132 - The Science of Chiropractic: Turning Research Into Better Patient Communication

[00:00:00] We just have to keep in mind that there's so many elements of science. Just because something isn't, you know, a double-blind stamp of approval doesn't mean that there's no scientific evidence behind it, right? That would mean that we're never exploring a frontier ever again because we're only looking at things that have been proven in the past.

[00:00:27] Hello and welcome to Build Your Remarkable Practice podcast. This podcast is dedicated to chiropractors who are in the seasons of launching and building their practice. Join myself, Dr. Lona, and my co-host, Dr. Bobby, as we have conversations each week as it relates to building the practice of your dreams. And remember, you can have a remarkable practice as part of a remarkable life, not instead of one. We're here to lead you on the way.

[00:00:58] Hey, welcome back to the Build Your Remarkable Practice podcast. I'm your host, Dr. Lona Cook, and I am solo today. I actually just dropped the kids off for their first day of a new school. We homeschooled last year, which was awesome, actually. I loved it. But my youngest said he wants to try school, so we started at a new school this morning. So some new beginnings this morning. And I'm going to continue this week with the third leg.

[00:01:27] And I know we've talked about philosophy and we've talked about art the last couple of podcasts. But I am going to talk today about the science. And what's hilarious about me talking about the science is I definitely would say that this has, in the past, would have been the one that I most overlooked or at least felt less called to be interested in. And maybe some of you feel that way. Maybe some of you eek out on the science stuff.

[00:01:55] There is some things I want to say. And in my evolution of how life has unfolded, practices unfolded, opportunities have unfolded. And, you know, here we are. I'm in practice 16 years. And last year, we actually got the opportunity to publish a large case series with Havoc Research, Heidi Havoc's work, and with Life University and their research team.

[00:02:21] And that has been an incredible experience getting to work alongside them and also getting to do something like publish an article that helps hopefully the rest of the profession as well, as well as ourselves, put into, you know, the arena of science, some of like what we're seeing and some theory behind why we're seeing it.

[00:02:44] And so we obviously ended that study that we published last year, which is a review of 180 kids getting weekly chiropractic care, school-age kids, showing quality of life improvements and showing improvement in hyperactivity with routine chiropractic care. But that is part of the science as we're saying, okay, you know, why are we noticing what we're noticing?

[00:03:08] Why do so many people of all ages improve in so many areas of their life and function with something as simple as chiropractic care and the adjustment being part of how they're taking care of their nervous system and their body? You know, the science piece now is something that I think more about.

[00:03:28] Like when, you know, I look at what we're up against as far as trying to help more and more people understand why to utilize chiropractic, I do believe the science piece is really important. Maybe partially just so that we can have more of a beacon or more of a megaphone to, you know, what we've clinically seen in our practice where we're like,

[00:03:51] maybe we're not that into reading research, but we are into communicating with patients and helping more people understand what we're seeing and putting more quantifiable data behind the outcomes of chiropractic. So that's my plug to just nerd out a little bit. The other piece I wanted to bring up is that when we think about our evolution of understanding the philosophy,

[00:04:17] I think there's a component of the philosophy that when we start to look through the lens of our philosophy, we can look to learn about what we're seeing in the science through that lens. So I'll give you an example. Obviously, in our philosophy, we say things like life is intelligence and that there is an intelligence operating through everything, right? That's part of our major premise.

[00:04:41] And that understanding of like life is intelligent and this expression of life through matter is very important to chiropractic is to look for this demonstration of intelligence. Then we go and we understand things like, okay, I believe I read a research paper in the last year that was from, I think, Tufts University,

[00:05:03] where it was talking about how there's these bioelectric fields that they believe are how the body organizes when a baby is forming its first tissues. Is that the bioelectric fields or these tones or these electromagnetic signatures of how the body moves energy intelligently is part of how a baby's body knows to develop a cell into an eye cell versus a kidney cell.

[00:05:29] So I read that and I think that's intelligence in action, right? That's learning that there is so much more playing out than us just being kind of robotic or mechanical, right? So, you know, when we understand our philosophy, we can read some of what's coming out in science and be able to understand it through a different lens.

[00:05:52] And it's almost like then to me, when I'm reading some of these different works or different books that are, I'm reading it also to look at like, okay, and how does this demonstrate intelligence and organization through matter and knowing that we are self-regulating, self-healing, and just really exquisite in our body's capabilities. And so that lens helps me also read for things that can be nuggets to teach people.

[00:06:21] And I think that's a really important part of being able to communicate the philosophy is be able to demonstrate how we see, like, how intelligent our systems really are. So example being too, when we want to study something and learn something, you know, it's not just reading research papers.

[00:06:41] It's also science is also being curious and also looking for patterns and reading things that are outside of our profession too, but also looking at how we can see, I think, some of this intelligence in action. So I just, I think if I'm distilling this down for somebody who's thinking like, okay, yeah, I haven't explored, you know, maybe I've explored taking different techniques or maybe I've been to, you know, different philosophical seminars.

[00:07:11] Maybe the next piece of this is to start to just look for ways that you're seeing this philosophy in action through different texts you read and different ways that the something might explain how the body works. And that's part of, I think, experimenting is learning how to start to read other books, other seminars, other things, and look for some commonalities and some patterns.

[00:07:38] So I'm going to give you a list of some of my favorite things that I've read over the years that I think helped expand also my understanding of, I'm going to say more of a quantum level of biology, which I do believe that Didi was hinting at when I read some of Didi's work.

[00:07:55] And this, again, I think then became where I could distill down how I was going to explain more of like, how do I know the body's self-healing, self-regulating, and how I know that the power that made the body heals the body is by learning some of this science and larger example of, I think, intelligence and action through matter,

[00:08:20] which is recognizing we are energetic beings and that our nervous system is like this conduit through our body. So I loved reading Bruce Lipton's work, huge plug for him, Joe Dispenza's work. He's a chiropractor. I think most people know that. Again, like really interesting how they approach looking at the intelligence in our systems.

[00:08:41] And then I also have really enjoyed like studying things like our fascial systems and looking at also Eastern philosophy and Eastern understanding of meridians and our bodies. So again, trying to kind of overlay some of these things with also understanding, wow, our bodies are so incredibly connected.

[00:09:05] And the interesting part about this then is when we have a premise of how we look at things, then we also, it begs the question of like, could we do deeper science, right? Could we put together different types of research that we could conduct? That's one of the things that my team thinks about now is like, could we do some more publishing looking at how chiropractic is helping in mental health,

[00:09:32] looking at how chiropractic helps in addiction, knowing that again, from our philosophy is like, if, you know, the nervous system and our systems are better regulated, it's probably going to show that people receiving care in these different groups that we're putting labels on people and saying like, okay, this person's had this struggle. And a group that isn't accessing chiropractic care versus a group that is accessing care, we're probably going to see improvements.

[00:09:59] So again, we just have to keep in mind that there's so many elements of science. Just because something isn't, you know, a double blind stamp of approval doesn't mean that there's no scientific evidence behind it, right? That would mean that we're never exploring a frontier ever again because we're only looking at things that have been proven in the past, right? So your clinical evidence too of the people you've worked with over the years, so important, right?

[00:10:28] That grows your, I think, confidence, of course, but then your ability to also communicate with patients that you have seen some of these things before and the patterns that you've noticed and what needs to be done and how outcomes have improved through delivery of the art and the communication of our philosophy and getting the outcomes that we want. This is scientific evidence.

[00:10:52] It's clinical evidence because, again, we've seen something in our clinical experience that is also part of how we form the care that we're going to give moving forward. So I think it's important to realize that we can read research, yes, we can read text, we can read things outside of even our chiropractic bubble that help us better look at why life does what it does.

[00:11:20] So I think it's important to read, right?

[00:11:48] Science is something where, you know, the more that we're aware of what the science says, and I think that's where following people like Dr. Mo, Heidi Havik's team, of course, they're giving us breadcrumbs to be able to even use some of what they're doing in research or understanding about the research and what it says and giving you bite-sized nuggets so that you can communicate it with a patient on Monday.

[00:12:16] So make sure that you're following them because that can be really helpful, especially for a more analytical patient to explain to them like, hey, you know, there was a study that came out that was delivering chiropractic care to asymptomatic people and their quality of life markers and improvements in their biomarkers never stopped improving over the months that they were getting chiropractic care. That means that wellness care is a big deal.

[00:12:44] And this is why we're encouraging you that you stay getting the care that you need so that you can continue to improve in your quality of life and improving your health, even with the absence of pain or symptoms, right? But that would be an example of how we take what a research team has shown us in a paper that has come out and made it into something that is simple and digestible for a patient.

[00:13:09] So that is a plug, is that when you're reading things, when you're looking for evidence of why we do what we do, and there are, you know, there could be more, but there are things out there, is then think about, okay, how would I just point a patient in this direction to understand? Or how, if I'm preparing a presentation and I want to reference something, how do I make sure that this comes through in a way that is easy for people to understand,

[00:13:38] like, what that research means and what the science shows? Same thing when we think about, like, even just talking about, you know, for the average person, their understanding of just how their body works and how their body runs isn't real great, right? So when we're geeking out, understanding biology, and then trying to figure out how we're going to put that into table talk, try and think about how you would describe some of this to someone that just doesn't have a lot of understanding of the human body, right?

[00:14:07] And so that doesn't mean that person isn't capable of understanding. It just means, like, maybe let's say that they're in construction or an electrician, and if they tried to explain electrical circuitry in the house, it'd be way over our heads, right? Because we're not an electrician. And so we have to think about that, too, when we're thinking through everything that we're really geeking out on and being intrigued about is then also how would I teach someone else this point, right?

[00:14:37] And how do I make it easy for them to understand? And I think that's evidence of someone who's really wrestled through both the science and the philosophy and also the art of, like, okay, if I know that this is true and clinically I've found that, let's just say I'm subluxated at the occipital level, now when I place the correct force and adjustment here and see that cleared, how do I relay to the patient why that area needed to be adjusted,

[00:15:07] how that relates to their specific situation and their biology, and do it and communicate it through a lens of the intelligence of the body and the importance of removing subluxation and what that does for the body. Again, this is where the science, art, and philosophy all start to come back together because they're not really separate. They are interwoven and that's an important piece of that. So we all can get better at it.

[00:15:35] I just wanted to put together that for someone like myself, and I think a lot of chiropractors are like this, we're drawn to the hands-on portion. We're drawn to helping people. We're drawn to the real extroverted piece of this where we get to, like, put our hands on people, help them, and see a lot of people every week. Like, so maybe we either don't have time to read some of the, like, research or we don't have time to sometimes dive deeper into understanding, like, what's happening.

[00:16:05] And when we can start to pull all three together, and whether that's through seminars you go to where you get some of it or different things that you're reading, is to think about, like, okay, now how do I weave this in where depending on who I'm communicating with, I could actually share this nugget and make it make sense to the person that I'm clinically taking care of, right? So plug for you to go a little deeper.

[00:16:32] Also a plug, if you see cool things that are transformations in your practice, which I know you do, all of us could do our part in every so often writing up a case report or finding out more about how you would publish something like that or write an article about it. There's obviously various publications in chiropractic, whether it's through something like the ICPA or Sherman Life, Life West,

[00:17:00] like different places that have research departments where I know that students help publish interesting cases. That's how we can contribute as well, right? We have the clinical data, and a lot of times see transformations. We may just not have the awareness that we could be writing it up or the time to write it up. And that's where potentially reaching out and getting connected in, if that's something you'd want to do, I think only moves our profession forward.

[00:17:29] So think about how you also could be benefiting by contributing to some of the science and some of the, even if it is just one person's transformation, like more of that being out there only leads to hopefully more people understanding that chiropractic can help them, which is the journey we're all after, is that the vast majority of the public still hasn't made this transformation in understanding the body the way that most of us do and the importance of the nervous system and the spine

[00:17:58] and the connection of subluxation to how our life is expressing. And they don't understand that they would go to a chiropractor beyond just maybe neck or back pain. And so when we put more of this data out there, it helps across the board. It helps more people have things they can refer back to. It also, of course, is things that we can put into AI and start to train AI that chiropractic is different than maybe what it wants to say

[00:18:27] that we are pigeon-told as. And so I think we're just in the beginning of seeing the potential for us to do more either individual work or collaborative work in the science space. And excitingly, because our team has published and we are set to actually have another publication come out, we've been in some discussions where it's hopeful that there will actually be more federal funding coming through for some chiropractic research soon too.

[00:18:55] So that would be greatly helpful because obviously that it costs money to do some of these large-scale chiropractic research projects. And that's why places like the ASRF is so important because they're doing some of that across the board for chiropractic. So in rounding this out, I want you to think about how you can start to communicate more of the science through the lens of philosophy as well. And when you are able to find some of these nuggets,

[00:19:24] like how does that also translate to how you explain table talk and how do you make it digestible for a patient? And then maybe just a little plug that you yourself could be published at some point, whether that's a really unique patient encounter and transformation you've seen over a care plan or some time, or just getting involved or donating to some of the places that are doing the chiropractic research. So I will see you on the next episode

[00:19:54] and I'm sure Dr. Andrew will be back soon. Hey everyone, please listen in for this next bonus interview of one of our remarkable success partners. They all help us help more people find the benefits of chiropractic. So listen on. All right, CEOs, Dr. Pete here in the studio with a new friend. For me, we're just getting to know each other here this year in 2026, Gabriel Doty from ChiroHD.

[00:20:23] Thank you for taking the time out of your schedule today to meet with me and be a part of our podcast. We love having experts here and learning more about their business and kind of what brought you to this place. So thanks for taking the time to meet with me here today. Yeah, awesome to be here. I'm excited for the conversation. I know I've been very closely connected and acquainted with TRP for years, but I'm excited about some of the recent developments and us getting to dive in a little bit deeper together. So really, really excited to be here. Deeper dive for sure.

[00:20:51] And I've really enjoyed working with your team. So that's been one thing I just want to comment. So, you know, as a business owner myself, as someone who works with other businesses in the chiropractic space from a what I would call business to business interaction, it's been awesome to interact with the team you've built, talk to clients that you serve to learn about the work that your organization does to help chiropractors. So I love meeting with other leaders

[00:21:20] and that's what this platform is all about is talking to other business leaders about business. Ultimately, that's what today is going to be about. I know everyone who's listening is going to benefit from the conversation, like you said, just being able to go deeper on certain topics. So before we go into anything, the deepest place we could always go is getting to know each other. So help our audience get to know Gabriel Doty a little bit. So give us a little bit of your backstory, your history, and what brings us to this moment here today. Yeah, a wild 10 years

[00:21:49] is what brings us to this moment. I said, no, so I'm a software engineer by trade. I worked primarily in the advertising space for a long time. My ex-wife's a chiropractor. We moved to Georgia for her to go to Life University. She starts going through, you know, student clinic and all of that. And I'm showing up as one of her first, you know, test patients, so to speak, and get my first exposure to chiropractic software. And I think we can all agree that it wasn't very impressive.

[00:22:17] And so I was just really genuinely surprised at what was available. Got talking with one of the staff members and it's like, why are you guys using an old chiropractic software? And he's like, this is like industry best right here. And so kind of like, so this is 2010, got the initial idea. I'm like, man, this industry needs some love and affection in the technology world. That idea kind of just rattled around for a few years. I kept working on my engineering stuff and also cloud hosting at that time was insanely expensive.

[00:22:47] So it didn't make business sense to do the cloud hosting version. So fast forward to about 2016, she had started her clinic, joined a franchise. They were starting to look at maybe building their own EHR. I brought back up this idea that, hey, like I looked at this a lot a few years ago. So we took a look at the whole thing and decided to turn it into a real company. So launched the company in 2017, really kept it internal for about two years.

[00:23:16] So just worked with one client primarily with multiple locations. And then really in earnest went to the public with it in 2020. So really we're pretty early in that regard. I mean, we're five, six years into this run. And then two years later, we got PE backed, went from six employees to about 35 employees in a year. And then went through another race a few years later, just last year in 2026. Now we're sitting at about 85 employees. We've grown massively during that time.

[00:23:45] So a really, really just high speed evolution of the company over time. So it's been a run, but let me back up a little bit. I think if you look at chiropractic and like what drove me, not just from the software side, but when my ex-wife was considering chiropractic school, like I had not really been around it that much. And I'll try to keep a long story very short. We ended up taking my son to the chiropractor for ear infections, which I was incredibly skeptical of, but he'd been having them for 18 months

[00:24:15] and keeping him from sleeping for just an enormous amount of time that I was about to lose my sanity over it. It was almost instantaneous. You know, 18 months of pain was gone in a single adjustment. And every time he had a flare up, we'd take him to the chiropractor and I never had to deal with it again. And so I'm a super analytical guy and I'm just like, what's happening here? I don't understand. I want to understand the physiology. Like, and I started going looking for, you know, any explanation from it. And you can imagine what the Google results are

[00:24:44] when you say, you know, chiropractic adjustment on baby. I'll just say it wasn't flattering with the results that came up. I was frustrated because I saw it firsthand and I like there just wasn't any research out there. And so even when I started, when we started ChiroHD, one of my goals was to be able to build it in a way that eventually we'd be able to facilitate larger research pieces than was available in the market. So that's something we're just right on the edge of starting to get into. We work with Life University

[00:25:13] Center for Paragraphic Research. We're starting to build up that piece of it. But that was a huge piece of starting the company that I was really excited to jump into. Wow, wow, wow. Lots to unpack there. First of all, just what a wild ride you've been on, you know, so I'm hearing 2010 is really when a lot of this began. So we're, you know, a decade and a half in, just a little bit more than that from a software engineer to still doing that work, really, which is great. But putting all that or much of your energy

[00:25:42] into now the chiropractic space. So what an awesome, you know, journey that you've been on. Talk to us a little bit about as CEOs are listening and they're looking at growing their business. You've had some major growth. So talk to us through maybe some of the honest or some of the struggles you've had in the midst of that, like one or two, maybe that pop out that you like stand. I was going to say, I don't think we have enough time to go. Right, exactly. But there's a couple that pop up and it's a little generic and I, but I think it will resonate with a lot of people.

[00:26:11] I think one of the hardest things is just as you're trying to scale or as my experience with what's happened over the last eight years, it seems like almost like clockwork every year. I have to put on a new hat and learn some new thing and like become a different person for that year's task or problem. So change management of myself has been a huge, it just seems like, you know, when I first started it, you know, I was a lead engineer

[00:26:40] and I had a small team, but I wasn't like, you know, I was still an individual contributor. Most of my work was still hands-on. I wasn't leading a team by delegation and, you know, those types of things. So I think like step one was just like, how do I become like a real CEO and not just do the work? And so you go through that task and then, you know, then the next year we start doing all of our legal negotiations and you have to put, learn how to be a lawyer and what, we spent a whole year going through, you know, every contract

[00:27:10] that we've had and then now we're hiring 50 people in a year and so like now we've got to start putting systems, like, so it's just like every year there's some big new thing that I've never done before that now I've just got to become an expert in and get really good at. So that, that's a huge one that jumps out. I think the other one is just the scaling process. It's hard. I mean, like the, it's, it's one thing to have any idea and have that to 50 people. It's a completely different animal when you're, when you're trying to do it at 2,000, 3,000, 4,000 people.

[00:27:40] And like, that's a journey that I don't think anyone ever is like fully ahead of. So it's again, just keeping a pulse really close to the problems and trying to be very reactive and kind of make sure, but, but like, there's just so many things along the way that are completely unexpected that you've got to, you've got to solve on the fly quickly or you ruin your entire reputation when you've been working so hard to. So those two things just jump out at me. Yeah. I want to just double click on those just as a, just as a conversation,

[00:28:10] but I think we talk about the ascension from being an owner operator to a CEO. And that's literally what you described. You said, no, man, when I first started, I was, I was in there as hands-on lead engineer doing the work. And then I got tapped to say, you need to ascend above that now into a new role. Yeah. We called it the identity shift. You took it to another level, which you said every year, I basically have a new hat that I'm going to be wearing. So, whereas your title might be one thing, it's the work inside of that title

[00:28:39] where it's a new, you know, a language you're learning, right? You're learning this new function inside of it. I heard things like, you know, leadership and then law and contracts and then HR and it's like, man, you're learning all these major, major moving pieces and it's a lot. And so, I think to our CEOs who are listening who maybe feel out of their depth or like scaling is challenging them like, man, I was just super comfortable when it was just me doing my thing, adjusting and I had a small little team

[00:29:09] and it was just the Dr. Pete show, the Gabriel show and now it's like so much bigger than you. developing these new skills is essential and then number two thing I heard was this speed with which you have to address the problems and also determining like what is the real problem? What's the problem below the problem? What's really the issue versus chasing all these things and you never get to the real issue? You can waste so much time, energy, focus and money not getting to the root of the issue.

[00:29:38] And that part to me as a chiropractor listening is another piece that we see a lot in our work with chiropractors who are ascending into the CEO role and really owning that. So we have a lot more we can talk about. I'm sure we're going to hit it on another episode because we get to do some of these, more of these. So talk to us a little bit about your business and you know, we say businesses exist to solve problems for someone else. You're solving problems for chiropractors. So tell us more about that. Yeah, I, you know,

[00:30:08] I've been around software for a really long time and I will just say I didn't know what I was getting into and that had I known I might not have actually gone down this route because it's a joke but I mean, the one thing that we're talking about like as becoming a CEO and that leadership and like how do you do this at scale? Chiropractors, every chiropractor you're getting here knows like there's just a million different ways to do things. And so like I would say going back to challenges and it's directly related to this is like being able to have a system

[00:30:38] that's opinionated enough to build good workflows but also serve the fragmented you know, structure of every office and how they do things and how they think about things has been a really big challenge and we've tried to like blur that a little bit and try to instruct and be like you really should make some changes and think about this differently and try to build best business case in there but it's it's wildly hard and so like if you look at a little bit more in my software engineering background specifically I was in

[00:31:08] UI, UX and workflows so that's specifically if you look at what I was doing for advertisers it's looking at how they're spending their time during the day where are they spending the most time is that useful time for them to be spending it there or is it throwaway time you know like their account managers the most useful thing is that for them to be looking at ad spend and results and things like that they're spending half of their day entering schedules and calendars for ad runs and things like that so looking at those workflows how do I optimize your time for the simplest

[00:31:38] you know for the most efficiency for what you do so I think that was a huge starting point was just looking at these clinics and like hey what are you where are you spending your time where are you wasting your time to your question about like solving problems and the way you do that is I went and sat in hundreds and hundreds and hundreds of clinics and spent two three days and they're just watching and what are you doing and where are you sitting behind the CAs and watching them pigeon with things and get frustrated and ask them what they're trying to do so I think at a

[00:32:08] global you know zoom out scale it's solving workflow problems is like the core thing in my brain is like how do I make an office operate as efficient as possible as profitable as possible and where do I give them the most time back is kind of a macro view of it yeah that's you I love that story I didn't I didn't know but now it makes sense coming from the as you said the UI and UX and workflow world I feel as a coach that's what we're always looking for as

[00:32:38] well so I how do you free up your people the team to be able to focus on the people and not just the task so can you talk about

[00:33:08] maybe something that you guys are doing right now that's unique about Cairo HD that you're proud of that you're excited about because that's one of the things that I know you're doing is you're innovating all the I think if you look at the journey over the last few

[00:33:37] years and I think a lot of people would agree that the last two to three years we've been not not innovative but less innovative than the beginning and chiropractor was closing the doors at 6 and leaving at 7 30 that was like end of day auditing accounts making sure payments got posted checking

[00:34:07] that all charges got put in and they'd spend about an hour and a half auditing and getting ready for the next day and through that process that I was talking about earlier we you know at the end of six

[00:34:41] getting home at eight o'clock every night and all of a sudden now she's getting home at 6 30 so very real world impact but if you're looking at like the world has changed a lot over those seven eight years you know and especially over the last two or three is we're now AI is taking over technology and there's a million things going on right now but I think another example of this is that you've seen a bunch of EHRs come to the market with a lot of I'll use the word gimmicky AI tools where yeah we've got

[00:35:11] AI in our platform but if you ask people is it really helping you yet and we haven't seen this explosion of valuable AI in chiropractic yet we've taken the opposite approach where we've been a little slow to come to market with AI tools but it's because we've really been digging into these and trying to understand these use cases at a deep level so that when we do release them it's going to be game changing and people are going

[00:35:51] to put a little badge on us we do AI too we're not going to release something that we don't feel actually solves the problem huge I love that yeah because you know the FOMO kicks in real quick right where it's like oh man we're going to miss out so we

[00:36:21] great leadership because like you said others can pop up and lead with this new shiny object but ultimately the foundation isn't there to support and that to me is my concern as a coach to working with docs helping them navigate discerning which way I should go and that's some of the questions I ask is about the track record and understanding what they build and what you ultimately are getting can you talk a little bit about speaking of

[00:37:08] what from my personal opinion is that what the world needs now is chiropractic care and what chiropractic needs is more successful chiropractors need more to leverage technology in ways that's going to support them reaching the public and serving more quantity of people with higher quality right so can you talk a bit about what you see as you look ahead in

[00:37:46] the data but AI has thrown a big wrench in all of our expectations of where everything is going that is no less impacted by that so I want to split that into AI and leave that off the table for a second but in general I agree completely I

[00:38:46] chiropractic chiropractic strategies make it hard for people that are coming alongside and helping to keep moving things forward the more that you can align with a particular coaching group or like some strategy just makes things so

[00:39:18] is that an appointment is that a charge is that what happens if they have a chiropractic visit and another ancillary server like there's just like that alone is just like a

[00:39:48] I think it's worth you know I'm glad from your perspective from a software perspective that you can share that with chiropractors like me and others that are listening and say the fragmentation isn't helping us move forward any faster so creating some sort of a uniting around agreed upon terms and conditions and how we define a visit there's again art science and philosophy right so chiropractors took up the art the science and philosophy

[00:40:18] we got a lot of techniques there are but if we could agree on some things without encroaching on hey there's a lot of ways to adjust your technique can be the art but running a business doesn't have to

[00:40:49] run to system and it works as we have been able to create some standardization around hey this is what you know a week should look like a month a quarter here's what stats we

[00:41:19] are listening in today saying hey guys we can do this and Gabriel from your perspective you're seeing that as the thing that would slow us down or stop us from taking more market share I think it's both it's the market share but it's also the people that are trying to come along and help us we're trying to build software if we have to solve for 500 distinct use cases you've slowed us down and to give you an example of how this played out in other markets a lot of times

[00:41:49] at the PE level not trying to compare the art and philosophy paradigms there but chiropractic looks a lot like how dental rolled out in this country and what the business model was and how it evolved and changed over time so a lot of times when you're having discussions about what's happening in what's that crystal ball of what's going to happen in chiropractic a lot of investors are looking at what happens in dental as an overlay of these two things and what happened

[00:42:18] there was a very similar problem and really private equity is what forced the hand of refinement of those things because they had a group come in and buy a large portion of the dental or two or three within a couple years they went from 10 to 15 PE ownership to 50 over a very short amount of time but what happened in that is that everyone that wasn't in those PE groups understood that they have to start doing things away if they want to get bought by

[00:43:00] we've seen some of that in chiropractic but it's not been as aggressive you've seen some PE groups get involved in some of the larger groups and stuff but just throwing out is kind

[00:43:30] chiropractic is we don't have these graceful and profitable exits unfortunately practices are retiring with the doctor and that's not remarkable should be a very different story and narrative for so many docs who spend decades of their life serving their community serving people and not exiting well it's unfortunate for the community that lost a great doc and lost a practice it's unfortunate for the doc and their family and it's unfortunate for our profession nobody's winning there so to your point when you start thinking about the third and

[00:44:00] fourth season scaling and exiting I'll tell you what rubber is real quick and you're nailing it I really appreciate your time here today how can our listeners get more information take a next stab discover more about Cairo HD and what you guys are up to yeah easiest place is just our

[00:44:41] and learning more about what you're up to your story true remarkable CEO type challenges you're facing but yet in the midst of it you guys continue to advance and move forward so thank you for

[00:45:11] remember what the world needs now is chiropractic and what chiropractic needs now is more successful chiropractors if you like the podcast please subscribe share with your friends and leave us a review and if you'd like to connect with us personally please click the links in the show notes to schedule a call