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Laser Selection

Laser Comparative Analysis

When choosing a therapeutic laser, it is vitally important to understand the clinical differences between them. Your desired treatment outcome will be varied depending on three primary factors; OPTIMAL power, wavelength, and dosage.

Click the uploaded document link above (Laser Comparative) to see an analysis of the most popular lasers on the market today. Remember, all lasers have some type of therapeutic benefit and value. When choosing which type is best for YOUR clinic, it simply comes down to your desired clinical outcome. I am neither anti Class 3 lasers, or pro Class 4. I am an advocate of good laser therapy based in good science. Science and results speaks for themselves. “Truth is truth”

According to laser expert Jan’ Tune,

“The main reason cited for negative findings in laser therapy

studies has been the use of extremely low dosages.”

Emotional Triggers

Major human nature rule here, pay attention. People don’t buy features, they buy benefits! They buy and do things based on an emotional response to how it makes them feel. In other words, they don’t want the product, they want how the product is going to make them feel. Hard Lesson Here: (Put your philosophy on the shelf. You are running a business now, not sitting in Chiropractic Philosophy Class) Patients could care less about chiropractic, but they do care about how it makes them feel. 

Real Life Example: People buy cars for different reasons. Find out why they want a particular car. A “soccer mom” wants a mini-van for comfort and taking the kids to games. So you would not try to sell her a sports car.  You have to approach and educate her differently than another soccer mom looking for more storage space and airbag safety. Different benefits, same features. 

Same with chiropractic. A soccer mom may want chiropractic for a different reason than the teenage athlete. She needs to get back to taking care of the kids without her back hurting or the house will fall apart, and the teen wants to beat the track record this school year.  

Your job as a skilled clinician is to find their Emotional Hot Button.

How do you do that? Easy, use the first rule of good communication. SHUT UP and listen! Great doctors know that 90% of your diagnosis comes from what the patient says. Stop talking so much and let the patient spill the beans. You have to be in tune with what they are saying while observing their mannerisms.

I’m sure you have heard it before, you have two ears and one mouth, use them accordingly. Note here: Listening intently doesn’t mean losing control of the conversation. Don’t let them ramble on incessantly. Steer the conversation to where you want it to go. How do you do that? By asking open ended questions. (More on that later)

Examples of Hot Buttons: Ask about hobbies, career, activities they enjoy, things they love to do but no longer can because of the condition. Write these on the inside part of their chart so the Hot Buttons are visible at every visit. When you get busy with more patients you will forget. Bring them back to the hot button every week. Drop me a line and let me know how this strategy works.

www.k-laserusa.com

pnickelston@K-laserusa.com

Upper Crossed Syndrome and Shoulder Pain

Here is my very FIRST published article. This one received calls and questions from all over the world. Guess doctors really liked the topic. Shoulders are my favorite condition to treat. They are my ‘Condition Specific Niche’. More on this killer practice strategy later. Start reading the first paragraph below and click the link to finish the article. Enjoy.

One of the most common injuries to afflict athletes of any skill level is shoulder pain. From the “weekend warrior” to the professional athlete, to the average fitness buff getting into shape; no one is immune to injury. 

Beyond obvious traumatic onset, very few clinicians understand the mechanism for acute shoulder injury and chronic pain. The majority of shoulder problems develop from microtraumatic events occurring due to poor joint biomechanics and muscular movement imbalances. It is important for the clinician to be aware that shoulder pain is usually a symptom of deeper problems that, unless corrected, may lead to total functional impairment.

Clinical Perspective

Microtraumatic shoulder injuries happen in a predictable pattern: impingement > tendonitis > bursitis > rotator cuff injury. This leads us to the upper crossed syndrome (UCS). This syndrome is based on Dr. Vladimir Janda’s pioneering work in researching and understanding the predictable pattern of muscular compensation and postural imbalances in the body. He postulated that faulty movement patterns on a poor postural base contribute to habitual overuse in isolated joints, while they minimize normal movement in others, thus creating a self-perpetuating cycle of dysfunction and eventual injury.

UCS leads to a forward head posture causing strain to the muscular attachments of the shoulder and shoulder blade. An anterior tilt and abduction (“flaring out”) of the shoulder blades occurs, producing a rounded shoulder appearance. Due to the rounded shoulder posture, the mechanical axis of rotation of the glenoid fossa (shoulder socket) becomes altered. The humerus (arm) now requires additional stabilization from muscles that typically are quiet: the levator scapulae, upper trapezius, subscapularis, pectoralis minor and supraspinatus muscles. Postural overdevelopment of these muscles creates a deltoid shear (crossing of rotator cuff under AC joint), leading to shoulder impingement, tendonitis and bursitis syndromes.

Proper rehabilitation of the shoulder must include protocol for reversing the upper crossed syndrome. So, how do you do that? I have found the following program to be the most effective form of rehabilitation treatment.

Treatment Protocol

Due to chronic shortening, tightness and weakness in the primary stabilizers of the shoulder (supraspinatus, infraspinatus, teres minor and subscapularis), muscular adhesions and trigger points develop that must be removed before active/passive stretching. Failure to do so will result in stretch-reflex reciprocal inhibition and increased loss of muscle tone. Performing four to six sessions of myofascial release and trigger-point therapy usually is sufficient. Check all muscles in the UCS chart above. The most commonly affected muscles are the scalenes, pectoralis minor, infraspinatus and subscapularis.

Here are other aspects of this treatment protocol.

  • Ultrasound the infraspinatus or subscapularis, depending on the most painful area of palpation and trigger-point referral pattern. Laser therapy also may be used. Typical dose is 170 Joules per point.
  • Shoulder-blade retraction exercises for building the serratus anterior/posterior, trapezius and rhomboids, and for restoring scapular stabilization strength.
  • Rotator cuff protocol: External rotation (three sets of 12-15 repetitions). Internal rotation not recommended due to the tendency of the subscapularis to become tight and overdeveloped.
  • Y,T,W,L exercises on the stability ball to restore and enhance muscular recruitment patterns.
  • Manipulation of the 5th and 6th cervical vertebrae and upper thoracics. Check the first rib for superior elevation, which can cause faulty AC joint mechanics, impingement syndrome and unrelenting trapezius muscle spasm.
  • At-home treatment consists of rest and TENS to control pain. The tennis ball massage technique on the trapezius and infraspinatus (five to seven times per day) is extremely beneficial for breaking up active/latent trigger points. Self myofascial release with foam rollers on the upper back, lower latissimus dorsi, teres major/minor and infraspinatus will accelerate healing.

Most patients will be asymptomatic by the sixth visit and will demonstrate significant improvement in functional performance. The length of time it took to develop the problem is an indicator of how long you will need to work on correcting the faults before results will be felt. Don’t forget that pain is often only the tip of the iceberg, directing you to the real underlying problem: upper crossed syndrome.

Dr. Perry Nickelston, DC www.k-laserusa.com

Lower Crossed Syndrome and Knee Pain

You have a patient with persistent knee pain. Objective tests (X-rays, MRI, orthopedic tests) are unremarkable. Standard physical therapy and rehabilitation protocols have helped minimally at best.

What do you do? Is it time to give up and send them to a specialist? Not just yet. Look a little deeper into the likelihood of a muscular imbalance condition known as the lower crossed syndrome (LCS).

LCS is based on Dr. Vladimer Janda’s work in researching and understanding the pattern of muscular compensation and postural imbalances in the body. These imbalances contribute to habitual overuse in isolated joints and faulty movement patterns, creating repetitive microtrauma, dysfunction and chronic injury.

The primary muscles involved in LCS are as follows (see chart at right). Muscle imbalances can be caused by postural stress, pattern overload, repetitive movement, lack of core strength, lack of neuromuscular control, immobilization, and decreased tissue recoverability following activity. These muscle imbalances result in reciprocal inhibition, synergistic dominance and arthrokinetic (joint) dysfunction.

Reciprocal inhibition is the neuromuscular condition that occurs when increased neural drive in a specific muscle causes decreased neural drive to that muscle’s functional antagonist. For example, if an individual has increased neural drive or tightness in the iliopsoas (very common), then the functional antagonist (gluteus maximus) can have decreased neural drive, resulting in muscular inhibition, weakness and synergistic dominance.

Typically Tighten and Shorten
Iliopsoas
Rectus femoris
Erector spinae group:
thoracolumbar
lumbosacral L5-S1
Quadratus lumborum
TFL/iliotibial band
Short adductors
Hamstrings
Piriformis
Gastrocnemius
Typically Weaken
Abdominal group
Gluteus medius
Gluteus maximus
VMO
Tibialis anterior
Plantar fascia

Synergistic dominance occurs when synergists take over function for weak or inhibited prime movers, causing faulty movement patterns and tissue overload. In the above example, if the gluteus maximus has decreased neural drive, synergist (hamstrings), stabilizers (erector spinae), and neutralizers (piriformis) substitute and become overactive. This leads to altered force-couple relationships, joint dysfunction and chronic subluxations.

Having tightness or hyperactivity in the iliopsoas can cause knee pain. The gluteus maximus (GM) is primarily responsible for eccentric deceleration of hip flexion, internal rotation and adduction. Weakness or inhibition of the GM increases sacral rotation and stresses the tibiofemoral joint, leading to patellar tendonitis. This alters the length-tense relationship of several muscles. The gluteus medius is weakened, taking away its ability to perform hip abduction. The TFL and iliotibial band begin to compensate, and this overactivity inhibits the vastus medialis oblique (VMO), increasing femoral flexion, internal rotation and adduction. This increases stress to the tibiofemoral joint and the patellofemoral joint. And to think, all of this resulted from weak and overactive muscles.

So, how do you fix it? Good question. The following protocols have proven to be very effective in helping to reverse this syndrome.

  • Muscular adhesions and active/latent trigger points must be removed before attempting any stretching or strengthening program. Failure to do so will result in further muscular inhibition. Perform myofascial release (MFR) and trigger-point massage (TP) to muscles in the LCS chart above. Pay special attention to the gluteus muscles, iliopsoas and TFL. Be sure to check the soleus muscles, too. An overactive soleus can result in decreased toe-off motion of the foot during the gait cycle, causing faulty lower back mechanics.
  • Ultrasound 5 minutes (1.5 W.c2 constant) on the gluteus medius and/or TFL, or you may substitute laser therapy, 150 joules per point. The sacrotuberous ligament also may require attention.
  • Self-myofascial release with biofoam roller massage on all muscles listed in the chart.
  • Chiropractic adjustments to the hypomobile sacroiliac joint and lumbar spine. Be careful not to adjust the hypermobile sacroiliac side. Hypermobility can result from lack of muscular support due to the reciprocal inhibition, thus mimicking a subluxated joint.
  • Wobble and/or BAPS board for five minutes, two to three times per week. Start with both legs and then progress to single-leg stance. Progress to the patient performing the routine with eyes closed.
  • Patients should be instructed on core stabilization exercises for the transverse abdominus muscle (TA) and lumbar multifidus. Perform the “draw-in” maneuver daily for five minutes by alternating 30-second intervals while breathing normally.
  • Yoga poses: warrior #1 and #2. Patient must actively contract the gluteus maximus during these maneuvers to inhibit the iliopsoas, allowing for a more effective stretch. Progress to isometric frontal and side plank maneuvers for the TA.

To stay on the cutting edge of patient care today, you need to follow a comprehensive, systematic and integrated functional approach to kinetic-chain diagnosis. A comprehensive LCS rehabilitation program improves dynamic postural control, ensures appropriate muscular balance and improves neuromuscular efficiency throughout the entire kinetic chain. So, the next time you have a patient with persistent knee pain, don’t forget to look “outside of the box,” or in this case, outside of the knee.

Dr. Perry Nickelston, DC www.k-laserusa.com

Resources

  1. Clark MA. “Integrated Flexibility Training.” National Academy of Sports Medicine: Thousand Oaks, CA, 2000.
  2. Janda V. Muscle spasm – a proposed procedure for differential diagnosis. Manual Medicine, 1991:6136-6139.
  3. Alter MJ. Science of Flexibility, 2nd Edition. Human Kinetics, 1996.

Biological Effects of Laser Therapy

If you ever had a patient ask what in the world does a laser light do to help me get better, then this download is for you! It covers the Top 10 (everybody loves a Top 10 list) most important ways laser heals the body. You can give this to patients as handouts for quick reference.

People alwys tend to believe what is in writing more than they do what you tell them. Use it to educate. Most will take the life-changing action of trying Class 4 laser therapy. They WILL thank you. They always do.

Click below for all the fun. Until next time…

Known Biological Effects of Laser Therapy

Patient Retention Strategy (1-5)

One of the most difficult practice parameters doctors deal with is how to keep patients coming in for care. We all know the health benefits of chiropractic and try to educate our patients every day on lifelong care.  You use all the practice management scripts for patient education, testimonials, videos, health care classes, brochures, reports of findings – and they still don’t get it. Why? Somewhere, there has been a communication breakdown. You have failed to deliver value for their investment and the patient feels unappreciated.

Andrew Carnegie once said, “The biggest key to success is the ability to get along with other people.” That’s called communication.Doctors get caught up in the latest therapy gadgets, advertising gimmicks, treatment techniques and protocols, and forget they are dealing with people. The number-one success tip I give new doctors is to significantly improve their communication skills. They already have the technical knowledge as a doctor; now they need to get people smart. It’s the little things you do or don’t do that patients remember.

It is critical to understand the art and skill of patient retention starts with your very first interaction with a patient. The first rule for getting people to do what you want is to get them to like you. How do you go about doing that?

1. How You Make Them Feel. 

How someone feels about you is greatly determined by how you make them feel about themselves. You can spend all day trying to get someone to like you, but it’s how you make them feel when they are around you that makes all the difference. It’s the basic human need for value and appreciation. An example: Thank them for selecting your office out of the dozens available in the area.

2. Establish Rapport.

Rapport builds trust, allowing you to build a psychological bridge to someone. How do you start? By matching or mirroring posture, body movements and speech – particularly hand gestures and rate of speech. People always feel more comfortable around someone like themselves. If the patient talks slow, you should talk slow. If they have their hands in their pockets, you should do the same. Simple, yet extremely effective.

3. First Impression.

You never get a second chance to make a first impression. The best way of generating a favorable first impression is the easiest one to do: smile! Smiling accomplishes four powerful things: It conveys confidence, happiness and enthusiasm, and most importantly, it shows acceptance. All other subsequent behavior is consistent with the first impression.

4. Sense of Empowerment.

Sixty percent of people will change their minds within three days of making a major purchase/decision. Their brain often churns with, “Did I make the right choice?” Cut that off immediately and congratulate them on making the right choice/decision in deciding to get help from you. Fend off “buyer’s remorse” or at-home support system sabotage.

5. The Law of Inertia.

Sir Isaac Newton postulated that objects in motion tend to stay in motion, and objects at rest tend to stay at rest. When you get a patient moving in the right direction of care, they will most likely follow through. Why? People have a strong need for consistency. Get them committed to a few treatment sessions. Establish a pattern early and stick to it.

Next post will cover #6-10. There are a total of 21, so make sure you keep checking back for more.

Dr. Perry

5 Strategies To Market Laser Therapy

Lasers are a hot buzzword now. For the next few years laser therapy will appear high-tech to patients. They will be seeking this treatment option and you better be ready to offer it to them or somebody else will. You can enhance this process by branding your practice as cutting edge and state-of-the-art. Lasers help move your practice to a higher quality, volume and fee structure. Internal and external marketing will become much easier with the right laser therapy device.

Practice differentiation is as important as specialization in this era where consumers are provided with more healthcare choices than ever before. Successful practices stand out from the crowd through continual enhancement of the ‘business’ model by providing new and innovative services that the competition does not. How do you set yourself apart from the pack? To be successful in the real world, you need to have business smarts and marketing know how to attract clients to your services. Among the challenges today are more competition, managed care, cheap tight fisted insurance companies and corporate downsizing mentality.

Successful doctors quickly learn how to play the business game better. They formulate a marketing plan for success and don’t allow anyone to derail them. Rarely do they waiver in the face of adversity. They are not more talented, but rather more consistent. They lock onto success with inventive income generating solutions, offering value patients are willing to pay for. Implementing what I call “The Fab Five” is a key foundation to your marketing strategy.

1.   Free Laser Day

The first promotion you run to integrate laser therapy into your office with a sonic boom is Free Laser Day. “In House” laser day is offered to existing patients and their friends and family members only. This makes it appear even more special to patients because they get the first opportunity to use this new technology. Believe me; patients remember these little things. How does it work? Create special flyers announcing the event and give one/mail one to all of your existing and inactive patients. Offer them a “Free Laser” treatment. Play up the event like a Grand Opening celebration. I guarantee if you will get at least 5-10 new laser therapy clients out of this promotion.

2.   Open Clinic Night 

This is a similar concept to chiropractic in-house ‘Healthcare Classes” doctors use to educate potential patients about chiropractic. If you already offer this class (good for you), now simply replace one or two of your classes per month with a “Laser Open Clinic Night”. The entire night is devoted to laser therapy. Do not mention chiropractic, there will be plenty of time for that when they become your patient. Give a small presentation, offer refreshments and one FREE Laser therapy session. If you have the right laser device, they will experience an improvement from just one session. It’s what we in laser therapy call “The Wow Factor.” There is no print advertisement as powerful as a first hand ‘Wow’ experience with laser therapy.

3.   Unique Marketing Messages

Lasers give you a competitive advantage by creating a unique selling proposition -“USP”. Every successful company in every business has a USP, something that makes it appealing above all others. I like to think of a USP in another way, as your “Unique Marketing Message” (UMM). That’s really what this is all about, marketing your services and getting patients in the front door. You can’t heal them if they don’t come to see you, right?

A Unique Marketing Message for laser therapy should clearly state who you are, what problems you solve, what solutions you provide, what benefits you offer, what results you produce, what guarantee you give and what is unique and special about your particular service. Positioning is the foundation on which you will build your practice. What is your business identity? Imagine being the only pain relief laser center in your area? Now that’s unique.

4.   Niche a Niche The first rule of marketing success is not to market your service to everyone. Pick a niche. According to Webster’s Dictionary a niche is ‘a position or activity that particularly suits somebody’s talents and personality or that somebody can make his or her own.’ This is a major key to marketing success. Your service becomes more desirable. People want to buy things made just for them…that solve their unique problems. Your name spreads rapidly. People in groups talk! If you’re good and you provide services for a specific niche, your name will travel fast. It becomes easier and less expensive to prospect. Most niches have a list of members or list of people. Instead of spending money on mass marketing, you can spend the money on getting your message to just the right people in your niche who want to hear your message. Some examples include: shoulder injuries, knee pain, sports injuries, carpal tunnel, etc. Pick one and master it, then move onto the next. It’s that simple.

5.   Public Speaking  

Public speaking is the ‘Secret Weapon” to building a professional business. It will be one of the most important things to do with your success in your lifetime. It will allow you to achieve your purpose and help as many people as possible. Fancy “Yellow Page” ads cannot compare to the close personal connection established with potential clients at a lecture/workshop. That connection builds trust and trust builds your practice. 

Your main job in public speaking is to get new patients, and sell laser therapy treatments in your office. It’s not just about educating people. It’s about building a successful practice. Booking speaking events about laser therapy will be easy because it is a new and exciting technology that patient’s want to learn more about.  Unfortunately, most doctors don’t implement this strategy out of fear.

The fear of public speaking is ranked higher than the fear of death. Use this fear to your advantage.  Most doctors will be too afraid to implement this strategy, so the market will be all yours. Everything in life you desire lies just outside your comfort zone. The quickest way to overcome any fear is by action. Do the thing you fear the most and the death of fear is certain.  

You have to sell yourself and your services; otherwise you go out of business. Resenting promotion is one of the greatest obstacles to success. People who have issues with selling and promotion are usually broke. How can you create a large income in your own business if you aren’t willing to let people know you, your product, or your service? What you see, you remember; what you do, you understand. The key to success is action! Doing “The Fab Five” guarantees you laser marketing success. So get out there and just do it! 

Dr. Nickelston is clinical director of The Pain Laser Center in Ramsey, NJ and is VP of Practice Development for K-Laser, USA. He can be contacted at 1-866-595-7749 Ext. 102 or website www.k-laserusa.com  

Listen for Success

Dale Carnegie, author of How to Win Friends and Influence People, wrote, “You can make more friends in two weeks by becoming a good listener than you can in two years by trying to get other people interested in you.” He recognized that people who are self-absorbed and talk about themselves all the time rarely develop strong relationships with others. Your entire success as a doctor, business person and entrepreneur will be based on your ability to establish relationships. It is essential for you to understand the importance of listening and how to develop this skill for maximum impact on your communication style. Successful people understand the incredible value of becoming a good listener. To be a good listener, you have to want to hear. But you also need some skills to help you.

                                                                                           

Here are five strategies to help you become a better listener.

 

1.    Listen to Understand

Whenever you don’t pay attention to what others have to say, you communicate that you don’t value them. But when you listen to others, you communicate that you respect them and you show them that you care. Zig Ziglar said, ‘People don’t care how much you know until they know how much you care.” Take time to listen to them as a person, not just a doctor. Effective listening requires more than hearing words, it requires that you find meaning and understanding in what is being said. Meanings are not in words, but in people. Put yourself in the other person’s place and your ability to understand will increase.                          

 

2.    Look at the Speaker

It’s called eye contact. Listening begins with giving the speaker your undivided attention. During a conversation make sure you have PTC (Present Time Consciousness). In other words keep your thoughts focused on them. Don’t do anything that will distract you from actively listening to the speaker, such as catching up on other work or taking notes. And if you don’t have the time at the moment, then schedule a time when you can give them full attention. A person forms their first impression of you within ten seconds, so you have one opportunity to get it right.

 

3.    Stay Quiet

Don’t be so quick to jump in with a response. Don’t interrupt. Let the speaker finish their thought before you reply. There is nothing wrong with having a moment of silence before you talk. Silence will give you a chance to reflect on what’s being said so that you can respond appropriately.  Don’t feel that one of you has to be speaking all the time. Silence can be an extremely powerful communication tool in business.  Most people feel very uncomfortable with silence. The one who speaks last holds all the power in a conversation. This comes in very handy during a Report of Findings. Next time you give a report, simply state the amount of care required and stop talking. Wait for the patient to reply first, no matter how long it takes. This will feel very awkward at first, but keep at it. You will see a greater increase in patient compliance.

 

4.    Sum UpListening is more effective when it’s active.  A technique for active listening is to sum up what the other person says at major intervals. As a speaker finishes one subject, paraphrase their main points or ideas before going on to the next one, and verify that you have gotten the right message. For example, “So, Ms. Smith let me review to make sure I understand you correctly.” A very powerful technique that reassures the person and helps you stay focused on what he or she is trying to communicate. After a Patient History Evaluation, take a moment to sum up exactly what they told you about their condition. Patients want to know you are listening and unfortunately most doctors don’t.  This is an extraordinary rapport building skill to implement. 

5.Respond                                                                                                                                                                                                                     A good listener will stop talking and use receptive language instead. Use the ‘I see . . . uh huh . . . oh really’ words and phrases that follow and encourage your speaker’s thought. This forces you to react to the ideas presented, rather than the person. If you really want to listen, you will act like a good listener. Good listeners speak body language. The best acting technique is to “mirror” the speaker. Assume the same body language and conversational tone he or she is presenting. You need to be a bit of an actor. Mirroring the person’s tonality, sounding like they sound, makes them feel comfortable. If they talk fast, you talk fast. If they talk slowly you talk slowly. You can strengthen the bond by using the same words they use. For example, if they use the term ‘popping sound’ be sure to begin saying ‘popping sound.’ If the speaker talks with their hands, you should do the same. Never mock the speaker, merely assume the same language. 

Make listening a priority, no matter how busy you become. Many people take for granted the ability to listen. Most people consider listening to be easy, and they view themselves as pretty good listeners. While it’s true that most people are able to hear, few are capable of really listening. Take time to develop this skill and the results will be astoundingly powerful. Here is a Quick Start Action Plan. Spend one hour this week talking with the most important person in your life and give that person your undivided attention, spending two-thirds of the time just listening. Watch what happens!

What is a ChiroMasterMind?

Welcome to ChiroMasterMind! Get ready to learn some awesome material. I decided to create this unique resource to share my ‘personal’ experience, knowledge and front line survival strategies from the ‘real world’ of chiropractic practice. Let me say upfront that I write like I talk; straight-forward, honest, in-your-face and intense with no apologies. If you want to share in the exchange of knowledge and teaching, feel free to join in on the fun. If you disagree with any content, please engage in professional courtesy when posting. I respect all opinion, especially when someone has an intelligent response to back it up. We are all here to help each other. Now that that is out of the way, lets start rockin!

The concept of the Mastermind Group was introduced by Napoleon Hill in the early 1900’s. In his timeless classic, “Think And Grow Rich” he wrote about the Mastermind principle as:

“The coordination of knowledge and effort of two or more people, who work toward a definite purpose, in the spirit of harmony.”

In a Mastermind group each person’s participation is key. You give you feedback, help brainstorm new possibilities, and set up success structures that keep you focused and on track. You create a community of supportive colleagues who brainstorm together to move everyone to new levels of success. (Sounds like a blog to me) You gain tremendous insights, which can improve your business and personal life. This technique changed my practice in so many ways.

What can you gain?

  • Experience, skill and confidence
  • Real progress in your business and personal life
  • An instant and valuable support network
  • A sense of shared experiences - there are others out there!
  • Design things to be the way you want them to be, not as you’ve been told they “should” be

Who Should Participate?Doctors who:

  • have the desire and inspiration to make this year extraordinary 
  • want a supportive team of Mastermind partners
  • want to reach or exceed their goals
  • are ready to let their desire to be passionate about their life and work overcome their fear of change

I will add information to many categories covering different aspects of practice; marketing, laser therapy, technique, practice tips, people skills, etc. I hope you discover your best. I’ll be talking to ya soon.

Dr. Perry