Family Practice, Whose Family?

March 8th, 2010

by Dr. Frank Sovinsky

“Whether we like it or not, our lives will leave a mark on the universe. Each person’s birth makes ripples that expand in our social environments: parents, siblings, relatives and friends are affected by us and as we grow up our actions leave a myriad of consequences, some intended most not”.
- Mihaly Csikszentmihalyi

Read that quote again. It is deep (pun intended). Now imagine just for a moment that you are standing on the shore of Lake Tahoe with me. It’s perfectly clear today and the water is cobalt blue. I hand you a smooth, perfectly weighted stone and you throw it as far as you can. Can you see the ripples? Can you see them grow in the distance? I think that is what Mihaly Csikszentmihalyi is talking about in the above quote. You are the stone thrower, you have power and all of your actions have impact. Some intended, others not.

I was looking at some of my “notes to self” the other day and I came across this quote from Michael Gerber.

“Every business is a family business.”

Do you get how profound this perspective is? Your passion, your career aspirations and your reaction to the wins and challenges you face in business have a ripple effect on those in your circle and beyond it. You’ve probably noticed that many Chiropractors use the phrase, “Family Wellness” in the name of their business. As a coach it makes me ask the question, “Whose family?”
Did you know that as a business owner you have stakeholders who have a vested financial, emotional and, on some level, a spiritual connection to your success? It’s easy to see that your spouse and children are inextricably tethered to your results but what about your staff and their families and your patients? Your staff is interested in how your business fulfills them as human beings. The people who work alongside you want to grow and thrive and they want economic certainty. They want to know if your business will be around five years from today even if you are not. Your patients want to know if your practice will be there, ready to respond when they need you, not just when you are in the mood or it’s convenient for you. They want security that their experience will be remarkable and consistent. There are other family stakeholders. What about the banker who loaned you the money to start your practice and the vendors you buy from and yes even the coaches you hire?

You see, what you do has meaning to others. It affects them. This practice is not about you. Do you get that? Good. Now go to work.

What is Worse than an Incompetent Chiropractor? A Mildly Competent One!

February 8th, 2010

Do you want to know why? It’s simple. A mildly competent doctor is not engaged in their life or its true purpose. They are complacent. They seek comfort instead of growth and security instead of possibilities.
They sit on a whale and fish for minnows.
The truth is none of us became chiropractors or chiropractic technicians (assistants) to just get a paycheck. We got into it because we want to transform the world. So it comes down to a matter of scale. Do you want to impact your community or just be a mild aftershock? Are you willing to get you’re your “WHY” on get out of your mummy wrap and become “wildly competent?”
What if you learned that the way you managed your practice and your patients was actually limiting your ability to help more people and is keeping you from enjoying the rewards of an affluent lifestyle? What if you learned that a lack of new patients IS NOT a marketing problem or that patient non-compliance IS NOT a patient education problem and that insurance reimbursement hassles IS NOT a paperwork problem? How soon would you want to know and more importantly, would you be willing to fix it?
Being a good doctor isn’t enough. Your business must be as competent as you are. Learning another technique, buying the next gadget or spending money on practice software will not close the gap between where your practice is now and where you want it to be.
If you intend to take your practice to the next, a more secure level, then you and your team will need training in soft skills and an upgrade in your business systems. You must go from mildly competent to being wildly competent.
Imagine a practice with a steady stream of new patients, patients who want to be there. Imagine what it could be like with less stress, more freedom, and more time to enjoy your life while you are building it.
We are here to help you bridge the gap between what science knows and chiropractors do. We exist to help you close the gap between where your practice is now and where you need it to be.
Are you ready to get your wild on?
Call me at 800-570-5272 (+1 530 584 1900) and together we will make it happen.

Instead of Doing Paperwork, Do People Work

January 11th, 2010

Clearly the fast track to explosive growth in your practice is right in front of you. It’s not out there on a billboard, in a spinal screening or in a “not-working” meeting (aka networking). It is bringing your “A game” to the adjustment. You have the power to take a stalled practice and kick it into a higher gear or take a growing practice and make it legendary.
Nowhere else in patient care does the mirror of reality show up so patently. The adjusting experience highlights your systems, staff training and your soft skill prowess.
While it is true that health and healing are processes that require time, planning and effort, the truth for the patient is that the moment on the adjusting table is all that matters. The patient is looking for a distinctive marker that will reinforce his belief that his decision to proceed with care was the right one. This marker can be a physical release, an emotional connection or an intellectual shift in perspective. Simple, focused attention produces these distinctive markers.
You have, through personal experience and study, arrived at some very profound conclusions concerning the nature of health, healing and dis-ease, yet most of your patients have reached other conclusions. So you will need to be patient with them and provide tangible platforms to help them reach new, more useful conclusions.
You did not come to these conclusions in a vacuum of self study and reflection. Someone or some event influenced you and shifted your perspective. Look with a “beginners mind” and get back in touch with your “A-HA” moments. Strive to find new ways to demonstrate and explain to other beginners the logical reasons and experiences that helped you arrive at your conclusion.
Instead of doing paperwork, do people work:
1. Go through the files of your active patients. Research their physical history and get a clear understanding and appreciation of their motivations.
2. Look at the person in the patient file.
3. Who are they?
4. Why are they in your care?
5. What is your promise to that particular patient?
6. What are the chances you can help them?
Remember, hard work doesn’t pay off. It’s working hard on the right things that pay off.

THRIVING THROUGH THE HOLI-DAZE

December 8th, 2009

So here we are once again in the mass consciousness called the holidays. A few years ago Tom Grisham wrote a delightful book entitled “Skipping Christmas” and it was made into a fun comedy starring Tim Allen. In the movie Tim Allen talks his wife into leaving the cold weather and the holiday hassle and head for the islands. Skipping Christmas meant leaving the holi-daze brought to you by parties, presents, decorations and the rest. Read the book or see the movie I won’t spoil the fun for you.
My point is this, regardless your personal beliefs about the season, you will be swept into it because you touch the lives of so many people and they leave a mark on you. As the leader in your family and your business you need a personal and professional plan to thrive this year and to set the tone for an affluent next year. I know your plate is filling up with family fun and social events. And your personal memories of this season flood your brain with good and sad.
So,‘tis the season for you to b VERY focused, VERY serving, VERY energetic!
Start with good sELF care. Get your rest, eat well (cheat a little too), make sure you exercise (you can cut back 40% and still be good).
Then take care of your staff. Remember, they have families and their plates are really full, so no practice building rants or office meetings! A party outside of the office is always a good idea.
Take special care of your patients. They will show up with a seasonal syndrome that was coined by Dr. Douglas Sea as the “ING Syndrome”. Too much wrappING, partyING, spendING, shoppING, eatING and visitING!
And remember to take care of the college kids who are back in town, they need it!
How about opening your door and allowing the visitors who are in your community to get in for an adjustment. Make your new patient process hassle free and only do the essentials. I’ll bet you can refine and define the new patient exam and report to accommodate them.
And finally enjoy yourself! End on a high note and you will begin the next year on a high-ER note!

When World Views Collide

November 2nd, 2009

A collision comes out of nowhere. There you are having a great conversation during an adjustment or with friends and bang, “it” happens. The “it” is a collision of world views. And when world views on health care collide your role is to turn the collision into a coalition.

Let’s put this in context. I’ll bet you are getting more than a few comments and questions about H1N1. Patients may even ask you whether or not you and your family are going to get your vaccination.

Comments are words in passing and do not warrant rebuttal. Yet questions are an important gateway to understanding and need to be addressed. As a leader one of your responsibilities is to discern when and how to influence the other person and when to simply shut up. When you hear a comment or get asked a question your first step is to check your attitude. Do you want confrontation or cooperation? Remember, this is not about H1N1, it’s about different world views.

Here’s an example of what I am talking about.
A week ago I had a friend tell me that our golden retriever, Midas, would make a great candidate for visiting terminal patients in a local hospice. I asked her to send information on registering him. I imagined how remarkable it would be to watch Midas connect with a suffering patient. I could imagine the deep emotional impact and how the patient would be so caught up in the moment that they would forget about the fate they faced. I must admit a tear formed.

My trance was rudely interrupted when I read the application. The first requirement was, as you might have guessed, current vaccination records. Midas has never had a shot and at ten years of age he has never been ill and had only one visit to a vet for a scratched cornea. By the way this vet was sympathetic to our no vaccination stance. I forget sometimes just how out of sync I am with the world. I bet you do as well.

The next time I saw my friend I thanked her for sending the application and told her Midas was not eligible because he was not vaccinated. Her face turned from friend to foe in a flash (the collision). She tried to hide her disgust but, surprise, it came through the mask. She defaulted to her programming and a dogmatic discharge erupted, “Well, my dog has a good vet and he is vaccinated. Don’t you believe in rabies?” I bet you can just hear the condescending tone can’t you? I knew where this was headed and logic would not move this confrontation towards a meaningful dialogue. I simply said, “We will agree to disagree on this point.” I continued and answered her question, “Of course a small population of animals at Tahoe have rabies it’s just I don’t accept the science behind vaccination as a valid protection for my dog.” I then shut up (coalition).

If my friend had taken a different tack I might have shared my view more fully and pointed her to other sources of information. But I have learned the philosophy, art and science of influence. I choose who, when, where and how I will influence. I have learned that dogmatic polarization only leads to entrenched emotional belief systems on both sides of the disagreement. My inside voice simply says, “Next. Move on.”

You are asked for your opinion everyday about the H1-N1vaccination and flu shots in general. You are asked what medications and pain relievers are best. You are asked what other than chiropractic might be able to help. You have the opportunity to influence a generation, not a society. It is imperative you learn the art of influence. It is the skill that will close the gap between where you are and where you want to be.

Learn, live and prosper!

Keep the Change, Show me the Money

September 1st, 2009

Dr. Frank Sovinsky

Cathy and I were driving to San Francisco last weekend and we passed under a pedestrian bridge near Berkeley, California. The banner that was plastered to the chain link fence read, “Keep the change, show me the money.” It got my attention. Knowing that Berkeley is a liberal Mecca my first thoughts were that this was a backlash from the campaign promises of the Obama platform. I wondered if the faithful were upset that money hadn’t showed up yet in their paycheck or that their own selfish version of a stimulus packet failed to give them what they deserve.
While this may seem to be a political editorial I can assure you it is not. At least in the typical way we think of partisan politics. What it did trigger is my passion to eliminate the suffering that results from entitlement mentality. And our profession is loaded with this thinking especially when it comes to success in our careers.
As a mentor I have witnessed the absolute freedom that a client earns once they get “IT.” What is “IT?” IT is the deep understanding that change is an action, not a thought. Change is work, not a plan. Change is now, not a process. IT is instantaneous. Grab hold of this idea. Change does not take time. Deciding to change takes time. Isn’t it time to act or are you still deciding? Remember, nothing gets better until you get better.
I believe you have it in you, do you?

Why Doesn’t Everybody Get Adjusted?

August 12th, 2009

Dr. Douglas Sea

Recently while having a Work-ation in the beautiful Black Hills of South Dakota I had several opportunities to adjust Dr. Sovinsky; as well as Dr Thackerey and all of our corresponding families. Traveling by car afforded me the luxury of packing my portable adjusting table just to properly tend to our flock! After one such morning adjustment cycle; Dr. Frank got off the table and proclaimed: “Wow; why doesn’t everybody get adjusted?” This simple statement prompted some very profound dialogue!

My basic premise was first and foremost that most people do not miss what they do not know exists. For example a child growing up in a war torn, poverty filled third world country somewhere probably does not miss the taste of ice-cream. Someone who has never been adjusted before simply has no way to appreciate the benefits of appropriately administered chiropractic care. Once they have benefited from true patient centered-plus care they will often return for follow-up care or maybe even less frequent but consistent adjustments simply to “feel right” or “feel better”.

Unfortunately, in my opinion, we as a profession have messed up an amazing opportunity provided to us by the forefathers of our profession. We have lost sight of the fact that the service we provide has inherent value. Not necessarily “priceless” as some in our profession would rant; but of a legitimate value. A value that is not necessarily dependent on “who is paying the bill”.
Because we have lost the appreciation for the value we provide; we have a hard time understanding why someone would be willing to exchange their hard earned cash for the opportunity to spend a couple of minutes in your presence to receive your skill. As a result we have had to create a plethora of gimmicks and schemes to first entice people through our doors and more gimmicks and/or scare tactics to keep them there; like the proverbial “Chiropractic Practice Hostage”. How many times have you heard from your own patients that they didn’t want to start going to a chiropractor because “once you start you have to go forever”!

When patients are provided a true Patient Centered-Plus experience you can be assured that more and more of them will be asking “Why doesn’t everybody get adjusted like I do?”

You are Already Living A Dream

August 3rd, 2009

Dr. Frank Sovinsky

Do you know that you are living THE dream, right here, right now? THE dream is the one you had when you decided to become a chiropractor. You knew that you wanted your life to mean something. You dreamed of helping hundreds, thousands or even hundreds of thousands of people avoid needless suffering. You worked hard to achieve this goal. You plowed your way through the matriculation process. You moved away from friends and family. You made THE decision to pursue your dream at any and all costs. You, in essence, cut off all other possibilities for your life. You took yourself out of the game of life, as it was, to create another game, one with a promise of greater social impact, personal meaning and a more affluent lifestyle. You accepted the debt and the sacrifice. You took a risk. You bet your emotional happiness and financial security on this dream. You expected it to pay off. And it has . . . paid off that is. If only you would see it. Yet, you want more. I know you do, so let’s cut to the chase. To be more successful, to manifest your dream upgrade you must first see yourself as a successful human being who is already living THE dream. If you can’t do that all else will be of little value. All else will be counterproductive. Start by giving thanks for the success you have. See yourself as a successful human, as someone who has untapped capacities and passions to be released. If you don’t start here you will have no neuronal scaffolding for getting more.

Living THE upgraded dream is possible but you will have to look at a couple of attitudes, behaviors and beliefs. In talking with clients over the past few weeks an important revelation occurred. When we talked about their goals it always came down to how many patients they wanted to see a week. Each client declared their number yet it felt like a faint echo, not a reverberating declaration of possibilities. It was intellectual, not visceral. Spoken, not felt. Read but not believed. It was like the dead zone in a cell phone’s coverage area. While you have spent many hours and processes looking at goals, a critical attitude and behavior is missing.

You see, a goal exists on a higher plain, a state where focused thoughts move matter. This plain is the space where dreams get touched, nourished and grown. This is the realm of possibilities, a place where ideas are birthed, a place where dreams mature. So why are some doctors able to manifest at such high levels and others struggle and suffer? The answer is there, it’s always been there. The great books of wisdom tell us that it is our obsession with desires that lead to our suffering. There is nothing spiritual about needless suffering. There is nothing transforming about having another bad day because you didn’t get the number you wanted. By obsession I mean choosing to be unhappy and unfulfilled unless or until you get all the things you want, THE number. By obsession I mean weak faith, where fear controls you. Fear is the driving distraction away from success. It shows up as a benign need at first. Like the need to be comforted by a sign, a change in the numbers, a hint that you are heading in the right direction. By obsessing I mean talking about the numbers, worrying about them. By obsession I mean putting a time limit on them. By obsession I mean not looking at the numbers for FEAR you will be discouraged. I bet you know what I mean and I bet it doesn’t fire you up. I’m betting it’s driving you down and pushing IT away. This mindset is a buzz kill. It takes you out of the realm of creating and throws you hard against the rocks of self doubt and misery.

So let me speak a few words of faith into your ear. Allow me to help you focus your thoughts over the next few days. And I promise the upgraded dream will show up when you least expect it.

Now that you get that you are living THE dream you had before you entered Chiropractic College, let’s assume that you want the next upgrade, which is to become a successful chiropractic entrepreneur. Since we do measure our progress by goals we must set them. We can talk about the number in the context of the social impact you want to make. “Get your why on,” then set the goal. Listen more closely to how it works. Allow me to share part of my dreamscape. I had a dream of healing, teaching and impacting people. I dreamed of helping hundreds of people with my knowledge, advice and love. I saw it then I didn’t ever think about again. I knew it would happen, I just didn’t obsess on when. No timeline.

The dream grew. It upgraded. Instead of a hundred a year it became a hundred a month, then a hundred a week, then a hundred an afternoon. And guess what? It keeps growing. Instead of hundreds it has grown to thousands and hundreds of thousands. How big is your dream?

Bad Economy or Bad Business

August 1st, 2009

Last week I was walking around town with a group of my friends and we all walked into a store that carries clothing and accessories for the outdoor activities like hiking, backpacking and running. I walked in and my eye spotted three things immediately that I wanted! I grabbed the garments off the rack and as I headed toward the dressing rooms, I grabbed 2 more. I was excited. They were great colors and just what I’d been looking for all summer.
When I got to the dressing rooms I found there were only two and they were both occupied. I looked around for an employee to help me, but I could only find 2, a young man and woman, who were hanging out by the cash register talking about what they were going to be doing this weekend.
In an instant I draped the clothes over a nearby bench and walked out of the store. I wanted the stuff . . . but not that much.
Just this morning I was trying to purchase a new piece of equipment for our office and when I phoned the company I got a busy signal. When I phoned back I got their voicemail telling me to leave my number and someone would call me back. It’s been 2 hours since I left the message and no one has phoned me back.
I’m ready to buy, cash in hand and can’t seem to get the opportunity necessary to complete any transaction.
Is it a bad economy or bad business? Are these business owners talking around town about the woes of business in this economy, how business is down and no one is buying? If you listen to the news you are constantly bombarded with the fact that the economy isn’t so great right now. But before you go blaming your bummer business on the economy, take a look in the mirror. Take some responsibility.
People have money out there and they are willing to spend it on things the value. How many hurdles are you putting in front of them before they can spend it in your office?
• Does a new patient have to be placed on a waiting list to get into your office, or can you see the day they phone?
• Do you have enough rooms and staff to have an exam and a report occurring at the same time?
• Do you have enough phone lines?
• What happens at the unfortunate time when no can get to the phone during business hours?
• Are you open through lunch?
• Are you using your techs to the utmost?
• Are your techs well trained and do they want to be there?
• Do you want to be there?
At DC Mentors’ seminar in June Dr. Sovinsky asked the doctors in the audience how many had bigger numbers this year over last year’s. Over 75% of the audience raised their hands! Growth is possible in this economy. Take a look in the mirror.

The Art of Chiropractic

July 30th, 2009

While visiting Mt. Rushmore, Dr. Sovinsky came across a quote from the artist, Borglum, and relates it to the art of chiropractic.

The Art of Chiropractic