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


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.


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!


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

Is your business everything you dreamed it would be when you were first starting up? Do you still wake up with the same drive to impact your community and create your future? How about those “New Year” resolutions you set, do they still exist?

If you identify with any of the underlying frustrations prompted by these questions or if you’re having serious doubts about your ability to press on and continue, we’ve got some advice for you.

It’s not for everyone. Maybe your dreams are set just a little too high. Life is hard, and sometimes there’s nothing you can do. Did you seriously think that you could accomplish anything you set your mind to?

This might not be easy to swallow, but someone has to say it:

It’s time to burn the ship!

Spanish Conquistador, Hernando Cortes

Burn the Ship!

In 1519 Hernán Cortés, a Spanish Conquistador, led a group of 600 men across the Atlantic Ocean to take on the powerful Aztec Empire. Legend has it that upon arrival his men were fearful and wanted to return back to where they came from. They were afraid to risk everything. Cortés had one thing to say to his team:

“It’s time to burn the ship!”

The crazy thing? He did. The ships they arrived on were set ablaze. There was no turning back now!

Fear is a powerful emotion fueled by doubt.

Cortés’ men agreed to embark on this journey united under one common goal: to defeat the Aztec Empire. They dropped everything in their life to get on a boat and spend several months crossing the Atlantic Ocean. One can imagine the entire time they were on the water they were dreaming of the new found riches they were going to claim. Yet, when they arrived to their destination — they wanted to abort the mission and return to the safety of their vessels. Comfort creates complacency.

600 Men, 1 Leader

Can you imagine making a decision that directly contradicts the desires of 600 men — All of whom have put their lives in your hands? Making the decision to go “all-in” is never easy. It’s human nature to want to protect yourself from harm, hedge your bets, or have a back-up plan… you know, just in case.

But those who reach the highest levels of success will tell you the same thing: there’s no plan B!

Make A Decision

Now, it’s your turn. You can choose to stay comfortable, retract, and search for safety. Or, you can dig deeper, train harder, dream bigger and spend every waking moment pursuing your ultimate desires.

If you ask us?

It’s time to burn the ship!


Double Crush Syndrome is a hypothesis that states one nerve can be irritated in two separate areas resulting in a cumulative, increased negative effect. For example, some episodes of Carpal Tunnel Syndrome have shown nerve compression not only in the wrist but also in the neck or elbow. Double Crush Syndrome is important to understand for proper diagnosis and treatment.

At SIDECAR, we’ve discovered a different form of Double Crush Syndrome that exists and plagues many business owners. This form of Double Crush Syndrome states:

“Stresses at home and stresses at work can result in an overall cumulative, negative effect.”

In this piece, we will help you diagnose Double Crush Syndrome in your life and guide you through treating and preventing this phenomena.

Your Reality

The reality of entrepreneurship is that every business is a family business. Regardless of if family members are working in your business or not; your business’s performance will have a definite, measurable effect on your family. It’s incredibly difficult to operate a struggling business without feeling the effects at home. Troubles within the home also tend to lead to troubles in the business. It’s rare to have a good day in one area and a bad day in the other. Because of this cumulative effect, it’s important to establish proper boundaries and have the right mindset in both situations.

Here’s our best advice when dealing with these issues:

  1. Leave your personal baggage at the door.
    When you enter your place of business you must have the ability to leave behind any outside issues you may be dealing with. These problems will still be there when you leave, but the only way they can enter your business is if you allow them in.
  2. Take care of your needs (and your family’s needs) first.
    If your personal needs aren’t being met; you can’t expect that your business will be able to help meet the needs of others. This is the self-serving reality of human nature. A battery can not give off that which it does not have. In order to, be all-in at your business serving your customers; make sure you are getting your needs met. For some people it’s exercise, others may need to meditate prior to arriving at the office. Whatever you need to do to make sure you are at your best once you begin your day.
  3. Be where your feet are.
    The ability to be present in every situation allows for you to be at your best regardless of outside circumstances. When you are at work, be at work. When you’re home with your family, be at home with your family. It’s natural to allow your brain to wander between the two but with proper focus and discipline you can remain in the moment and serve the purpose at hand.
  1. Take a proper amount of trips and vacations.
    As the saying goes, if you think you need a vacation… it’s too late! At SIDECAR we’ve developed a rejuvenation system designed to allow you to take sufficient time off without stalling or stopping the momentum of a growing practice.

Your family shouldn’t suffer because of your struggling business. Your family should thrive alongside your business.

You can have it all. We can help you get there.