The Zen of Dr. Zinberg

One of the top female wellness executives and consultants in America, Dr. Zinberg was an entrepreneur and private practitioner prior to joining The Masters Circle in 2000.  She also serves as the company’s director of its Chiropractic Assistant (CA) certification program and now leads day-to-day operations, overseeing coaches, seminars, and product development.

Elisa Zinberg exemplifies the spirit and dedication of The Masters Circle to empower chiropractors, wellness professionals and their assistants in creating the practice and lifestyle of their dreams. She is a true asset to the profession, widely recognized as one of the finest minds today in wellness initiatives, and admired for her ability to connect on a very personal basis with audiences as well as business colleagues.  

Complementing her position as COO, Dr. Zinberg is also a scheduled seminar speaker for The Masters Circle, who addresses a variety of cutting edge topics that are germane to professionals.  Known for her style, energy and wit, she communicates valuable information and is often sought after for speaking engagements before distinguished wellness organizations nationwide, as well as presentations for leading financial and management colloquium.

Previously, Dr. Zinberg ran a large volume, subluxation-based, cash-only practice in Manhattan for eleven years. A career at The Masters Circle enables her to assist colleagues in achieving their practice goals. This new role allows for targeted input into shaping programs and services to be of even greater value to The Masters Circle members and the profession.

Dr. Zinberg earned her undergraduate degree from Franklin and Marshall College, Lancaster, Pennsylvania, and her Doctor of Chiropractic degree from New York Chiropractic College.  She is licensed in Florida and New York, and is nationally board certified.

TAC: What inspired you to become a chiropractor? Do you have a specific story?
Zinberg: From the time that I was a teenager, I always knew that I wanted to go into healthcare and become a professional that serve the needs of individuals.  My oldest brother, Scott, is a chiropractor, and he was certainly an inspiration. My father was an optometrist, and always encouraged me to help people.  His guidance and example stirred my interest in becoming a health care professional.  

Early on, I was an athlete and always enjoyed the excitement of healthy competition.  While at college, I participated in basketball and softball, but suffered an athletic injury.  Thanks to chiropractic care, I made a great comeback and was able to enjoy these sports once again.

When I entered the profession, women were clearly in the minority, but there seemed to be no other barriers.  Nothing could hold me back from making my dreams come true.  
It is the philosophy of chiropractic that has always made perfect sense to me.  The ability of the body to heal itself as a result of its innate intelligence has resonated throughout the years, and this perception continues to drive my dedication to the profession.

TAC: Please tell us more in depth about the services and products The Masters Circle offers chiropractors and how or why those products are offered.
Zinberg:
The Masters Circle, the largest consulting firm for licensed wellness professionals, is a highly specialized and unique leadership training and practice building organization. Its mission is to help as many doctors as possible to build the practice of their dreams and the best lifestyle they can imagine.

The Masters Circle offers a comprehensive total support program that features a persona-lized hands-on approach, utilizing a high-tech educational model that creates faster and better results. Its well-balanced, modern approach covers all aspects of personal growth, as well as every action step members will need to build their practices to the desired level.

I believe in the precepts of The Masters Circle, its proven model for helping chiropractors achieve success at every level, and its positive impact upon the profession.  I am a living example of its values and credit the personalized coaching platform for my ongoing achievements.  

Other products and services offered:

•    Seminars
•    Chiropractic coaching and consulting
•    Doctor and Chiropactic Assistant empowerment products
•    Patient education products
•    Procedural products
•    Books designed to inspire success in chiropractors

TAC: What kind of hurdles did you have to overcome as a result of being a female in a male dominated profession?
Zinberg:
NONE.

I was the first female coach hired by The Masters Circle and we now have four female coaches.  It appears that females have a keen understanding of work/life balance, a goal that we emphasize during coaching.  Women also have compassion, an ability to communicate “tough love.”  They have a heightened sensitivity to personal and individual concerns, and are able to relate to both men and women.

TAC: What are your specialties and can you tell us some more about them?
Zinberg: When I was in practice, I ran a cash, subluxation-based wellness practice in midtown Manhattan. I enjoyed a very eclectic following that ranged from administrative assistants to families, theatre personalities and CEO’s of large companies…and everybody in between.  This diversity allowed me to develop my own personal style and methodologies for addressing a wide range of patient challenges.

Because I was a member of The Masters Circle before I even started my practice, I participated in coaching and consulting before I ever opened the doors to my office.  As a result, I did not have to re-invent the wheel and simply followed the directions of my coach.  Frankly, I was afraid not to do so.  

The result of this dedication was that success came early on in the life of my practice. I was truly blessed—able to pay my bills within the first three months and able to begin saving money within the first six months.  I followed the advice of my coaches, and it paid off.

My pursuit came to an abrupt ending with a biking accident that forced me to leave active practice.  Thankfully, I was asked to join The Masters Circle as a Coach.  It has been “easy riding” since then.

My work at The Masters Circle has been very gratifying, allowing me to weave all these experiences together so that I can help other professionals.  For example, prior to my career as an active professional, I was a Chiropractic Assistant.  I know what it is like to be a CA and have been in their shoes.  

This familiarity paved the way for my professional work, and gave me the impetus to create the CA Certification program at The Masters Circle.  Today, I am thrilled to help professionals address one of the most significant challenges of practice:   recruiting, training and retaining a CA who can effectively attract new patients to the practice.  The CA program is highly valued among our members, and I am appreciative of this opportunity to assist my colleagues.

TAC: Which techniques did you use and why?

Zinberg: Throughout my career, I used whatever techniques would benefit the patient—primarily diversified, SOT, some Applied Kinesiology, and some Activator technique.  Whatever worked for the individual also worked for me.

TAC: What type(s) of diagnostic testing procedures did you use and why?
Zinberg: Over the years, I relied upon X-rays and found them to be a great tool for educating the patient.  Today, I would use the Insight Millenium Substation from Chiropractic Leadership Alliance as the optimal way to educate patients about subluxation.

TAC: Are you still seeing patients or do you plan on doing so again?
 
Zinberg: The answer is no and no.  I am working full time at The Masters Circle, and I love what I do.

TAC: What are your goals for the chiropractic profession?
 
Zinberg: I envision worldwide recognition of the profession as primary health care providers and the first choice for consumers.  I anticipate greater unity within the profession and a solidified initiative to become the wellness providers of choice.

TAC: What is the most common problem you see among chiropractors today?  
Zinberg:
There is a lack of confidence and poor self-esteem among chiropractors.  We need a stronger chiropractic philosophy and collective dedication to build a more robust public perception of our profession.  The good news is that these deficits are easily overcome through an identity-based coaching model and enhanced initiatives that focus upon our role as wellness professionals.

TAC: What is the biggest challenge to the chiropractic profession today?

Zinberg: The most compelling challenge is that chiropractors must overcome their collective perception of personal worth and the value of chiropractic.

TAC: What single piece of advice would you give a chiropractor just starting out, or one that is in the process of building a practice?  
Zinberg: Hire a coach.  That one step can carve the way for personal fulfillment and professional success.  Personalized coaching not only worked for me but has also been the key to success for thousands of chiropractors.  

TAC: Any final words for our readers?
Zinberg:
Every person, every chiropractor should have a purpose.  Live your life purposefully and with direction.  Only you hold the master key of life.

You may contact Dr. Elisa Zinberg at [email protected].

Chiropractic in the NFL

For four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in the NFL. After two weeks of Dr Shaker’s treatments, I felt better than I had since the initial injury. I started playing like my old self and was able to split time with starting running back Michael Pittman. I am currently the starting running back for the Chicago Bears. Since then, I have flown Dr. Shaker to Chicago to treat me personally during the season.
-Thomas Jones, Running Back, Chicago Bears


Being a Sports Chiropractor since 1990, I have treated a mélange of elite pro athletes, including many past and present Tampa Bay Buccaneers players, some of whom are:

• Buccaneers All Time Leading Receiver, Mark Carrier
• Buccaneers Super Bowl XXXVII MVP and current Cincinnati Bengals Safety, Dexter Jackson
• Buccaneers Defensive Lineman, Chidi Ahanotu
• Buccaneers Defensive Back, Brian Kelly
• Buccaneers Wide Receiver, Michael Clayton
• Former Buccaneers and current Atlanta Falcons Pro Bowl Running Back, Warrick Dunn
• Former Buccaneers and current Chicago Bears Running Back, Thomas Jones

Running Back Thomas Jones came into the National Football League as the seventh overall pick by the Arizona Cardinals in the 2000 Draft, after having a stellar career at the University of Virginia. After three sub-par seasons, the Arizona Cardinals traded him to the Tampa Bay Buccaneers.

Most NFL players are referred to me by other players. This was also the case with Jones. He was referred to me by a University of Virginia teammate and free agent hopeful named Dwayne Stukes.

Stukes had chronic quadricep and hamstring injuries since college that were not being ameliorated by any other methods that he had tried.
He consulted me, and I utilized the Trigenics® treatment system and completely re-established normal function in his quadriceps and hamstrings. He was so excited by the astounding results, he referred Thomas Jones.

When I initially saw Thomas, he was the most superb example of a mesomorph that I’ve ever observed. There was one glaring problem though. I noticed immediately that his breathing was extremely labored—to the degree that one could see his left scalene muscle straining with every breath. In addition, every strained breath produced a loud, erroneous, disruptive sound.

During my initial interview, he told me that, during the third game of his rookie season, he was running through the line against the Green Bay Packers and was hit very hard in his chest area on a forty-five degree angle from his right side, by a defensive lineman. After he was tackled, he immediately started having difficulty breathing, like in an emergency state. He was carried off the field and taken by ambulance to a local hospital.

MRI’s and CT scans were performed and he was sent to a pulmonologist and a cardiologist. All of the medical tests performed were negative. The allopathic physicians could not give a diagnosis. In an attempt to heal himself, he consulted chiropractors, massage therapists, physical therapists, nutritionists, and trainers from different parts of the country. Unfortunately, he had no relief.

Thomas had two primary complaints:

1. Pain in chest that was exquisitely painful when irritated. He experienced pain every time he was hit.

2. He had difficulty breathing. He felt he couldn’t breathe enough air into his lungs and couldn’t get enough air out. He felt air was trapped inside his lungs. Obviously, he was suffering from respiratory acidosis. Respiratory acidosis occurs when the lungs cannot remove all of the carbon dioxide (a normal byproduct of metabolism) produced by the body. Because of this disturbance of the acid-base balance, body fluids become excessively acidic.

“Respiratory acidosis can be a consequence of any lung disease that prevents removal of carbon dioxide. Common lung diseases that lead to respiratory acidosis include chronic obstructive pulmonary disease (COPD), severe asthma, or airway obstruction. Other conditions that may lead to respiratory acidosis include obesity hypoventilation syndrome, excessive fatigue of the diaphragm or muscles of the rib cage, or severe deformities of the spine and rib cage (for example, severe scoliosis).”1

So we connect the dots. This young man is an NFL running back who gets hit hard on a weekly basis and he has to be able to breathe at a very high level. Both his thoracic cage and related breathing systems were failing him. As a testament to his physical and mental prowess, he continued to play while he was severely injured and thus impaired. Therefore, his production was extremely poor and the coaches and team were upset because their team physicians didn’t know what was wrong with him. Arizona considered him a bust, as he never lived up to what they expected of a player selected seventh overall in the NFL draft.

In 2003, he was traded to Tampa Bay for Buccaneers wide receiver Marquise Walker. Buccaneers’ head coach, Jon Gruden, decided to take a chance on him.

“He’s a thick and quick guy…a quick study, and we think he has some unique running skills that should make things real interesting,” coach Gruden said. He would play out the final year of his original contract in Tampa Bay, after which, he would be a free agent and able to test the free agent market. So, a good year with Tampa Bay would really help increase his value on the free agent market.

Because of my academic and athletic background, I knew that I could help improve Thomas and his condition. Through the Motion Palpation Institute and the tutelage of Dr. L. John Faye, whom I consider to be my greatest mentor in chiropractic, I learned to become an expert in costovertebral, costotransverse, and intercostal joint manipulation. Thorax function, breathing and also function of the cervical and lumbar spine are dependent on these articulations for proper functioning.

By seated Motion Palpation analysis, I discerned that his costotransverse joints and costovertebral joints on the left side demonstrated articular, capsular, ligamentous fixations with associated reactive muscular fixative lesions.

Moreover, what I deduced was that his entire ribcage was partially rotated. He was hit from his right side and that impact on that angle partially rotated his ribcage from the right to the left. That is why his left side was fixated.

So, the partial rotation of the ribcage caused a cascade of neurokinetic chain dysfunctions. The rotation stretched the scalenes, diaphragm, and intercostal muscles. All anatomy integral to breathing became dysfunctional because of the rotated ribcage.

Professional athletes are intrinsically in tune with their bodies. They can feel subtle dysfunctions about their bodies. They can perceive subtle connective tissue dysfunction in their bodies much better than the average person, because they have been training and exercising their entire lives.

Thomas felt his ribs were stuck, and the doctors and professionals he was consulting couldn’t release his ribs. That was his perception. Being an expert in rib manipulation and mobilization, I knew I could help him. I decided to manipulate his ribs using a supine technique first, in order to initially give him some hope of recovery.*

Fortunately, I was able to cavitate the costovertebral and costotransverse joints on the left side. He was extremely excited and felt a sense of relief immediately after those manipulations. He noticed he could breathe a little bit better and he had less pain in his thorax than he had had in the past three years. That was just after one adjustment.

From a manipulation perspective, the left first rib manipulation was also significant, as Thomas’ pectoralis major was involved as a result of the intercostal, costochondral, costotransverse, and costosternal joint dysfunction. “When the first rib is fixated, the following muscles can be involved: anterior scalene, middle scalene, iliocostalis cervicis, levator costorum, and the sternocleidomastoid, indirectly, through its attachment to the clavicle. Scalene involvement also causes a couple of motions of the cervical spine to become fixed and painful as well as initiates occiput C-1 pathomechanics to occur. The levator costorum, as a result of scalene hypertonicities, now places undue stress on the upper thoracic rib cage and then we have a positive feedback loop: anterior structures causing fixations in the posterior structures, and the posterior structures perpetuating the anterior fixations.”2

The pain will present almost anywhere and will cause self-generating mechanisms of decreased mechanoreceptor input, resulting in unchecked nociceptor input and an out-of-control sympathetic nervous system. “The sympathetic nervous system output results in vasoconstriction, reflex muscle spasm, and eventual disuse of the involved structure: a self-perpetuating cycle.”3 This is a good description of part of Thomas’ clinical presentation.

“Chest wall syndromes are definitely a sports-related event, obviously not the only cause, but certainly a common one. The following sports have a component of either trunk flexion alone or trunk flexion coupled with axial rotation. The positional stresses and strains that accompany such activities as golf, tennis, baseball, triathlon, mountain biking/cross-country/trail riding, volleyball, football, soccer, rugby, etc., are a common cause of the subluxation complex being initiated by thoracic cage dysfunction.

The pain from the above thoracic cage dysfunctions may not be at the actual location of the segment in question, as pain is referred to a site either proximal or distal to the actual lesion. If the intercostal nerves are involved, the pain might be referred secondarily to a traction effect by the intercostal muscles, or by the numerous biochemical mediators liberated by the inflammatory response. The pain, in this case, would most likely be referred along the space occupied by this intercostal nerve and not above or below that level. If the dysfunction involves the costochondral junction of the ribs 3-5, then the pectoralis minor could be involved as well, with resultant shoulder joint dysfunction and pain secondary to scapulothoracic rhythm abnormalities.”4 The pectoralis major, if involved as a result of intercostal sprains, costochondral, costotranverse, and costosternal dysfunction, could impair the external oblique muscle’s ability to function as a prime rotator of the lumbar spine, thus causing lumbar pain.

From a Trigenics® perspective, I discerned that the scalenes and diaphragm muscles were the primary source of his breathing difficulty. Initially, I taught Thomas cerebropulmonary biofeedback breathing both utilized in the Trigenics treatment system as well as to re-teach him how to effectively breathe outside of the office. At the time of his presentation, Thomas displayed marked paroxysmal breathing. I decided to start applying the Trigenics® Lengthening (TL) procedures to the left scalenus anticus and medius muscles. I also applied the Trigenics® Strengthening (TS) procedures to the same muscles as well as the intercostal muscles, and diaphragm.

I estimate that the combination of chiropractic manipulation and Trigenics® treatment system application achieved a ninety-five percent success rate over the course of twenty-four treatments. Thomas had an abundance of aberrant afferent and eventual efferent dysfunction, because he had been breathing erroneously for three years, not just as an average person, but as an NFL running back. That is profound: forcing air through a dysfunctional system and trying to exhale air through the same dysfunctional system. He was declining physically and, eventually, was set to be out of the league. It was Trigenics® that helped to re-establish all of the neurokinetics.

After joining the Buccaneers and regaining his health through my intervention, he enjoyed the best season of his career and shared the starting position with Michael Pittman. He then became a highly valuable and coveted free agent and signed a lucrative four year contract with the Chicago Bears that included a signing bonus. The deal was finalized just minutes into the free-agency period.

As a testament to his resurrection, one merely needs to observe the following stats:
In his first 2 seasons with the Bears:

He has produced the best two seasons of his NFL career during his two years with Chicago.
Since joining the Bears in 2004, has rushed for 2,288 yards—the best consecutive seasons by a Bears RB since Neal Anderson gained 2,333 yards from 1989-90.

Recorded 9th best single-season rushing total in franchise history, while establishing a career-high in rushing yards in his fifth-straight season.

Averaged 1,427 yards from scrimmage over last two seasons, which is 36.0-percent of Chicago offense, the second-highest rate in the NFL during that time. (Tiki Barber, NYG, 42.7%)

Dr. Richard R. Shaker is a licensed chiropractic physician and graduate from Life University School of Chiropractic 1988. He was an all-state athlete from Flint, Michigan, and was offered scholarships in both football and baseball. He started the Shaker Chiropractic and Sports Injury Center in 1990. He specializes in a wide variety of neuromusculoskeletal conditions and sports injuries. You may contact Dr. Shaker at 813-876-9552.

For further information on Trigenics®, visit www.trigenicsinstitute.com, call 1-888-514-9355 Ext. 1, or email [email protected].

References

1. MedlinePlus Medical Encyclopedia: Respiratory acidosis
2. What if… by Dr. Keith Innes, D.C., Dynamic Chiropractic, June 17, 1994, Volume 12, Issue 13
3. What if… by Dr. Keith Innes, D.C., Dynamic Chiropractic, June 17, 1994, Volume 12, Issue 13
4. What if… by Dr. Keith Innes, D.C., Dynamic Chiropractic, June 17, 1994, Volume 12, Issue 13

Nutrition – Adding Value to a Chiropractic Practice

Dr. Ulan earned his Doctor of Chiropractic degree at the Chiropractic Institute of New York, completing the 4500-hour, nine-semester program in thirty-six consecutive months. He graduated with honors in 1965.

Ulan Nutritional Systems (UNS) is a training center where nutritionally-oriented practitioners gather to learn, and attain mastery of the clinical and practice management techniques Dr. Ulan used in building his highly successful nu trition practice in upstate New York. While chiropractors comprise better than 80 percent of the UNS clientele, the professions of medicine, acupuncture, naturopathy, and even veterinary medicine are liberally represented in his seminars.

UNS got its start ten years ago in the offices of Dr. Ulan’s million-dollar, all-cash nutrition practice in Glens Falls, New York. With the help of his wife, Dana, he opened his doors to chiropractors and like-minded practitioners from all over the United States, instructing them in detail on the theory and nuts-and-bolts practical details needed to duplicate his success. Delivered monthly, the three-day seminar was officially titled Patient Management Secrets of a Million-Dollar Nutrition Cash Practice.

Wasn’t he, at least, a little bit worried about competition?

Far from it, he says. Swamped with patients from all over the country and even abroad who had heard about his techniques, he realized that it would take a veritable army of clinical masters to satisfy the demands of the public once they began to realize the truths about nutrition—and malnutrition—published as early as 1943 by Dr. Royal Lee and his pioneering colleagues.

Incorporated in 2005, Ulan Nutritional Systems has grown to a staff of thirty-five, including six doctors of chiropractic. The “Million-Dollar Workshop,” as attendees have affectionately dubbed it, continues to be a mainstay of UNS’ training lineup. Flanking it are basic and intermediate workshops in Dr. Ulan’s pioneering Nutrition Response Testing work. Dr. Ulan’s vision of an army of clinical masters finds its realization in his Advanced Clinical Training program (ACT), a 150-hour postgraduate-level course that shares everything that he and his New York clinic partner, Dr. Lester Bryman (a chiropractor for forty-seven years) evolved over decades of experience dealing with nutritional patients. ACT produced its first fifty-two graduates in 2006.

All the courses are taught in Clearwater, Florida, with the exception of basic Nutrition Response Testing workshops, which are offered in cities all over the country. UNS also provides doctors with test kits, equipment, and a wide range of educational DVD’s by Dr. Ulan, to augment their practices.

In an interview with The American Chiropractor (TAC), Dr. Ulan shares how he went from a straight practice to a million dollar nutrition cash practice.

 

TAC: Dr. Ulan, what inspired you to become a chiropractor? Do you have a specific story?

Ulan: My father owned his own business and was a weekend athlete. A devastating injury to his knee sidelined him from the sports he loved to play every weekend. Three different medical specialists told him he needed knee surgery and would probably never play ball again. He took a friend’s advice and consulted a chiropractor. After two chiropractic visits, his knee was normal and it’s been normal ever since. From that time forward, he became a chiropractic zealot. No matter what occurred or what condition anybody had, a chiropractor was called in. As a teenager, I’d get together with my friends to play cards and would end up practicing the chiropractic techniques I’d learned as a patient.

I switched from engineering school to chiropractic college when I realized that, although mechanics was my subject, engineering wasn’t. I was much more interested in dealing with people than with objects. Chiropractic made perfect sense. I graduated in 1965 with the highest degree in proficiency and diversified techniques conferred by the Chiropractic Institute of New York.

 

TAC: What types of patients do you generally treat or attract?

Ulan: Dr. Bryman and I have associates doing most of the active clinical work these days. Apart from the doctors I check at my seminars, I haven’t seen patients routinely in about three years.

I always tended to attract patients who were suffering from ill health, as opposed to personal injury cases. I would say the conditions I’ve most commonly treated are chronic fatigue, chronic immune dysfunction, chronic pain, weight problems (under- or overweight), and hormonal dysfunction.

 

TAC: What are your specialties?

Ulan: Since 1993, I have specialized in Applied Clinical Nutrition, which I had determined to be the missing component to restoring health naturally through chiropractic. That was when I had put the pieces together enough to realize that at the heart of all chronically recurring subluxations—and the loss of health that inevitably follows those chronic subluxations—is the nutritional deficiency or imbalance component, which is then exacerbated by toxins, environmental stressors, and endogenous poisons.

Our specialty evolved into the most efficient and accurate analysis to determine the real underlying causes of each patient’s condition, and a system that guided us into the creation of the most effective, extremely personalized protocols that would correct the causes and eliminate any factors that would prevent the Innate Intelligence of the body from doing its job of fully restoring health.

As an integral part of this, we had to determine how to develop patient programs that were affordable, lowest possible pill count, that would be so easy for the patient to comply with that the program would then do all the work and the patient would get the results sought. Looking back on this, these were all major accomplishments, and—without losing any of the unique individuality of each patient’s program—resulted in totally standardized procedures that opened the door to helping more people than we had ever helped before, with less stress and more satisfaction, and then being able to train others to achieve the same results routinely in their own practices.

TAC: Is your Nutrition Response Testing like Contact Reflex Analysis or muscle testing? Perhaps you could give us a brief description of the process.

Ulan: While all analytical systems which utilize muscle testing have muscle testing in common, there are several key factors that make Nutrition Response Testing truly unique.

First, it is the only system that is based entirely on the actual structure and anatomy of the body, and which assesses the functional status of the autonomic nervous system directly, discovering whether or not the body is even capable of benefiting from any therapeutic intervention—and, if not, what needs to be done to correct that situation rapidly.

We have identified the most common factors that can prevent the body from healing itself, and how to deal with these, when present, as the first step toward optimal health recovery. This one discovery opened the door to the most effective, most economical, easiest-to-comply-with, lowest-pill-count program ever. And THAT is the key secret to our success. Once these factors have been identified and handled, our system prioritizes each succeeding step, not based on any pre-determined flow chart, but strictly on the basis of our extremely effective reassessment procedure that enables us to monitor the exact progress of each patient in a series of brief follow-up visits that bring them through one or more “Healing and Observation” cycles, until they are truly ready for graduation onto a maintenance program for life.

TAC: What percentage of your practice is made up of the following: men, women, children, families, elderly?
Ulan: One of the purposes of my practice is to create a healthy next generation. We learned a long time ago that the way to help the most children is to help the mothers. So, our clinics are designed to attract mothers—especially working mothers in the thirty-five to fifty-five age bracket. These are the people who carry the biggest burden in this society. They’re more concerned with how they’re functioning than how they’re feeling. They know that, if they go down, everything goes down. How many husbands know how to take care of the kids and keep the family going if Mom gets sick?

 All of our marketing is directed to the working mother. She deserves the most help. The majority of our clients are women and the rest are their families and friends.

TAC: Which techniques do you use and why?
Ulan:
There is an abundance of chiropractors with effective techniques for handling subluxation and muscular-skeletal problems. The scarcity is in nutritional support, so we specialize in that. Very little spinal manipulation is done in our offices today.

 But, obviously, every patient needs the benefits of chiropractic adjustments, and I have learned, over the years, that there is an enormous number of effective chiropractic techniques that are valid in well-trained and competent hands. 

 I graduated from the Chiropractic Institute of NY with honors for having obtained excellence across a wide diversity of techniques. I have enormous respect for my colleagues who have honed their skills and specialized in specific techniques, and I have seen every technique produce miracles in the hands of those who had mastered them. Over the years, I have concentrated on different approaches ranging from Upper Cervical Specific to Cranial Sacral Technique, to various full-spine approaches and, as a result, I tend to fall back on my wide experience and determine what to do regarding structural correction on an individual basis. 

 Interestingly, in my small town in upstate New York, there are approximately thirty-five chiropractors within a short driving distance of my office. Since many of our new patients are referred to us based on the miraculous results we have gotten through our unique nutritional systems, I long ago adopted a policy of determining if a patient already had a chiropractor they liked to work with, and encouraging them to continue with that chiropractor for structural support while we worked on the nutritional aspect.

 Regardless of what technique each of those good doctors was using, many of them reported that their patients were now holding their adjustments much better since embarking on the nutritional program we had designed for them. Per D. D. Palmer, each factor of the subluxation complex needs to be addressed. The spinal adjustment addresses the subluxation directly and is most effective in dealing with primary subluxations while, by addressing the nutritional component, one can often eliminate the visceral-somatic reflex that constantly re-creates the “secondary subluxation.”

TAC: What other therapeutic modalities do you include when treating a patient?
Ulan: In our own practices, we concentrate on nutrition, but many of our clients integrate Nutrition Response Testing into their chiropractic, acupuncture, medical, or veterinary practices.

TAC: What type(s) of diagnostic testing procedures do you use and why?
Ulan:
We do not diagnose as such. We do an assessment of the functional state of the autonomic nervous system using a combination of Nutrition Response Testing and Heart Rate Variability assessment.

TAC: We understand that your Nutrition Response Testing reveals nutritional imbalances that keep people from staying healthy. Could you tell us a little bit more about your experiences?
Ulan: Dr. Royal Lee forecasted, in 1943, that modern mass food processing techniques would lead to a sharp decline in American health and a sharp upswing in the rate of degenerative disease. That’s the trend I began to observe in the early decades of my chiropractic practice. The structure wasn’t sound enough to heal itself. The body’s innate intelligence had been driven into apathy by poisons.

 Dr. D. D. Palmer talked about the nutritional component and the various causes of subluxation: primary subluxation by injury or accident, secondary subluxation caused by toxicity, nutritional deficiency and stress.

 The majority of the patients that we see today have recurring subluxations. This is not because chiropractic doesn’t work—on the contrary, it is far more effective than ever in correcting subluxations. What we have today are secondary subluxations caused by autonomic nervous system stress, caused, in turn, by nutritional deficiencies, imbalances, and toxicities.

 Our mentors—Drs. Royal Lee, Francis Pottenger, Melvin Page, and Weston Price—discovered that the autonomic nervous system determines the person’s health status. We have discovered how to consult the autonomic nervous system and find the key departures from optimum functioning. We then strengthen and rebalance the autonomic nervous system with nutrition, providing genuine replacement parts for the body through very high-quality nutritional supplements derived, primarily, from organically grown whole foods.

 “Routine miracles” in chiropractic are no longer a thing of the past.

TAC: Tell us two or three of your most amazing patient success stories.
Ulan: A middle-aged woman came into our office with her hands wrapped in gauze. Her hands had been seeping and she’d literally lost all the outer skin off her hands, even the fingerprints. This had been going on for well over a year. Many doctors had tried many different things on her. 

 Our Nutrition Response Testing analysis revealed a minor parasitic situation that we were able to correct in a matter of weeks. The seeping and pain in her hands stopped. After six weeks, she was carrying her granddaughter—something she’d only dreamed of ever being able to do.

 Then there was Andrew Oldham, the original producer of the Rolling Stones rock group, who had been addicted to cocaine for twenty-five years. He was consuming five packs of cigarettes a day, several pots of coffee, and more than a dozen medical and psychiatric drugs, not to mention other street drugs and alcohol.

 Andrew called a music business friend to say goodbye—he’d be dead in a couple of weeks, the doctors said. 

 At his friend’s urging, he flew a great distance to visit us in Glens Falls, New York. He arrived in great pain and barely strong enough to walk. He, literally, couldn’t go four hours without a cocaine fix because of the withdrawal pains. It took us three to four days of intensive nutritional work to get him through the cocaine withdrawals, primarily, vascular collapse. His hands and fingers and feet would go into very painful gripping spasms. It took us a few days to get him through that.

 He was loaded with multiple immune dysfunctional states. We had to rebuild his immune system, his cardiovascular system, his muscular system. All along, we were providing nutrition for his endocrine system, guiding his diet, slowly tapering him off cigarettes and coffee. Over a period of two years, we were able to get this guy totally operational and back to work. He’s back in the music business today, totally drug-free.

 In another case a woman came to our clinic who was overweight and in a lot of pain with continuous headaches. She was also suffering from depression and anxiety. She was so loaded with psychiatric drugs and pain pills that she could hardly function. We addressed one problem at a time in the exact priority that our testing procedure indicated and, over a period of six to nine months, she had gotten herself off all the medications.

TAC:  What has really impacted your growth as a chiropractor and that of your practice?
Ulan: I grew up seeing chiropractors who were true holistic healers, and I was very fortunate to go to a school that had several brilliant chiropractors on staff.

The most significant thing to the expansion of my practice was learning that success depended 20 percent on being a great chiropractor and 80 percent on knowing the actual technology for managing a practice—specifically, the Hubbard Management System, which contains all the basics of practice management.

The next thing was my own life falling apart because I was not paying enough attention to nutrition. I had an active life, traveled a lot, but was eating fast foods. My health deteriorated from 1986 to 1991. I hit rock bottom and literally did not know if I would survive another year.

I was in bed with chronic pneumonia. Nothing would fix; couldn’t hold adjustments. How do we reverse this? 

When Dr. Bryman and I asked that question often enough, our eyes were opened to a whole new universe. Before this, straight chiropractic was the answer to all our health problems. We had to teach ourselves nutrition.

We searched relentlessly, refusing to accept answers that were not workable until we got the common denominators (which took us back to the four great nutritionists mentioned earlier). Their teachings, when combined with our wonderful chiropractic training and our ability to assess the autonomic nervous system, took on immense practical significance.

Today, I bicycle six to ten miles every morning, just to celebrate being alive. I’m far younger now, physiologically, than I was before. That is what led us to expect the extraordinary, rather than the ordinary, in terms of practice results. I had discovered the missing component in a chiropractic practice, and felt I had to get the word out.

TAC:  What marketing strategies do you use to attract new patients and to keep current patients?
Ulan:
First, we identified the correct public to promote to. Through extensive surveys, we found that this was the working mother. We found that we could reach her most effectively through public education workshops at clubs, functions, and organizations. 

The true key to our marketing is simply great results. With a precise nutritional program the patient can easily afford, we put her health—and the health of her family—back under her control.

We survey doctors at our seminars. Typically, they rate their health less than optimum. It’s not uncommon to find that they have an unresponding physical condition. After they’ve been working with us a while, nutritionally, their health has markedly improved. They become zealots (like me!) in their practices. Patients respond to a doctor who exemplifies the kind of health improvement they hope to attain for themselves, and who truly walks the walk.

TAC:  What single piece of advice would you give a new chiropractor just starting out?
Ulan:
First, I’d ask his purpose for going into chiropractic. If it is to get patients well, he needs to add a nutritional component that will reinforce the effect of chiropractic adjustments. He’d also better learn how to manage the nutritional patient correctly from day one. The road to his success is already paved; he just needs to take the first step and then keep going.

TAC:  What general advice would you give an established chiropractor whose practice might be struggling?
Ulan: Again, learn how to add a viable low-stress nutritional component to your practice. It will improve chiropractic results, compliance, and referrals. It will greatly improve your success financially and clinically. Our programs are set up so that the doctor gets the tools to implement nutrition in his practice the next day.

TAC:  Where do you see the future of chiropractic headed?
Ulan:
Insurance has played itself out. I see a growing awareness in the population concerning nutrition. They’re tired of drugs, side effects, no results, and chronic illness. I see the future of chiropractic with nutrition as laid out clearly by Palmer in 1914. He said it was a holistic system of healing that includes what you put in the body. We feel we have realized his vision in the combination of chiropractic and Nutrition Response Testing.

TAC:  Any final words for our readers?
Ulan: Nutrition isn’t “the wave of the future” anymore; it’s headline news. Newsweek recently devoted thirty-five pages to the subject. Supermarkets are adding entire organic foods sections, not just a shelf or two. These are unmistakeable signs of growing public demand for what we, as practitioners, have to offer: better nutrition, better information, and better health.

You may contact Dr. Ulan at Ulan Nutritional Systems, 1170 NE Cleveland St., Clearwater, Florida 33755, (866) 418-4801. Website: www.unsinc.info.


The Landmark Victory for Surface EMG

In January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous decision, proving the validity of the surface EMG technology Mr. Marcarian developed twenty years earlier.

It was a landmark decision causing reverberations throughout the chiropractic profession as well as other healthcare professions. This definitive case evaluated the scientific literature and determined that the equipment is capable of differentiating injured patients from those who are not.

In an interview with The American Chiropractor, David Marcarian talks about the victory that surface EMG won for chiropractic and how surface EMG proves chiropractic efficacy.

TAC:  What is the behind-the-scenes story regarding MyoVision’s formation?
Marcarian:
  After developing a surface EMG technique at NASA in the mid-80’s, I was awarded a $450,000 grant from the National Institutes of Health (NIH) to design what is known today as the MyoVision. Precision Biometrics, Inc., (MyoVision) is the oldest and most respected supplier of surface EMG equipment in the world. 

TAC:  How did you become involved in the chiropractic profession?  What inspired you?
Marcarian:
  What inspired me was that, in 1988, a DC who had been the bottom gunner on the B-17 Flying Fortress in World War II called me and told me that he had read about my experience at NASA and thought that the technology I developed under the NIH grant could be helpful to chiropractors.

He had never flown since WW II, so I agreed to fly to his office, as he was sixty-five at the time. He was one of the kindest souls I have ever met. His name was William McIlvaine, DC, and he was known throughout Oregon as one of the best chiropractors in the state. 

Anyhow, I flew to his office, and tested all his patients one day.  I was shocked to see that their muscle tension patterns correlated completely with their complaints and that their muscle tension dropped significantly post adjustment.  There was one exception: a patient who had very even, very low levels of muscle tension. 

I said, “Dr. McIlvaine, there is only one problem.  This one patient has no issues at all that I can find.”

He said, “He is a friend without any issues, and I threw him in to see if your machine was foolproof or not.”

After that, I was hooked on both chiropractic and proving the value of it.

TAC:  What are your goals for the chiropractic profession? 
Marcarian:
  My goals are to offer the chiropractic profession a new way to solve three major problems: ethical marketing, tracking progress and protection against insurer’s attempts at refunded payment due to lack of documented justification for care. My goal is to encourage doctors to use objective data, instead of clever marketing techniques, to obtain new patients and grow their practices in an ethical, scientifically sound manner with the resultant improved public perception of chiropractic.  There has been a sudden increase in the number of cases where insurers are actually going after doctors for back pay for cases lacking documented proof of the need for care.  Insurers are actually reviewing patient records and demanding a refund of payment for care where the doctor cannot prove objectively that the patient needed care. Recently, a MyoVision owner reported winning such a case, saving $50,000 in payments and $20,000 in legal fees, because she documented the need for care with her MyoVision. 

The need for documentation should be a requirement for practice.  How many of us would see a dentist that selects the tooth to drill into by intuition?  Or a medical doctor that prescribes a level of thyroid medication without blood tests?  All other health care professionals use objective data for determining treatment, and so should we.

In the past, we used to go to dentists when in pain.  Now, we go to prevent pain.  What changed dentistry?  They began using those little red tablets (disclosing tablets) that “show” plaque, proving the need for care.  I am offering a tried and true marketing method, similar to the dentists’ disclosing tablets, which may replace questionable marketing techniques with the use of objective data. Surface EMG provides this visual proof for chiropractic in the same manner the disclosing tablets do for dentists. 

By using the simple-to-understand visual, graphical representation of subluxation, you no longer have to waste your time with a futile attempt to convince people of their subluxations. As the color graphics, which correlate with subluxation (you cannot measure subluxations directly) do the job for you. Furthermore, this objective data makes you a much better doctor, since you are relying upon solid outcome measures, and not just your intuition.

So many doctors have told me how surface EMG has prevented the loss of patients, because they alter their adjusting technique if they are not seeing improvement in the tests.  To add to it, patients get very involved in their own progress by using the scans as a means of tracking their own personal progress.

The appealing color graphics lead patients to refer friends and family for testing as a secondary benefit.

The main reason instrumentation is so effective is it focuses the patient on function and not symptoms. We all know that symptoms are not the most effective way to determine spinal dysfunction.

I also want DC’s winning major legal victories for their patients.  Through proper use of instrumentation, you can win Personal Injury and Workers Comp cases without ever appearing in court.  By presenting objective data using the combination of dual inclinometry range of motion and surface EMG, attorneys are much more likely to settle cases.  The last thing they want presented to a jury is the objective evidence that a patient is injured. 

But, to be fair, it also benefits insurers. I, personally, was involved in three cases where a total of 2.5 million was being sought. All three cases were dropped after testing, as the patients turned out to be symptom magnifiers.  But, the bottom line is that the purpose in using objective data is to get the truly injured the care they deserve/need, and those that are not injured removed from the system; so it truly makes the entire system function more fairly for everyone. 

The reason that it is so effective in the legal arena is the same reason I have never lost a case in court:  The opposition presents their “opinion” (with no data) that the patient is not injured almost as policy; and I present objective data, proving the presence or absence of soft tissue injury. Objective data (dynamic sEMG and ROM) always wins over opinion. When doctors utilize it properly, they regain control of patient management, and their decisions cannot be questioned because they have the data to back them up. 

TAC:  Tell us about your victory in the Florida Superior Court case.
Marcarian:
  The state of Florida determined, based partially upon doctors who were trained to focus on the use of the sEMG for marketing purposes only (using static sEMG and not dynamic), that the device was not medically valid and, therefore, made it illegal to bill personal injury for it (PIP insurance).

TAC:  Can you give us a summary, or the highlights of that case?
Marcarian:
  The most interesting thing about the case was that I was the only person out of all the sEMG companies to show up in court!  It was me against nine attorneys and, I believe, eight expert witnesses. Their star expert witness was an individual with an MD/PhD who specialized in surface EMG.

The big surprise was the Florida Chiropractic Association. When I arrived in court, I believed that the FCA would be on “our” side, there to help the chiropractors; but, instead, their representatives testified on behalf of the insurance companies and the State of Florida, that there was no validity to sEMG.

Why was I the only person to show up?  After reviewing the literature that was considered admissible in court, it became quite clear.  MyoVision was the only multifunction sEMG system with research that met all the quality standards/requirements requested by the court.  Furthermore, there were no direct financial ties between the publishers of the research and my company. This made it impossible for the attorneys to attack the validity of the research I presented in court.

In court, the attacks on me, personally, were brutal. The nine attorneys did everything they could to destroy my credibility; but each time they attempted, my credibility was further bolstered, and they eventually backed down.

Perhaps the most fun interaction was when an attorney “threw down” an advertisement in front of me, and raised his voice (just like on TV), implying that this advertisement proved my actual goal for my company.  The advertisement had a headline, which stated something to the effect: “HOW TO DRAMATICALLY INCREASE YOUR INCOME WITH SURFACE EMG.”  He was so excited, as he felt he had finally nailed me. 

Well, unfortunately, he had not read the ad carefully, and the ad turned out to be from another company!  I believe the judge asked him to sit down after that.
Another major highlight for me, personally, was how the judge, in my opinion, relied heavily upon research performed with my equipment in making her decision.  It was a wonderful feeling to know that this device I invented was given so much respect.

The bottom line is that I presented, in a completely unbiased manner, the scientific literature in as pure a form as possible. The judge agreed with my interpretation of the literature, and the case was won.

TAC:  What is the impact this has on the chiropractic profession as a whole?
Marcarian:
  Impact?  This case will have a monumental impact on chiropractic in so many ways.  It gives chiropractors the power to determine when and how to care for their patients, and the power to prove to insurers the need for care by simply performing dual range of motion testing and dynamic surface EMG.  We now have a court-validated, research-validated tool which can be used to show that chiropractic is effective, to document injury or the lack thereof, and a precedence-setting case which can be used to establish the validity of surface EMG in any court in the country, if it is questioned.  

No longer will a doctor be called in for review with only his or her opinion for justifying why a patient is a chiropractic patient. No longer will chiropractors have to fear going to court, as they have the security, when owning unbiased court-validated instrumentation, that the tool can be used to support their position.  Chiropractors now have objective data to PROVE that what they do really works. 

But the main achievement here is that now chiropractors can proudly practice as professionals, and use instrumentation that helps them focus on patient care.  By using instrumentation, there is no need for clever marketing schemes, as patients will provide referrals for spinal screenings and doctors can build their practices based upon doing a good job and simply proving it with objective scientific data. 

To continue development, we are currently in the middle of numerous major research studies with famous researchers who have selected MyoVision as the “tool of choice,” due to its proven record of reproducibility and quality.  I am confident that these studies will further prove the value of chiropractic.

TAC:  How is this victory important to chiropractors on an individual basis?
Marcarian:
  There has been a major shift in the world of insurance and workers compensation:  If you cannot prove through objective documentation that the patient needs to be cared for, you can forget about payment.  This case effectively establishes a manner by which doctors can protect themselves against the scrutiny of insurers and worker compensations boards by having the established objective data required to prove need for care. 

In addition, winning this case helped lead another major insurer, American Specialty Health Network, to alter their policy on surface EMG.  Up to this point, any users of surface EMG equipment were excluded from their extremely fast-growing provider network.  I presented the research to their extremely well qualified Technology Assessment Committee (TAC) and their policy was reversed the following week. This means that thousands of doctors who were not formerly eligible as ASHN providers can now re-apply and begin seeing patients almost immediately.

TAC:  What is the most common problem you see among chiropractors today?
Marcarian:
  The gap in utilization of high tech instrumentation between the chiropractic profession and all other health care providers is the biggest problem.  Patients have become accustomed to determining the doctor’s credibility based upon the technology they have.  Dentists have digital X-ray, medical doctors use all kinds of high tech tools, and we need to also utilize technology, if we are going to be viewed as credible health care providers.  Patients expect it and, if we don’t respond, we are going to lose credibility.  Use technology, and everyone will know the value of what we do and how well it works.

TAC:  In the most recent Best Practices Low Back draft document written by the Council on Chiropractic Guidelines and Practice Parameters (CCGPP), the authors sited two studies, Haldeman, et al., {Haldeman, S., Chapman-Smith D., et al., 1993 1369/id} and Henderson, et al., {Henderson D., Chapman-Smith D., et al., 1994 526/id}, that led the CCGPP to the conclusion that there was insufficient evidence available to recommend the use of the surface EMG.  Is there any evidence you can provide for them in support of this technology?
Marcarian:
  What a great question.  All one must do is look at the dates on their references and the names of the authors to recognize the lack of validity to their claim. First of all, these are not two independent reviews. The same author is on both papers, meaning that it is their opinion and, without two completely independent authors, is lacking the scientific scrutiny one would expect from a truly scientific review. It is typical, when attempting to prove one’s theory, to rely upon multiple independent researchers, not the same researcher.  The biggest issue with their viewpoint is the fact that they are relying upon papers published sixteen years ago to support their position. If we were to rely upon information sixteen years ago, we would still be using antibiotics to treat ear infections.
You have to ask the question, “Why would they ignore the most recent literature on the topic?” 

Perhaps, because this new literature supports the use of surface EMG, which makes you question their motives in ignoring data which support the use of it.
Since the year 2000, there has been an explosion of research supporting the technique for sEMG evaluation provided by dual range of motion combined with surface EMG, and this is summarized best by reviewing the papers I presented which lead to winning the Superior Court case in Florida and, by simply reading the paper which summarized all this research, authored by Geisser, et al., 2006, titled “A Meta-Analytic Review of Surface Electromyography among Persons with Low Back Pain, and Normal Healthy Controls,” published in the Journal of Pain, November 2005.  This paper summarized, quite nicely, forty-four studies, and up-to-date research (beyond 1993), and is, therefore, a more reliable source of information with regard to the validity of surface EMG.  As stated in the abstract: “SEMG measures of flexion-relaxation appear to distinguish LBP (low back pain) patients from controls with good accuracy….” 

It was after I presented this new evidence to ASHN that they altered their policy. For ASHN’s Technology Review Committee to alter their policy on sEMG, as I mentioned earlier, makes us further question the CCGPP’s motivation and conclusions with regard to surface EMG. 

It is actually quite simple: In the court case, the State of Florida and all the major insurers threw the absolute best expert witnesses at me and I still proved the validity of surface EMG in court.  If they could not win this case, it was purely due to the fact that surface EMG is, in fact, valid when performed properly.  If the CCGPP were to, instead, state that properly performed, surface EMG is valid, I would agree with this statement, as it applies to any diagnostic equipment. That is what I believe they truly wanted to make clear but, obviously, they threw out the baby with the bathwater.

Perhaps the most unfortunate result of their conclusions, contradicting the most recent scientific literature, is that CCGPP’s guidelines have no credibility and appear to be more of a political statement, rather than a set of guidelines based upon science and logic. I would love the opportunity to present some of the literature that has been published in the sixteen years since the publications they referenced, so that their guidelines more accurately reflect the scientific validity of surface EMG.

TAC:  Where do you see the future of chiropractic headed?
Marcarian:
  Chiropractic is on the verge of a major breakthrough. Through the integration of technology and high tech tools, the public’s perception of chiropractic will improve dramatically, and it will turn into a field, like dentistry, where people visit their chiropractor to prevent illness rather than treat it.

TAC:  Any final words for our readers?
Marcarian:
  One of the unfortunate aspects of a profession filled with such passionate individuals is that we sometimes make decisions, not through the use of critical thinking but, instead, by “following” what those we want to believe in as our leaders tell us.  I have proven myself in a major court of law, which gives me AND my equipment a proven credibility with regard to instrumentation.  It is important that you purchase equipment from individuals with similar experience, since you are eventually going to need them to support your use of the equipment, if questioned by insurers, your board, or workers compensation boards. 

Drop the emotion.  Avoid sub-standard equipment by doing your research. Does the device have a dual inclinometer?  It is required by the AMA to bill insurance.  Was the device designed to perform the sEMG’s test properly? Remember the test must be performed properly to be considered valid. Does the device have a separate probe for dynamic sEMG?  Does the thermography device have tubes at the end of the sensors to push the hair out of the way for a measurement above the hairline?  

Too many doctors have called me pleading with me to take a trade on a three-month-old machine they purchased impulsively from another company I can’t help them.  Take your time; learn everything about a tool before jumping on the bandwagon. There are no silver bullets or instant solutions, so do your research before you buy. 

Remember that philosophy is wonderful and is the backbone of the profession, but you can’t take it to court. Let your thorough research findings be what guides your equipment selection decisions.

David Marcarian, M.A., is founder and president of Precision Biometrics, supplier of the MyoVision sEMG and Thermoglide systems. He lectures for Palmer College of Chiropractic, Life Chiropractic College East and all U.S. chiropractic associations that mandate sEMG training endorse his course. He has personally instructed more than 6,000 chiropractors on proper sEMG use.

Mr. Marcarian can be reached at 800-969-6961, by email at [email protected], or visit his company’s website at www.myovision.com.

The International Growth of Chiropractic

What’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide.

TAC: What are the roles of the WFC and FLAQ?
Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American Chiropractic Association and International Chiropractors Association in the United States, are at www.wfc.org. A key role of the WFC is to promote the international growth and success of the chiropractic profession, based on consistent educational standards, market identity, and legal scope of practice.

Borges: The role of FLAQ, which works closely with the WFC, is to advance chiropractic in Latin America.  This is particularly important today.  This is partly because in many countries—such as Argentina, Brazil, Chile, Costa Rica and Guatemala—there is no law regulating chiropractic education and practice and many unqualified people are claiming to be chiropractors as chiropractic services become better known and more popular.  There are now three university-based chiropractic schools in, Latin America—in Brazil (2) and Mexico (1)—and many more DC’s practicing in the region.

TAC: Can you tell us about the schools in Mexico and Brazil?
Borges: The Mexican school, at the Universidad Estatal del Valle de Ecatepec (UNEVE), is in a state university with student fees almost fully paid by the government.  The four- year fulltime program is at the same level as US chiropractic colleges, and is delivered with faculty support from Parker College in Dallas, Texas.  On graduation, students complete a one-year hospital rotation during which they are paid by the government.  After that, they go on to private practice.  This has worked so well that it is expected that there will soon be another two or three Mexican schools in state universities.

In Brazil, there are two four-year university-based schools similar to the one at UNEVE, and with a total of approximately seven hundred students.  One is at Feevale Central University in Novo Hamburgo in the south of Brazil and has been developed in partnership with Palmer College.  The other is at the University Anhembi Morumbi (UAM) in Sao Paulo and has been developed in partnership with Western States Chiropractic College.

TAC: Are other schools planned in Latin America?
Borges:  Several are in the planning stage.  Next schools are, most likely, in Argentina and Chile, both of which now have an established chiropractic profession, and Costa Rica, which is in the final stage of passing laws to recognize and regulate chiropractic practice.

TAC: Will the WFC and FLAQ be able to guarantee similar educational standards for chiropractors internationally—and how important is that?
Chapman-Smith: It is of fundamental importance—just ask osteopaths, who have lost their international identity and are not growing nearly as successfully as chiropractic because of different educational standards in different countries.  We all know the world gets smaller every day.  It is crucial that DC’s everywhere have a distinct philosophy, practice and identity, based on common education and values.

And, yes, the WFC and its partners, such as the Council on  Continuing Education (CCE) International and the Association of Chiropractic Colleges (ACC) are succeeding in keeping one international standard of education.  A huge step in that direction came last year when the World Health Organization (WHO) published its Guidelines on Basic Training and Safety in Chiropractic.  The WFC worked with WHO for six years on that project.

WHO, which has huge influence in most countries, recommends to governments in its guidelines that chiropractic should be an important part of each national health care system, but that the practice of chiropractic should be regulated by law and limited to individuals with proper education.  The WHO Guidelines have already been translated into several languages (e.g., Finnish, French, German, Japanese, Korean, Portuguese, Spanish) and are proving a great help to the chiropractic profession worldwide.

TAC: How is the profession developing in Asia?
Chapman-Smith: Rapidly—which is important since fifty percent of the world’s population lives there.  Chiropractic is only recognized by law in Hong Kong (with sixty-five DC’s) and Thailand (twenty DC’s) but is legal in most countries.  The largest number of chiropractors is in Japan, with approximately ten thousand, though not all with a high standard of education.  There are chiropractic schools in Japan and Korea, and draft chiropractic legislation is presently before legislators in Korea and Taiwan.

TAC: How about other parts of the world?
Chapman-Smith:
Chiropractic is growing faster in Latin America and Europe than anywhere else. In Europe, there are chiropractic schools open or soon to be opened in Denmark, France, Italy, the Netherlands, Norway, Spain, Switzerland and the UK (with three schools already).  But North American DC’s may be surprised to learn, for example, that Middle Eastern countries, like Cyprus, Iran and the United Arab Emirates, have chiropractic legislation and thriving chiropractic professions.  One hospital in Saudi Arabia has six DC’s on staff.  Chiropractic is well-established in Israel, where the government pays for chiropractic services through HMO’s.

TAC: Explain the WFC’s recent work on a market identity for chiropractic and why that’s important.
Chapman-Smith:  Is chiropractic mainstream or alternative? Will chiropractic practice grow to include use of prescription drugs? What is the key identity and role of chiropractic services?

Chiropractic has been at the crossroads on all of this, with many predicting significant loss of market share unless the profession had a much clearer identity.  As a result, WFC member associations asked the WFC to lead a major consultation on identity in 2003.

This finished in June 2005, with the WFC members unanimously accepting the recommendations of the forty-person task force that chiropractors should be seen as “the spinal health care experts” within mainstream health care.  That is the leading concept. There are several important supporting statements, and the full identity and Task Force Report can be found at www.wfc.org.  Significantly, the agreed WFC identity was recently supported by the international chiropractic educational community at the WFC/ACC Conference in Cancun, October 25-28, 2006.

Borges:  FLAQ and chiropractors in Latin America fully support this market identity, which is much wider than back pain but more focused than general wellness care.  Under the WFC identity, chiropractic remains a drug-free profession. FLAQ will be encouraging individual DC’s in Latin America to be consistent with the WFC identity in their marketing efforts.

TAC: What are the major plans of FLAQ and the WFC for the year ahead?
Borges:  FLAQ has an important meeting in the Republic of Panama on February 22-23, at TAC’s Chiropractic’07, to pass an amended constitution, elect new officers and plan for the year ahead.  One area we are emphasizing is sports chiropractic.  Next year brings the Pan American Games in Rio de Janeiro and FLAQ is working with others to see strong representation of sports chiropractic at this important event.

Chapman-Smith:  The WFC’s biggest meeting—which I encourage all DC’s to consider attending—is the WFC Congress in Portugal, May 17-19, 2007.  There is a great venue, a superb social and academic program, and we expect approximately eight-hundred DC’s.  All details are at www.wfc.or/congress2007.

Work with WHO is ongoing, including a new WHO publication on the proven benefits of chiropractic care.  However, perhaps the WFC’s priority will be international adoption of Straighten Up America, the impressive program headed up by Dr. Ron Kirk from Life University, which has just been adopted worldwide as the theme for spinal health by the Bone and Joint Decade.  There are already versions, for example, such as Straighten Up Australia and Straighten Up South Africa.  The WFC is promoting Straighten Up events in all its member countries for World Spine Day on October 16, 2007.  Straighten Up is a superb public health program in itself, but also fully consistent with the profession’s identity and an excellent vehicle for promotion of the profession.

The World Federation of Chiropractic is a co-sponsor of the 2nd annual International Chiropractic Symposium in the Republic of Panama Feb. 22-24.  The Federation of Latin American Chiropractors (FLAQ) will also be using this event as an opportunity to nominate leaders and establish a constitution for the association. For more information call 1-888-668-8728.

A Man with Insight

He was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team.
How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world?

Well, being undersized and inexperienced may have actually helped.

“I injured my neck in a wrestling practice and my mom took me to a local chiropractor. The rest, as they say, is history,” says Gentempo, now the Chief Executive Officer of the Chiropractic Leadership Alliance (CLA)—one of the largest firms in the industry.

CLA’s original roots date back to 1988, when Gentempo and his long-time friend and colleague, Dr. Christopher Kent, were working together with surface EMG technology and its applicability to chiropractic. In 1997, three businesses Gentempo directed were merged into a single entity and given the name Chiropractic Leadership Alliance, which he co-founded with Kent.

CLA was created for the purpose of empowering chiropractors with information and technology that would be effective in helping the DC transcend the challenges the profession faced.

Today, these two innovative doctors provide products and services to over 8,000 chiropractic clients on seven continents. CLA’s feature product is the Insight Subluxation Station whose technology has grabbed the attention of NASA and the nation’s space program. The new Discovery model contains a software breakthrough that Gentempo predicts will change the way people view chiropractors as well as how they care for their bodies.

In an interview with The American Chiropractor (TAC), Dr. Gentempo tells how he plans to wrestle the obstacles he feels prevent chiropractic from taking a larger role in the world’s healthcare model.

TAC:  What is the behind-the-scenes story regarding CLA’s formation?
Gentempo: CLA was born out of my own challenges in practice.  I faced the horrible contradiction of promoting my services to my patients and community for the purpose of improving the function of the nervous system, which would lead to better health and well-being.  I would explain that lifestyle stresses cause vertebral subluxation, which disturbs neural function and results in decreased ability of the body to heal and regulate.  Yet, simultaneously, for my exam, I did the traditional othro/neuro evaluation which, of course, doesn’t meaningfully address subluxation.  I was good at the ortho/neuro exam; I taught it in diplomate programs.  However, this approach in examination was contradictory to the clinical goals I had for my patients and, as a result, my practice and my psychological experience in practice suffered. 

Then, one day, Dr. Kent showed up with a handheld surface EMG technology and my world changed.  While working at Palmer, he had performed research with this technology.  Now, I could actually look at patterns of nervous system function and have more confidence, certainty and credibility regarding my services and outcomes.  We developed applications, protocols, indications, and normative data for sEMG that we published in peer-reviewed research journals.

Microelectronics and computer technology were on the rise.  Next thing you know, we had a very necessary business that would significantly shape the future of the profession in a positive way.

TAC:  What are your goals for the chiropractic profession? 
Gentempo:
  My goal for the chiropractic profession is simple: World Domination of Healthcare in a Chiropractic Model!  It is critical that the chiropractic paradigm become the dominant paradigm for consumers around the world.  In this country, we spend almost two trillion dollars on what we call healthcare—but is really sick care.  When you take sick care and apply it to a society as healthcare, you end up with a sick society.  We spend this incomprehensible amount of money, yet we are sick, as a culture. This has gotten out of control and it would require a book for me to discuss all the implications.

The allopathic healthcare paradigm must be supplanted by something more rational and closer to the truth.  Enter chiropractic.  That is my goal for this profession…which is really a goal for the world.  To us, at CLA, this is not hype.  It is a reality we get closer to manifesting everyday.

 TAC:  What is the most common problem you see among chiropractors today?
Gentempo:
  This is a very important question.  The biggest problem facing chiropractors today is they are selling a product they are not sure they are delivering.  They are selling a thing called improved health due to improved nerve function—which results from regular chiropractic adjustments. But, they do evaluations that don’t let the DC or the patient know if this is happening.  You can’t make this determination from lifting legs and pushing on heads.  I call this hellish contradiction the “silent dread.”  When a chiropractor says to a patient, “I’ll see you twice next week,” why twice?  Why not once?  Why not three times?  What do we base it on?

This situation is a serious malignancy that we have been working on correcting for many years.  The implications are huge and it is one of the main reasons why so many chiropractors have a vision for a lifetime family wellness care practice but experience the discontent of a back and neck pain practice.  It is a problem that we’ve helped solve for thousands of DC’s but, unfortunately, there are many thousands more who still suffer from the silent dread.  We have a lot of work to do…and we’re up to the task!

TAC:  What is the biggest problem or challenge you see in the chiropractic profession today? 
Gentempo:  I see internal disharmony and insurance dependency as two major issues facing the profession.  I am one of the few chiropractors alive who has received high level awards from the American Chiropractic Association, International Chiropractors Association, and World Chiropractic Alliance.  I believe we need to find a way to harmoniously co-exist with our differences. Total unity in the current culture doesn’t seem possible and maybe it isn’t even desirable.  Points of view vary tremendously.

However, unity on broad-based concepts, such as creating wellness as a clinical objective, is obtainable.  Documents like the first Association of Chiropractic Colleges Doctrine received universal support from the disparate groups of our profession, while documents like the Mercy Guidelines were universally rejected by many of these same groups. These reactions are glimmers of hope. The first step in the process is tolerance.  When we can demonstrate that, then unity can follow.

Insurance dependency is also something that represses the profession, for obvious reasons.  Helping DC’s build fun and profitable non-insurance dependent practices has been a real strength of CLA. 

TAC:  How do you help DC’s become “non-insurance dependent?”
Gentempo:
  If I have a particular talent, it is being able to properly anticipate trends and changes.  CLA has been promoting the non-insurance dependent practice model since 1991. This is when insurance reimbursement was still, for the most part, pretty good.  I started to see two things happening:  First, the momentum of managed care; second, the initial sparks of the wellness revolution…crisis and opportunity, if you will.  No consumer thinks it is a good idea to entrust one’s health and well being, or that of one’s family, to the insurance industry or the federal government.

Also, consumers are spending billions of dollars out of pocket for things that contribute to their general health and well being. My good friend, economist Paul Zane Pilzer, predicts that the wellness industry will be a one trillion dollar industry in the US by the year 2010. Through the 90’s, a signature lecture of mine reflected upon the implications of consumers spending out of pocket on things they felt contributed to their general health and wellness:  things like health clubs, health foods, and drinking water. They expect their insurance to pay for conditions, but they expect to pay out of pocket for general wellness products and services.

See a picture forming here? If the DC can get out of the pain-based, treat-a-condition model of practice and move toward a lifestyle, wellness-based practice, then he/she can become non-insurance dependent and have a lifetime family wellness-based practice. Things like being dependent on traditional ortho/neuro tests for evaluation are obstacles.

This is where the Insight comes in. This is not a snap of the fingers.  It requires an enormous amount of breakthrough in one’s understanding, precise systems of thinking and, further, a practice model that actualizes all this. It is exactly what we handle at our Total Solution seminar program.  It is amazing how, in four days, we can really see the lights come on and DC’s ready and excited to make this change. 

I will also say that the most rational way to make the switch from insurance dependency to non-insurance dependency is through a process over time. I have seen practices do it cold turkey and, sometimes, it isn’t pretty.  It has to be done right and we are experts at it.

TAC:  Is CLA’s Insight technology or any other technology in its category insurance reimbursable?
Gentempo:
  The answer is yes and no.  As anyone in the industry knows, third party pay is finicky, at best, and changing by the minute. What is reimbursed today is not tomorrow. Good coverage from a carrier in your area goes into managed care that may not even include you when you wake up tomorrow. This is why we promulgate and teach the non-insurance dependent practice.

There are five different technologies on our Insight Discovery platform.  Some have specific CPT codes for their use and, as of the time of this interview, are often reimbursed.  Others require use of a miscellaneous code, and reimbursement is hit or miss. Many of our clients include the entire Insight evaluation in their routine exam and price it accordingly, rather than unbundle it and charge for each test.

In the end, it is our technology and practice model that help the DC not care about insurance reimbursement anymore. True happiness and freedom for the chiropractor is not being dependent on third party pay and not letting the insurance industry dictate how they will practice.

TAC:  Dr. Gentempo, are there regulatory issues that people should be aware of with technologies such as yours?
Gentempo:
  This is an important question. The FDA considers devices such as the Insight to be Class II medical devices. It is critical that FDA compliance is met, which is the responsibility of the manufacturers. When multiple technologies are coupled together, even if they each individually have FDA certification, this is not enough. They must also be registered together as the integrated unit. Some manufacturers try to fly under the radar and don’t do this. To not have the right regulatory compliance puts the DC who uses such a technology at risk.

The Insight has proper FDA registration. To keep this current, it takes an enormous effort and a considerable amount of investment capital. Unfortunately, some other companies who distribute DC products in the same category as the Insight don’t have proper registration. Also, it is important to understand that it has to be sold and utilized within the context of the registrations “intended use” representation.

For example, some surface EMG’s sold in chiropractic are registered as biofeedback devices, which is a treatment category, but are sold to do diagnostic evaluation. This is wrong.

The Insight is registered with the FDA as a diagnostic device.  The Insight has also met and is certified with ISO 9000 standards. Very few tools in our market can make that claim. As well, it is registered as a Class II medical device with Health Canada.

CLA is very diligent on these matters. Credibility is paramount. There are reliability studies for the Insight that have been published in peer-reviewed research journals. Also, multiple new reliability studies have been done by independent researchers and institutions and are being submitted for publication as I speak—some of which were brought to my attention only after they were completed. I am happy to say that the results were extremely positive.

TAC: Tell us about some of the other services and products that you offer chiropractors and how or why you offer them. 
Gentempo:
  CLA offers a variety of products and services to the profession.  Aside from the popular Insight Subluxation Station assessment technology, we have founded Total Solution, a four-day intensive training program, and we produce On Purpose, a monthly audio series.

Some people call Total Solution a “boot camp” styled, program.  In 1995, after selling advanced technology to chiropractors for over seven years, Dr. Kent and I came to a very sobering conclusion:  It is not a technology alone that gets a result; it is the person using that technology that gets results. We didn’t want to sell equipment. We wanted to sell a result!

After traveling and lecturing in this profession for so many years, I realized how crippled many chiropractors were when trying to grow their practices. The field is filled with so many contradictions that, unless they get resolved, true and lasting success is improbable…especially with the decline and upheavals in third party pay. The profession was, and is, in real trouble.

But, simultaneously, it has incredible upward potential. We have a focused system of thinking, a breakthrough service model and powerful economic model for chiropractic that really works. So, we put together our Total Solution training program and offer it to those who buy our Insight technology. To date, we have over 5,000 Total Solution graduates.  We take each group to a remote, but esthetically beautiful and comfortable location, where real transformation can occur. Most people come with the expectation of learning how to operate the equipment. What they leave with is truly life-changing. We cover the entire realm of chiropractic experience, from A to Z, and show a view of it that is thought through and without contradiction.  In our files, we have thousands of testimonials about how Total Solution has changed the participant’s life in almost inconceivable ways. I get teary reading them.

When someone gets a crystal clear vision of their purpose, their life changes in a significant way for the better.  That’s what Total Solution is all about.
On Purpose is our popular monthly audio series that is in its twelfth year.  We have over 2,000 listeners on seven continents. (Yes, we send a set to Antarctica each month.)  On Purpose gets its name from our contention that success doesn’t happen by accident—it happens On Purpose. In order to make good decisions and lead yourself to success, you must be informed.

Every month On Purpose offers three programs each on its own CD (or MP3 downloads).  One is a review of the relevant scientific literature to keep chiropractors up-to-date on the latest research that supports chiropractic.  Second, we do a political review of what is going on in the profession—the good, the bad and the ugly. It’s all important. Third, we do a philosophy, practice development interview with some prominent member of the healthcare community. Over the years, this interview CD has included important thinkers like Deepak Chopra, Bernie Segal, Joe Mercola, Dan Murphy, and too many others to mention.  Suffice it to say, it is a “Who’s Who” of the influence keys of our profession.

It is such a struggle to stay in the right mindset and stay informed.  On Purpose opens up a whole world of information to the chiropractor that they can absorb just by driving to the office and back each month.  It is like a listening family and our slogan for On Purpose is, “You are not alone.”

TAC:  Can you think of one change that a chiropractor can do to significantly impact his/her practice’s growth immediately? 
Gentempo:
  Yes. Think!  Think through your premises and clarify your purpose.  Answering three questions can really take you to higher ground: 1) What is the clear purpose of your practice? 2) What is the clear goal you have for every patient that comes to your practice? 3) Where do you want your practice to be in five years? 

If you do some deep thinking, rather than give off-the-cuff lame answers to these questions, and reconcile your actions and procedures with these answers, your practice will not only grow in quantity but, more importantly, it will increase qualitatively. Once you have meaningful answers to these questions, you will know how to deliver on the promise of your care, and you can then turn vision into reality.

Also, I think it is important to belong to a coaching/personal development program.  When I was in practice, I belonged to what is, today, known as The Masters Circle.  It made a substantial difference in my success and experience.  CLA doesn’t do contract coaching, but we certainly recommend our clients find a program that works for them.

TAC:  Do you have any recommended marketing strategies that chiropractors can use to attract new patients and/or to keep current patients?
Gentempo:
  The Insight technology does both of these things better than anything else in existence. Our clients report, on average, a 350-percent increase in new patients from screenings and events and a very impressive increase in their patient retention. Things like a NeuroSpinal Functional Index (NSFi) give patients an incentive to come back so they can continue to improve their NSFi.

Also, the majority of DC’s in my audiences do not have twelve-month marketing plans. How does one expect to succeed in getting new patients without a plan?

TAC:  What single piece of advice would you give a new chiropractor just starting out? 
Gentempo
:  Get crystal clear on your vision and hang out with successful groups and individuals.

TAC:  What general advice would you give an established chiropractor whose practice might be struggling?
Gentempo:
  Unfortunately, there are too many of these. First and foremost, don’t give up! Second, get your head out of “survival mode.” When consciousness is about survival, survival is all you will ever get. A survival mentality makes one defensive physiologically, and my saying on this is, “You can’t score points on defense!”  Ninety percent of success is just showing up. Get out of your office and go to successful and stimulating environments, all the while considering your purpose on this Earth. Money needs to be the effect of who you are, not the cause. When you truly “get” that and act on it, your struggle will be over.

TAC:  Where do you see the future of chiropractic headed?  
Gentempo:
  Technology is a major part of our destiny. Technology is a best friend to the chiropractor, increasing certainty, credibility and value. This is why CLA focuses on technology and continues to develop it, using the latest advances.

The immense success of Dr. Moe Pisciottano and his ProAdjuster technology is another example of how technology is taking center stage in this profession. Chiropractic is headed toward sophisticated, technology-based practices that are steeped in the principles of lifestyle wellness.

The CLA/Creating Wellness economic model puts less emphasis of the top line revenue on DC dependent services and grows revenue in the direction of staff performed wellness evaluations and staff transacted affiliated wellness products. Further, I have directed our clients to set a goal for 2007 where fifty percent of their new patients come from groups and organizations. This getting-new patients-one-at-a-time stuff is horribly inefficient.  Groups and corporations are aggressively seeking wellness services. This is what our Creating Wellness project has been all about. No doubt in my mind, it is the future.

TAC:  Any final words for our readers? 
Gentempo:
  I’d like to know what you see when you look in the mirror in the morning? Is it the face of a hero with a purpose that seeks to make people’s lives better and the world a better place?  When you consider the stress and anxiety of living in a post 9-11 world—full of war and terrorism—and the fact that multitudes of people are turning toward medically prescribed drugs or “comfort foods” to feel better, a sense of urgency should rise within you to be a voice of reason in this tragic circumstance. Set an agenda to bring true wellness to people’s lives through the chiropractic lifestyle, and you will have more fun with less stress while making more profit…and the world will be a better place!

May I offer your readers a gift?  We have a CD/DVD package that we normally sell for hundreds of dollars. It includes a video on the science of vertebral subluxation that Dr. Kent hosts and it can help really boost the DC’s certainty and perceived value of service. Also, there is audio programming including a signature presentation of mine, Prosperity on Purpose, along with some other items. This may sound like a “sales gimmick,” but take it for what it is…a very wealthy and successful colleague desires to help other DC’s grow and achieve. If, somehow, this article or our gift helps…then, I am a very happy man.

You may contact Dr. Patrick Gentempo at 1 International Blvd. #750, Mahwah, NJ 07495.  Phone 201-252-3220, Executive Assistant Mike Thompson, Ext. 114; www.subluxation.com; www.creatingwellness.com.

For your free gift, contact Lisa at CLA: 800-285-2001, Ext. 143, or email [email protected].

Removing Interference

Dr. M. T. Morter Jr. is an internationally recognized authority on health.  He is a past president of both Logan and Parker Chiropractic Colleges.  In his nearly forty-five years as a practicing chiropractor and health care specialist, Dr. Morter has developed the revolutionary Morter HealthSystem, which is based on his Bio Energetic Synchronization Technique.
 
B.E.S.T. has been at the center of many research studies documenting the success of this neurological refining technique.  Dr. Morter and his certified staff of instructors have taught this system of health care to tens of thousands of health care providers and have lectured to hundreds of thousands of others.

Dr. Morter is the author of five nationally released books on nutrition and the mind/body connection.  He and his children—all accomplished chiropractors in their own right—currently conduct programs for health and life improvement; instruct weekend seminars to train health care providers; conduct private life-changing sessions with select clients; bring the philosophy of Morter HealthSystem to nationally prominent groups such as Chiropractic Leadership Alliance, The Masters Circle, Tony Robbins, Parker School of Professional Success, and Transformational Leadership Council; conduct corporate health programs for major corporations around the world; and produce a specially formulated supplement line.

In an interview with The American Chiropractor (TAC), Dr. Morter discusses his unique body, mind, spirit approach to health and healing.

TAC:  Dr. Morter, what influenced you to become a chiropractor?
Morter:
  When I was about fifteen years old, my younger brother was hurt in an accident, and we took him to the hospital, where he lost consciousness.  The medical doctor there told my folks that, despite his efforts, he was losing their son.  I can still remember them telling that to my dad. 

“We don’t really know why, but he is just going away, and we think he’s going to die.” 

So, my dad, disregarding the rules, took my bother out of the hospital saying, “They told me he was going to die, so I’m taking him home to die.” 

He took him home and promptly called our chiropractor.  That man left his office full of people to drive over an hour-and-a half to get to our house.  He walked in, and went in to treat my brother.  In only a few minutes he came out and said, “Your boy is going to be all right.” 

When I went in the room a short time later, my brother was up playing with his toys.  Now, that made an impression on me!  We were just in this big hospital with all these doctors and nurses and they were going to let him die, and this chiropractor, with nothing but his hands, had saved my brother’s life!

TAC:  How did you become interested in nutrition?
Morter:
  I noticed that some patients responded faster than others to my chiropractic care, and I assumed it was due to diet.  So, I asked those patients about their diets.  I assumed that those who ate a wholesome diet—you know, home-raised food from the farm, like milk, eggs, beef, chicken—would be the ones that responded to care, and the ones who grabbed a cup of coffee and doughnut on the way to work were the ones who weren’t responding.  What I found was quite the contrary!  The people who got a cup of coffee and doughnut were responding faster than the others!

Now, I knew that didn’t make sense.  There is no nutritional value in a cup of coffee and a doughnut.  So I went out and bought all the literature on the market at that time on nutrition.  And, talk about confused!  All the theories seemed to contradict each other.

So, instead of all that, I simply went back to the anatomy and physiology textbooks.  If each cell of the body worked perfectly, what was required nutritionally to augment that—to keep those cells healthy?

What I found was that first, people on the wholesome “farm” diet consumed much more protein than the coffee and doughnut sect.  And, so, I began studying just how the body handles protein.  You know, we need protein to live, but too much protein will kill you.  The most significant thing that alters cell physiology is intracellular pH.  Therefore, intra-cellularly, all cells are alkaline.  Protein has an acidifying effect on the body and, if you consume too much protein, it will acidify your body entirely.  But, just when that gets bad enough to kill you, the body has a beautifully designed backup system of producing ammonia.  The urine will then become alkaline, because of the ammonia.  However, your urine will also be alkaline if you are on a vegetarian diet.  So, if you are testing the pH of urine and you find it to be alkaline, you really don’t know that much about it.  Is it alkaline because of the sodium minerals you are getting from your vegetable diet, or from the ammonia produced to save you from your high protein diet? 

I’ve developed a three-day acid challenge test to find out.  For sure, ammonia odor in urine is a sign of an overly acidotic body.

So, basically, I got interested in nutrition because I discovered that those persons who ate less protein got well faster.  And, of course, I had to know why!

TAC:  What have you discovered about nutrition and its role in being healthy as well as correcting and preventing disease?
Morter:
  I discovered that alkalizing the body will normalize, stabilize, and energize the body.  It has to be done.  The only things that will alkalize the body naturally are fruits and vegetables.  The body can make acid, but it can’t produce alkalinity.  It has to be consumed in the form of fruits and vegetables.  Basically, you have to have sodium minerals to eliminate the acid of the body.  Sodium minerals only come from fruits and vegetables.  This is not sodium like table salt.  That’s another misconception out there.

TAC:  With all of the changing information about what’s “healthy” that we’re bombarded with, do you have recommendations for how our readers can best determine what’s really healthy for themselves as well as their patients?
Morter:
  High protein diets have been the fad recently.  Initially, they do often help people have more energy and lose weight; but, if these people continue to follow these high protein programs over time, they’ll end up with osteoporosis or some even more catastrophic illness. 

A natural diet is the only healthy diet.  Sixty percent of the body is water.  It is alkaline by nature, but acid by design.  If you are alive, you’re producing acid.  You have to counter that by consuming alkaline. 

I researched how a cell functions to determine just what would make the cells more alkaline.  Here’s what I found.  What’s healthy is that which will put the least amount of stress on the body: a diet with good, healthy, pure water and high in alkaline minerals.  I recommend the ideal diet to be between 70-75% fruits and vegetables and between 25-30% seeds, nuts and grains.  I’m not saying you can’t have meat, but it should only be consumed as less than 10% of your diet, not 90%, as a lot of people do.

TAC:  What kind of results or changes can a person expect from decreasing protein intake?
Morter:
  Well, if the person is a big protein eater, and then drastically decreases that intake, the initial results are not going to seem too pleasant! 

So, I recommend you gradually increase your servings of vegetables and then of fruits, while gradually decreasing everything else until you are eventually eating 75% fruits and vegetables and 25% grains, meats, and dairy. 

The reason I believe this is a healthy way of eating is that your body isn’t operating in damage-control mode trying to subdue excess dietary acids.  Most fruits and vegetables leave ingredients that actually help the body neutralize hard-to-eliminate acid; they help to keep your body alkaline, and your cells work best in that internal environment.  The results?  A healthier body, functioning with more energy, more vibrancy and a healthy immune system.  Talk about slowing down the aging process!

TAC:  What about nutritional supplements?  Are they really healthy and effective?  How can you tell?
Morter:
  I do use supplements that I created.  For supplements to be effective, they must be a whole food concentrate.  In other words, just a food, not synthetically made.  Nature has the answers.  The supplements I recommend are as near nature as they can be.  The less man has to do with the formulation of supplementation, the better.  Nature always knows best.  It’s not just a matter of the ingredients in the substance. Man could put all ingredients in, but he can’t get the relationship to everything as in nature.  Nature is smarter than we think and smarter than we can think.  Whatever you consume must augment and be low stress on the body.

TAC:  Do you have an overall philosophy about nutrition and health?
Morter:
  Our philosophy of the Morter HealthSystem is that we all “are” because of six essential things:  what we eat and drink, how we exercise and rest, what and how we breathe, and what we think.  And, what we think is more important than the other five combined.  So, in my work, I’m concerned with the thought processes and emotional processes when dealing with the health of an individual. 

It is my belief that every physical ailment is a physical expression of a suppressed emotional memory override—a lesson that was not learned, because it’s all about how we respond to stress.  If we learn the lesson, there is no judgment, and then forgiveness is not necessary.  Judgment causes interference, and interference is the big cause of disease—that is, interference with the power that made us.  B.E.S.T. was developed to address and remove this interference, as well as subluxation.

TAC:  Tell us about the B.E.S.T. technique of which you’re the founder.
Morter:
  B.E.S.T. (the Bio Energetic Synchronization Technique) was developed because I found that people would come to me, and I would adjust the subluxation, and they would be better when they got off the table. 

But, many times, I would hear them say the symptom, or another like it, was back a short time later.  I got to thinking, what is the cause of the subluxation?  I learned along the way that, if you adjust a vertebra and you had the patient get up and move around, one of three things happened: 1. It came back out; 2. The one next to it came out; or 3. The opposite came out.  So, I realized that subluxations are compensations, and that all subluxations are a perfect response to interference.

The number one cause of interference is the improper use of the conscious cognitive mind.  Then innate—which doesn’t think, judge or reason—responds to the interference.  In other words, your body responds subconsciously to the interference as if it were a new innate.  And, that isn’t the real innate, so things start to go wrong. 

I developed B.E.S.T. as a technique of locating and removing the cause of the subluxation, which is the cause of the symptom that brings the patient to us.  I felt we had to learn how to adjust and correct the cause of the subluxation at the same time we correct the subluxation itself.

TAC:  Is there anything controversial about the B.E.S.T. Technique? 
Morter:
  In my mind, there’s no controversy!  However, there seems to be some none-the-less.  All I know is that I believe the cause of disease is interference, which is created by choices we make in six essential areas.  And, you can’t eat your way out of a subluxation, nor adjust your way out of a nutritional deficiency.

TAC:  Do you have a check point system of the whole body, to help our readers make sure not to overlook any problem on their patients?
Morter:
  Yes, I do.  If the patient is face down on the table, and you look at their legs in the down position –are they even?  And, then, you raise them to the up position.  Are they even?  Then you turn the patient over; are the legs even in length?  When you internally rotate their legs, are they loose in spasticity?

In an arm check, are both arms strong with the eyes open and closed? 

Now, if all of these things are positive, that person will get better between now and when you see them again.  It doesn’t matter what technique you used; you got that accomplished. 

On the other hand, if any of the things I described is not true, there is more you can do to bring about a better homeostasis within that patient.  What I have found is that they are segmented, and innate intelligence is working on one part of the body and ignoring another.  Where it’s ignoring, disease like cancer could develop, and where it’s paying attention, pain will develop.  By balancing the body, you can bring it back into alliance so it’s able to receive the power that made it, which is the only power that can heal it.

TAC:  What is your favorite success story?
Morter:
  One of the most dramatic stories—and I’ve seen many over the years using B.E.S.T.—happened just recently. 

I was on stage, doing one of our B.E.S.T. Life Intensive seminars in California.  There were over 500 people in the audience, and I asked for someone to volunteer to be treated on stage as an example.  The lady who came up (they had to help her to the stage) was standing by the table, and I said for her to bend forward as far as she could until it hurt.  She, basically, just moved her eyeballs. 

So, I asked her to bend backward until it hurt.  She really couldn’t move at all in any direction. 

I asked her if that was all she could move, and she said that it was.  I also asked how long she had been like that, and she said that she has been disabled for fifteen years.  I told her how I was surprised they hadn’t fused her spine.  She said they had—that she had had spinal surgery and remained disabled.

My first thought was, how could I expect her to get better when her spine had been fused?  And then I thought, who was I to determine how good this person could get? 
So, I immediately went to work and removed the interference between her and the power that made her.  I’d get some work done, and have her think about her low back pain and instantly she’d freeze up.  So, I’d do some more work.  It probably took twelve to fourteen minutes.

And then I had her think of her back pain and it didn’t change her physiology.  Keep in mind, any thought that changes physiology is interference. So, I helped her off the table and I moved her gently to bend forward and backward, just a little bit.  I didn’t want her to activate the fight or flight reflex she had been stuck in. 

I then told her to bend forward slowly until it hurt.  And, she bent forward farther and farther until she touched the floor with the palms of her hands!  I looked at that, and I was amazed!  I knew I was seeing it!  She then stood right up and said, “And it doesn’t even hurt!” 

Well, needless to say, the crowd went wild!  Later in the seminar, she was even up on the stage dancing!  I realized later that this was the lady who had been in a motorized wheel chair when she came in.  I hadn’t even put that together when she came up on stage.  Her husband then told me that, previously, she had not been able to stand for more than five minutes because the pain in her back would be so excruciating that she’d have to sit down.  I have seen her at subsequent seminars and she’s been dancing and, happily, normal.  Now, to me, that’s a miracle—being able to remove the interference so the power that made her body could run her body.

TAC:  Any final words for our readers?
Morter:
  As far as I’m concerned, chiropractic needs to expand its concept of its function in relationship to the welfare of mankind, worldwide.  We need to be able to look at the human body differently.  The body was built perfectly, and it cannot do anything wrong. 

Our job is to find out why it’s been doing what it has, that has lead to disease. 

Because, whatever it’s been doing is a perfect response to something.  An effect.  Move away from diagnosis and then subsequent treatment, and move toward finding and addressing the cause of the condition.  Until we address the cause directly instead of chasing symptoms, we are doing nothing more than giving an aspirin for a condition.  That’s healing from the outside in, instead of what it should be: healing from the inside out.  We must remove the interference with the power that built the body in the first place—reestablishing the original, perfect connection.

For more information on learning the B.E.S.T. Technique, go to www.morter.com or call 1-800-874-1478.

The Quest for Athletes’ Peak Performance

Dr. George Le Beau is a 1972 graduate of Cleveland Chiropractic College of Los Angeles. His thirty-four years of continuous private practice have been devoted, in large part, to the treatment of athletes from Gymboree toddlers to the Senior Olympics. Since 1984, Dr. Le Beau has taught more than 350 seminars on spine and extremity techniques to more than 10,000 chiropractors worldwide.

In an interview with The American Chiropractor (TAC), Dr. Le Beau discusses the process by which he grew from a one-doctor, 800 square foot office to Olympic Team Doctor in just over ten years.

 

TAC: What influenced you to become a chiropractor?
LeBeau:
I started at Cleveland Chiropractic College of Los Angeles in September of 1969, shortly after getting out of the Army. I had my Veteran’s school benefits and Disability Award and wanted to go to college.

While trying to decide what I wanted to do, I talked with my brother-in-law, Dr. Art Rehe, in Northern California, who was in this weird kind of school called chiropractic college. At first, I thought he was kidding me; I’d never heard of this stuff! Finally, I went with him to the school, met C. S. Cleveland and Dr. Dorothea Towne and started learning about chiropractic. I thought, “What the heck, I can always quit and try something else if this doesn’t work.”

You all know, as soon as you start chiropractic college, you are assigned a Clinic Doctor and start treatment, right? All of my skepticism left when, within six weeks, the severe acne that I had developed at age thirteen, and continued to suffer from for ten years, completely disappeared! I threw myself into this career and have never regretted it for a minute!

TAC: What kind of practice do you have?
LeBeau:
Today, I’m sixty-years-old, and practice part time about twenty hours a week.

My practice is very eclectic. I treat babies, retirees, and families—just about everyone. I currently have about eight or ten serious athletes who compete in professional baseball, full contact karate, diving, auto and bicycle racing. I also have quite a few chiropractors and their families who come to me for treatment on a regular basis.

TAC: How did you go from such a small, “one man office” to the Olympic Team?
Le Beau:
Working with athletes was a goal of mine since my first year in chiropractic college. When I finally did get into practice, I started looking for ways to make it happen.

I have always been a believer in “growing where you are planted;” so, in my first full year in practice, 1973, I started working with the Chargers, Raiders, Broncos, Hawks and Panthers. Of course, they were Pop Warner teams; but, what the heck, you have to start somewhere.

From that first year, I worked with five teams (200 kids, ranging in age from eight to fourteen), two nights a week and all day Saturday, for five years.

The nice thing about working with kids is, they grow up. So, by 1978, I was working with several high school and local college teams. That was the year I was approached by Athletes In Action, a division of Campus Crusade for Christ, and asked if I would come to their practices one day a week to treat their athletes. I took all day Thursdays, drove to the University of California Irvine, in Orange County, and worked with many of their athletes, from six to eight teams including Track & Field, Wrestling & Basketball. About that same time, I also started volunteering as Team Doctor / Athletic Trainer for the San Diego Sharks Semi-Pro Football Team. I continued working with these groups until 1983.

About June of ’83, a former patient that had been a judo athlete contacted me. He had “retired” from competition and was now involved with the National Governing Body of US Judo “in development.”

He said, “Doc, I know you work with all kinds of sports teams. We’re putting together a group of young athletes for a competition and we need a doctor. I was wondering if you would be interested”.

“Sure,” I said. “Where we going?”

“England,” he said.

In October of that year, I traveled with nineteen athletes, two coaches, a manager and several referees to the British Open Women’s Judo Championships. They liked the treatment I provided and, over the next ten years, I traveled to more than fifty national and international sporting events in twenty-five countries on six continents.

TAC: What was that like?
Le Beau:
It was just amazing. As Team Doctor, I had a tremendous amount of authority and responsibility. I could not tell a player he or she had to have an evaluation or treatment; but, if they chose to do so, I would do everything in my experience to help them perform at peak efficiency. One of the young women on that trip won the Gold Medal in the heavyweight division. She came up to me after her presentation and said this was the first time she had ever competed without back pain.

Over that week at Crystal Palace auditorium in London, I treated over a hundred athletes, coaches, referees and officials from several dozen countries and became friends with people who determined future events. I was asked back many times (usually by request) and, whenever I was present at a tournament, I was automatically considered the “unofficial” doctor for many of the teams.

TAC: What is your favorite success story?
LeBeau
: There are quite a few, but the one that I like to tell is about when I accompanied the Junior Olympic Team to the Pan Am Games in Mexico City. These were all tough young guys, trying to prove themselves at their very first International Competition. Our “heavyweight” was a seventeen-year-old athlete named Joey. During his second match, Joey did a spin move and threw his opponent completely over his head and the other player landed flat on his back, ending the match.

Unfortunately for Joey, he had used so much force that the momentum of his move caused him to land on top of his head. He told me later that he started feeling “weird” right away. By the time the referee awarded the match to Joey, he had lost the vision in his right eye. He was freaking out! The coach and other people brought him to the bleachers where some of the medical staff started examining him. The only thing that kept Joey from totally losing it was there were a lot of young pretty girls around.

Finally, the coach said, “Go get Doc.”

I had been in the training room, working on some of the other team members when they told me what happened. When I came up to Joey, I put my hand on his shoulder and said, “Joey I just want to.…”

And he yelled, “Do something!”

His eyes dilated normally; no dizziness, no nausea. Everything checked out OK, he just couldn’t see from the right eye!

While I was evaluating him, I noticed his head was tilted quite a bit toward the right and his Atlas transverse process was sticking out to the left.

I stood behind him, tilted his head to the left (opening the occiput-Atlas joint on the opposite side) and, with my left thumb, I applied a very light thrust onto his left Atlas transverse toward the center of his spine. There was a very slight “pop” and he jumped up and said, “What did you do?”

I took a step back and said, “Why?” (He was a lot bigger than me.)

He then said, “When you popped my neck, it was like a big flash went off in my head and I can see now!”

I stepped a little closer, put my hand on his shoulder and said, “Well, of course, what did you expect!”

Whew, what a rush. I told that story at a seminar in LA and the brother of one of the chiropractors in attendance happened to be an ophthalmologist. He stood up and said he had personally treated people with similar symptoms. He said the prevailing theory was a blockage of the vertebral artery, which supplies blood to the occipital lobe of the brain, where visual images are interpreted. He said the eyes were working OK, but the pictures weren’t getting developed. Then he said, “When you adjusted his Atlas, you removed the interference, restored the blood flow and he was able to see again.”
Works for me.

TAC: As a chiropractor, did you ever experience any resistance to your presence at the Olympic games?
LeBeau:
Well, if it had been up to the Medical Committee, I would never have been asked back as Team Doctor. In 1987, the Medical Committee was successful in “bumping” me from the World Championships and replacing me with a medical doctor (a vascular surgeon).

They were never able to do that again. Why?

Think about it. He could not perform any treatment. He could evaluate an injury but, then, he had to make a referral to someone else to do the treatment. He had no idea at all about how to tape an injured extremity for competition and he was certainly unable to provide competent chiropractic care. The resulting uproar from the coaches and athletes assured that I was never “cut” again.

It was this demand that enabled me to travel with the teams. I was traveling with teams so much, it got to the point of disrupting my practice. In 1986, I was gone fourteen weeks from my practice and traveled almost 70,000 miles. While this was good for my frequent flyer rewards, it seriously impacted my practice.

After that year, I limited myself to four or five trips a year. Remember, this is not a paid position. All of these trips are completely voluntary. We might get a small per diem of $40 or $50 a day (if the budget allows), and all travel expenses are paid, but there is no salary. However, the thrill and experience of working and traveling with Elite Olympic Athletes over a ten-year period is incomparable.

TAC: What have you learned from your experience with athletes that would be useful for chiropractors dealing with their not-so-athletic patients?
LeBeau:
What I want doctors to remember is, an injury is an injury. What I mean is, a sprained ankle suffered by an Olympic gymnast is no different from the sprained ankle of the sixty-year-old woman who trips over her dog.

When you work with World Class Elite Athletes, you are dealing with people who do not have time to be injured. They will ignore injuries until there is a significant impairment in their performance. Then, when they finally do admit to the injury, they want to be well RIGHT NOW! As the Team Doctor, you usually get one chance to prove yourself and get the athlete to trust you. That is a frightening and powerful responsibility. Because the techniques I use are gentle and work quickly, I was able to gain the trust and respect of not only the athletes, but the coaches, team managers and many of the official referees, as well.

How do I know this? Admittance onto the “regular” panel of doctors was not completely controlled by the top governing body representatives. The athletes and coaches had a very big say in whom they wanted to accompany their team as doctor. In the ten years from 1983 to 1993, all of the fifty-or-so trips I attended as Team Doctor were by direct request. Because I was invited on so many trips over a relatively short period of time, I was able to make friends with many coaches and athletes from around the world who, in turn, would introduce me to other athletes in need of help.

A good example of this was, in 1984, after the ’84 Olympic Games in Los Angeles. I was invited to the very first “Matsumai Judo Cup” held in Vienna, Austria, where I met a superb athlete from Yugoslavia named Radomer. He had a lower back injury, which caused him to stop competition due to very severe pain. When I met him, he said, “I hab ’da numbs.”

His right leg was completely numb from his back injury. He walked with a noticeable limp and could not bend or lift at all. After many months of treatment in Europe with minimal success, he went to live in Japan so he could get daily acupuncture treatment. This did help him to, literally, get back on his feet again, but he still had his pain and constant numbness. At 6’ 9” and 280 pounds, he was way too big for my table, so I adjusted him on the bleachers. After I balanced his psoas muscle, then adjusted his spine, he stood up and, for the first time in over five years, had no pain.

TAC: We’ve heard a lot about the Le Beau Technique. What is it and how is it different from other techniques?
Le Beau:
Because of numerous injuries and a military disability, I realized early in my education I would not be using the techniques I learned in chiropractic college. They were just too difficult and painful for me to perform. I went to many seminars looking for the “right” technique but could not find one that “fit” me.

Then I met Dr. Russ Erhardt, one of the truly great doctors of our profession. During one of the many seminars I took from him, he said, “If you can find a way to ‘open the articulation,’ you have already made your job 50% easier.”

Wow, what a tremendous concept. For me, it was like the cartoon where a light bulb appears over someone’s head. I got it! That concept became the basis of what I now call the Le Beau Technique. Believe me, when a 6’ 10”, 380-pound judo player drags himself into the treatment room and says, “Don’t hurt me,” you listen. So, with this application in mind, over the next few years, I developed a “head to toe” gentle technique with emphasis on the extremities.

TAC: Can you elaborate on the term open the articulation?
LeBeau:
When I speak of “open the articulation” I’m talking about slightly expanding or distracting the joint surfaces in order to create an opening effect within the joint which, in turn, reduces the resistance to the adjustment.

A good example of this is, recently, a Formula 3 racecar driver came to me for help with a clavicle problem. He had injured his shoulder when he fell at home. The shoulder injury, itself, had resolved; but he still had a large “lump” at the end of his clavicle where it attaches to the sternum. His clavicle had subluxated anterior and slightly superior, creating pain, inflammation and loss of movement in his left shoulder. I have treated literally hundreds of these over the past twenty-three years, but I was never taught how to treat this condition. It had never occurred to me that this joint could subluxate.

Then, in 1987, while in Austria at the Women’s World Championships, I was working on a number of athletes when a young woman came to me and asked, “What can you do for this?”

She opened the top of her judo gi (competition uniform), and I saw that her left clavicle was completely out of position and sticking up into her throat. She said, “It only bothers me when I turn my head to the left.” Then she turned her head to the left and started gagging!

This wasn’t just a subluxation, this was a full on dislocation of her medial clavicle head. I not only had never treated something like this, I didn’t even know it existed. To reduce this dislocation, I had her lie on her back on my treatment table, then I extended her left arm out and off the table with the wrist toward the floor, which “opened” the sterno-clavicle articulation. At the same time, I pulled downward on the medial shaft of the clavicle and, to my complete surprise, the clavicle head “popped” into the joint space and she was immediately able to turn her head with no choking or gagging.

After that, I started looking for clavicle subluxations and found I had been missing these for years. I can guarantee your readers that, if they go back and look at some of their AP cervical spine X-rays of people who have been in car accidents, they will see one of the clavicles subluxated (usually on the side of the seat belt).

So, getting back to my racecar driver, I dropped his arm off the table, applied my adjustment along the long axis of the clavicle toward his shoulder and, because the joint was “open,” the clavicle slid into place and his pain, inflammation and loss of movement resolved.

TAC: What’s next for you? Where do you see yourself in five years?
Le Beau:
I know I will never totally give up practicing. I see myself, at ninety, shuffling around treating patients one or two days a week. But, for now, I want to concentrate on teaching seminars, nationally and internationally. I have been teaching for twenty-two years and have had more than 10,000 chiropractors as students throughout the US and in Europe, Asia, Australia and, now, Central America. At the present time, I’m working on sponsoring my own seminars for license renewal credits and working on a project that may take me to a more international market.

TAC: What questions are you asked most frequently during your seminars?
LeBeau
: During thirty-four years of practice, I have developed dozens of techniques and, most frequently, I am asked, “How did you come up with that?!”

I’ll give you one example. I was shot in the left lower leg in Vietnam in 1968. As you would expect, I have a very chronic problem with my leg and foot.

One evening, during a particularly severe episode of pain and burning in my foot brought on by nerve regeneration (“Wallerian Regeneration”), I started rubbing my foot. I was on the floor with the lateral surface of my foot against the carpet and my knee bent in full flexion. I rose up about six inches and pushed downward on my heel with one hand and my toes with the other. There was a very loud audible and my pain and burning stopped right away. I have been teaching that technique now for over twenty years. I call that one “the everything” technique because, when performed correctly, it moves just about every bone in the foot. I don’t know what made me think of doing that. It just seemed like a good idea at the time.

TAC: Do you have any secrets to your success in practice? In life?
LeBeau
: In practice, the line between “working hard” and “burning out” is really fuzzy. Just don’t work so hard early on that you forget what it is you are working for!

Practice Management groups tell us to set goals and then, when you reach that goal, celebrate, reward yourself and your family. Too often, I see chiropractors that become so focused on the goal they forget the reward. Next, they’re selling real estate or vitamins.

Have fun but, when you are attacked, don’t back down. Get angry and fight back! When I was first asked to work as the Pop Warner Team Doctor, in 1973, angry letters went out from every pediatric group in Vista, California, stating, “Any of you parents who allow your children to be treated by this chiropractor will no longer be accepted as patients in this office.”

Even though it has been almost thirty-four years since reading that letter, I remember it like it was yesterday. The Commissioner of the Pop Warner League called me, personally, and said he was being forced by his Board of Directors to rescind my offer.

Man, I was angry! I asked him to give me a few days; and he said the next meeting was scheduled for the following week.

I contacted an attorney I know and went to see him. You should have seen the smile on my friend’s face when I told him about this letter. He said, “George, let me take care of this.” I did.

Just before the next Board Meeting, I received another phone call from Al, the Commissioner, who told me, “We just got a copy of a letter that went out from all of the pediatric groups, apologizing to their patients about the previous letter, concerning the chiropractor, which had been sent in error.” They were very sorry for any inconvenience that letter may have caused and would, of course, welcome any of their children as patients at any time.

I called my attorney friend and asked what he had done. He stated, he simply advised those doctors about the laws regarding malpractice and patient abandonment. He had so much fun doing this he never even billed me!

TAC: Is there anything else you would like to tell our readers?
Le Beau:
Yes, there is. In my thirty-four years of practice, with personal and business travel to more than fifty countries, I have never encountered a more organized, professional and hospitable group as I did with The American Chiropractor magazine and the people of Panama this past February at “Chiropractic ’06”. I know this may sound corny or commercial, but if you are thinking of taking one really great International Seminar, I, personally, feel you could do no better than “Chiropractic ’07” in Panama. I am honored to have been a small part of that seminar this year and feel doubly honored to have been asked back again next year for “Chiropractic ’07”.

TAC: Since you brought it up and you are speaking at Chiropractic ’07, in February 2007, would you give us a sneak preview of what, our sources say, will be a particularly dynamic presentation?
LeBeau:
For ’07, I plan to present a much wider range of new techniques I am in the process of developing that involve the use of patient resistance during the adjustment, as well as the always very popular “Thoracic Block” technique.

Dr. Le Beau practices at Chiropractic Industrial and Sports Center; 1365 West Vista Way, Suite 100; Vista, CA 92083. If you have questions or comments for Dr. Le Beau, he can be reached by email at [email protected].

How to Build a Sports Health Care Practice

Preface

In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of school, are idealistic and can’t see practice as a business in the marketplace. One thing a doctor must soon learn is the fact that services are a product.

Introduction

As a chiropractor wanting to specialize in Sports Injury, I had the proper academic background, as a former high school biology teacher and coach, coupled with the chiropractic techniques to build a solid practice when I graduated from Palmer College of Chiropractic in 1976. After professional certification in Sports Injury and working for the International Chiropractors Association with the Sports Council, I became heavily involved in the 1986 Asian Games and 1988 Seoul Olympics held in South Korea, when I was elected the president of the International Sports Council.2

During this Olympic period, my sports practice blossomed. I then decided to attend the United States Sports Academy in Daphne, Alabama, to pursue a post-doctorate degree in Sports Medicine and have a part-time Sports Medicine practice while I was attending classes for my doctor of education degree.

The practice I established was the first “natural alternative” to the traditional “RestgPrescrip-tiongSurgery” practice used by the orthopedists in the area. The U.S. Sports Academy was in favor of the alternative slant, because they knew how important drug free treatment is with Olympic and college athletes. At that time (1988) I had just returned from working the Seoul Olympics as a Sports Chiropractor and was aware of the importance that “speed of recovery time of an injury” was for an athlete. Acupuncture and herbs had played a big part in the health care of the athletes of the Far East (China, Japan, India, Korea, etc.) during the Seoul Olympics. As chiropractic care was introduced to the athletes in the 1984 Olympics, you could now see the complimentary benefits that it had provided, different from the acupuncture-centered care of the past.

Acupuncture had provided relief in a “yin” format (slow, steady, low force) to the athletes. When chiropractic was introduced to compliment the sports care, it provided the “yang” format they had been lacking (fast, high force, specific adjusting). Manipulation (called tuni in the Orient) is a slow, more general movement, and was the only manipulation provided before chiropractic.3 The athletes accepted the Western “chiropractic” instantly. It was quick, easy to understand and was not complicated by extensive, detailed herbal formulas; and best of all no drugs were used!

Establishing a Sports Practice

The sports medicine practice I was then establishing in Alabama was unique and provided both Western and Eastern approaches to the athlete’s care. Without having to resort to drugs or surgery in most cases and, if that became the case, I had become good friends with some of the best orthopedists in Alabama. These orthopedists had cared for some of the best athletes in the nation and were interested in the new concepts that I was bringing to the sports health arena.

Athletes are more in tune with muscle injury because that is the most common problem in an athletic oriented practice. However, chiropractic is traditionally a neurologically based practice, as is acupuncture. Here, again, I had studied Applied Kinesiology under Dr. George Goodheart while I was at Palmer College and with post-doctoral certification after graduation, I felt comfortable in the athletic injury field. This system combines chiropractic (Western), acupuncture therapy (Eastern), and muscle testing (which athletes understand completely). Utilizing Applied Kinesiology techniques allowed me to implement the type of sports care necessary to help 90% of the athletes.

There was an area that I was not completely satisfied with. This was the area of nutrition. In the beginning, I was utilizing a great deal of the herbal formulas I had learned in Korea from the Sports Nutritionist taking care of the athletes. The herbal prescriptions were excellent but took a great deal of time to put together; and getting the ingredients was even harder. Some even had to be ordered from China, Japan or Korea with a two-to-four week wait. Then, if they were out or they did not understand your order, there was another four-week wait to change it.

About this time, I remembered using the Standard Process Company for a nutritional company when I had started practice in Delmar, Delaware, and worked with the Washington Redskins. I knew they had a sterling reputation as one of the leading whole food nutritional companies in the United States. They had been established in 1929 by Dr. Royal Lee, a dentist and leading pioneer in nutrition in the country during the early 1900’s.

I contacted the company and talked with the representative from Atlanta in charge of distribution in Alabama. We setup a meeting to refresh my memory on the product line and what they had to offer a doctor just setting up a natural sports oriented practice.

At our meeting, we discussed all of the updates the company had instituted in the five years I had been in the Republic of South Korea working with the Olympic Team. Not only had some of the product names changed but, also, they had introduced a whole new product line called Medi-herb. This product line had an extensive array of herbs, many of which were the same herbs I had been using, but with Western and Latin names instead of the many different languages I was trying to master—Chinese, Japanese, Korean or another Asian language.

I was extremely pleased. The rep also explained to me the new computerized evaluation system, called a “Symptom Survey” that had been introduced. This increased the speed of the nutritional evaluation system a great deal. Now, each nutritional evaluation would not have to be done before hand, sometimes taking hours. They had even introduced a new educational system for the doctors. Instead of the sales representative coming to the office, taking the doctor to lunch or his valuable patient time, the Standard Process Company now had seminars for continuing education credit and nationally recognized nutritional experts teaching, instead of the “salesman” approach as used by so many companies. The support system was fluid and easy to implement into a sports practice.

Now, I was ready. We had our building lease agreement, staff and the service line of chiropractic, acupuncture, nutrition, physical therapy and related therapies in place. We had located near the office of a very good rehabilitation specialist that could take care of any problems we couldn’t handle. The rehabilitation specialist was a personal trainer and we had several meetings and discussed alternative methods as opposed to the medical model. We agreed on the majority of treatment approaches and plans to see patients when we opened.

Education as Advertising

Over the next several years, as I was completing my doctorate in sports medicine and education at the United States Sports Academy, I established a lecture and speaking schedule in the immediate area, concentrating on the city where my practice is located the first year. The second and third years, I extended the territory another ten miles until I had a bull’s-eye around my practice of civic organizations—Rotary, Kiwanas, Lions, Optimist, etc.—with which I had been a lunchtime speaker. After the first year, it had a snowball effect with more requests than I could fulfill in a once-a-month speaking schedule. I then was getting, on the average, about five-to-ten patients after each lecture.

The subjects of the lectures were always varied and different. Rarely were they just on chiropractic, unless requested, but chiropractic was always the subliminal message in the talk. The talk always started with a Sports Medicine topic and about the United States Sports Academy, but ended with an alternative healing correction method being heralded. This lecture/talk method became the only method of advertising that was needed. After several talks, the local TV station interviewed me, and that gave my practice another boost.

My post-doctoral education in Sports Medicine was very beneficial for the atmosphere of the talks for both the audience and myself. Several people told me, after the lectures, they felt they were getting a whole hour (which you rarely get) with a professor and a doctor that not only knows about the problem but someone who can correct the problem as well.

Conclusion

I have completed my doctorate at the United States Sports Academy and have a very thriving practice. I continue to do the local talks, but now lecture nationwide and write a weekly column for the newspaper. I feel that a sports health care practice can be very rewarding in many ways, not only for chiropractors, but other health care providers that wish to specialize in the sports area. It is demanding, in that you often have to see patients all day at the office, then go somewhere to cover for a team or an athlete as a team physician or therapist at night or on the weekend; but the rewards are great. In addition, individuals get involved with the strength training aspect or the other areas of a sports health care practice that often lead to a specialty, all in itself.

Dr. Stump did his undergraduate work in Biology at the University of Maryland and received his Masters and Doctorate in Sports Medicine at the United States Sports Academy. A 1976 graduate of Palmer College of Chiropractic in Davenport, Iowa, he went on to do the majority of his postdoctoral work in Oriental Medicine and Acupuncture in Japan, but receive his OMD degree from China Medical University, Beijing in 1981. Dr. Stump may be reached by email at [email protected].

The ProAdjuster Edge

Right off the heels of the most successful ProAdjuster National Symposium ever, The American Chiropractor magazine’s Editorial Board Member, Dr. Frank Corbo, had the opportunity to sit down with ProAdjuster President and CEO, Dr. Maurice A. Pisciottano.  The testimonials were still pouring in from the May National, one of two annual ProAdjuster Business Symposiums, and it is being described as an event few in the chiropractic industry have ever experienced before.

In fact, those in attendance knew they were witnessing something very special and, quite possibly, something that may never happen again. For the first time ever, Zig Ziglar and Jay Abraham shared the stage as they delivered their messages of motivation and inspiration that will certainly leave a profound impact on the doctors, their families and staff.

Zig’s message, those words that many of us have heard on 8-tracks, cassettes and CD’s in the past, were brought to life as he incorporated concepts from his new best selling book, Better than Good.  Zig also shared his personal testimony about chiropractic, and how it changed his life from a young child and throughout his career. He challenged those attending to sharpen their skills, continually grow in their interpersonal communication and to never give up, because there is a hurting world that needs our care.  It was, indeed, vintage Zig.

“There may never be another time that we have the opportunity to share such intimate time with a man that has, literally, shaped and impacted the lives of millions of people the world over.  I wanted to give those that attended a gift that they would remember for a lifetime,” said Dr. Pisciottano.

This statement encapsulates the man behind the ProAdjuster, and it is commonplace for those of us in the profession that have had the wonderful opportunity to know him on a much deeper level. You will come to find that he is one of the most generous people in our industry.

In an interview with The American Chiropractor (TAC), Dr. Pisciottano discusses the philosophy behind ProAdjuster.

TAC:  Dr. Moe, the ProAdjuster is growing at an unprecedented rate. What has lead to such success in your company?
Pisciottano:  Every successful company, every successful chiropractic clinic, is a unique blend of its products and its people. ProSolutions is no different. Regarding our products, we are relentless in the pursuit of excellence. For example, when we were researching to find the perfect ProAdjuster piezoelectric sensor head, we went through over 2,000 versions before we developed it! It was a grueling and, I might add, a tremendously expensive process. The results, well, they speak for themselves.

Regarding people, the pursuit is no different; I am always on the lookout for bringing great people into our organization.  In one of my favorite books, Good to Great, best selling author Jim Collins says this: “Get the right people on the bus, and the wrong people off the bus, and then decide where you’re going to drive the bus.” 

I couldn’t agree more with this statement.  You see, if the truth be told, I’m not the smartest guy in our profession, I just make it my business to hire the smartest people, and that is what makes our company great.

For example, take a look at the relationships we have developed in the profession.  We bring in the best of the best.  For instance, the foot scanner in our ProAdjuster chair is made by Foot Levelers, one of the most well known and respected companies in the chiropractic profession. We would be crazy to make our own orthotics when they have been making them for 50 years.

The same is true about our nutritional supplements. We’ve contracted Douglas Labs to develop ours.

We also recommend that every one of our clients have a coach, and we have selected The Masters Circle as the consulting arm for our company.

These are all top-notch industry leading companies. You see, another great tip to doing business well is to create and maintain strong relationships within the industry. We have been extraordinarily fortunate to have many friends in chiropractic.

A key ingredient that I will never forget that I have learned from Dale Carnegie’s work is this: “I would rather have 1% of 100 people, than 100% of myself.”  Great business comes from great people. 

TAC:  If you had to sum up your goal for the chiropractic profession as a whole, what would it be?  
Pisciottano:
  Anyone that knows me or has ever seen me speak can answer that one, and it is simply this: We are determined, we are resolute, we are focused on one outcome, and that is to make chiropractic the #1 health care choice on the planet earth! 

TAC:  How do you intend doing that?
Pisciottano:  That’s a great question. It begins and ends with one word: certainty.

You see, the biggest problem facing doctors of chiropractic today is that they have a low certainty level.  They’re short on having confidence in what they do, or can do.  This uncertainty leads to a whole bunch of things.  For example, doctors don’t want to do workshops or lectures.  They don’t want to ask for referrals.  They may be a little wobbly doing their reports of findings.  They have a low confront level for missed appointments; their recommendations for care are “subjectively based,” which is actually directly opposite of their own wellness mindset.  The effects of low certainty impact every aspect of their practices.

Having more certainty is linked to having clear clinical objective findings. And the things that give you clear clinical findings, in 2006, are tools that use technology. 

For example, take the Subluxation Station by Dr. Patrick Gentempo.  For over 10 years, his unit has been one of the standards used in our profession to document pre- and post-adjustment changes with high technology.

Technology has gained acceptance because it is irrefutable.  Technology is irrefutable.  And the benefit of combining technology with patient care is a powerful tool. The doctors’ certainty levels soar and, as a result, so does the confidence and belief in what it is they are providing for their patients.  When doctors see, for themselves, the irrefutable objective improvements in their patients, they experience an instantaneous shift in their personal paradigms that results in a certainty level in their care that transforms them.  The result of their transformation is very powerful, and it has the same practice-wide impact as a low certainty level, only all the influences are positive.

To simplify this process, the doctor’s results and the technology match up; therefore, we have an interfacing of the emotional subjective response of the patient. “I feel better,” with the irrefutable technology showing very clearly, “Your nervous system is improving.” 

TAC:  What is the biggest problem or challenge you see in the chiropractic profession today? 
Pisciottano:
  The biggest profession-wide challenge is that the percentage of patients and potential patients that truly understand and are willing to utilize chiropractic care is, at best, 5%.  So it’s a profession wide problem, because we’re basically barking up the wrong tree, with 95% of the population being fearful of what we do. We have to change the way we serve it up to them.

There was a study done about 2 years ago that cost upwards of $120,000, and this is what it revealed regarding why an individual is reluctant to go to a chiropractor.  Two things dominated the results: First, they were afraid to be twisted and turned; and, second, they didn’t know what to expect from one doctor to the next or, in other words, there was little standardization of the chiropractic experience.  Therefore, the most critical thing we must do is, instead of fighting them, we have to serve it up to them.  And, as a profession, we haven’t served it up.  What I mean by serving it up is that we are trying to fit the patient into our model for care delivery, but we are overlooking their fears and their concerns.
 
TAC:  Can you think of one change that a chiropractor can do to significantly impact his/her practice’s growth immediately?
Pisciottano:
  Simply put, research and find out what it is that people in their community want and need and serve it up to them. 

TAC:  Do you have any recommended marketing strategies that chiropractors can use to attract new patients and to keep current patients?
Pisciottano:
  The number one strategy is called educational based marketing. Educational based marketing conveys this message: “It’s only a matter of time.” It’s only a matter of time before I provide you with enough information—in the form of education—that will persuade you to consider chiropractic as an option for your health care.

This approach takes all the high pressure or “salesiness” out of the process and, as a result, both the doctor and the potential patient can relax.  When doctors relax, they can think better, they can concentrate on listening to the potential patient more actively, and so on. When patients relax, they feel as though the doctor is their “health advisor,” rather than someone that is manipulating them for their own benefit.  It is an essential foundational element to the doctor-patient relationship. 

TAC:  What type of educational based marketing tools do you recommend and utilize?
Pisciottano:
  We apply a principle known as the Forced Multiplier Effect to our system. This is a military term meaning we’ll attack—I’m sorry!—we’ll educate by air, by land and by sea.  The result is that you will achieve a geometric multiple when using all three strategies, rather than using any one single strategy.  The key to improving productivity of these tools is to aim them at producing goals in three areas: new business, business retention, and something called marginal net worth. 

Marginal net worth is a term used for ethically increasing the products and/or services offered to the patient and results in an increase in the doctor’s dollar per visit average.  Examples of this would be adding orthotics or nutritional supplements to the patient’s overall care.

Tools that we utilize, some of which we have created from scratch, some of which we have developed jointly with our strategic alliances, include products like the ProAdjuster Lifestyle Magazine™.  Those outside our company may not realize or understand what I’m about to say, and the impact of it, but our circulation has grown in just over a year-and-a-half to 250,000 copies per issue.  That’s a multiple of over five times any publication in our profession.  We’ve also created and perfected a process in which ProAdjuster Lifestyle Magazine™ is mailed directly into the doctor’s community and results in their being seen as the “expert.”
We’ve also created customized television and radio commercials that reach tens of thousands of potential patients.  We’ve created a top notch, turnkey patient lecture series that the doctors or their staff can use in the community.

Once in the office, patients and potential patients are proactively and systematically educated with tools such as customized in-office waiting room and consultation room DVD’s and waiting room point of purchase displays and placards for supplements, orthotics, and the first ever, customized ProAdjuster Sleep System.  Along with ProAdjuster Lifestyle Magazine, we have created with Back Talk Systems a ProAdjuster series of patient education trifold brochures and magazettes that add to our education based marketing. 

Dr. Rick Barrett and I have co-authored a book that is in its 3rd edition, Improve Your Life Proactively, that contains dozens of patient testimonials and, again, is just a piece of the educational puzzle communicating the mindset I discussed earlier, “It’s only a matter of time.”

Regarding patient care, on each visit, a patented and streamlined 5-step process that may take from 3-5 minutes or more, if necessary, is utilized.  The visit includes a full spine pre-adjustment analysis, which leads to specific treatment; once treatment is completed, a re-analysis is made, followed by patient education using a customized software system created in alliance with the Neuropatholator. And, finally, recommendations for care are rendered.

The fundamental key to our system is that we have created a unique way of integrating each of these tools into our system.  This system is non-emotional but, rather, scientific; and, as a result, it consistently produces the desired results. 

TAC:  What single piece of advice would you give a new chiropractor just starting out or, maybe, an established doctor that is not quite achieving the desired results?
Pisciottano:
  Their success will be directly related to their ability to understand where to go to acquire the knowledge and skills to become the best doctor and best businessperson they can be.  This powerful combination will produce the most outrageous benefit that I have, personally, experienced hundreds and hundreds of times: complete certainty.  As previously mentioned, increased certainty leads to confidence, and a confident doctor of chiropractic will forever change his/her life on every front: personally, business wise, relationally and, most importantly, that will impact his/her practice, family and world, and, in the process, leave a legacy of servant leadership that will affect his or her community for generations to come. 

TAC:  I was going to ask you what you see as the future of chiropractic, but I believe you just answered it. 
Thank you for joining us, Dr. Moe.  Before ending our interview, do you have any final thoughts you’d like to share?

Pisciottano:  As far as final thoughts, I would say this: There is a continuum that I call the Doubt-Certainty continuum.  The more doubt a doctor has, the less impact he or she will make; the greater certainty he/she has, the greater impact he/she will make.  I would challenge your readers to take a few moments and assess the areas of their lives in which they may not have the level of certainty that they would like to have.  Then, decide that they are going to take the steps necessary to obtain whatever knowledge, skill or training they need to change it.

The most important thing to remember here is that we are not after perfection. Perfection has never been our goal.  We will make mistakes on some decisions; that’s natural. Every successful businessman or woman does; but the goal for each and every day is to make it better than the day before.

Would it be O.K. if I offer your readers each a gift?

TAC:  Absolutely.  A new Hummer like you gave away in Pittsburgh?
Pisciottano:  Actually, something more valuable. 

TAC:  By all means.
Pisciottano:  At the National Symposium in May, we unveiled a program that we have been working on for over two years.It combines every aspect of what we have just been discussing, mainly that success occurs when the doctor transitions from doubt to certainty, based on clear clinical results.  The program is called ProAdjuster University.  A very important part of ProAdjuster University includes our ProMap for Success audio CD series.  There are 26 CD’s in the series and they cover just about every challenge a DC experiences, for example, new patient consultations, collecting 100% of the office visit, time management, reactivations, handling missed appointments, networking with professionals and many more things.

Your readers can access the entire list on line at www.pro-adjuster.us/promap or they can call 877-942-4284, and ask for Jamie Blayney at extension 109.  They can pick any one of the topics they like and we’ll ship out the CD free.

Also, if they are serious about experiencing the benefits of the ProAdjuster system for themselves, they can call Jamie about that, too.  She will provide all the details for setting up, at my expense, flight and hotel arrangements to experience the ProAdjuster at one of our weekend trainings.  We have two each month, and we would be delighted to host them for a memorable weekend— a weekend in which they will meet doctors from across the country and around the world, some of which have been using the ProAdjuster for years, like Dr. Joe Grice who bought the first ProAdjuster in the United States, and now has four in his office, to Dr. Todd Fetter, who just began with the ProAdjuster a few months ago, but has already doubled his practice.  We encourage lots of communication with these doctors so that our guests can get as much information as they need to find out if the ProAdjuster is right for them.

TAC:  Thank you, Dr. Moe, that is, indeed, a generous offer. 
Pisciottano:
  Thank you, for the opportunity, Frank; it’s been my pleasure.

Frank A. Corbo, DC, CCRD, QME, is a Summa Cum Laude graduate of the Los Angeles College of Chiropractic. He is co-founder of Chiropractic Wellness and Fitness Magazine. Before starting his chiropractic career, Dr. Corbo was employed by The Sandoz Pharmaceutical Company in Milan, Italy, working with a strategic marketing team developing effective strategies for marketing osteoporosis products.

Dr. Corbo can be reached at [email protected]