Starting a chiropractic practice right after graduation

I think the other question, too, for me is the conversation about, like, what is it that I actually do for people? Because, you know, I've already had lots of people on my team saying, oh, I'll come to you. I'll be your first patient. Like, so many people. And then they'll be sitting there, like, I was having a conversation with one of my teammates last night. And she was like, oh, yeah, like, I'd love to be your first patient. And there's two things about this conversation where I was like, I need to figure out how to navigate this. And she's like, you know, as long as you take my insurance. You're listening to the Restoring Human Movement podcast, where movement experts discuss the latest evidence-based practices to help you and your clients move with mastery. And now, your host, Dr. Sebastian Gonzales.

Hey, everyone. It's Dr. Sebastian Gonzales, your host for the Restoring Human Movement podcast. Thanks for joining the Movement Movement. This is your first time. Welcome. It's a brand new year. So we've been in production probably for about two and a half years now. So there's lots back in the archives. And if you're a new clinician or someone who's been out for a couple years, this is the perfect podcast for you. We try to keep the communication pretty simple or the terms pretty simple, a little bit more storytelling and analogies and so on, maybe some human interest here and there, to where if there is somebody who really wants to know more about their own body, it's not going to be completely foreign to them.

So meaning it's going to be patient friendly as well. So some of these stories might resonate well with some of the patients that you see. And if so, maybe share that one episode with them. Many of the podcasts are educational, again, for patient education, but also, too, to improve our clinical outcome, too. So lots of stuff in the archives. Please go back and see it. Now, the podcast today, as you kind of heard, I'm interviewing somebody. This is Sara Van Dyke. She is an intern that was with me for about six, seven months or so. And now she just barely graduated at the time of the recording.

She's only been out about two, three days or so from graduation from chiropractic school. So big life changes. And so I know a lot of the listeners here are their students still. And so I've gotten a lot of feedback over the months. And it seems like people are really enjoying the student interview. So I'm going to keep doing it for a little bit of time here. So hopefully through this podcast, you're going to get some ideas of things that you should be doing. Or if you're a seasoned doc, you might think back, damn, like that was I remember that might reminisce a little bit. So the format here is roughly about a 45 minutes hour long format.

You're going to take the adventure with me and interview Sarah and just maybe seeing what we can get to do in the next couple of weeks. And I typically have a short story about myself and something that I've done or something I've experienced. So you can get to know your host a little bit more. I believe kind of that people tend to watch Oprah and not Conan or vice versa because you like the host. And so hopefully if you like the host, you'll follow along with the show and then you'll become a dedicated listener. So let's get in that short story and then we'll start the podcast interview with Sara Van Dyke.

So recently I was visiting my sister in the hospital because she had given birth to a couple kids. And so we went over to this hospital. I won't name the hospital necessarily, but I feel like this is something that you're all going to resonate well with. So I thought I would just tell the story. You go up in this parking structure. And by the way, at the hospital, there's not a lot of parking at all. It's about a five, six-story structure, tiny little structure because it's on the hospital property. We go up in the first round, like a little up thing or first level of the parking structure. There's not much parking there.

And then the first one, there is parking right by the elevator and it says expected mother parking. I'm like, okay, that's okay. I'm like, but I really want to park there because there's like five spots open. And I'm like, okay, can I park there? My girlfriend's like, no, I can't park there. I'm like, okay, fine. That makes sense. Okay, go up to the next level. Next level, right by the elevator, it said a fuel-efficient vehicle parking. And there's another four or five spots open there. Literally nothing else, almost left in the entire structure. And so I didn't go up to the next level, but I can see it now.

There'll probably be veteran parking. And then there'll be like vegan parking or something. I feel like all these parking spots, all of a sudden, like now there's criteria of all these different spots you can park. It drives me a little insane. And when we talk about fuel-efficient vehicles, that one drives me the most insane. Because I drive a 4Runner, and so my girlfriend drives something that's more efficient than that. It's still an SUV, but it gets about five miles per gallon more than mine does. Is hers not a fuel-efficient vehicle at this point? Are we talking relative at this point? So I feel like parking in there and then pointing over to the Escalade and saying, mine's more fuel-efficient than that one.

Anyways, I'm down, like, those ones are cool if they have a charging station. But if they don't have a charging station, I don't think we should have those ones. Let's get into the interview. Okay. So, this is Sarah. Hello. You do sound good on that side of the mic. You are close. I'm trying. So we thought that, so Sarah was an intern of mine. She just graduated. This is how many days after graduation now? Three. Four. Four days. And have you had a minor panic attack yet? Yeah, probably. More than one. Okay. So, I thought we'd, you know, we had talked about you. We're trying to figure out maybe what you should be doing right now to help build your practice.

You're going to do your own solo practice right now. You consider going to Utah, but you thought, let's not do that. Let's just stay in California. Leave me in that journey. Then we'll figure out what maybe is a good strategy to, what you should be doing maybe today. Because I'm sure a lot of people graduate and they're in the same point right now. They're like, dude, I have no idea what I should be doing. Okay. Well, I will say I've actually been through several almost job offers and then declines with, like, while I was in school. Obviously, you can't offer a student a job until they're out of school.

But there was, like, several, like, oh, I would kind of like the idea of you working here after graduation. And so, I went through that with a couple different people that I shadowed or interned or have known for a while. And really considered going to Utah for this great job with a doctor that I really, really liked. But for me, I had a lot of momentum with the other parts of my life here in Southern California. And I realized that I had a network of people that I actually really already care about that I would like to care for in the office. And for me, that's a lot of my, like, Southern California running community.

I'm a very serious runner. And that's also one of the reasons why I decided not to move to Utah. Because I didn't really want to disrupt the career year that I was kind of having with that and moving to a new place with altitude and, you know, snow. Not that I don't enjoy running in the snow, but, you know. So, for me, I kind of had to think about, like, the whole picture of myself and where I would be able to be the most passionate about serving people. And I felt like staying in Southern California, I would be able to, like I said, care for everybody that I care about. And I would have a little bit more of a network.

So, I guess, graduating, the big questions are, how do I start treating that network? How do I let them know that I'm here and ready to go besides, you know, telling a couple people here and there? How do I, you know, really start truly marketing myself? Because I've been doing little minor marketing projects for, like, a few months here. But it's very different when you're doing it as a student and with ideas than when you're suddenly like, oh, I'm about to be a doctor. And now I have to start talking about myself in public and telling people that I can help them. Which, to me, is almost kind of terrifying because I was always brought up to not brag.

And I feel like marketing, I almost feel like I have to brag about myself, which kind of terrifies me. Yeah, it sucks, doesn't it? It's definitely a different thing. I know that we did, you did some marketing projects for me. And, you know, as part of your intern curriculum, it's, I feel like my job is to get you ready for clinical skills. But then second is to get you ready for what you're going to be doing. And the hardest part is talking about yourself and not sounding like a, I started doing the, okay, this is me being cocky, not confident, or confident, not cocky type of thing. Because when you do talk about yourself, you sound like you're just spouting off, right?

But, so I agree. So, at that point then, now when you're with those people that already know you and trust you, how do you get them to believe that you can help them and then pay you? Yeah, that's the big question. I think I've come up with a couple answers so far. And you can tell me what you think. But I'll tell you what my answers to that have been so far. I think I have a tendency to, if I just get really passionate about something or start talking to my friends about how much I want to help runners with injuries, and that's why I got into this field. And I just get really, really, like, you know, psyched about that.

People tend to listen, and I don't think it seems to come off as arrogant because it comes from a good place in my heart. So, I think that that might be a good place to start, but I don't know how to really transmit that over other mediums. So, we're going to have to, I guess, work with that. And I guess that's what I'm going to look to you for, for a little bit of help. Yeah. No, I do think it's, like, also, too, like, the part of, like, let's just say salesy. You know, it's like, say you're talking to your friend, and you want her to come in. She's paying somebody else to work on her, and she's not getting better.

And it's like, okay, so, hey, let's just call her. Let's go with Ray. For some reason, her name is Ray today. Hey, Ray, you should come in. No, I don't know. Like, no, come in. Like, at what point are you bothering her, even though you're passionate and you know, let's just say her problem looks very simple, and you're like, oh, dude, I can solely help. At what point are you, do you become the pest, and she just disregards you, you know, and it affects the friendship even. So, I agree. The passion, I think, is a useful thing. But then it's kind of like you're playing, I believe you're playing cat and mouse.

It's like dating. You can say, okay, I knew from the first day this person's the person, and they're like, yeah, I didn't see that. You know, but if you came on strong and started talking about, like, white picket fence and where you want to retire, they're just going to blow you off. So, like, how do you navigate that? Yeah, I think that's the question. I mean, you've given me lots of helpful strategies for when people don't necessarily listen. And I think, you know, my strategy is going to be like, well, what's the harm? You're already not getting better, and you know that you want to, and you know that I care about you probably more than any doctor that doesn't know you personally.

So, I will at least try to work that in with people that I know. Or you can always go with the personal experience if it's, you know, there's a lot of runners who come to me with injuries that I've already had and have gone through. And if I've gone through it while I've been under care here, or it's something that I know very well after having been a doctor, or, like, going through this program of becoming a doctor, then I could say, oh, well, you know, I've had patients with that, or I've had that myself, and I tried these other things, and they didn't work, and this is what worked for me, and this is what I can help you with.

Or I could always, sometimes people have listened to me when I've said, you know what, I had that same injury in college, and if I had known what I knew now, that would have been maybe a month long of trying to get better versus a year and a half of pain. But I think the personal stories and the fact that you always remind me to, like, kind of share personal stories, but also, like, you know, question the person to, like, reveal what they think they know about things is probably, like, two good alleyways that you can go with that. Yeah. And so when you've been sharing stories, how's, well, actually, I don't want to, I don't want to say that's the best way, because I don't, I don't know.

I just know what, I've observed work okay. By the way, there's a listener, or his name is Alec. Alec, please comment on all this stuff. Email me. You're going to, so, Sarah, Alec's going to go over all this, and he'll give you so many great pointers. I'll share the email with you when he does. Oh, yay. Thanks, Alec. Very active listener. So when you, so when you've been working with, or when you've been trying to help people so far, what is the best, maybe what's one, one experience that has worked, where it's like that one person, you're like, oh, God, that went perfect. Like, how, how do you duplicate that one?

Was it telling stories? Did you just grab them? And did you, I mean, what, what happened there to make it work? Okay, so funny, funny thing about this one. The first one that comes to mind is I was, I was literally at practice a few weeks ago, and I didn't do, obviously, like, I'm not a legal doctor, so I didn't go do, like, a full exam or anything. I was just like, oh, hey, try this one exercise and see if it works. But I actually had, I was at practice with my teammates, and I was warming up. One of the girl, one of the other girls comes over to me, and she's like, hey, Sarah, can you look at Mary's hip after this?

And I was like, well, you know, I can't do a full exam here, but I can offer some pointers and see if they make her feel better. And basically what ended up happening was I, the first thing that I tried made Mary be able to run pain-free for the first time in months. Literally, like, her first couple steps, she was like, they always really hurt me. And it was after we tried one exercise, she felt better. So that was a big win. But you know what I realized about that? I realized, because the friend who came over to me and was like, hey, help Mary's hip, is a friend who I've tried to work with on, like, different issues in the past.

And I realized that people are better at getting other people to help than doing the work of getting better themselves sometimes. Like, sometimes it's a little bit easier to get your friends to go refer other people into you because they can be a good advocate for you versus when you're, like, trying to, like, you know, lasso them and, like, pull them into the office. So even if somebody is really difficult, like, to work with themself, they could still be a really good referral source. And it's almost better when you have somebody talk about you versus when you're talking about you to that person.

So I was kind of thinking, like, okay, maybe they're really difficult and they don't come into my office, but they might still refer to me. And I think that that's, like, just as powerful. Yeah, they probably see the passion in, but they might think that, like, they might have other things going on. Like, they think that they're unfixable or, you know, they don't, maybe they don't feel comfortable taking your time. I've had people, like, some of my friends are, like, they're, like, yeah, I didn't feel comfortable taking your time. And it's, like, no, please do. Like, I'll, like, I'll help you out, you know.

If this is ongoing a little bit more, then I think I need, I think this needs to be fair. But I'll, like, you're a friend. Let's just do this. And so there might be other reasons why, but I think it's a good point. Like, they'll, like, you ever do this with somebody? Like, where, let's just say you have a friend who's a real estate agent. You're, like, hey, do you know a real estate agent? And they're, like, oh, my God. Yeah, I'm one. You know? Like, you just forget because they're a real estate agent on the side. So you could ask beyond, and they're, like, it's the what about me effect is what I would say.

It's, like, hey, Sarah, I'm single. Do you have a girl I can date? You're, like, what about me? You know? So that approach might actually work. Yeah. I'm laughing over here. But, yeah, I mean, honestly, I think other people can sell you better than you can ever sell yourself. So as long as I get enough people who believe in me, even if they haven't come in for care of themselves, it'll be better if they have. But if I get enough people who believe in me and who are willing to share that belief with other people, I think that that'll be a good start. I mean, I'm not expecting to get, like, 200 people to walk in my office the first month.

Yeah. I hope it happens. Actually, funny, I was talking to Dawne Costantino the other day because she started doing a workout place, and that was part of her marketing tactics. And so she met one or two people who had a problem, and then so she's like, what, should I just talk to people? And I'm like, you could, but it's kind of on the same note that you said, you need people to refer to you. And I'm like, you can only be at that one gym, at that one hour, at that one workout. You're not going to be able to be there all the time, and it's not sustainable. So who is there to duplicate you or at least trust that you can do the work?

And in that case, it's the trainers. And she's like, what about the owners? I'm like, the owners aren't on the floor. It's the trainers. And so, like, in your track, would you consider track and field? You wouldn't be track. Or you wouldn't be field. You'd be track. In the track world. And so there's only one coach. But is there mentors? Yeah. So actually, well, technically, in track and field, there's often a lot of coaches because it depends on which event you are in. Well, with yours in particular. With my particular situation, we have a head coach, and then we have several, like, assistant coaches.

And then there's people that are kind of, like, leaders within their groups. So we have, like, the guys that are, like, the leaders within the master's group. And, you know, the guys that are kind of in charge of the elite girls and the elite guys. Are you a leader? I don't know. I'm the person that's in charge of, like, getting together monthly long run groups. So I do some organizing. I'd say so. Yeah. I mean, I think you'd have to just A-B test and attempt to just burn a couple things on that. Like, I know that I've asked people, like, aggressively about, like, because I do believe I can help them.

And they just continue to talk about their problem. And I'm like, dude, do you want to do something about it? Like, if I was being an asshole, I'm like, stop talking about your toe. If you want to help with your toe, I'll help you with your toe. But every time I hear you talking about your toe, I'm just going to say that's a bummer. Because you tell me every week and you never do what I had asked you to do. So, and you probably got irritated about that. But at the same time, it was a trial run. Now I know not to do that. So you might have to just try some things, try some tactics and see what works.

Yeah. But I bet, though, if they just trust you and like you and know your intentions are good, even if they don't know what you do, I bet they'll be more willing to come. I think the other question, too, for me is the conversation about, like, what is it that I actually do for people? Because, you know, I've already had lots of people on my team saying, oh, I'll come to you. I'll be your first patient. Like, so many people. And then they'll be sitting there, like, I was having a conversation with one of my teammates last night. And she was like, oh, yeah, like, I'd love to be your first patient.

And there's two things about this conversation where I was like, I need to figure out how to navigate this. And she's like, you know, as long as you take my insurance. And I'm sitting there and I'm like, okay, I don't know what kind of insurance you have. If you have an HMO, like, I might get like $10 a visit. So there's that. And I was like, oh, I don't know how to talk about that, like, quite that well right now, especially in like a casual setting where I can be like, okay, give me your insurance card. Let me look everything up. Blah, blah, blah. And you've had some good experience with that already.

Yes. Okay. We've done that in the office, but I wasn't sure how to do it in a casual setting. And then also she was like, oh, well, you know, I don't know what I would. Then she's like, you know, because she wants to be a good friend. She wants to help me. So she's like, I don't know what I would come in for. Like what I come in for, like, do you, do you just do like an alignment? And I, I'm sitting there thinking like, no, that's not what I really do. Um, I told her, I was like, honestly, I'm, I'm a lot better with an actual problem in front of me. I do way better with, uh, injured people. And I feel like that's where my skillset is and, and stuff.

I was like, you know, if you want to come in because you want to feel good before a race, I can definitely do like some soft tissue and stuff like that. So I was kind of like, how do I explain this to people? Because within my like group of people that would want to come, there's a lot of runners will just go in to get like soft tissue or an adjustment because they want to feel good before a race, not because they have an actual problem. Well, maybe let's, let's hit it based upon like, I think the first thing I heard was she wants to help you. Yeah. She's not looking for help herself. And so she doesn't really have a pain point or a problem that is, is she's worried about.

Um, the second thing is you said injury. You ever gotten this where I've gotten, I got one two weeks ago, someone called on the phone and I, so I called them back and I said, Oh, you called about an injury. And he's like, no, no, no, my foot's numb. So people don't always like, I think runners a little bit, be a little bit better because they've now categorized non-trauma as a overuse injury. And so they, they're at least an understanding there's a non-traumatic reason for a, for a pain or an ache or whatever. But sometimes when you say injury, they're going to go towards their brain will go towards trauma, a slip, fall, a broken something or other.

And it's not like, um, I'm sure there's a bunch of little words they use for it. It's based upon region or whatever. But you know, what do, what, what do runners call like a little muscle cramp that keeps coming back? Probably like a muscle strain. Yeah. So there's, there's probably all these little things that you can certainly help them with, but they're not thinking that it's part of your thing. So, um, and maybe on that note, like I, I want, I might take the other approach on it and say, look, I don't like you said on it, you know, I'm not good at that. Uh, that's not what I do, but I'll tell you what, if you want to help out, I'm looking for someone with a hip groin, groin strain.

Oh, that's a good idea. If you really want to help out, send me somebody who needs help. Okay. I like that. It's hard to sell people where they don't have a pain point. It's like selling a car to someone who already has five. Yeah. You know, I mean, I think I'd eventually like to kind of, when I have a little bit more money and I've established myself a little bit more, I'm probably going to get a little bit of like equipment that runners can come in and use if they're like trying to prepare for a big race or trying to recover in between a couple, like I might get myself, I might get myself like a hyperbaric chamber or like something like that.

Just because for the people that I work with, it'll be nice to offer that in my office. And like, I don't think that that's going to be like something that I'm going to use to help people with their main injuries. Cause obviously we don't really do passive care, but in terms of performance, you could get some type of pass, some type of passive care. I think maybe if that's the one, if that's a thing that leads them into your office, maybe that's one that you want to offer. Yeah. What they're looking for. I mean, and that's just more like for performance rather than like injury. stuff. So I might have like a small branch of my practice.

That's going to be like a little bit of like, not like performance enhancing almost. I think we had, um, just a side note on clinical stuff. I think we had talked about it before, but I know that we don't like, I haven't been using a lot of passive therapy that much, you know? And since you've been here for six months now, six, six. Well, longer than that, actually. I think it's been seven. Oh my God. Um, damn, she's like forever. Uh, but yeah, so I don't use that much, but with people who have more chronic injuries and they've created an adaptive change, I'll, I don't know if you noticed, I'll do more with that.

Yeah. And so if someone has like, let's just say we're talking about your runners, someone who has a very fresh hip thing, never had it before, um, in their, in their younger, let's say they're like 20. Um, maybe that's more of an active care approach in my book anyways. Um, and especially if they can bear weight on it and they just can't run somebody else who's like 50 and they have like 10 years of reoccurring on that same hip, then that's going to be a little bit more of an adaptation, I think. So just the thought on that. Okay. I appreciate that. I can see, I can see where you're going. Okay.

Um, so you're going to get your, your first patience by talking to friends and you, did you, did you say that, how are you going to address that insurance question? You know, I don't know. Still working on that one. I really would kind of like to, you know, not from what our experience has been in this office, uh, HMOs are not usually super kind to chiropractors if you're not in network with them. And even if you are, sometimes I've, I've heard it's a little difficult. So I prefer not to take those, but I, I'm not really sure. I think I'm going to have to sign up for a lot of the PPOs at least in the beginning just to see which ones I like and which ones I don't.

And then if I don't like them, like maybe I won't take them, but I think in the beginning I should at least try maybe there's, um, I can share my notes with, with you of, that I took at the HJ Ross workshop, which Sam, I'm at, I had Sam Collins on prior before you air here. Um, I don't think he said it on the show, but he mentioned a couple of ones. It might be useful to be in network with cause they pay you fairly. Um, yeah. Kaiser is like, I know that we've gone over insurance stuff about, you know, how to talk to people on the phone about it and so on. Um, HMOs and PPOs, at least in our office, there's no coverage and sometimes Kaiser patients are there.

They're ones that are, I like them like, I'm not as like using Kaiser, but like, let's just say someone calls up with an Anthem Blue Cross HMO or like health net as a common one health net HMO. There's not like a, I don't think they visualize like, okay, there's a place for me. There's just a bunch of random scattered places and you might be one of them. Kaiser is like when people have a problem, they physically go into Kaiser. Yep. Right. And so there's a location there and so it's an entity. And so, um, they're, they're like, they don't have it. They don't have chiropractic for me. I've tried the chiropractic there.

I didn't like it, whatever their store might be. And so sometimes they've, it's, it's just, it seems like it's split. You either love Kaiser or you hate them. And so I usually ask them on the phone, like, how are things going with, you know, like how, what's your experience working with Kaiser on this? And they're like, oh yeah, like Kaiser has been great with everything and just, I want to see if they cover. In that case, I have the conversation that they just don't cover and here's what we do and here's how we can help you. If they say, if they're already on, if they're already on the side where they're like, oh, I hate it.

I don't try to fight them on it. They're actually just very open to, I know it won't work. So let's see what else you have. Like, and they're open to pay cash. So those ones are actually kind of good, but your, but your other ones, like your, your people who have the obscure anthems, uh, pay HMOs and hell help and so on. I, they, my observation is they don't tend to have that grasp of this is a, this is a narrow, very narrow network and you have to be in it. Yeah. Which is, uh, great. Cause I'm pretty sure my mom was really excited to share with me that she just, you know, she just got off Kaiser and she got a new plan and involves chiropractic.

And I looked at her healthcare card. I think it's, it's one of the Anthem plans, but it's, it says HMO at the top. And I was like, mom, why? So I'll, I'll save you the time in case she hasn't done it yet. And I might be wrong on the EPOs, but I think I'm right. Is if you're, if you're, if you've never called an insurance before and you're wondering if these HMOs will cover you, and if you've never actually signed anything on the dotted lines about being in any network, don't even waste your time. Like, cause it'll be, it won't be covered. The, the PPOs are different, but, but HMOs are like, you have to be in it.

And if you don't, if you know you didn't sign anything, then you're not in it. So that'll be fun. I think with the insurance question in the beginning, it'll probably end up like, you know, I'll do my best to say like, I'm going to make this affordable for you. And I think I'm going to have to be a little bit more flexible with prices and winning, um, as I'm kind of trying to figure out what people are willing to pay. Um, but you're right about the Kaiser thing. When I brought my best friend Emily into the office for some treatment, she was like, oh, do you take my insurance? And then we find out it was Kaiser.

And I was like, oh, like you have Kaiser. They don't really cover much. And she's like, yeah, you're right. Kaiser sucks. Yeah. And then she was like, okay, I'll pay cash. Yeah. It's funny how quick they jumped onto that. So I wouldn't, I wouldn't mind seeing them cause there's not like, I would prefer people to know that their insurance works or it doesn't. Like I don't want the middle ground and it's, it's the middle ground is where it like becomes kind of wishy washy. It's like there's percentages they owe or copays. And it's like, it becomes more of a communication problem between office, um, office staff or me doctor with them, uh, versus just clean as day.

Let's just solve a problem. Just one or the other. Um, but that's right. We got into, so we got into longshoremen, uh, IOWU as well as TriWest and silver veterans. And so those, those ones are clean, just really clean. They pay you well. And, um, there's no, that there's that my goal is not the communication problem to create some odd relationship with the patient where you have to, um, I don't like handling the money. And if you notice, I just walk away. Yep. You leave it, you leave that to us. Yeah. Even, even if you do it poorly and we got to follow up with the patient later, I don't want to be the one that changes money.

I've done that before. It's, it's okay. It's, you're going to have to do the beginning, but it's, it's just, you flip a switch, you become, it becomes awkward to grab money from your friend. Yep. I feel that very acutely. It should be a tip jar. Now, a really quick break from the show. I want to share one of the webinar series that I just put on. I just recorded it. It's over 15 hours of content, but I broke it up into little pieces, about two to three hour pieces based upon regions of the body. So you guys can get a mental, a little bit of a brain break break. However, um, I want you guys to get it.

I really do. And I'm not just saying this because I make money on it. I do make money on it because I made it. But if I was talking to myself that was just coming out of school and I was wondering how to really get patients to feel better, how to get them into their goals, like weight training or running or playing baseball, how to build up support systems in the body, how to select corrective exercises appropriate to that problem, how to cue those exercises. Well, I cover it all in here as well as dynamic flows for examination. I know that a lot of people are like, I don't feel comfortable in my hip exam flow.

I do all that in here with you record it and you can check it out. And so I want to encourage you to get it. It's p2sportscare.com slash product or products page. I guess you can, um, sorry, go onto the website, p2sportscare.com and go into the products tab. It'll be under there. Um, I want to invite you to get number one of six at this point, which is hip. I do cover shoulder and cervical spine and lumbar and refers and all that referrals and all that kind of stuff. But don't start with the other ones. The reason is because the other ones will have missing information. If you have not covered one, two, three, four, basically everything comes before it.

And so one testimony I had on the hip one was this whole series allowed me to take what was, uh, what was in this course and apply it to my treatments. I had a great, I had great success with every patient using this, even the more quote unquote complicated cases. So we have some real life testimonials of people who have taken this. I encourage you to take it. If you don't like it, that's fine. Take one. Don't take all of them. At least you can, you can, uh, you know, kind of do it for time. But I, uh, the last one, I don't want to pause the last one or sorry, the last number five and six, I intended on, on making it, uh, I know I talked to, um, Dawne Costantino, um, the doctor that works with me about what should I include in five and six referrals?

She says, she said, I think you should blow their mind. And so I think that one did. We cover pseudo syndromes. We cover things that you and I have treated over the years poorly and have never gotten them to go away. The Quirvin syndrome, IT band that's super stubborn, lateral knee pain, groin pain, pseudo Achilles tendonitis, pseudo plantar fasciitis, things that don't respond well over the long term to the normal techniques that we use. So go through the entire thing and you'll eventually get to five and six, which is the groundbreaking shit you're missing out. If you don't get it now, back into the show.

Uh, okay. So what else do you have to work on at this point? Um, well, I mean, we talked about, I'm just kind of like sitting here thinking like, in what order do I do all these things? You know, like I told you that I was sitting in front of my computer the other day, like thinking, okay, I need to get all these things done. But the list is like very long and I don't even know what I attack or prioritize. Obviously, I'm kind of at a waiting period right now where we're waiting for the school to send the state board a lot of things. So my applications aren't, I can't really do much with applications right now because I'm kind of just waiting for other people to do paperwork for me.

Um, so that's, that's kind of not on the list, but in terms of website or what things I purchase first or like, you know, where do I really put my energy into building my practice and like, what things do I need to do? So why don't we talk about first, what is your checklist once your license gets into your hand? I mean, once my license gets into my hand. Wow, that's a good question. Because that's, that's like, cause you're waiting on that, right? And so you can do a bunch of other stuff now, but that is the one where you're waiting, you're waiting probably for, are you going to incorporate or not?

Um, are you going to, you need to get an MPI, probably maybe a tax ID. Oh yeah. Right. That stuff is going to be the first in terms of like paperwork, have to get my MPI, going to need a tax ID. I'm going to definitely try to start signing up with all the different, um, insurance carriers that we think are good ones. So I'm going to, cause the paperwork takes a while and I know that TriWest took you like months, right? Yeah. Well, we're looking at, I'm looking at Medicare now. Medicare is taken, it's a 40, 45 to 90 day period. And because I had a mix up of legal business names back in the day.

And so it's, uh, I gotta, I gotta wait till a letter switch, uh, uh, a line switches at the IRS before I can actually submit my second application. So you need an application for your, for the practice, which is me, cause I'd be a group practice, um, and group practice and then myself. And so you would, might just stream, since you would have all your numbers quicker, you might get that done a little quicker, but I think for, for TriWest, I think you have to go through Empower Cairo. They're the middleman that helps you, um, get in there and you don't have to sign into all the stuff. You just check the one TriWest, I think.

But I think it's, yeah, it was about 60 days. I just remember it being a while. So I'm going to start all those processes. I definitely want to get with Medicare quickly just because my, a lot of my family members are heading towards that age and they're definitely going to be my patients. So yeah, got to be there for that group. And also it's, it's a very large group of people who are usually very like thankful for care. Yeah. Well, I know that we had, uh, um, I told you I was back and forth on with Medicare, but with, with, I think Medicare being the barrier to treat those people, you know, like you might only get paid for the one service, but Medicare is like, it's, it seems like a rarity where you can, you can still, you can still get them to do other things.

Like you can, you can sell them corrective exercises if you need, or you can sell them like other things that are helpful. So you can still get a, I think a good chunk of money per visit there, even if you just don't want to go high volume. Absolutely. Like, yeah, they only pay for an adjustment and you can only really get payment for M99 codes. The diagnosis becomes really easy at that point though. Right. I mean, you always got to put your secondary diagnosis, but I actually lobbied last year, uh, at the, at the Capitol, at the U S Capitol in Washington, DC for Medicare. I decided to go last year specifically because we were lobbying for Medicare and we haven't really done that.

So we've definitely, um, the AC has been putting a lot of like balls in motion and trying to get Medicare to cover our full scope of practice. That'd be great. That'd be nice. That's literally all they were trying to do. They were like, we don't really want any extra money. We don't need anything. We just want Medicare to cover what we're allowed to do. Do they, do they cover all a lot of PT right now? Right. Like all the, they could cover all the, a lot of the codes, right? To my knowledge. Yes. So we're just, so their, their, their goal was just make it the same. Yeah. That'd be nice. Perfect.

Yeah. Uh, okay. So, um, when it comes down to website, then I think the, the major question is, is do you have any content and do you see that it's going to be, what are you going to use the website for? I think I'm going to use the website. Well, you've always said that building trust is one of the most important things to getting patients in the office. So I feel like that one of the first things I can do is to begin to build trust with people before they even met me. And so I have to, I have to do that with the website. So, and you may, may disagree with me on this, but I've definitely already disagreeing and I haven't said anything yet.

I'm going to be hard on. Yes. So, um, I definitely have already written a couple articles, some that you've had me write. Um, and some that I've kind of done or at least started on my own and definitely, I mean, I'm going to follow your model and that I want to write informative articles that'll also like, you know, answer people's questions, maybe be able to lead them into the office or lead them into like some trials of self-care that may or may not lead them back into the office. So you're, it sounds like you're trying to simulate what happened on the track right there. Someone did a, an exercise and they eight years late or eight years of past having pain.

They're like, Oh my God, this girl knows something that I need to learn more of. Yeah. That, and also I want to kind of build the idea that for my runners, cause that's really going to be like the first demographic that I go after. Cause that's like my wheelhouse. Um, I want to build that idea that this girl knows what she's talking about and she's somebody that I can come to for any of my running related questions. So just, just, uh, the trusted source of, of game, uh, quarterback. Okay. Well, I think that's good. I know that, uh, let's, let's hit first on, on what you're going to write then, because I can see you, you're, I could probably just like make fun of you with this a little bit.

Oh, you're going to, I have no doubt. Uh, okay. So the first article I had you write was TFL tightness, right? Yep. Okay. And so that one, um, are we done? We're not, you said you're not done. I mean, I'm done with this most recent round of drafting that one, but we, you still haven't like marked it up yet. Okay. I need to mark it up. And so just give everyone a, um, kind of a framework for this is the, um, so you're with me for two terms. Yep. So term one, the responsibility is, is I know it's busy work, but at the same time I want each intern to write an article that will be on the website, my website.

I own this article, but I will, but I will, um, help them through the process. And it's the process I want you to see. And so your first draft was bullet points, I think. And so it wasn't just bullet points. It was close. There was no narrative. Right. And so there wasn't like a personal narrative. Okay. So, um, we, we marked that up a bit and then we, I think you did, you tell, you tell a little bit more stories and then there was a little bit more, there was more pictures. Yeah. And there was more of like, uh, examples of corrective exercise or suggestions that you might do. Now I think where we're at is you have to create a flow, but I think I'd mentioned before that one of the articles that has gotten the most traction on my entire website.

Um, was one of the easiest to write because it was about myself. Is it about an oblique strain? And so the, the type of responses I get from that, it's not like, oh, my knee hurts. What can you do to help me? It's like, oh my God, I read your article. I literally cried because somebody else had this problem. They were over able to comment. Oh my God. Thank you so much. It was like that kind of stuff. It like, so you have a very good story of leg numbness. Oh, you're talking about the article that I already wrote for you last term about running with neurological problems. Right. So that, yeah, I didn't read that one yet.

Oh, I wrote it. I know we got it. So, so this isn't, I know, so I'm not saying you didn't write it, but, uh, this is actually, this is a better reason actually about, um, inner office, inner office. Uh, so we have a Google drive, a shared Google drive is what occurs. And so it doesn't ping me. So you might have to throw a, throw a ping on me when it's my turn to tag. Cause I didn't see it. Yeah. And I'm also really, I'm going to, I'm going to admit that I'm really, really bad about asking him for things because I have like a personal fear of asking people for things, first of all. And second of all, like he's so busy in our office and I really, really always hate being the one that's like, Hey, what about this?

Can you help me with this? Like, what are we doing with this? Can I talk to you about these six people that I was on the phone with? And I finally realized that like partway through this term that I should actually like tell him about the work that I'm doing. Cause I'll literally do work in the office and not tell anybody that I did work. Yeah. So, and then I realized like, Oh no, I need to actually tell people about this, like the work that I'm doing in the office, but that still hasn't necessarily like necessarily like transferred to the work that I do at home that he still probably should look over.

Cause I just feel bad. So no, I want you to, I want you to. And so, cause mainly it's, it's just, is it my turn or not? Like I, I like, I'll, I'll read, I'll write, I'll, I'll do all this stuff. Like remember that one day you said, Oh, I did do it. And I edited it that morning. Like I did it within 20 minutes. Right. Yeah. So I just need to know it's my turn. And same thing too. I think I pinged you on it. And so like, there's a way in Google drive just to, to assign to you. My, my, uh, my friend who helps me with the online stuff, I'm the word, like he has Trello, he has Zeppelin, he has all these little apps and like things that are help out with whose turn it is.

I just text him and he's like, dude, you can't do it that way. Cause it's like, it's such a bigger project that it's harder to organize. So I understand on your, um, I'm where you were at on that side. Right. So either way though, let's talk about these articles. So with the TFL article, you didn't have a really good, um, you didn't have a good personal story with it. Yeah. I didn't read the sciatica one yet or the leg pain one, but it probably flowed better. That one was way easier to write. Like you said, took me 20 minutes. So that one's like, cause this other one took months. And so I like that you're, I think you should continue to write ones like that, um, because it'll be a better, it'll show better your personality, what you've already gone through.

You can use very unique, like, um, descriptors. How would you describe your, your, when you ran, how would you describe your, your foot when you were, when you felt it during a race? I would just say that I had a completely numb foot and it's a very odd experience to go run an 800 meter race, which is like almost a sprint and not be able to feel your left foot. You're like, okay, it's hitting the ground. We're moving forward, but I can't feel it. So those are like, like someone else is going to resonate well with that experience. You know, um, I can say with the oblique strain. So there was one day I was, I was, so I was definitely afraid of sneezing and getting sick because I sneezed one time and it felt like literally my guts were going to come out of my rib wall.

Oh my God, that's terrifying. And so I had to hold it and so I was going on a plane after that and I'm like, dude, I've gotten sick after I go on planes. Like this, this is a bad idea. I should just stay home kind of type of thing like that. And so those are the things that, that you can't make up. And so I think, I think if you're going to create some trust with these people, like, um, write stories that you're really good at anyways, but. Oh, I'll, I have another side note. So because you know, everybody's been, thanks to the fact that I graduated, like I said, everybody at practice has been talking to me about that.

So another friend of mine was like, you know, I really liked the random things that you've been posting on your professional Instagram. I have a professional Instagram that I don't really use that much, but. What is it? Uh, it's run down slot, downscore DC, uh, downscore in HB. So like run chiropractor in Huntington beach. It, you know, I was, I was, I was making it pretty easy. Like I run, I'm a chiropractor and I'm in Huntington beach. They didn't know what DC was, did they? Um, I don't know. Nobody's actually asked me about that yet, but I was also trying to play off like the run DMC as well.

That's what I thought it was actually. I know. And my boyfriend was like, you need to make sure that people know that that's not what you're trying to do. And I was like, it's too late. I did it. But, um, anyways, so friends were talking to me last night and they're like, you know, like a couple of my friends have business Instagrams and have like, you know, 15,000 followers or whatever. And for whatever reason, a lot of my runner girlfriends have like lots of followers. So, and I guess with a business account, you've talked to me about this a little bit, but they were like, Oh yeah, I've reposted some of your things that you posted on your runner Instagram.

And I was able to see how many people clicked on your personal and your business Instagram when I reposted and tagged both of them. And you got like a hundred different people that actually like clicked on and went to your Instagram. So I think, yeah, my business one, they were like a lot of people went to your personal one too, but I mean, who cares about that at this point? So they were like, you know what, what you should keep doing is keep posting different posts like that. And we will share them for you on our Instagrams, on our stories. And like, hopefully that'll drive a little bit more people to your Instagram.

And also they were, because of the fact that I feel a little weird, like putting myself out there, they were like, you know what? We all have lots of pictures of ourselves running. Like we'll send you a bunch of pictures so you can use them for your posts. Cause they all have like some good high quality stuff. And then you can just write the bottoms and we'll just keep sharing it. Perfect. So that was, it was nice to have the feedback that people actually have looked at these things. Cause they were just like little bits and pieces that I was writing about, like different, like not even stuff that you would say would bring people into the practice, but just stuff about running and physiology and nutrition that I find interesting and stuff that I've studied cause I'm a nerd.

And so people liked it. And I had a lot of people like share or repost like different friends across the country. I wrote like a little opinion piece about something and people were sharing it. So many people were reaching out to me. I actually had a couple of coaches asked me to do some, to help them with their strength and conditioning for their runners. So I didn't really feel like I was trying cause it was just stuff that I like felt strongly about and wanted to say something. And somehow there's been a little bit of reach back about it. Yeah, that's good. So then probably do you feel like writing something like that on a weekly base on a daily basis since Instagram is sustainable?

Right now, probably not. Okay. How do you, how do you make that if you're going to use that as part of your business, you have to, you probably have to hit it quite a bit. Um, so how do you make that sustainable if you want to use it? If I, sorry, get it really dry today. Get it. So, um, how would I make it sustainable? I mean, I think I would have to do kind of what you do and then I'd have to just sit down and make a bunch of stuff in advance so that it would be ready to go every day. But I think for me, I'd probably have to start with more of like a weekly approach rather than a daily approach.

Yeah. I, I, I don't know if, um, I've been playing around a little bit with doing more stories. And so I have been taking a little bit of extra time by, by tagging the stories and locations. Just stupid. It makes it into 15 second videos. So you got to do it. Like my videos, like five minutes is probably not good for Instagram, but I, I've had more more jump in that story time of a week than I have in the last probably month or so of, of just post. Um, I don't know what it is, but with the, uh, I know with, I've created enough videos and created the, uh, or the post anyways, where I can just, I can just cycle through it.

You probably saw yourself a couple of times right now. So, but at this point though, I know I forget a couple of days here and there. I don't think I would do once a week. I think I would just, I would just build up a reserve and just hammer it. Like I wouldn't even stop at that point and just check, like, make sure that the frequency is there and to do it for like six months to a year and just see if it's something that you want to do versus like dabble, you know? That's true. Um, I've talked to you, you're not really going to know. Yeah. I feel like I've talked to enough people about like Instagram where they say that you got to do it daily or just don't bother.

Okay. So I don't know, but I don't know if stories will be, I mean, if you think about it, stories are at the top of the thing. They must want you to click on stories, right? Like posts just fly by. Like what is, like, what are they trying to make you click? And I would imagine it's stories. Yeah. And I suppose, um, with stories, I could put myself out there and, and, in a way that it's more fun and entertaining rather than, you know, me up there trying to like have a serious platform and like, oh, you must come into my office kind of thing. Well, you could probably do too. Um, with like, so I saw it.

I saw your, your posts with the, with the opinion pieces. They look like you had to pick a formal picture. You probably do proofreading. For me, that would be hell. Um, but I agree with that on you. God, by the way, when you read that document the other day, we just, was there a lot of spelling errors in there? I was trying to get, I was trying to edit it because I was like, I can't, this isn't even a word that doesn't let me at it. I know. I'm thinking about actually ordering Grammarly for about a month and everything I've ever written, just throw it in there and then spit it out and stop. You have me.

I'm pretty much your Grammarly. I know, but I write so much shit. It's, I've already like, so I have those guides online, right? And so I sent one to my friend. I was like, can you just look at it? I've already had like five people proofread it. I think I have an Andrew do it. I've had, I paid someone like a nurse who could take nomenclature for, or like words from our profession and make sure that they're all good and so on. And so this guy's like, he started reading and he's like, okay, just send me the document. I need to edit this. And so I saw all these red line things and he's like, okay, we're just going to sit down, have a beer one day and just crack this whole thing.

I'm like, dude, I've already done this like five, six times. Who the fuck is like not finding these things? Cause I know, I know why I won't find them. Either way though, the point is stories might be quicker. Yeah. And it make you more personable. I would agree with that, especially with what you've experienced with like typing messages to people versus literally like sending them a file of you talking to them. It makes you a person and you know, people connect a lot more with a person rather than like some words. WebMD. Yeah. WebMD is not a person. They're just a, um, okay. So we have about five to 10 minutes left.

What are the, what are the thing you're most worried about right now about starting? I know that we talked about building a website. Honestly, that terrifies me. Is it? Okay. So what, what do you, what do you want from it? Like, do you want it to work for you? Do you want to book things for you? I would like it to book things for me cause I feel like everybody like it's standard now to be able to book things online. Okay. So I think here, I think here's your choices, honestly. Like you can, there's, I explained this to a guy the other day. He was, he was, um, he messaged me and he's like, I have this Wix site, but I'm really irritated.

It won't do X, Y, and Z for me. I'm like, dude, if we're talking about phones, you got a flip phone. Don't expect it to do a lot. It does call people and it doesn't cost a lot. That's what it is. But don't get frustrated that it's not an iPhone, right? And so, or, or Android's better now. I have no idea. I'm going to go with iPhone. WordPress is an iPhone. You can add apps or widgets and plugins and so on. And if you get Wix or Squarespace and all that stuff, like they are easier. They draw, they're like, you drop it in there and so on, but don't expect a lot later if you go out of them. But you can make, you just do online booking on there.

You can probably do a single page, get in some nice pictures, make it so there's drop a video on there, make it personable, but don't expect for it to perform and be customizable like the other one. So you're saying like, cause there's like a free version of WordPress, which is what I've kind of been working with. There's WordPress.org and WordPress.com, by the way. I don't know if everyone knows that. One is a blog platform and the other one is a website platform. I forget which one's which. I feel, I believe WordPress.com is the blog, which is the one you probably won't want. And .org is the one you want.

But WordPress, so WordPress is like, it's, for everyone to know, you buy your domain, you get a choice to put whatever you want into it. You can put Wix into it, WordPress, whatever. WordPress has like all these different looks or skins. It's like cases to your iPhone. And so you can make it look like mine. I have Divi theme for mine. It's not super cheap. It makes it a little bit more user-friendly, kind of like Wix. Or you can just straight up code it, which I wouldn't suggest anybody doing. But if you already have like a basic platform, then I would just scrap all the bells and whistles of the extra pages and just go want like maybe an about me, contact page, make sure there's a bar at the top, book now, because don't give them an excuse for not finding that.

Like, oh, I was on your site. I couldn't find it. It's right there. Like there's not too many choices. But don't go nutso with it, because when you, if you go, go and grab your phone, actually. Go on to another chiropractor's page website who you know, not me, because I'm sure mine is perfect. Oh, of course. I've already taken all this into account, so I would expect mine to, it wouldn't prove the point. But we'll just, we'll just look up a random chiro that you know, and we won't name them or her. And this is obviously iPhone. You're on iPhone right now. And so it's vertical. Although it's funny, a lot of websites will program a web or a, a phone version as landscape or sideways.

Who the hell looks at their phone sideways? Do you? I don't. Sarah's really into this right now. Oh, yeah. Okay. Got one? Okay. So let me take a look at it real quick. Let's give you a suggestion there. Okay. So based upon this, what do they want you to do? Call them. Okay. So there's only two buttons there. It's called a below or above the fold tech, above the fold area. So that real estate right there that you click on it and the website pops up, that is, it says our services, but there's two big old buttons right there that tell you exactly what they want you to do. Call us, get directions.

That's right. 50% of the people will not scroll down based upon the, the, the rough ratios. So if you waste that landscape right there on like talking about like your education and like where you grew up and it's like, screw that you lose half the people probably already. So let's see what their little hamburger, the menu button up there, that little three stripes is called the slang hamburger. What's in the hamburger? Home, about us, our team, new patient services, specials, review us, contact. Okay. So if you were a new patient, let's see. So they're guiding you pretty well. What's above the fold on that one?

New patients, advanced wellness center, oops, welcomes new patients. Well, they're doing a good job. Okay. So is there any buttons there? No, no buttons that I can see. So what is, what does a new patient do? Like, let's just say if that new patient got beyond page one, what is, they might not hit the back button. Now what they're reading a little bit, cause they're a little interested. They got to the second page. Is there any path for them to take? Okay. So it takes them to other pages on the website and then there's a highlighted button with their phone number. But I don't, it's looking like you can't online book on this site, which is, you know, that explains why they're asking you to call them.

And they might want that personal touch to the call too. But if you, I would, I would personally subtract the directions button on that first page because I want to, I want two ways for them to contact me in that case. I want the call and I want, or I want to call to action, which is the call or it's book. I don't want, like, they can figure out where my directions are when the email comes. I don't want them to look at that as, I just want them to do one or two things. Book now, call, or go away kind of thing. Like, they could search the rest of the site, but they might get so entrenched in this article now that Sarah wrote on TFL that they're like, oh, you know, I forgot why I was here.

You know, you just get into the show that is the website and then becomes like a WebMD. It's just informational. No one expects to book anything on WebMD. Yeah. Let's hope my TFL article is that good. I don't know. Yeah. Everyone's going to read the entire thing. Does that help at all? Yes. That actually does make a lot of sense. And I think what I, if I, if I could pair your words back to you, I think it's more like, it's more important to get it done and out there and have some basic things than to make this like perfect website with all this stuff and then wait like three months to unwrap it.

Yeah. Don't. I mean, so my website sells online products. It caters to two audiences, which is not a good idea because podcast listeners, they, they need a place to, it's, it has to be a place to house the podcast. And if I want them to go to something, by the way, there is a, come to my workshop. It's going to be the picture right in the middle of this thing. If I want them to find that information, they need to have a place to go. Cause that's still part of revenue stream and it's still something I want to offer. However, that distracts away from patients. If I want patients to come in, that's why on my website, there's a, you can go and pull mine up if you want.

Um, there's a, I, I was back and forth on this with a, my web guy and he's like, well, do you, what do you want out of the site? And I'm like, the quickest way to bury my business is to get people not to book. And so they're like, but the booking button distracts people from finding the web, the podcast and the articles. And I'm like, I don't care. I need them to find, cause people would email me or call them. Like, I don't know how to book. It's like right now it's a big red, actually on the website, on the phone, it's different than on, on, you see on the phone, see how that's a calendar. Yes.

People misinterpret that. They don't know what it is. And so I, I requested actually on the, on the, on the actual desktop version, it's a big red button that says book now, distinctly different from anything else. So, uh, mine though, again, it's, it's, it's designed to do different things and it's been around for a long time, but I would say if I were to do it again, make it very simple, focus on one or two conditions that we have information that you can send the people to if they not ready to book, uh, and they call you or something. And, um, just make sure it's very clear that the website is a employee for you that gets you to do the, gets the, it does the booking for you that way you don't have to be on the phone all the time.

Yeah. So I think the general idea about that is that done is better than perfect. So I just probably need to get those basic things out of there and not worry about having to have 15 articles before I actually like put a website up. Oh, for sure. And, and to like, um, don't fuss about like if pictures are out of the wrong place. And so like the most important part is the content and the copy, the picture, just having the pictures and, um, going on, like you can actually find someone else's website that you kind of like, and you're like, you, you present this to somebody who they might, they might be able to do it for 500 bucks, a thousand dollars, but like the amount of time that you'll spend and have to learn about how to resize a picture and make it look.

So it's like not shrunken on the page. It's like, it will be, it might be the best money you ever spent because you'll, you'll be able to spend time marketing or meeting people. Uh, but, but the one thing they can't do for you is they can't write what you want. So if you don't have that now and don't have the images and so on, you're, they're going to be waiting on you. Like you're waiting on the school and the government for your paperwork right now. Right. Yeah. So it's just a stall. All right. That makes sense. Okay. What are you going to write that article on? Or you have, what do you have on it?

You have like, like numbness running. Yeah. I have the personal one. Um, I, I mean, before you told me to scrap it, I started writing my stress, uh, my stress fracture article. Oh yeah, that's right. I remember that one. I mean, I did it. So even if you, even if you don't like it, it's still done. So it's still going to go up there. And, um, I wrote a couple stuff just for like friends about, there's a few articles about, cause you know, there's always those people that are like, you know what, running is going to make it so that I have arthritis and I can't walk by the time I'm like 50 or whatever.

And there's a lot of thoughts that running ages you are being too active is going to make it so that you have knee problems or something that it's, it's always the knee problems. I swear. So there's actually been some good research articles, uh, refuting those things and that and some good, like long-term studies. And so I started writing a couple articles about that just because I get a lot of people who have that like age question or the knee question. So I feel like I'm going to want to have that article sitting there waiting. So I can be like, look, read this. So that's something like your, that's like a passion project kind of thing.

But I think it's good to, again, I wanted to paint myself as somebody that like knows what they're talking about when it comes to all aspects of like the physical side of running and that's part of it. Okay. I like it. Also, I have a lot of friends who are masters runners and I think that's a good thing to be able to talk to them about cause I don't want them to come into my office and say, office and say, you know what? Maybe it's just my time. Maybe I'm just getting too old. Like, no, my coach is 75. He still runs. Maybe, uh, you know, something that might be nice in there is, is if, cause that, that is going to be a barrier for some people.

Kind of like we mentioned earlier, like, you know, Ray might not want to, uh, come in because she believes she can't be helped. And so those people in particular, they might be, well, maybe it's my time. You can't reverse the clock. And so maybe having some, uh, some testimonials of, of people that you've helped or other people who, let's just say not helped, um, but people who are successfully running with no problems in their knees, uh, into that same age. So it's someone that resonates well with them. Uh, cause they're, they're gonna, I'm going to guess, Sarah, you're not as old as me. You don't understand.

Oh yeah. They're going to take one look at me and they're going to be like, what are you 20? Yeah. It's like, oh, it's all gravy back then when I was your age, you know, type of thing, which is fine. Like, cause we don't understand, but at the same time, there's lots of people who just because they have a knee problem does not mean it's age related. It's the, it isn't, the cause isn't the, is the, so I think if you had arsenal in there with personal testimonials or stories, that might be a better, that it's not, it's not bad to have your research, but I think people sell people. It's not the research.

Yeah. So I'll definitely, uh, need to reach out to my coach cause he has lots of buddies who are in their seventies and still running. Perfect. You can have him on a podcast. Oh, that'd be great. Um, okay. So as we clean up here, is there anything last little bit you want to say or ask me or a question about? Um, when you're starting out, like top three things that you would, that you would attack with your experience now? Uh, I would still do the website again. So I started my website in term seven is probably bigger than it needed to be, but I, I enjoyed, I, I'd like to say I, I enjoy writing and researching and seeing if I can tie things together in a common, in a common language.

Uh, and then I think about how much I hate grammar and all that kind of stuff. But at the same time I've been doing, I've been writing crap for like 10 years now. So I must enjoy it in some fashion. So I would do that, but only if you really like it. Um, second thing is just go meet people. Uh, how? Anywhere. Really? You, you'd be surprised by the where, like when you look back at, let's just say, um, say your friend, Emily, you didn't run with her, right? I did. Okay. What, who introduced you to running? I don't know. I feel like I introduced myself in elementary school. Okay. So that made me a bad example.

Yeah. How did you meet your boyfriend? Running. Okay. So mutual friends, mutual friends. If you never knew that mutual friend, would you meet your boyfriend? I, we might still have met cause we were definitely a lot of the same meets growing up in high school and lots of similar things. The running community in SoCal can get kind of small. Yeah. Well, so you get the point I'm trying to get, right? I get what you're saying. So I mean, I, there was, there was a lady, I, I, I did cool calls back in the day. And so there's a lady that I just, I walked into multiple gyms and a lot of them didn't materialize in anything.

And one lady, we still talk, you know, she still sends me people. And that was like nine years ago. Um, and, uh, I, I went and I, I joined it. Uh, I guess we will call this a track club, but we run at the track. And so we just run there as about seven, eight people or so. I got, uh, I, I still get people referred from those people and I just was running with that we just, they just, we just met. And so if I didn't want to do that, I, we don't know where all that would have gone. And so just people, the grocery store, talk to your mailman, talk to your neighbors, like walking to Starbucks. Really?

So I've told, I've told Dawne Costantino part of, part of her marketing tactics is go to the same coffee shop. Okay. And so I don't, I don't necessarily go to the same coffee shop, but there's one coffee shop in particular that I, that when I go, I, I, I go there. And so the reason I go there is cause that it's like kind of like a little family. Um, the owner's there, the owner knows everybody. Someone walks in and is like, Hey Joe, how's it going? How's your, how's your house going? He knows everybody. And so it's just kind of being, just meeting people. I've been there and I've met, I've met, um, who'd I meet there?

Um, there's a couple people that like, I'm, there's this little bar that you kind of sit at. It's not like, like go sit in your own chair type of thing. It's like a community. It's like a physically like a bar, like you get pints there. Um, and you sit there and you just brought down with the person next to you. So it's, it's more of like that. And I don't, I just go there just to casually chat with people. You're basically just telling me I need to go out and make friends with people. You do. That's all you do. So I like making friends. So yeah, Dawne Costantino's is, she's going to sit at a coffee shop.

She went yesterday and she said she didn't get any work done because she was just talking to people. Just people started, started talking to her, you know? And she said, she said it was, she's like, it was interesting that the, again, the owner was different coffee shop. The owner was, was the server too, or the barista. And so she's like, he knew everybody that walked in. And I'm like, for that area right there, all those buildings, I bet everyone who lives in those buildings who drinks coffee, go, he knows all of those people. Your grocery store checkers are the same thing. So anyways, that's number two.

Number three, don't spend too much on rent. Yeah. High overhead is going to just kill you in the beginning. So just make sure it's low. And don't buy too much crap. Like I wouldn't buy, I know we talked about EHRs and so on, like, like Jane software, it's like 70 bucks a month. By the way, if you, if you say that I referred you, it helps me out. By the way, Sebastian Gonzales, go ahead. The, it's the easiest EHR that I've used. And like, say like your Cairo Touch or your, um, what's the other ones? Like, I just know that Cairo Touch is like 10 grand, I think, or something like that. Well, yeah.

So I'm not saying that the functionality is not there. It's a lot of money, you know, and sure you buy it all up front, but for all we know, you break your wrist, you stop practicing in three weeks, you know, and then you already bought that. So don't buy a bunch of bells and whistles. You can get away with weight training stuff. You get away with a couple kettlebells, some bands and some sticks. Just do isometrics for a little bit and you'll, you'll smoke people. Just don't buy too much crap. Yeah. I think that my first major purchase might be a laptop though. I think it's a good one. Yeah. Cause you know, my laptop is literally like, I got it in 2011 and it was barely functioning when I finished my bachelor's at Cal Poly, barely made it through my master's at Cal Poly and like my family pretty much hates using that thing because it kind of sucks.

So I don't really want to use that with patients cause I feel like that's going to be unreliable or something bad's going to happen. So I think that might be my first big purchase, but I don't know if you think that's a good idea. No, I do. I think, I think one of the most valuable things for my business has been my computer cause I, there's a lot of website stuff we'll do. I do a lot of writing. Uh, also too, all the EHRs are digital now. And so, you know, the computer here at the office has that spinning wheel of death. Yep. And so that one, like I need to consider what to do with it because if that was my main piece, uh, main Mac, like I wouldn't get any video editing done.

It's just sit there and twiddle my thumbs and wait. So the one I have right now, I purchase a new one about every four or five years. Um, or I install a new drive into it to bring new life into it. And it's the easiest investment I've ever done. Yeah. Good thing you don't have to work with my laptop. You'd, uh, definitely get frustrated. Probably kill myself. By the way, uh, uh, just a side note on that. If you don't back up your computer, you will regret it one day. Okay. You will lose all of your files. And so I've started using Google drive and I drop every major file enter in there and everything I write is in Google drive because there has been a time where I had about, I think two hours worth of editing on my laptop for, um, for videos and it, I lost it all.

So it's, it's stuff you can't get back since. So I would just make sure that you have an external drive or you have Google drive or something where all those, um, the large productions are occurring and your, your laptop is just the medium to a lot of the systems that go. Have you ever run out of storage on your Google drive? I bought more. Okay. So I buy a terabyte, uh, two terabytes. All right, then that makes it easy. Yep. All the video stuff I've ever produced is on Google drive. So that's your best friend. I love Google drive. So yeah, it's, it's good. Not sponsored by the way. It's, it's, it's just so you, it's so useful.

You can work on an airplane and it, and it saves your crap. And as soon as you get in wifi, it saves it again. I mean, you can do all that stuff on it. You don't have to buy, um, so I have a Mac. You don't have to buy office products or, uh, Microsoft office products, excels, all that. You don't have to buy all that. It's all on Google sheets or on a Google products. So it's just easier for me. Fair enough. Okay. We all done? Yep. Okay. Thank you for being on. Oh, thank you for having me. All right, cool. So thanks there for being on. If everybody's looking to contact Sarah or see what she's up to at this point, uh, her Instagram is run underscore DC underscore in underscore HB.

So basically separate everything with underscores run DC in HB. So, um, thank you so much for taking the time. To listen to the show. Again, this show only continues to grow by you guys sharing it. And so I do appreciate all the feedback that everybody's given me over the course of the years via on Instagram or Facebook or emails. Like I read all of them. And so if you responded to me, I'm pretty sure I've responded to everybody else that, um, who's gotten in contact with me. So yeah, you keep encouraging me to, to do the show more and more. I know I've talked over the months of maybe discontinuing or slowing it down, but I see how, how much it's helping people.

So I'm hoping it's helping the profession and hoping it's resonating with you guys and improving our clinical outcome and helping patients understand what we're trying to do with them a little bit better. So, um, please reach out to me and share it with another chiropractor or physical therapist who you think would benefit from hearing all this information. So I'll see you guys next week. Thanks for listening and being part of the movement.