E 126 Add A Gym to Your Clinic Josh Satterlee DC

a doctors perspective e 126 dr josh satterlee clinic gym hybrid
Dr. Josh Satterlee, DC talks to Dr. Justin Trosclair DC on A Doctor’s Perspective Podcast.

Make a clinic gym hybrid your next profitable expansion. Dr. Josh Satterlee goes through the why, how much square feet, fees, equipment, hiring, special certifications, class sizes and much more. You got them pain free, let’s keep them with exercise.

He has a sad yet interesting story on how he went from engineering and biomechanics to becoming a chiropractor. We discuss his origin story and the evolution of the clinic gym hybrid going from 800 sq ft with two doctors to 4990 sq ft (3000 of it gym space).

His first hire to expand services was actually an athletic trainer and not another doctor, hear why. Plus when you hire a bunch of part timers for the gym, he needed a general manager, hear why again.

Dr. Satterlee is (TPI) Titleist Performance Institute Certified and then Selective Functional Movement Assessment (SFMA) super certified and has been teaching SFMA for many years now.

What courses should we take if we want to get in to the clinic gym hybrid?   

HINT: Be clear on what joint we are isolating. The ‘mode’ of exercise (kettle bells vs bands vs whatever) doesn’t matter as much as isolating the joint and motion you are trying to repair.

The patient has gotten better and they are looking at you doctor for the next step. The clinic gym model gives you an add on service that the patient already is hinting at. They got pain free, now I want to keep it that way.

Cam a small space halt implantation? Can we just do bands, balls, kettle bells, pilates, McGill 3 type stuff etc or do we need high tech big machines? BONUS: on amazon there is a mesh bag with a jump rope, pull up band, mini bands, floor sliders and you would want a 12 inch foam roller and you could get the clinic gym started.

Motion in a joint is key to a healthy joint.

Another reason to consider the clinic gym model is because often you find a patient is back at a gym again or work etc and 7 weeks later they are back in the office because of a re-injury. Why not have supervised classes (you not teaching them) to keep them injury free?

Does the trainer babysit each person? Also, the number reason why Dr. Josh advocates for groups and not 1 on 1… it’s not money.

The ideal situation is 4 people and 1 trainer for one hour. Every exercise has a few steps to make it easier and harder.

How difficult are the sales part … because cities have gyms down the street. You can also recommend a 4 week group class as an add on during their initial report of findings. Some will sign up before they are out of pain. Also an option is doing a 21 day challenge or a 6 week weight loss challenge.

Remember: We build these clinic gyms based on your Medical Expertise, not on the size of your space or equipment in it. Groups build dynamics that keep them coming for more.

Dr. Satterlee goes over who to hire and what to pay and it will surprise you just how affordable it is to implement this program.

 Reasons to transition into the gym model which can include less paperwork and spreading the liability around.

 Dr Josh even opens up about his poor communication in family dynamics and how with effort he was able to turn his marriage around.


Podcast: Clinic Gym Radio

Books/ Videos/ Courses: Functional Range Release FRC (Dr. Andreo Spina aka Dr Dre.) –he really liked this course for early stage rehab, Certified Functional Strength Coach FSC (Brendon Rearick) – another high recommendation, Eric Cressey, Dr. Charlie Weingroff, MedBridge Courses,  RELATIONSHIP: Dare to Lead – Brene Brown

Show notes can be found at https://adoctorsperspective.net/126 here you can also find links to things mentioned and the full transcript.

a doctors perspective e 126 dr josh satterlee clinic gym hybrid fb
Full Transcript of the Interview <strong> (probably has some grammatical errors)</strong>. Just Click to expand
Justin Trosclair 0:06 Episode 126 at a gym to host Dr Justin trosclair Dr. Josh Saturday perspective 2017 and 2018 podcast Awards Nominated host as we get behind the curtain look at all types of doctors and guests specialties. Let’s hear a doctor’s perspective. We’re riding off the coattails of the podiatry series. I hope everybody enjoyed it. That’s the news I got. If you can think of another series that you’d like I doctors perhaps let me know a little struggling with where to put this episode because we just wrapped up a series of a little mini series trying to get that worked out even for the podiatry want to have to do some last minute substitution some people’s schedules got messed up. And then like say we have some a couple episodes with financial stuff, like understanding your student loans and different options. Bunch of retirement things and trying to lock down like a real estate person, and also a beer own banker. So we’ll see how that plays out. So what I decided to do is put Dr. Josh first and we’ll just figure it out later. Well, today, you are going to love it. You’re a chiropractor. You’re gonna physical therapist, and he’s like you’re hitting a wall, especially financially, patients get better, and you’re like, Okay, what else do I do to add some supplements? Do I promote coming in once a month? How about a gym within your clinic? different legal entity? We’ll talk about that. But Dr. Josh has been doing it for quite a while. The clinic gym hybrid. He has a TPI certifications, SF Ma, he teaches all over the place on these things as well. But what we’re going to do is we’re gonna go through like, how much square foot would you need to have a membership gym equipment hiring, you need special certifications? What kind of class sizes should you use? Or should you just do one on ones? Because remember, you got on pain free and they usually want something more. You know, a lot of times you get pain free. They go back to the gym cold months later to hear themselves again, there’s a cycle, so why not offer them your expertise? you’re not gonna be able to compete with these 50,000 square foot buildings and all that. But that’s not what you’re trying to compete against, you’re competing with the expertise that you bring. And the nice thing is we’ll go over who should be the one doing these classes, I just want to cover all things that you could possibly want to know. And if you need more than you just contact him to figure out how to join his program. He also gives plenty of resources for continuing education, if you’re into that rehab scene, and just want to feel like you’re more prepared for your patients. So this would be a good episode. It’s a mix of business and patient care. He’s lively. I think you’re gonna enjoy him. If it your first time hearing about Dr. Saturday and the clinic Jim hybrid. As always, we can leave a review, let me know what you think about these many souls going on. I’m enjoying doing them. They’re much faster to process when they’re less than 10 minutes compared to these hour long ones that will produce it the every week, I appreciate you. Listen, critically think and implement what you can all the show notes and transcripts can be found at a doctor’s perspective, net slash 126. Let’s go hashtag behind the curtain. Live from China and Nevada. Today on the show. We had a guy who had a practice really developed his systems for for rehab and sports and a lot of golf actually. And he’s out of that. And he’s transitioned to this thing called a clinic gym hybrid. And now he is available to teach that to other doctors who are looking to expand out of just the I want to say the daily grind, and struggle that can be private practice and figuring out a way to have longevity in your clients retention, that magic word. But in a way that’s not just adjust the spine every month. And that’s all you do. So please welcome the show. Dr. Josh Saturday. Unknown Speaker 3:40 Hey, thank you. I appreciate being here, man. Absolutely. Well, it’s one world we live in. Here I am in Nevada. There you are in China. Here’s clear as day we can talk like we were, you know, Facebook friends, one city away. It’s crazy. Justin Trosclair 3:54 I love it. And as long as the internet holds out here, which has this past couple of weeks has fantastic. That’s awesome. It’s so funny. Like, a couple weeks ago, I had Dr. Aaron Lamar, the PT on the show. And when I was looking at his podcast yesterday, just for fun, I was like, Oh, look at this guy got my interview tomorrow. So I definitely listened to his episode about you yesterday, because it’s like, oh, this is great. So it’s kind of cool to have a little bit of your background already there. And it’s another place that people can go if they want more information, you know, without you actually having to be the host, because he has his own podcast as well. Yeah, smart guy, a little bit of the little bit of your background. And then you know, the TPI, the SF Ma, you know, what kind of clinic you had, and then how you ended up kind of getting out of that. And then we’ll just start drilling you for more quick answers after that. Unknown Speaker 4:44 Oh, yes, the old interview. Yeah. Alright. So um, graduated high school down in Southern California, went on actually went on a cheerleading scholarship up to Montana State University in Bozeman, Montana. Long story why I chose that place. But one of the best movies ever made. Love the people of the area, was studying biomechanics up there. I was actually studying engineering. Halfway through college, I was walk through an airport and heard the doctors are sorry, it wasn’t doctor that unjust Saturday pick up the white courtesy phone. On the other end of the line was my mom who was outside the hospital with my dad who was like crazy story. found out he had stage four brain cancer, because he passed out in court, he was an attorney. And then he was going in for surgery. And they’re trying to grab me and I happened to be traveling with the team right then. So in the Portland airport, I got the white I didn’t, you know, you hear that stuff, like pick up the white cursive. And I didn’t know there was like, I always thought that. And you actually look around and they are white, and you can find them. But so that kind of changed my trajectory a little bit. That’s what got me into biomechanics and studying the human body rather than engineering like mechanical engineering of machines, after college, decided to go into chiropractic or kind of halfway through my second half of college thank I took a year off spent with my dad, he ended up passing away unfortunately, after that, but um, went back to college, studied the human body a little bit more, and had decided on chiropractic because I was impressed with how his chiropractor treated him as a person. And not just like, I’ve told the story before, but like, when you have a loved one who has brain cancer, everybody wants to help them. And unfortunately, sometimes that help is just more and more painkillers like they don’t want you to be in pain. But my dad said like, I don’t want to take the painkillers because I don’t remember things and like it’s a haze, it’s over everything. And he kind of had this moment of clarity. And he said, Look, I’m not going to be around for a year. And I want to remember what flowers smell like and the feel of my dog and you know, petting my dog and flavors, and I can’t do that on painkillers. So anyways, went to chiropractic college at what I call the School of champions, Los Angeles called your chiropractic there in Southern California. And then after that, immediately upon graduation, I met a beautiful tall woman who, which turned in my wife, we got married right before graduation, I moved out to Vegas, she stick around and did the three years residency of the radiology program there and Su. So she’s a doc bar now. Unknown Speaker 7:15 Yeah. And then we kind of spent the first three years of our marriage apart. And I started practice out here with a partner early on. We grew that from like, I mean, I think our first office I ever he asked me, I wish I remember 800 square feet, something like that. 600 square feet 900. somewhere around there to Dr. Then we two doctors, then we move to 1400 square feet. Because we added rehab. Unknown Speaker 7:42 It was ridiculous. Yeah. But was just one private office apiece and rehab space. And and then kind of kept doing more and more of this specifics, where we’re going to call that sports specific stuff like TPI and one more space because I had a guy swinging a golf club in my office and I’m near hit the fire sprinkler head, that’s bed. And I was like, Huh, that’s not good. So we found a spot and expanded to just under 5000 square feet, it was 4990. Just because in our area at 5000 square feet, you have to install fires blinkers. And so thanks. Yeah, well, it adds a whole lot of cost and complexity so that we did one without But anyways, we moved in there which was 1200 square feet of clinic and about 3000 square feet a gym. And the rest of it was bathrooms and waiting rooms and stuff like that all that non revenue generating area that I hate. So, Unknown Speaker 8:32 yeah, I’ve heard and seen new businesses and like, that’s a whole lot of bathroom guys. Oh, a lot of bathroom. Unknown Speaker 8:38 I was just in a I mean, you lived in the States, right? So like, I just was in a Bass Pro Shops. And I looked in there I go, how do you guys make money at this? I mean, you got more space for freakin elk fighting an elk like, you know, stuffed animals, for sakes. And I’m like, how does this place turn over cash? So Unknown Speaker 8:56 you think a UV light shirt should really cost $90? Yeah, Unknown Speaker 9:00 exactly. Come on. It must be their catalog though. That must be where they make the money. Yeah, yeah. The show anyway, so. So did that for a few years, you asked how it got out. So build that up at some at some point along there. I bought my partner out. Early on, when we moved, he wanted to go back, he was about 13 years older than me, he had come out of the construction field. And he decided to go back into the construction field instead of chiropractic. And he’s doing great now. But um, so I operated it, there was a point where we needed more, we needed another chiropractor, but I couldn’t afford him really, with the bio and stuff. So I train the thought of a couple personal trainers and train them to do about 80% of what I did. And they were a lot more affordable than another chiropractor like an associate. So hired, hired them, they started doing a whole lot, we got busier, hired an associate chiropractor. And I had a general manager at one point we had like, when you have a gym, you have a bunch of part time employees, like we had employees working eight total hours a week, like, which sucks because you got to deal with all these personalities for not much production, you know, sucks. But anyways, so at some point, the general manager, the two trainers, and that associate chiropractor were like, Hey, we would be interested in buying this place. Would you sell it, and you know, many things in life have a strange way of lining up at moments and things lined up at that moment. So they bought it. And I got out and was able to kind of parlay that into a consulting, which I mean, I can go into it in this interview, I’d love to. But I think the clinic gym hybrid is the best thing going in chiropractic because Unknown Speaker 10:43 it leverages everything that we that you’ve built as a doctor, in a way, like you alluded to earlier, and an ethical way that truly makes people better. It’s not like trying to sell them on a bunch of garbage shoveling supplements for the rest of their life, or one adjustment a week or a month for the rest of their life. Like all this stuff that the heaven allows you to serve them and they get better and you have fun doing it. It’s awesome place to work. So Justin Trosclair 11:05 and I’ll fill in a couple of guests for people kind of build the credentials, if you will. So TPI, for those who don’t know, because it’s not just the chiropractic podcast? Oh, yeah, it’s kind of for everybody is the golfing cert together. So Unknown Speaker 11:16 TPI stands for title is performance Institute. And so title lyst, as a company, back in the late 90s, was trying to look at how to get people to play more golf. And number one limiter was time the limit number two limiter was money and the number three limiter was back pain. And they said, Well, we can’t do anything about time or money, but I think we can solve back then. So they put together a whole performance thing for trainers, like, you know, exercise people, medical providers, like Kairos, pts, medical doctors, nurses, and then the golf pros. And I did level one, two, and three in the medical track. got me interested in the junior programs, I didn’t level one, two, and three there, that got me interested did among the way in the SF Ma, which is the selective functional movement assessment was just a movement based examination. Love that so much. And it become an instructor for them in that. So I teach that all across the nation. Unknown Speaker 12:12 What else another bunch of other certifications along the way, but I don’t want to bore people with Justin Trosclair 12:16 but that was the part that I want people to know. Like, he’s not doing dead bug all day long with somebody or like the gills top three. And he’s, he’s actually has all this effort. You know, that’s something I’m interested in. And that was going to be something I was going to ask kind of to start with. But it’s gotta be so at some point, Dr. Like, all right, just get to it. I already know the guy’s name, I want to know more information. I like the idea of rehab. See your PT who’s, you know, used to doing post rehab or, you know, ultrasounds or rehab? Yeah, both surgical rehab, but one of like, you know, they’re not using the skills that they need to the chiropractor who was like, Well, you know, in school, I learned a few things. And we give out a couple exercises here and there. But like I yeah, I’m not that good at it. So what are like a couple of the techniques that I’ve got to learn before I jump into this rehab thing. Unknown Speaker 13:02 All right. Do you want to call me answer the impassioned possible cussing? Answer? Justin Trosclair 13:08 I’m custom. I’ll just bleep out. But there is a lot of these guys lots of personality. He’s been really cool and calm right now. But he makes really bad jokes sometimes. And so it’s got a fun to listen to. So yes, please the impassioned, because I just interviewed bin Fergus with grip. Yeah. And like, that’s something I want to take because it kind of seems to me. Yeah, takes a little bit everything. And you can kind of like, piecemeal it yourself. Yeah, he’s already done it for you. So already I’m thinking that’s what episode five and is Unknown Speaker 13:35 much more intelligent than I am so I’m sure he flooded your ear, your airwaves with the the technical terms and everything. I’ll I’ll try and simplify things. Because yes, I’m not as bright as Ben, he’s, he’s a sharp cookie. Next level. No. Number one, most people in rehab, like I’ve taught a lot of courses and a lot of people and I don’t care if you’re a PT or Cairo, HTC, Rn, occupational therapy, I don’t care. I’ve taught them all. I will tell you, the number one problem in rehab is people don’t know what the trying to do. And what I mean by that is, if I tell you, hey, let’s work on getting some exercises for like, hip extension. And people go, Oh, yeah, I do this, this and this. And they do like, I always use this example. But they do bird dogs or glute bridges, and you watch the person and you’re like they are extending through their lumbar spine. They are not hip extending. So what is our goal? And it’s like hip extension, what is occurring their lumbar extension? What the we trying to do, like, well, I’m trying to get him all right, then let’s fix this. Don’t just give them more reps or more a different exercise if they’re continually doing the movement you don’t want right? Yeah. And somebody’s like with cassette pain, like we don’t want them extending through the lumbar spine repeatedly with load. Come on. Like, let’s let’s change this up. So just get clear about what joint you’re isolating the hip or the spine or, you know, the GH joint versus the scapula Thrasher, I don’t care, whatever. And then what motion you want to create? I want the g8 shown to externally rotate more per All right, what can we do to do that? And it’s like, well, I do I’m a kettle whoppers I great use the first stage is a Turkish getup fantastic. Like that is a loaded exercise. It creates external rotation of the shoulder. Fantastic. Well, I’m a, I don’t know, I’m trying to think of something else. I’m a I love bands like the the Thera band guy. I mean, if I was a guy like you and I moved to China, like I probably would have a higher likelihood of taking bands with me then kettlebell. Correct. That’s no joke, man. So I’d be like, all right, well, on the Thurman guy or whatever I cool. Like, what exercises Do you use for extra rotation? I don’t care what it is, like. They’re all just tools, but we have to know what the trying to go after. And so many people are just like, I’m just trying to get them better at this or that. And it’s like, dude, isolate it down to what the very motion you want to create. And it becomes very easy. Dr. Justin Trosclair, DC 15:50 So that’s the biggest piece too is if you don’t know the exercises that you probably need to get like a book to just start learning, basic personal training and exercise. And then when Unknown Speaker 16:01 you learn stuff, like a lot of people have taken, you know, I watched Eric Cressey, his DVDs and I watched Charlie one grace DVDs, and I watched trying to think of some other ones that have been out there. I took this course for med bridge. Cool. Just start classifying those things. Oh, man, this this exercise works really good for, again, for hip extension. Awesome. Like, you know, I never used this before, but man, it works fantastic with it. Awesome. Like I took an FRC. Are you familiar with FRC, functional range conditioning, and this guy named and Andrew Spina. Everybody calls him Dre. But he’s a chiropractor from Canada. Unknown Speaker 16:35 And he had an interesting way. I think you got to kind of get pissy with active release techniques and decided to start his own thing. Unknown Speaker 16:43 And so we looked at the research surrounding like manual therapy and like what truly happens or what do we what do we believe happens versus what’s actually happening? design the whole training program and along the way, came up with a rehab strategy, which was FRC functional range conditioning. It’s basically if I distill it down it’s specific joint some metrics with and trying to isolate them as much as possible. So if you’re trying to move the GH joint, it’s, you isolate that by bracing everything else and getting it fixed. Anyways, I took FRC and I’m like, Man, this stuff is fan freaking tactic for early stage rehab. And he has this like standing maneuver that you bring your opposite hip up. So let’s say you’re single leg stance on your left leg, you bring your right knee up towards the ceiling, when you get to a certain point, you can lift that right leg super high, that left glute all of a sudden is like strained for stabilization is starts cramping almost. So if you have one of those patients that you’re trying to do some hip rehab on and they can’t they can’t feel like they have no connection between their brain and their but that move works fantastic for them. But once you have that menu of things I’m you know, I don’t know what classes you you’ve done that I haven’t but you know if we can just have a conversation over coffee one day and don’t like oh, I use this for extension, I use this for interpretation of the shoulder, I use this for neck, you know disassociate whatever, we can just clap, classify these things. And I think the best people on earth just have like 200 300 Unknown Speaker 18:11 exercises in their library, but then when to pull them out. Justin Trosclair 18:15 Alright, so that sounds good. Because there’s gonna be people who, like you said, I’m a band expert. I’m a kettlebell gospel. And so it’s like, all right, well, but what what are you doing with it, you know, I learned isolated, take the time and get a chart. In fact, Google is great. You could probably find someone who’s already done this, if you just spend an hour googling, and they probably already have like, these are the top five exercises. And if you don’t know what those are, then you go, right. And study like you back needed back in the day. Unknown Speaker 18:41 And trying to like, I mean, there’s no single one perfect, he doesn’t when people go, Oh, I use this and it works every time I’m like, US haven’t tried it like, right, because like hip extensions, great until the person has a rz hip flexor is great until the person has a disc injury. And then you know, when they’re getting pain with lumbar flex, and you have to, you have to kind of isolate the to or get him to disassociate. All sudden, things get much more difficult or like disc injury and you want to create some rotation that hip, that’s very dangerous territory, because you don’t want that spine to rotate. And further the disc pathology Justin Trosclair 19:14 out or somebody with some runner and their their knee knee were bad. She did two or three rounds of eight week PT. And then she went to somebody else who’s gotten more specialties and all this and like it’s not your knee, you have like no Hip, hip internal rotation or something like that. We fixed your hip now your knees don’t bother you anymore, right? And she’s like, Oh my gosh, here’s the best thing since sliced bread and they’re like, yeah, cuz it wasn’t really a need and at the Modify every exercise she does at CrossFit to not do it because then she’s like, it’s about goals. I don’t we haven’t talked about that. We don’t necessarily have to, but her goal wasn’t to compete in CrossFit. It was this is my five o’clock sanctuary therapy. Yeah, and I need to go and I don’t care if I have to change my Unknown Speaker 19:52 somebody said in my gym, I work out so other people don’t die. Justin Trosclair 19:58 Well, we appreciate you fire my whatever it is you do. So now we got a little bit of the backstory is nice little we can kind of pick whatever we want. And just learned. Yeah, you got this clinic gym hybrid, give us a little spiel about what that is. Because I’ve heard some of your podcast, I’m thinking, Okay, 600 square feet with two doctors. That’s awesome. for low overhead to get yourself ready. My thoughts are like, wow, you probably need at least 1500. So you can have a couple of you know, the theory Bay, couple of Justin rooms. And then like this little area, at least where you can do band. Yeah. And like I’m thinking in my head, okay. If you don’t know, if you don’t use an kettlebell and you just kind of band guy. Can you do this model with bands? Because it’s like a monthly subscription, kind of like a like a gym? Unknown Speaker 20:40 membership? Yeah. So Justin Trosclair 20:41 give us a little rundown on that. And then I’m sure I’ll have more questions. Unknown Speaker 20:44 Yeah, it’s, it’s super interesting, because I used to think it would take 400 square feet, like just from all the places I visited, and whatnot. And then I got a client and he didn’t have that, you know, Chip gleam is a guy on basically the greater Baltimore area. And he he did a high written with a monthly membership out of 200 square feet. And yeah, it was crazy. But he did it. I mean, I gotta take with what’s he doing? Like a machine? And they’re like, no, he, it’s funny. He had to like modify everything for the space he had. So he did kettlebell work standing mostly because laying down takes too much space and you only have 200 square feet, there’s no way you can have four people lay down, you run into each other. And you can’t use bbls because the marbles or whatever six feet wide, two wide kettlebell is like perfect cuz it fits right between your legs. And if you’re standing, you only need like two feet by two feet. Right? So he became an expert at all things that took no space. I mean, this dude could give you a workout in the bathroom of an airplane. I think like, Justin Trosclair 21:41 entire you. Yeah, Unknown Speaker 21:42 that’s right. And so he had a lot of fun with that. And he actually got some memberships. But so going back, I mean, the idea of a clinic gym hybrid is is this like, you have your clinic? Let’s say you don’t have a gym? Yeah, you just have your clinic. Alright, so people come in, they were being adjusted. And they’re like, man, I never felt this good. I love it. Like, I got rid of my back pain. It’s been round for eight years. Awesome. And a lot of them are going to say like, what do I do next? I don’t have any pain. What do I do next? And a lot of people like, you know, when patients looking at it, or ask them that question. The doctor looks back in the patient and kind of gives that look of like, you know, when a Labrador Retriever wants you to throw the ball and they kind of like look and then kind of turn their head a little inner? Yeah, it’s like I don’t, Unknown Speaker 22:21 that’s my wallet opening here. Like, Unknown Speaker 22:23 I need to do. That’s right. They’re saying I like you. I like the care you’ve given I respect you. It’s in marketing. They say know, like, and trust, you know, people and it’s like, Okay, well, what are you going to offer them? And you could get them on a lifetime care plan. Like if you believe in that right on them. I don’t believe that people need lifetime manipulations or whatever. You know, I think they need dosages of manipulations, just like many dosages of everything, like in other times, you might be vitamin D deficient a quarter, once a month. So you’ve done all this work. And it’s like you have these people that just totally dig you. I say it’s like if you went to the park and like you inflated like you spent a bunch of time inflating balloons and tying them and putting ribbons on on your walking around. At the end of it. You don’t just like let them go and drift away. You do something with them, right? And I think in this sense, like the do something is get them into a gym. Because if somebody if you truly believe that you got them, help them get better in their musculoskeletal condition. What is the number one way to keep the musculoskeletal system healthy? exercise, right? stretching, strengthening whatever it is, I don’t care what it is. But movement movement. Motion is lotion with the human body. So keep it moving. Now, you run into a problem. Sometimes I’m sure you’ve had these people, you refer them out to a trainer or gym, and six or eight weeks later, they’re back in your office with the same injury they had, right? That drove me nuts. I hated that. I hated it. And and you’ll lose those people after a while because they they go to you they feel better. You refer them out, they go to the gym, get jacked up, they come back, you get them better send them back to a gym, they’re not going to play ping pong with themselves that long. Unknown Speaker 24:00 You didn’t equip them? Like I don’t feel equipped to handle the gym, Unknown Speaker 24:02 apparently. And they’re like, Yeah, dude, this guy Justin’s like sending me to like another gym, and I don’t want to get injured. So if instead you had a gym in your place, and I’m not saying that I want everybody listening to become a trainer, like get a second job? No, no, you just have it in your place so that when you hire trainer, you guys can have real time conversations about each patient. So each person is getting dialed in, is getting the right exercise program for their body and for their condition. So if the person has a known l four, five, discrimination, you know, you’re going to eliminate nothing, you do this, but you’re going to eliminate all the setups out of that program or spinal flexing, right? Like, why take that risk? There’s 100 other exercises we can do with the core that aren’t as risky. You know, it’s super interesting, like, because people always be like, Oh, yeah, like, you know, you mentioned the McGill, Big Three, that’s awesome. But most trainers don’t know about the McGill big three and why they’re so important, right? That’s not the trainers fault. But I’m just saying like you all you understand that. And if you worked with a trainer closely, and you said, Hey, you know, Scotty, here’s one of the reasons we like these McGill, big three and and here’s who it works well with and, and then that person does that in the training, they’re going to be looked at as an expert, and the training, clients going to love them. And they feel great about what they’re learning in your place. And so the trainer themselves want to work more for you, because they’re like, dude, I love this. Like, he taught me a bunch of stuff. And this is really, I truly want to get people performing. You know, and, and just, I think so many people don’t look at how close they are to the solution there. All you gotta do is hire a trainer and start running a little, a little bit of extra in your, in your office, and you’ll realize how powerful it is. Justin Trosclair 25:46 So are the trainers like babysitting each person that’s in there? If there’s 10 people in there, is there max that they can handle? Unknown Speaker 25:52 Yeah, that’s a great, I’m glad you asked that, because that’s a great question. The coup de gras the perfect if everybody sets it up, well, that the perfect way to do this is with small group training. So that’s like four clients, one trainer. And that allows enough time in an hour long exercise program that everybody gets to do something exciting, everybody gets to work with some other people they like. But there’s also time for that trainer to go in and work modifying the workout perfectly for the people who are participating. Justin Trosclair 26:19 So they might have 30 exercises or something like you guys talk together. Yes, the you know, it could be more like generic, these are the top 15 conditions that we have. And these are the top 50 exercises that they need to work through each month. For each condition I’m not going to have that way you don’t have to reinvent the wheel for every single person that walks in the door, right. So Unknown Speaker 26:38 So the way we organize it is every exercise has a way to regress it make it easier, like probably two or three or four steps to make it easier. And then there’s a way to make it harder four or five steps. So if you start out with a Glute Bridge, again, that’s like a hip extension exercise, right? We want your hips to extend and build that strength. We can put dress that up and exercises all the way till we’re doing a hip hinge and then we add weight to that hip engine, it magically turns into a deadlift. I’m not sure if that occurs at 100 or 200 pounds or was based on body weight. But at some point a hip hinge becomes a deadlift. And it but who cares. Like if the person I had a guy that was two weeks out of like, like true saya into the back of his thigh and in the back of his knee. He had a previous discrimination. And two weeks later, he was dead lifting to 25 from the floor, you know, but that reassured and then he is healthy. And that was a progression. He didn’t start out with deadlifts. But we did some, you know, early exercise like glute bridges and progressed him step by step through different positions until he can handle that, that deadlift. And man it worked great, because he’s more resilient than two if he’s dead lifting to 25. I know his back is better. Yeah. Justin Trosclair 27:50 Yeah. He felt that one. Does this cost a lot of money then? I mean, can you keep it bands and balls and Pilati ish and yoga ish? Yeah. Unknown Speaker 27:58 That’s funny, man. Because I just, I’m working with a guy we work with a lot. Brendan rearick, I’m totally throw a shout out to him. Brennan was one of the developers of the CFC, the certified functional strength coach program with Mike Boyle. Brandon’s kind of the guy that Boyle came up with all the exercises, but just throw them out randomly and Brandon like organized the whole thing. So like, Yeah, he did a pretty amazing job, but they teach that course I will tell anybody listening out highly recommend that course taught me more about a lot more. It taught me a ton about rehab, even though it’s a strength and conditioning course. Right? But he and I were talking and I literally have this bag I got from Amazon that’s got a jump rope. Many bands, floor sliders, and like a jump stretch man or Superman like the kind of bands you’d use for pull ups, you know, multiple systems. Yeah. All in this little mesh bag. And we were saying that plus a short like 12 inch foam roller. You could run workouts with that. I think it’s like $20 $23 Unknown Speaker 28:57 or something off Amazon. Oh, nice and the extra $10 for the foam rollers $33 you need for those if you’re going to work with four people but yeah, you could even literally do this for a couple hundred bucks to really do it well and get some kettle bells on a rack you’re probably looking at five grand but you don’t have to spend five grand at once you can slowly build up okay, and heck you’re in China like you know that’s the home of most of the products on Amazon baby If you could just find the street vendors selling the stuff before get shipped off man you could do this. You could be into this for 60 bucks and be working with 10 people I think Justin Trosclair 29:27 Yeah, well that’s one of the reasons why I came back here you know was here for a year left came back and part of it was I was going to start my own rehab program like for an entire hospital I was like whoa nice that’ll be a nice feather in the cap Not to mention like the experience well none of that’s happened because we everything that they do so we don’t even get paid or reimburse for rehab at all and they can charge cash Lux so needless to say my rehab program is not what I was hoping it was going to be at so but over here that’s what it would be would be what you’re talking about because of the people we work with they they work they can work farm they can work working for eight hours a day shoveling you know my community but try to teach them a bird dog and they’re like Whoa, I mean they’re all over I mean it’s like all right, well I got more Academy just for this the the easy stuff. So you got these people the strength and conditioning that’s great everything is Tom was going to be in the show notes for my own references as well. Patients that you’ve placed these they’re on board to say they’re 55 after a couple of months they’re like man I don’t know what the fees are. We’ll talk about that later. What I just did it as my house you know, jump rope, some floor glides and some man’s like 25 bucks I can just do this at my house and save the time. Do you see that happen a lot is there a lot of attrition in your program? Unknown Speaker 30:37 That’s interesting because a lot of people are like I don’t know if I can do this I don’t know you know there’s there’s a brand that the other question I get this the same answer is there’s a brand new lifetime athletic in my area there’s a brand new 24 Hour Fitness just opened up LA Fitness just open a place 35 a month Yeah, they’re huge. And they got all this equipment and all these classes and and we will never like us little chiropractors will never win the I got more space than you game will never win the I got more equipment than you game we will never win. I offer more group classes a new game like I’m my home gym now is a is a lifetime athletic 250,000 square feet, thousand square feet. They offer over 250 classes a week, week getting no one’s gonna compete with them. But you know what, every time I go in there every time I watch the personal trainers, and I think what are you trying to do? You have no idea what you’re doing. I saw this one there. She told the guy three times I overheard her saying, I want to lose weight. I gotta lose this weight for my daughter’s wedding. I want to lose weight, right? He has her one leg in bicep curls on a Bosu ball. Now, this woman’s curling maybe three pounds in each and I’m like what? Show me on a graph where that like if there’s a graph of effective exercises for weight loss, this Exercise Standing single length on a Bosu curling like many weights is it’s not on the graph. It’s so bad. It’s so crappy of a design. It’s like what you’re going for. So when people ask me about attrition, or they face or the equipment, you gotta remember this thing is built around expertise. You are a medical expert. When you share that with your trainers, they will become experts. You get a guy like Ben Fergus, his trainer, Danny is a freakin expert. They are selling expertise. There are very few places in most communities where you can purchase exercise expertise, that 250,000 square foot lifetime does not sell expertise. They have a bunch of trainers, none of whom I’ve ever seen. And I go that that extra is perfectly designed for that client. They take the same garbage, they throw it at every body type, every intent, every outcome measure every goal. And they go oh yeah, thank you very much. It’ll be $100 like that is crap. And when people come into your place, and they start seeing like, this is different, like, I got injured at the last gym, I’m going to or I don’t understand things and these guys expect or I really like having the doc watch me once in a while to make sure that my back pain is not going to come back. Your people freaking love it. You’re not, you’re not going to get everybody in your community. You don’t need everybody. You couldn’t handle everybody if you got him. So what we’re talking about and then like a 400 square foot, so like chip bleep he’s got like he had 200 square feet. His membership would cap out at 20 people 20 not 200 not 1020 Yeah, so in that kind of square footage you need 20 people will then you can enhance hand select all 20 and I’m sure that in your list of clients Justin there are 20 people that go like, I want you to watch me, I want you to build my program, I want you to be the person taking me through workouts because I trust you. I believe in you. I don’t want to get injured and I think you are the person is going to save me. So anyways, that’s the deal. Like the other piece of it is the reason you go for small group training for people instead of one on one. Which a lot of people go one on one but I’m telling you go small group relationships forum in the group. Yep. And they keep coming back not because of you but because every Wednesday and Friday, I work out with Nancy, and every you know, and then Oh, I love going on Mondays because Joe is there like perfect those interrelationships feed a lot. So do everything you can to help people get those relationships built. So take pictures together at the end of every class little selfie. congratulate everybody. Oh man Justin, Unknown Speaker 34:26 you know, Hey, everybody give Justin a hand. He just, you know, he just dead lifted 300 pounds for the first time on Monday. Whoo, clap, clap, clap, clap, clap. And then Susie over here, she just celebrated her 85th birthday, give her hand clap. She’s in the you know, she’s 85 years old still in the gym. Like that stuff is what people want that kind of energy and that excitement. And so Justin Trosclair 34:45 the hours can be whatever you need them to be. They can be early morning, if that’s the group that you have, if you have middle aged to older population, which is kind of what our bread and butter is. For most chiropractors, for instance, you could have those types of people because my mom goes to this physical therapy clinic down the street, passes up a couple gyms. And I’m like a score they teach you there said, Well, you know, the PT kind of does this and it shows me and then the little helpers and like your arm bike, you can’t really do stairs. Why are you doing an arm exercise? Like you can still get trashy. No offense to those people. They don’t hopefully they don’t listen, but there’s Unknown Speaker 35:18 just so much stuff that you could do. Hopefully they do listen to Yeah, maybe they should clean it up, dude. Right? There’s so much bad care out there. There’s so many bad trainers out there. Like, you know, I you’ve got to like put some pressure on people to get better. Justin Trosclair 35:29 do better. Remember, you’re not advertising to the public. You’re advertising this group to people who’ve already been into your office. I Unknown Speaker 35:35 tell people it’s like this. Like you said you lived in Denver previously. Yeah. Yeah. for like six years. All right in Denver. Are there a bunch of golf courses? Yeah, yeah. And now Okay, so that is a just there’s golf courses for just the people who want to play the game of golf, right? Not for skateboarders not for people doing a question and not mountain bikers, not for skiers, not for snowboarders. Not for anybody that’s in the NASCAR. This is just one specific little sport, right. So I don’t know what percent of the population that is, was not huge. Alright. So think about that, as all the people that go to chiropractic, right? They come into a chiropractor’s office, not physical therapy, not acupuncture. Not all that like just people for chiropractic, right? I don’t know what we are six or 10% of the nation has exposure carbon, Justin Trosclair 36:15 most people see what 20 to 35 new patients a month. Yeah. Unknown Speaker 36:18 So I think like 10% of the nation plays golf, right? Or less than that. So it’s equivalent, within that golf income community. Are their country club. Yep. Yeah. Now, is that is that everybody? Could those country clubs handle everybody? If they signed up? No. But within the community of golf, there’s people saying I want something more, I want some a deeper relationship, I want to come here often. I want them to know my name. I’m willing to pay for it. I want to have them store my golf clubs. I want to hear a thank you, man. You know, Mr. Smith, when I leave, which tells me within your populations of clients, there are people who want the Country Club experience, they want to pay you for additional services, like a clinic, I don’t know, if you offer other services, like I’m down like, I don’t care, just don’t give up their relationship with your clients. Like if you’re like, Oh, I do functional medicine, or I do what whatever you do, I don’t care. But like don’t just end it when they’re out of pain, like continue a relationship, but just offer something different. Justin Trosclair 37:16 That was the only follow up question was, this has got the calls some sales, you gotta have some salesmanship to do this. But at the same time, it sounds like you’re getting better. They’re seeing some results. They’re able to do whatever is that they’re kind of wanting to do. And just a natural progression. Like, hey, by the way, I offer this to every single patient that I have. We’ve got this gym back here, we got a trainer. Yeah, it’s group classes. It’s specific just for you. You don’t have to worry about getting injured because everything’s here and there underneath my thumb, but I won’t be there for it. Yep. And they’re going to say that’s interesting. And then how much does it cost? And as long as you’re not doing this, this is what it costs. It’s one on one. Unknown Speaker 37:52 Yeah. I’ll tell you two interesting stories about that. So I got one client named Kurt Mason, he’s up in North Dakota, right? He built a gym onto his clinic, he and his partner just crushing it, they’re doing super awesome. And, and so they do like this. They just to only current patients, they do like this 21 Day Challenge three, three week workout, right? They talk about it, they get 15 people to do it. At the end of three weeks, they had eight people sign up little better than half, right? So we’re on a call because he’s one of my clients. We do like a consultant call talking to his team. I said, All right, what did you do to sell those eight people into the memberships? And there’s like this long pause. Well, we really didn’t do anything. They just signed up for continued membership. I’m like, Unknown Speaker 38:39 selling they’re just like, they’re shoving money in your face going here. And I want to keep coming. And they’re like, Yeah, I was like, well, then just run another one and just get another, you know, like, their membership is going to top out at 40 people. You don’t like, come on, like you know, salesmanship No, no attempt, no brochure. No. Sit down. And, hey, we’d like to have you join that was just people that were like, Hey, I like this place. I love you guys. You’re awesome. Sign me up. Wow. I mean, it was like, I told him this is like when Buzz Lightyear is talking to woody in the first Toy Story. And he’s like, I can fly and what he’s like, No, you can’t. And he jumps off the bookcase. And he like, hits a bunch of stuff on the way down. He’s like, I’m flying. What he’s like, you’re falling with great, whatever, like, anyway, so that’s one story. You don’t have to sell that great. Like, people just love the extras. I love the interaction with somebody knows what they’re doing. The second thing is I got another client, Dan Leonard, Dan’s awesome out in Columbus, Ohio. And that dude is blowing up he had he’s added 40 people to his gym in the last two months. So he’s crushing it. But what he started doing was he believes that exercise. So every new patient on day one or day two, he says, Hey, here’s the treatment plan you need and includes this, this and this. And if you’re interested, I would highly recommend you do four weeks of small group training once you’re out of pain. And it was like out of 10 people something like seven people pay for it, then Wow. Like, long before they actually did it. They said like, that’s what I want. Because I don’t ever want to have this back pain again, or I don’t ever want this neck pain to come back. So I’m willing to pay you now for training that’s going to occur in like, two to four weeks, you know, and they’re just but the idea of like, hey, bulletproof yourself, they’re like, hell yeah, that’s why I came. Justin Trosclair 40:20 So you’re saying there’s different ways to run it where it could be a challenge. It could be a four week. So it’s not like an infinite? Not always like, it’s not an infinite, where you’re going to sign up for a year. Like if you like it keep going. But there’s there’s going to be a cycling of patience. Absolutely. Unknown Speaker 40:35 Yeah, everybody responds with something different. I mean, like, what Dan is found is like people really, really, really, really respond to the weight loss idea. And, you know, so he gets people sign up for like a six week challenge for weight loss, more so than feel good, more so than perform more. So then no back pain. He’s tried everything. He’s tried marketing, everything, but the weight loss seems to crush everything. But so what so they come in for weight loss? Like, does that mean that you’re, you know, they still get exposure you and everything you believe in? And they you know, they get a really well designed exercise program. And they, you know, have people care about them and greet him by name, like, what would you want for your parents if they if they were going to a gym. Justin Trosclair 41:10 So the nice thing is, you’re talking about getting a trainer and all this kind of stuff. But in reality, you may be I can’t afford that right now. We’re just getting started at the pay for the membership fee and doesn’t buy some equipment bunnies getting tight. Okay, so as the doctor, if you only have eight people, that’s two classes, so that realistically, you can either have an hour during the middle of your day, stay late one day, or come early one day, unless they’re doing it three times a week. I don’t know what that would that would that would be. But if you’re just doing a once a week class, it’s not enough a lot of your time is what I’m thinking. But if it is a three or four day a week class, then you would really probably want to hire somebody otherwise. Unknown Speaker 41:45 Yeah, that’s a great, great question. Because my goal is my clients. And it’s not like you said like chiropractic is a one on one kind of gig. Like, it’s hard to break out of that. The gym allows you to have like, one to four at a time or, or more than that leverage yourself, right? And so I’m not interested in like having people sign up and then finding out that my clients are working a second job as a trainer, two hours before clinic, then they were clinical day, then two hours afterwards, like no good. Come on. That’s not what it’s all about. I would say as soon as you can hire a trainer. And here’s why. Like, you’re going to start out with two or three classes a week. So let’s say you’re paying that person $15 an hour and you can you can get people to work for you for $15 an hour, like $45 for the week will allow 1234 512 Unknown Speaker 42:29 people to get another exposure to what you believe in is chemistry Justin Trosclair 42:32 not talking full time. $30,000 salary Unknown Speaker 42:35 and you don’t need a trainer full time. You don’t have full time clients yet, you know, Unknown Speaker 42:39 yeah, okay. Okay, Unknown Speaker 42:40 and start small, but shoot, do it. And one tip when you do start your classes, the other reason you want to hire trainers, you want those classes going on when your clinic is busiest. So as you’re working with a bunch of people, you want them to see that there’s a class, right? And they’re like, what, what’s that going on over there? You like? Oh, well, you know, we offer these exercise classes for people who like not a pain and really worked your butt off. And people are going to I want to do it. Oh, well, Miss Johnson, we gotta wait till your pains below three out of 10 or whatever, you know, like, like, you’ll have people are like, I want to do it, like Sign me up. And you want it to like be a thing you can mark it. So if it’s going on while you are at your busiest time, so if you’re like hey, listen, my clinics rockin from three to five in the afternoons. Do it Do your class of four. So that it’s it’s going you know, and then you can take somebody that go hey Justin looks like your how’s your back today? And you go. It’s I said, What’s the pain level and you go one or two, maybe like I’m feeling pretty good. Want to jump into the class for like the first half hours just foam rolling, stretching and some core work, but I think be good for you. And I walk you up to our trainer. Hey, this is our trainer. Matt. Matt. This is Justin it came in two weeks ago with back pain. Oh, yeah. Nice to meet you. I’ve seen you around here a little bit. And then I go Matt, listen, I want Justin to kind of go through some exercises. do some stretching some some foam rolling, but cut him off at the end of the warm up. Like I do not want him here. Now if Matt is good, and he cuts you off at the beginning of the workout, what is the what is it that you want to happen the next time you come in this office when that workout? Yeah, you want your whole day? Right? And you’re like, I’ll sign up right now. Oh, well, that costs money. It’s like I don’t care. Like Like you’re challenged. Right? Yeah. But okay. So that’s great from a business perspective for the money, but also as a patient. Like, I mean, have you studied any, like pain science or like, about empowerment? And and, you know, like, it didn’t pass the middle part? Yeah. Yeah. Okay. What did I just set up a perfect situation where the only person who has to get over that mental thing is you, right, and you’re motivated to do it? So what do you think the compliance is at that moment for that person? Hey, you got to do these bird dogs, or you got it is Miguel Big Three, they’re probably going to be the most compliant they’ve ever been in their whole life, because they’re like, I, it was so embarrassing to leave that class halfway through. I never let that happen again. Yeah, you know, and it’s like, all right, well, who loses in that situation? Everybody wins, like an it’s way better care than what you’re delivering. Now. If you are not challenging people to stretch themselves and stretch their physical abilities to get to the next level a layer of activity, which will occur when they are challenged. Like, here’s a little bit Oh, you like the taste of that? Yeah, you can have like, what a what a thing? Yeah, exactly. Well, that takes time and compliance and money. And like, I got all three of those. Unknown Speaker 45:26 I want it. Justin Trosclair 45:27 insurance will pay for group classes. But it sounds like this is like a cash thing. And assuming it’s cash, if you have a normal patient, you know, your normal standard of time, you’ll be there for like a week, you know, they’re getting a getting out of pain, you want to show them a couple of exercises, are you still showing them a couple exercises while they’re trying to get out of pain? It’s like, if you don’t take my gym, you get nothing in the rehab part of my expertise. Unknown Speaker 45:49 Yeah, so there’s kind of a blend there. So I would say like you want to offer like four sessions from the clinic, up to four sessions. But I think you want to transition them to the gym, right? for other reasons. Like, you don’t have to do notes on them. If they’re in the gym, you don’t have to maintain a medical diagnosis on them. You know, if they get if they get injured, people get injured in gyms, we had a lady do a pull up and then at the top of the pull up, she just let go, which still to this day, do not understand what she was trying to do. But she got banged up, she fell on her back. If they sue you and they’re members of your gym, that doesn’t go against your malpractice insurance. Justin Trosclair 46:26 Okay, so so so that’s one of the things you’ll cover. Also not on the podcast, but there’s entities Yeah, Unknown Speaker 46:30 like we have a whole section on how to separate those two and when to do which, but perfect world, the gym is a totally separate entity than the clinic, Unknown Speaker 46:39 you gotta get the liability under control. Unknown Speaker 46:41 So you got to take some steps, get them to sign waivers and contracts and all that. But it’s not that hard and make sure they understand Justin Trosclair 46:45 that this is not a Unknown Speaker 46:47 Yeah, but remember these people love you. They’re asking you for it. Like, like if I go Justin and you didn’t have that workout last week, and you can’t do the homework this week until you sign this waiver. And And listen, this is to get work on the and that means you’re pretty much done with care. I want you understand that. Oh, yeah, I’m done. I feel great. Okay, this is the next step. And you understand this is not the clinic, like you are graduated, you are stamped you are good. You’re like, yeah, sign me away. Like, you know, Justin Trosclair 47:13 okay, even your gym has a page of small print. Unknown Speaker 47:16 That’s okay. Because you’re motivated at that point. And, and psychologically, placebo, whatever you want to say, like, you’re probably more healed then than you were, you know, seven days earlier. On respect your time I do. I think this would be a good question. Any challenges that you know, everybody has a rock star, Justin Trosclair 47:34 not everybody’s going to succeed at 200 square feet, somebody might have a 5000 square foot building and fail to what are the challenges that your average client experiences? Unknown Speaker 47:43 Number one is a mental challenge. There’s no reason you can’t do this. I get questions all the time, like, well, do I need to get certified? Or I need to take a class? Nope. And I explained it like this. In every town in the USA, there’s some total jack off who is starting a gym, every dinner every week, you know? So why not? Why not? Why can’t you be that same screw off? Like, you know, start a gym? Like, what’s the downside? Now, do you should you learn? And yes, you should and hire trainer on that. But like, there’s no limit to starting a gym. The flip side is not true. By the way. They can’t just go out and start a chiropractic clinic, right? That’s a regulated entity, you have to get a license. And that takes a lot of certification and board approval. But you could start a gym tomorrow, you know, like, all you gotta do is open up a space and just put a sticker on the wall. It says, bills gym or whatever, you know. Yeah, really? Yeah. So there’s no reason can’t do that. And then, like, I would just challenge everybody. Like, think of a way to extend yourself, like as every, you know, kind of grows up in this profession. And then they get to a point where they have kids and they want to do activities and whatnot. Like, I if you got another one, I would love to get an email with this answer. What is another way to leverage the relationship you already have with your clients in a way that they want to work. And that also in creases, the level of care they receiving? Tell me what we’re going to do besides the gym, like I, I’m not trying to say I have the greatest idea. And this isn’t even like, I don’t think I’m the only person with this idea. Because the more and more I’m in this, like I hear about it, all bunch of places that Yeah, you know, it’s it’s just a great idea. But if you look at that, like what’s another way to make more money without, like just adjusting people more and more and more and more, because soon as they realize what the gig is, and that model, they take off and you ain’t ever get them back in the gym model. The cool thing is, they come in for an injury, you move into the gym A year later, they might get injured again, and guess who they go to? They go back to the clinic that they love, right? It’s Justin Trosclair 49:40 not so you can’t have a supplement line in the gym as well. Because everybody every gym has never even heard of these brains before. And people are asking are these Brian good you like? I don’t know. But I got the best you can get Unknown Speaker 49:51 the profit margins not great on them. Right. And the take rates not great on them. But I don’t know. I think I think this thing’s The best thing since sliced bread with room time. Butter. I mean, this is good. Yeah. Especially since sliced bread. But if you find a place that also has a butter room template, it spreads easy. That’s good. Yeah, Unknown Speaker 50:07 yeah. Anytime I don’t hotel I put the butter on top of the toast while it’s hot and let it melt. Yeah, otherwise it just, I’m not. It’s hard. It’s frozen. I Unknown Speaker 50:15 always hate when it’s rock hard. And you’re like tearing up your bread. I feel like an idiot. Anyways, yeah. But if you got another idea, somebody out there listening has an idea for another business model that’s better than this. Send it to me. Last question. Are you ready? Justin Trosclair 50:27 Yeah. It’s a part of the interview. We always do a little personal. If you don’t want to, that’s fine. Yeah, you’re married? What’s one thing that you can do to keep the love alive? So when you’re building these empires, you don’t just get divorced and never see your children? Unknown Speaker 50:39 Oh, dude, this is great question because I totally screwed this up. I mean, like, I was saying this to somebody last week, like if you drew a line of like a graph, like where divorce occurs, me and my wife were well below that line. We’re just so apathetic towards each other. Like, we didn’t have the energy to just say I wanted a horse, like that was too much effort to put into. It was, man it was was horrible. I had created a very bad situation, I’ll take all that on myself. But like, I was building the business and like, life now after I, after I sold the business, life got easier, but it didn’t get better. Unknown Speaker 51:13 Because you taught a lot. That means you work five days a week, or four days a week. And then you were at a seminar for three days, three days a week, and I was going in at 530, 6:37am, Unknown Speaker 51:22 a lot of times get home at eight, like, I wish there were many days where I left before my kids woke up and got back after they’ve gone to bed. Yeah, I was not a good dude was not a good husband. But life got better when I started learning how to communicate, and made that a priority. And I didn’t have the skills to do that. Like we went two years of counseling. Every week, we were going to couples counseling, but it was a skill that I did not enter life with. I don’t know, you know, my parents didn’t communicate very well, my wife’s greater communication. But I had to learn that. And when I started communicating and getting clear on what the goal was, just like we started this interview, dang, it got really good really fast. So I would tell you, like if you don’t have the skills of community, like I’m reading a book right now, I would highly recommend everybody called dare to lead by Bernie Brown. Oh, yeah. And she just says like, yeah, it’s unbelievable. But just like, have the courage. It takes courage. It takes guts to have tough conversations. It’s not easy. Like if you’re like, Oh, well, I’ll talk to it. No, no. Like, if I’m like, Listen, I need to talk to Justin we had we had this partnership. And you know, we don’t have enough money to pay payroll next month. Like don’t wait for that situation just to practice secure itself, like Justin and she says, you approach person, let’s rumble on this like, meaning it’s going to have rough edges. And that’s okay. But let’s rumble on this payroll situation because we got to figure something out. And it’s like, you know, but just communicate now about everything. And I think your life will be a whole lot better. Very good answer. very honest answer. Justin Trosclair 52:47 And I think Bernie Brown is having a Netflix special or a series. Oh, really? Yeah. I thought I saw content on that relationship. stuff. So like she’s a really good person. That’s interesting. Unknown Speaker 52:57 She’s awesome. Justin Trosclair 52:58 Well, how can people find out more from about you the gym hybrid system and everything else? Unknown Speaker 53:02 Yeah, they can go to clinic gym, hybrid.com Clinic, gym, hybrid calm. It’s our website, they can set up a there’s a little button that says like scheduled time, if you want to just run some questions by making people every week just send them time to kind of get their questions answered. We have a program called the accelerator program, if you want to actually start this business model will guide you through those steps. It’s partly online. And then every other week, we hop on a call with everybody who’s building a clinic, gym hybrid and kind of go through what’s working what’s not how to grow them, how to build them, staff issues, all that so it’s like a safe little place to kind of air your struggles and we’re getting some people are seeing some crazy awesome growth right now. It’s pretty cool. Justin Trosclair 53:43 And your podcast is Unknown Speaker 53:44 that it’s called clinic, gym radio, that clinic slash gym thing that’s like the whole secret sauce, right? So clinic, gym, radio and clinic and Myron clinic, gym radio, it’s on iTunes. It’s on Spotify. It’s on the Google Play Store. Type in good looking chiropractor and the search bar. I don’t know what will return. But then after that, when you don’t find my show, then type in clinic and radio and you’ll find my show. Justin Trosclair 54:06 You have to scroll for a little while for mine. That’s Yeah. Unknown Speaker 54:10 I’m number 173 out of 150 entries. There you go. Justin Trosclair 54:15 Nice. Natalie, thank you so much for your time today. This is just gets people’s brains stewing on what they can do. And hopefully you’ll get Unknown Speaker 54:21 to them and the whole world’s out there for us to grab. Like there’s never been a better time to be a chiropractor. And I think our license there’s like not another license in healthcare that is wide open like ours, you know, anything you want. Like, it’s awesome, just take advantage of it. Our brother, thank you very much for having me. Justin Trosclair 54:41 Another great interview has ended. As I always say, I hope you listened critically think and implement something so that your practice life, family life can improve this week, one hit you up with a few links today. If you’d like to know the top episodes of 2018 and 2017, where do you just go to net slash top 1718 you can get a PDF of all those episodes is like 22 of them. If you’re interested on any of the programs that I’ve actually been interviewed on, just go to net slash as heard on the play on as, as seen on you know, so as heard on, if you didn’t know, the needless acupuncture book sales page has been revamped. So it looks a lot better. You know, sometimes when you look at a web page, it doesn’t look like it’s put together will be like, Man, I’m not sure about this thing. But it’s been redone looks better. And also, if you have an Android device and you curious about it, you can actually download the same five protocols, blueprints, if you will, right there on your phone at the needless acupuncture app. And for less than $4 you get the whole book on your phone from the Android Google Play Store. So here’s the check that out, the electric acupuncture pin is still available at a great rate, you can get it on its own or as a package. So you get the book, The E pin as well as the regular points. Now, some of the things that I’m recommending blueberry hosting, that’s who I use, I really like him a lot. I’m not gonna lie to you. Fiverr is where I get a lot of my music done my logos, I don’t know if you noticed on Facebook, I believe my picture is now a face with a bunch of words and just saw that real quick, was cheap. Wanna try that for a while it’s fun. Turtle pillow is a travel pillow, it actually is like an HP minute. So you can rest your neck and your chin on that. So you don’t get like the chicken Bob where you know, you sleep and you wake up really fast. And you know, those those U shaped ones, I just don’t think they work very well. So for me, it’s worked really well. I’ve traveled about 10 different countries with it across the pond, as they say really highly recommend that if you’re into instrument assisted soft tissue manipulation, two options, you got hot grip. So that’s that’s how groups and also net slash edge, you can get tools there as well. But they also have way more than just tools they’ve got how to get to use Google Apps as your EMR blood flow restriction cuffs, there’s a lot of research on that device and you can check that episode from the past, you can get an automatic 10% discount on all the products from the edge mobility equipment. One of the devices I use to do things send out snippets of the podcast via picture and quotes from the text that I write on the show notes is missing letter, they just took all the last E and letter.com. Pretty much you know you can do a blast and two months, I don’t like five of emails or two months, I like to do nine emails over 12 months. So that person who was interviewed last month doesn’t just get lost, right? You know, so every day I have a new episode at a highlight and it’s all automated, really cool. Definitely check it out. If you need to record your screen, I like screen cast o Matic also j lab audio speakers have said it before. I love them. It’s a great company. And now I get to actually be an affiliate for them. So if you end up buying into their products, just like anything, I get a little piece probably have like three or four different products. I mean, they just the battery lasts longer sounds quality is amazing. And for the price that came live in a bun. And of course the show notes anytime you see a book link, buy it, it comes to me and.net slash t shirts will help us out. And lastly, again, something I don’t talk about too much. But you need coaching, whether it’s via the today’s choices, tomorrow’s health, you Need some help with taking those small steps and accountability so that you can actually lose the weight or start exercising more or get your budget in order, just let me know I can up with that. Also, if you just need some minor marketing coaching or things like that, I can help you out with that as well go to.net slash support. And of course on there, you can also buy the close the cup of coffee, or even more than that there’s different options available. So thanks for tuning in. And we’ll see you next week on the Minnesota. We just went hashtag behind the curtain. I hope you will listen and integrate what some of these guests have said. By all means, please share across your social media, write a review and go to the show notes page. And all the references for today’s guests. You’ve been listening to Dr. Justin trosclair giving you a doctor’s perspective. Transcribed by https://otter.ai
About the Author
Dr. Justin Trosclair, D.C., an expert in Chiropractic Care, has been focusing on back and neck pain relief for over 12 years and has delivered treatment to more than 6000 patients. With advanced training in treating disc derangement conditions, you can count on him to keep up to date with the latest research in physical medicine for spinal pain. He has 5 years of hospital experience in China, is currently working in Germany, and had a private practice in Colorado for 6 years. Dr. Trosclair hosts a doctor to doctor interview podcast called ‘A Doctor’s Perspective‘ with over 220 episodes. During his free time he wrote 3 books. Today’s Choices Tomorrow’s Health (rebooting health in 4 categories), a Do-It- Yourself acupressure book for 40 common conditions called Needle-less Acupuncture, and a step by step guide to look like a local for Chinese dinner culture called Chinese Business Dinner Culture. If you have kids, you may be interested in his 6 series tri-lingual animal coloring book series (english, spanish and chinese).