Friday
Oct282016

Protecting our Kids

The newly installed president of the ACA’s sports council, Dr. Shane Espinoza (yes, our Dr. Espinoza, who owns an amazing HS clinic in Oregon), sent me some information on CTE (chronic traumatic encephalopathy) that you should be made aware of. Unless you live under a rock, you’ve heard a lot about CTE because it's almost constantly in the news. The stories of retired NFL or college players committing suicide because of the massive side effects from CTE are growing weekly. A good friend of mine, whose son just suffered a nasty concussion in a high school football game last week called me in a panic, not knowing what to do or where to turn for help. We chiropractors MUST know about CTE. We must be current. Our patients will be increasingly asking for guidance and information. We need to be that source of information.

My nephew was a very highly recruited offensive guard, playing on a back to back D1 high school football state championship team ranked 6th in the country in the toughest division. He could have played collegiate football at almost any college in the country and he had dozens and dozens of offers from MIT to Stanford. Instead, he chose a full academic scholarship to Notre Dame. This means he’s done playing football. Why did he make this choice? He said to my brother, “Dad, I can play football for maybe another 8-10 years. I have the rest of my life to live. It’s not worth the risk.”  CTE is real and it’s scaring the heck out of people. Fortunately, my nephew had the option of a full academic ride. Most athletes don’t have that option, so they must play ball. Many of your patients and their children will suffer concussions playing sports like football and soccer or even from accidents. Concussions can lead to CTE. Here’s valuable information.

Tau is a plaque that forms on and in the brain of people that will develop CTE. It also forms in the brains of Alzheimer’s victims. Tau is formed as a misfiled protein that is part of the skeletal structure of the axon of the nerve cell. CTE causes micro trauma or miniature strokes that in turn create inflammation and an accumulation of waste products in the nerve cells. This inflammation and waste product then causes misfiling of skeletal proteins which leads to TAU deposits, axon loss and cell death. Next come the behavior changes we associate with CTE. It could prove helpful to test treatments if we knew if someone has CTE that will progress to a serious problem. Now we can know that before the behavior changes. Up until now, the only conclusive diagnosis could be made after the victim dies and an autopsy is performed.

There is a new tracer substance that when used with a PET scan, can detect TAU deposits when they first form, years before any behavior changes. This is the first major breakthrough in treating CTE. If we know a person has the beginning of CTE forming, we can now get them treatment. And that’s another story. New treatments are being explored since we can now detect CTE very early. I expect some really interesting ‘alternative’ treatments will eventually take center stage, and I hope the chiropractic profession plays a great role.

For prevention, at least as far as football is concerned, much better helmets (about $1,500) are being designed and tested. There is also a new product called a HITT-SHIELD that fits into a helmet and significantly reduces concussive forces to the head from a direct hit. However, Dr. Shane tells me that most sport caused concussions result from rotational trauma, so we need much more innovation on this front.

There’s your primer on the new development in the detection of CTE. Share with your patients when you feel it’s appropriate. At the very least, you are now armed with additional information, and that’s a good thing!

Have an outstanding weekend as you all cheer on the Cleveland Indians this weekend!

 

Dr. Chris Tomshack

Friday
Jul222016

I don't have the time

Happy Friday to you!

Early this past Sunday morning I was at my gym working out and Bob approached me. Bob is about 35 years old, blond hair with some serious flow, 6’3” tall and he’s about a shredded 190 pounds. He’s got two boys, 6 and 8 years old. Bob says to me, “man, with my boys in all their sports, I don’t have time for any of my stuff anymore. There isn’t time for anything! What do you do?”


Bob knows that my two eldest were in highly competitive athletics into college and my youngest is into crazy competitive academics, so he figured I’d have some insight. And you know, I’ve got some real concrete thoughts on this subject because I’m still living it. And likely you, if you have kids, are living it to. And here’s how it starts. Along about age 8-10, kids these days tend to get involved into really time intensive, often year round sports. Mine did the same, and boy does it consume your time. In fact, I ended up parking most of my hobbies (golf, racquetball, boating, etc) because there just isn’t time to do everything. And you know what, that’s perfectly ok. Looking back I wouldn’t change a thing. Life actually got better.


It started with my daughter, Shannon. At 6 years old, Shan started taking tennis lessons from a teaching pro. This led to tournaments where we’d trek off together for a day or two of non-stop tennis. This went on all the way into college. In fact, it paid for a chunk of college! But what was very cool was that we got to spend so much more time together because of tennis, time that I probably would have spent away from her, maybe at the golf course. We shared, laughed, cried, celebrated and lived some great times building wonderful memories. I thought we were busy.


Then my next oldest, T, hit age 8 and all hell broke loose! That year he started motocross racing and competitive baseball. Between these two activities and Shan, there was less than zero free time for my hobbies. Motocross only lasted for two years, thank God, because at age 10 baseball became insanely busy, consuming most weeknights and almost every entire weekend, and the pace never slowed, even into college ball. We were fortunate that baseball paid a ton of his college bill, so I used some college money saved and bought a Sprinter RV, which we dubbed the ‘baseball van’ and put a crazy amount of miles on it. I wouldn’t trade the memories we made together for anything. And these are family memories.


One of our franchise owners asked me if year round sports are worth the tradeoff. I thoughtfully wrote out a response that boiled down to “I’ve loved the experience. And even more important, my kids loved it, and we’d do it again.” I ran my response by my kids first and they agreed 100%. We built some amazing memories and experiences.


Here’s the deal, when done right, your kids’ activities  brings family together, instead of everyone splitting up and going their own direction, or me hitting the golf course for 6 hours at a whack. I believe it’s made us a better family. It’s made me a better person. But what about those hobbies of mine? Well guess what, my kids’ activities became my hobbies. Sure, I made certain my workouts and nutrition never wavered, and I carved out plenty of time to read on the road. The takeaway here is simple, we ALL need hobbies. You pick them. Choose something that jazzes you up and engage. Hobbies help to rejuvenate us. They lift us up. They refill our tanks. They make life much more interesting. They foster wonderful relationships. In sum, they make us better people. Outside of work, what healthy activities are you engaging in now? Want to up the Fun factor in your life, start today!!

 

Chris Tomshack, D.C.

Friday
Dec112015

Only 1% Growth Projected in 2016

The new projections are in and if they’re accurate, it’ll really crush a ton of practices.

Are you aware of the growth rate projected for the chiropractic industry for 2016?

Care to know?

Want to hear the ramifications to individual chiropractors, like yourself?

Most DC’s will be blown away by this and have no idea what it really means. Most will not take action while there is still time.

So here we go. The chiropractic industry is expected to grow a paltry 1% in 2016. Just 1%. This is bad news.

We’ve got quite a few future DC’s in the colleges and many will be graduating all through the next year……..potentially thousands more DC’s in practice.

This means that they’ll begin serving patients as an associate or as a new clinic owner. In other words, they’ll generate more revenue for the chiropractic industry.

Now all in all, you can say, “hey, that’s great. We need more chiropractors.” And I totally agree with that statement. We need more DC’s giving great care to the American population, and they should earn wonderful incomes in the process. You should too.

The challenge is that as the new grads increase the overall income into chiropractic, that pretty much accounts for the 1% increase in projected growth, probably a lot more, which means a number of DC’s will be earning LESS in 2016.

Not good.

I’m NOT saying new grads aren’t wonderful. They are and we need them.

What I am saying is that overall, the average clinic income is very likely to drop in 2016.

Are you prepared for that to occur?

Do you have a plan to guarantee that your practice won’t shrink and instead, it’ll grow in 2016?

2016 is just about here. If you’re just hearing about the projection, you’re a bit, ok, a lot, behind the proverbial 8 ball.

A friendly suggestion is that you take the next three weeks and carefully sculpt a plan for practice growth next year.

The plan needs to be executed in very early January and it needs to be smart.

It also needs to be quite different from what you did in 2015. You can’t solve a problem using the same level of thinking that created the problem (paraphrased Einstein).

The good news is that you do have time to do this now. Block out the time on your calendar while it’s fresh in your mind.

We need chiropractic to grow a lot more in 2016 than a measly 1%, and it starts with YOU and YOUR office, if and only if you’re proactive and get busy.

More next week,

Chris Tomshack DC

CEO HealthSource Chiropractic & Progressive Rehab & Wellness

P.S.  You have time to design a great plan, but you must move quickly, or risk being in reactive mode the entire year, and that’s exhausting.

If you want to learn what NOT to do and shorten your learning curve, go to www.howiwasted.com. I wasted millions of dollars testing ways to increase my practices. I would encourage you not to repeat the mistakes I made…and I made plenty!

 

 

Monday
Dec072015

How I Wasted Millions

Hey there,

You’re about to learn how to make January, February and March, typically three of the slowest months in chiropractic offices, one of the best quarters of the year for your clinic.

No joke.

Most chiropractors refuse to believe this is even possible, let alone believe that they could do this in their office, year after year.

But it wasn’t always this way.

Not by a long shot.

Rewind about 16 years, I’m in practice, very darn busy, but I’m dreading the first quarter of the next year and it isn’t even Christmas yet. I know exactly what will happen to the volume of my 3 associate doctors. It’s not good.

So here I am, I’ve built a huge practice by anybody’s standards but I know winter is coming as is the massive stress of fighting hard to keep ‘the numbers up’ in winter.

I’m depressed. So I got to work to fix the problem, attacking it by relying on my business education. Creating and testing new systems consumed me.

And oh how thing changed, mi amigo. :)

After I developed and perfected what I now call the “Ultimate Marketing Calendar” system, I experienced a huge transformation.

Please understand, I already had in place totally state of the art patient care programs, much more advanced than the docs down the street, so I knew we were great there….more than great, actually.

Since then, we’ve created so many new patients in winter, first in my own 4 practices, then in hundreds of HealthSource clinics nationwide, it amazes me every year.

Yep, there are millions of people out there- a lot of them – and they need our help, and are looking for a better solution to their health needs.

You just need to know where to find them and how to attract them.

There was the one Christmas eve we saw 10 new patients by early closing time, 2:00 pm. And this is in just one office!

Do you know what the best thing is?

The HealthSource system shows you how to systematically use the Ultimate Marketing Calendar, even before you come to HealthSource University, so you can execute the system early and begin to attract more new patients from the start.

I'll tell you the strange way this happened later on. If you’ve read my book, it’s in there.

 

Talk soon,

Chris Tomshack DC

CEO, HealthSource Chiropractic & Progressive Rehab and Wellness

 

P.S. There are two huge lessons that are hidden in this email. In fact, I repeated one of them five times in this email.  It's the key to your success.

P.P.S.  Want to know immediately what NOT to do? I’ll show you how I wasted a huge amount of money.  Go to www.howiwasted.com

Monday
Nov302015

Are early morning or late afternoon workouts better for you?

Well this is an age old question, and if I had one share of Apple stock for every time someone has asked me this question, I’d look forward to more people asking it! Some people like to workout first thing in the dark morning, me included, while some much prefer the late afternoon, after work and before dinner. So which is better for you? What should you do?

Let’s start with the early morning workouts. First, it’s part of your daily disciplines, so it creates a very high level of consistency, meaning your very likely to not miss your workouts. This is HUGE. Second, compelling research indicates you elevate your metabolic burn rate throughout the day, gaining valuable bonus points for fat loss. Third, your body is well rested, since it repaired itself while you slept peacefully. Fourth, since you haven’t eaten since the night before, you may have less fuel to fire your workout. This is specifically why it’s a great idea to consume about 15 grams of protein with some glucose immediately before a weight training session if you’re lifting in the morning. For cardio days, consume water only before training for max fat loss.

What about those evening workouts? Let’s dig in here, too. First, there is a nice body of research that shows that many of us are stronger in the afternoons, helping us lift perhaps more weight for more reps. And isn’t it all about the result! We like to be healthy and we also like to look good, don’t we? Second, you’ve been up for many hours. If you’ve gotten enough sleep, you are totally awake and ready to kill it in the gym. You’ve also eaten throughout the day, so you have sufficient fuel. Third, training after work helps many of us distress and burn off the excitement and stress of the day. Fourth, if you train too late in the evening, you may have trouble shutting it down and getting great sleep.

So what’s the verdict? Should you train in the morning or afternoon? The answer is simple. All in all, it matters very little when you train. What matters is that you do train and that you do it consistently. If you prefer to hit it early, then do it. You like afternoons better? Great, then make it happen. Life is complicated enough. Why worry about when to train. Just put it in your non-negotiable calendar, get your gear on, jump in the car, drive to the gym and Get It DONE!!