What does it mean to be in “flow”? 

The concept of the “Flow Channel” was developed by a Czech researcher, Mihaly Csikszentmihaly. It’s a simple visual of a graph with the X-axis representing your skill level and the Y-axis representing the challenges you face. I will illustrate this concept with the following example.

I am a novice tennis player. If I were to take on Serena Williams in a tennis match I would be over challenged. Serena Williams would be under challenged. The match would be very unfulfilling for the both of us. She would tend to become complacent and bored. I would become frustrated and apathetic. Neither of us would be operating in our respective flow channel.

"Flow" by Mihaly Csikszentmihalyi

In terms of your practice, to understand your flow channel you must appreciate your current skill level. Whether your skill level allows for 30 patient visits per week or 30 patient visits per hour, you must come to realize exactly where your skill level is.  In order to grow and gain new challenges you have to elevate your skill set. This can be accomplished by learning more, reading more, training more, being coached more, etc.

A tree wants to grow to be as big as it can. It doesn’t place any artificial limitations on itself. It simply grows as much as it’s environment allows. You can be the same way. Your skills must be parallel with your challenge. If you want to increase the number of patients you see, you have to grow your skills.

Dr. SeaDr. Douglas Sea, CTO SIDECAR

One day I walked out into the reception room and saw my patient Nicole with one of her foster children, an old man in a 12 year old body. His body was hung loosely like a robe over the back of a chair. I went over to him and as I did he lifted his head but could not look me in the eye or stand completely upright. He reached out, grabbed my tie and said, “Hi my name is Aaron.”

I was blown away. At that moment I felt as if my only purpose in life was to help this boy. I asked Nicole for permission to examine him and because she trusted me; she agreed. His story was disturbing. You can’t imagine what I found during my case history and chiropractic exam. You see, Aaron had spent the past two years locked in a dark, damp closet. It was the way his birth parents chose to teach him a lesson. He could not carry on a conversation and had severe learning challenges.

His back was rigid and riddled with misalignments. He had adapted to this physical and emotional drama by assuming a standing fetal position. As chiropractors we are probably the only health care providers who truly understand that this was innate’s way of protecting him from the physical and emotional pain of abandonment. Nicole told me that her previous chiropractor had said it would be a waste of money to treat Aaron because he had no real symptoms.

Holding my rage inside I said, “I understand,” but I lied. I asked her if she would like to hear my opinion.  I told her what you would have told her, “Aaron may not have the typical symptoms, but he has signs and plenty of indicators of what we call a subluxation. And there is a chance I might be able to ease his suffering, would you like me to try?”

To Aaron and his foster family the spinal adjustments were more than treatments. I don’t fully understand how, yet his foster parents and I witnessed firsthand his release from an emotional prison. As a matter of fact the adjustments kicked the door wide open. Six months later he was mainstreamed into school. No, he wasn’t the top of his class and yes he still has challenges, but he no longer suffers.

No one profession has all the answers yet what we do as chiropractors matters to our patients. There are hundreds of thousands of people that suffer needlessly and will continue a life of drudgery and hopelessness unless you stand up and shout.

You are Chiropractic. You have it in you to be great!


A strong philosophy often spells the difference between success and struggle, passion and boredom. Your philosophy must be practical not theoretical, tangible not invisible, dynamic and fluid not dogmatic and rigid if you are to touch lives. As a Chiropractor you have no choice about the fact that you need a philosophy. Your only choice is whether you define your philosophy by a conscious, disciplined process of thought or allow your brain to accumulate a tangled mass of unconnected ideas, undigested slogans and blatant contradictions. Failure to refine your philosophy leaves you with a sobering consequence, chiropractic uncertainty, self doubt and anxiety.

That’s just part of the story

But that’s just part of the story because the reason patients leave your office, or stay and never refer, is not due to money or time. It’s a consequence of perceived indifference. At the raw core of this indifference, behavioral miscues and procedural breakdowns is a leader who lacks confidence in his/her adjustments. You may be reading this and saying to yourself, “Not me, I know exactly what it is I do.” I hope for your sake that this is true. Yet many of us go through this dark period of ‘chiropractic uncertainty’ but never talk about it. The evidence is right in front of us for all to see in our trade journals.

We have become an ‘industry’ with an identity crisis, not a profession with a mission. On one end we have the disciples who tell patients that the foramen magnum is the ‘mouth of God’ and on the other end failures who teach us that all a person needs is six adjustments. Where do you see it? Are you somewhere in between? Maybe you haven’t really thought about it much and have sort of gone with the flow of yet another super conference fad. Be careful of what you feed your head or you will wind up ‘parrot –phrasing” bromides that are tainted with occult teachings and religious agendas that leave a patient feeling cold and indifferent.

Here’s a quick check list to determine if your philosophy needs updated. Do you use one or more of the following care plans?

Ridged Care Plans: E.g. “Every one needs 40 regardless of age or circumstance.”

Weak Care Plans: E.g. “Their plan only covers 10 office visits so that’s what I recommend” or “They only want to come in twice a week so that’s what I recommend” or “They can only afford . . . so I alter my recommendations.”

Capricious Care Plans: E.g. Winging it depending on your mood and passion barometer for the day, “Let’s get a few adjustments under your belt and then we will see what’s next. We’ll see how it goes.”

Now for the good news, you have a brain and thinking changes thinking. And better thinking builds bigger practices. Begin that process by sitting down with your coach and clarifying where you need the most development. Is it core philosophy, post adjustment confidence or patient communication skills? All of these can be learned, if identified.

Chiropractic Health Care is Life Altering!

We are a profession with an unprecedented vision and you are, beyond a shadow of a doubt, the only people who can inspire hope and witness first hand the awesome healing power of nature.

If you are bold enough and dedicate yourself to defining your philosophy, mastering your technique, becoming a skilled communicator you will inspire everyone you come into contact with. People will be attracted to you and your message and the word will spread from the patients, to their friends, family and co-workers.

What you do matters because there are hundreds of thousands of people that suffer needlessly and will continue a life of drudgery, hopelessness and mediocrity unless you stand up and shout. You are the Chiropractic vision and you must stretch and grow as leaders.



Do you ever catch yourself just going through the motions when you adjust your patients?

Do you run out of things to say?

Do your patients appear apathetic?

Well, there is a solution and that is to stop the small talk and learn how to Smart Talk. Having visited several offices in the USA and Ireland in the past several months it has become painfully obvious that many of you have overlooked developing the number one skill that guarantees success. That is the ability to express yourself and communicate your ideas during the adjustment. And the price you pay is lack of referrals and the frustration associated with non- compliance. My promise is simple and profound, if you accept the challenge and commit to mastering the art of Smart Talk, you will build a massive practice wave.

Smart Talk is the robust dialogue that occurs during your chiropractic assessment and adjustment. This dialogue must be vigorous, brisk and lively. It can not feel or sound ‘canned’ or scripted. Be prepared to open with a question, listen to their responses and then respond. Begin each adjustment with a willingness to let go of your pre-adjustment agenda.

In sharp contrast, small talk is lifeless, lethargic and lengthy. Small talk is filled with gossip, weather reports, sports updates, TV Guide chit chat, celebrity news and political commentary. Small talk imprisons the doctor and bores the patient because it is product oriented, not patient oriented. Techno- babble like, “Your C5 is posterior and lateral,” belongs in a seminar with your peers, not in a business. And dogmatic slogans like, “The power that made the body heals the body” belong in church, not in a business.”

Small talk wastes time and time = life.

Smart Talk is passionate, enthusiastic and deeply rooted in your purpose. Remember, patients are more attuned neurologically to respond to your feelings than to your words. If you are bored and simply clicking or pounding the high spots, then they will vote with their feet.

Smart Talk is your opportunity to shout your message, talk your walk and be both witty and amusing. You’re right, it is not easy to blend clinical decision making and dialogue simultaneously. Yet it is possible to learn.

You must use your whole brain in order to be an effective communicator. Learn to think like a master by developing these three core thinking modules.

  1. Problem solving is the linear, ‘in the box’ thinking associated with our left hemisphere. Focus on the patient’s problem and offer your solution. Your chiropractic assessments must be accurate and meaningful. And your technique needs to bolster your post adjustment confidence.
    Tips for developing problem solving:
  • attend seminars regularly
  • read peer review journals
  • read a book a week and download at least one book so that you can listen to it while driving and exercising
  • become fascinated with human anatomy and neurophysiology
  1. Creative thinking is the imaginative ‘out of the box’ and intuitive thinking associated with our right hemisphere. It is the ability to recognize patterns and apply new solutions. It is the ability to see connections and build concrete analogies.Tips for developing Creative thinking:
  • act on thought flashes and write them down
  • learn to mind map your ideas
  • write in a journal
  • listen to baroque music
  1. Self expression is the ability to draw upon your life experiences and pass on your wisdom. It is the bold expression of your point of view. You are your message.Tips for developing self expression:
  • have some fun!
  • take an art appreciation course
  • experience live concerts
  • visit museums and historical sites
  • learn to play an instrument
  • learn to draw, paint or throw pottery

It’s as simple as that!


Success means winning and in order to win you have to outperform other business teams. Like it or not, your team is already on the field competing for patients. Like it or not, your team is already on the field competing against businesses who offer products and services that promise the same thing you do.

“Chiropractic is Different”

Now I know what you’re thinking, “Chiropractic is bigger, better, gets to the cause, lets people reach their full potential, and is the only wellness plan that makes sense. And there is no competition.” We are without doubt the answer humankind has been searching for, but we have fierce competition for limited resources. What do I mean by limited resources? Insurance equality and access is on the decline unless you are willing to work for managed care. While there are 6 billion people on the planet the brutal reality is that right now your market is limited. People must be made aware and we have a long way to go. They must be willing and able to pay and take responsibility. I don’t know about you, but I see a tsunami of ‘cradle to grave’ entitlement mentality on our shores.

Has the competition become fiercer in your area in the last three years? Is there more insurance reimbursement or more claims denied? Do you think its going to get any easier three years from now? So what can you do right here, right now? Compete! The Chiropractor who fields the best team wins.

In this brutally competitive game called business you can choose to hide your head and be the passive optimist waiting for your big “breakthrough” or you can be the competitive realist “fighting for inches.” Business is just like a full contact sport. Every limiting belief and every physical and emotional weakness that you and your team may have will be exposed.

Your Challenges

It will be tough on some days and when the going gets tough your teams training takes over. The challenges are manifest and include:

  • Staying focused during slow hours, days, and weeks
  • Staying focused when confronting a challenging patient
  • Staying focused when patients cancel or quit
  • Staying focused when patients are not responding
  • Staying focused and flexible when the schedule falls apart

Many of you have talented, passionate people on the field with you and you have learned that being the best means training with the best. Consistent winners have a strategy that includes “in –office” and “seminar training.” Continue to “fight for inches” and make a good team great.


“Our chief want is someone who will inspire us to be what we know we could be.”

– Ralph Waldo Emerson

What do you want out of life?

Re-read that quote, I’m willing to bet your desires align with what Emerson concluded. You want to be the best that you can be. Everyone does. So how do we get there?

This quote speaks to the importance of several things:

1. Mentors

Mentorship creates opportunities to learn lessons unobtainable anywhere else. You’ll never face challenges that someone hasn’t already faced in some capacity. Finding a trusted mentor and utilizing their knowledge only acts to increase your own.

2. Mastermind Groups

Benjamin Franklin created his own mastermind group and started every meeting by asking two profound questions:

“Who is thriving and why?”


“How might they be emulated?”

A mastermind group is a meeting of minds designed to enhance the well-being of the group as a whole. The more ideas you expose yourself too, the better off you’re bound to be.

3. Humility & Expanded Mindset

Becoming the best version of yourself requires large doses of humility. There’s no room to learn if you already know it all! Begin each day with an expanded mindset and open yourself up to learning something new or something old a new way!

“… to be what we know we could be.”

There’s no superfluous intent in this quote. No “what if’s”, dreams, or unobtainable realities. We simply desire to be what we KNOW we can be. Finding someone who can inspire us to reach that level is truly our chief want. Finding someone that can push us to act on the internal desire we have to use our skills, abilities, and God-given talents.

Somebody that will guide us along the path to allow us to make an impact, take care of our stakeholders, and reach affluence by doing whatever it is we love.

If you’re a chiropractor and this is your reality, welcome to SIDECAR.

Let’s get started on inspiring you to become what you know you can. A thriving, impactful chiropractor living a well-deserved affluent lifestyle.


At SIDECAR, we talk a lot about delivering a world-class patient experience. The only way to do that is by surrounding yourself with a world-class team. That’s why we put together the SIDECAR Hiring & Selecting Talent System to walk you through the best interview series we’ve encountered that guarantees you end up with a highly qualified and motivated employee.

We found this video that perfectly demonstrates the attitude of a world-class team member, check it out:


Find passionate people and help them find their purpose within your organization.


Worried about debt? Start by putting it in the right perspective.

Debt is a double-edged sword. To a small business owner, it’s a necessary evil. To students it can seem terrifying. Debt is an investment; but, it’s also a burden. How you view debt and live with debt can shape the role that debt plays in your life.

There are two mindsets when it comes to debt: those who are “in debt” and those who “have debt”. The mindset you possess impacts every aspect of your life. Let’s take a look at these two mindsets.

In Debt

The first mindset is those who view themselves as being “in debt”. These people living “in debt” feel overwhelmed, lost, hopeless, and at the mercy of a broken system. Additionally, they live as if the money they are borrowing is theirs and spend it however they wish! Their spending habits tend to extend beyond their means because after all, “I’ll have to pay it all back, anyways!”

Those living “in debt” may not know how much debt they actually have, what their rates are, or what their repayment plan looks like. They live for now with a fear or disregard for the future.

This is a dangerous mindset to possess and creates significant obstacles in the future. It causes you to live passively, constantly forced to react to the environment around you.

Have Debt

The second mindset are those who view themselves as “having debt”. Those that have debt view debt as an investment, acknowledge the risk, have hope for the future and embrace the challenge. They live well within or below their means with the understanding that money borrowed is much more expensive in the future.

Those that “have debt” know the total amount they owe, what their rates are, what their repayment plan looks like and they have a plan to repay their debtors.

Those that “have debt” utilize their current situation as a launching pad towards a future of affluence.

Which one of these best describes your current situation? Hopefully, if debt plays a role in your life, you view yourself as “having debt” and not living “in debt.” However, you may have realized that your current lifestyle reflects someone who is living “in debt.” The good news? It’s not too late to change your future. Here’s how:

Change your Mindset, NOW!

Your mindset shapes everything you say and do, especially when it comes to your viewpoint on debt. You need to start viewing debt as something you possess. Debt is an investment that you have complete control over. If you’ve been playing the victim card, now’s the time to turn it in. You no longer are living in debt. You’ve got a plan for future success and debt is only helping you get there.

Get a Plan together.

Now that your mindset has changed and you understand that you “have debt”, you need to put a plan together. Start with why? Why have you accumulated the debt you have? What dream are you chasing? Put that dream front and center and plan your life around how you’re going to get there. If you don’t budget or feel that you aren’t wise with your money, give us a call or send us a message and we’ll send you a book to help get you started.

Take Action

With a renewed mindset and a plan in place, it’s time to take action. Rid yourself of the old habits you had while you were living “in debt”. This won’t be easy, you’ve probably become accustomed to enjoying things that are, frankly, beyond your current means. Debt is an investment and requires sacrifice. It’s time to start living appropriately.

Your debt should never control you. You are always in control of your financial situation. Regardless of your level of debt, there’s a way to leverage every penny of interest into a future full of dollars.

Live in joy, live in love, but never live “in debt”.




Have you noticed that there always seems to be one spot along the highway that collects trash? Have you ever wondered how it got started or why that particular spot is the trash magnet?

When the former Mayor of New York City, Rudolph Giuliani, confronted the trash and crime magnet called Times Square he set out to solve the problem and restore his beleaguered city. It took two criminologists to figure out exactly what human behavioral quirk contributes to this phenomenon and how to stop it.

The “Broken Window Theory,” conceived by James Wilson and George Kelling, argues that minor nuisances, if left unchecked, turn into major nuisances. That is, if someone breaks a window and sees that it isn’t fixed immediately, he gets the signal that it’s alright to break the rest of the windows and maybe set the building on fire!

By now you’re probably wondering what this has to do with growing a thriving Chiropractic business. Well your office has ‘structural integrity’ similar to any building. What are your broken windows? What are you attracting? Let’s look at a few examples and see what we can glean.

Identifying Your “Broken Windows”

Have you gotten into the habit of arriving at the office a few minutes late each morning? Have you become so complacent that you no longer need to prepare for the new patient or report of findings? Does the Team see these minor infractions as acceptable behavior and begin to follow the leader? How about patients? Do they begin to arrive late or not at all? Come on, it’s only one window.

What minor nuisance is created when you change the financial policy on yet another patient? Does this breach, add, or detract from the structural integrity of your practice? Come on, it’s only one window.

What kind of minor nuisance is created when your attire has become so casual that your patients say, “You look so comfortable doc, I wish I could get away with that in my office.” Come on, it’s only a window.

Has the scuff mark on the wall been there for a while? Is it inviting others to add to the graffiti? How about behind the front desk? Has it been collecting a few piles of meaningless paperwork and personal items? Have you been invaded by “dust bunnies” breeding under the tables and in the corners?

Selective Perception

Remember, patients have ‘selective perception radar’ that continually scans their environment and dramatically affects all of their decisions. Their senses are highly tuned and demanding. Selective perception refers to the fact that people, once they form a good or bad impression about something or someone, become sensitized and more alert to information that supports the initial impression.

For instance, if the patient has had a bad impression in the beginning of care they will be attracted to studies, or other authorities who questioned their decision to become a chiropractic patient. You might hear things like, “My friend says that coming here will make all of my joints loose,” or “I heard that once you start coming to a chiropractor you can’t stop,” or “I read that getting your neck cracked causes strokes.”

Conversely, if their experience leaves them with a positive emotional impression you will have 1- 3 referrals within the first couple of weeks. At the very least you will hear statements like, “I didn’t realize so many different kinds of people go to a Chiropractor,” or “Doc, I wish I had heard about you before.”

Naturally human beings look for conscious reasons to justify their gut feelings. If their gut says you, your staff or your office is lackadaisical about one thing it must mean it applies to the care plan as well. They might ask, “Am I really that special here or am I just another body?”

Take a look at yourself, your staff and the office aesthetics. Fix all the ‘broken windows’ and service nuisances immediately and set a higher standard of service. Company is coming!


There are as many ways to approach your Chiropractic career as there are exercise and diet strategies. All of us have observed the full spectrum of Chiropractic lifestyles. We have seen the dedicated doctors who plod along throughout the entire length of their career never reaching their goals and we have seen the flash in the pan get in, get it and get out approach. Until now, no one has successfully addressed the burning question, “Is there life after success?” or “What’s next doc?”

It seems that in our fervor to serve humanity though the Chiropractic message we have never taken the time to see past the seven year mark. The seven year mark is an unconscious set point or imagined finish line. Many doctors assume that after seven years in practice they will have achieved most of their practice and lifestyle goals. If they do hit their mark, they may become restless and experience the seven year itch. If they fail to reach their goals, they will likely experience the seven year ditch.

Having interviewed hundreds of doctors we have been deeply impacted by this lack of vision and we are driven to show you another way.

The 3 common exit strategies:

  1. Leave the profession and open a Subway franchise, health related business or other entrepreneurial endeavor.
  2. Become a practice management consultant/coach.
  3. Stay in practice, only because it’s safe and comfortable.

The Fourth Way is the profession’s answer to the burning question, “What’s next doc?” Our advice is to plan your career from this point forward rather than letting circumstance dictate your path. And once you reach your goal, Chiropractic Affluence, why not continue to practice for as long as you enjoy it? Live your life at choice not at risk.

Our mission is to share our vision of what’s truly possible for you and to guide you every step of the way. SIDECAR’s model is planned fulfillment from graduation to retirement not planned obsolescence.

Nature’s Way

After nearly a quarter of a century of collecting and analyzing statistical data points from a diverse practice population we have discovered the “WAVE” phenomena. This discovery is revolutionizing the way we help clients with the strategic and tactical work of building, innovating, and restoring a chiropractic practice.

The stark reality is that you have 3 consecutive years of PEAK production if you are to achieve Chiropractic Affluence. These years are characterized by:

1. The Peak Earning Period
2. Debt Elimination
3. Accumulating Wealth through Savings and Investments

The WAVE concept is so powerful that you may dismiss it at first. It is what you make it. You can be overly optimistic and think that you have plenty of time. You can feel overwhelmed and let self-doubt smother you or you can be thankful for the awareness and decide to take charge of the rest of your career.