying if you're gonna buy a couch, an envelope or fund an account for that new car, that vacation, have fun for each one. And so your savings go splits into all of those. Again, the concept you can only cut so much, but you can make more money in an unlimited number of ways. We already talked about a couple of episodes ago, so we won't rehash that yet.

One of the things he said is like look, a lot of our parents, you know, the baby boomers, they wait till they retire to try to spend their money and travel. But a lot of people their health doesn't allow him to. So the new thing and would find to be better is between the age of 40 and 75. I'd even say up to like 60.

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Dr. Lisa Whitty Bradley, MD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Patient and doctor advocate Dr. Lisa Whitty Bradley MD created chicks with mds based on her own experience from both sides. She hold nothing back when discussing the pitfalls and positives of insurance, misconceptions and relationships. Full of good stories and laughter on this episode.

Dr. Bradley starts off discussing how she got into hand surgery as well as breast reconstruction surgery. As she says several times throughout the interview, plastic surgeons aren’t just breast and butt cosmetic elective surgeries. Mid way through the interview she will discuss the misconceptions as well as the bread and butter cases.

Were you aware that it is a federal mandate to reconstruct a breast after it has been removed of cancer, both sides actually so they stay symmetric.

Part of her passion with chickswithmd’s is that doctors need to fight so that patients can get services covered. Too often a patient is not even aware of the limitations in their own insurance policies.

There are 3 ways to be a hand surgeon and the main focus is restoring function and preserving surgical technique.

Race and Gender

Dr. Lisa breaks down what it was like growing up in Broklyn in the 80s. She discusses the go getter - defiant (in a good way) family she and northerns typically have when charting your life path.

Her family was thriving even when larger society was saying you should not be.

Then we get her views on people of color from the South and the generational mindsets that must be overcome and how she sees it changing over her work career as well as young people and migration influence. One phrase she used is accepted segregation. (don’t worry, it doesn’t get political)

Look at life and situations with an Outside The Box mentality. Just because you don’t see someone like you in a field doesn’t mean you can’t be the first.

How did Chicks With MD’s Come About and the Mission

A health condition required her to restructure her career and evaluate how to be a physician, mother and spouse. Once she became a patient with a difficult prognosis and treatment regimen, she started identifying the pitfalls in the system as a patient as well as the divide between what a doctor says and what a patient hears. She set out to remedy this situation for others.

Inform, Educate, Empower

Focus not just on treating disease but on making their existence better.

Remember we are treating a person, not XYZ condition. They have jobs, hobbies and families that they want to get back to.

How does you market to find speaking opportunities?

Why does she choose to do short videos for social media?

When discussing breast reduction surgery, doctors should ask more questions. Maybe the patient thinks she is just tired of back pain for the past 18 months but didn’t realize the car accident she had 18 months ago and never got treatment for is the actual cause of her symptoms.

Advocacy is not just grabbing a bullhorn and putting signs up for breast cancer month. She discusses the good things she has learned and the pitfalls in other scenarios (like disability insurance) to other doctors so they can learn from someone’s experience.

Briefly we mention the struggle of being a doctor with a disability and getting hired.

When you as a doctor do other activities and patients see that you are involved in say the community, it makes you more approachable and allows the doctor to engage more as well. Why would that be important and helpful?

Vacation

Residency teaches you to be all about medicine and if you take time for family, vacation, sleep etc it’s as if they question your devotion and it’s an unspoken sign of weakness.

Dr. Lisa says this is not a great situation and taking time for yourself in different capacities is vitally important.

Self care and spending time with family is not a weakness and it actually can keep yo...

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Minisode 49 Consulting as a Side Hustle

How to ask questions from potential clients to get to their deeper why? Why now work with me, what’s the pain point they need solution for and then deliver a solution so your consulting is value driven and not time based. Person sells themselves on you.

Episode 49 Welcome back. I'm your host, Dr. Justin Trosclair. You're on the Minisode series. Today's show is side hustle Episode 344 it's all about consulting.

What are you good at? Do you know MailChimp or Infusionsoft well, but we're talking to doctors, maybe you got an EHR electronic health records that you're good at? You could technically make videos and walkthrough and put them on YouTube. People will see them, you know, tag them correctly. Put a good headline. There's Justin he knows what he's doing. This is what I need for my PT or chiropractic workflow. This is great. And then you can sell it to warm.

A lot of companies have an aftermarket for templates because they know that you use this every day you customize it, it works well. Especially when you're looking at Medicare auto accidents, there are certain things that you're not doing those every day, you might not know to record certain things. But you know, if it's there, you'll do it, at least on paper, so it can be something to look into. Maybe that's the way you can do it.

There's also potentially some you know, affiliate commissions too if you really like a product, you put a link to buy you make low cash with that, because again, this is a side hustle thing, how to make it extra money on the side, Jonathan stopped, because we'll have that why conversation, especially when you're doing a consulting, you're on the phone with somebody figuring out, you know, can you help them and all that you want to find out?

Of course, how you found me, and you want to say, Hey, what's the issue with you? and get to the why is this a problem for them? Then he's a solution. Now, you know, why are you going to work with me now versus a month ago?

What's the priority change that you have? And when you can find that out? What's the priority? What's the problem that they need a solution for?

Then you can start switching it up from time fees to value fees. And eventually, when you get good at asking those kinds of questions, it's like the person sells themselves on you versus you trying to sell them on yourself. Because they're saying, Hey, I saw you do this. It seemed like you could be the answer that I need to get me to that next level and whatever that could be losing weight, going to the gym, getting rid of their migraines, etc.

Now You're doing a business where you have like a proposal, and you've had a good conversation with them on the phone or Skype initial meeting, and then that I guess me a proposal, do not email them a $5,000 proposal, you got to set up that second meeting before you get off the first meeting, to go over the proposal. Because if you just send 5000 they got so many questions as you need to be able to answer right. Also, if you have extra programs as standalone products that you would sell for $400 or a thousand dollars, etc, like how to make a podcast.

Then if they do sign up for like a $5,000 Consulting program, just saying that number, you could give some of these standalone products for free, or offer like a 25% discount. Also these other programs you have, you can think about that you can see how to make landing pages, how to do giveaway PDFs, you know, you could have like a program on how to make that that might only cost like $47 and if he's come on as a consulting client for marketing, I'll show you how to do those things for free. I'll give you those programs for free. As a bonus for signing up. That's something that I could do.

Probably for y'all. You can use easy digital downloads. That's a great product while people love it. And that's it. That's a quick version of that episode if you like it,

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Minisode 48 Philippine Virtual Assistants

I cover prices per month, best hiring practices, what to be weary of, finding the right type of person for your specific needs. Two companies that specialize in Philippine virtual assistants.

Podcast time, Minisode Episode 48 Let's do it. The last episode I told you it has some shorter links seem to find these interviews that I was a guest on. So you can go to www.adoctorsperspective.net/herhealth , or www.adoctorsperspective.net/podcastinsider  one word or www.adoctorsperspective.net/getpublished  one word our www.adoctorsperspective.net/podcouch . So if you just go to the www.adoctorsperspective.net/asheardon what I just said her health podcast insider get published podcast you'll go directly to their shows page to listen.

So like I said in the previous episode, the side hustle show is what we're talking about today hiring a virtual assistant, a VA. So they interview two people both have companies that use the Philippines and another one has a few other countries that they use.

There are different ways you can pay. We'll take a salary cut others, you just pay a per-month fee. I like that per month fee while you're searching for someone to hire. So it wasn't forever it was just while you're searching, you pay a fee.

The number one takeaway is being clear on expectations. You can't have someone who's going to be good at editing podcasts, building websites, doing WordPress, making a funnel, and doing book writing and video editing. You kind of has to pick what you want. Maybe a couple of related things and that's it. Otherwise, you know, you're not good at everything. They're not gonna be good at everything. And so just it's an unrealistic expectation that they will do it all. You'll be unhappy. They won't know what exactly you want to be prioritized.

When you're interviewing, you know, definitely don't hire the cheapest person. And they said video could be a bad thing. Because a lot of people in the Philippines and Asian countries, they're embarrassed by their English, even though it could be quite good. They're embarrassed by it. They don't know what they sound like. To you, so they're not going to do it want to do it. But if you just say, hey back and forth email, because reality is what are you going to have them be doing? English writing blog posts, communication through Slack, or email, Facebook, Messenger, Instagram. So all of those things as long as their English skills are really good, and you can see that, Hey, you got a winner going on.

Prices you should expect to pay between 250 to $400 a month as US dollars a month for full-time work y'all full time.

They got every availability you can imagine. One thing I want to make sure they have is good steady power and the internet. Because my off some of these countries, it can disappear and be sketchy. So be careful with that. And a more communication you have with somebody, the less likely you're going to get ghosted, and that does that's no good because you might have a project that you need to get finished and they just disappear and you'd like where do they go like I don't understand, and that could be what happened.

Let them work on their timeframe/ timezone. You're going to be at least 12 hours apart. Usually, when they're awake, there's enough cross between the two of you, when you wake up a few hours, when you before you go to bed for a few hours, you're both going to be awake. So just make sure you have the list of things that you need to get done.

I for myself, I thought about having a VA for just promoting the podcast, put it on the missing letter, but it makes the lumen five videos, and put that on there. Find me other podcasts that I can be on as a guest to try to promote the acupuncture book or today's choices book, and all those types of things.

Hey, if you got it this far, and you didn't know I created a cool PDF for skin itchy with us or eczema, bug bites,

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Dr. Sarah Alemi, DAc talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Can musculoskeletal pain and mental trauma both be treated by acupuncture at the same time? Sarah Alemi, DAc specializes in both and we talk new practice ownership struggles, acupuncture for veterans, herbs  and touch on marketing.

Acupuncture as a second career (5 element with extra training in Tradition Chinese Medicine), albeit an early switch, was decided by Dr. Alemi after not being satisfied with her career and getting acupuncture herself to take care of her own conditions.

She is specializing in trauma. Does it take special training to focus on that area? She went to Maryland University of Integrative Health and practices in Northern Virginia.

Trauma can be violence, sexual abuse, and even a variety of trauma experienced by Veterans. Past trauma can definitely effect your body  in negative ways long past the original incident. Even emotions like depression, anxiety and trouble sleeping can be helped with Traditional Chinese Medicine.

See I thought she marketed directly for trauma therapy but in reality she discovers that the low back patient is having anxiety for example based on her history and through exam.

Can you treat headaches with acupuncture and at the same time address a violent incident from their past? Do you have to pick one or the other? Can you pick points that address everything based on Meridian crossovers? Was the trauma actually the root cause for headaches?

She is pretty involved with a veterans group that 7 times a year does nontraditional therapy and she will offer 5 point ear acupuncture to them.

When is it appropriate to use a 3 inch needle and what is the aim?

Dietary therapy and herbs, how are those utilized in Dr. Sarah Alemi’s practice? What are the misconceptions and worries that patients have about herbal therapy?

What can acupuncture do for allergies, especially for those who do the weekly shots?

Does being a female help or hurt her in acquiring new patients?

She focuses on reviews, a good webpage, keywords and BNI / word of mouth for advertising.

Dr. Alemi ACP has established working relationships with other acupuncturists in town, how does that help her with time off?

She works 14 hour days sometimes and is learning that she has to make different arrangements and compromises to keep her marriage happy. Part of the plan is expanding the number of treatment rooms.  Take a listen to a sub 4 year graduate trying to establish herself in the community and get a raving referral patient base.

BOOKS: Harriet Beinfield Between Heaven and Earth, Paul Pitchford Healing With Whole Foods, Randine Lewis Infertility Cure

www. Easternrootswellness.com

Show notes can be found at https://adoctorsperspective.net/147 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 147, trauma and acupuncture. I’m your host, Justin Trosclair with Dr. Sarah Louise perspective, during 2017 and 18 podcast awards, nominate host and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective. Thanks for tuning in again. I can’t believe it’s been this many episodes. So Wow, Happy Halloween. Don’t eat too much candy. You know I’m a doctor, a chiropractor for that matter. So be moderate with your candy consumption especially for your kids. I think I know some friends that I think they they take a lot of the kids best candy and then just hide it for themselves. I think that’s hilarious. Anyway, like the last two weeks I mentioned probably a little hiatus until 2020 with a big move coming up. So I want you to know, my latest book will come out the first book, which should be out in Thanksgiving, so late November,

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Minisode 47 Side Hustle Ideas to Boast Income

3 in 1: how to compare food/grocery delivery services, cutting expenses from your budget and discovering  a side hustle side job to raise your income and pay down your debt and save for future endeavors. Many ideas shared for side hustle.

Welcome back to the doctor's perspective, Episode 47 minisode. So we're going to discuss choose Financial Independence Podcast, ones about food delivery services and calculating your savings rate. And I think they're gonna go hand in hand. So I'm combining the two.

Alright, so this episode, again, financial independence. It's actually like a three in one because we're also talking about the side hustle. The first one was food delivery, they were exploring some of the big sites out there, some of them, you have to compare, you want to get a list. So you have a recipe for recipes that you want to use for the week. And let's say you have to get a special ingredient like cumin, we want to price out all the stuff that you're going to get carrots, potatoes, the cumin, spice, whatever the curry, curry sauce, and then look through, put it in three or four different types of food delivery services, it might be local Walmart could be local to your Kroger. There are some other ones out there and just look at them and say, okay, which ones save you the most money and you may go back and say, okay, line item, these are cheaper, but the delivery fee makes it more expensive and never wins. Okay, that's good to know. So just go through it, you can save some money.

The biggest thing. And the second part of this is, and this is what you know, actually, honestly, #1 best seller on Amazon- today's choices, tomorrow's health book www.adoctorsperspective.net/tcth , a go through all your kind of your expenses. And whereas you can cut it, there's only so much you can cut, there are certain things you just you have. So way life is. And if you don't have enough money, you need to get a side hustle, can you can expand your earning potential right.

Now, what does a side hustle look like? Because you have a nine to five job, which might lose it, you might get fired, you might get paid off because they're doing downsizing. Now you got nothing. That's scary. So it's gonna like start now trying to find something.

You can go the Amazon route, you find these products, there are different companies that I hope you do this. We've talked about it before you find a product that you're interested in, perhaps, Oh, that's interesting. You read some reviews, these are the things they don't like about it. You go to Alibaba, find that manufacturer, tell them, hey, I want these changes, and you find them and then you can sell it yourself. You don't have to carry a product, you send it to the Amazon warehouse.

You can also license other products. So there's something that you like you might find other manufacturer contact and be like do you do license? Yeah. Okay. Now you just sell the product underneath your business name. And you just pay them like a fee. He worked out well. Like really well.

Maybe you like tacos, and you think he'd make a good taco. And you've heard people like, man, I paid for this. Well, you may be maybe opening for a taco truck on the weekends. One of the examples they had was a hiking tour of your city, you know, this person was thinking San Francisco, and she was already walking all the time and enjoying it. And like when everybody's coming to town, they would do like a walking tour just like hey, you know, I started in the business. So now that's actually what she does. She tours people around the city, walking, bicycling, and people paid to see it. And I can tell you, I've done that in Cambodia. We went to the carwash and we paid to be on a bicycle and local would drive us around, or you know, guide this around and show us different things. It's quite cool.

If you got an extra bedroom, you can Airbnb it, you can

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Mansi Vakil, DPT talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Signs and symptoms of concussions, raising awareness, promotion of her mild traumatic head injury book that patients and doctors can understand, misconceptions, warning signs and ways to recover are covered. Mansi Vakil DPT.

Dr. Vakil was seeing the normal sports related injuries in a physical therapy office geared towards athletes for many years. What she began to see is more parents bringing in their children for what seemed to be out of the ordinary symptoms of headaches and dizziness but of course she recognized it as mild traumatic head injury aka concussion.

With over 30 books already written on concussion, she felt that many are overly complicated and intimidating to get through. She wrote her own version in language that a doctor and patient could understand called Concussion Talks. Expect to find out the signs and symptoms, what kind of tests should be ordered, best people to treat this conditions, advances in sport safety to help stop mild traumatic head injuries from occurring in the first place, the anatomy of a concussion and much more.

Can you believe that 90% of concussions the person has not lost consciousness.

Signs and Symptoms of Concussions:

She goes over them early on in the episode.

Headaches, blurred vision, sleep disturbances, anxiety, mood changes

If you see these symptoms and changes in your child, don’t hesitate to bring them to the doctor. Early detection and treatment is paramount and of course they need to miss some time from the offending activity (since in her realm it’s sports related)

How are the cranial nerves involved?

Mental rest from studying and TV watching is important, how do we manage that for students who need to pass classes?

What type of diet does Mansi recommend for optimal brain healing? 

How does a low intensity cardio program benefit?

Some of the misconceptions of concussion can have lasting problems, so stay tuned for those. These could be memory loss at an early age, depression, suicidal thoughts and so on.

Sometimes it’s the parents who are pushing the kids to keep playing, is there anything as doctors that we can do about that?  We are referring to post concussion and even year round baseball leagues for 13 year olds.

It’s important to evaluate the biomechanics of the patients other joints (like we are trained to do) when someone comes in for concussions directly or when it’s just odd symptoms to the patient.

Where does she go to promote the concepts in her book for child athlete safety? Being a women in a male dominated field can be tough so what has she done to get more creative than just going talk to the coaches?

Dr. Vakil’s key to vacation and time away from the office is: Work Smarter not Harder.

Don’t take your charts home, let family time be family time. Also, do something that you know your significant other likes to do at least once a week.

www.Concussiontalks.com mansi@concussiontalks.com

Podcasts: gets some mentoring from the hosts and guests who have more experience than her

Books: 48 Laws of Power – Robert Green

Show notes can be found at https://adoctorsperspective.net/144 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 146 Sports concussion topics and host Dr. Justin Trosclair today with Dr. Nancy kill perspective

2017 and 18 podcast Awards Nominated host best selling author on Amazon as we get a behind the curtain look at all types of doctor and get specialties. Let’s hear a doctor’s perspective.

That’s it. That’s my Halloween voice for you. No jokes. That’s it. I know I got some dry humor.

If you missed that last week, at the late November, I’m gonna shut it down for a little while as we moved to Germany to just kind of focus on fa...

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Minisode 46 Heartstring Advertising

When you find yourself getting angry, separate yourself from the issue. When advertising and telling stories, do it through the lenses of your customer not your own. Pull on the heartstrings more often.

Welcome back to Episode 46 of the minisode series of a doctor's perspective podcast. Before we jump in, I've been busy It's been a while actually since I've recorded one of these and one on a binge.

Alright, let's jump in. Today's show is going to be with story brand Episode 141. At the bottom motions, the catchphrase of the show was, I am not angry, the me is angry. So when some kind of situation gets you ticked off, and you want to just lose it. It's a way to cool down and become less emotional angry. It's like I'm not angry, but me is angry that I can sense myself from that day outside that why did this bother me so much. And one way they said to create like happiness is to have lower expectations and higher perceptions. I mean, I'm not saying walk around. Oh, it's gonna rain. Oh, it didn't rain. Fantastic, what a great day.

You know, it's not saying be a pessimist. But when you're going to go to someplace or new restaurant, a new whatever new business venture, a business meeting, if you have your expectations a little bit lower, like maybe I'm not gonna hit a slam, a Grand Slam my first at-bat, my first meeting with these people, but can I get the first base? You know,

its kind of looking at your status quo is the status quo that you have the life that makes you happy? is a very blue and what can you do about it to change you know, joining a club, dancing gym, some kind of sports getting a dog will can increase your status quo in life, so that you just always kind of like an on the happy side of things.

So they did a study trying to figure out in the brain when we treat strangers differently than we were treated people that we love is there are they a threat or not. So they map it out and then they show pictures of like your family, and then you could zap them you can turn up the zap how much you want. Maybe was they would say, hey, you want a higher lower, and then somebody else would administer. And what they're finding was, you know, quite not surprising people you love, you wouldn't want to zap them as high strangers. Maybe we can zap them. And there was a higher degree of emotional distress. If I guess you didn't have a choice and you had to zap your family harder.

They interpreted some of that as when you have a business and you're trying to create sales and sales copy and emails and things like that. How are you going to create emotion so that it pulls on the heartstrings of people examine, and that's kind of the pulling it all together, okay, for trying to pull on the heartstrings of our customers, you have to put your mind into the customer, right seeing the world through their eyes, not yours. So when you tell the story again, the patient's life improved. They got results.

Again, they're the hero, you're the guide. You find inspiration outside of your realm. So really just trying to be aware of your surroundings. listen to stories that your patients tell you. Things that you might read. How can you apply that? And how does it affect you? That's one way.

If you read a story and you're like, oh, that made me sad that made me angry. And you can kind of use that and think about Okay, that's, that could be an email. How do I turn this into an email? And then of course, after you write it, tweaking it for your customer, that's how you have to do it at first. Once you get good at like putting yourself in your customers shoes and writing for them, it becomes easier, but at first you just kind of have to try you know, and bring it home again, it was when you find yourself getting angry, separate yourself from the from those emotions, so you can recognize it and not become emotionally compromised.

Because we like to think but with my kid, she'll do

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Dr. Jessica Brigati, DDS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Nobody wants cavitites and she uses transillumination and remineralizing decay protocols to help patients avoid dental procedures. We also talk about referrals  and food to avoid. Jessica Brigati DDS brings humor and knowledge for a dentist episode.

Dr. Brigati is married to a chiropractor so we are able to see if and how that affects her style of dentistry. She has a great story for picking dentistry as a profession and it has do with quality of life with children.

Remineralizing Decay Protocols and Trans-illumination  Technology

What is remineralization? Can a cavity fill itself back in with healthy bone and enamol?

What role does lighting up a tooth from the inside play in her diagnosis and treatment protocols?

What type of success rate does she have in reversing tooth decay and avoiding the dental fillings?

How big of a role is nutrition? What type of nutritional things can we do to reverse tooth decay?

Dexis CariVu™ is her go to device.

Can this work for big cavities, flossing cavities, incipient lesion?

Acidic beverages are destroying are mouth, what classifies as acidic? She did a great ‘show and tell’ of the different pH’s of some of the most common beverages we drink.

It’s a good idea to think of Food as Medicine. Put the right stuff in and you body can function better.

Xylitol is in lots of dental products. It’s supposed to help protect the bacteria from adhering to the tooth.

Since her husband is a doctor of chiropractic, we discuss how to approach a dentist to build that referral relationship as well as how the dentist themselves probably have symptoms that a DC could help relieve.

How do you keep the love alive when you have 2 kids under 3 and an older one?

Book:  Healing Without Hurting -Jennifer Kozek , 5 Love Languages for Kids - Gary Chapman

www.Jessicabrigatidds.com

Show notes can be found at https://adoctorsperspective.net/145 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 145 self healing dental cavity I’m your host, Dr. Justin Trosclair. And today we have Dr. Jessica regard his perspective during 2017 and 18 podcast Awards Nominated host and best selling author on Amazon as we get a behind the curtain look at all types of doctor and guest specialties. Let’s hear a doctor’s perspective.

Welcome back. If you didn’t know this in the last couple of weeks in China, I’ll be heading over to America for a few weeks in the journey to start a new job. So what I’ll probably end up doing is actually taking a short break from podcasting spent time with the family and with the stress of movie 2020 started back up I can see why people do seasons sometimes it’s nice, I just gotta focus on 10 take a break another 10 take a break. So we’ll see how it happens in 2020 how it all shakes out. I want to go to a doctor’s perspective, net slash links. You got everything from the series that we’ve done in the past, supporting the show right and reviews t shirts

The number one best selling Amazon book, some of the past podcasts that I’ve been on the three recently and once comes out in January. Now it goes over, like, what I see is physical mental health considerations in China versus America. So it’s a little compare and contrast. That’s Cheryl’s pot couch. So if you want to do any of that, check it out. Great. All the links will still work. During the hiatus. You’ll notice in the social media, they’ll be posts pretty much every day about some episode in the past. So don’t forget about me. Okay. All right. Well, today, we’re going to wrap up our dental series. I know we had somebody put in between. We had a scheduling snafu with Dr. Bugatti, so I had to put her afterwards. And so in the PDF from.net slash dentist,

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Minisode 45 Future Framework for Value Selling

Ways to ask questions to determine their problem, how to deliver the value presentation (3 ways) instead of just price, metrics you can change, price anchoring, desired future state, commanding a high price,  objections and getting the new business.

Welcome back to a doctor's perspective podcast and Minisode series, Episode 45. Today, this is the episode I was referring to in the past about the future about logos, handling objections kind of about given an artsy presentation. And I always say in the shows, listen, critically think and integrate.

So this one, you got to think a little bit more for yourself, I'm just going to present it kind of how they presented it. If you're a design team, maybe do logos, maybe do website overhauls, branding letterhead, you know, the whole nine. And so that's going to be a much more expensive project.

This is a guy that will charge 30,000 just for a logo when you go on Fiverr or some other place, and do it for like 299 designs, etc. So how can you do that? That is what we're gonna talk about some of the questions to ask some of the objections, things like that.

Before we jump in, and one of them, you know, I was interviewed on getting published podcast, I don't have the number all that yet. But if you're listening to this, hop on there, and you'll be able to find me, we'll start a quote from Brian egg or “what you read becomes what you know, when you practice what you know, you begin to grow. As you grow and share your knowledge you, in turn, contribute to the growth of others. When you share with enlightened those around you, you have exposed wisdom, the knowledge speaks wisdom leads.”

Okay, here we go. At some point, you've probably had a quick conversation with some company before you were able to present a proposal or just a basic coffee date before you are able to pitch them, okay, a fact-finding mission, you want to be extra attuned to words that they use to describe their brand, their history, and what they want to convey to their audience. By using the same words that they use, they're going to feel heard, it's going to help you make the deal, use a name for their avatar, whether they created one, if not, you create one. So that way, everyone's on the same page.

And you can reiterate that pain points a little bit better, Rachel data, data, data and bury data data data, you have both of those, because you might have a guy in a girl as your ideal client, and they might have a different profile avatar. And so you want to be able to find a way to communicate with both of them.

Alright, so we're done with logos, you might have a lot of ideas, you might have a lot of ad copy for your son MD clinic, you might have three pictures, you might have a lot of logo ideas, maybe like seven, all right, but you can't present seven, you got to present three sevens way too many options. The same thing, if you're going to do ad copy, you might have seven, narrowed down to three if you're trying to advertise your clinic, and

Ways to Present a Logo

you want to show them each one individually on a white background. And then after that to a side by side with a single color and a black background, you might have a full-color logo, you put that on a white background. And then the next slide would be a side by side with a single color like the black background with a white, or red or you know, someone colors, they can see Oh, this is what it would look like printed on black and white in a newspaper, on a hat on a T-shirt. And then the full color, this is what it looked like on your webpage. Somewhere in the slot in the presentation, you want to have a slide with all three pictures, logos, side by side, that's kinda what you want to end with. So it should only be about 15 slides, just kind of going through these are what we brought to you, etc.

Important Follow Up Questions

Now once that's done,

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Matthew Howe talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Bringing evidence back to massage, Matthew Howe of Touch Education gets back to the basics, then builds how to bridge the research to practice, fitting in with a chiropractic or physical therapy office and what can be done for PTSD and other trauma.

What started as a couple classes being taught at his massage alumni turned into an evidence based  or evidence informed massage seminar called Touch Education. He takes the research and teaches it but also how to make it applicable in practice and useable Monday morning. Matthew Howe has a passion for PTSD and is discovering ways to incorporate what he does to facilitate improvement in PTSD sufferers.

Part of his process is reading the peer reviewed journals that pertain to pain science, chiropractic and physical therapy so he can apply and integrate that into massage.

How does orthopedic vs medical vs sports performance massage differ?

What can massage but more importantly someone trained in touch education bring to the chiropractor or physical therapist office? What should the massage therapist look for in a job compared to the DC or DPT?

Do you want a 50 minute feel good massage “pushing oil around” or does the clinic want the focused 15 minute on the chief complaint type of muscle work?

What are some of the common business setups that you see with chiropractic and physical therapist offices? How do you set it up so it’s fair and profitable for both parties?

What does a fair interview process entail for a massage therapist?

How much does performance goals factor into a massage therapists treatment goals?

What is a sacral wedgy?  Sacro Wedgy Male Version and Sacro Wedgy Female Version

Part of his core tenant of the class is getting back to the basics… what does that look like for massage?

What can massage do to help someone recover from PTSD or other Trauma in their lives?

How do the parasympathetic nervous system factor into the healing for trauma?

Trauma informed therapy doesn’t make the person relive the trauma to get results, take a listen to hear why he supports that method.  The patient is able to be in their body without all the stress and physical burden from emotional events, however this isn’t fixed over night.

www.TouchEducation.com and social media is the same.

Books: Bruce Lipton- Biology of Belief, Pete Blaber - The Mission The Men and Me , Dr. Seuss - My Many Colored Days

Show notes can be found at https://adoctorsperspective.net/144 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 144 Touch education evidence informed massage. I’m your host, Dr. Justin Trosclair. Today, we’re Matthew pals perspective,

to 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Welcome back. Yes, you know if you’ve heard the episodes for a while, always plug a little something special for myself in the beginning. Today, if you just go to a doctor’s perspective, net slash links, Li NKS. You have everything you need there. Big series, Dennis series, the marketing series, the cash PT series. All those things are right there supporting the show with a cup of coffee, writing a review. All of those things are right there on that site when you pop up. So I encourage you to check it out. Sometimes there’s a lot of episodes like that.

144 you just don’t know where to go and you don’t want to scroll down to one or number 10. So this is a nice way to see a series, see what you like at it. read the synopsis from the PDF, listen to what you want. Now, families excited, we’re going back to New Zealand to the South Island, Queenstown stop off at Christ Church, see some, some hiking,

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Minisode 44 Answer Briefly

Just answer the question. Sometimes if you get long winded, it makes you look incompetent, hiding, dishonest and not close the deal. Be present with the person you are talking to.

You're tuned into the right podcast, Episode 44, minisode version of a doctor's perspective. It's good to have you back. Hey, I'm going to get interviewed in September on a podcast called get published. So I'm excited about that. From what I've heard, he kind of asked the same questions real short, 15-30 minutes the max and should be fun. I'm excited. Looking forward to it. whenever it comes out, I will let you know.

Something I must get better at brevity. And that is the topic of today's episode from the future. Episode Seven. So the premise, when you talk too much, you can talk yourself out of the sale, dig your hole deeper and just make yourself looking competent. Okay, have a great day. No, okay. Let's talk about it for a second.

A client asks your question, just answer the question. Sometimes that could just be a yes or no question. If you feel like you have to quantify the answer and give a three-part thing, and you should have just been able to say, Yes, we can do logos. Maybe you don't do logos. Maybe you outsource the logo, but do you do them? Yes, you do. we are saying Well, yeah, we could do it, you know, we outsource it to our team. And Deborah, we just talked yourself out of the big sale. So you don't want to do that.

So I think whenever we're talking all day for doctors' offices, you know, DJ angles, and maybe you don't treat a lot of angles. But maybe what they have is pretty common, the pretty standard of the type of ankle injury that you treat to you evaluate them, you didn't know that it was an Achilles, potential Achilles ruptures while you did your exam for you that you like, I've got to send you away. But if you set a whole bunch of that stuff ahead of time, well, not that great ankles or I only treat certain types of ankle injuries, blah, blah, blah. No, just talk to him. Do quick counsel on the phone. Okay, yes. Okay, come in, let's do the exam. And more than likely, you should be able to treat it, right. I mean, I feel confident ankles. I don't want to touch an Achilles tendon rupture. Oh, I don't think the patient respects the fact that if you would have spring, cool, we got lots of stuff we can do with that. killers rupture. Man. Thank you for sending me on my way. So all that to say a long answer. An

nd explanation can make you look dishonest, you're hiding or you're incompetent. Plus, you could be wasting people's time. They might have just wanted like a short couple sentences of an answer.

Can you do a website restructure? Again, it could be like, yeah, we can do that we've you know, we work with people that will find out all that you need to know what? Again, it's like, yeah, we can do that. We'll find out where you feel like your page is lacking. And then we can create a fix for that you don't have to go into I hire that out to my best friend from college, I pay him based on the fee that you pay me. Again, you can do the job you do well, even if it's outsourced a little bit, but like even like a doctor's office trying to find out what their pain point is.

Why are you coming in? Oh, you're tired of having headaches? Three nights a week? Okay. Yeah, that's probably what stopping you from enjoying your kids not able to watch the TV you want to watch. Maybe you want to read a book can't read either too blurry. That's a big deal. It's a good reason to go get treated. Again, kind of the same thing is present with the person that you're talking to try not to drag out the conversation and waste a lot of time. They may be someone if they're a CEO or someone in the high rank.

They might just be like, Can you fix it? Yes or no? Here are the basics of the meal. And the more you talk about all those things that I was saying, like dragging it out, and

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Dr. Colin Lathrop, DDS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

3d printing and advanced digital scanning for all your dental tooth needs. Custom fit, quicker chair time and happy patients. How a chiropractor and dentist can be a referral team and cross train your team members. Colin Lathrop DDS

According to Dr. Lathrop, the boredom of plan jane general dentistry got him to learn the more complicated and newest technology advances in dentistry. Not only does it pay better as well, but it gives the patients better outcomes and gives him more personal satisfaction.

When he does these long cases (invisalign followed by implants- a 1 year process) you have to communicate clear expectations to the patient.     

3d Printing Dentistry 

What is he 3d printing for dentistry? Surgical grafts, teeth implants, fake teeth etc. When you custom make them, you can fit 3 implants in 30 minutes instead of sending it off and altering, grinding it etc  in the patients month because you made the mold and printed exactly what that patients tooth needed.

Another example: patient grinds at night and wore out the teeth so they are flat and finds themselves with TMJ pain, neck pain and headaches. He can print them out what he would do permanently (a rubber matrix) and they can give those a test run. If the symptoms resolve, he knows it’s a good fit for a permanent option.

Referral Opportunity:

When he does the temporary fitting, he also recommends them see a chiropractor to make sure the neck alignment is accurate so you take care of the bite and the hypertonic ancillary muscles at the same time. If the neck muscles start to normalize then you know the bite is corrected and the dentist is on the right track.

Signs a chiropractor/ physical therapist can look for to distinguish a dental problem causing neck pain and headaches. The masseter and temporalis muscles are classically involved as well as visualizing the lower teeth and asking about sleep apnea.

The patient needs a reason to see a different dentist who practices like Dr. Colin and vice versa to visit a chiropractor when they came with tooth pain. (He gives a mock conversation for both scenarios.)

Your patient’s bite has huge implications on face and neck muscle tension.

What is a hidden benefit of having your teeth digitally scanned… hint: you might lose your teeth one day.

Take a listen to discover which printers he currently uses (3 of them).  

Follow him on YOUTUBE because he will have Tutorial Videos on 3D Printing topics for other dentists to learn and fine tune their technique.

No Dedicated Front Staff Team Member

Between staff turnover, lower cost, blackmail for more vacation or money and embezzlement risk: listen to a few reasons to not have dedicated front staff and cross train everyone instead.

What is Dr. Lathrop DDS reason to call his co-workers a TEAM?

His team are able to even take braces off, let the dentist do his procedure, and then put them back on so the patient doesn’t have to go twice to the orthodontist.

Hire for personality and train the skill.

www.lathropdentalcenter.com Katy, TX and is on Facebook

Show notes can be found at https://adoctorsperspective.net/143 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 143, 3d printing dentistry and chiropractic referrals. I’m your host Dr. Justin Trosclair and today we’re calling later ops perspective. 2017 is 2018 podcast awards nominees host as we get a behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Welcome back. I am pumped that you are tuned into a doctor’s perspective. I’ve been busy. I created some more quick reference guide PDFs. One of them is the marketing. It’s a six episodes, you can go to www.

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Minisode 43 Neuro Influence and Persuasion

Leveraging colors, fonts, packaging and more to neurological influence people to choose you and your products. Neuro-marketing. Where should a model be looking on ad? Who should use a heatmap?

Do you know what time it is? It's Minisode Episode 43 of a doctor's perspective, podcast.

Alright, today's episode, The is the science of social media, neuromarketing, Episode 115. Forgo, I wanted to let you know also been listening to a side hustle podcast, so I'll be talking about, later on, there was a great episode about like, options trading, I'm not even going to try to summarize that one. I don't know that's above my pay grade right there, that it was called side hustle show, that was good. And then somebody else turned me on to a podcast called choose FI, financial independence, really going?

The neurology of marketing is super important. It can conjure up certain emotions, you know, emotions are what sells more than logic. So your product designs your packaging, you got to have colors and style that can leverage your audience's feeling. All right, I can do that with colors. You can do it with a very simple brand. And I think radio says Apple, but there's more than just Apple, there's a lot of brands that just they're very basic there, Chris, there's a lot of news, a lot of white space to convey expensively, if you will, for that matter, you could have a brand like bubbly and happy in things like fruit loops, you know, just like obviously a setup for kids and fun.

And then you can think of something like, what's that place called White Black, they have a more fancy in the mall is got a more contemporary fancy logo and styling about it, that makes you think I'm going to spend some money to buy some clothes here, they did recommend a book called brain influence, you can check that out brain influence fonts, whether it's online or in your packaging a little bit more online is what we're talking about right now. and easy to read font makes you think it's more like a common task, which could be what you're going for. If you need more memory recall, you might have the more complex font, I was just checking out Episode 115 show notes.

Brainfluence 100 Ways to Persuade and Convince Consumers with Neuromarketing

And they have like a list of what those mean in a little more detail. But a complex font would have more swirls in it some more complicated font to read a little bit. And so it kind of stands out memory recall, already for the images, who said this before, it's a good thing to repeat…

if you're gonna have a person in the ad, you make sure they're looking at whatever it is you want the audience to look at. So they're looking out of the ad as not helping you. You want to be looking at the product. If you have a book, have them looking at the book, and they'll people will look directly their eyes, where their eyes going to the book, there it is a boom, or the coupon code 20% off. That's where they are as our awesome.

Of course, I'm smiling as well. It's a mood booster. So definitely have them smiling. And one thing they mentioned, I spent a good bit on. If you have an e-commerce site, or you're wondering where people are going on your site, when they're visiting, maybe not get enough phone calls. They're not using that live chat feature as much as you expected they would. You've got a whole bunch of articles, and you spent a lot of time on them. And you're like, man, are you people reading this, of course, writing articles is good for like SEO and Google. So that's a different viewpoint.

But if you want to know where people go on your site, and a previous episode, we talked about it actually, the three things that you need to have. It's called heat mapping. couple places like all crazy, AIG, Zoho ZOHOR, mouse flow, those are three sites, blue, they're all paid. But you can analyze your site to see what people are doing.

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Dr. Brady Smith, DDS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Charity work in your profession will help you feel fulfilled. We discuss a true dental franchise group that allows you to make a great living, being your own boss and have coverage on vacations. Brady Smith DDS  of Drilled Podcast.

Five years into real world dentistry with a company he loves, Comfort Dental, and he was genuinely not liking being a dentist. Doing a free dental makeover for a deserving person was the key to his turn around.

Drilled Podcast and Charity Work

We discuss charity cases and the impact on your community, your own psyche and frankly the goodwill it brings to your clinic. Dr. Smith encourages more dentists to find one person a quarter to transform their smile and transform their self-confidence. It gives him the drive to do more each day knowing he can help someone in the future.

Part of his podcast “Drilled” has comedians, dentists and non-dentists and he has a nomination process to pick the next full dental restoration case because word got out he does free work. Listen to see how you can be a part of such a fulfilling and radical movement.

Drilled Podcast Network is a nonprofit looking to help with the fulfillment of doing cases for free, even partnering with companies to get implant materials for free too. Contact Dr. Brady to join.

Each episode he says a secret word and gives away $500 worth of dental care.

Comfort Dental © Side

When your profession has a semi-reputation of doing things just for the money, how do you break down that barrier and build that trust factor?

He wants to be an office that breaks down barriers to care. How does that reflect in his payment policy?

Many people believe that if they lose or don’t have dental insurance then they just can’t go and /or afford it.

DSO or Corporate dentistry. Why the bad reputation and how does comfort dental buck that trend? Each location is individually owned and operated, much like a Taco Bell© or Starbucks©.

You aren’t fully autonomous (you can’t just buy equipment from unapproved vendors) and in comfort dental model, you don’t have a Non-Dentist Dictating treatment.

Why is it so important to not have a non dentist setting quota and goals for a dentist to hit each day?

Staff

The doctor only needs to be cordial, civil and competent. Staff on the other hand need to be friendly and helpful etc.

What are you looking for in staff when it’s so easy to see people fake it?

90 day policy on new hires, he explains the how and why.

Why does Dr Smith choose to do his OWN cleanings and not hire dental Hygienists?

How much overhead do you pay each month?

The more hours of productivity should equal more income to support your family. His overhead is 50% and they are open 7:30 – 7:30 six days a week… does he work that whole time? 

Run away from your overhead, have more hours, do more business, collects more money and now overhead goes down (besides just cutting expenses).

What’s a general figure for owning a piece of the comfort dental franchise and how to get funding even as a new graduate?

When you can make 2-3x the money as an owner, why would you choose to be an associate for longer than necessary?

Personal Side

Perk of having associates or franchise owners, especially throughout a city, is that you can have someone fill in for you easily during vacation weeks.

Would you move your successful practice and friends to another state so your spouse could be more happy?

www.Drilledpod.com   drilledpodcast on IG as well as the charity announcement  and a youtube channel.

Show notes can be found at https://adoctorsperspective.net/142 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 142 charity work in franchise dentistry.

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Minisode 42 Reverse Testimonials

Reverse Testimonials as in you tried massage but you still hurt, justify their failures not working, mention the usual roadblocks, and end with a What If statement.

What's up? Episode 42  on the minisodes for a doctor's perspective podcast, you got Dr. Justin Trosclair coming at you. Today we're going to talk about ChiroFunnels Episode 211 problem discovery solution.

All right, let's get in probably a short episode today. So this is the framework when you're doing a video, you could have a problem discovering things you've tried in the past, and then a solution to give them a schedule. All right, and they said, and pins punching holes in the negative was that its a permanent condition, like a reverse testimonial. So reverse testimonial. What is that? That would be the person that says something like, I've tried massage. That didn't work. I tried physical therapy. I got some relief but comes back. I don't even try a cop right down the street. And I still hurt. Yeah, yeah, yeah, I did all those things. And we set it up that way.

Because the crowd, you're going to be pushing this ad to be like laser-focused. So you're going to be if you're doing low back pain, it's going to be showing to people with low back pain, how much you discover who are having low back pain, you can look at Men's Fitness runners, maybe you can actually target somebody in your area that's popular, has a hospital pain clinic, at least with Google, you can target those keywords or what they're searching city or the peanut group, you can actually target that. So whenever they come up, you show up first in the ad for Facebook, trying to find more things that might be of interest to the community where they call us like low back pain or be a local CrossFit gym, you know, something like that.

Alright, the next piece after you have done the new try this and it didn't work is to help them know that Hey, man, you're not alone, to help them validate their feelings like yeah, it's not a rare exception. A lot of people have going to say massage and haven't gotten the results that they wanted. Oh, good. I thought I was the only one like no, no, then you got to justify their failures a little bit. It's not your fault that these vehicles didn't work, you were ever stressed. He just went to the wrong person, they didn't have the cutting edge technology that you have. They don't have the techniques that you have, you know, in your office, or you have a complicated case, you want to use three of those to find three, be ethical, of course, be honest. And if you can use three, it should cover most or all of the roadblocks that they would have wanted to schedule an appointment.

Okay. And then you want to close it with a what-if statement? What if two weeks getting cold laser and my amazing adjustments or spinal manipulation, get you the results that you're looking for so that you can sit at work for four hours. So you can sit and watch your kids boring baseball game? Because baseball is boring, not your kid. Okay, video again.

Recap: What's the problem that they're having? What is the condition that you're advertising for? user reverse testimonial, as in things that they probably tried and didn't work? So you got to use your brain on that one. Make sure your audience is laser target so that they'll say yes, when they hear those things, justify their failures. It helps them feel validated again. And of course, don't forget that what if statement, all right, you mean these videos, you can do this for sales pages, and all that type of jazz.

That's the framework before we jump in, check out www.adoctorsperspective.net/links , anything and everything you want to know about the show is there past series that we've done, ways to give back, how to give a review, how to share it, swag, the books, etc.

I hope this has been helpful a little bit. Check out that episode. I didn't do it as much service as an actual one.

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Dr. Christopher Phelps, DMD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Dental membership practice details to implement, top 3 Cialdini influencer methods detailed (like me, consistency, commitment), coaching and marketing secrets by Dr. Christopher Phelps DMD. Influence is important and requires a team approach.

Dr. Chris is the only dentist with the Cialdini Method Certified Trainer (CMCT) distinction. What’s great about this method is that he was able to customize it and relate it for dentists. No one wants to recreate the wheel and if you can skip the mistakes of others, well then he did his job.

How do you persuade or influence a patient to want what you are offering (by their own intent) because we already know they need it (people usually only buy what they want).

Like Me Principle

One of the most overlooked principles is the “Like Me” principle.

It’s not only rapport but patients like to do business with people they Like but also have similarities to

.Find one thing in common before you start talking about dentistry and what’s wrong with them.

Consistency Principle

This is the second most overlooked principle: being Consistent.

Consistency starts with commitments. Small commitments / agreements build on each other and can lead to a yes to avoid the in congruence that would have been built.

He learned after selling two of his best clinics and taking over two of his least performing, the importance of real commitments. Patients not showing up, not giving reviews, not paying their bills, staff slacking and more were all the telltale signs that whatever verbal yes they said, was not a real commitment.

Levels of Commitment

Verbal (lowest)

Write it Down

Put Money On It

Public Knowledge of your Commitment (most)

When are the best times to build rapport and build the level of commitments? Is it all on you and how does staff play a role?

Marketing

Of all the types of marketing, he prefers grassroots methods. Why the bias and what does he classify as grassroots methods? Dr. Phelps also mentions making sure staff is trained to handle marketing efforts- listen to learn how. 

We do go over his ideas for facebook marketing as well. Hint: Dr. Chris details how to use social proof to differentiate yourself on ads so you stop competing on price alone.  It’s amazing how testimonials accomplish so much in getting people to call you and not your competition.

Membership Practice (Fee for Service)

The aging population is growing like wildfires in California. How do you engage with this group to have them actually make and show up to appointments. They typically went from a making money mentality to a scarcity mentality once they started living on their finite lifetime savings. How do we combat that “expense based” outlook, especially when they no longer have dental insurance to help cover the expense.  This revelation was the catalyst for him to write a book on Membership Practices.

Dr. Phelps is a fee for service practice and discusses aspects of the membership practice method and how that can be implemented into your office.

How to estimate what price to charge and benefits to offer?

Wherever the patients focus is, is how they make a purchasing decision. You have to remember if you do the steps he talks about, price doesn’t have to be the determining factor for the majority of your patients.

Dental Coaching

His seminars will help you communicate. How to present the care you were already going to recommend in a way that takes it from a need to a want so more patients will say yes as well as presenting the fee so they will actually make the appointment and pay.

You should really have a buffer day to think and manage staff issues, ordering supplies, marketing etc. Do this and all of a sudden your time away from work can be spent focused more on family and friends. Also, when at home, keep the phone in your pocket and give the pers...

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Minisode 41 You Looking to Expand With a Gym?

Why separate the gym from your clinic for more than just money reasons? What to ask a chiropractor or athletic trainer if one or the other will work in their office. The questions are important.

Here's your host, Dr. Justin Trosclair. a doctor's perspective, Minisode Episode 41. Well, if you're not following me on social media, then you miss my birthday. I know, I'm hurt. But don't worry, you can still send me a message late. Or if you want to bother- buy the host a cup of coffee, https://adoctorsperspective.net/support. If you didn't know, these shows are free to you, but then not for me beyond the amount of time it takes to do all this stuff. There are hard costs.

If you get a benefit from the show, marketing, practice management relationship tip, a travel tip, by all means, please go to that site. There's a bunch of different options from $4.95 for a cup of coffee to my goodness, this is amazing. I want to give you money every month, give me some freak swag and books. And I'll say thank you so much that way. All right. Enough of that. But for real, I'm 37 now.

This episode is masters of fitness business as Josh Satterlee. I've had him on the show. It'll be in the show notes. But I like what he was saying. So I listened to a couple of different episodes of his don't think this might be the last one about that type of topic directly with him won't be the last time I probably talk about a clinic gym hybrid system in these Minisode just because they have so much to offer. All right, let's do it.

He had high overhead at 13 employees. He goes it was doable. But you had to have a manager to do it. All those personalities. And he and the host were going back like yes, the overhead staff is your biggest expense. You gotta manage this money we have too many people are just people that aren't efficient. So is there a way to like replace them? Yeah.

Alright, so he trains several personal trainers or athletic trainers with the SF Ma and really get their skills up so much that people thought maybe they're a chiropractor as well, which is kind of good, because it frees up the doctor to do more complicated cases and the things that we can only charge for the adjustments. And so you can have somebody when you first started in the office doing the rehab for you, you know, with Dr. Notes, compliance with HIPAA and all that kind of stuff, it was still for you. Like if they're that good at whatever it is that you're teaching.

It may not be SF Ma, you might be DNS, you might be McKinsey, whatever it is basic floor exercises with balls and bands, whatever it is that you're comfortable with and teaching, and they're good at doing. That's what they can do for you. You know, that way, you don't have to do it, there's a code for that. But what we're looking at doing is jumping into a group class.

Now, these are outside of your clinic, that way, the liability and the paperwork is less. Now you have a different contract, you have a lot of like a gym contract with that and explicitly start saying stuff like, you're not a chiropractic patient right now, this is a gym, it might be in our building, but it's separate is different. And that reduces your liability, no notes, no HIPAA, those types of things. And of course, you get the revenue stream, which is nice.

Now, think about this, offering a gym membership group classes, if you will, is a natural progression, because you got we got your spine moving better, that's shutting off pain receptors, everything's communicating, like it needs to move in joints, healthy joint, we got to stabilize, and we strengthened it. And then office exercises and mile fashion release techniques.

Now, what are you going to just send him to the gym? Because what they found was similar people at a gym they're doing dealing with some trainers that may not or may not be the most familiar with back pain recovery protocols,

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Dr. Sonny Spera, DDS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Patient experience begins with communicating in a way they understand but also discussing all the dental options. We discuss pH acidity, the trouble with direct to consumer braces and TMJ treatment. Dr. Sonny Spera, DDS doesn’t hold back.

Dr. Sonny Spera  had so many people tell him to not be a dentist growing up, why was that? How a strong support system helped him stay the course and become who he is today? He has a fun backstory of coaching basketball at Buffalo while attending dental school.

Why can endo (root canals) be so difficult?  Can a root canal cause cancer later in life? Where did that thought pattern come from?

Customer Satisfaction

Try to understand the patient history and where they are coming from in regards to past dental experiences as well as any barriers they may have to starting care.

How important is it to understand personality types (DISC for example) with not only your staff but with patients? Dr. Spera gives a few examples of how if you adapt the way you communicate with different personality types, you can get better compliance.

pH Balanced

What does pH have to do with your teeth health? How can we improve it to the optimal pH?

Any benefit to drinking “smart” water over tap or bottling companies that sell filter tap?

What are the biggest offenders that create the acidic environment that can cause bacteria to thrive and create cavities?  (hint: soda, acidic water, sugary and carb loaded foods)

Did you know only 20% or less actually floss at all.

Did you know that marathoners, cyclists, or triathletes tend to have poorer dental health because of all the sweet energy drinks they consume training.

Xylitol – what is it and how does it help alter the pH in your mouth to stop the bacteria.

Patient Experience

You have to have build a connection.  You need to care about their oral health and ask questions about pH, does your jaw click or pop, does their bite line up, are you grinding at night and do you suffer from sleep apnea.

Give patients the options to fix their oral health concerns. Don’t judge them by what they wear.

Roughly 10% of patients are audio learners (especially when in pain), think of ways to show them visually what’s wrong and how to fix the problem.

Dentures are a solution but the nutritional intake drops 50-75% so you want to offer solutions before it gets to that point.

Braces with No Dentist?

There are several companies, SCD, that seem to be circumventing a dentist and offering braces after a scan and/or molds are performed of your teeth.  They are going straight to consumer, sort of how pharmaceuticals direct market to patients to ask your doctor.  Are dentists upset because of turf wars, laws being broken or potential poor outcomes even really bad consequences because of bad orthodontics?  Invisalign is also getting into this market and potentially pricing some doctors to not offer it or don’t provide the support or makes even more liability fall on the doctors even if they do things by the manual.

How good is the education about orthodontics?

TMJ

Certain cases of TMJ are remedied fairly easily with a mouth guard (NTI). Dr. Spera goes into more details about how this can relax the masseter muscle, improve sleep, stop headaches and preserve the teeth.

Relationship advice: make time for your spouse. Never forget why you choose each other and don’t let the kids rule your relationship. Take vacation for longer than a week so you can truly enjoy your time away but have a doctor to fill in for you so you don’t lose all that practice revenue.

Books: James Patterson Michael Crichton

www.progressiveny.com  sonnyspera@gmail.com 6076242962

Show notes can be found at https://adoctorsperspective.net/140 here you can also find links to things mentioned and the full transcript.

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Minisode 40 Opioid Management 360

Patient education on post surgical expectations of pain, living with low grade pain, 30 day treatment cycles with 4 different specialties are all aspects of how to reduce the opioid crisis.

Dr. Justin coming at you with the Minisode version of a doctor's perspective, Episode 40. More moving right along. If you're curious, not every episode of every podcast I listened to, I'm going to summarize like, I've listened to a few as I man, this isn't, I don't have much to say about this, or I thought about like one episode, one series I listen to they're only like 10 minutes apiece, as well. I guess I could listen to four or five of them and then make one episode out of that. I just haven't done it.

As always, if you have an episode of a show that you like, let me know I've had a few people reply Hey jury, check out this podcast like someone recommended the Choose financial independence. So I downloaded six episodes, and you'll probably hear a little bit of some of those, you know, at some point, I'm a fan of being frugal paying off debt living within your means.

I'm a geo arbitrage type of person. That means you make our wages, but live in a cheap country or your lease, you lower you're you live in an area where your cost of living is lower. I hadn't heard that term before. But it's like yeah, that's me, is a great, who cares if you make $200,000 if you only save 1% of it.

Okay, but today's episode, if you have any thoughts on that, send me a direct message. You can get my email mailto:Justin@adoctorsperspective.net . If you have any concerns, need any help creating a budget, get your health in order, practice management, marketing, all that kind of stuff, obviously get a lot of free stuff on a podcast, but if you need to go deeper in your one on one level seven email, I will definitely help you with it.

Today’s episode is the move forward PT, opioids. Yeah, opioids. 2.4 million people are misusing them. 131 people die per day, I'm gonna repeat that 131 people died per day on opioids. This is the first time in the last decade, not the decade, 30 or 40 years, probably the life expectancy has dropped by two years. Two years. So that's not good.

They did a panel they had, they had influential people in PT government officials. And then a couple of patients who, you know, patients, family victims of people who've died from opioids, and they were just didn't even see it come in, like normal person went in for surgery, got addicted to the painkillers and life spiral down. And now, I don't know if I just hadn't read the research or what it is.

But it's interesting, like some of these people, it's not like they were drug abusers to begin with, or alcoholics or whatever, but somehow they get on this drug. And I don't know if it just ease the pain of life that they weren't talking about, or was just really was just this chemical thing that happened in their brain and just like, Whoa, this is a great feeling or like, no, it doesn't feel great, but then I just mess with me so much like, I can't get off of it like now that pain increases, you know, like they would draw thing. But anyway, they said the pain that these people are going through is real.

The pain is real, just why they're on it. And it's hard to get off of it because they still have pain, like the withdrawal symptoms.

So one of the things that patients kind of complaint about is they didn't know the procedure for post-surgery care. They didn't know what to expect from the surgery. Like as far as pain goes, and pain management, you know, you've got five or six different doctors running in and out of there, whose responsibility was it to talk about that? And they're saying that's what's missing? Because they don't know, I should only take this like two or three days? Should I expect six weeks of pain? What about physical therapy? I got my knee replaced mean, should I take this for the pain of like rehab?

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Minisode 39 IG Worthy Office Sign Snaps

Hear how having an interior cool office sign can increase your organic local hashtag traffic and engagement. Also I cover tactics from a dentist who has 100K followers, like posting to your avator and local hashtags.

Hello again and welcome to the minisode version of a doctor's perspective, Episode 39. You know, I always gotta plug something we're gearing up when this comes out, we should be in the middle of dental care. I've had a few dentists on here in there. But since we did a podiatry series, financial series, acupuncture, cash based physical therapy, all women, all African American series is on this podcast. I'm like, Oh, it's time for the dentist one. Enjoy that we're going to cover lots of different areas. And speaking of dentists, that is the theme of today, it was the FFS fee for service dental podcast, I'm trying to get him on the show. Come on Dr. Byrns, but he interviewed Deseret  on Instagram.

She has a web page http://www.howtogrowthegram.com . And she has grown a massive following on Instagram, like over six figures. And she gets back to 40 to 50 new patients, people fly in from all over the world, especially the US to go and see her. Now she does focus more on cosmetic dentistry.

Always, man, it seems like these before and after places tend to do well. So if there's a way to do that for yourself with that practice you have, if it's physical therapy, anybody walking in and Tajik show and walking straight, they couldn't lean over. Now they're leaning over stuff like that.

She has a course on this, she's actually kind of smart with the marketing because I went to the page, I was like, I'll see what they have. And the only thing you do is sign up for when it launches. So that's a great marketing tool. It's not always open, you have it closed from sometimes you got to get people's emails, and then boom, we're opening it up, once a quarter, rah-rah, rah, and you get all these email addresses to upsell later. So that's a good marketing idea.

All right, here are some of her key points. When you're first starting, or if you're trying to revamp your page to be more professional and work for UA remember, it's going to take time, but to focus on like education. So you might throw up a cool picture, and then discuss what that is, you know, it's Thoracic Outlet Syndrome, I might put up a diagram and talk about it now are a lot of people gonna be interested in that. Maybe not. But it builds something. You know, if you're in Dennis, you might show what a cavity looks like, this is what a crown looks like, this is what an implant looks like. And just kind of start putting some of those pictures up there trying to establish yourself as Hey, I'm a credible source. I know what's going on. I'm educated.

And then while you're doing that, throw in some personal pics, especially if you have hobbies or animals outside a guy one time goes, do animals kill it triple the engagement than usual? Maybe that's why I put my baby photos other than just being a proud daddy. And I love it. But just to say those things make you more personable, making more of a human more relatable. And really, that's what people want to see sometimes.

Of course, they love before and after photos. And they also like surgery stuff. You know, working in a hospital off, put some post up, I'm blown away like their gory pictures. And people just love them. Love them. put up a podcast episode. They're like, Well, yeah, okay, I like it. You put those pictures blows up crazy.

And she commented, look, find inspiration from other people in your profession aren't outside your profession, like the rehab guys. Wow, their page is impressive. And I wish I remembered the person's name. And he'd come in, he's like, Hey, I like your page. So check out his page. And he's a doctor. It was great to like everything was lined up nicely on the left side look like this, the right side looks like this.

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Dr. James Kelley, MD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Learn about the 5 day fast mimicking diet, prolon by L-nutra. Clinically shown to act like a water fast but you eat and still get apoptosis, autophagy, stem cell rejuvenation and reduces IGF-1, mTOR and improves cholesterol while losing visceral fat.

L-nutra with their signature product Prolon 5 day fast mimicking diet food box is going to be thoroughly dissected today on the podcast. It’s based off of Dr. Valter Longo research and book The Longevity Diet. L-nutra / prolon has received around 50 million dollars of federal research money to make sure the food in the prolon box tricks your body into thinking it’s fasting yet your are eating.

Prolonging longevity aka Prolon.

Trick  your body into thinking it is in a fasting state. (Eating really helps with compliance for 5 days while your body does apoptosis , autophagy and going into a ketosis state.)

After 5 days this diet leads to Stem Cell Stimulation and Rejuvenation.

If your body never lacks calories, it never has that primal need to destroy the bad tissues in your body which ends up causing poor cell replication etc and diseases eventually show up.

Apoptosis and autophagy takes between 48-96 hours to kick in on a fast (roughly day 3-4). Day 5 is when stem cell enter the blood stream.

The problem is that compliance on a water only fast usually ends on day 2 and if you can make 5 days, the body will eat a lot of your lean muscle mass. Prolon remedies both of these issues with its specially formulated food and glycerol drink.

Why should you not try to mimic the prolon food plan? It’s very difficult to do.

Glycemic Index + Types of Food + <10% protein, 35 % Carbs, 5% Sugar, 50% Healthy Fats + 800 Calories day 2-5 + Full Serving of Fiber + Ghost Carbons (glycerin is one – it drives glycerin into the Krebb’s Cycle for energy and only used if in starvation mode)

If You do try to play test kitchen at your home and you do the blood work after and you notice not much changed, consider it’s because you failed and not that fast mimicking diet failed.

There are actually 14 soups that they did the federal research on, but only half are released in the boxes so far.

Ketosis

By day 3 you will be in ketosis about 1.5-1.8 mmol per decaliter.  You will lose visceral fat, lose weight in general but more importantly it cleans up the damaged cells.  IGF-1 raises from eating protein (which helps muscle growth) (also in ketosis based diets typically the protein intake is to high) and this diet helps reduce/inhibit the IGF by having very little animal protein for 5 days and that gets the cells to cleanup (autophagy).

Ketosis alone will not cause the cellular autophagy.

Why the headache on day 2?

Caffeine withdrawal (PKA reduction is one of our goals),  mTOR (reduced by reducing sugars), and IGF-1 (also lowered in this 5 day fast mimicking diet).  Listen for the other 2 reasons.

No MCT oil, No supplements, No ketone salts during the 5 day FMD.

Stem Cells

How is it that certain organs actually shrink over 5 days yet their functional output stays the same, and why does that matter?

During the FMD the stem cells increase by 800% but after the diet they go back quickly to normal levels. The organs do get back to the normal size so its thought they migrate and regenerate the organs.

What should we eat on day 6 and why are soups recommended and Mediterranean diet in general.

If you slow the Aging of the body, you can Reduce the chronic aging illness like (cancer, heart diseases etc) and therefore live longer and healthier lives (at least in mice). Listen to figure out the how, what, why.

Medications

If you patients are on diabetes medications they should not do the fast mimicking prolon diet. It could create a blood sugar issue and I and the company don’t want the liability of someone going

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Minisode 38 Intrinsic Motivation or Power of Positive Thinking

Building a healthy dose of self worth and growing in your knowledge and presentation is going to build the value that will land you the sales you desire. Listen to learn what that means and how to get it.

a doctor's perspective podcast Minisode number 38. This one's going to review Noah Kagan's podcast with million dollars consulting Alan Weiss. Before we jump in July was the podcast Awards Nomination, I'm sure hoping I made it. For those of you who nominated us, I appreciate it. What a great feeling to just be nominated. But maybe we can win. We'll find out next month.

All right, this guy is gonna be like a kick in the pants to bootstrap yourself. Okay. All right. power of positive thinking he thinks is bunk. Yeah, great. You're positive. All right.

But is your motivation intrinsic? That is going to be the key. What makes you motivated on the inside? You got to have these pragmatic skills to boost self-esteem. So what's the difference between self worth and self-efficacy? Because remember, you are who you are. Regardless if you make a big sale or a Big fail, your self worth is not tied to that. Okay? through your day in the morning, in the afternoon before you start your shift, think of those good things about yourself. You know, even if you made up, you lost the big sale, what you learn from it, right? Did you get the meeting? What are you good at? What are you thankful for? And kind of keeping those in mind when you're doing say, consults, can you do with more marketing? Or do you do with more quality content? So like trying to promote your name out there?

You got to do both. But if you can put out good content, that people are like, Yes, I want to share this, that's gonna go a long way with like organic reach, and then marketing. One of the thing this guy, you know, he's like, I'm not born rich, you know, but what he could do as he could critically think about things and use appropriate language and learn grammar is not like trying to be better than everybody else, in a sense of like nose in the air snooty about it is like,

Look, I'm trying to land these clients that make millions and hundreds of millions of dollars, you might be shooting for less than that. But just to say, this is like, I have to speak with the language that they're accustomed to the jargon that they use, right I need to use the proper English and I need people to critically think because they're coming to me with their problem, they saw my content, they saw my marketing, and they need to know that I can help them.

And they may not even know what their problem is. So I gotta like, analyze and go deeper than what they're saying, like this is the underlying issue and help them to see that you got to charge by your value, not by the hour.

Now, that's hard for doctors, some of the doctors get a bad rap because like, well, I'll charge 100 bucks for a month, you know, the news is normally like $45 per visit, how many times you can see this person, and they're switching the game. They're not saying I'm not getting charged by the minute, I don't get charged for I'm charging by the value. You know, it's 1200 worth it so that you can play tennis three times a week again, for some people it is absolute, you know, some people will be able to afford it. And then and those people you do like, yeah, that's okay. They're fine with that. Not everybody can afford the best treatment out there. You know, that's the mentality that some doctors have.

Some businesses have the future had an episode not too long ago, and I want to do an in-depth episode. haven't done it yet. But that's one of the things that they do. They do. Like logo design, packaging, all that and he's charged almost $30,000 to create a logo. It's not taking me 300 hours to do that. And he also you mentioned, people get mad about revisions, the logo process.

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Minisode 37 Patients Want These Things On Your Website

Patients want a small number of options on your website: like online scheduling. What can we do to optimize our sites and in the office for their satisfaction while also getting more new patients? Tons of tips on this episode.

Minisode Episode 37 we got a lot to talk about the doctor marketing tips podcast, a patient experience before we jump in.

But a couple of months ago now six weeks all about feet from musculoskeletal to having a heart condition and multiple clinics to converting over to a practice management style. So lots of good information there https://adoctorsperspective.net/podiatry, get yourself a quick reference guide. Okay, let's jump in.

Oh, you learned something today, says the host. Alright, so some of its gonna be a little bit of a run, run through a checklist type of situation. And then I'll just elaborate on things if they need to, are

You gotta have a responsive doctor website, the mobile-first design, if you don't, you gotta switch Squarespace. WordPress, those are going to help out get a good theme. You know, the theme I have for the podcast, I guess you have to update it, they stopped doing updates, and that's no good. So kind of dreading the have to switch it over. But I'm gonna do second-line themes. A really good layout. And that one of the people that helped me for free from his podcast on how the podcast he switched over to them as the Oh, that social proof right there.

Okay. Anyway, so Bedford with Squarespace is a common theme that people like to use, by the way. And then, of course, John Morrison, he was on the podcast, Episode 125, he has his style doctor website, which is easy to use, especially like story branding, you got to have a button for appointments on your webpage. There's lots of programs out there that can do it, interview Chiro8000, there'll be out Episode 134. And they're coming up with something like that they have a lot of things going for him, but that is in the works. So it'll be an update.

So anyway, find a way to get appointments, be booked online videos, you know, we say, hey, you should do videos on Facebook, you should do videos on YouTube. And you should put those videos from YouTube on your doctor website, then you got to have captions. Look, I use otter.ai . All you gotta do is upload your audio or upload your video to their site, they'll automatically transcribe it, you can fix it up if you don't like the way it turned out. And then you can put that as a caption for those videos. And that's gonna be huge, because, man, what was the stat like 87%, don't even turn the volume on or 74% of the people on Facebook never turn the volume on these videos. That's kind of wild.

All right, on your page, the top three things pages, look for the ready. Physician info, location, schedule. So of course, they want to know what are you open, where's your location, cool, they want to meet the doctor. That's a huge page. So you want to make it more personable, and kind of telling a story. The storied brand has a good view of that. Don't have it with me. But it's not just, Hey, I went to LS you in Texas chiropractic, and I've been in business for 12 years. And I like pets, and I have a wife and a kid, you know, they want more of like a make them connect to you. What's that emotional, I had x y&z issue and got better, or maybe inadvertent patient testimonial of like this has happened, they got better. And this is why I do what I do. because of people like that. And the results, okay? Again, you don't have a telephone-based appointment, you want to be able to like just click a button, and then your phone number dials, okay. Being aware of your font size, you know, anything too big or too small. A lot of people have these, you know, white background with like this light, great, it looks great but could be hard to read. So if your base is kind of older people, you want more contrast. So be wary of that.

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Dr. Jen Faber, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Low overhead, no insurance, cash pay, more time with patients and higher fees are reasons to switch to house call chiropractic. Dr. Jen Faber had a successful HC practice and now consults with others to gain the same. Plus we chat travel and novelty.

Why did she quit the traditional high volume practice, transition into house call chiropractic, switch into consulting and sell all she owns so she can travel for 18 months abroad?

Have you ever had a patient ask, can you come to my house to deliver treatment? She had a fully booked schedule 4 days a week, working mostly mornings, six figure income as a house call doctor. People said she was crazy and it can’t work, but she carved two niches and made it work, she even had a waiting list.

After many friends and other colleagues started asking her “how did you do it” type of questions, she moved to another city and began consulting full time. Help more people by helping more doctors have the practice of their dreams.

How do you want to spend your time as a doctor and personally? How should we practice, what type of practice are we allowed to have and finding your authentic calling?

Burned out, long hours, high stress, high pressure, low pay, high overhead and minimal time with patients are all reasons to consider the house call chiropractic practice.

Our default when working for ourselves or at least what gurus say is to Grind and Hustle and work 80 hours a week. She found that at first she did have to put a lot of hours but was honest and said working from home did take some getting used to, as to not waste time doing other things.

She has a good explanation why she created modules over an 8 week time span.

Dr. Jen mentions several times you have to look at what you want from your practice, not what’s normal, conventional, what your peers are doing etc but what is it that gets you energized and build your house call practice around that.

The more you compromise, the quicker you will burn out.

Think about what you want, the type of patients, the hours, the fees, the schedule and your voice.

Why does Dr. Faber say the VIBE of the patient is what you want to attract with marketing?

Sometimes we have to start with What Do We Hate or Don’t Want in a Practice.

CHALLENGE: What  to do with a business card aka don’t give one out for 2 weeks, what?

Help the patient connect with what their pain is (not just back pain but can’t swim). If you are going to give a health talk, discuss a topic THEY will CARE ABOUT, don’t make it about chiropractic.

Low overhead, no insurance, cash pay, more time with patients and higher fees … is it really all rainbows?

If you aren’t happy with the situation you are in, what do you have to lose to change? Particularly if you have been unsatisfied for 10-15 years and you still have another 15 before you can retire, why not be enjoy your work again?

Dr. Jen Faber discusses her plan to immerse herself in the world for 18 months starting her trip in Australia, New Zealand, South-East Asia and finally Europe countries (October 2019).

Be free sometimes in life, don’t be weighed down by possessions and other people’s opinion and your own mental blocks. Take  a risk and try new things. Where you are terrified, is when the transformation happens.

Relationship with significant other:

Never take for granted how good you have it with someone.  Find similarities in thought and activities that you can share together, even if that means you sacrifice at first to make the other happy.  Another tip: at night they acknowledge each other for they did during the day (it can be what they did/accomplished for themselves, the other person etc). Lastly, choose novelty in your life. Even if that means driving 10 minutes to walk a new neighborhood, eat at a different restaurant , try a new coffee shop or take a vacation and do

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Minisode 36 Live Event Planning

How to host a live event or small mastermind retreat, schedule and format, and how to make it a bonus from a high ticket item or up sell it from a stage.

Minisode 36 knows Dr. Justin Trosclair. This is a doctor's perspective. If you missed it a couple of weeks ago, the financial series was wrapped up, you can get a PDF reference guide at www.adoctorsperspective.NET/financialseries . So check that out if that interests you.

But today, this episode is about the Sigrun show, Episode 246 creating a live event. There's a lot of doctors that put these on. There's a lot of personal brand people that put this kind of events on whether they're mastermind groups, or if you think like Russell Brunson Click Funnels, if you think it was born, you know, Tony Robbins, even they have all these inner circles, you know, and so we'll get into the inner circle piece.

But first, when you're looking at these events, a hotel, big hotel, today's in cost 10,000, and cost $50,000. So we're done a lot of money. And so what she recommended is maybe you can do like a one to start as a one-day mastermind group retreat at your house, maybe some kind of retreat area, that's more affordable. And eventually, you can transition into like a live event at one of these hotels.

Now, the way she did it was she has a signature product that was expensive now was expensive. It could have been six grand could have been 25,000 just depends on you know what your product is. And if you're going to offer something that is five or 10,000, you maybe you would want to have a getaway, but she had a caveat, you bought it. But if you paid upfront, then you can be a part of it.

If you had to divvy out the payments over a few months, then you didn't get it. And she was like 80% paid upfront when they offered this as a bonus is like one on one other like-minded individuals. So big deal.

When we talk about the day of the event, you want to do 90-minute increments, you want to have two major sessions like that in the morning, and in the afternoon, with a nice one hour lunch, and then a 30-minute break in between each session that way people can network. Now for her, she thought it was important to have a networking session like I just mentioned. Or it could be like the 90 minutes of networking and how to do that better inspiration, working and sharing. And you can kind of figure that out for yourself.

What are we talking about for your business for your niche for your people, as she did about two events, she decided that she wasn't open up to other people, and they just can pay to come. And again, it's tied into the expensive program. Now with nice, she said wasn't whenever she did the mastermind, you know, she was one of the speakers, of course, and she's passionate, she's talking about it. And this was just like an event. So it wasn't a mastermind group. It was just an event at this point. So she was like talking about it and like the results that some of her clients have had with the mastermind group and why it is awesome and what you should create your own as well. And then she had like a ton of people sign up for that. And she was like kind of blown away that many people would jump on it.

So my question is, do you have a tribe? Do you have a following? Do you have those diehard fans that would want to pay you money to go on even like that a one day retreat or two-day retreat, you will fly in and just live from you? Can you create the material that can last that much? And like if you do have breakout sessions, that's kind of nice, because you just got to facilitate these groups. There is planning involved with that, but doable.

There are lots of resources as lots of gurus out there, if you will, who have done it themselves. So it's doable. And like if you think about like a practice me up marketing or kind of marketing, you break those up in the funnel videos, different Facebook, Instagram, all that Google,

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Dr. Patrick Isaacs, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

House call chiropractic is a great way to achieve time freedom. We discuss the advantages, potential liability, working in a gym, types of equipment, and Patrick Isaacs DC second passion, campus ministry.

Dr. Isaacs has been a chiropractor for 3 years and recently moved back to his home town to start his own mobile / at home / house call business. He and his wife also felt something was missing in their life and is now  a college campus minister.

We discuss how he divides his week between chiropractic, college ministry and being a father to a toddler.

When you have 2 jobs and you could have just worked a limited schedule at a brick and mortar office, why take the road less traveled with house calls?

Not much competition with house call chiropractic, convenient for the patient – no traffic when you don’t leave your house.

Everyone does not get the concept of the doctor traveling to you.

How much liability does a business carry by having the chiropractor come to their office and treat employees? (on site care)

Dr. Patrick has carved a niche in a local crossfit. We explore his setup, exam, treatment options, payment and what he does for those who need more than just a tune up.

Usually patients come to an office 2-3 times per week for 2 weeks when they need chiropractic spinal manipulation. What does a treatment plan look like for house call chiropractor?

Should you discount multiple people at the same house? Do kids get a discount?

Sectioning off certain areas of the city for certain days is a must for house call to maximize your time.

Should you / can you wear a body cam to stop false misconduct allegations or what other way can you set yourself up to not get an ethical dilemmas?  He has a good answer because he doesn’t treat women if they are alone.

Different marketing ideas: fb ads, magnets, word of mouth

Relationship:  Work hard for 12 weeks then take a week off. That gives you a solid 4 weeks off per year. Do the things you know show her love and keep her the highest priority (after God of course). Raise your flag early, but not often.

BOOK: Love and Respect Five Love Languages Mere Christianity CS Lewis

Victory Chiropractic on social media

Show notes can be found at https://adoctorsperspective.net/137 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 137 time freedom with house call chiropractor we host Justin Trosclair. And today we’re Dr. Patrick Isaac’s perspective. During 2017 and 2018 podcast Awards Nominated host as we get a behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective. Before we jump in today, I want you to know the dentist series is coming together. I got a ton of interviews lined up editing, making graphics, we ready to go really excited to have a concentrated effort on that. Also finished up my third week long series of the pro loan, el Neutra fast mimicking diet protocol, it definitely got easier each time, I’ll get the blood work for you soon as I can let you know how it how it worked. But you know, there’s there’s definitely you miss eating, you missed that social aspect of just eating whenever you want it with people during that week, but the food’s tasty. It keeps you satisfied enough to make it through much better than a three to five day water fast. My wife’s done that I’ve only done a two day at plenty after that. So this is definitely a good thing. Can we see the blood work? If you have any questions on that reach out? Justin at adoctorsperspective dot net . That’s my email for the show. Well, the other day, many So www.adoctorsperspective.net/m28 was an interview that I had listened to and did a summary of about home doctor visits in ...

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Minisode 34 Relevant Hashtags and Name Tags

Instagram branding with filters, colors and layout. Hashtags and Name tags should be relevant, and don’t forget to embellish your stories with polls.

A Doctor’s Perspective, minisode. Welcome back. Alright, today we're going to talk about the science of social media. And this can be tips for Instagram content, the always talking about when you have the feed certain brands, some people have like a retro theme, or to put a special filter on all their pictures are special, like color, you know, like Brady, the but uh, somebody who could do a really amazing job.

Like, if you look at their page, everything on the right has the same feel for it. And the next one is a different feel. And the next one's a different feel. But they all go together. Because it's always like that. I don't know, I don't have that much time, or want to put that much time into it personally, as you can see. But definitely, it looks pretty sweet. When you take that time and do it.

Hashtags. You want to use highly relevant hashtags. You don't have to use the 30 Max, which we didn't know you can only put 30 hashtags, but make them relevant, but be creative. You can check big brands that you might follow or that you think other people might follow that you would be interested in  MMOs patients and see what they use, and then use them right. If they've been used 50,000 times, that's a good bet that people will be following them somehow.

There's also some webpages where you type in some of the keywords that you would think would be good. And then it'll spit out keywords that are similar or that have also been used that are popular. So that way, you know you can get a head start you don't have to like think of all of them. So those are kind of cool. No hashtags on your profile description. Unless it's for like a contest. Just don't do it.

If you have a way to tag somebody in your pictures, do it. You can't go crazy, but you can get more likes anywhere from a half to one more like proposed by actually tagging relevant brands. So if you're wearing a Marmot shirt and you're hiking, maybe tag them in that and hashtag it. You know, Steve Marmot has a hashtag that they like you to use, use it tag them, they might give you a shout out on their page, which would boost yours away more when you're doing stories.

Instagram stories. It's like those 15-second ones. It's nice now if you bleed over, it'll just make another one is just cut you off like it used to. I'm not sure if you can do this if you're not a business, but I am. So when you do the Instagram story at the top, there are a few icons there you have like a smiley face you that you can put hashtags, and they're active hashtags. So definitely you want to use those like in there. You don't use one hashtag. But if you know you're in San Diego, but in San Diego, it'll get people in that area who follow it to see you more. You could do a Ask me anything. And those are popular. And you just put that question on there. And though in the comments, they'll ask you something, you can put a poll of two choices. Those are helpful especially you're trying to segment your audience are like what are people interested in? Do you want to see more rehab videos, they want to see more surgeries, they want to see more like flowers and pretty pictures of you and your family and dogs do it.

Before we jump in, if you're into instrument-assisted soft tissue manipulation, the edge tools and the hot grip tools are quite good pot grips have a special grip pattern on so that you don't step out your hand, they got like a whole bunch of different variations and bundle packs and all that and you can save like 10%. If you go to my  www.adoctorsperspective.net/resources  , you'll see it. And then the edge, they don't only just have the one tool, they've got the blood pressure cuff restriction system. Google has EMR and a few other cool things. He's a physical therapist,

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Minisode 33 Pilates, PT and Bonuses

How to bonus your IC and employees, integrating pilates and physical therapy in a profitable model,  when to hire a front desk worker, and start a partnership with a clear exit strategy.

It's minisode time on a doctor's perspective podcast. Thanks for tuning in yet again. Today we're going to talk about the cash PT lunch hour and the bar, Episode 41. scaling the polities in physical therapy studio, definitely a unique thing for a jump in Alright, so in this clinic, she started out working, I applaud a studio and then just kept grown and grown and grown and got her own thing. And like she is on fire. My goodness, like women's power women bosses, yes, Boss Lady.

Group classes count for 50% of their revenue, and only 25% are PT patients. And so there's of course, a referral within theirs. And what they noticed was they want to increase the PT that they do, because they feel like there's more that they could do there and you know, boost revenue and all that. But their website looks like we're a lot ease with a little bit of PT. And they want to make it more like realities and physical therapy as a core feature. One thing they noticed and the PC that she hires, she has like four or five or something like that.

They have two clinics, if you can't fix the case, you know, you see him six times, and it does not respond like you think they should or would like them to see the results are getting referred them out. It's a redeeming quality in the patient's eyes. I've said that before. I've seen it before, I've had to refer my clients out. And they appreciate it and still refer and that's, to me is a big deal. the front desk is huge.

A lot of these places seem like they want to do everything by themselves when they're starting. And then it gets to the point where like they're not answering the phone during clients, and that's never good. Are they missing calls. So that means they're missing patients. So a front desk car is highly important. They can take the money, they can do scheduling, they can do all these things, you just have to train them.

One thing that was kind of interesting, they're all independent contractors, you know, you're supposed to have a contract, you should be able to come and go as you please, there are no set hours, I can't tell you what to do as your boss, the boss, you just work on my clients and you know, pay you percent. But you know, an operation like this, people get busy. And then all of a sudden, you know, like, What do you mean, you're going to leave, we got all these fines like I'm taking off, I'm taking a week off for everybody took a week off this weekend. Oh my gosh, what do I do? So she independent switch everybody off to employees. And so of course, there are some growing pains with that, and I don't remember if they're laying it off. But, you know, everybody sort of figured out how it could work for them. You know, maybe it's, you know, I was only working part-time, okay, well, you're a part-time person. But these hours, I need you to be here. And here's your salary.

She does individual bonuses, as well as company-wide bonuses. So that's what's kind of cool. So if the clinic you can set whatever goal you want, it could be revenue this month could be a hit in a new patient goal could be a conversion to physical therapy, not just a lot of ease. And so if the clinic hits their numbers, everybody gets $1 raise per hour, everybody. And because everybody is our way, to begin with, and then to also the individual doctors, you know, they hit their own specific goals, and they can have their separate bonus on top of that, but it allows everybody to get more money can keep them motivated.

And of course, not everybody is motivated by money. So you may find that just you have an employee that rather have a day off, are have praise in front, everybody else. So you got to figure that out, navigate that, and see how you can do it so that,

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Timothy Harrington talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Drug use can lead to addiction or dependence: why is the difference so key? Trust vs Fear when disciplining teenagers. How to remove the stigma so you don’t suffer in silence and get the mental health they need. Wide Wonder founder Timothy Harrington.

Learning to not just get off drugs and alcohol but to stay stopped.

How does childhood trauma or abuse set one up to have unhealthy relationship or addiction to drugs and alcohol?

Strong relation with self and other people and I can be the best to my clients.

ADDICTION and DEPENDENT

There is a Huge distinction between ADDICTION and DEPENDENT: what is it and why should it matter so much?   A key to remember is the media narrative vs evidence based science narrative are not the same.

Can you use drugs recreationally without it having negative consequences on your friends, family and job?

Is the moral decay of society label they put on illicit drugs helping or hurting the way teenagers and adults approach drug use?

Why/ how are there so many people (70%) functioning normally with a job yet still take drugs? We only have programs that address the rock bottom person and not the one who is still coasting on 2 wheels.

Why is early age use of drugs so detrimental and increases the likelihood of addiction and all the negative consequences that come with it?

Teenagers

Teenagers rebel. They experiment with drugs and other addictive behaviors (even gaming). Parents have several options to deal with this scenario. Tim discusses the labeling them as a junkie or addict route, the you are grounded and punishment route, the Trust and relate to the kid about your past experiences route and ties in peer pressure along with it.

What are the negative and positive consequences for each route previously mentioned?

Ultimately we can have an addiction to just about anything when it becomes an unhealthy balance and negative consequences or neglecting other areas of life and yet we keep doing that destructive habit.

What is the relationship to that behavior and the rest of your responsibilities in life? Why not make hard lines of right and wrong and stigmatize some things and not others?

Many decisions we make come from a place of Fear, how can we keep that in check and make better choices… especially when you see a loved one going down a path that can lead to self destruction.

Peer pressure

Peer pressure is real. Picking the “wrong friends” can expose you to things that you may never have experienced before and in a negative way.

When it comes to teenagers, what are they getting from those relationships that they weren’t getting from their other peer group or more importantly not getting from their parents?

How do you as a parent develop the same characteristic of their peer group (basic value: non-judgmental, non-shaming, non-blaming)?

Trust. It’s more important that your kids trust you and that they can come back to you even if or even though they are doing things you disapprove of. You may even find that when you build that trust bridge of “I’ve been in situation like you before” the kid will look to you for the guidance when faced with a bad choice or situation.

How do we discover the pain we are masking or the emotions we are running from?

Purpose Anxiety and Values

What is Purpose Anxiety and how do your values differ from your kid’s values and the conflict that can arise?  (Values and actions: What I love to do, choose to do and desire to do)

How to Live your High Values and not just talk about them? Mr. Harrington gives a great example about a man who works 90 hours a week but says family is high value.

Intergenerational trauma, it can last for 3 generations if not more but how do we stop it, change it and turn it to a positive situation.

Instead of Why the Addiction, we can ask Why the Pain (the protagonist)?

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Minisode 32 Running Fundamentals

Running needs to have a strength conditioning component because of the added benefits to your stamina, speed and form. Also don't increase your speed or distance to fast, avoid injury and cadence concerns.

A Doctor's Perspective, Minisode Episode 32. Art of Manliness, long distance running the MYTHS. So I'm not a runner, not a big fan don't like it so this is a bike. So I want to hear about what are the myths. So this guy said, hey, look, you need a goal with running to have recovery days and running days. And if you have a program, that's the best way to do it. So a lot of people go out there, I'm gonna start running. Cool. So they run for like 10 minutes. And the next day, they run for 20 minutes. And then they go from like, one mile, and they jump into like three miles and five miles all within like a month. That's way too fast. So his idea is, look, you only need to run three times a week or so start slow, you know, if you're slow, say slow. If you only do half a mile, do half a mile for like a week or two, then you add 10 or 15% more distance. Just keep doing that until you get to that level that you want. I mean, there's more to it. the most important thing is like having consistency and having rest days. So remember, yes, 33 you're not 16. Okay, and a lot of people like I used to do this and that when I was in high school. Yeah, that's been 10 years or more, tone it down there champ. So we're endurance sports like a marathon. You will lose muscle mass if you don't include strength training. So some people are worried about I'm bulky, I don't want to run, I want to lose my bulk. Well, if you weight train while you're doing the marathons, you won't lose the muscle mass, you're not going to gain because running that much as catabolic, but you will at least stay the same. You'll also get faster finishing better ergonomics, you recover faster if you do weight training along with your running and lift heavy, because you already got endurance, it's a lot of runners there, say, Well, I'm going to do lighter weight, but things like 20 of them to build my nurse, I know you already got the endurance you run so much, you're good. You need to build some heavy lifting and worked out those tendons and everything a little bit more. And keep your core strong. That's one of the big things he was talking about is working your core lot and let you finish without being overly fatigued. And you know those last couple of miles, you're really tired. So you get your form gets bad, your time drops. But if you were working on your core, and you're strong, you can finish strong to a lot of people get injured. He couldn't say that's a myth. 70% will get hurt in a year. So it's an impact sport. You know, a lot of people do too much too soon. And so they heard some are, they don't stop when they feel something's off, okay? the form he thought was kind of cool. Don't overstride as your feet should land over your hips. And then 170 cadence is a good cadence. Because you can still do a nine-minute mile. But you just take some more steps, because apparently, that's what it was. A lot of people do longer strides to like makeup for a time and everything. But he's saying no, just make it shorter so that your new footfalls underneath your hip, but then you just do more steps. So instead of you know 150 cadences, you want 170 and you'll still be able to go as fast as you're going, but you're not going to run yourself out. One of the reasons why you see fat marathon runners and things like that, because you can carb load Yeah, for a marathon, definitely carb load the day, go for it, a five K, you don't need a carb load. Because you're going to Carlo The night before, then they probably gonna have like a donut there. You may or may not eat it. But when done, you might have a donut, you might have a bagel, you drinking a Gatorade, and look, you only ran three miles. So you're adjusting a lot of carbs that you did...

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Minisode 31 Lessons From Book Writing

Author tips for book writing: read out-loud, creating intrinsic motivation, cognitive ability variances throughout the day, and writing to your target audience.

Today's show is with Tim Ferriss, 305, Daniel Pink, he's the author of amazing books, you know, always long episodes. So I just took the highlights, which you know, obviously are a good bit, but mostly about interviewing and writing books, finding what you shouldn't do. So here are some of the highlights. When working his books, he reads them out loud. And he also has somebody else read them out loud because he can hear what sounds bad. Now that's a labor of love. I don't know if you've ever done it, you know, for like a short paragraph or two. I know I have. It's like reading and I got it sounds dumb. Okay, let me reword it. And this is just what he does for his entire book several times and his wife like she's awesome. And a speech. If you're writing some for speech, the differences because he was a speechwriter for a while, you can see the crowd's reaction, and then just make changes for the next one time. Because he was a political writer. Another thing, this could be good for doctors as motivational interviewing, you can ask from one to 10. Why don't you want to do X, Y, Z activity? So it's framing a negative into like a positive? Because you don't want to do it? Or you think you should do it, but you haven't done it. So you're procrastinating. So why don't you want to do it? What's your number 10 being the best, I'm going to do it tomorrow, one being is not going to happen. So if they reply with a three, then you're follow up question is, well, then why didn't you rank it lower? and make some think, hmm, it triggers their autonomic intrinsic motivation. Now they can be more likely to do it. So you can ask your patients, you know, are you wanting to get the veneers and you want to get a surgery? What would it benefit you with? You know, why would you hesitate? And how likely are you to do you know, maybe like a three or four? You know, okay, well, why don't you make it lower like, well, and then they start giving you reasons, you know, and get some motivated, being completely in control of others is not a good motivator. Because either going to comply with it and get the are you going to deny it, and it's not going to get done. So there's a movement these days where like standardized test scores aren't as important as they used to be. It ain't there yet. But so the left brain is kind of in charge of that. But the right brain is becoming more important because it brings new and higher thought, and that I heard is what big companies are looking for? Yeah, you got to know the left brain, the algorithms, but how do you apply it into something that's not even an issue yet, when writing a book, doing a podcast, try to use an outline, there's just something to having structure and shape that are important. Now, it could be a two-page outline, just hitting the highlights. But it's enough to where you can know that you're on track. So it's like on a podcast, if you have the solo episode, you know, there's the next point, here's the next one. Here's the next point, I got notes right here to read through. One thing that he found in his new book when his cognitive ability does vary throughout the day, so you can put on more hours if you want, but you're still gonna have ebbs and flows throughout the day, typically morning is better than right after lunch. There was a 20% shift in structured exams from students from those who took in the morning versus in the afternoon. 20%. Like, that's huge when you're talking about trying to get into college. And here are some takeaways for both Tim and Daniel, when you're going to write a book, when you do writing, it's not when you have ideas ready, but you write to get your ideas ready, you write to figure out what's in your head, and it was all up in there, it's kind of here,

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Dr. Robert Silverman, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Leaky gut to gluten free and no added sugar to intermittent fasting, ketosis and prolon diet, Dr. Robert Silverman discusses how gut health translates to brain health. He gives some of his top supplement advice to get you started in healing your gut.

Eighty percent of our immune cells are in our gut. Our gut health communicates a certain way to our brain and vice versa: that’s why he labels it the Gut Brain Axis.

How can fixing your digestion improve a patient’s overall health and how it can take your adjustments and rehab technique to the next level?

Ketogenic Diets and Intermittent Dieting. We talk a lot about these two options as part of the daily regimen to keep your gut health optimal.

Are you aware that NSAIDS, dairy, gluten, and antibiotics can all damage your gut microbes.

What is the significance of Gas and Bloating as well as Bran Fog?

What is gluten sensitivity vs intolerance? How does ingesting gluten damage your gut health and your overall inflammatory markers of the body?

Glyphosate – the hidden ingredient that is the culprit to so many gluten issues because it destroys the microvilli as well as being labeled as cancer warning by the World Health Organization, WHO. Why are the microvilli important?

GPS of health: no gluten, no processed food, no added sugar

Are eggs bad for us?

Probiotics and Prebiotics: What are we looking for in a quality probiotic supplement? What’s a descent price range? How long do they stay alive and ways to prolong their life so we get the benefit?

What is leaky guy syndrome and how does that play into probiotics and gluten issues? (saccharomyces boulardii is a yeast and is helpful for leaky gut)

Why are athletes who do strenuous exercise for 2+ hours a day susceptible to leaky guy? (zinc carnosine benefits as well as magnesium bisglycinate (chelated and selenium)

Inflammation: Does it start from the gut? Can it also be linked to the gut brain axis? What kind of systemic issues and diseases can occur from chronic inflammation?  How do antigens and molecular mimicry factor in?

The July 11, 2019 Chiro Economics article https://www.chiroeco.com/the-gut-brain-axis/  The Gut-Brain Axis: determining physical, mental health. The article is basically a microcosm of his book coming out in December 2019 and we dive into how the Gut Brain Axis works.

The Vegas nerve (rest and digest nerve that runs from the brain to the intestines) has huge implications on the gut brain axis, Dr. Silverman will dive into that for us. It’s 90% afferent and delivers gut info to the brain in milliseconds.  A decrease in vegas tone you can see more irritable bowel disease, celiac, and SIBO –small intestinal bacteria overgrowth while stimulus of the vegas nerve (what does he use?) can see a reduction in those conditions.

What role does omega 3 fatty acid play in gut brain health?

Dr. Silverman treats a lot of post-concussion patients so tune in midway to gain knowledge on that topic.

Prolon and Keto diet. How are they connected and what can we do to maximize the prolon L-nutra fast mimicking diet plan? Are the beta hydroxyl butrate powders worth their price in keeping you in ketosis? When and why should you consider taking those products?

Differences between Intermittent Fasting and Time Restricted Fasting.  Fasting should be Fast, Flexible, and Simple.

L-nutra: they found the right ratio of macro and micro nutrients to give your body some calories (800) but tricks your brain into thinking it is in starvation mode. This creates autophagy as well as cell regeneration and stem cell production.

Something I did not see coming, he starts his functional nutrition with the 5 day prolon diet and then works to correct the gut.

Fat is a better fuel source than carbs and the brain uses it better.  

Can we take MCT oil (medium chain triglycerides from coconut

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Minisode 30 Getting Email and Messenger Subscribers Simultaneously

Explore 2 tactics using Facebook posts and ads to gather messenger subscribers as well as gathering emails all for contests, pdf giveaways and way to make the post standout.

Episode 30 Thanks for tuning in to the Minisode series of a doctor's perspective podcast brought to you by me Dr. Justin Trosclair. If you want to know what the top episodes of 2017 and 2018 were for this show, just go to a doctor's perspective, net slash top 1718. That's all you got to do. You'll get a list for the top 10. And actually, it's more like a top 11 or 12 because there were some ties of the last two years. Oh, snap in today's episode is going to be phenomenal in my opinion. It's from podcast capitalism. And it's about e-commerce and the changes from Ezra Firestone if you don't know who Ezra Firestone is, look him up. He's a big deal in this e-commerce business. So it's gonna be about marketing, and it's gonna be about a little bit about like the ad structure and Facebook Messenger stuff. Okay, so the first thing he was talking about was, he was some of the Chinese and how they buy so much from WeChat In town at least once per month, and it's like billions of people. And I can tell you, that is accurate. Here, we don't have to actually use credit cards or even cash anymore over the last two or three years. In my first year in China, it wasn't a thing. You still have cash. But then when I came back a year later, everybody's like, Yeah, he's WeChat. So the grocery store, everywhere you go, the taxi, everything is WeChat. And then Taobao is like Amazon. So you know, Americans over to Amazon. It's the same thing with Taobao. But even more so because everything's cheap. And knockoffs. All right, let's move on. This was a cool, cool thing. Two-thirds of people research on mobile, but they buy on the desktop. Now, what about America? They two-thirds research on mobile, but they buy on desktop. So on mobile, they want to get aware of the product. Let me do some research What's going on? Maybe they don't trust their phone to make payments on the internet. But what that means is when you're retargeting people you need to reach a target on the desktop and the tablet so save your money on mobile retargeting on desktop and tablet. One thing that I mentioned, as a lot of people that do e-commerce with Amazon, they like to remember your cash flows from Amazon, but you own nothing. So you got to find a way to get their email address. That way you own your list, you can always email them to get sales, reconnect, build a tribe, when you're doing a Facebook ad, you want to do stacking of like interest and behaviors. You know, there's the interest in like cats, okay, behavior, and they made a purchase when they weren't on iPad with Wi-Fi only. Okay, that's a pretty specific target audience right there. Once you find those people and you made the sales, you can create a lookalike the audience of that. Another thing you do is when you're making videos, and you're trying to target like the cats who've made purchases, you could do a lookalike audience just based on the people who watch 95% of your video because those people are super motivated. They've already consumed your content, they're engaged, just maybe they didn't click the button to buy or to click so definitely retarded those people. Also, people like to click faces. So there's a way to incorporate a face in your clicked on your ad picture Go for it. Facebook Messenger is growing quickly they are doing in messenger buying some of them Neil's are loving that and they're removing like one-click purchases, which will be cool. So one of the pushes here is to get Facebook Messenger subscribers and, and their email and you can do that at the same time in your processor having a different funnel for that's the best way to do it. They're just saying that you know, because Facebook has such strict rules with the messenger right you kno...

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Minisode 29 Headache Recognition

What are the three types of headaches and how long do they take to manage? Tension, migraine and vascular all have different presentations.

Episode 29 Thanks for tuning in to a doctor respective podcast the minisode series with your host Dr. Justin Trosclair. Today we're looking at moving forward PT with a topic of headache. Real quick, we did a series Dr. respective.net slash acupuncture is a six week series A while back without a face with on teachers, we're talking emotional stress oncology, you know more for pain, obviously, they're not trying to get rid of cancer with acupuncture. Great series, we visit that page, you can download a PDF for the references, and the numbers and all the kind of stuff that you'd want to see for your future use. Now back to this, and this will be a short episode about headaches, I was expecting this episode to give you more treatment options and things like that. But it turned into the kind of a public service announcement kind of so here's what I got from it. Figures good enough to share, you got tension, you got a migraine, you got vascular, know the difference. tension headaches, it's kind of more in the afternoon, you might have some trigger points and you know, the muscles kind of tender you find that spot can really into your arm. It's not pure, you know, nerve issue, it's kind of a, it's a muscle thing. you got migraine headaches, they're gonna have pain more from the front to the back vision and hearing sensitivities and then vascular, you know, you roll that out, and you'll find that one didn't really discuss it, tension headaches, they said, you should be able to get them better, roughly four to six visits, but if they've had on like, for a long time, or keeps coming back, you might recommend more like 12 visits for that. And then migraines, they're more around the 12 to 16 visit limit. Again, this is a physical therapy basis. You know that is one thing I do like, you know, in our profession, the ideas, trim six times, or you know, reevaluate them how they doing check-in. And it's kind of like a pain relief model. But through your experience, you may realize they might be pain free and six, but there's like that underlying issue, they'll kind of they're like, Look, if you just did some rehab with us, we'll show you what to do for the next few more visits, 10, whatever, then you're going to see longer lasting results, you'd be better equipped to self-care, you know, there's only sometimes you can do in those first four, six visits, depending on the type of person like you they got no experience, my goodness, you know, teach them how to do a penis stretch on their own is like, Whoa, that took a while. And you got to reach them. And so it's them, it just takes a little while. Like they said it could be persistent, and not be better as fast as you can. Now one thing I've been kind of getting excited about our global resets, functional movement and rehab. So that way, you can start addressing these things as part of your rehabs that are just showing a bird dog, just showing dead bug, progressing them through those a little bit faster, doing what you can in the office that they can't do at home. So part of the session is going to be you know, Dr. Focus, the next half is here, do this at your house. That way they get both. So anyway, that's what I got. I think my thought was finished. Before you go. If you have any suggestions on how to make this show better, whether it's the long version, or Minnesota letting me know more humor having a guest what guests do you want? I mean, we're just going to go from there. It's the middle of July. are you beating the hell are you getting the snowball? Talk about diabetes waiting to happen on those things. They're good on a hot day. Okay, this one is finished #behindthecurtain

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The transcript of the show is automatic and will have grammar andpunctuation errors.

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Josh Nation talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

If you’re tired of hefty upfront costs, massive customization mandated, and monthly recurring fees for your EMR or EHR (electronic medical /health records) then tune in to this episode with Josh Nation of Chiro8000 to learn what’s needed in software.

It should be noted that Forte Holdings (Chiro8000) is not only for chiropractors but they have specific modules for podiatry, optometry and medical doctors… but they are focused heavily on the chiro market. One thing they do is have the most common codes for your specialty preloaded for easy clicks but you do have the entire library in a menu.

Topics Covered:

Repeat note from last visit (clone note): what makes theirs more randomized Customization of what is repeated or cloned? Do you own the software? Do you own the patient list? Pluses and minuses of a cloud based (internet only) software compared to one that is physically on location. Best way to DEMO a product.

What computer do you need? Can you use a tablet? Is there a Chiro8000 app version? Where is information stored?  Networks, servers, secure backups, oh my! Buying a new computer or setting up a server can be daunting… he gives a few pointers on what to buy and how to do it.

Does your old patient software charge a fee to gain access to the backup file? Templates vs Macros… what’s the difference? Can you import documents into the Chiro8000 system and where are they stored?

Are you able to add boxes, orthopedic tests, and things of that nature? How easy and quick is adding a real note (like an updated ADL that they can now perform)? Scheduling concerns? He talks about the ease of manipulating your scheduling program to your specific needs on a global scale but also day to day. Chiro8000 also allows you to easily preschedule a patient for their entire treatment plan with just a few clicks.

You can send text and emails about appointment reminders as well as an email onboarding sequence of emails.  Could this program replace your MailChimp or AWeber account? You can also segment your list based on insurance or diagnosis and only send messages to those people. What about the billing part of the program? Can it run stats on insurances, diagnosis codes, treatment codes? Multiple ways to track Accounts Receivable, Missed Appointments, aging report and the like.

Staff turnover happens, how long does it take to retrain a new person on Chiro8000 by forte holdings?

Are data transfers from one software to Chiro8000 seamless? What all can be transferred: demographics, financials, EMR records? How long does a data conversion take with Chiro8000? What’s the difference between a Prospect File vs an Active Patient File?

www.chiro8000.com  800-456-2622

Show notes can be found at https://adoctorsperspective.net/134 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 134 EMR considerations I’m your host, Dr. Justin Trosclair and today we are Josh nations perspective

2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Welcome back just got back from Shanghai again working at the Infosys spondylitis lecture, very hospital actually re met a friend so that was fun to hang out one more time with a guy before he moves back to his home country. If you’re interested in any series that we’ve done, then go www.adoctorsperspective.net/acupunctureseries, or www.adoctorsperspective.net/top1718 which is the top episodes of 2017 and 2018, and www.adoctorsperspective.net/podiatry . So those are your quick checklist. Here’s the top ones. Take the ones you like and listen to them. download them.

As always, if you’re into what is Justin recommend,

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M 27 Gen Z Stats

Should you do home doctor visits as your main line of income? Should you take a table and go to their house or go to a business and save the company lost time from doctor appointments? Can you have an RV, what table to get, and ways to boost income?

Episode 28, coming to Straight, from China at home doctor visit model, the Minnesota series from a doctor's perspective podcast coming out on Tuesdays and Saturdays. Today's show is gonna be Chiro business Mojo, the topic of house calls.

Okay, so I'm hoping to have this guest on my show because you got so much good information to give. And like usual, the podcast we listen to was a little bit short. And I think we can do a better job could flush it out, get the goods for all the all about people who wanted to do home Doctor. Work, not fill in work, but go into somebody's house replace a business. So are you going to work on Saturday and Sunday and evenings? I don't want to do it. But if you're just starting, that might be something to consider, because people gonna be working.

if there's like, dude, I just can't get away from work. OK, cool. So you just work more in the evening, or if they're at the house, you just got, you know, go any time of the day. So that's one of the questions I had is how do you I guess, based on somebody else I talked to do you have regions that you would visit. So if you're in a bigger city, you might go to the north, and you just try to schedule people that are only in the north. So no matter what you're just driving like 10 minutes to the next place, you're going to keep going.

One of the things you can do, if you can do this is getting into a business that has employees, whether it's 10 employees or a hundred employees. But if you can do a bunch at one time, it is phenomenal. You might have like a little room, they give you little closet, they come in they you know, they may or may not have set up an appointment, but it's also a benefit to the business owner. Because if they offer they don't offer health insurance, or they don't want their workers to be skipping so much work. Hey, okay, you don't want to drive there, get treated, come back, be back in 90 minutes. Okay. Why don't we just walk across the hall and 20 minutes later be done? Yeah, cool. Productivity baby.

That's the best way to pitch it. Dentist offices have a lot of people banks, as well could be something you kind of want people that have about a 60,000 income. It's kind of gets the go to how many patients should you see a day, can you see a day, anywhere from 6,10, 12 on any of those numbers, I think you'll have a pretty successful business. Because we've got it your overheads going to below the car that you probably already have, which now you can start writing more off of that you still could have a license insurance, and a few other things the home doctor will need.

You find like a portable table, and you probably check your forums and or corporate Facebook group, we've talked about it before, it seems like some tables are cheap, and then they fall apart. Others are like a moderate price as you expect. And they're like the drop pieces and all the things that you would need, but then they're like really heavy, or they take forever to put together. So it's a pain is I'm trying to find that sweet spot between wait for actual portability, fully thulie I believe, do have some fun tables. I did see one I've used the one. And it's supposed to be portable, but man, it's made of wood, it's heavy, I think would be bulky as all get out to try to like put together like 10 times a day. And I think they do have a different more portable model, like a sports model. That'd be more beneficial, but it seems to be a pretty good one. Everybody has an opinion with those. I think they have a like affliction distraction unit that you can attach to it. It looks kind of junky, but at the same time, like they have kind of works.

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Minisode 27 Gen Z Stats

Gen Z offers a new type of client. One that is writing and expecting to read online reviews before purchasing products.  They also expect online forms, online scheduling, and text reminders.

Episode 27 Gen Z stats. I'm Dr. Justin Trosclair bringing you the Minisode series of a doctor's perspective podcast.

Today Show, Dr. Marketing Tips podcast, Gen Z. Whoa, whoa, whoa, yes, y'all the millennials? That's what they are nine to age 24? Do they've always had a cell phone? They don't know anything different. Right? They've always had a smartphone to get with it, find out whatever they want. Now, there are some people like well, they don't know as much as they did before because they don't have to memorize anything. All right, whatever. That's not what this podcast is about.

Now, these people, (gen z) they're not really on Facebook, per se. That's kind of what your parents are our age. Right. But there are other things. They didn't discuss what those were, because I guess they're always changing. But you can guess I would say Snapchat, but I think snapchats fading away. But it's still there.

There's a program called me we m e. W e. it no ads, they don't save your information. I do have a profile on there. Yes, you guessed it Justin Trosclair. But they don't that many followers. They only got I don't know how many millions of people but you have to find people that are on it. And that's the tough part is, you know, you hit 5000 people on Facebook, which is the upper limit on your page. It's like, are they on me? We don't know. Just saying who knows where they are, anyway.

But they're almost always online because there are pockets when they're doing the shopping and things. one fourth will write a review, can you believe that a fourth of them 25% will write a review about it. So if you've got some kind of product line, and you're targeting them, they will be good at referral. So if you have a regular time, as well, and you're seeing some younger people between nine and 24, you might ask them, they might give you the referral much easier than a 60-year-old.

Gen z value their family's opinion and family and friends, other reviewers compared to celebrities, which is an interesting thing. So they don't care about that paid celebrity as much as their own family, friends and other people that have reviewed, okay, peer to peer reviews are obviously what I just said is the most important having word of mouth, they really like that, because if somebody tells us it means is good, okay. 68% said they would check first very often, so they don't just buy a product, they don't just go somewhere 68% of them want to make sure it's cool. First, as far as what reviews, they're listening, they're looking at 80% will check friends and family 65% will check some kind of social media, and 790 9% will show some kind of online reviews.

Now as far as trust. So those are the people that would check but when you want to trust 58% will trust your friends and family 40% will trust social followers, but 80% will trust the online reviews. So that thought that was kind of interesting. Like Yeah, your friend likes it. Your mom liked it. Sure. But all these strangers liked it from all kinds of different cities and countries and states. So I thought that was kind of cool.

And one thing they said that you want to bring it on the home that age group Gen Z, you got to have your forms, online doctors, you need to have some text reminders, and you need to have an online schedule now. It's not that expensive, man, you know, check out app Sumo calm.

I've bought a couple of things from them, into what's called you get this life thing. So on my webpage, if you look to the bottom right, there's like this purple thing where you can discuss you can talk right there live chat. I'm sure you've seen the live chat. Hey, you got a question before you purchase this. Send a message. Oh, you're not there. Cool.

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Dr. Daniel Bockmann, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

We breakdown MSK injuries to the fundamentals of a mobility or stability issue. Daniel Bockmann DC walks us through his eval and rehab flow with an Achilles tendon as a demo. As well as his work with volleyball, musicians and starting his own seminar.

How did he figure out he liked the functional rehab aspect of chiropractic care?  Sports Medicine and Rehabilitation for Spine and Extremities is his passion. Getting out of pain is one thing but getting someone to return to play is a different ballgame.

Dr. Bockmann even works on post-operative injuries which is somewhat unique for a chiropractor.

His 5 methods of treatment for mobility or stability are: stretches, exercise, massage, spinal manipulation, and lifestyle modification. His core thoughts on injury are: a stability problem (tight or loose) or a mobility problem (too much or little).

Craig Liebenson - Functional Rehabilitation of the Spine- FPM courses, Stuart McGill, PhD, and Gray Cook-SFMA Selective Functional Movement Assessment are some of Dr. Daniel’s major influencers.

Dr. Bockmann will break down his stability or mobility ideas for us and discuss treatment options including what low tech equipment he utilizes.

Achilles tendon injury happened during the NBA Finals so we have a chat about the mechanism of injury and ways to prevent and rehab it. One common comment from the injured player is “who hit my ankle or it felt like a gun shot.”

What is his mark to know if you love what you do everyday?

When looking for an associate job, see if you can work on off hours and just pay rent based on a percentage of collections. It’s like building your own clinic and the owner understands that you will be opening up in town at some point in the future.

His number one marketing tip: Reviews on google and yelp. What is his advice on when to ask for reviews?

How did he start adjusting Bands that our Touring through his area… along with being a volleyball AVP go to chiropractor for Austin?

Dr. Bockmann is rolling out his own hands-on 1 day seminars to teach you about his mobility or stability rehab approach. He walks you through everything from the exam, explaining the problem to the patient, all the soft tissue work and exercises and releasing the patient.

Dr. Daniel even discusses his fees and treatment length. We tie that into high deductibles and meeting patient expectations and clinic goals. Patients want to get out of pain and get back to their activities.

PSFS, patient specific function scale, is his go to Outcome Assessment. Ask the 3 activities that you are most limited from because of pain. Have the patient score them 0 – 10 (0 is can’t do). Get the average and when you revisit those activities in 6 visits or the reexam and the final release, you should see an improvement of in that average.

On the vacation question, he gives a creative and sometimes forgotten way to take cheaper vacations: credit card points.

Books: Cathryn Jakobson Ramin – Crooked, Mark Twain- Huckleberry Finn,  Patrick Rothfuss - The Name of the Wind Kingkiller Chronicles (trilogoy)

dan@bockmanntechnique.com Austin Spine and Sport his website

The 10x knee rehab machine was mentioned from PJ Ewing episode 103.

Show notes can be found at https://adoctorsperspective.net/133 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 133, mobility, our stability issues. I’m

your host, Dr. Justin Trosclair. And today, Dr. Daniel Bachmann’s perspective, joined 2017 is 2018 podcast Awards Nominated host as we get behind the curtain looked at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Thanks again for joining me this week, I think you’re gonna like the guests,

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Minisode 26 Are Business Failures the Norm

The author discusses how social media shows a perfect world but in reality, business failure is common. 100s fail each year, customers don’t pay and how do you find your unique talent to offer. A real look at the tough side of entrepreneurial life.

Episode 26 coming at you live from China have a doctor perspective podcast minisode is business failures the norm. Thanks again for tuning in this week we're going to talk about the author our the podcast I referred to a couple of them would go in the minisode. And this one's gonna be about free trials.

Before we jump in, and I'll let you know adoctorsperspective.net/mybook will get you to the Amazon page for today's choices, tomorrow's health lessons learned from being a doctor for 12 years, as well as living in China and what they think and about different health aspects. You're going to blueprints to get yourself to the gym, start from nothing and work your way up and join it cardio weights, different tips, and tricks to fool yourself into eating better, and even a bigger chapter on financial health. Because I think that's pretty important because stress is not good. And that's what you'll get from it. Okay, let's jump in.

So the author of this book had a cool backstory, he was a part of Jehovah Witness. And then he got divorced and got rid of being a part of the Jehovah Witness and you realize like, Oh, my gosh, his opinion, I think it was like in a cult, and it's shaped everything we thought did and we weren't allowed to, like read books that weren't on like an approved list or whatever. So anyway, really interesting guy when it comes to that, and then he kind of bridged into, it's a business book, y'all. So he's just like, you know,

on social media, it's like a highlight reel of how awesome we are. And what we do. And, you know, if you were to climb a mountain, you'd write a book about Oh, the struggle, oh, they had the ice ladder and had to climb that. And then almost slipped, and I sprained my ankle, and I had to keep going. And but like, in business, you really can't talk about your junk, you can't talk about your struggles, it is like, wow, they're not gonna think I know what I'm doing. My competitors are gonna be able to get a head start on me. But in reality, you know, you got somebody who's not paying your bills, you've lost clients, you thought you handled the situation, well, and you didn't, you got some bad PR, you got some negative reviews, but we just don't like to talk about it. And so his book is like a three-part, metamorphosis. Business failure is the middle part middle part.

And then the last part of the book, you know, it's traveling, you can make it you can do these things. But he's like, there's just so many books that don't talk about the negative, that there's a piece that focuses on that, you know, for every Airbnb that makes it, there are hundreds of failures, and the owners even more depressed than normal people. I mean, think about what you pour your heart, your soul into some kind of project, and you bring it to investors, and nobody wants it. Have you joined Click Funnels, and it's just one funnel away. And you don't know what you're doing. As far as marketing goes, are you-you know, you're bootstrapping and you don't have the money to hire a really big, firm, whatever. You might think that was a really good idea, man, and nobody gets to experience it.

So another thing that people can have is imposter syndrome. If you haven't heard about that before, who am I to write a book? You know, like myself? Who am I to write a health book that I just, you know, promoted earlier? And it's like, well, you do have some qualifications. You're a doctor, you got to experience, you've done the reading, you've done studies. You live in China, where other people haven't? Yeah, you're qualified. You think you're less qualified than some person who lost 25 pounds and good at marketing and testimon...

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Minisode 25 Discovery Day Workshops

Discovery day workshops are a great way for potential clients to see and hear what you offer. We go over the 3 marketing videos to get people in the door as well as the basic structure of the live workshop.

Episode 25 discovery day workshops. I'm the host, Dr. Justin Trosclair. This is the doctor's perspective. Many. So today's episode is pretty cool. When I interviewed Dr. Jared Carter, cash-based physical therapy in episode www.adoctorsperspective.net/132 . We mentioned the episode that I'm talking about today, which is cash-based practice Episode 82. So my Show Episode 132, Jared Carter show, Episode 82. I thought that's gonna be fun.

Before we get into that, we revamped the acupuncture book websites, the direct sales page is called adoctorsperspective.net/bundlepacks completely revamped that. And then if you want to try five protocols for free, insomnia, anxiety, low back headache, and knee pain, you get everything, the points, the pictures, how to do it, you know, program, yo, you get it all. And that is just adoctorsperspective.net/naprotocol as a needle as acupuncture. So NAprotocol, okay, let's get back to the show.

So the guy interviewed paid 90 grand for this intense gait analysis. And he's the only one of the area's doing it, but still has a ton of money to invest into something up front, when most people are saying, keep your overhead low. So what he did was he worked 30 hours at a regular job. And then 30 hours on his own because he had to pay because he had to support his family this time while I grew his clinic. And what he did was he listened to a lot of podcasts, they gave him the motivation to like man, I can do this, I can charge cash. And all this, he made sure to get a no to competing from the doctor that he was working with.

Obviously, at that point, he was shot over the same town, his vision 36 visits a week, that's nine per day, for a 10 hour day, he charges $215 for follow up, which is an hour long in 250 for an exam, and one thing they did to try to get people in the door is to do a free discovery. It's a 30-minute visit free discoveries, what they call it. And they also can give like some free reports, you want to be a hero to the patient, the doctor, again, you're the guide, it goes back to that story building, the doctor is the guide, that hero is the patient.

There's a program they use called patient accelerator, you can just go to Jared carter.com, slash pap, pineapple, Apple pineapple. So PHP, and then it's almost like,

Okay, how do I get patients My goodness, you know, I spent all this money. It's kind of a niche thing. I mean, I've been part of a running group for these ankle injuries, but I got to give a name out there more. So what they did, they're doing Facebook ads, Google ads, to try to promote workshops, and they all they will use videos of exercise in this as well.

So here they would describe the problem that a patient could have. And then one quick win. And that's the first video, so paint the problem. And then like some kind of quick win, whatever that means for your professional. the second video, what's the solution, go deeper, maybe grass and make movies the group approach. Maybe it's you know, DNS, but what's the solution that's going to get them where they need to go, then the third video is the pitch, the free PDF, the workshops, and whatever. And of course, on that second video, you want to communicate some emotional things to it, obviously don't care what the grass and is an all this, but they want to know to specialize in this technique that can get you the results you're looking for. So that you go back to being pain-free and running training for marathons. And that third video is where you get you to pitch them for the PDF, the workshops or whatever. So when you do the workshops, you want to target people in your area, of course, you want to target the Friends of people in the running group.

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Dr. Jarod Carter, DPT talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Cash based practice as a physical therapist is new. Learn about hiring associates, setting fees, medicare, clinic setting, his coaching, answering the phone and we discuss Dr. Jarod Carter’s twins spinal muscle atrophy journey.

Big tip is to find a great mentor when first out of school.

We talk a little about his time working for a wealthy couple that would fly him around to do private physical therapy. He learned some lessons during that year that helped him in his own view on money as well as being able to help his coaching clients.

Speaking of coaching, he started a cash based physical therapy clinic when going cash was a rare option and thought of as a poor business decision. However, after quickly making it successful, many people were asking him questions on how to do this too. Listen to some interesting details on the episode about how he created an online business to help others go cash physical therapy.

There is no limit to the amount of wealth potential that you can see for yourself and for your patients. Need to have that abundance mindset because in reality, it’s the truth.

Seeing the inevitable squeeze the insurance companies were putting on reimbursements all the while expenses keep increasing was one reason he went cash based only. He also noticed that patient treatment started to be geared toward what will your insurance cover instead of what’s actually best for the patient.

What has he seen as the best start up scenario: work in a gym, home visits, rent a room from another professional, work full time with someone else and build up your own clinic,  3000 sq ft dream office etc.

Keep your expenses low so when you are considering equipment and software and all the gadgets, really ask yourself, “what will the return on investment be?”

When should you take that online seminar or subscribe to that monthly membership site that will take you to the next level?

Should  you do per Diem work (pick up shifts around town) while you grow your cash based practice?

He had his infusionsoft and other marketing platforms up and running for a while before getting electronic records, listen to find out the decision process in picking one.

How do you figure out How You Charge, What You Charge and those considerations for a cash practice? What considerations should you have if you expect the patients to still submit out of network claims to the insurance company?

He has a unique way of setting his cash based fees on the standard insurance 15 minute increment. You really want to tune in for this extended answer.

What level of documentation should you have for a cashbased practice?

What courses and management and customer experience classes would he recommend?

What does an hour session look like in Dr. Jarod’s office and how does a higher price but fewer visits attract clients? Extended answer provided.

When should you consider branded products, if ever?

The “do you take my insurance” is an important question to answer but listen to Dr. Carter give us the deeper reasoning and the way to best answer it.

Things to look for (positive and negative) in hiring a coach.

Medicare and Cash Practice: what documentation is necessary and please consult your local medicare rep to learn more about your particular case (we aren’t lawyers). He wrote a book specifically for Physical Therapists about this topic so his answers on all things Medicare while may have cross over with chiropractic and other professions, might be different for you. His site has 20 pages free.

What are the 3 relationships you can have as a provider with medicare and which seems to be the best option? He discusses self-claims, disclosures, screening the right patients and the other important details so you do everything correctly.

Associates: How do you know when to hire a second doctor? Payment options,

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Minisode 24 Proper Breathing

Proper Breathing starts with proper biomechanics. Tune in for a physical therapist specialized in respiratory conditions.

this is a doctor's perspective, minisode, you might be asking yourself, what is he going to mention now? Well, it's easy. www.adoctorsperspective.net/question is one question on the site and just helps you figure out what are people looking for what type of interviews you want, what kind of services you might desire out of me personally. So if you want to visit that helped me out a little bit, that would be fantastic.

Now, today's show will be quick. It's from move forward radio. Optimal breathing is a physical therapy podcast. Man, they have an amazing like PT rah rah rah 32nd commercial I was chiropractic can be so united to have something like that it is good. And very similar to what we do, which is the crazy part. It's only the show. It's all about optimal reading, learning to breathe. For instance, when you're weightlifting, don't hurt your breath, you can hurt your heart.

So the person that I interviewed his best her specialty is lungs and heart physical therapy stuff was a pretty cool, unique niche. So another example they use was if you have COPD, or congestive heart failure, either one of those when you breathe, you be using your accessory muscles, which is not a great idea. So you can intervene and reteach them how to breathe correctly.

As in, breathing with your diaphragm, your belly is gonna poke out some you want to make sure you breathe in. So you get all the way that a low part of the lungs breathing with your nose, it's like a humidifier, and it stimulates the autonomic nervous system, then you want to give it a complete exhale. Eventually, this rhythm becomes more natural, you're training your body to do it, and you'll actually do it correctly, you will sleep and that's why there's so many you know,

meditation, things about having the proper breathing this way, focus on your breath, focus on your breath in three seconds out three seconds in and then like a stuttered out of your end of that. I listened to a Tim Ferriss podcast, it's been a while and it had to do with somebody who doesn't breathe knows, like multiple ways to do it. And something gets you excited, someone gets you calm with your brain thinking more. So it's pretty cool. I don't know much about that. To be quite honest, that's about my little bit more than that, but I'm not gonna share it, but consider looking into it.

If nothing else, there are ways to reduce your blood pressure based on breathing techniques as well. So we just went

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Transcribed by https://otter.ai

The transcript of the show is automatic and will have grammar andpunctuation errors. If you would like to make the shownotes flawless, please send me the corrected version and I will copy and paste it: thanks in advance.

Show notes can be found at https://adoctorsperspective.net/m24here you can also find links to things mentioned and the full transcript.

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Minisode 23 Onboarding Staff Tips and Gym Class Specifics

Onboarding with a 30 and 90 day trial period, what to look for in those days, trainability, ideal small group class size for a clinic, and how to calculate per person fee.

I’m your host, Dr. Justin Trosclair, and we're back with another episode. If it's one of your first time listening to this and you do not yet subscribe, you visit a doctor's perspective.net/listen , it will send you directly to the podcast app that you have on your phone. And you just hit that subscribe button you never miss the main episodes or these Minisode.

Today's show is from a podcast called masters in fitness. This episode is 50 principles of high-profit fitness business, Joe. Again, if you're new this, these are just summary. These are kind of highlights the bullet points from podcasts that I listened to. So she was a flushed out version, check out the full episode. That's the point.

So this guy started with like a smaller clinic. And they were doing four to one class sizes. So four people per trainer or doctor. And then they got so good. They wanted to 6000 square feet and ended up getting to a 16 one ratio. But they start having attrition problems and all this and the community was kind of wavering. And I'll man you know what it was that personal touch was lost. So we went back to six to one, I think four to six. I think another episode we did www.adoctorsperspective.net/136  is like a good start up to eight if you had the square footage for it. So that's right in the ballpark right there. We talked about fees, you got to figure out what are your expenses? Plus, what margin Do you want to have? And then just work backward.

So does that mean? You got $6,000 in expenses, and you want to make 30%? profit, add that to it and then work backward on like, what do you would you need per class? And when you get the per class, you divide that out by you know, what do you have four people or six people and say, Okay, well, I need to charge this much for each class. Remember, remember, you don't have to have a doctor to deliver these classes, you can pay like an athletic trainer, a personal trainer, and so you're looking at 25 bucks for like a trainer per hour. And if you charge 25 for each client or shoots, you may send her dollars in that hour, that's just a $25 fee per person that's in the glass. And again, the trainers may only make $25 an hour. So they're not expensive when you have these classes like this.

But what's important too, is you got to have a system so someone can replace you. If you did proper onboarding and if you got to step away and go on vacation for three weeks, what's your system, you should have people in there that are cross-trained, they can just follow a system so that the sales process doesn't slow up and all that. Okay, so one of the things this thing he talked about a lot that resonated with me was hiring. So figuring out what are your core values for your clinic? and not so much in skills, but in the things that just come naturally to somebody? Are they pessimistic? I don't want that person, are they lazy, you don't want that person either. So sometimes they just want to buy doesn't have much experience so that they can train them the way they want it.

You can't train passion. And so they do like a 30-day trial (onboarding), whether they have they find them from a gym or wherever they're, you know, the front desk, they got a 30-day trial, and they're not 30 days. They're gonna they don't expect you to know what you're doing right there. Like, do what we tell you. And we're watching for your attitude. Is that are you a go-getter? Are you showing initiative? Are you excited? passionate? Yes. Awesome. Do you follow the rules? Yes. Awesome. Great. Cool.

Now we'll transition to a 90-day trial where you start getting more involved and maybe seeing some of these clients? And are you adding value to the clinic again?

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Jude Mendonsa talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Tenant vs landlord real estate lease concerns and negotiations, should you buy single unit or multiplex homes for real estate investing and why, creative financing these projects, silent partners and mentors with Jude Mendonsa.

Tenant vs Landlord Business Lease Concerns

Purchasing price is one of the most important aspects of real estate investing. It’s not what you sell it for, it’s what the purchase price is for cash flow. Also for real estate the term really matters a lot maybe even more than the price if you plan to hold it long term.

What is negotiable when signing a commerce building lease? He has a chain of cell phones across several states, so he gives us some real world advice based on actual rent amount versus length of contract and more.  One idea if you need renovations is to have the landlord pay and you sign longer lease or you pay and get a few months of rent free.

Can we reduce triple net or CAM fees or general building upkeep fees? What do these things cover?

How do you get around signing a personal guarantee?

Everybody says, “Everything is Negotiable” however it depends on your negotiating skills and are both parties willing to be creative.

A few pointers to consider when remodeling a place, or starting from a vanilla box.

Single Family vs Multiplex Homes

Jude goes into a weaving story of why he prefers 2-4-8 and 50+ unit residential buildings instead of focusing on single family homes.

10% maintenance, 10% vacancy rate, 10% property management: these rates should be expected

When do you remodel your multiunit properties, should you add a gym,  and should you repair issues asap?

Creative Finances

Mendonsa discusses ways to get houses and buildings at $0 down, owner financing or how to use investors’ money if you do have to give a down payment?

How can you take over a house mortgage without a whole bunch of banks and fees with a Section 2?

How do you find distressed owners/properties: borderline bankrupt, tired of dealing with the maintenance, going through a divorce, foreclosure etc? He gives generically at least 10 different ways to build relationships with people who are in the inside tract. (real estate investor group, wholesaling, property management companies, tired landlords, title company foreclosure list, driving for dollars, birddogs, city code violations, shortsales or craigslist)

Coaching: Not on Real Estate Jude Mendonsa “the barefoot millionaire  “ coaches men on how to do more in business, health, wealth and better husbands and fathers. (If you want to know a good real estate or real estate distressed homes, message him for contacts.)

He gives several great ideas to build that relationship with your spouse as well as guiding your children to an entrepreneurial journey. Big key is to spend time with your family and watch less TV.

His own PODCAST Freedom Experience–a week by week case study of a supplement company they bought, making it better, branding, growing, and other things like that.  On Apple and Google Podcasts,

His webpage is www.judemendonsa.com and is getting a facelift.

Books: Robert Kiwasaki – Rich Dad Poor Dad, Cash Flow Quadrant,  Rich Kid Smart Kid, Grant Cardone: The 10X Rule, Pejman Ghadimi- Third Circle Theory, Radius, Jesse Itzler- Living with a SEAL , Dean Graziosi -Millionaire Success Habits , Tony Robbins -MONEY Master the Game , Jude Mendonsa – The Freedom Blueprint

What to look for as a tenant in strip center and tall buildings? What is negotiable and what can we ask for that might be overlooked? Anyway to just have biz sign the lease and not have personal guarantee? When buying a building, what are you looking for:  location, price per sq ft, current tenants, vacancy? There is usually some kind of formula for price, improvements or renovations, rent, vacancies… what do you use?

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Minisode 22 Discounts and Being On Purpose

Should you allow discounts in your clinic? How to fill your clinic with patients you want to treat as well as finding your deeper direction.

Welcome to the minisode. We just wrapped up a three, maybe four-week financial series with student loan Income-Based Repayment and a lot of different definitions for one K's, Roth trusts and wills, estate planning, life insurance, Universal Life using that as a part of your retirement. And then if we got the fourth one, it'll be real estate and what you can do for your business buying and selling duplexes and all that informative. You know, like said before, it's a lot of doctors, they come out with 200,000 or more in debt could happen for 30 years, it affects everything, you always got to worry about it, assuming you don't become one of those top 10% that make a ton of money. It seems like the A lot of people are kind of stuck in that middle range where life is okay, life is good, wasn't as good as you thought it was going to be financially. But it's not bad. Like you still live with your life. You always just have that on in your mind, like, man, I gotta pay my student loan, I got all these other things I got paid for. So it's just a good series to sharpen your tool belt, start planning for retirement, especially if you're young, you don't have anything planned for that. And you haven't thought about it, you're just focusing on school, here's a way to get that mental juice flowing.

Well, speaking of juices, another page I'm ascribed to on Facebook is Chirosushi. And they talk about this guy, Shawn Dill, like all the time, and I don't know much about the guy. I know, he's got a coaching program. And he said He's proven that you can buy and all this, but I just came out with a new book. So I was like, well, that'll be interesting to hear him talk about his book.

So found the podcast and kind of cool, called author hour -none of your business with Shawn do a little bit later, download a few other author hours. And I'll have notes on some of those later in the future. It's just a great concept, right? The author talks about their book, cuz Let me tell you, sometimes books don't have a lot of meat to it. So when they talk about it, you almost get the entire point of the book without having to buy it or read it or listen to it or anything, you just hear him talk about it at 1.8 speed or 1.6 speed on your podcast. So I thought that's kind of cool.

So here we go. Here are the main points I got, you know, became a doctor became a lawyer, whatever not to be in business, but to be the best in that field. But then you realize, like, wow, all sudden, I gotta be good at business, I gotta get good at marketing, I gotta do all these things until you can afford to like branch it out to somebody else. But like, you still have to be in it, you still have to have a successful business to stay helping people, right? If you go broke, not gonna help. So his idea is you got to embrace that. And if you can't figure it out, like you won't be in business, like say, you will help. Nobody has thought, there are lots of people in the world, and you can niche down whatever you want.

But like you're only going to treat the people who you're meant to serve. You know, I guess that's one way to think about it. I guess that's the idea of these people came to your clinic because they match up with you. I mean, I do think there is like a personality. Whenever I have certain people come in, they would drain me and I'd have other people I'm like, Yes. So if I had a practice full of those types of people would be like, Whoa, this is amazing. Every day is so fun.

What about a practice one of those other people? Like how am I tracking these, your marketing, you have a certain personality, you're gonna attract those types of people to your clinic? So part of that, as this I mentioned, is just knowing who you serve best, and who you like to serve and

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Minisode 21 Get Leads at Live Events

Get creative with event sponsorships and live events for leads. You can put your logo and branding on coffee stations, lanyards, charging booths and speaker notes. You can do a fun game at your own booth and people can win prizes.

Episode 21 get leads at live events is your host Dr. Justin Trosclair Welcome back to the mini sewed. Hey, but a month and a half ago now we have podiatry series, it was six weeks when 19 through 125. every guest was different, they all had a special unique angle from a muscular-skeletal to a lady who had a life-changing heart condition to some business coaches. So a lot of good information there. Whether you're a podiatrist or not, I think you really can gather some implementation ideas.

All right, well, today's show is from social media marketing, how to get leads and customers at events, we all know you got to know like and trust somebody right and meet somebody in person gets you there faster. So when you attend the live event, whether it's like traffic and conversion, or the FTC, an event that's coming up in September have an agenda especially like in this big marketing, you know, even what you're doing. And you might already have a coach of some sort. And you have clients and you know, you can behave clients there, we can have my meetups, you might meet up and have breakfast, and it's like an amp, a, maybe a small presentation just to support your tribe while you're there.

Also, you might know some of your clients or just your colleagues doing a presentation, you might go support them in that. And then you know, talking to them, letting them know that you're there and all that. And I know, the FTC did that with the Parker seminar, the fourth thing chiropractic Alliance, they had some kind of happy hour or something and just got it ready to get together. Talk to me get back on Facebook, you can remember who they were, yeah, that guy was cool. If I need to follow him more, interact more. Nothing.

If you're there to get leads, you know, this is the doctor podcast but just kind of think about if you're at a trade show a boat, show a health fair, go talk to the vendors and exhibitors, you all are all in the same boat, you all went, you paid to have a booth, go and talk to him, everybody's hungry for people to talk to each other. Now, if a real customer comes by taking a step back and let them try to get their business. But other than that they could be actual people you need to it might be easy, wait to get some good leads.

that doesn't even mean you have to have a booth. It just means Hey, you're there, go and talk to these vendors. They paid the money you may have been there before. It's just nice to return the favor. And always felt good. Even if another vendor came to talk to me. Because they know a lot of people to their business. They're trying to grow as well.

Think of a good icebreaker. Maybe you wear something unique. If you know you're going to speak to a speaker to have something planned. So you might say Hey, how are you a great speech? You know, here's a talking point, or you had an article about this or a podcast about that where you thought something engaging, you know, a bad icebreaker says, so what do you do? Right? You might have to ask, what's your favorite type of client? What brings you to this conference and it opens up these open-ended questions, right?

Now when you talk about sponsorships 20 somethings be like social media marketing, that's a huge conference, probably you may not be able to afford to have a booth there, right, you may not want to spend the time there. Because of all the planning and the staff figuring out what you're going to do, you don't have to do that a lot of these people is if your brand matches up, they got lanyard sponsors, they got charging stations where you know, there's like a booth, bunch of electric cords, plug your phone in. And then on the in the square in the middle,

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Trevor Jackson talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Life Insurance can be confusing. Trevor Jackson walks us through infinite banking, be your own banker, tax free retirement, as well as term, permanent, universal life, million dollar baby plans, super funding and living benefits.

With a background in health insurance sales, what prompted him to begin a career in finance and why did he pick Five Rings Financial? When we talk about lunch and learns and educating the public, what makes this company and those events particularly stand out to him?

What is Be Your Own Banker and Infinite Banking versus Tax Free Retirement?

There are certain end goals that distinguish each as well as the life insurance vehicle that allows it to happen.  The short answer: using permanent life insurance to build a cash value and you use that to buy ‘cars’ instead of going to the bank (YOB or IB).  The TFR is more concerned about becoming a retirement supplement which will grow tax free.

LIFE INSURANCE

Permanent, Universal (fixed amount when you die), Variable (tied to stock market) and Index (tracks an index but has a floor and ceiling for loses and gains).

His preference is an index that allows (guarantees) no loses and caps the gains at 10.5%.  Perks and drawbacks are discussed.

Another type is more tied to dividends so it might only grow 4-5% a year.

Index Fund compared to an Indexed Account  Life plan: what are the differences to avoid confusion?

How can an indexed life plan account actually guarantee no losses even if the market drops 50% one year?  Hint: they use the index as an indicator instead of actually being directly invested.

What’s the point of building a cash value in a life insurance policy?

How does that cash value fund retirement?

What is a Pension Option that can be added to the Index Account?

Did you know the average 401k only lasts 7 years? Could be why this pension option is something to consider as part of your total retirement plan (fixed amount every month until you die).

Diversification is definitely a buzzword, but have you diversified your retirement Tax Buckets?

What is a good age to start life insurance, especially permanent policies?

Million Dollar Baby Plan: take a listen to learn why you would insure your child at 1 years old and keep the premium paid their entire life.    BONUS: you can use the tax free retirement plan that is on the baby to actually pay for school later on and it doesn’t mess with your child’s ability to qualify for student loans.

You can borrow cash value from your insurance at a variable 4% rate. You can pay it back or not and Trevor discusses both options.  Also, he informs us about how the total value of the cash amount stays the same and grows the normal rate that it would have (minus the 4% on however much you borrowed). This part can be a little confusing so listen to it twice if needed.

Who owns the policy when you insure someone else and you pay the bills?

What is Family Banking?

What is Super Funding the Cash Value of an account mean?  When does it become a Modified Endowment Contract?

What happens if you skip a payment? The answer depends on if it’s a pure permanent or indexed plan.

How often should you have your accounts reviewed?

What are Living Benefits? He discusses just how important it is to have this as an option when buying life insurance.  What happens if you do have a stroke or can’t do 2 out of 6 basic activities of daily living and you need money now for the next six months and not when you are dead? It’s kind of gives you long term care benefits without having an extra policy.

Bankruptcy and business failures have a health sickness as the number one reason.

Books: Tony Robbins: Money Master The Game, Jon Gordon The Energy Bus

IG & FB: safemoneycoach      trevor@fiveringsfinancial.com     303-428-5434

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Minisode 20 Excellence In One Thing and Contentment

Learn to have contentment with a low or high salary. Prepare yourself for the hurdles of rich people problems before you are rich. This includes creating a family mission statement to keep you on track and also honoring God in your work.

Episode 20 excellence in one thing and contentment, your host Dr. Justin Trosclair. And we're back with another minisode for you.  going a couple of weeks ago, we went to a theme park Academy. And it's another week school going on for kids. I'm telling you there was almost nobody there, we were able to jump on every good ride, no wait front of the line front row, if you want to get off, pause for a second and get right back on it. incredible experience. And I don't know if you ever had that opportunity before. Once I'm in Denver, my buddy, he came into town, we targeted at a Broncos game. And then after we ate, we went over to Six Flags. And it was the same scenario. And we wrote so much in a row. We're like, dude, maybe we need to take a break. Like I'm feeling a little woozy. You normally get woozy on these big coasters that spin you around, and barrel rolls and your feet are dangling and everything. Anyway, a lot of fun, I guess is the kid inside me.

Anyway, if you'd like what we're doing here, you go to www.adoctorsperspective.net/reviews. It'll take you directly to the app that you listen to this in. And you just read it overview, you can say, you know maybe how it's affected your personal life, how it affected business, what you enjoy about it, the guests that have to be about the host, but it definitely does help. So appreciate it. Now, on to the show.

This is gonna be a summary of the storied brand, Episode 144. And he was interviewing one of the duck dynasty leaders. They're like super popular. Remember them big beards hunting all the time with ducks. Anyway, the main lessons I got from it, where you got to be content with what you have. And they had a very humble beginning. So it's a really good episode, like, you know, that's the whole point, you get a summary, but go back and let's do it, they start from nothing, and just started building and building.

And it's not about just getting money, because you can be happy with a little you can be happy with a lot when you see these movie stars, killing themselves on drugs and all these different things. You know, I mean, you seem to have it all, like what's the problem? So you know, a little bit of money, a lot of money, you can still be content with where you are in life? And what are you going to do with it? Like, if your goal is to make a lot of money? What are you gonna do with it? When you have it? You buy expensive things, and you have benevolent, do you help out your friends and family? So you know, what's your goal? Think about that.

One thing, especially now that I have a kid is trying to think how can you raise your kids to be entrepreneurial, because it takes a special type of person, I'm wondering if we can cultivate that in our children. So when they're growing up, they experienced the lemonade stand they experience, I don't know, social media marketing, I don't know exactly what you could teach him. But there are all these little things around the house, run a neighborhood, maybe they cut some grass, and they start saving their money to buy something that they want that they just expected you to buy.

The facilitating that working for those guys, they still haven't like a pretty small town. It's not like a big metropolitan area or anything. Maybe like 20,000 people in their part. So whenever I know you are and they know you're the rich person, and you know, people are gonna be jealous and overcharge you for something simple. They'll get your house repaired, or they just don't like you because you're the rich guy. So how are you going to deal with that with your family members and your close friends? Even haters, you know,

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M 19 Community Involvement Before Buying Social Media Ads

Don’t blindly start spending money on social media ads. Build momentum by getting to know your community in Person first. Figure out what they want, then create videos and promote it.

Welcome back to a doctor's perspective, we live in Kunming, long-distance bus station. Parents from a three-hour journey back to my hometown go to work this afternoon. It's been a whirlwind 48 hours or 72 hours for me. I'm guessing you guys are like, seems like weeks you've been doing this week like, Yes, I was. I had a lot of downtimes.

So I listened to podcasts and then reported on them. But I think guys and gals would be not happy with me if I released three a day, every day for five or six days. So what I'm trying to do is just put them out on Thursdays and Saturdays until I finish, this one should have already had a month and a half out. So hopefully, if I noticed that I'm getting backlogged. And it's like months and months of these already pre-scheduled, then what I may end up doing is do three a week, and just kind of see how it plays out. And a lot podcaster daily, there are a lot of daily podcasts. But there's one kind of something consistent for y'all. Not just it was once a week for three weeks, and then there was nothing or only like two, you know, I got a kid now so I don't get to quite as many. I still live in these past two years, like I had so much I could have shared from learning, like what equipment to buy, and marketing and Click Funnels and all that kind of stuff.

So anyway, this episode is going to be about Cairo funnels, Episode 157 as a chat room, there are podcasts. And then Russell Brunson is like buddies. They go to the same church, or whatever Mormons call it. And so he's been able to get to know him better. I'm a Brunson fan. Although I need to do more with those emails, I tell you writing the stories, you know,

I did summarize the Russel Brunson books. If anyone's interested. I went through and read the books and then summarize everything's on. So it's more like a six-page Word document. So like, I don't want to reread the book every single time. So just read the highlights, and kind of what to do with this podcast.

That episode is about building momentum. When you first starting, you just want to spend money. I've got this little bit of budget. Let me just throw it on Facebook advertising bra. And that doesn't work. Yeah, dang, it didn't work. Okay, maybe my videos weren't good. Maybe my copy wasn't good. Well, that's probably not it either. People don't know you. So the first thing you got to do is probably get around the town and meet people. I don't care what profession you're in, to meet other business owners.

Go and meet other providers in your area. Go talk to people get involved with the BCI with the Chamber of Commerce, go to all these events, go to those ribbon-cutting ceremonies. Now, that's easier if you don't have a clinic yet. But you can make time and try to get it done. Or at least have a representative go there. And just really start building like oh, you know,  I know you? I've seen you? You everywhere.

But generally, be involved with them? Like, what can I do? What are you looking for? What's your ideal client? investors things? Remember these bi grooves these chamber commerce events? Don't just ask, Hey, what do you do? asked like, what's your favorite client? instead of like, Hey, I Justin I'm a chiropractor. Know what's your favorite client? What's your, what's your avatar? What do you like doing for fun, when you're not at work, just something like a little bit different, I'll make you stand out? And you know, people love to talk about themselves.

Okay, so when you start doing that, then you can start building videos, live videos vertical, as we're going on a theme here, maybe show some exercises, maybe you show your personal life a little bit like you biking into, you know,

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Jason Rainier, CFP talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Doctor based Retirement and Investment options. Jason Rainier CFP will cover FSA’s, 401K, SEP IRA, 529B education funds, Trusts, Estate taxes, Wills, Index vs Managed Funds and Life Insurance. Novice or established you will learn something new.

What is a Certified Financial Planner, CFP? Qualifications, job role, CE’s etc. While the CFA has a broad spectrum of things they can do, part of their job is to coordinate and make sure the CPA and Lawyer are also all on the same page.

The generic goals of investments and retirement are to save as much as possible and not pay more taxes than you have to (legally).

10:35 - Retirement Vehicles11:30 - 401K and 403B17:00 - FSA Account21:10 - SEP IRA –self employed24:18 - 529 Education Plans36:20 – Gifts37:23 – Estate Tax41:05 – Trusts43:25 – Testamentary Trust49:15 – Wills54:40 – Expense Ratios57:30 – Index Funds1:09:55 – Life Insurance1:23:45 Happy Family Life

What are 401K’s and 403B’s investments?

Limits on investing, tax benefits, when do you pay the tax, employer contributions, investment options, how much can you contribute each year  and all those type of questions are answered.

What are Flexible Spending Accounts (FSA)?

When should you consider saving for health bills as well as reducing taxes? A big quirk in the rule that you must pay attention to otherwise you lose all the money you put in.

What type of person should consider prepaying for health bills?

What are SEP IRA ‘s investments for self employed people? There is a certain formula you have to use but you can save nearly triple the amount as a 401k.

In’s and out’s of 529B educational funds.

Jason helps us understand the limits, what qualifies as a school expense, what doesn’t count, and what to do if your kid decides to not go to university at all and the tax benefits of using an In state vs Out of state sponsored plan. Plus he discusses the legacy of paying for school for your grandchildren or other family members.

Why does he caution over funding an education fund at the cost of your own retirement?

You can gift a high amount of money tax free, Jason discusses the details behind Gifting: whether that’s to your kids, grandkids or whomever.

BE INFORMED AND ASK QUESTIONS and READ THE PROSPECTUS

Estate tax used to big a real threat, but recently the rules have changed.  Learn a bunch about estate tax in this segment. What’s the Annual Exclusion Amount and how does that tie into gifting.

What is a trust?

A big topic that Jason Rainier CFP talks about is Trusts. What is a trust, why would you set one up, and is it just for the rich? Reasons to set up a trust could be to protect your own loved ones from blowing through millions of dollars at a young age or you can even set one up to benefit a charity. Listen for all the details and examples of this fiduciary capacity.  

Testamentary trust, what are they? It’s probably one you might consider for your own family when you have children.  How to stop someone from stealing the inheritance that your kid should get while a person is overseeing the trust in their teen years?

What is a good schedule and time frame for your children to start receiving lump  sum amounts from their trust?

Fun side note: a notary in Louisiana also has to understand law, so the pass rate is only 20%.

Important parts of trusts are for probate reasons, protecting or guiding the way your wealth is distributed from beyond the grave and a few other reasons you can listen to. One reason you may want to avoid a general Will is to avoid the public records in the court system.

Expense Ratios and Index and Managed Funds

You have to understand about the Expense Ratios and Percent in passive Index Funds vs actively managed funds.  Let’s learn the pluses and minuses of both investment sides of the argument and what are considered mutual fund expenses...

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M 18 Three LinkedIn Feed Commenting Etiquette

When commenting on other people’s Linkedin threads, should you drop a link to your own stuff or even someone else’s? Proper use of hashtags as well as tagging other people – what are the do’s and don’ts.

A doctor's perspective is many. So again from the Shanghai airport. This time we're talking about LinkedIn formed Episode 206.

Before we jump in, go back to my Facebook page if you could, or LinkedIn got two new logos a variety of styles one of them has one of them is a doctor and the perspective is written backward in like a little rectangle box. And some people are liking that one seems like the doctors are kind of liking that one. And then another one has a doctor's perspective. And then the perspective goes from a small piece to a big he had an angle and is based on the way they do the 3d shading. So it looks like a perspective coming at you. And then the doctor comes up at an angle. And we've had people like those doctors as well, but not doctors liking that one. Although I did hear, maybe make the doctor more straight and the same size not angling up. So here's what your thoughts are not unheard of making a decision.

Alright, so this episode is about kind of like LinkedIn etiquette. For instance. Now you can do GIFs you know, memes on LinkedIn, the animated ones. Pretty much you need to know your audience, the person that you're sending it to. Do you think that appreciate it, go for it? If you think that they're a little like, Nah, that's not cool. They go Facebook Escobedo LinkedIn, then just be aware of that and make the appropriate decision. Another one that he had a big conversation about was competitors.

Do you have a competitor that's got a really good thread going, you know, they're going back and forth with different people. Yeah, man, I got something to contribute. Okay. contribute. All right. Don't be salesy. But contribute.

The question becomes should you drop a link? His opinion if you're dropping a link to your stuff, yourself page, that can be a problem. The other thing is maybe just dropping an informative link? Well, again, potentially, your D railing that conversation people like, Oh, that's a link. They go to it, they forget about the conversation. And they just ignore the guys link all together that recently posted it. So you're kind of taken away this traffic. Now you might say to yourself, Well, no, it's contributing. It's it's valuable. True, it could be. But if it happened to you, you might be upset, like, Dude, this guy came in, and it's just jacking my people. The crap. Not cool, man. So think about that.

He's not saying do it or don't he's just that's his opinion, about adding someone or hashtag. So adding, you know, if I got at least a podcast episode, I was put at that person's name, so that they know when their followers know. And all they have to do is they don't want to remove it. A lot of people just add you they don't know. They just like, Oh, this dude has a lot of followers. This girl has a lot of followers. This dude, this gal has a lot of followers. Let me just add them. It's kind of relevant to what they do. If they don't say anything great. If they remove themselves, well, he's that tribe.  Alright, that's a bad idea. It's rude. It's not cool. That's what he says. But it adds value

. If this person is a contributor, go for it. But respect that person's threat. Again, don't derail it. Also, in a hashtag, I say there's not much going on except it allows more people to bring more people to the conversation and that's not what you're looking for. So you would hashtag you didn't have I don't think I don't think I caught anything negative about it just can keep it relevant and bringing more attention to his or her post, which is the whole point. Just good.

Oh, Asian Cajun update. She can now suck a sippy cup. We've been working on that this week. Especially when we're out in the sun, land and the flowers.

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M 17 Cart Abandonment and Lifetime Back End Sales

The best way to make more on e-commerce is to have procedures for cart abandonment so you increase the lifetime back end sales. Optimize the sales cart, doing follow up emails and text and see results.

A doctor's perspective many sold live in the Shanghai airport just did my presentation that the closest one the latest Asian conference, officially called the for so long. Let's see International Symposium on Ankylosing spondylitis, pain classification anti-inflammatory and pain treatment programs by the Asia Pacific Federation of pain physicians Shanghai academic conference. Yeah, the conference went well, I gave a little speech and these are well the meals were good to get to meet the president of the hospital that kind of put it on a specialized in as overall good experience look forward to turning into some like that again,

This week is perpetual traffic Episode 166. They're talking revenue optimization, a lot of times that podcast about conversions, how to set it up, so people click your ads so that you can make the purchase or get the email. But this time, it's like, Hey, if you're gonna business, you're gonna make sales. Revenue optimization is important.

We're talking not just the pre-sale, but the sale follows up email cart abandonment, in recapturing and retargeting and those types. Now, most people just focus on leads and conversion rates, but you got to be able to capture their money. That's why you're in business.

And there are only three ways to do that, get more customers, get them to spend more, or get them to buy more often. And recent stats show it's seven times more expensive to get a new customer than to keep going you have. One thing they mentioned was that the initial sale is just one piece, a lot of people try to do everything into one sale.

And that's more like a quick promo, the money is made on the back end, through your email sequences, optimizing your email list, and you know reselling them on other products that they may have already purchased, you know, the lifetime value is the most important.

And that's the whole, maybe they only purchased them for $17 up front. But then three months from now, 60 days from now, they buy something that's 199, and then another two months now 49. So if your lifetime value of your customer ends up being hired, that means you can spend more than the next guy to acquire the customers on the front end. And one thing that you can do that optimize everything is decreased your bounce rate managers 10%.

Think about this way, if you paid 50 cents per lead, and you got 1000 leads great, but we start checking Google Analytics, you notice, wow, all the 100 didn't just bounce in the first 30 seconds. Well, now you didn't just spend 50. Sincerely, it was five bucks. So the first thing you might want to do is good like tiny PNG or Kingdom speed test to try to optimize like your images, see what's slowing your page down, people are just bouncing right all the means they get on your Facebook, or LinkedIn or wherever they click your page. It doesn't load fast in the forum. And they leave or worse they get your page is not what they're looking for. They click off.

Also if you got were WordPress and you got plugins you don't use delete though that also helps that speed up your page. Now abandoned cart follow up is probably the biggest thing that you can do to just recap them, we're talking 70% 50%, more sales type of thing. Now some people say start from any page and we're towards check out this guy recommending 30 checkout page 30 your cart, get the debt to optimize, and didn't work your way forward. Because of no point you know, these leads and then you, your former boss.

So they're recommending not only email, and use your email, figure out an app to plug into your Shopify because their email for being a card is not good. Also using Facebook Messenger that increases your repurchase a lot.

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Travis Hornsby CFA talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Doctors have multi 6 figure student loan debt. Don’t feel trapped any longer. Travis Hornsby CFA has done 1000s of reviews to put you in the correct student loan repayment or forgiveness plans. He gives so much valuable advice on this episode.

Refinance and varying plans of student loan forgiveness or just a few options that you have to pay off your 6 figure student loan. Travis Hornsby, CFA discusses the ins and outs of each repayment options and is available for consults about your specific needs.

CFA is a mile deep but an inch wide and a CFP is an inch deep but a mile wide. He goes over the difference.

The FFEL program … the reason some people have less than 3% interest rate back before 2010 and he tells the backstory of what changed to increase the rate to above 6% and how the interest rate was tied to what the government was yielding.

Are the “doctor” schools honest about income potentials when recruiting?

Also, schools were able to charge a lot more for tuition as well as roll in the cost of living? Who did that benefit and what should you be aware of?

If you have 250K student loan and you only are making 60-80k per year, how are you supposed to cover that 2500 a month note for 30 years.

If you owe less than 1.5 x your debt then maybe refinance. If you owe more than 1.5x your debt then consider the loan forgiveness programs. (as a general rule seek professional advice before doing anything)

Student Loan Forgiveness Programs  (listen to the episode for all the details)

Pay as You Earn:

Revised Pay as You Earn:

Income Based Repayment

What happens if your spouse earns money? How do you handle a dual income family when looking at these loan forgiveness programs?

Tax Consequences

A key piece to remember is that the student loan forgiveness programs do require you to pay a HUGE chunk of TAXES after the 15-20 year term. Only one program can end in no tax. 

So big in fact, that each month you need to save for it otherwise you will be shocked that final year.

Travis gives us a few examples about what to expect and how to plan for the end of term taxes on the amount forgiven of your student loans. Including a 20  year trick to make money work for you long term.

AGI adjusted gross income- is how they base your 10% student loan payment each month. A Perk for working Overseas (EXPAT) is that you can make up to $100,000 but none of it counts toward the API.

Hornsby even has a tactics for those high end earners to still utilize student loan forgiveness programs via 401k’s, hiring family and more

What is the breadwinner loophole (communal property) that applies to 9 states?

How will I know if I can be financially secure one day… if I have a lot of student loan debt?

The short answer, have a higher savings rate than everybody else… listen for the details of how and why. (1/3rd goes to student loan, investment, and retirement : 10% loan, 5% tax boom, 18% retirement)

Number 1 and 2 reasons you aren’t saving enough. https://www.studentloanplanner.com

Places where chiropractor and other doctors can refinance their student loansIf you want to get a copy of our income driven repayment calculatorReach out to us at help@studentloanplanner.com or just check out our consult service

Travis Hornsby, CFA Founder, Student Loan Planner

Show notes can be found at https://adoctorsperspective.net/128 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 128 student loan repayment options. I’m your host, Dr. Justin trosclair. And today, we’re Travis Hornby’s perspective.

2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests special...

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M 16 CPA Advice on Home Offices and Taxes

Taxes: are you paying to much? What about write offs like home offices and reducing your bill with proper entities like an S-corp and K distributions? Have you thought about 401k retirements yet? Let’s review.

A doctor's perspective net many sewed this time is cash practice PT with Jared Carter Episode 70 taxes it's about most small businesses can qualify for a new pass-through income 20% savings whereas before this like secrets that could do that.

He was still a little vague on it the answer the guests so really can't talk much about it be honest other than if you make 167 single or 315 as a total married couple, it may not be to that you need to worry about the first quarter is kind of the limit for your secret situation. Otherwise, you may not be able to use it.

As many voices always talk to your CPA now instead of waiting until April 10. And of course, you need to make sure you have a lawyer involved as well. One thing to note most people need to do you know we spend more time saving for the card and we do set up a business entity in from our taxes when you form your business.

Is it ap LLC is an LLC Do you want an S corp sometimes? Look at your goals and business. And other times it's the state laws that dictate what kind of business you're going to be in. As a perk for S corp is that you can have your regular employee, you know, as yourself as an employee getting paid, but then you can also take k one or K through distribution and pretty much cycling, paying 15% taxes. And instead of saying, my employee and pay 150,000, you might pay to say, 70. And the rest of it is a k distribution.

You know, when you're looking at this, you also want to ask questions like, are you just a private practice the online sales Do you do consult? All of these might dictate what type of Corporation setup also should you have LLC for each one for a parent company and you have like DBS or LLC underneath that it can get complicated. To find out, did you know that you could potentially hire your kids and your spouse, you want to find out what the rules are for that.

Also. when you're talking about your home office, what is needed to document like internet videos, can you get to do at least 14 hours a week at your home office has anyone to talk to CPA to find out. What are the rules because maybe you can qualify. There are lots of apps out there to calculate the mileage tune from your house to work. So if you have a home office, this the only to work office, and back and forth, could actually all be counting, but you got to make sure you talk to your accountant about that.

And then we talked a little bit about our Roth IRAs, simple steps, for one K's, and all of that. And remember the 401k if you want to match, whatever you put in like a 2%. You have to offer that to your employees as well, because technically, you're an employee, as well. So you can't just say I just want to do it and not offer to them.

So you got to make a decision. Do you want your business to contribute or not? And he had availability, his new book if you want to get it in there, and I will still be active coding company.com slash cash-based, but that was a pretty cool offer he gave. I will have a guest to show you soon.

I think it'd be like Episode 130 ish, called Jason Rainier CFP, certified financial planner. We're going to go into great detail about some of the things that we're talking about here today. So stay tuned for that on the program.

As always, check out the resources page for all the technology products that I recommend, like blueberry, for hosting your podcast if you're interested in that. She'll have audio speakers, missing letters for automated social media posts, and more. That about does it not just Trosclair went #behindthecurtain

Transcribed by https://otter.ai

The transcript of the show is automatic and will have grammar andpunctuation errors.

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M 15 Endo Dentist And Lingual Frenectomy

Fee for service dentistry is alive and well. The guest recommends learning endo and has a side hustle helping babies latch on and breast feed better. It’s not just her but a team, however she is the one who does tongue tie release, lingual frenectomy.

A doctors perspective podcast minisode.  we're back at you. I'm seeing lots of waterways on this train ride right now. Cool to see so much of a country is literally like driving from Washington DC to Denver, Colorado. That is cool to see a lot of this country now. I've flown over the country a lot, but to see it so cool.

Let's talk about the fee for the service dentist podcast, Dr. Shana home. She does want Facebook Lives and promotes it to a 10-mile radius. And remember, vertical video, like you mentioned in the past, didn't want she does that she wants to build value. She's a cash-based dentist. And obviously, those fees can get kind of hot.

So you got to build value so that people will already Pre sold when they come to see you. The show so recommends learning the endo program and doing a residency program that we don't have to refer to so much stuff out and keep it in house and that means more money.

She sees over 100 new patients a month she's got five chairs to or just for the hygienists and two are for the dentist. And the way the hostess his they alternate one guy comes in early in the morning. And one person kind of stays later to capture and then he takes off Friday and the associate works on Friday.

And what she was talking about was on one day she only works half but she teamed up with two of the people for lactation for babies who have trouble with it. They can do they can figure out okay what is the dish you haven't a problem with is an assumption. Is it not latching well, you know sometimes it's just they need to do some special training and then they're good to go. Other times they need it for next to me, which is the tongue tie release.

We talked about that with Dr. Allen's sprinkle On Episode 105, a doctor's perspective, net slash 105, to learn all about that procedure, so she's learned that procedure for different organizations and through some of the CPE, from one of the co2 laser company, so she's learned from a different way that he did it, which is cool to hear, like the different programs, and they turn about 250 bucks to do the release takes about 10 or 15 minutes.

And yeah, they're doing an infant. So they got a total correctly and, you know, the baby and stuff. To me, that sounds complicated, but all that to say it's working well. She's working with midwives, and pediatricians and things like that to figure it out. And they don't just do surgeries all day on it. She thinks they do what they said a lot of people looking at it, maybe they're not just trying to cut, make a quick buck or anything like that.

So cool little side job. She's got going on there. And she's determining, you know, what's a good rate? How much for practice should be dedicated to that? So it was a cool, good episode.

Alright, subscribe, that perspective done. Subscribe their local page. All you do is click Apple podcast Google overcast, it will take you to that app. Then you just click the button, and it'll take you directly to the show and you subscribe. On Tuesday, you just went #behindthecurtain with Dr. Justin Trosclair

Transcribed by https://otter.ai

The transcript of the show is automatic and will have grammar andpunctuation errors. If you would like to make the shownotes flawless, pleasesend me the corrected version and I will copy and paste it: thanks in advance.

Show notes can be found at https://adoctorsperspective.net/m15here you can also find links to things mentioned and the full transcript.

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Dr. Pete Camiolo, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

You need a big mission but sometimes it can overwhelm you and family life suffers. This was his catalyst to begin coaching which turned into mastermind coaching model. We discuss the mastermind evolution and how it’s a superior method. Be a remarkable ceo.

Starting out in a different profession he soon realized that people commented a lot that they didn’t plan to ever need to be in a rehab center or assisted living but they didn’t really have a plan to not end up there to begin with. Hearing these comments and the health struggles of his brother and a nudge from his mom got him on the path to chiropractic.

While being heavy on the adjustment side of chiropractic, he also coached patients on better nutrition and functional fitness.

The interview is in reverse order. We first talk about how his mission was so overwhelming that he didn’t invest enough into his family. Heart/big mission, pride/ego, drive for success and you /family are caught in the middle. Seeing 1000 visits a week by himself did lead to not putting his wife and growing family first. A crisis opened his eyes and turned his business and family life around.

The harsh reality when you think you trained your associates well only to find out when you step away, the clinic tanks.  He built a clinic that was completely centered around his personality and it just wasn’t sustainable.

Servant leadership = how can I help serve you today and in your journey.

We can control some areas of our life and clinic but you have to relinquish that need to control and let your staff and others help.

Dr. Pete’s first clinic had his associates doing the exams on 40-100 patients a month, he adjusted 1000 per week and did group report of findings. For his second clinic, he started training the associates to adjust as well. Usually he had associates that could learn how to create a business and they would move on in 1-2 years.

2 types of associates: cornerstones looking to stay and stepping stone who learn and move on.

Why does he consider 1 on 1 or 1 to many (like on stage) coaching services turned out to be what he did Not want to do? It’s not scalable and more importantly it didn’t invite enough collaboration.

Everyone has a unique viewpoint and a ‘genius’ so in a structured environment a mastermind group can harness lessons form everyone… a giver and a taker.  Like a 3x engagement and return on the doctors in the program when he implemented a mastermind approach.

Think about a weekly training by someone who is an expert at it (online usually), then you come prepared with questions and the magic and growth.

Acceleration happens when in the right room, right conversation and the right people.

Because his mastermind coaching was geared for doctors in the Scaling time of their career, he was having to turn away clients. Dr. Camiolo had a gap so now he is partnering and rebranding his business with the Remarkable Coaching Program.   Dr. Pete’s rebrand is now Remarkable CEO.

theremarkablepractice.com

Podcast: Andy Stanley,  Dan Sullivan Strategic Coach, Bethel Church  

Books: Scaling Up – Verne Harnish, Traction and Rocket Fuel – Gino Wickman, Jim Collins, Michael Gerber, Essentialism – Greg McKeown, The Synergist - Les McKeown, Ray Dalio, On Purpose Person - Kevin McCarthy

Show notes can be found at https://adoctorsperspective.net/127 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 127 mastermind coaching model. I’m your host Dr Justin trosclair. today with Dr. Pete cameo low perspective.

During 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

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Should you give your patients a superbill or file for them out of network when doing a cash practice? Can you back bill the remainder of charges? I also cover how to handle “do you take my insurance

Okay, welcome back to a doctor's perspective, today we're talking about cash PT lunch hour and number 17 with Jerry Durham from San Francisco.

I'm telling you I have such an appreciation for construction workers it makes me think of back in the day when my New York City you know, this black and white artwork where they're building these gigantic skyscrapers hitting these massive cranes they got these little guys on top of these tall buildings they're building an add on to this train station I'm at right now blow torches on the middle you know triangle shape structures and these Popeyes they're just sitting there perched hanging out relax, and other guys are welding and the cranes are moving up and down carrying stuff is just blows my mind like the way things are built. And these massive buildings are still had to be built. One screw by one screw, you know one way to one world crazy.

Now today's show is all about calm was the basics of insurance and like running a cash practice for pts. You know, it's kind of a new thing, these conversations, we have a lot of chiropractors. So here's the breakdown. First defining your patient is your customer, not yourself and not your insurance.

Because you get to the point where you can look at a patient now they only were 30 bucks from insurance, I'm not going to be the same that I would do for someone who's paying 150 cash. And if you start noticing yourself acting that way of being that way, obviously, that's a gut check. And now I'd be time to say hey, maybe I should just go all cash because I'm not treating the patient the same, and not getting the care that the patient deserves, which is who I want to make happy everything for the patient.

And that's where this guy, Jerry's USP is unique selling proposition is creating a happy patient.  And so he noticed his numbers like, we need to make X amount per visit based on expenses based on the lifestyle based on the law. And when he started getting contracts about seven years ago that was less than that. And they go to crochet, and they're like my insider not sit, just like I can't work for that anymore. So I had to get out and slowly just got rid of all of them and just you know, cash. And one thing he chose to do is to keep that patient, his client happy, because the bills out never he does superbills. 

And so a big part of the conversations are asking the audience kind of questions. What do you do when a potential patient calls your office and ask you that question? Do you take my insurance? Of course, what does that mean? Well, yeah, I do take your insurance. I'm on a network. Of course, we know they've been in the network. But they didn't ask that. They said, he said, Yeah, I do think insurance.

Now the way you really should answer is getting the acknowledgment and permission. That's that classic, acknowledge what they're saying, get permission, ask questions. So DJ mentioned, I do take it, what can we talk about insurance at the end of the call? Because I got a few questions I need to ask first. And I'm going to get to your question, but more than sort of the follow-up question is, so this one, they've permitted you to say yes, you can answer some questions. And that question is,

what have you done? And the next one is what can't you do? So you want to set it up? Like, what have you done? Have you tried? Has there been passed? Have you just done insects? Have you tried? I've been through certain nothing we're eating? Okay, then what can you do? I can't sit for more than 30 minutes I'm I work without comfortable.  It hurts to commute to work in the car. I'm thinking we're having to buy a new car because I noticed my spouse's SUV is more comfortable. I drive a sedan that propagates? know,

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Client Acquisition Cost in the Gym Model

What’s the ideal size for a clinic to have a gym? How should you structure classes? What’s a good fee? All those are answered in this minisode.

Welcome back to the minisode of a doctor's perspective podcast. Today we are reviewing the clinic gym radio with a special guest, Alex Hormozi, he makes gyms profitable. 30 days on high-end clients, people go from struggling to secure.

And one of his big philosophies in able to get that first couple of days of signups that we have now. One is personally signing up fund your marketing, like Dan Kennedy, another say, who can pay the most for customers wins. And this way, you can do that his website is I don't hate money calm. So he has his thought process on client finance acquisition cost. And I committed and he used to go in and do all the closing for you. And now he shows you how to do it yourself.

So you're doing sales, you get this gym membership, you're advertising for a specific type of gym membership clientele, they come into your clinic, you can convert them sell them to close the deal is like Jim talks about like a doctor's office. And after the first couple of days, you know, you get the personal Monday signing up Tuesday on Wednesday, come Thursday, your credit card processors getting hit with those people from Monday, then all you're just getting all this money.

And we don't like 500 bucks $1,000 a month for training. So it's not unheard of for you to make 40 to 60,000 that first month, which is a lot of money. And now you can amp up your advertising to get more patients like that, the episodes good to listen to because you hear all his backstory and the mistakes that he made, and how he ended up doing the consulting versus going out doing it himself. So the really good stories really good episode.

Here's what he recommends, probably for like a chiropractic office physical therapy office minimum, but you can do for less. But ideally, 1500 square feet is great. That way you can do four-person groups, so four on one, with an athletic trainer, you can charge between $500 and $700 a month, and that gives them three times a week class, the owner, you only have to set up three-morning classes, three-night classes per week. So don't go crazy with having to do a lot of classes, it is three in the morning, three at night, you do four people per class. So you kind of have like your four-morning groups and your four people for your afternoon group. And they're paying between 500 and $700. And you only have to pay 25 bucks to the athletic trainer, so per day to do it.

And when you're collecting, there's almost 5000 a month from that's not a bad little return on investment. It's like eight people. As a PT chiropractor, you've already gotten better. So one of the says the sales pitches and weight loss. That's a big one that Alex is using his weight loss buffered a clinical model, kind of like Lyft, you've already gotten better come to the clinic still lose weight, so get in shape, but sort of almost a supervised per se there but it is but it's where you don't get reinjured.

That's the key, you're not going to get reinjured. I can't guarantee that, but you don't mean he did recommend. So the best ideal size is like 2500 to 3200 square feet, because then you do small and large classes as well as having a private selling room in the back or somewhere. But 1500 is plenty.

One thing you got to remember is you got to have the right staff as these gyms will come in 60 new clients and all of a sudden they don't have the staff to support them. And so they're super stressed out or they're not delivering the service that they need.

So you want to make sure if you're a one-man show or one man plus a staff member, it's not gonna be enough to convert these. So maybe at first if you're not a super busy clinic and you're doing the gym hybrid, you know, you're you know, patients are getting better. you're pitching them the

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Dr. Josh Satterlee, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Make a clinic gym hybrid your next profitable expansion. Dr. Josh Satterlee goes through the why, how much square feet, fees, equipment, hiring, special certifications, class sizes and much more. You got them pain free, let’s keep them with exercise.

He has a sad yet interesting story on how he went from engineering and biomechanics to becoming a chiropractor. We discuss his origin story and the evolution of the clinic gym hybrid going from 800 sq ft with two doctors to 4990 sq ft (3000 of it gym space).

His first hire to expand services was actually an athletic trainer and not another doctor, hear why. Plus when you hire a bunch of part timers for the gym, he needed a general manager, hear why again.

Dr. Satterlee is (TPI) Titleist Performance Institute Certified and then Selective Functional Movement Assessment (SFMA) super certified and has been teaching SFMA for many years now.

What courses should we take if we want to get in to the clinic gym hybrid?   

HINT: Be clear on what joint we are isolating. The ‘mode’ of exercise (kettle bells vs bands vs whatever) doesn’t matter as much as isolating the joint and motion you are trying to repair.

The patient has gotten better and they are looking at you doctor for the next step. The clinic gym model gives you an add on service that the patient already is hinting at. They got pain free, now I want to keep it that way.

Cam a small space halt implantation? Can we just do bands, balls, kettle bells, pilates, McGill 3 type stuff etc or do we need high tech big machines? BONUS: on amazon there is a mesh bag with a jump rope, pull up band, mini bands, floor sliders and you would want a 12 inch foam roller and you could get the clinic gym started.

Motion in a joint is key to a healthy joint.

Another reason to consider the clinic gym model is because often you find a patient is back at a gym again or work etc and 7 weeks later they are back in the office because of a re-injury. Why not have supervised classes (you not teaching them) to keep them injury free?

Does the trainer babysit each person? Also, the number reason why Dr. Josh advocates for groups and not 1 on 1… it’s not money.

The ideal situation is 4 people and 1 trainer for one hour. Every exercise has a few steps to make it easier and harder.

How difficult are the sales part ... because cities have gyms down the street. You can also recommend a 4 week group class as an add on during their initial report of findings. Some will sign up before they are out of pain. Also an option is doing a 21 day challenge or a 6 week weight loss challenge.

Remember: We build these clinic gyms based on your Medical Expertise, not on the size of your space or equipment in it. Groups build dynamics that keep them coming for more.

Dr. Satterlee goes over who to hire and what to pay and it will surprise you just how affordable it is to implement this program.

Reasons to transition into the gym model which can include less paperwork and spreading the liability around.

Dr Josh even opens up about his poor communication in family dynamics and how with effort he was able to turn his marriage around.

Clinicgymhybrid.com

Podcast: Clinic Gym Radio

Books/ Videos/ Courses: Functional Range Release FRC (Dr. Andreo Spina aka Dr Dre.) –he really liked this course for early stage rehab, Certified Functional Strength Coach FSC (Brendon Rearick) – another high recommendation, Eric Cressey, Dr. Charlie Weingroff, MedBridge Courses,  RELATIONSHIP: Dare to Lead – Brene Brown

Show notes can be found at https://adoctorsperspective.net/126 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 126 at a gym to host Dr Justin trosclair Dr.

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Negotiations and White Space Priority

Win-win or win-lose negotiator, you need to know who you are dealing with and adjust accordingly. Create space in your life for uninterrupted down time for yourself at work and also for your family. Don't be so busy.

Live from China listening to a doctor's perspective, minisode this episode of the story brand number 57 was the best of mid-2017. So many random guests are really exciting.

Just boarded the train or Shanghai, I say those peonies were really beautiful. I was a little bit surprised that they didn't cross breed and four different colors more. Also, like tulips and blue. You know, of course, food is amazing. There's always like these cross breeds, there's a purity, but overall, obviously, no disappointments in that also saw the Shaolin Temple. We'll talk about that later. Let's get on to this.

So the first part of it was about negotiations, you have two types of people like to do a win-win, the people would like to do a win. So if you're doing a win-win, you're more willing to compromise to try to be a nice guy. If you're doing a win-lose person, you need to know that. And if you don't match their aggressiveness, and be able to walk away with knowledge like what your bottom line is, they're gonna take advantage of you. They're gonna love it because they're gonna see you as a pushover. So I thought that was interesting. Another one was, basically things in life, you hear a lot with these highly productive, super busy people. If you say yes to a lot of things, that means you have to say no to something later.

So some people, they're so busy, their time is so valuable, maybe invites a lot of things where they start saying yes to an event six months from now, and then they regret it because a month before the bad event, they get something that's like, way better, not like, Oh, I'm gonna go to Betty's party, oh, no, Susan's got a party so much better. This is career stuff where this decision would be better for you, career-wise, and everything. And now you can't do it. So I'm being able to learn to say no to the important things to improve your life and goals in the future.

The last piece was practicing white space for that pretty much means putting things in your space. It's like when you're at work, you take a break take a break, don't just bring your phone and play the game and get back to work. You know, that's not creating that white space, that blank space for yourself. In a lot of times, you just said you go to your house, your kids are waiting to play with you while you're playing. He thinking about that spreadsheet, that PowerPoint that you've been that's coming next week, as you are still behind on getting everything worked out. It's saying, look, permit yourself to just chill and enjoy the time you have with your family.

The big thing was like don't skip moments in your kid's life. Because after work after official work hours activities, the lady there had a really powerful story of her own family or somebody else's, like the dad and the kid was like, hey, let's go on a Sunday drive. What a picnic. You know, that whole thing? And I'm like, Oh, I'm busy. I'm working to have fun. And then he died like, you know, two weeks later, so she regrets not going. And so she had called herself her kids were naked, cleaning the car in the front yard with her husband, Haynes, hey, once you come on, she said, I'm busy. And all of a sudden she thought about that story. I was like, dude, I'm not that busy. whatever I'm doing, can we see these kids, so she couldn't just get out of the house fast enough at that point, the scope of things in perspective?

And I know it's tough sometimes. Because we always have something that we want to do and, and learning that now having a seven-month-old and always do some of the podcasts. No more trying to get influencers, promote my books, or promote the podcast just takes that takes a

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Vertical Videos Win

Vertical videos or square videos. Facebook feed or stories and Instagram feed or stories: which gives more clicks and cheapest price.

a doctor's perspective live at ZhuZhou train station. Yeah, just traveling around in a bunch of these at the same time, if you haven't figured it out at a Subway sandwich and Pizza Hut and a KFC hazelnut coffee, yeah, that's the kind of Western food that I can get when I travel can't get a good steak so and where I live, I can get as like a fried chicken sandwich. So like, when I go out, sometimes I indulge awesome things.

This time, it's social by buffer, does vertical video do better? I'm gonna throw out some stats, and not gonna be 100% accurate. I'm not taking that many details. I'm just saying like, you know, bigger, smaller, but square outperforms landscapes. They've already figured that out because it captures about 70% more real estate, you get about 35% more views and 100% more watching. That's huge.

So they're like, well, let's compare vertical videos to square videos. And what they found is vertical does drive more views for less expensive by like 68% on Facebook, compared to Instagram, but Facebook stories were 50% less cost per click, but they did cost more for your generic feed. So I guess you gotta keep that in mind, depending on what your point of the advertisements for verticals, again, got more views and long interaction on the Instagram feed. But it was cheaper in the story.

So did you catch that stories was more getting more clicks for cheaper on Facebook, but it was more expensive to get views on Facebook and an Instagram the feed got more views and longer Instagram and it was cheaper and stories and they also found at the look and all of this organic produce videos like shooting it from your phone, of course in vertical now square or vertical.

But technically verticals winning produces more views at fewer costs than a highly produced, you know with intros and good transitions. But in another study, there's no significant difference between professionally produced are the average guy's video. So that's good news for us who just like to do it and don't have the ability or the desire to spend the time and money to make them super crisp.

Nowadays, you do have some good apps on your phone where if you were to go to Fiverr and get like a five-second intro, you could probably just add it to your videos real fast before you post them or at the end as like a call to action.

Okay. Dr. Justin Trosclair we just went #behindthecurtain

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Jon Morrison talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Ted X speaker, author, and Story Brand Certified Guide Jon Morrison discusses the hero journey and the guide and specializes in chiropractors and doctors. He now creates story brand easy to edit websites for us as well.

Jon Morrison briefly discusses how he got into the Story Brand Certified Guide business and the back story before that week in Nashville, TN. He has a niche for clarifying the message of doctors so patients call your office after visiting your webpage. In fact, he now has ‘fill in the blank’ website templates to make your story brand super simple to implement.

Key1) You are not the hero of the story (patients story). People don’t want to hear how awesome you are and what accolades you have. Really they want to win at their life and have problems that they want to work through. 

Emotions are way more important than the pain they are in. What activities are they missing out on?

I am not trying to draw people to myself, I’m trying to empower people to live the life they want and I just happen to have the skills to help them overcome their hurdle. 

Should you go to the live event, do it on your own online or invest in someone like Jon Morrison to gyude you through the process since he has done it so mamy times with other people?

What is the Curse Of Knowledge and how does it affect the copy on your marketing?

Aim to have them read your headline and if you can capture that, then they might read the sub headline and hopefully move on to the actual paragraph.

Is using phrases like “play with your grandkids” cliché or does it have real merit to your patients?

You have to speak to the potential client on a 6th grade level and you need to speak to that person /avatar you want to have in your clinic. Not over their head but on their level with words they will understand for reasons they have for coming see you.

Jon of get clear discusses taglines and more importantly the elevator pitch.

Simplify your language; create a clear message so you can connect with them every time you talk to them.

There’s a problem in the world, and I have a solution so that you can get back to what you want to do.  You definitely want a “SO THAT” phrase in your elevator pitch that anchors the outcome

He now offers Blueprinted – Template – based websites that are tailor made for story branding doctor homepages. It’s been launched since April 2019 and if you heard the intro, I gave my thoughts on it and we hear from Jon as to why he co-created this service with his brother.

How does easy to use church websites that anyone can update correlate to the doctor based themes he now offers? Or should you just use Divi for WordPress and Bedford for squarespace?

Don’t worry the getclearsites.com pages will be SEO friendly, you can have multiple pages, blog, metatags, post audio and all the other things you would expect.

At the time of this recording he was preparing to do a TED X talk which later on you can watch on YouTube. What’s the story behind him wanting to do that  event and what is the topic on?

What can we take away from using story brand for our own community event talks and our own workshops.

Listen to what your target audience is struggling with and keeps them up at night  Now offer them something that will help them be the person they want  instead of building a product and hoping someone wants it.   Should we start with WHO or start with WHY?

Jon also explains how to connect with your clients and take a posture of a servant instead of fighting for attention. 

He is also writing a book and a course to go along with it called Discover Your Who .

To keep his family life in order, one trick he uses is blocking time at the beginning of a quarter to just get away. Not sure what that means… then tune in to the end of the show.

Listen to the end because he has a unique way to handle the

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Spread Possibility

Use the negative in your field to write great content. Bounce the bad thoughts out and spread the gift of possibility to your contact sphere.

Welcome back to a doctor's perspective, jumping Jigga watts. We're going 180 miles an hour on the train. Yes, that is a fast train, but not many stops.

Today we're talking about Jean Anderson podcast. Seth Godin. Yes, she got Seth Godin on you put out a new book. One thing, there's almost one-star reviews, you're like, Oh, my gosh, I got a one-star review, what am I gonna do? Well, guess what? That means that person, just not your target audience. And that's hard to swallow. But you don't want that type of person in your practice in your clinic. Probably more trouble than it's worth.

I was recently on Facebook the other day, that guy came in just for consultation are like, dude, you can't just walk in, we're busy. And we don't take your insurance. And you want us to use your insurance. Oh, he went and did a one-star review. This guy was like, Oh, my gosh. And then, of course, the carpet was like, What do I do? How do I respond to that? And, you know, it's kind of like, you could just put the right answer. But when people see that they're like, wow, that guy was kind of you to know, he's better just walk in with no appointment. now. Come on. So that was something.

One thing I'm not sure I was going on. There's a big bank issue. Some banks got busted for like cheating their customers. And so what do you do about that? It's like, you can still charge more exactly, instead of trying to compete for just the one that will give you a 4.7% interest instead of 4.2. But what about, you know, that's not that big of a difference?

What about working on customer service, and having the quality that we expect and that we want from our big right? A what a concept.

You know, one thing you can do, and you see stuff like this in the news, like, wow, this bad thing happened or that bad thing. And you can write a report, especially if you're an industry that has some shady characters, you say these are the top five things to look out for when picking a good ever see when picking a dentist. Be aware of these things. And it makes a difference.

And again, most of our mistakes in life. It's not the stuff that we did stuff that we didn't do. We didn't take that we didn't do the stock. We didn't take that vacation. So just remember when you're considering those types of things in life, and

the last thing they said was putting my creativeness an emphasis on spreading possibility. So in creating things in your practice, video blog post, emphasized spreading the possibility, possibility of people playing sports like that. All right. It's Dr. Justin Trosclair.

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Video Lengths for Facebook and Reach

Facebook loves videos. Let's go over why that is, video length, direct uploads, captions and more.

Welcome back to a doctor's perspective. Today we're going to review social media marketing is Facebook organic marketing day and I think was Episode 347.

Well, you didn't know your Facebook reach for your page, even worse business page is only one to 6% of the people that follow you. So that's crazy low. Of course, they want you to make money when we're evaluating what the post especially if you talking about business stuff, and I'm guilty that link posts are the worst.

So pretty much what I've been posting forever a summary of the podcast, a link to it with a picture, kind of one of the worst reaches that you're going to get. videos, of course, are the best. And while I do personally have a third of my shows, I got like a one-minute teaser video. It's got different videos within a video and it's got like a different piece, pretty much the same stuff that would write it's in a video format.

So like while not Facebook loves it. But then there's a caveat I'll tell you about in a second. Sometimes just and then the said the second best is a question so just text asking an engaging question because if you don't get at least five words on an on the comment, it doesn't count just saying Yep, number five, love it. None of that counts, it needs to be at least five words, which means we were engaging in your posts. So keep that in mind.

Videos get 73% more reach than just the photo. By the way, if you're doing YouTube videos, pretty much this is a direct competitor, Facebook, they just gonna shut it down, you're not gonna get any reach practically. So you got a video that you did yourself uploaded directly to Facebook, I know you got to upload the YouTube directly, you got to upload the Facebook correctly, it's a pain to our stuff that sites it where you can do it for you. So I don't know what to tell you on that one. I'm in the same boat. As you guys. I'm like,

Okay, what they said is a really good way to post videos, especially if you can put some money to it, just put a little bit of money, even a little bit of money, a 15-second square video, so I gotta double check my phone square video. I don't do square pictures all day long. But square videos and other story guessing you could probably run it through a simple program these days on your phone or something, and they can make it straightforward for you.

Okay, but 15 seconds square video that keeps you under the limit so that you can advertise a lot more places like Instagram and all these other places, you might just have the title of like, say your podcast and then one or two points. And on those posts, I would still put a link in the body some doozies you put in the comments.

But this lady who's an expert said to put it in just put in the body and put a little bit of budget to it. And that way even if the ad expires that link still counts, bus or 70%. Don't listen to the sound.

So make sure these videos either sound off begin with all those captions if there are words, a long-form video, you know, we used to do a lot longer videos now.

Three to five minutes is perfect. And even a Facebook Live the optimum time is only three or four minutes. The only reason you'd want to do a 20 to a 30-minute episode is if you do it like every week, same day, same time, kind of like a TV show, because then you know we're used to spending 20 to 30 minutes to watch a sitcom.

So pretty much a quick add 15 seconds.  Do you wanna get a little bit longer a minute, but in reality, most of your videos need to stay between those three and four minutes. Okay, that's what we got for you today. Dr. Justin Trosclair represents show on social media. Let's have a conversation. We just went

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Nick Knight Podiatrist talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Deep dive into MSK sports podiatry with Nick Knight. What is plantar plate injury, how do you treat MSK as a podiatrist, clinical research, 3d gait analysis, zero gravity treadmills, and his love of field hockey. A fresh look at what you can specialize in.

Podiatry was not his first idea for a profession but from being excluded from the military and physical therapy Nick picked it.  Luckily, there is a whole aspect/ specialty of sports based – MSK based podiatry and he just fell in love with that aspect of the profession and now wouldn’t change his career.

He spent a lot of time shadowing MSK doctors during university and purposing choose jobs that were musculoskeletal focused.  Knight and his wife are huge field hockey players so he would much rather treat sport injuries than tackle diabetic ulcers all day.

When are custom orthotics appropriate compared to a High Quality over the counter version?

How long does he typically have people wear orthotics?

Nick Knight’s most common condition is forefoot pain, particularly the plantar plate. I ask him to walk us through a typical treatment protocol. Most podiatrists focus on the plantar fascia and heel area so tune in to the forefoot answer.   Knight, DPM will also discuss how he is publishing his findings for conservative treatment for plantar plate injuries because for now the research is heavy on surgical interventions.

His research is finding that the techniques used can get people back to running and not re-injuring the area.

Problem is about 40% can have a plantar plate injury and not have symptoms. However 10 years later do they have issues like a hammer toe?

Nick, sports podiatrist, gives us 3 powerful stories of how his treatment allowed patients to walk in their wedding after an Achilles’ rupture, walk pain free on vacations and stroke recovery.

Reasons to talk more functional improvements instead of pain focused with your patients. Realize that people expect to lose functional mobility as they age and that doesn’t have to be the case. Also don’t underestimate the need to handle realistic expectations.

What are his thoughts on weightless AlterG zero gravity Treadmills?  Who benefits from zero gravity treadmills?

A Few signs to look out for when getting a 3D foot and running gait analysis to know if you are getting a good or bad assessment.  Watching the foot vs the foot and knee, do they talk about over pronation, or do they immediately try to sell you an insert to straighten you up.

Podiatry in the UK is working hard to produce more evidence based research, why is that? How do we get more research outside of the NHS because you miss a lot of types of patients if you don’t?

Once again we hear that hiring the right staff should focus on personal skills and how they line up with your brand because the clinical or office skills can all be taught.

His marketing is highly geared to talking to other doctors in his area and facebook ads. In fact, he doesn’t even track the return on investment of his facebook ads, find out why?

He and his wife love playing field hockey and he shares some stories about how the passion for the sport has strengthened their marriage.

www.nksportspodiatry.co.uk

Twitter: @NKSportsPod

Facebook: NK Sports Podiatry

Gary Vaynerchuk, Lisa Sanders , Shoe Dog, Kiddiecare and Neville Wright

Show notes can be found at https://adoctorsperspective.net/124 here you can also find links to things mentioned and the full transcript.

This episode is a part of the Six Weeks of Feet Podiatry Series 2019. Put your email for a quick Reference Guide.

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Maximizing Employee Revenue and Accounting

Are you willing to incur the extra headache and expense necessary to double the clinic collections if it only means a mild increase in actual profit? We discuss hard numbers and the guest has free calculators to help you manage when to hire new people.

Welcome back to a doctor's perspective. Today on the program, we're talking about the clinic gym hybrid podcast and making accounting simple. And it's with Greg Crabtree from simple numbers book. And he's got a bunch of free tools at simple numbers dot meet isn't me.

Okay so let's talk about let's say you make 250,000 profit a year, I want to make a million well this guy says, Hey look, let's see what employees you have, who you have and who how much you make and how much you bring to the table. And he's like, you might find that with the staff you have without increasing overhead and having to hire more people, maybe you can get to like 500 or 400.

But to get to the next level, you got to hire more people, maybe you know, your goal is lofty. So you need to have secondary clinics, third clinics and all that. And you might find yourself, whoa, all this headache is not worth that extra income, because he was given an example. And one client was making like 2.1 million, they want to get the 5 million. But in reality, when it's all said and done advertising, he only would have made an extra 250,000.

So that we're good, I'll stick with what I have 750,000 property, yours is good enough, or whatever it was. So that was interesting, you know, look on things. The next big takeaway for me was, okay, let's say you had 250,000 profit, you're going to pay yourself and you make a choice, you can pay yourself all of it. And then the next year, you're starting back from like square one, just not a good idea. You do want to keep some you know, on a rainy day, but his point to was what if you wanted to do less in the business, you want to work more on the business.

So maybe you're doing a lot of the social media, you're doing the editing the podcast, you're doing a lot of the marketing, could you pay somebody 40 or 50,000, next year to do that job for you and get way more out of her. And here are him and you just treat more people is which is where you make most of your money in the most dollar per hour. So yeah, so maybe you just pay yourself 150, take that extra 50. That's your salary for the person next year, and you still have 50 in the bank.

And that's a much wiser use of your money, maximizing your time, which is the high dollar and having somebody else who's better at it probably than you or any way to do it full time and you get to reap the benefits both ways.

After that, he talks about himself how he doesn't charge hourly anymore, it's based on a case feed the logic I don't want to pay an accountant an hour late fee. So it's better to charge case me so again, kind of going back to the if you're not taking insurance is easier. It's not as 50 bucks for an adjustment. But guess it's not really what we do is not time-based the adjustment can take a minute architect, five minutes, you know all the other stuff, the rehab, the exercises, all of that is time.

But like with this whole point of this podcast is creating a specialized clinic gym combination with the gym part is not billable and all that kind of stuff is just cash thing. So you kind of start with one.

Another thing he said if you want to a 50% year to year increase in return. If you could do 75 to 90 that'd be better. But that seems like a lot. If you're going to hire somebody you want to get a two to one nice a two to one return. So if you paying a chiropractor 100,000 you know, you need to add about 3% for you know, increase of overhead, you know the cost of goods.

So you'd want to get about to 10 to 250,000 collected to pay that person that hundred thousand. And the sum up is that all these calculators on his website that are free to use

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Dr. Mohammed Rimawi DPM talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Dr. Mohammed Rimawi DPM discusses being an academic new grad and how to differentiate yourself. He specializes in surgical cases, sport injury, plantar fascitis and ankle sprains. What’s the best Instagram style and the skinny on barefoot running.

What fascinated Dr. Rimawi about orthopedics were the surgery cases but luckily he realized he could do the same foot surgeries (which he loves) by becoming a podiatrist. He has his residency training in foot and ankle trauma as well as elective and reconstructive cases.

We discuss some of the ‘turf wars’ that orthos and podiatrist have in New York and in general. We also give an overview of their education and training plus advice for students getting started or deciding if podiatry could be a career for them. 

What’s the job outlook for modern day podiatrists?

The bonus of having a doctor less than a year out of residency is we get the ‘student ideal’ versus the ‘real world’ clash.  For instance, he is super trained in trauma surgery of the foot but in practice you need to be proficient in all these other areas of podiatry because other doctors and the potential patients don’t realize you are the go to doc for foot trauma.

Dr. Mohammed gives us reasons as well as treatment options for plantar fascitis and ankle sprains from sport injury, including why see a podiatrist first. A big concern is handling outcome expectations on the first visit.

When would you consider an MRI vs X-ray for an ankle sprain? He has a good example to show young athletes why they may need to take more time off their sport than they would have expected.

Advice for students: you are not alone. We see divorce during finals week, babies being born and more during some of the most already stressful times in life: doctor school.  Don’t ignore your mental health and find ways to avoid burnout and physician suicide.

Reach out to colleagues with patient case questions when the need arises. Don’t stay on the island of your clinic.

All the training, degrees, and academic know how is fantastic, but after a short 7 months into the real world – Dr. Rimawi is already aware that patients don’t care. How has he handled that truth and how has that influenced his marketing.

What marketing is working for him? Does he post Instagram photos of cases and surgery? What are his thoughts, should you post gross pictures or just keep it educational and academic? Remember some of the video educational based Instagram accounts have dedicated staff and money to make these pieces, it’s not thrown together.

Time – Patience – Money = ingredients to making high quality educational videos

Set meaningful expectations and accomplish them one by one.

Do patients assume every doctor is created equal and therefore it’s all about the marketing you present to them so they pick you over someone else?

Does barefoot training or the minimalist shoes do what they claim and are they healthy for your feet? (Dr. Rimawi also gives advice on how to start using it if you really really want to… Hint: avoiding stress fractures might be a great idea.)

What unique idea does he have about work life balance but particular school and life balance since he is sub 1 year out? What’s more impressive the 3.7 GPA or the 3.0 GPA who raised two kids during school?

Grandcentralfootcare.com

Nycfootdoc on IG Book: Atul Gawande

Show notes can be found at https://adoctorsperspective.net/123 here you can also find links to things mentioned and the full transcript.

This episode is a part of the Six Weeks of Feet Podiatry Series 2019. Put your email for a quick Reference Guide.

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Sedation Dentistry

Imagine increasing your revenue by using sedation dentistry. The big perk is that patients can relax and get all the painful procedures done at one time and the dentist can do the best work.

Welcome to the Minisode have a doctor's perspective podcast. Today's episode is going to be a fee for service dentistry sedation procedures. This was a cool episode. I don't know about you. I'm white knuckling at the dentist. I don't get cavities, and I still who I don't like when they miss and they scrape your gums you like I yeah, so I can imagine getting stabbed and having to do root canals, are they digging in your mouth. I mean, the only procedure I ever had was when I was younger, have a wisdom teeth removed and GM draft and stuff and I was like, Mom, please let me get some nitric oxide or something, I can't be awake for this. So they give you value was like, please just do it. So she did.

But it's not a normal thing in the dentist office to be able to do sedation. Now some people you know do the nitric oxide and some people can do and actually like IV drip and you're out and it does create a little bit more staff involved to get all this done safely but it just takes the edge the scariness and you can do a lot more procedures at the same time is not gonna make a lot of money on the anesthesia part. It's not really about that it's just that you get to do your work the best you can for those who are scared for those who are like I can't keep my mouth open for two hours.

So you just pretty much sedate them and they won't remember what happened and in the long run they said you know like so you can actually make more money because they can actually do all the procedures that were necessary at one time in one sitting and just get it done and the patient has to recruit one time so I thought that was pretty cool point a lot of education that goes in to doing that for Dennis but seems like it's worth it. Whether your cash pays our insurance based so it was a fun one.

Check it out. It's tough to find it didn't have numbers that had a number I will just give you the episode number so sorry about that. But you will listen to Dr. Justin Trosclair  

behindthecurtain.

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Podcast Movement Mini Highlights

A super cheat sheet of Podcast Movement. The biggest take-a-ways are email signatures and using recorded testimonials on your show for social proof.

A doctor's perspective podcasts and in so today we have secret key takeaways from the podcast movement event. Man, let me tell you I would love that he did give me all the big deals Pat Flynn, John Lee Dumas. I mean, that's the two biggest ones I can think of that most people at least have heard of. But uh, you can learn a lot.

Here are some of the takeaways that I got from this episode. In your emails, you want to have links that say, Hey, here's my podcast, here's my social media, of course, that's obvious the length of your episodes doesn't matter. It just based on what your audience wants, you know, some audiences just enjoy a 20-minute ride to work, I got it and I'm done. Some people like myself enjoy the long hour to an hour and a half shows and just break it up into different car rides. I just depend on what they want. So somebody who doesn't only wants a short podcast, maybe they like them a little Minnesota. Other than that, you know, it may not be a good fit for them.

Unfortunately, one of the things you can do is add social proof to your episodes.  And I haven't done that much in the past. But like they're not podiatry series, which is Episode 119. Through about 124. And Episode 100. I have some testimonials from past guests who said nice things about me or about the show who they thought about it. So like in episode 100, I put all of them on there. And it's a big number for a podcast that reaches. So that's the first part of that episode, what I took those again and broke them up into each episode of the podcast series. And just going to kind of give a little social proof. If I get more testimonials, and reviews on Apple podcast, podcast, Spotify, all that, you know.

I try to read it because it's the social proof people are listening to is helping you know what that thing. And of course, if you're going to do Facebook ads, you might do a carousel and where each one has a different image and wording. If I had a crew, I'm sure I could take, oh, this 30 seconds of the podcast was good, good. Let me put that as a clip. And then put that as a clip. And all in all six of them are four of them whatever money you want to do, if you're advertising, like the big series, for instance, you know, each person could have a different picture, and you can rotate them, you might get better response on you to know, ads, especially if you're targeting so this is the piece that I'm saying like a month ago.

I wish I would have had a lot more of these many songs ready to go because so much I learned from like social media marketing, buffer, perpetual traffic.

So anyway, hope you're enjoying these reach out on social media. Let's start a conversation. reference the number many so that you like, and let's talk, I know there's some background noise on these. I was recording them in the office, I'm gonna try to get rid of some of that extra noise if I can. I will say this, I was going to record these and I had about five or six done. While I was working out I was walking by a fountain and the microphone that I had was picking up so much noise.

So I'm trying this new one. It's a rode lavelier. So I'm going to carry this around whenever I'm listening to podcasts and walking. I'll record a couple and just see how the quality sounds with that and if I can remove it. Hopefully, that'll work and I won't have to like re-recording in the studio. I think you'll get like five to it as well. So we'll just see, but I know it's annoying. It is not so good.

Anyway, but I got this. That's what I got for today. You just went  #behindthecurtain with Justin Trosclair.

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Dr. Kris Boles DPM talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Dr. Kristi Boles owned 9 podiatry clinics before the age of 30 and also suffered from an aortic dissection from a condition she didn’t even know she had Marfan Syndrome. We explore the impact on her clinics and her new allied wellness patient focus.

Interesting tidbit about podiatry in Australia: you finish high school and go direct to your degree. So she was working full time by the ago of 20 and she believes working and communicating with an elderly population early in her career imparted knowledge and wisdom quicker than usual.

How do you own and manage 9 clinics that grew in 6 years? Is it just putting out fires or do you have a back end plan to keep everything congruent?

In 2011, her aorta dissected 6mm and we hear about her journey to diagnosis, management, and recovery from not only that surgery but Marfan Syndrome and the stress of 9 clinics.

What are some of the common signs of Marfan Syndrome and how did the doctors misdiagnosis and not catch it in her? What are the 2 most devastating potential consequences of Marfan Syndrome.

While her surgeons and team of doctors took really good care of her, the recovery was difficult not just for the heart but her body felt run down from all the stress. As so many new endeavors happen, she enrolled in an American Integrative Nutrition program to learn how to heal herself from the inside. This in turn translated to sharing this new knowledge with patients and they seeing even better results.

Now it came time to train her staff doctors about this information because it helped so much more and that has finally led to an online program that she is launching to cover the 5 Fundamentals of Health. www.alliedwellness.com.au

What does allied health mean and what doctors fit into that Australian model?

She spent extra time learning Foot Mobilization and manual therapies, why did she feel that was necessary even though the biomechanical classes were so good in school?

What was the driving force behind having multiple disciplines of medicine in her clinics? Hint: she said podiatry is the hair dresser of allied health.  Also, how does she start and influence patients to change their dietary habits?

A primer and pre-consultation all starts with new patient paperwork and a screening test to access the following:

HydrationDiet and NutritionSleepStress ManagementMovement

Her program is geared for doctors and staff to have the tools necessary to have conversations on those 5 areas and also provide the patients with Evidence Based Materials for at home reading.

What are the top 5 conditions that should see improvement with these lifestyle modifications?

Recovering from her surgery took quite a while and frankly it hurt business. At the same time they went from old school marketing to having to figure out marketing 2.0 with the internet. It’s been a learning experience since.

We also discuss why certain conditions like diabetes really does need a team approach and that includes a podiatrist.

When it comes to family life and work balance, she looks at her calendar and asks does this event add positive energy to my health or does it drain my health?

You can’t carry someone else through their struggle, you can only carry yourself. You can help someone but you can’t do it for them.

Books: What I Know For Sure – Oprah, Integrative Nutrition IIN,

www.alliedwellness.com.au

Australian slang:  Uni – college/university,  Full-On – completely overwhelmed,  Marks- test scores, Put another shrimp on the barbi ( wasn’t said – not a saying – don’t be an idiot LOL)

Dr. Kristi Boles, Podiatrist is the founder of Allied Health Clinics in Victoria, Australia and has a specialty in biomechanics, foot mobilization and integrative nutrition. She has a program to cover the 5 essentials of better health via her website Allied Wellness which

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Fibonacci Cold and Warm Email Method

Are your leads after signing up for a free pdf warm or cold? Do they respond to your email follow-ups and if not how does Fibonacci Formula guide your next steps?

Welcome back to the doc perspective, Minisode today is perpetual traffic, Episode 179, it talks about the FS-MC formula, which we are not going to go over. But it all it pretty much means if you have a webpage driving traffic, whether it's through Facebook or Google, and you want them to complete an action, like download your know, needle acupuncture blueprint to get rid of knee pain, they click it, they download it, and now they're going to be in some kind of email automation.

And at this point, you know, it's all about the follow-up, like what do you do with these leads, you can have a cold lead, you can have warm leads, you have hot leads, the hot leads are the ones that call you and like yes, orange, good. Get scheduled now. And then the colon the warm gonna have to figure out, you might already have like a welcome email, and like a three or four doctrine action email sequence, which could then be followed up by, you know, some sort of sales pitch that you may have. And then if they don't a bio, and if they do, you just send them a bunch of emails until they unsubscribe. Okay, so that's a theory that people use.

After you take them through a certain amount of emails, you can kind of gauge do they open them do they click the links, and if you find someone who clicking and doing all that stuff, then yes, keep them on the path that you are. If they're not, however, they kind of recommending the Fibonacci number formula style, which means it's kind of like a snail shell, it's kinda like, not really necessarily cut in half, but it's saying you had the first email, then a day later is one, and two days later, three days, five, 813 days later, 21 and 34. So that's a long time, you know, like, five days after this email, and then another eight days after that other email.

So it ends up being a long time. But once you fear that, use our faith in these people off of your list. And if you still see after those next six emails, they still don't do anything, you can remove them, and then you get to spend less money on MailChimp, or a Weber whatever you use. And so if you're looking for content creation, you can use other people's articles. You know, silence is something cooler worrying about your condition, you know, talking about doctors, let's go with like t Cairo. That's just because what we're used to, and would you also might find is that you have a patient story.

So if you keep answering, say the same five questions every day, jot those down real quick, or use your phone, a record that question and get back to it later that day, and record your answer. And with otter.ai, you can translate it for free.

That can become a blog post, it can become an email, it gives them YouTube, you can do a Facebook or YouTube video about it just answering the most common questions you're always getting anyway, another option is you can you hear a patient testimonials like Well, I don't really want to write it down or do a video, which is too bad. And we want those and they don't want to go on Google.

But you still know it. And you can still use it just don't use their name. And it's more of just a generic Wow, I had this patient before. And you just have to go kind of like a before and an after Ingo step further and say,

what was the problem before you had the product? Your service? Was the frustration with you tried to solve but what was the difference between using your service versus say the other person down the street? or listening? And then take is that a moment that you decided this product is working for me? And what's life like now that the problem is solved.

So there's your framework for an email, and then there's also the state of the problem, agitate the problem and give them a solution.

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Hero Journey Custom Landing Pages

How do you stay the Guide and not hog the highlight with being the hero of the story? Ways to build your avatar or even change it if you don't like your patient base and using custom landing pages to do it.

Welcome back to another episode of a doctor's perspective. Today we are discussing, I guess I might need to be a part of this story matters podcast by James Cook media number season one, Episode Two Who's your hero, he starts out talking about, you know, who's your hero, you know, nobody really wants to be told they're going to be Luke Skywalker there Luke Skywalker customer, you need to be Yoda, you need to be the guide.

And following that type of stuff, nothing new there, except that you just need to be the guy. And when you're looking at your website, you're reading a bunch of stuff, the citizens that you have, like a lot of high, there's a lot of we, you should look at it and say, Hey, let me rewrite this.

So there's a lot more you. So when the client when the patient reads it, like they can see themselves when you say you they can see themselves and whatever it is that you're talking about. If you say I are we again, you're making yourself the hero, which you don't want to be, you want to be the guide, finding your avatar, you know, there are three things online HubSpot, and just google Avatar and they were discussing, you know, you might go through the process, or maybe you've been in business for a while, and you really thought you wanted to do the elderly. And then once you've got the elderly, you're like, wow, these people are not who I want to have as my ideal client. And it's a shame because I've been marketing so heavily in for the last six years.

Or maybe it's athletes, and you realize, maybe the athletes are too needy, or everybody thinks they're so special. And you're like, I just can't deal with that person anymore. Oh, my goodness, what do I spend all this time, like, okay, we'll figure out when you've had those random other patients, of course, you're not just going to see athletes all day? So our old people, whenever you do see the people, when you're looking at the other big What do you like, and then start building that avatar on that and start doing your advertising event and slowly start change clinic, the visa is drastically changed is no longer street these people? Well, it's gonna hit your bottom line, and you're gonna wish you probably didn't do that. So a slow process of changing that idea.

He mentioned this thing called empathy. I guess there's like a whole genre business coaching based on empathy. And you can Google that empathy worksheets. And you can find out more about that. I didn't know much about that yet. Other than, you know, I guess just being empathetic towards your customer and what you're doing, but like said that maybe sometime need to explore myself haven't heard about that before.

One thing he mentioned was when you're changing your avatar, and I've heard this in some results, and he's already mentioned this, but can you change the landing page, you might have your generic catch-all homepage for your website. But could you tweak it so you create a new landing page for sports a new landing page for headaches and the landing page for pregnancy Newberry web page for wisdom teeth removal for braces, etc? And when you advertise you just advertise that link that deletes directly to that.

So you tell a story brand new website, its same thing for everything. But it's a little bit tailored with the pictures and some of the words that directly to the condition that you're trying to treat. And the giveaway that you would have would be directed towards that as well. And you probably should see convergence skyrocket could be that laser focused. Let's see.

Overall, a nice guy seemed like he's got a lot of good information. That's my first time listening to his podcast. I saw his ad on Facebook.

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Dr. Peter Wishnie, DPM talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

How to answer the phone correctly, adding services, taking more vacation, why write a book, what is a rainmaker day and more are answered by certified John Maxwell Leadership Coach, Dr. Peter Wishnie Podiatrist of Top Practices.

His love for instant gratification (as in you don’t have to wait a week for the medicine to kick in) is why he choose to focus on athletes in his podiatry practice.  They come in with pain and leave feeling better.

Who are the podiatry biggest competitor? He does answer this and he also suggests the sooner we all start appreciating what each profession can do for the foot, the better care and outcomes patients in your community will achieve.

Even though these big conglomerate hospitals pass referrals to other doctors in their facility, it’s ultimately up to the patient to pick who they want.  Make sure you are marketing and making yourself trustworthy and the expert in your area.

Phone scenario: what do most doctors have a fear about?  I don’t take insurance, what makes me stand out and so on?

Number 1 mistake doctor office reception employee makes immediately upon answering the phone.

3 Ways to make that WOW impression over the phone. You have to build a rapport quickly on the phone.

What are the best way to collect copays and deductibles?

Treat the patient, don’t treat them based on what podiatry insurance will pay for? If the patients’ needs a service, explain to them the why and cost and let them make that decision, don’t make it for them.

I don’t give people more than they need… give them exactly what they need when they need it, no matter what.

What type of services can someone offer to make more money? Ethically of course!

Do you ghost write books or encourage people to write them and why? Marketing opportunities with an ebook, this might surprise you.  One is a drip email because at 13 weeks he finds people finally pick up the phone and ask for an appointment.

What is a rainmaker day? When should someone implement that one day off? How do we stay focused on high level tasks for the rainmaker day? Remember to work 50 -60 minutes and then take a break and then switch to a new task.

We tend to use the excuse: I just don’t have time.  Dr. Peter busts that by saying, You Need to delegate tasks to other peoples…stop micromanaging.

Why is his daily affirmation recently been, Things Come Easy To Me.

Dr. Wishnie also gives us a tactic on how to take two weeks off from work without destroying your bank account.

Happy Family Life Tip: Don’t take a happy marriage for granted. Also, we many roles in life (father, husband, friend, CEO etc) and we need to schedule time for all of them. It’s not all about You.

This episode is a part of the Six Weeks of Feet Podiatry Series 2019. Put your email for a quick Reference Guide.

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Books:  John Maxwell, Tony Robbins, Brendon Burchard especially the planner, Michael Hyatt, Charlene Johnson, Jen Sincero, Stephen Covey – 7 Habits of Highly Effective People

Toppractices.com Practice Management Button

IG: Pwishnie  

Dr. Peter Wishnie practices podiatry in New Jersey with a specialty in athletes and pediatrics. He is 1/3rd of the podiatry practice management company TopPractices.com (click on practice management).

Clinic site: www.stopfootpain.com

His coaching style: certified John Maxwell Leadership Coach

Show notes can be found at https://adoctorsperspective.net/121 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand

Dr. Justin Trosclair, DC 0:06 Episode 121 is it practice management? Just the

computer which needs perspective to in 2017 and 2018 podcast Awards Nominated host as...

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Automated Scheduling Same Day or Not

Should you have automated scheduling for same day new patient appointments or should you make online slots available 48 hours away or even 2 weeks. Let’s discuss it.

Welcome back to a doctor's perspective, podcast Minisode. So today I'm going to discuss the fee for service dentist podcast, about scheduling. And one of the things they talked about that I kind of pulled away is online scheduling. Now that's an important topic. I've heard doctors say it's been a good thing. They get people on the weekend and schedule, they wake up the next day, they got a couple of new patients on the books, which is a good thing. But on this one, they were saying, Well, what about you know, the dentist who, you know, they want to do a really good exam, and it takes time to evaluate everything. And then they come back for another visit where they actually do the procedure. But when they book, it's like, oh, you already booked for this type of appointment, but I don't even know what's going on.

So it's a little confusing. And so they were debating like, is that a good thing? Or not? Should you just do what you can and then reschedule and later, and the other aspect that I thought was interesting, you know, if you are gonna go to the best surgeon in town, are you going to be able to get an appointment on Monday? Know, you're gonna have to wait a few weeks. So the question became, should you say ended up to where new patients cannot schedule for two weeks to make it look like you have a waiting list? Or not? You know, what's the pluses and minuses of that?

The pluses you kind of look like you're more in demand, people going to want it on the other end. There's a lot of clients, patients, who will just call the next office and say, oh, man, I need to get in this week, this tooth is killing me. So what should you do my thought could maybe have one appointment per day, or they can schedule a new patient, in whatever kind of field of a doctor in your in, just have one appointment per day that you can use. And that's kind of like your emergency type of patient who's like I'm hurting so bad, I really need to get in you like cool.

Here's the one spot per day that we have for that. If it's full, you know, you can have a message on there, call us. We'll get you scheduled or you know, two weeks from now you can schedule it that way. I think you have a lot more availability and then you still have that effect of being you know, super busy, because you are actually that busy and other times you're not so what are your thoughts?

Send me a message on any social media. Be glad to talk it out. Just hashtag a doctor's perspective. We discuss this further part of hearing your thoughts on Dr. Justin Trosclair. We just went #behindthecurtain

Transcribed by https://otter.ai

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Pricing Structures and Rates

Reasons I’ve started recording summaries of podcasts I listen to, different pricing structures and fees based on your experience and comfort level.

Welcome to a doctor's perspective podcasts and minisode, I mentioned we will start doing these and what this is going to be this many. So is me give you a summary of the highlights of podcasts that I listened to Now, where does something I should have been doing like six months ago, I kind of thought about it. And it's like, well, I don't want to start another podcast and another website and all that. And I said, just kind of let it go. And you know, I've always sort of recorded what I thought was important, like writing it down on one note saying can come back to it, because sometimes you just you hear something allows a really good comment, that's a really good way to handle an insurance objection or something. And so we're really good marketing tips, and then write it down.

And but I, you know, I could probably go through one episode like this, with just a bunch of are like really random topics like that. But the problem is, I wouldn't know who to reference.  And I would like to least be able to reference the show that I got it from, so I might still do that. So this is what there is Minnesota is going to be this episode one. And I just look back and I run like Dang, all the things that I've listened to over the past two, yours is wildly diverse, is a pretty much what you're gonna get. And there's gonna be some chiropractic, some marketing, some cash, practice, PT, and dentist, you're going to hear maybe some random business topics that I listened to from several different shows. You won't hear anything political, I don't think.

Yeah, so if you have any shows that you like, or you would like me to review, please inform me. Okay. That way, I know what other people are listening to. And that was an amazing one you want to give her the three-minute shout out to that.

So today, let's go with the show. And the episode is how to write your best copy. So she interviewed a wonderful lady who does, who does copywrite and website design. And of course, she charges and here was the thing, when you're first starting in a new field, especially like Internet design, something that normally you're like, I want to charge 300. But man, I just don't have the confidence, maybe it needs to be like a 150. Okay, so you're getting your, your, your feet wet.

And that's fine, you're just starting each foot wet, comfortable charging these prices. And then as you go, you start increasing your price. And I think we can see that in a doctor's office, like you may not feel comfortable charging $50 for some service that other people are charging. So you just start less, once you realize like, wow, this benefit a lot of people, I'm getting more comfortable with my money issues. And yes, it's time to start charging fees.

And another option, he started charging per hour. And then you have these clients, you know, you might have like a project. And it's $1,000 project, he said, I want 50% up front and 50% when I finished? Well, those who are in the business start realizing you know, people don't always finish the project. So you rarely get paid the rest of it, or when you finish it and you got to start chasing people because they weren't exactly happy with it, or they just didn't want to pay that last bit, you know people are, and so it becomes it can become a problem.

So when she graduated into saying, Hey, you know what, it's a thousand bucks. And it's 1000 bucks up front. When I complete it is when I complete it. Cena five, our deal is not a 20-hour deal. However long it takes me to finish it is when I'm going to finish it, and you're going to get a product and a result that you are excited about. And I like that idea too. And so I'm trying to figure how can you relate this to a clinic that you have, and I already kind of been part of it.

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Dave James, Podiatrist talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Take Dave James Podiatrist video creation conversation as a personal challenge to get a jump start on local community influence. Why make videos, ideas for content, establishing a niche and podiatry procedures that are tech driven and great results.

His journey to becoming a podiatrist started with his own injuries as well as two other medical type career choices before finally deciding on podiatry. After 3 different degrees and certifications and getting a master in biomechanics and being in healthcare for 25 years with 8 years in private practice, he decided to sell his clinic. Some people are born learners and educators and it takes time for them to finally carve out their niche to share with others… I think Dave James is one of those types.

He offered some services that you may not have heard of. We get his explanation on: swift microwave therapy, clearnail (micro-penetration),

Swift Microwave treatment is for skin issues like plantar warts and it helps create heat and micro inflammation and then after 3-4 treatments the body heals and although it is slightly painful, the downtime is minimal.

Clearnail is micro-penetration of the nail bed so you can inject medicine underneath the nail bed and really get rid of the nail fungus. Which is better than the medicine which can cause liver and kidney issues as well as mess up your sense of taste.

What is Foot Mobilization Techniques (FMT) and does it have an effect in a podiatry office? If you think it’s a joint manipulation like a chiropractor delivers than you are accurate. They tend to use it for pain modulation of stiff joints, old scars and plantar fasciitis (especially with a loading protocol).

His own path of personal development sparked a passion to want to see other people get out of their own way.

Danny Clarke encouraged him to start doing videos. Dave realized he had a knack for video and the more he does them the more comfortable and enjoyable they are for him to film and edit.

You could say the Foot Magician’s niche market is teaching doctors about social media, particularly being on video like YouTube and Facebook live, but being your authentic self so patients can know you As You and not just stuffy podiatrist.

Yes, your first video will probably be embarrassing, but keep at it. Do two 2 minute videos for 14 days.

Can you imagine the impact if you could have all the podiatrists or your doctor specialty all promoting the same one condition per month on your social media accounts by video. Maybe it’s a really good infographic but you don’t agree with a portion of it. Instead of saying, I won’t share it, you could write how you like ABC but not XYZ and here is why.

I know “what to do” for practice growth, but are you “doing it?”

Should you be afraid to raise your rates? Should you price yourself close to everyone else, higher than or just concern yourself with the value you provide? How do we provide more value?

Mark Twain “what other people think about you is none of your business.”

Even though our work week and obligations may keep us busy and not bored, we have to remember that our family time is important and they want a real holiday too.

Books: Gary Vandyrchuk, Malcolm Gladwell, Jim Rohn, They Ask You Answer - Marcus Sheridan, plus many podiatrists that have their own expertise.

He has a show called “The Foot and Leg Show.” Be sure to take a listen to Dave James on this show.

hello@davethecoach.co.ukwww.davthecoach.co.ukIG - davethepod FB group: stepping up

Show notes can be found at https://adoctorsperspective.net/120 here you can also find links to things mentioned and the full transcript.

This episode is a part of the Six Weeks of Feet Podiatry Series 2019. Put your email for a quick Reference Guide.

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Dr. Tyson Franklin Podiatrist talks toDr. Justin Trosclair DC on A Doctor's Perspective Podcast

Pivoting from full time podiatrist to full time podcaster of 2 shows while writing two books and building out his business and marketing skills under the It’s No Secret by Dr. Tyson “orthotics” Franklin to empower others to be successful.   

Tips on being a podcast guest.

What made him change his mind from being an Art guy to the health field and picking podiatry particularly? I love a good story and how a passion for one thing (art in this case) was translated into a skill usable in another (making shoe orthotics in a podiatry clinic).

DPM, DC, and DPT can all “make orthotics”… is it true that hard rigid orthotics are the best option or should we have some cushion and less rigid shoe inserts?

What all goes into picking the material, density, thickness and hardness when designing an orthotic?

Dr. Tyson had a role in his practice that many dream of, he did what he enjoyed and what he was top notch at (orthotics) and hired associate doctors to do the more “clinical“ patient management cases.

Why should you Hire a Receptionist and did you even realize that is an option for some doctors? Plus how do you handle patient treatments and phone calls when your receptionist is out sick that day?

Medical Issues and Adversity

Dr. Tyson talks about a crippling and disfiguring hand condition that caused him to not practice like he needed to early on in his career and how he had to overcome it to make a living.  We discuss how he had to hire someone to do the heavy lifting because the skin condition continues to flare up throughout his career and he would be unable to work for weeks. He shares how he is approached by strangers and what has finally got it under control.

We discuss a little about food allergies and proper diet.

If you looking to hire someone – use your head, not your guy. If you are thinking about firing someone – use your gut, it’s probably right.

Listen to his thoughts on training staff (including new doctors) and discover what’s his most important factor (hint: it’s the intangibles attitude and energy).

TIP for your KIDS: If they want to do a certain profession, say podiatry, then get a job that deals with that specialty. Example: working at a shoe store or at a clinic. If a chiropractor, maybe work at a gym or as an athletic trainer.

Forget about ‘new patient marketing’ for a minute and really figure out your avatar - your ideal client. Once you know that you can send a short 5 question survey to those patients that you already have that meet that criteria and really hone in on what they like to do, where they hang out, what they drive etc.  Now you know where to go market at. PS: he recommends a PAPER Snail Mailed survey with some extra insights that you’ll have to listen to because he would get 95% of them filled out.

We are told to that emailing a newsletter is important. Dr. T goes over ways to make that 70% “fun and interesting” part of the email. Don’t be afraid to offer recipes and be open about activities that you enjoy as well. Ex: the rum doctor.

Learn how to give talks to your community. Public Speaking will open doors to you.

It’s No Secret STUFF He wrote a book geared for podiatry. They kept saying, wow if you took out podiatry this would make a great business book.  Eventually he rewrote it and he kept hearing… but your pod not a biz man and vice versa. To scratch his own itch and gain more business credibility he started It’s No Secret with Dr T podcast. We discuss more about that show and how it prepared him for the new show Podiatry Legends. Hear how the new one is blowing his first podcast out of the water and actually can get money from it.  Just like the podiatry book sells 5x the business book.

Family Tip: When you get home from work, remember that it’s not all about you. You need to participate in the family as much as you can. Also,

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Dr. Jack Cochran, MD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Problems with EMR, hospitals not co-managing patients, patients choosing between health, work and bankruptcy, medical tourism, doctor satisfaction and Jack Cochran MD of Kaiser goes in depth with his new book Healer Leader Partner.

Plastic surgeon (extra speciality in pediatrics) based in Denver for many years, Board of Directors for Kaiser Permanente for 8 years, became CEO –National Physician Leader of the Permanente Federation (20 years and lead 21,000 doctors and 10 million policy holders) and has even helped in the White House talking about health policy. Dr. Jack Cochran is also a sought after speaker for many organizations.

Skills to be a good leader: exceptional listener and a good balance not overly reactionary. 

Number 3 cause of death in America is – Medical Errors.

Number 2 cause of bankruptcy is- Medical Cost.

Health care was 10% GDP and 2 journals in his specialty when he just started. Now 30 years later 18% GDP and 40 Journals and 100+ Blogs for knowledge.  Warren Buffett said, “health care is the tapeworm of the American economy.” Dr. Cochrane goes into detail about what heath care cost inflation is and how it impacts society from lessons learned at Kaiser.

Remember the role of patient is involuntary and instantaneous. They don’t wake up and hope to break their arm.

How do you get doctors to broaden their sense of responsibility to their patients so they don’t become non caring and patients don’t have to figure it out on their own?

Family reality, they must ration health care at the kitchen table.  What can be done when we have to choose between fixing the washing machine/ replacing the clutch in the truck and getting an MRI?

How do we keep health care affordable and have high clinical quality?

We also go through a little of the history of insurance and how sub-specialty of specialties has occurred.

Who can make a sustainable health care… GOV regulation, insurance, doctors?

Cost of MRI and Dr fees are too much … if we couldn’t get sued so easy would it make a difference?

We talk about how an MRI in China is $100 while in USA it can be $700, what is the deal with that? Also, Dr. Cochrane touches on medical tourism and surgeries in India vs UK.  What surprised me is how often we run unnecessary tests to satisfy the patient not just to avoid litigation.

Should insurance companies reimburse their policy holders for many not spent and also cap the amount the CEO’s can make?

Can technology further the specialization of each doctor field.  Crunch all the data of successful surgeries, life expectancy, pain relief… and then that lead us to making decisions more?

What has been the negative consequences of EMR to the doctor patient relationship and ways to make it easier for the doctors to implement without sacrificing the rapport?

Why can’t all the patients records be more easily accessible?

A disturbing analogy on how dysfunctional a hospital can be with their records and the 9/11 tragedy: the story is really worth the listen.

Doctors blame WHO and patients blame WHO for the mess we are in? Plus Dr. Cochrane gives another 3 questions about responsibility that he gleamed from his many years at Kaiser leadership.

What biases do you see doctors have toward patients?

What is causing patients to distrust doctors?

We end the interview discussing how hospitals could ban together, pool resources and even shut down repetitive departments to better serve the entire city. For example: 3 out of 4 hospitals have an oncology department but 2 of them see very few patients… could those two close down the oncology department and send them to the busy 3rd one?

Jackcochranmd.com  jcochran7740@gmail.comHis Book Healer Leader Partner Optimizing Physician Leadership to Transform Healthcare

Show notes can be found at https://adoctorsperspective.

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Dr. Maurice Pearl, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Dr. Maurice Pearl, DC discusses his past interdisciplinary clinic experience. What does the professional organization  ACA do, choose wisely for x-rays, insurance drama and a surprising reason for kids sports. Is community outreach good marketing?

Dr. Pearl was a football player with a few injuries and he learned first hand how important it is to go to a doctor who has the extra skills for your particular case.

He also made a point to shadow a surgeon (his original plan) and he discovered that ‘on call’ lifestyle was not for him. Have you shadowed any other fields before picking yours?

What does an integrated MD, PT, DC practice look like, how’s it run and the chiros duties?

What does reaching out and being a part of a community look like for his marketing strategy?  Do the patients have to pay multiple co-pays if they see different doctors in the same visit?

Insurance can be such a hassle, how does he handle it? How can insurance pay out different payments for the same code that a PT and a DC are both qualified to perform?

What does the ACA do for the profession? The big push right now in ACA is Medicare equality, what is that? Where do the funds go?  Is it all for fighting insurance companies or does the money go to support all the chiropractors out there?

Does the ACA push to expand the chiropractic scope of practice into drugs? Are they trying to stomp out the super straight chiros?

What’s your opinion on Choose Wisely and the use of x-rays for low back pain? We discuss pros and cons of the that x-ray issue.

When discussing the flaws of medicine, how can work place breaks and asking the right questions about home life actually benefit the patient and drive costs down?

With a properly trained DC and PT you wouldn’t know which is which…. Who said it first?

Benefits of his kids playing sports …what could those be?

APP: Anatomy Atlas 2019 Books:  CRISP Protocols Cervical and Low Back Podcasts: FTCA

He likes Todd Riddle, DC on social media and he uses ChiroUP for rehab handouts and patient education.

Follow him on social media and visit Dr. Pearls' site www.balkmanclinic.com

Show notes can be found at https://adoctorsperspective.net/117 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 117 community and professional organization involved. Your host Dr. Justin chose Claire and today and today we’re Dr. Maurice pearls perspective 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective

how you doing this April quarter has already gone and you meet your goals yet for 2019. If not, as he would go back and watch the whole bunch of our episodes, we are marching ideas, we got some referral ideas will information for you to better discussions with other pts, medical doctors, podiatry, all kinds of different people that you could build referral relationships with? Are you where you want to be with your family? Again, this is past episodes. Everybody’s got a good tip. Well, today’s episode almost didn’t even happen. You know, listening to the guy. I just said to myself, do I really want to release this episode? out in the world? That the pearl I’m kidding. Oh, April Fools. That’s right. It’s April 2. Hey, when this came out, anyway, I’m messing with you was good episode. A lot of good information about the ACA, what its goal is to choose wisely for x rays when you should when you should not take them. We talked about his past work at an MD DC PT clinic, we even go into like insurance, equality, the trouble of building should we even take insurance anymore, and more about the ACS purpose. But also,

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Jess Ostroff Tyson talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

What can a doctor use a virtual assistant services for: podcast editing, social media management, backend video posting, blog writing and more. Jess Ostroff Tyson of Don’t Panic Mgmt agency discusses how she hires and trains VA’s, and why stay in USA.

Proactive, neighborly assistants who turn chaos into contentment, frustration into focus, and panic into productivity. I love this tagline and we mention Donald Miller’s Story Brand for a minute.

Pomodoro Time Management Method: do u really use it and does your staff have to as well?

A perk of working at her agency as 1099 compared to just by yourself is the training that she offers.

Launch a podcast, edit and post that podcast episode, edit blogs, content curation, bookkeeping, travel plans, scheduling yourself for meetings, research, event planning … How and why would a Doctor use a VA?

What Is content curation?

Maybe you are going to do videos, but you don’t want to do any of the editing, posting etc… Don’t Panic Mgmt can do that for you.  (episodes 68, 69, 70 are all about video creation and ideas on what to do with those videos)

I want to do an open house, can you make all the contacts scheduling and setting up vendors and the time lines?

We have 3 options with a Virtual Assistant: Fast, Cheap, Done Well: but you can only pick 2.

Webinars are all the rage?  What is it you do to help me if I just want to talk and no time to promote and build the site

What should I look out for and what are better tasks that can be outsourced to another country?

She discusses her application and hiring process  including sample tasks on the episode. It’s thorough and I think you could tweak it for your own office.

Can you ask for sample work or try out several different blog writers to see which fits your clinic style best?

What’s your biggest struggle… I read that you need to quit doing the tasks and just focus on biz cCEO type stuff.  I also hear that the VA is some kind of robot computer AI?

How are you marketing your services that gets results?

How does Jess counteract turnover? How do you get continuity of services when your usually VA quits the agency?

How was she able to take 4 weeks off in a row and her business not collapse?

She has had to learn to put constraints on her work time, since she can work anywhere and anytime.

Boomerang on google email

Book: Clockwork- Mike Michaelowicz , The One Thing – Gary Keller,   Story Brand – Donald Miller, Panic Proof  - Jess Tyson, Trevor Noah, Micelle Obama

panicproofbook.com Her books site.

dontpanicmgmt.com Her VA business site.

Jess Tyson has a degree in marketing and international business and always wanted to make money and travel. Tune in to learn how she pivoted from corporate and nonprofit jobs to creating a successful virtual assistant company called Don’t Panic Mgmt.

Show notes can be found at https://adoctorsperspective.net/116 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 116 hiring a virtual assistant manager. I’m your host, Dr. Justin trust Clara and today we’re just Ostroff Tyson’s perspective, joined 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Thanks for tuning in again. Today show as usual, I think it’s a good one. One thing that I’m curious about but don’t know much about was the virtual assistance, especially doing something in America versus using somebody overseas. So obviously talk about like, why you would use one versus the other. Her hiring process? You know, what happens if you have someone for a while and then they quit? Oh, man, now will you? Do?

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Dr. Benjamin Fergus, DC of GRIP Approach talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Chronic pain patients and athletic injuries can be troublesome so we dive deep into GRIP Approach with Dr. Benjamin Fergus DC. It’s a blend of the popular rehab ideas but with a pre-post exam to show global functional movement restored and pain relief.

His passion to learn more and to help the specific type of patients that just weren’t getting better by other doctors and the struggle with always having to do so much trial and error with different approaches to see what works for a patient plus trying to discharge them were the catalyst to start formulating this new GRIP approach to movement and pain relief.

Chronic and complex pain/disease cases and surprisingly athletes can have similar functional deficits in global movements that can create pain, less than optimal performance and hinder being released from care.

GRIP takes lots rehab ideas, breaks them apart, then streamlines them to be easier and more effective.

What are the benefits to a global motion ie: squat to pick up something or a lunge, compared to isolating a muscle group on a machine?

Dr. Fergus has a huge following in Japan (courtesy of Kaiso) and the approach resonates with their thoughts on rehab, he goes into why and what that means.

What marketing is he doing to grow the GRIP Approach system?

Dr. Benjamin explains how this is a diagnostic system to evaluate a person for rehab and may end up replacing the McKenzie, SFMA or DNS evals in your office.

What’s your beef with patient’s perception of persistent pain aka Subjective Variability? For example: it hurt two days ago but today at the doctor’s office it doesn’t really hurt as much.

What are your approaches to moving away from subjective pain scores to objective evaluation regardless of pain?

Questions to ask to shift conversation from Pain to Function?

What things are you having trouble doing?How long have you had trouble doing them?What have you tried to overcome this but failed to work?

This approach can come off as a mechanical analysis but he explains how it’s actually a nervous system challenge.

Superficial treatment like IASTM or Pin and Stretch don’t lead to long term deep structural changes (they do inhibit the discomfort from movement and increase range of motion though).

What can change deep structures?

Chiropractic adjustments of a restricted joint to normalize mechanotransduction Deep compression with cross friction the size of a nickel for 2-10 minutes. (can change extracellular matrix, elastic changes and normalize cells in the area. Needling techniques (Dr Moz) which can irritate the cells, but in a good way.

Should you use a thumb, elbow, Steel Instrument or maybe technology called Shockwave? Shockwave is acoustic percussive waves that can penetrate deep and shown to make changes.

Let’s define reciprocal inhibition, concentric and eccentric motions.

Logistically, how much time does a GRIP exam take and what would a typical office visit look like and take time wise?

Why do you prefer global movement and less concentric type exercises.

What does a typical patient encounter look like?  We adjust, do soft tissue and we evaluate with global positions but then we teach at home exercises that they might do 3-4 times a day.

How do you handle the athletic trainers, massage therapists that learn everything that you teach them or paid for them to learn and then they leave in 6 months? Hint: contracts and educational reimbursements

Books:

Clinical Rehabilitation – Pavel Kolar, Foot Orthoses and Other Forms of Conservative Foot Care - Thomas C. Michaud, D.C.,  Human Locomotion The Conservative Management of Gait Related Disorders - Thomas C. Michaud, D.C.,  Clinical Neurodynamics A New System of Neuromusculoskeletal Treatment - Michael Shacklock

App: essential anatomy 5 , glowbaby

facebook.

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Dr. Matthew Barker, DO talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Traveling house call doctors are not common, why did Dr. Matthew Barker DO decide to do it? Learn about osteopathic manipulation medicine and residency, logistics of mobile doctor services and how is it different than a DC or DPT spinal manipulation.

For someone who planned on becoming a chiropractor, what changed his mind to become an osteopath?  What does an osteopath curriculum look like? Why learn spinal manipulative therapy (SMT) or osteopathic manipulative medicine (OMM as he refers to it sometimes)?   

Why do home visits or mobile osteopathy?  Is it efficient, could you make more in a hospital or doctor office setting?

Since you have a residency in SMT, and have to become board certified in manipulative medicine to be competent in the manipulation aspect of pain relief medicine, can you perform osteopathic manipulation in a hospital or is it still frowned upon?

What does the residency to become board certified involve? Not only do they learn the adjustment (SMT or OMM) but they can do all sorts of injections.

What type of rehab/ exercise training do they receive?

Does a specialized manipulation osteopath still have to work as hard as a chiropractor to get those medical doctor referrals for musculoskeletal pain?

I think many DC’s, DPT’s, and probably DO’s struggle with how to explain a manipulation medicine, listen to his mock explanation in the first half of the interview.

Misconception: how is a chiropractor adjustment different than an osteopathic adjustment?

Visceral manipulation... what does that look like: visceral somatic reflex.  Example:  Large intestine condition can be traced to the acupuncture meridian /point by the wrist to be stimulated to see changes.

At Home – Mobile – Travel Doctor: Osteopathic Manipulation

Why did he choose to do home visits? How did he pick the area of the city to cover?

Does he get referrals? He also rents a room as well as travels each day to see patients, why did that happen? What’s considered a good amount of visits per week for him?

How does he handle the logistics of seeing one patient, and then another potentially not available for another hour? How many visits would a patient expect to need his services?

What type of marketing does he do… hint lectures have been great?

Why is he having trouble hiring someone to expand his services?

ommtables.com for portable table and  practice fusion for the EHR

American Academy of Osteopathy  and Cranio Academy are two resources to find other osteopathic manipulation medicine type doctors

Mobile-osteopathy.com

Mobileosteopathypa  -FB         matthewbarker -IG

Touch of Life- Robert Fulford book all about osteopathic medicine geared for non-doctors

Show notes can be found athttps://adoctorsperspective.net/114 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Unknown 0:05 Episode 114 house call osteopathic manipulation I’m your host Dr. Justin trust Claire today with Dr. Matthew markers perspective,

Unknown 0:15 to 2017 and 2018 podcast Awards Nominated host as we get a behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Justin Trosclair 0:29 Thanks for tuning in. Before we begin, if you get a chance, go and write us a review on your favorite podcast app. That would be fantastic. Alright, today is your physical therapist, chiropractor and osteopath. Maybe you’re a medical doctor who’s been interested in what we call spinal manipulation, aka the adjustment aka osteopathic manipulation, then this will be the episode for you. We have a Board Certified osteopath, who chose to do his residency and his board certification and osteopathic manipulation, it probably looks similar to the corporate culture.

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Dr. Quentin Brisco, DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

American Black Chiropractic Asc President Dr. Quentin Brisco DC discusses their role and purpose in the chiro community, legislation at NCLC and reasons to join state associations, and the ins and outs of independent contractor positions

Perks of being a real independent contractor. Why would you go IC instead of an associate or starting your own clinic?  Is it better to do a percent of collections or flat rate of rent?

If you have an established independent contracting position and you start a small clinic on the side, how do you determine when to go full time at one or the other?

How do you train staff for yourself when they also work for a “main doctor” and are probably paid by the clinic owner?

Dr. Brisco does and enjoys auto accident patients. How do you build a referral base with local attorneys? Is Colossus a big thing in his state?

Dr. Quentin has been involved with the American Black Chiropractic Association as a student, became the local chapter president soon after he graduated and has now since 2016  become the President of the nationwide association.

He discusses the ABCA mission and purpose, how it was started and the conference they hold for continuing education. A major goal is to recruit African Americans to become chiropractors and spread the chiropractic message to the black communities. ABCA is also there for guidance on issues unique to African Americans. Every chiropractic college has a student chapter of ABCA and it serves as a place to fellowship and find mentors from doctors out in the field.

What went on at NCLC (national chiropractic leadership conference) in Washington DC? What impact does/ did ABCA have on the event and in nationwide as well as local legislation?

One bill was trying to pass legislation for Medicare to cover all services provided by chiropractic… ie: exams and exercise, not just the adjustment.

Everyday 10,000 become eligible for Medicare every day until 2023

The other major bill we discuss is getting chiropractic covered for TriCare Military health insurance for the family members as well as the veterans directly.

What role could a chiropractor have in a hospital setting? How does an internal medicine, PCP, provider handle all the headaches and back pain that comes into the office and how could that be a great referral source to chiropractors?

How do patients get into the pain med cycle and end up with chronic issues that are hard to resolve for chiropractors or worse need surgical intervention?

How did the ACA and ABCA join forces to stop one insurance company from denying treatment for headaches?

What is Global Billing and how did the state  Louisiana Chiropractic Association help fight this injustice?

What are the unintentional consequences of insurance companies unfairly paying doctors for services rendered?

How does he handle or does he have patients not want to see him because of his skin tone?

Taking time off from work was a struggle and FEAR for him, hear the reasons why and how he finally overcame it?

His hobby might surprise you: high school football and basketball refereeing.

When talking about keeping the relationship love alive, how does networking after hour events and weekend seminars create the most tension?

Dr. Quentin Brisco, DC * ABCA president * 3 SWAC Conference Championships * 1 National Championship * ALL SWAC Offensive Lineman for Southern University

Abcachiro.com American Black Chiropractic Association website

Dr. Quentin Brico personal website is drqmb.com

Show notes can be found at www.adoctorsperspective.net/113 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05 Episode 113,

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Dr. Stephen Francis DC talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Practice scalability, durability and transfer-ability can include hiring an associate. We discuss all the details involved. Staff, systems and retention are a major part of Dr. Stephen Franson DC the Remarkable Practice also, family expectations.

Main Goals: Teaching Systems in the office for doctors, wellness lifestyle, clinical outcomes, patient education, empowering people as their coach, and creating world class teams

A big part of the remarkable practice is to create a business and not just a job that owns you: successful in practice but without losing your family and kids (aka the point of this podcast)

What to look for in a staff member so we hire correctly the first time around? Hint: you have to know what role and responsibilities you are hiring for. Plus you need someone to compliment your personality - which could be the opposite of your style (introvert vs extrovert)

Any gaps on your team that need to be filled and do you have a “staff infection”?

Scalability, Durability, and Transfer ability are typically the type of clinics and doctors he attracts to coach.

Many clients will have multiple associates or multiple clinics or integrated with PT’s etc.

Hiring an Associate and Being an Associate:

Advice on when a doctor is ready to hire and how an associate can be better represent themselves to get the best salary and bonus structure.  With 67% of associate positions failing, tune in to his ideas. (check the website --  chiromatchmakers ) 1, Get the legal writing correct

  1. Terms of the contract: salary, bonus, what exactly is the hiring doctor looking to get out of the associate.  A big reason to know what you want out of the associate is because you will be looking for a different type of personality in that associate doctor based on your goals.

Are you looking for more capacity – just need someone to adjust more clients.

Are you looking for someone to do more outside marketing and grow the business side in that way.

Both of these bring value to a clinic and he helps us see the potential in rewarding the associate in both styles of roles.

More Services:

Attracting new patients, converts and retention are the 3 main pillars of his services but he found out a 4th pillar is team building since he got asked about it by clients all the time.

Is marketing to get new patients the number one issue or is it trying to retain the patients you have gotten in the door already.

How do membership practices take the fear of paying out of the equation when a patient feels like they should get checked by the chiropractor after a stressful weekend or minor flare up?

While Dr. Franson does encourage twice a month check ups, he doesn’t claim the adjustment will take the place of a proper diet and exercise or that an adjustment will cure all that bothers you.

Be careful how you describe success because you will spend a lifetime trying to achieve it.

What is a vision story (core values) for your family and are your behaviors setup / aligned to honor those values?  Balance is a terrible goal but a great reference point.

Communication and agreement and having integrity about the time line can really go a long way to keep harmony in the family.

Prayer of Jabez is part of his morning routine.

How can an associate get the best positions --  https://chiromatchmakers.com/

Programs he offers: Body Signals Program, Immersion Program, Bonfire health program, Vital signs -track clinic numbers

Books: Top grading –Bradford Smart, The One Thing by Gary Keller, Essentialism : Disciplined Pursuit of Less by Greg McKeown, Traction: Get a Grip on Business by Gino Wickman  

theremarkablepractice book coming in 2019

more info: www.theremarkablepractice.com     

Show notes can be found at www.adoctorsperspective.net/112 here you can also find links to things mentioned and the full t...

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Dr. Kachiu Lee, MD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Learn about ultrapulse CO2 lasers, Bellafil, vaxolaser, sclerotherapy and more cosmetic dermatology procedures from Dr. Kachiu Lee MD. Considerations in non-white skin, affordability, and how cosmetic surgery has become more acceptable in culture.

We hear her why to not only specialize in dermatology but more of the cosmetic side of dermatology. It’s a story of family, self-confidence and making an impact that is truly palpable to the patient.

How have people and other doctors come around to having a positive and almost boastful attitude to cosmetic surgery when in the past it was hidden?

Quality of Life research has shown improvements in social, physical, and mental functioning after cosmetic procedures.

The Ultrapulse fractionated CO2 laser is effective for treatment of scars, wrinkles, and other signs of photodamage. It is her favorite go to Powerhouse laser even for keloid type scars and really bad teenage acne scars.

When treating African American or Asian skin, what precautions must be made so hypopigmentation does not occur?

What are non-ablative lasers (vaxolaser), chemical peels and Bellafil?

Bellafil is the only FDA approved collagen rejuvenator for acne scars.

Can makeup cover up facial texture issues?

If you can’t afford 10 laser sessions, does she recommend doing just 2 or should you try a different option all together?

What is sclerotherapy for leg veins?  Think varicose veins (how do you get those). This is an injection that can coagulate the vein and the body resorbs it. It sounds wild to me, so I asked her for more details. What are some ways to prevent varicose veins from forming in the first place (plus who is at risk)?

What are her go to marketing ideas?

Did you know freckles and redness in the face could be removed (Fraxil procedure)?

What does she do in the waiting room, staff training etc to give patients that WOW experience?

What has been more of a concern in training and patient interaction with some patients, her race or her gender?

How do you determine if you should go into dermatology instead of another specialty?

What does she look for in hiring staff and once hired what is a tale tell sign they will stick around?

https://www.kachiuleemd.com/

Kachiu Lee MD is board-certified and cosmetic fellowship trained dermatologist with a specialty in laser treatments.   She practices dermatology in Nantucket, RI.

Show notes can be found at www.adoctorsperspective.net/111 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:06 Episode 111 cosmetic laser dermatology. I’m your host, Dr. Justin trust Claire. And today, we’re Dr. Zhu Li perspective to in 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Okay, so this interview is full of some wild technology and scheduling. So when I first did the interview, I was in China, and I was trying out a new system to record However, during the interview, we actually lost connection, and then it would connect again. So even though we had a good hour, there was less that was actually covered. And so we were planning to redo it when I went to America, like a week or two later. Well, I’m telling you, I got the time zones mixed up, didn’t schedule it didn’t make the interview. And then the next time we had some issues with Skype, it was just kind of a mess, to be quite honest. So there was a few things more that we could have covered that we wanted to cover. But we decided to just take what we have, it’s still really good interview, we just kind of missed a few pieces, like what she offers versus a mid levels and nurses one of those differences and then some family life ques...

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Dr. Carlo Rinaudo, DC Phd (cand)talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Vestibular, ocular, autonomic and dizziness issues, exam findings and rehab with Carlo Rinaudo DC PhD (cand). Managing spinal and MSK conditions with chiropractic and how vestibular rehab affects the nervous system, plus we talk about neuroConnect.

I didn’t know this but in Australia the term Dr is reserved for medical doctors and all others, even Phd’s have to clarify behind their name what type of doctor you are. Also, you can’t just say chiropractic can help headaches and low back pain without having research cited on your website to back up your claims. If you don’t the regulatory board is quick to fine you and require changes.  We discuss some more of those type of nuisances today.

He started out being fascinated by AK and soon realized that most techniques get results and it’s because of neurology.

Is it necessary, clinically, to become a diplomate in neurology (2 year program)? How much of this advanced neurology can actually be used in practice and how much can be used to build referrals from neurologists?

Functional Neurology or Chiropractic Neurology are terms that in Australia will get your license revoked ‘in minutes’ and drag you through the coals.

Some chiropractic techniques are starting to incorporate neurology theories as to how they work but is it cherry picked research?

Why would the chiropractic profession benefit from having the research conducted to be scrutinized by other non chiropractic Phd experts?

Dr. Rinaudo is in the faculty of biomechanical engineering at a university that doesn’t have to do with chiropractic.

The brain and neuro is a window into seeing how the rest of the body is functioning.

The vestibular and ocular system starts when we are so young and connects the autonomic nervous system, balance, cognitive and body awareness system which influences how our spine functions.

PhD clinical trial on a new vestibular rehabilitation technique:  Gait, balance, proprioception, eye movement exercises. He is not advocating to abandon the adjustment nor is he saying all things can be remedied by the adjustment.

Dr. Carlo runs though a mock patient exam with proper questions for vestibular, ocular, vertigo or dizziness symptoms and offers a few pointers for treatment and exercises. Especially this is relevant for whiplash injuries because the three little ear bones, otolith or otoconia, and the crystals can be injured causing dizziness and vertigo.

Dysfunction of the neck changes the signaling and coding to the brain stem. It can alter our eye movement, higher cortical function, balance and more.  

It’s not a cookbook approach in his 4 module NeuroConnect program. Each case will present unique dysfunction and you will tailor a multitude of options for their individual needs. Many of the exercises will function on balance, eye function, proprioception training, inner ear and cerebellum.

He goes through a synopsis of the 4 modules near the mid-end of the episode and I think it will get you excited to visit the website to learn more. For instance: why is that some patients seem to plateau, maybe we hit their metabolic capacity of their autonomic nervous system to heal until you get to a more root cause. How to explain all this neuro stuff so a patient can understand it.

Family: If you go to seminars, take your family.

Books: John Demartini

  - role chiropractors play in dizziness and poor balance conditions

  - the benefit of chiropractic on the brain?

  - a brain based approach to managing spinal and MSK conditions

  - are spinal dysfunctions the result of a local or brain-based problem

Carlo Rinaudo of Sydney, Australia has a neurology diplomate via the Carrick Instutite back in 05-06 and is now a  PhD (cand) in Vestibular Rehabilitation (neuroscience) at UNSW and Neuroscience Research Australia (NeuRA) in collaboration with

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Mouth breathing can lead to orthodontics, malformed palettes and sleep apnea. Discover what myofunctional therapy is and how proper tongue placement and breathing can counteract it. Sarah Hornsby discusses business and myomentor to help others succeed.

As a dental hygienist she realized she could not do this for 30 years and while exploring myofunctional Therapy she was a little concerned that nobody she knew, knew what it was. It wasn’t until she was enrolled in the class and noticed she had a lot of the signs and symptoms did she realize the power of this unique oral therapy.

Goals of Myofunctional Therapist

Breathe through your noseHave a Good Lip SealTongue needs to fill up the roof of your mouthSwallow Correctly

How do these 4 goals get so convoluted and how can something so natural be missing in so many people and create other issues?

What are some reasons why we might quit nose breathing and backup to mouth breathing? Allergies, asthma, enlarged tonsils and adenoids, thumb sucking and tongue ties can all create mouth breathing.

Mouth breathing in kids can actually change the shape of your jaw and face, cause airway obstructions that can lead to sleep apnea as adults and usually will have more dental health issues including the need for braces and TMJ pain.

Hornsby of faceology will cover questions you can ask during the patients health history to see if some of those 4 goals (like mouth breathing) could be occurring presently or in the past.

She touches on ways sleep apnea can develop from facial structures not growing and spreading as wide as they should, not having enough room in your mouth for proper tongue placement and all this leads to a smaller airway.

What facial characteristics are common and more easily noticeable on people who have had myo-facial compromises and probably don’t even know it?  What is the actual cause of an under bite?

Why do babies suck a thumb? Should they use a pacifier? Benefits of mouth and airway development for breast-fed babies.

How much of all these tongue ties that can be treated with myofunctional therapy are a result of epigenetics?

Anterior tongue ties and posterior tongue ties, what are the differences and which is harder to treat with myofunctional therapy? If you have a tongue tie then your tongue doesn’t fill your palette like it’s supposed to and can lead to all the issues we mentioned earlier.

Can myofunctional therapy and preventing or being proactive against mouth breathing (especially at night) allow your children to not have braces, orthodontics?

Why did Sarah switch from brick and mortar locations to doing “telemedicine?”

Any devices that can help?  ALF Advanced Lightwire Functional   removable appliance. The appliance is custom-made and uses wires to reposition jaws, dental arches, and teeth. DNA Daytime Nighttime Appliance ViVos approved by FDA for sleep apnea.   Myomunchee   and Buteyko Breathing Technique

With two full time therapists and an office manager and all the side work that seeing patients requires, plus all kinds of time zone appointments, how is she planning to gain more balance for 2019?

Hear some of the challenges she is facing with multiple therapists and how to price her service compared to her employees?

Myomentor.com a training for dental hygienist, dentists, chiropractors and physical therapist who want to fine tune their skills and mentoring the patient care. It is a 12-16 week program.

Since she and her husband work from home, how do they keep the love alive and stay connected or disconnected in this case.

Why does she use paypal instead of stripe, square or any other merchant services.

Book:

Patrick Mcquinn Buteyko Breathing-  Oxygen Advantage 

Naudi Aguilar - Functional Patterns The Power of Posture

Her site is  www.myfaceology.com  and her mentor site is www.myomentor.com

I was introduced to myofunctional therapy because of episode 105 www.adoctorsperspective.

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Dr. Joseph Simon, DPT talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Cash practice marketing has unique challenges, continuity programs, considerations to purchasing a clinic or starting fresh, leadership hurdles and Dr. Joseph Simon physical therapist explains why you need a coach and perhaps his 9 step program.

Dr Joseph Simon of Private Practice Business Academy teaching Doctor of Physical Therapists and alternative health care doctors about automation, systems and marketing.  He starts the podcast with a bit of background and practice and home tragedy via a hurricane on top of spending too much money on bad advertising that left him over $150,000 in debt in 3 months. How did a text message flip the switch to taking consulting more serious during this troubling time?

At the same time of hiring a $6000 a month marketing agency he hired a $15 hour person doing what Dr. Simon already was previously doing… which had better results after three months?

Can a physical therapist make it as a cash practice or should they stay in their lane and just get referrals from primary care and orthopedic doctors?

His system relies on a 9 Step Process (especially cash practices) and he talks about parts of that on the interview.

For those PT’s who don’t have direct access to patients, he gives a little details on how to still market the same way but to have your own medical doctor you refer to to get that necessary referral.

Can you take a HMO clinic and switch to Cash only? You need Income Statement, Balance Sheet, and Cash Flow Statement. Can the current staff handle the transition?

What are his thoughts on having the original clinic owner stay on for a period of time for a more smooth transition? Spoiler, it was a surprising answer for me.  What are his tips to retain a patient base during a buy out?

Would you rather pay for goodwill, an email list, an actively engaged email list or well trained staff and systems?

Considerations to starting your own practice from scratch instead of the complexity of buying an established clinic.

What has Dr. Joseph found to be a reliable continuity program for doctors especially a cash practice? How does a concierge practice work or a gym within a gym or a workout bootcamp?  Is the point of these for profit or constant contact?

We need to market: facebook, youtube, google, internal referrals… what does he recommend?

1 IDEA for Internal Marketing: What gifts should can you/

should you give to the patient? Should be it be full of your logo or customized with their name?

What’s a potential value amount to spend on custom gifts?   

How much should you budget for marketing per year?

Top 2 issues clients struggle with:  Leadership and Systems of a Practice

Why are most issues that come up in the office really your fault and how do you start accepting that as reality instead of blaming others?

Kids have coaches and parents to teach and help you, why don’t we hire coaches to help in business as doctors?

How to tell when you have out grown or outpaced the coach you hired and you need to upgrade?

Dr. Joesph has a 9 Step Formula for doctors who are “making it,” in practice 4-5 years and looking to expand.

Dan Sullivan - Free Day , Focus Day, Buffer Day

Book:

Extreme Ownership -  Jocko Willink4 Disciplines of Execution – Chris McChesneyGary Vaynerchuk Podcast                       

DrJoeSimon.com   

PrivatePracticeBusinessAcademy.com old podcast        

New podcast 30 for 30 Physical Therapy.  He resides in Manhattan, NY and has transitioned into more of a mentor – coach – business consultant role but still owns multiple clinics thought the United States. ��

Show notes can be found at www.adoctorsperspective.net/108 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Justin Trosclair 0:05

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Dr. Erson "Dr E" Religioso III DPT talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Becoming a cashPT clinic has hurdles. Dr. Aaron LeBauer DPT discusses creating a fair fee, why not take insurance, onboarding and  training staff, answering the phone, discounting services, handling objections and his favorite seminars.

His backstory involves learning the limitations of his massage therapy offerings and realizing very early on in clinical rotations that he did not want to see 43 patients per day. That was his big revelation that he can do physical therapy treatment on his terms, give the patient the best of his time and efforts, not play the insurance game and just accept high end cash  rates. After being in the trenches and learning and having coaches of his own, he packaged what he has learned and now offers CashPT © coaching for others looking to break free from insurance and practice exactly the way you want to.

When you get paid $43 from insurance regardless of how long you  treat the patient or what actual treatment you give to satisfy the code, on top of being used to making $85 for an hour 1 on1 as a massage therapist… Dr. LeBauer decision to go cashPT was practically a given.

How do you handle the caller that asks "do you take my insurance?"   What are the 2 reasons why a potential patient would ask about insurance to begin with?

Do you discuss fees on the phone if they ask? How do you build value on the phone so they come in for a consultation and exam -  knowing that they will pay cash?

Acknowledge the objections and redirect with questions to determine the deeper why they want physical therapy, the motivation to seek treatment now instead of earlier and what is actually wrong with you.

Why are patients referred by a medical doctor some of the hardest patients to pay cash for services?

What questions can another physician ask a physical therapist to see what kind of treatment they will provide your patients? Joint restriction, soft tissue restriction or motor control problem with treatment like manual therapy, exercises and patient empowerment.

PICKING A FEE

How do you pick a cash fee? Do you pull a number out of the sky, is there a formula, does the size of the town and median income play a part, can you over price yourself or is it just undervaluing your service?

If you charge a high fee per hour, what happens when the patient only needed 38 minutes that day? What ethical dilemmas can surface from that type of payment model?

Should you charge a case fee: for example, headaches cost XYZ? Can the same condition be a different fee from person to person or does it need to be uniformed?

How do you charge for Results?

What about a unique cashPT fee amount for each individual person for their unique condition? This fee could be $2500 and you might recommend it will take 7 visits to get better… so what happens if they aren’t better by 7 visits? Or maybe they got better in 4 visits.. What do you do then?

Can you believe that with only 9 patients a week you could earn $100,000?    What are some of his go to formulas to help doctors establish a fee schedule?

Does the doctor or a dedicated person “close the deal?” Is it better to have a patient pay per visit or commit to 8 visits and spread the payments out?

Can you discount too much for a prepay? What is the main underlining reason for the heavy discounts? He briefly touches on preframing patients as well.

What type of clinic setting to choose?

Do you do mobile PT (drive to a patients house) or do you rent from another place (like a busy gym) or rent space from another healthcare provider that compliments yours or own your own space (with much higher overhead)? pluses and minuses of each scenario

If you are a PT should you work in a PT or Chiropractor office? Should you pick a place that is cash only like you or can the other doctor be in-network with insurances?

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Dr. Erson "Dr E" Religioso III DPT talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast

Cash practice PT physical therapy: learn about fees, location, marketing etc. Dr. Erson Religioso III talks about his EDGE mobility IASTM tool, BFR cuffs, using G suite as EMR and new trends and topics about modern manual therapy and mobility.

We start with some pet peeves with chiropractic and physical therapy but mostly dispelling some of the negative stereotypes that we each have heard about the other. Then we dive deep into cash practice as a physical therapist.

He was 12 years as a insurance provider but for the past 8 years he has been cash pay.

As a cash practice PT Do you drive around the city, work at a gym, rent space in someone's office? What tends to work best to not only keep overhead low but provide an excellent service for your patient? Do you need 1500 sq ft and 5 staff? Instead of driving around all day, can you do telemedicine with skype or facetime?

Part of the reason he is on the podcast today is to talk about the products he created and the seminars of manual therapy that he teaches and it’s because of these ancillary services he was able to drop HMO plans and go cash without stressing about finances.

How do you handle all the scheduling, billing, website and marketing as a one doctor show?

Part of the allure of cash practice is to charge what you want and spend as much time as you want with patients. When you charge $125-300per hour, what happens when after 37 minutes the patient has made all the progress they could that day? Listen to Dr E’s novel approach to avoid this potential ethical dilemma. Also he touches on canceled appointment, which really matter when you only do 1 on 1 sessions not 4 people per hour.

Great pointers on time blocking to be more efficient and with six kids, he has tested his theories regularly.

How do you answer the question: do you take my insurance?  His answers leads into, why do direct marketing versus relying on medical doctor referrals.

Goal of manual therapy is to make nervous system to accept load and move threat free.

We discuss his theory on keeping the therapeutic benefits window open longer by doing better home programs as well as why he has changed his tune from IASTM needing to bruise you to a Light Touch accomplishing the same goals. Another concept, home exercises done longer than we would normally expect at one time. It challenges the body but not to the point over doing it.

Manual therapy that is safe and nearly Pain Free – what a novel concept. IASTM tools you are not deforming the fascia so no need to put more pressure that a dog licking you.

Most manual therapy works in the short term, but what works for the long term because we know it’s not really mechanical but is it more neurological?

Why is placebo so strong and how can that simple stimulus still get people to feel better?

Why is it that Trigger Points seem to feel bigger with our fingers than they actually are?

EDGE SuspensionTrainer: Allows you to do different angels and change the intensity of different exercises by having one extremity suspended in air.

EDGE Mobility Tool: his myofascial IASTM tool

EDGE Restriction System BFR (blood flow restriction) Cuffs: a research based (essentially a modified blood pressure cuff but so much more than that) air sack that impedes the blood flow to the rest of the extremity it is attached to. This allows human growth hormone to up-regulate and hypertrophy to occur at lower loads. This could mean you only have to max load 30% instead of 70% which is generally hard to do in a clinical setting.

Are floss bands / mobility band safe and effective? It can cause you to go numb in a minute so it needs to be supervised.

How important is a novel stimulus to finding neurological results whether its in stretching or pain relief tactics?

G Suite forInexpensive EMR 2.

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Dr. Allen Sprinkle, DDS talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Tongue tie surgery, frenuloplasty,what is it, how can it cause headaches, forward head posture and poor sleep. Wetalk airway obstruction -how a dentist can help, why use mercury free fillings, root canal danger and DTR. Dr Allen Sprinkle DDS

What is TruDenta and why does he prefer the DTR (disclusion time reduction therapy) instead for bite disturbances?  Two techniques to help determine how you are biting, where is the pressure, how is the pressure transferred between each teeth  and then you can make dental recommendations based on the results.

DTR has true implications for TMD TMJ problems but yet only 2% of the dentist have this technology, why is that?

Can improper crown fittings create bite disturbances?

Posterior teeth have peripheral nerves and if they have too much friction when chewing it can create a hyperactive impulse that goes straight to the trigeminal nucleus instead of going to the spine first so you get even more tension and grinding.

Dr. Spinkle discusses in detail about the important of a baby sucking their thumb in helping shape the arch of the palate. Then he goes into how malformations of the palate arch can turn into breathing and airway obstructions.  V shaped palates, narrow nasal passages, mouth breathing, Eustachian tube blockages, ear infections, headaches and possible even personality changes.

If you have a tongue tie (frenulum) where you can’t lift your tongue very high or stick your tongue out past your front teeth, it can lead to even more issues. Our body adapts to not having clear air passage by giving shots of adrenaline and the body recognizes it needs more air so one of the side effects is forward head posture.

Dr. Spinkle specializes in releasing the tongue tie (frenotomy) via surgery. After a tongue tie release he sees patients have improved posture and patients report headaches and tension in their neck and pressure in their head almost immediately improve as well as one patient whose stuttering ceased.  He tells a few patient success stories with the tongue tie release procedure.

Tells several powerful stories that might even seem to good to be true about the results of a tongue tie release.

Reasons why chain smoking and nail biting might be an indication of a chronic partially obstructed airway.

Mouth breathing can lead to cavities, gum disease, clinching and grinding. This also leads to poor breathing habits.

Tongue tie surgery can be called: functional ankyloglossia, lingual frenuloplasty, frenotomy

Before you do the surgery, it is a good idea to do myofunctional therapist for tongue exercises from an expert, think special trained physical therapist.

Does he have to redo any surgeries, does scar tissue play a factor in long term results?  Headaches and muscle tension relief are two common results from the frenuloplasty (tongue tie surgery).

Listen about 32 minutes in and you can find out what to Look for in an exam to if a patient might have a tongue tie. Step by step exam as well as questions to ask.

Why did he decide to become a Mercury Free dentist? Mercury is the second most neuro toxic chemical to a human so why is it allowed in our teeth and does it leak out and cause damage to our body?

Here is story of working in a cesspool of old mercury, the effect it had on his personal life, and why he even left dentistry for nearly a decade.

Does mercury fillings fight with iodine in our thyroid?

What is the problem with root canals? Can it really trap bacteria and virus, turn them anaerobic and reek havoc on our gums and cause ill effects to our general health?

Root canal teeth are supposed to be clean on the inside, but he explains via a Dr Haley that a lab found the two most toxic chemicals were found in extracted teeth that had root canals.

If you can’t get a root canal, do you just extract the tooth,

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Hazel Walker talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

The number 1 worldwide franchise owner of BNI, Hazel Walker, discussesbetter ways to invite guests, the GAIN profile to make 1 on 1’s productive,teaching others to be a referral machine, and author of differences of how menand women network.

The number 1 worldwide franchise owner of BNI, Hazel Walker, discusses better ways to invite guests, the GAIN profile to make 1 on 1’s productive, teaching others to be a referral machine, and author of differences of how men and women network.

BNI franchise only winner of the Hall Of Fame owner because she had the #1 franchise in the world for 13 straight months in Indiana. She was recruited to run Perth Australia and was there for 6 years before moving back to the USA just before thanksgiving.

Learn about the Givers Gain philosophy.  And Now BNI has online training and an app to pass referrals.

Why do we always try to sell new invites to BNI instead of just inviting them to meet amazing other business owners.  BNI and the flow of the meeting will sell itself.

One key mindset is that BNI is built for you to expand your referral network, not just sell to the members.

She goes into a Super Structured Flow of a 1 on 1 meeting. The G.A.I.N. sheet.  (the Accomplishments and Interests are particularly interesting.)

Those meetings are meant for you to just shoot the breeze. Make the most out of that time by following her recommendations.  Teach the other person to identify your target customer is and then how to refer them to you.

Who do you know Who…?

Why is that some of the non USA chapters have more eye doctors, dentists and alternative care doctors and therapists where as in USA those are harder to find (chiropractors are usually in the USA groups though)?

If you have multiple doctors in your office, what are the benefits of having each member in a different BNI Chapter?

Why should you screen new members especially if one clinic in town is joining lots of groups?

Why are the Asian Countries like China, Thailand, Hong Kong, India and Singapore eclipsing in growth and enthusiasm for BNI compared to Europe and North America?

Differences of men and women in networking. What are some of the traits that men have that women should adopt and vice versa?

Story telling fashion of referring business and going deep into the relationship are commonly women characteristic. 

Which sex gives more qualified referrals? Which sex asks for the deal more commonly?

How can the GAIN Profile for 1 on 1’s done correctly also be translated into how you talk and market and interact with customers?

Is it appropriate to hit on the opposite sex at networking events? What are some ways for women to stand their ground if it happens to them?

Small town BNI chapters… they can work, but why be careful of kicking someone out nad keeping everyone accountable?

What has she learned about work life balance from living in Perth? She takes the last two weeks of the year as her “Thinking” time for the following year.

How to manage your calendar for great productivity?

PODCAST:  Lore

APP:  Audible

BOOK: Whos in your room by Dr. Ivan Misner, Healing Begins in the Kitchen – how he and his wife beat cancer

Leadership and Self Deception

Slight Edge  - things that are easy to do or also easy not to do

www.hazelwalker.com  hazel@bni.com

Hazel Walker - Her book: Business Networking and Sex: not what you think     How men and women network differently is based on a 12,000 person survey that took 3 years to complete.

Authentic self is important, being able to adapt to others while honoring the differences is also important.

Teach women systems to strengthen their business and their networks.

Perth, Australia and Indianapolis, Indiana

Show notes can be found at www.adoctorsperspective.net/104 here you can also find links to things mentioned and the full tra...

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PJ Ewing talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

Post knee surgery rehab now has a new machine to increase range of  motion  (ROM) and strength in a matter of 3 weeks. That leaves you with more functional rehab with a physical therapist. Learn about the x10 knee therapy machine with PJ Ewing.

The X10 is a specialized knee rehab equipment co-developed by his dad and a coworker of the orthopedic surgeon who invented  knee replacement surgery.  The x10 machine is about the size of arecliner and goes usually into a patients home for 2-5 weeks.  It helps prepare the knee for surgery butusually is used to regain Range of Motion post knee replacement , patellafracture or ACL surgery as well as rebuild the strength.

He discusses how the computer and the knee apparatus can sense the resistance in real time, pain and end range of motion, ROM, and then adjust in real time to maximize where you are and then increase it all in pain free motions. The company has coaches and doctors that oversee each treatment and can tweak the program for each person each visit.

The machine can sense the resistance decrease and it has been programmed to know that might be because of pain. So it holds it there for 10 seconds and alternates to flexion and extension  terminal end points.

Usually a patient is doing this pain free treatment 35 minutes a day, 3 times a day so it doesn’t take but a couple weeks to get your range of motion (110-115 degrees) back (without having to have a MUA of knee scar tissue) and so your physical therapy is now on walking and strength instead of  regaining painful ROM.

Continuous Passive Motion Machine vs x10. Why is one shown to do just about nothing but still being recommended like crazy.

X10 knee is covered by some insurance companies in Michigan but they are working on expanding coverage in other states.

Does this tool / machine replace the Physical Therapist? If not, how do they work together?

Remove the ROM component and utilize your PT visits for more comprehensive and fine tuning of the knee rehab.

X10 is rapidly expanding with a new model this year and learn why they lease instead of sell these machines and how they plan to compete in other state market places.

They get plenty of calls everyday for people to do telemedicine and medical vacations from other countries and states because of the limited reach at the moment. They plan to change that in 2019.

As a startup company about to hit massive expansion, why is growth a key factor to consider and be concerned about managing properly?

What type of videos have been far and away the most viewed and impactful for x10?

Book:  The Soul of a New Machine by Tracy Kidder 1981 Pulitzer Price Winner

Hear his take on why now is a great time to podcast and why he started his own.

We both have Chinese mixed babies and are trying to raise them bilingual… hear his two cents on that topic and how after school language classes are helping.

www.x10therapy.com  pjewing@x10therapy.com

PJ Ewing grew up in Michigan. He worked in marketing and advertising for the first 20+ years of his career. Beginning his career at Leo Burnett Advertising he worked on many large brands including McDonald’s, Kraft, & Pepsi before moving to media sales. Mr. Ewing developed an expertise in helping people solve difficult communication problems.

In 2012 PJ joined the executive team at Halley Orthopedics as Chief Marketing Officer. “Never has there been a bigger opportunity to improve the outcomes of knee patients. I jumped when I first heard about the X10. Now I love every minute of the work we do,” said Mr Ewing.

In 2013 PJ earned a certification as a Certified X10 Patient Recovery Coach. He has coached hundreds of patients to a successful recovery after knee replacement and other surgeries since then.

PJ received a bachelor’s degree from the University of Michigan and a Masters in Business from the University...

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Dr. Fleur Castlereagh DC talks to Dr Trosclair on A Doctors Perspective Podcast Discover how to combine pilates with chiropractic, why be an expat in Hong Kong, comparing Australia life and marketing, journalism degree and why use udemy for back pain programs and meetup for marketing. Dr Fleur Castlereagh DC We cover fun topics like: are Aussie’s the type to move around the country and to other countries for school and work, how to meet new people and potential clients in Hong Kong, unique struggles she has encountered, creative ways to thrive, and can you replicate her success? What is the catalyst for leaving a practice for 16 years to start over in a different country? Comparing the pace of life between Hong Kong and Sydney. She works in a multidisciplinary clinic: massage, 3 female chiropractors, pilates, kinesiologist, acupuncture and sometimes a naturopath. Ways to incorporate Pilates with Chiropractic (especially for athletes): near the end of the interview we go into plenty of details. Assess their body so they can do exercises that they personally need. Pilates with chiropractic vs Yoga with chiropractic Dr. Fleur discusses some of the challenges with bilingual patients and how sometimes you still lose the meaning of what you’re saying. How to overcome that? What is milk tea and why is her Cantonese cheat sheet so funny? We dive into how journalism influenced not only her career but in creating back rehab programs. You can see those courses at spinehealthprogram.com and her courses on udemy. They are geared for patient at home care that is safe, effective and self-taught. Beginner Pilates to Reduce Back Pain , Pregnancy and Pilates , Ergonomics to Prevent Back Pain and Weight Loss Why did she choose Udemy instead of self hosting on wordpress? Obviously Hong Kong is expensive and doctor fees have to be more but did you know insurance covers chiropractic. Should more new grads or even those looking for a change practice in a foreign country? What are some of the drawbacks and considerations before making the move? How much out of your comfort zone will you be challenged? How does she and can you use MEETUP.com to find patients and make friends? We each have a couple fun meetup stories and answer the questions: quick return or do it because you enjoy it. Learn some insights in to Sydney, Australia. Gender role and dating differences in Hong Kong vs Aussie. Apps: Jodi Spencer – Brain Chemistry via meditationOprah and Deepak’s Meditation App, lots of 21 day programs Dr. Fleur Castlereagh specializes in chiropractor but has a personal trainer background, a on field sports certification and incorporates pilates in a big way. She was a track and field- Long-Jump athlete as a teenager and eventually had an injury that only resolved after visiting a sports chiropractor. She has been a chiropractor in Sydney, Australia for 16 years and over the past year decided to work in Hong Kong. Prepare for a fun conversation about the unique atmosphere of building a clinic in a foreign country with a language you don’t speak. Show notes can be found at www.adoctorsperspective.net/102 here you can also find links to things mentioned and the full transcript.

Full Transcript of the Interview (probably has some grammatical errors). Just Click to expand Unknown 0:06 Episode 100 and to Hong Kong expert and plot is with chiropractic. I’m your host, Dr. Justin trust where today we got to flirt customized perspective. During 2017 and 2018 podcast Awards Nominated host as we get the behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective.

Justin Trosclair 0:30 Hey everybody, I hope you’re black friday Cyber Monday shop local Saturday was a fantastic it’s the holiday season. I hope everyone’s able to take off see their family and all that jazz in the next coming week. haven’t decided yet if I will release an episode the week of Christmas because it’ll actually be Christmas.

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Dr. Diane Harner, PhD talks to Dr. Justin Trosclair DC on A Doctor's Perspective Podcast.

What are good Emotional Intelligence type tests for hiring, how stress can motivate, ways to stop procrastination, self doubt, 8 self-destructive processes to work through, sleep and brain nutrition. Dr. Diane Harner PhD neuroscientist

What are some of the drawbacks to being a Type A driven personality when it comes to managing your expectations of yourself and staff. Being trained in medicine is great because it becomes automatic and our brains love that, but you still have to be aware and think so you don’t make mistakes.

When it comes to hiring staff, PA’s, NP’s - what are good Emotional Intelligence type tests to see who would be best and who can handle stressful situations. Attitude, interpersonal skills (she goes into these) and mock stress situations (great examples detailed) are important because you can rehearse interview answers and appear much better than realty.

You really want to see how someone can handle stressful situation.

What’s a tip or two to speed up the “fake it to you make it” that many new doctors and staff experience.

Ways to avoid and safeguard from the tragic Burnout. Activation and energy to engage in a task, the task itself (pleasure/displeasure) and consequences of the task. How important is changing the environment to stay focused?

Do you procrastinate? Reasons why we do it and how to tell when it’s a negative in your life.

Ways to motivate your staff: it’s not always a gift card they want. Could be intrinsic or extrinisic motivation, could be time off, status, public praise… listen around minute 18. Learn your staff’s triggers and met them.

Coaching conversations Versus WIPS (work in progress conversations) … put another way: conversations asking how the Person is compared to, are you meeting the deadlines for a project.

Are the millennials forcing the hand of bosses to be more flexible with work arrangement and time constraints? Also, has every younger generation changed the work force?

What type of nutrition and sleep can we do to allow our brain to adapt, change or learn to its peak potential? There is a link between exercise and the decrease of Alzheimer’s Disease. Why are zinc and magnesium so important for happiness and brain chemical regulation? Food is the best way to get your nutrients because of nature’s natural balance of minerals and micronutrients. Certain processes work best with proper ratios and if you are only taking a vitamin supplement you might become off.

Early to bed gives you better quality sleep. I know I was disappointed to hear it makes a difference so do your best to change your routines and she gives a few pointers. So are you a night owl or an early bird… can you wake up without an alarm?

Her most common clients are mid to senior level positions who are stuck in some area. She is finishing her master in counseling to give the full well rounded holistic approach to her clients. Let’s face it, usually there is some family or personal issues going on that’s translating into the business life.

Here are the 8 criteria she looks at with each client. Self-doubt , perfectionism, impatience, multitasking, rigidity, procrastination, negativity, conformity. The Top 3 are below.

Perfectionism (can be positive or negative)

Procrastination

Self Doubt – Imposter Syndrome

Arousal stress can increase and stimulate great performance, but if it goes to far then it can hamper us aka diminishing returns. What are some benefits to breaking up a Major project into smaller manageable chunks and deadlines.

Dr Harner discuses each of the top 3 struggles with the Why and Basic Solutions you could try tomorrow.

Listen near the end for NeuroLink AI that Elon Musk is spearheading as well as specific biofeedback brain waves that you can do at home to practice relaxation techniques.

She practices mindfulness and reminds us of the pure definition...