Over the years I’ve developed a routine that allows me to be my best every day. 

What is the most important time of your day?

The most important time in my day is the first 30 minutes. Why? The first half hour of my day gives me the opportunity to check my attitude and determine where my perspective is. I sit quietly and reflect in a state of gratitude. I think about everything that I am thankful for. Gratitude is crucial for achieving success.

You can’t be blessed with more if you aren’t grateful for what you currently have.

My Morning Routine

From a tactical standpoint here is a list of what I accomplish in the first 30 minutes of my day:

  1. Read a daily devotional. This is my time to be alone with God. This devotional always helps set my perspective for the day and allows me to start my day off thinking.
  2. Review my SIDECAR Throttle. I go through all my 90 day commitments and track my progress.
  3. Plan out my day and write everything down. From 6 A.M. until I go to bed, I plan every minute and every hour. I write down what I’m going to do each hour of that day, what my tweener time activities are, the people I want to contact, thank you’s I want to write, and activities I want to get done.
  4. Find a quote that I want to think about and write that down.
  5. Write down my goals.

At the end of my day I reflect and review on what went well, what I didn’t get done, and re-write my goals.

Develop Your Routine

I’ve found over the years that I am at my best when I start my day in the following fashion. Zig Ziglar famously said, “We all need a check up from the neck up.” I utilize the first 30 minutes in my day to do exactly that! I’m not writing this blog post to say that you need to adapt my routine. Develop your own routine! Find out what you need to do in the first thirty minutes of your day to allow you to be at your best.

Dr. Nathan Unruh

Dr. Nathan Unruh, CXO SIDECAR

hustle

You can recapture the joy in your business and life by learning the difference between “working” and “hustling”. 

I love basketball. I started playing when I was a child and continued through college. The game has always been a passion of mine. Even though my playing days are over I still hold a tremendous appreciation for the nuances of the game. Extraordinary games of basketball always showcase great coaching, teamwork, and talent. To this day, it’s hard for me to turn away from a collegiate matchup between two historic powerhouses.

One of the things you’ll notice about the big-time games is the amount of hustle that each team displays. Whether it’s sprinting down the court or diving on the floor for loose balls, the amount of hustle displayed is unbelievable. Watching an entire team execute on their goals with high levels of hustle is a beautiful thing.

The Meaning of Hustle

“Hustle” has been a buzzword in the entrepreneurial business world for a while now. What exactly does it mean? What is “hustle”? How does it differ from “work”? The basketball players are all “working” to achieve a common goal, but are they all “hustling”, too?

In basketball, the word “hustle” is most commonly used to describe a play of extraordinary effort. If a player goes the extra mile they are commended for great “hustle”. However, ask any great player about “hustle” and they rarely even acknowledge it. Usually, the response will be along the lines of “I’m just doing my job”. You see, the player doesn’t view the extra effort as extraordinary at all. To the outside world, it appears as an obvious case of exceptional effort; something that can be pointed to and labeled as “hustle”. To the player, it’s merely a by-product of the love of the game.

The Difference Between Work and Hustle

At some point in our lives, all of us have had to “work”. It may have been doing chores as a child, or studying for a class you weren’t particularly interested in during your schooling. You might have not developed and possessed your vision, yet. If you did, the acts of work you were performing may not have been aligned with your vision. Ultimately, your vision dictates the difference between working and hustling. You know when you’re “working”. Whatever it is you are doing isn’t aligned with your vision and odds are it’s taxing you! When you’re “working” you are busy with tasks, but never actually getting anything done. When you’re “hustling” you are executing and able to accomplish things that matter and contribute to your success. You are energized and every time you execute on something it gives you a boost to continue to pursue your vision.

So, are you “working” or are you “hustling”? If all your effort and time is devoted to an ultimate goal and aligned with your vision, then you’re “hustling”. If people are starting to take notice of your extraordinary effort and results, you’re “hustling”. If you’re not focused and are simply completing task after task, you’re “working”.

“Things may come to those who wait, but only the things left by those who hustle.” 

– Abraham Lincoln 

Understand the nuances of this concept. The basketball player doesn’t have to think about giving extra effort before he or she jumps into the stands for the ball. In their mind, anyone in that same position would do the exact same thing. You can’t continue to waste your time “working” and just start calling it “hustling”. Everything you do day in and day out has to be aligned with your vision. You’re wasting your life if you don’t.

Stop working. Start hustling.

Dr. Nathan UnruhDr. Nathan Unruh, CXO SIDECAR

From time to time we all get tempted by the slick fix program or seduced by the teachers who claim to have the ‘secret’ to success. It’s not their fault. They are simply scratching that itch we have, the itch to be successful . . . NOW!

We all want the fast track to the next level and that means skipping steps. Skipping ahead to the next level would be like missing those awkward years of junior high school. Imagine if it were possible to skip the pressure of school work and the whole body changing ordeal, dating and fitting in thing.

Deep down you and I both know that it’s not possible to grow to the next level without growing through adversity. My point is this: You can’t just think positive thoughts and expect the world to come to you. You must act more than you think. Even if you could surround yourself with only positive people, and invest hours a day reading inspirational books and listening to audiobooks, it would not change your life.

The only place where success comes before work is in the dictionary. Keep that in your mind as your brain is attracted to a fluffier promise of success. There is no secret to weight loss. I don’t care how many thin people you look at. If you feed your pie hole with sugar and fat you will attract fat!

If you sit more than you move, you will attract fat! The same is true of success. I don’t care how many positive, shiny, happy people you look at, if all you do is get ready to get ready, you will attract a fatty practice. If you think more than you act you will attract practice fat.

The cure for obesity is to take long walks and keep your mouth shut. The cure for practice obesity is to take huge steps and keep your eyes wide open.

To be a great chiropractor you will need to ACT in spite of uncertainty. The only thing that is certain is that failure to act will result in more of the same. Each letter of the word ACTION contains a memory stick.

A – Attention
C – Commitment, consistency
T – Target, goal
I – Intensity
O – Observable movement, not in your head, others should be able to see the action
N – No excuses

Your SIDECAR Team

Imagine how simple it would be to report your findings if all of your new patients came with a USB port. Then all you would have to do is stick in a flash drive and transfer your findings along with the appropriate studies validating your recommendations. Well that day may come but not fast enough to make a difference in your practice right now. If you want more new patients you must take your good patient communication skills and make them great.

The Problem

The problem with most Report of Findings is that they don’t work. They fail to get results for the patient. Allow me to repeat that statement, They fail to get results for the patient. Most reports do not cultivate trust, deliver meaning or move the patient to follow through. Reports too often leave the patient dazed and confused and a confused mind always says no. This has real consequences for both you and your patients. The patient misses the opportunity to get the care they want and you lose the opportunity to serve!

You probably think (hope) that getting a patient to accept your recommendations is pretty straight forward. You gather the history, do the appropriate exams, formulate a plan and boom they start care. And of course the most famous bromide of them all, “They stay, pay and refer.” Too often reports are heavy on facts and light on human touch. Data-dumping does not get the results the patient needs. A doctor-centered report of findings focuses on what the doctor needs to say. A patient-centered approach focuses on what the patient needs to hear, it “relates” to the patient.

Stop reporting your findings and start “Relating Your Findings” using the following three steps.

  1. Personalize the report
  2. Give the patient your best recommendation
  3. Make the decision process easy
Personalize every report.

Begin your presentation with, “As I understand it, the most important thing for you right now is to be able to_____.” Never use dogmatic platitudes like “You need to come for the rest of your life,” or weak avoidance tactics like “If you’re not better after five adjustments then chiropractic won’t work for you.” Both are cookie cutter one size fits all positions.

Make your best recommendation your only recommendation.

Interpret the examination findings then stand firmly upon your clinical opinion, best available evidence and experience to date. This is your point of view; you are the expert. Is it always right? Of course not, but it is the best you can do with what you know right now. Changing your recommendation during the report when you sense resistance is not patient-centered. It is, in fact, doctor-centered and fear driven behavior. Too often the fear of being criticized, or the need to make everyone happy makes us people pleasers not patient leaders.

Make the decision process easy

You must make the decision process easy. Address the patient’s problem in the context of how it is limiting their life. Make the cause of their symptoms tangible. Instead of saying misalignments are caused by toxins, thoughts and trauma, tell them exactly what you think. As an example you could say, “Spinal misalignments can occur as a result of accumulated stress and injuries. In your case I suspect ____.”        And make the care plan simple. As an example, “In order to get the results we are both looking for you will need a concentrated course of care over the next ____”

The reality is that patient non-compliance is a source of frustration for all health care providers. Yet chiropractors need to be better because our margin for error is a whole lot less. People always pay for services they value and value the services they pay for. And in today’s stingy economy, chiropractic care needs to be affordable and valued. You can take charge of your practice but only if you take responsibility for your role in patient non-compliance.

Your SIDECAR Team

Death is a fact of life. None of us will ever get out of this world unscathed.

What a positive way to start off this blog post! The point I want to elaborate on today is living a regretless life. Now, it’s truly impossible to live a regretless life but, when you break it down into its components, you can see it is possible to live a regret-less life.

Live your life regretting less.

Have you left things undone or words unsaid? Have you done everything you set out to do in life? A concept that gets thrown around a lot is the idea of having a “bucket list”. This is a noble concept. A list of things that you want to see/do/experience before you die. Unfortunately, most people spend more time filling up their bucket list and never taking the time to empty it out. This leads to living a regretful life. You spend time wishing that you would have done this or said that.

If “I wish I would have worked less” is a regret you’re going to have at the end of your life than you aren’t living with the right mentality. As chiropractors, we are called to care and nurture. I want to get to my end worn out, depleted, and complete, knowing that I accomplished everything I could to help change my corner of the world.

Take some time to self-examine. Say you’re sorry where you need to. Forgive others and move on. Tidy up your circles and don’t leave room for regrets.

Now to end where we started… Life is finite and limited. We never know when it’s going to end.

Live to regret less every day.

Dr. SeaDr. Douglas Sea

 

Some days don’t go as planned. The stresses and challenges of trying to run a business, take care of family, and maintain personal time can lead to days that don’t run as smoothly as you had envisioned. These days can leave us feeling frustrated and they tend to affect us on multiple levels…

This is where the Rainy Day File comes in. The concept of the Rainy Day File is to have a place to house items that represent good times when someone paid you a compliment. These can be simple notes from patients, thank you cards, or tokens of appreciation.

Research in neuroscience shows that for every negative encounter you have you must experience five positive ones to offset the negativity. This is especially important to remember in the chiropractic profession. As chiropractors, we get hired and fired every day by patients. New patients come in and choose to hire you while other patients drop out of care, essentially firing you. Patients that leave may be critical about you and even ridicule you.

We’re all people and can’t always be perfect. That doesn’t mean we don’t strive to be perfect, but we need to understand that we won’t make everyone happy.

Start saving positive notes from patients. Be careful not to review your Rainy Day File every day or it will become entitled and give you a false sense of self-esteem.

Start taking time to celebrate wins and reflect on the good times when you’re down. It’s a simple exercise that will do wonders in helping pull you back when you’re down in the dumps.

Dr. SeaDr. Douglas Sea

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!

Your SIDECAR Team

Instant Gratification.

It’s a term that has become synonymous with the life we are now used to living. In society today, it’s easier to satisfy our wants and needs than ever before. Thanks in large part to technology; the world is literally at our fingertips. Instant Gratification has completely changed what the consumer expects. Has your office adapted?

Instant Gratification presents new opportunities and challenges to business owners. Your customers have become accustomed to being instantly satisfied. This can seem like an additional everyday stress and another obstacle to adapt to. However, with a little due diligence and a great team behind you, your business can upgrade into the realm of instant gratification. Here’s a few tips that you can implement immediately to enhance your customer experience in today’s world.

Instant Gratification Tips
  1. Sweat the small stuff. Now, more than ever, every detail matters. A customer should utilize every sense (sight, touch, smell, sound, taste) during a visit t0 your office.
  2. Establish and build meaningful relationships. Remembering customer’s names and stories goes a long way in creating meaningful interactions on every visit.
  3. Deliver on your promises. Your office should have established “We Believe” statements. Remember, these are tangibly observable outcomes. Every “We Believe” statement should be encountered by every customer on every visit.
  4. Eliminate wasted time. Instant Gratification has reprogrammed society to despise waiting time. If customers are spending time waiting in line or sitting around your office… It won’t be long until they find a new place to visit.
  5. Don’t get complacent. If you find you and your team in a groove, don’t allow yourself to become too comfortable. Your consumer is constantly evolving and adapting new tastes and expectations. Continue to drill down on your fundamentals and improve your customer experience in all areas

The bottom line? Nothing beats exceptional customer service. Instant Gratification is here to stay and you need to find ways to incorporate it into your place of business. If you think your business is impermeable to it, it’s only a matter of time until you find yourself on the outside looking in!

Dr. Nathan UnruhDr. Nathan Unruh, CXO, SIDECAR

Your business is made up of a set of core beliefs — just like a baseball. 

If you’ve paid attention to the sport of baseball over the past few years you may have noticed that players are getting bigger and stronger. This has resulted in baseballs traveling further distances at rates faster than ever before. What hasn’t changed is how a baseball is physically made.

How A Baseball is Made

At its core, a baseball is composed of a rubber ball in the center called the “pill”. The pill serves as the beginning of the baseball. This is then surrounded by rolls of twine and covered with two pieces of leather. Finally, everything is stitched up together with red thread.

Just like a baseball is made up of individual components; so too, is your business.

What is Your Business Made of?

At the center of your business is your vision – the why behind what you do. The twine surrounding the pill is your mission. This states how you will accomplish and execute your vision. The layer of leather is your company values. These values define your central belief system and set the expectations of behavior for you and your team. Finally, stitching everything together is your Code of Honor. Your Code of Honor is a set of rules that defines exactly how your team conducts itself on a daily basis.

“I’ve Got It!”

Another rule in baseball is that when the ball is in the air the only thing you can call as a fielder is “I’ve got it!” Never, under any circumstances should the phrase “You’ve got it!” come out of your mouth. The only proper call to make is one owning possession of the ball.

You can’t pass the buck in your business either. When the ball is in the air, you’ve got to take responsibility and go get it!

Let’s Play Ball!

Dr. James Staciwa, Transitions Chiropractic, SIDECAR Client

 

Are you working as hard as you think you are? 

Work Ethic

Rate your work ethic. On scale of 1-10, rate your work ethic. Seriously, choose a number.

What number did you give yourself? Typically, people answer comfortably in the 6-8 range. Let’s put that into perspective. If you were taking a test: 8 out of 10 would be a B, 7 out of 10 a C, and everything below that… well, you get the idea.

This is a great exercise to do with your team. Open yourself and your team up and be vulnerable. Remember, in our businesses we only get what we tolerate. Your team’s work ethic drives what you all can accomplish as a unit. We encourage you to be honest with yourself; where is your work ethic right now?

What is Your Why?

If your answer isn’t as high as you would like it to be here’s my question for you, what is your why? Is your why, the reason you do what you do, big enough? When your why truly is big enough, the how’s will take care of itself!

We know that in order to execute on every patient experience we have to be 100% present with 100% effort. This needs to transcend from you, the leader of your business, down to your techs.

I have asked techs that worked for me in the past, “If you had a car and it only started 7 out of 10 times, but you never knew exactly when it would or wouldn’t start, would you keep that car?”

Take a look in the mirror. How’s your work ethic?

Dr. Nathan UnruhDr. Nathan Unruh, CXO SIDECAR