Ask Dr. Ogi
Let’s have a bit of fun together. If you are already receiving my "THOTS for Your Week" Newsletter, you will already know that I am very honest, straight to the point, absolutely know my "stuff" and have a very different perspective on this whole practice "thing". You are very welcome to submit questions you’d like me to answer and I’ll do my best to answer all of them.
Hi Dr Ogi, Your website has certainly caught my interest and I hope to attend one of your coaching programs towards the end of this new year or beginning of next. I am relatively new to Chiropractic (practicing for 3 years) and am wondering if you have any thoughts on running workshops for a new patient's second visit. As I am sure you are aware this is a common trend in Chiropractic coaching. I do use this in my practice but I wonder is their a better approach to patient education. I am working in Dublin and find that education is essential for us as people are very misinformed as to what we do. Also do you have any advice on whether you should adjust on the first visit or second visit. Especially since we use x-rays? Many thanks David.
Wonderful hearing from you all the way from Dublin!
I am glad you like my website and you'll also find that I have a very different perspective on practice.
There is no selling, no marketing your brains out, no desperation, and no BS.
I teach doctors how to become the very best their community has ever seen. And when that happens,
they are then sought-after by everyone in town. I love that concept!
Ok....let's answer your question:
I do teach that you do educate your patients when they are ready to hear your message - certainly NOT on their second visit.
You need to really get this: People see you and the PAY you so that you can learn about THEM. They are not yet ready to hear about you at that point - not until their trust is established. This is why there is so much marketing taught out there, David - you are always on the prowl for new patients.
Why? Because most people leave most doctors.
My Program is not like this - no one should leave.
I teach my doctors to adjust on the patient's third visit and only after their films have been studied and after their Report of Findings (acute patients are different)
I've placed your name on my regular weekly THOT newsletter mailing list and I'll be sending you some cool "stuff" shortly.
Please enjoy and it would be an honor to help you.
Now, this is most important:
I would also like to suggest that if you are tired of continuously trying to sell yourself or Chiropractic, fed up with all the marketing whirlwind, frantic screenings, hopeless marketing that seems to go nowhere, fed up with trying to get new patients, and you want a different and non-sales approach to your practice, then please feel incredibly welcome complete the Practice Health Mini-Check Up button on the home page - it is a practice diagnostic.
We'll have a great chat on the phone and I'll give you some cool practice suggestions and advice that you can implement right away!
I look forward to hearing from you.
My warmest wishes, David.
I graduated from Sherman Chiropractic years ago. I now have a son that is considering becoming a chiropractor. As happy and proud that I am of him I have serious doubts. I have been very sucessful but am considered a "dinosaur" by all the young local new chiropractors. Do you believe that a career is still viable for young grads? Most I see are struggling? Insurance and documentation has changed. And philosophy is now not even taught. If you were to think he should go to school, where would you recommend. Thank you
Wonderful hearing from you, James!
First of all, you are hardly a "dinosaur," Jim. You may have been in practice for decades as I have, but you have a wealth of healing experience in your hands and in your heart - no young buck can diminish that!
With that being said, a career as a DC is absolutely incredible. And it is true, many doctors are struggling - most of it is because they are not exceeding the expectations of their community.
People no longer want simple pain relief.
They want Chiropractic. They've heard that Chiropractic care can help with their son's Asthma, their daughter's Infertility issues, their mother's Colitis, their uncle's Kidney failure, and a ton of other problems parents (and their children) in your community are coping with.
THAT is what people want. It is what they are looking for.
If your son is able to provide his community with that level of care, he will have an incredible practice.
And THAT is what my Program is about, Jim.
I hope I was able to help.
Hi Doc, I just met you at the New York Chiropractic Council Convention. I spoke briefly with you about your Family Plans. Do you discount 2nd ,3rd or more family members? Do they have to come in at the same time? How would you track their visits if not? Some sense of structure for this would be helpful. Thanks
Steve Auerbach, DC
And it was a pleasure meeting you Steve and chatting with you briefly!
I have to say that the hotel seemed like a refugee camp from the effect of Hurricane Sandy!
The discount is 15%, and 50% and they can come in at anytime.
I am not sure if you know this, but I am the one who "discovered" this family system a number of years ago and it has really helped a ton of doctors help a ton of families. I call this our Family Assistance Plan.
I cover this in considerable detail on my Program, Steve. You'll just have to become a part of it.
Please feel very welcome to call me anytime.
Hi Dr. Ogi, Can you help a Chiro find his lost belief in Chiropractic and his ability to help people? Have you any intention to coach/mentor Chiros in Europe? Thank You
After treating sore backs, stiff necks, shoulders, knees, etc., for a lifetime, I would be screaming. That perspective of Chiropractic is a marketing and an insurance driven reality.
Consider this: How would you feel holding a mom's face in your hands as she is thanking you for helping her child with Asthma? Or her husband with Colitis? Or her daughter with her Infertility issues? Or her uncle with his kidney failure?
Would that get you all spizzed? Absobloodylutey!
The fire has gone out because you are bored with the minutiae - same old stuff!
Well....what I teach will excite you! It is all about helping people and having their body reverse their pathology!
Many doctors fly in to attend my Program from all over the world, Alexander, but I don't have any immediate plans to teach in Europe unless someone helps me organize a Program there.
Please check your inbox - I am going to send you some cool stuff.
Hi Dr. Ogi! I have read your book many times over and am the mother of two healthy unvaccinated children, and I do everything I can to keep them healthy naturally through chiropractic and seeing my naturopath. My daughter is in grade seven and her class is scheduled to receive the meningococcal vaccine next week at school, and I absolutely do NOT want her to receive it. At the same time, the disease itself scares me. I'm wondering if you can give me any information on this disease and other ways to prevent it. Also, is there any risk to her by beiing around the other kids at school who do receive the shot? Any information you can give me to help support my decision to not immunize her against this disease would be much appreciated! Charlene
Thank you for writing and I am glad you are enjoying my book.
I am going to suggest two things:
1. you contact the International Chiropractic Pediatric Association at www.icpa4kids.org and they will be able to help you with that guest ion.
2. Please contact Dr. Marsha McClelland with P.A.O.A.V. Parents and Others Against Vaccinations on Facebook. Her email is: email@example.com hope this helps,
IMy warmest wishes,
Dr. Ogi, I'm looking for a pediatrician that speicalizes in unvaccinated children. Can you please recommend someone in the Toronto area (East side/Downtown if possible)? It seems like many pediatricians won't accept your children unless they've been vaccinated and I want someone who shares the same beliefs as our family does - healthy children are unvaccinated. Thanks so much! Melissa
Wonderful hearing from you.
I don't know any such animal personally, BUT....please call Dr. Jeff LaBelle at: 416-967-4466. He may be able to help you find someone. Dr. Jeff is a very close friend and he will probably be able to help you!
Please let me know.
been searching for a great comeback / response to egomaniac MD neurologist that tells mutual clients to not see the chiropractor until they get another MRI. Didn't you have a blog to that effect?
I've had a ton of phone calls lately from doctors who are having the local MD in their town
rain on their parade! And I know that you've all experienced this and found it frustrating
and even humiliating.
This is an problem that has most Chiros feeling like second-class citizens - like you just
climbed up from under some rock. It is a situation most of us have endured and suffered
through - what do you do when one of your patients tells you that their MD told them
not to see you any longer (or a chiropractor any longer).
Gets your blood boiling, your heart rate goes up, your stress meter hits the red zone,
and you bone up on videos of the Terminator and Rambo.
I mean, who is this jerk, this bloodsucker, that he can tell me ___________(fill in your name)
what to do?
...And when did he graduate from Chiropractic college?
Relax. It is most likely not personal!
The MD, in all likelihood, is just trying to do the best for his patient (which also
happens to be your mission as well) based on his limited data and his flawed philosophy
of health. In his circumstances, you'd do the same.
The problem is NOT that he told his patient not to see you. NO. The problem is that
he did not consult with you prior to speaking with your patient - who also happens to be
his patient as well.
Unfortunately, this is where many physicians think that you do not matter, that they are
omnipotent and sit on the right hand side.
Here is how to remedy this situation so that it NEVER happens again:
Personally visit this doctor in his office and tell his receptionist who you are and that you
need 5 min of his time.
OR.......you can write him/her a personal letter,
OR....you can call him at his office.
Here is what I suggest you say:
"Hello Dr. _____.
A pleasure to meet you/write to you (ok....you are being nice). I'm Dr. _____.
I understand that you asked Mrs. Jones, who is a patient of mine as well as yours,
not to see me.
Is that correct? (here is where most physicians back paddle. They do not want a
confrontation with you).
I know that you have her best interests in mind but want you to know that your
behavior was very unprofessional.
How would you feel if I asked one of your patients (and I have many in my office)
not to see you again?
Do you think it would bother you?
You should have consulted with me first. I am also this patient's doctor.
However, I am willing to forgive and forget that this happened this time. But,
should I hear a repeat performance, I want to you know that I will lodge a formal
complaint against you with your State Board for unprofessional and unethical conduct,
and you will be investigated (And you know that your Board is under mandate to
investigate all complaints).
I am certain that you would not want to see your name in the headlines of our local
paper: "Local Doctor Under Investigation."
Whether you are found to be right or wrong makes no difference - you were
investigated. Can't be good.
So, please consult with me in the future.
Thank you for your time."
Please remember to do this professionally, with no anger, malice, or emotion.
It is what it is.
You are simply drawing a line in the sand and telling the MD that he must not
cross that line.
Trust me on this - you will never have a problem with any of the physicians in
town ever again. Word will get out very quickly that you are not to be toyed with.
Of course, this will also end your relationship with any medics in town, and if that
is the practice you aspire to - crumbs off the table - then you should
reconsider and suck it up.
The incident is closed by having your attorney then send the offending medic a
letter reiterating your position.
That is it. Short. Simple. And no prisoners are taken.
In the event you decide not to act, it will haunt you, you will feel humiliated, angry
and I will guarantee that it will happen again, and again.
If you need clarification, please feel very welcome to call me.
need to be more efficient in -processing new pts -processing pt visits @ front desk, in tx room (documentation, be medicare compiant)
Warm hellos Dr. Tom.
Nice to hear from you.
I hope I am answering your question:
The Practice evolution Program will teach you office efficiency and essentials - everything you need to run a first-class clinic.
One of the tools included are incredible office forms - some 50 different ones for different reasons and occasions: From being incredibly efficient with new patients ,to plan of management, to birth records release forms, to radiology rationale, to handling those who sometimes decide to leave your office - you have it all.
And because I am a clinician and a researcher, documentation is very important to me, hence your records will be something your Board can be proud of.
I suggest that you call me - your "question" is very broad and I am not sure I've handled it as well as I'd like.
Hi Dr. Ogi, I've had a few patients lately that have had some traumas in their lives, have been symptomatic for a number of years, and have very colourful EMG/Thermographs; however their is NO deteioration on their x-rays. Why would this be, and how does something like that affect their Care Plan? Also, with the same thought, how else can you explain Dis-ease in the Problem and Solution Report?
Dr. Shannon Wandler
Fabulous to hear from you!
Ok.....let's tackle this seemingly diametrically opposed situation:
You need to keep in mind that the SEMG/Therm scans pick up variances in muscle hypertonicity and temperature gradients across the electrodes. And these are directly attributable to nerve interference. Right?
Assuming that these scans are done correctly, they would then indicate a malfunction of the nervous system - secondary to a Vertebral Subluxation. And since there is no degeneration noted on film, that would indicate that the VS that has caused the scan results you are seeing, has not been a chronic problem - regardless of the symptoms they have been experiencing. It has not had the time to cause localized deterioration.
It would be best if you call me so that we can discuss how this may affect their care, otherwise my answer would be a treatise on this site.
Dis-ease is something we've coined to get patients to start seeing the disease process as a Dis-ease of the body. And the symptoms that are present, as a simple warning system. An alarm. A signal. Simple.
The focus need to be on the process and what has created the state of dis-ease, NOT its "treatment."
I hope this makes sense, Shannon!
Hope all is well. I consider you an authority on Kids, so I ask this of you. I have 15 minutes to present to a PTA group this Wednesday. What should the content of the talk focus on for the parents to see me as the best doc to bring their kids to see or to have me back for a more in-depth presentation at another time? I do have my own ideas.
Dr. John Ferguson
Warm hellos John!
Wonderful to hear from you!
Thank you for the compliment - I am glad that you did not refer to me as some old fart!
15 minutes is actually a long time to speak. I would suggest that you concentrate your talk
on the logic of Chiropractic - it is very logical and yet simple at the same time.
Also, stay away from any fear mongering - tell the audience what you do and what
Chiropractic is all about without evoking fear.
As well, try not to make this a sales pitch. People will see right through it and it will not serve
You need to also remember that your talk needs to appeal to Moms. It must be passionate,
logical, and done from the heart. In other words, you need to own what you are speaking
of - and that should be a cinch; we all are passionate about what we do.
I would strongly suggest you talk about a problem 96% of all children have - the
Pelvic Distortion Subluxation Complex (PDSC). I've published a paper on it in the JVSR.
Please call me and I'll be happy to email it to you.
You can actually demonstrate to all moms in the audience what you are looking for in their
children and have them test their own kids at home. That will be amazing for them and for you!
Trust me, your talk will be incredibly meaningful especially if you tell them that the PDSC
which 96% of all children have, is the main cause of Scoliosis, bowel problems, leg and knee
problems, "growing pains," and menstrual difficulties, etc. You'll have a captive audience!
I hope this helps,
I use the nervoscope in my practice but patient interaction is nil. Please give your opinion on the Insight or Myovision technology.
Dr. Larry Langdon
Warm hellos Larry!
Yours is a very delicate and "politically-loaded" question!
Although the Nervoscope is a wonderful tool, patients can't really "see" what you are doing
and they don't quite get it. Unfortunately, in this day and age, people need "proof" before
they begin care with you - and bring their children! The other problem is that it is "old"
technology and using it dates you really badly. Your community gets the impression that you
are outdated and not current with the times. Ergo: their conclusion is that your care is also
Ok....I've pushed tons of buttons here, but that is the truth. That is your community's perception
of you - not good, Larry.
Enter the era of imaging - The SEMG and Thermography: Five-fifteen years ago, these were the
pinnacle of scanning technology. However, I feel that their glory has also hit a summit. I would no
longer recommend this technology to you. It is a little passé.
Enter the next tool: The EIS/ES Teck. It was borne in France and is riding the crest of the wave.
It is a technology that measures approximately one hundred physiological functions of the body
in a 3 minute complete body scan - and any CA can do it. And there is no operator error as is the
case with the SEMG and Thermography. And I have to tell you that patients are absolutely amazed
by it! Your community will see you as a doctor who uses the latest diagnostic scanning technology
available - and that he/she is amazing. And that is what you want!
The EIS/ES Teck is what I recommend for all my doctors, Larry.
Here is some contact info and a website (www.menlatech.com) for you to look at:
Susan Rustici, President
EIS/ES Teck Distributor
17000 E 40 Hwy, Ste 7
Independence, MO 64055
888-448-4150 Missouri 816-228-4150
Please feel very welcome to call me anytime: 800-353-3082
My warmest wishes,
How can you become the "best doctor in the community" without at first doing some kind of marketing to get patients in the door in the first place? Is the PEP program based primarily on internal referrals?
Dr. Kevin Chan
Warm hellos Dr. Kevin!
The "best doctor in the community" does not mean that you are the best marketing wizard. It does not mean you need to market your brains out. No. It means that everyone in your community has the utmost respect for you, see you as amazing, trust you implicitly, and hold you in high regard.
If you are a brand-new doctor and just getting started, all you need are a very few new patients - a small nucleus - to get the ball rolling. Look after those patients to the point where they are simply amazed by you - your competence, your dedication, your commitment, your warmth, and your passion!
Your patients, Kevin, should leave your presence on their very first visit totally flabbergasted by you. They should be absolutely amazed by you to the point where they want the whole world to know how incredible you are - the PEP Program is all about exactly that!
And......it is based entirely on referrals, so more schlepping around playgrounds, malls, and parking lots!
One of my doctors said this at one of my Modules:
"Dr. Ogi, I've only been working with your "stuff" for just a few weeks, but having brand new patients refer to me on their very first visit is amazing! On Monday and Tuesday, I had two new patients and they referred fifteen others to me on their very first visit! WOW!"
People will only do that if what they experience with you has miles surpassed what they expected, Kevin.
I hope this has been helpful and thank you for writing!
Hello Dr. Ogi: All offices I would think slow down some during the summer, as patients are away for vacation with their families. How much drop off is reasonable and when should it start? Thanks! Dr. Blair
Dr. Blair Dykeman
Warm hellos Blair!
Nice to hear from you!
The summer is traditionally viewed as a "bit slower." And while some of that may be true, many doctors use this as an excuse to justify the fact that they are not seeing and helping many people. They take solace in the fact that it is Ok to be not busy. That it is normal because everyone is also slow. Well.....anyway you slice and dice this, it in NOT!
In order to understand my thinking, you need to totally get the fact that a Subluxation is a neurological habit. It is a neural pattern the body has become accustomed to. It is an error in programming. It is a fault. It is not Ok! Your mission is to eliminate this error. Period.
To do this, patients need to be placed on a schedule of care designed to eliminate this habit. They need tio be adjusted very regularly and they need to totally understand what you are trying to do. But...holiday do get in the way, so...they need to have extra adjustments before and after their vacations to not lose the progress they've made. That will ensure your office is not "slower." And it starts typically end of June to end of August. I hope this helps, Blair.
What is your best recommendation to make all those inactive files...active?
Dr. Ian J. Quist
Warm hellos Ian!
Many doctors ask me that question:
I want you to picture this for a moment;
Your new CA is just becoming comfortable in her new position and you, feeling needy,
bring up from the cellar all those dusty, moldy, aged, old files and ask her to call
these people. But you are nice about it, "You only need to call 10 or so a day" you say.
Your CA is terrified and hyperventilating!
You need to get this: There is nothing more horrific for your staff than calling all those
inactive old files. They do not know how these people have left your office.
Was is on good terms? Was it amicable? Were they angry with you?
The other aspect of this is that as far as these inactive patients are concerned you've
done a wonderful job - you've helped them with their problem. Wonderful! The've paid
you for it, you delivered a service, and you are both even. They owe you nothing.
All of a sudden, your office is calling to schedule a check up for them. They see you as
needy. Not a good conclusion.
These people are the product of your ability to teach them about health and Chiropractic
at that time. It is not their fault. No. It is yours.
And no amount of whinning, hoping and dreaming will take care of this.
What I suggest is this:
LET THEM GO!
Forget the inactives and concentrate on all the new patients out there that you've not seen yet.
The old ones will be back to see you if and when their problem "returns." And then and only
then, will you have a second opportinity to teach them what you are all about!
How do I attract more kids to my practice?
Dr. Mark Ferntoh
If you are thinking that more marketing will do it, the answer is a resounding NO.
You cannot market for children in spite of what you may have heard.
The answer is really simple:
Take a look at your percentage of children in your practice. I wrote an article on this
issue in the WCA Journal a little while ago and it pushed tons of buttons all over the planet.
Here is the answer:
THE PERCENTAGE OF CHILDREN YOU SEE IN YOUR PRACTICE IS DIRECTLY PROPORTIONAL
TO THE LEVEL OF TRUST YOUR PATIENTS HAVE IN WHAT YOU DO!
It is an issue of trust! Pure and simple.
You see, parents will put themselves through anything, but will not subject their kids to
your care unless they trust you implicitly!
So....the answer is to have parents (especially moms) trust you first.
Which means that you need to become an incredible doctor that all moms would trust.
You need to be amazing. You need to become the best your community has ever seen.
And that is what the PEP Program is all about.
Dr. Ogi, I ain't got no new patients. How do I get more?
Dr. Leah Tornber
This is a huge topic. To answer incredibly briefly, I have to say this: It is not a matter of "getting" new patients. In that mind-set you are at the mercy of your public. Listen... you cannot force anyone to do anything they do not want to do. You cannot force them to come and see you. People in your community will only see you if they want to. It is a question of want.
So the question of the century is this:
How can you have people in your community/your patients WANT to see you?
It will only happen if they want to.
So the question now becomes this: How can I have them want what I do?
The answer is really simple - you need to become the very best doctor your community has ever seen. Period.
And all with no pressure, no coercion, no fear tactics, no selling, and no BS. That is what the PEP Program is all about. And it is the only one of its kind! Make sure you subscribe to my THOTS newsletter for a continuous answer to that question because everyone wants the answer to that one!
Should I give away my services for a very low fee?
Dr. Marty Baudin
I never bought that concept.
Listen....I believe you should have the highest fee in your area. You are the best. Your fees should reflect that state of being.
I use stress screenings and posture screenings and get really poor results. Why?
Dr. Ed Tomasin
Here is the problem: The stress and posture momentum has fizzled out. People are simply not moved and motivated by it. And all those catchy little phrases such as: "This is how other people see you" are no longer effective.
People want much more from you. They want the answer to their health quest, not some glibby marketing ploy someone taught you to regurgitate.
Show them how their subluxations are affecting their health and physiology and you'll be playing on a much higher level.
Demonstrate how what you do will have them recover what they've lost and you'll be wanted by everyone all over town.
.....and kiss stress and posture goodbye.
I've been with many practice coaches and they all say that they are different, but in reality, they are all the same. What makes you different?
Dr. Kristen Naden
Great question! One of the things that makes the PEP Program different is that there is no selling whatsoever. None! You do not need to market your brains out! Isn't that a refreshing change!
And it is taught by a bit of a rogue who has had the top pediatric and family practice on the planet, has 5 degrees, and absolutely knows his stuff! Me!
And of course the goal is not to give you some worn out recipe to somehow "get" new patients, troll the malls, or do some passé "Patient Appreciation Days." Rather, it is to have your community see you as the most incredible doctor they have ever seen. Ever!
The idea is that people need to see you, you do not need to see them - you are no longer needy! I love that concept. It is very empowering!
What kind of growth could I experience?
Dr. Robert Branik
I don't want to put limits on this, because as you can imagine, practice growth is very dependent on the effort that goes into it, but......65% of my doctors double their practice within the first four weeks. And that really is not a big deal - many coaches cite similar statistics. The really amazing thing is that the other 35% multiply their practices by a factor of 10 to 15 times! Incredible! That is what happens when your community learns that you are absolutely the best!
Does my technique make a difference?
Dr. Ellen Hought
None at all. The PEP Program is not based on technique. BJ used to say this: "Hit them over the head with a shovel and they'll get better." Technique is not it.
The Program is based on amazing communication between you and your patient. And it is done at a Grade VIII level. A level all patients understand. Simple and concise. It is all about looking at what you do from the perspective of a patient, not yours. Why? Easy. It is not important what you know. It is important what they take away when they leave your office.