Chiropractic Cash Only Practice

05/09/2026

𝙏𝙝𝙚 𝙈𝙖𝙜𝙞𝙘 𝙉𝙪𝙢𝙗𝙚𝙧

There is a Magic Number that’s elusive and challenging to find but it’s there in your practice and life.

𝗧𝗵𝗲𝗿𝗲 𝗶𝘀 𝗮 𝗻𝘂𝗺𝗯𝗲𝗿 𝗼𝗳 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀 𝘁𝗵𝗮𝘁 𝘆𝗼𝘂 𝗰𝗮𝗻 𝘀𝗲𝗲 𝘄𝗶𝘁𝗵𝗼𝘂𝘁 𝗮𝗻𝘆 𝗲𝗳𝗳𝗼𝗿𝘁 𝗼𝗻 𝘆𝗼𝘂𝗿 𝗽𝗮𝗿𝘁. A number of people that will come into your office each week and each month without any advertising, without incessant posting on social media, without recalls or reactivation schemes, without scripts, without ‘team building’ and without all the painful things that your ‘coaches’ and ‘practice management’ companies have led you to believe are necessary to maintain a number of patient visits and income to make you ‘successful’.

𝗧𝗵𝗲𝗿𝗲 𝗶𝘀 𝗮 𝗺𝗮𝗴𝗶𝗰 𝗻𝘂𝗺𝗯𝗲𝗿 𝗼𝗳 𝗽𝗮𝘁𝗶𝗲𝗻𝘁 𝘃𝗶𝘀𝗶𝘁𝘀 𝘁𝗵𝗮𝘁 𝘄𝗶𝗹𝗹 𝗽𝗿𝗼𝗱𝘂𝗰𝗲 𝗮𝗻 𝗶𝗻𝗰𝗼𝗺𝗲 𝘁𝗵𝗮𝘁 𝘄𝗶𝗹𝗹 𝗸𝗲𝗲𝗽 𝘆𝗼𝘂 𝗮𝗻𝗱 𝘆𝗼𝘂𝗿 𝗳𝗮𝗺𝗶𝗹𝘆 𝗰𝗼𝗻𝘁𝗲𝗻𝘁 𝗮𝗻𝗱 𝗵𝗮𝗽𝗽𝘆. This number will give you an income that allows you to tithe 10% of your time, talents and/or income. This number will allow you to put 10% of your net income into an S&P 500 no load index fund so that you don’t have to go to the office until the day that you die if you don’t want to. This number will allow you to live a life without worrying about how you’re going to make ends meet.

Take a look at your stats for the last year or two years or ten years (depending on where you are in practice) and find the average number of people you’ve served each month. Multiply that by your fee for an adjustment. The average number of people per month is your Magic Number. The income you calculated is the monthly income from your magic number. Most docs can live on 80% of that monthly income generated by adjusting your magic number of patients and still have 10% to tithe and 10% to save. If that’s the case for you, stop stressing out and continuing to move the success bar higher and higher, always slightly out of reach and living your life never satisfied and never content. That’s robbing you of your joy and happiness and stressing you and your family out. 𝙎𝙏𝙊𝙋 and just trust God to maintain and continually grow your practice as you focus on the joy of serving man by serving God through the vehicle of Chiropractic.

𝗪𝗵𝗮𝘁 𝗶𝗳 𝘁𝗵𝗲 𝗠𝗮𝘁𝗵 𝗶𝘀 𝗷𝘂𝘀𝘁 𝗻𝗼𝘁 𝗠𝗮𝘁𝗵𝗶𝗻𝗴 𝗮𝗻𝗱 𝘆𝗼𝘂𝗿 𝗲𝘅𝗽𝗲𝗻𝘀𝗲𝘀 𝗮𝗿𝗲 𝗵𝗶𝗴𝗵𝗲𝗿 𝘁𝗵𝗮𝗻 𝘁𝗵𝗲 𝗺𝗼𝗻𝘁𝗵𝗹𝘆 𝗶𝗻𝗰𝗼𝗺𝗲 𝗴𝗲𝗻𝗲𝗿𝗮𝘁𝗲𝗱 𝗯𝘆 𝘆𝗼𝘂𝗿 𝗠𝗮𝗴𝗶𝗰 𝗡𝘂𝗺𝗯𝗲𝗿? This is the time to work your numbers backwards. Add up all your personal expenses Plus your business expenses. Whatever that number is, add 30% to that number and you’ll have a number that covers all your personal and business expenses, allows you to save 10%, tithe 10% and have another 10% to treat yourself, your spouse and your kids well without being a miser. Divide that number by your adjustment fee and you’ll find YOUR Magic Number of patient visits per month that you need to care for. Divide your monthly Magic Number by 4 and you’ll get your goal for the week.

If you’re not hitting your Magic Number, this isn’t the time to go to work on your practice!! 𝗜𝘁’𝘀 𝗮 𝘀𝗶𝗴𝗻𝗮𝗹 𝘁𝗵𝗮𝘁 𝘆𝗼𝘂 𝗻𝗲𝗲𝗱 𝘁𝗼 𝗴𝗼 𝘁𝗼 𝘄𝗼𝗿𝗸 𝗼𝗻 𝗬𝗢𝗨𝗥𝗦𝗘𝗟𝗙, 𝗳𝗶𝗿𝘀𝘁 𝗮𝗻𝗱 𝗳𝗼𝗿𝗲𝗺𝗼𝘀𝘁! Get to DE or NB or MileHigh to be around people whose magical number is much higher than yours. Read and/or listen to motivational books, business books and Chiropractic Philosophy books. Turn off the radio and turn on DE radio that can be found on the DE website, lifede.com. Practice present time consciousness and be completely and totally with your patients, become one with the person, one with the bone, one at a time focusing on making each adjustment reverent. This is the time to meditate and pray each morning and focus intensely on serving more people. This is the time to choose the one thing that you hate doing the most and have been putting off but know would be beneficial for your practice like creating videos or speaking at events or doing a screening or calling every new patient at night before you leave the office or calling people YOURSELF that haven’t been in for a month just to ask how they’re doing or _________________ (you fill in the blank).

So, if you’re already caring for your Magic Number, stop chasing the wind looking for something bigger and better. 𝗦𝘁𝗮𝗿𝘁 𝘁𝗿𝘂𝘀𝘁𝗶𝗻𝗴 𝗚𝗼𝗱 𝘁𝗼 𝗺𝗮𝗶𝗻𝘁𝗮𝗶𝗻 𝘆𝗼𝘂𝗿 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝘄𝗵𝗶𝗹𝗲 𝘆𝗼𝘂 𝘀𝗽𝗲𝗻𝗱 𝗺𝗼𝗿𝗲 𝘁𝗶𝗺𝗲 𝗮𝗻𝗱 𝗲𝗻𝗲𝗿𝗴𝘆 𝗼𝗻 𝘁𝗵𝗶𝗻𝗴𝘀 𝘁𝗵𝗮𝘁 𝗮𝗿𝗲 𝘁𝗿𝘂𝗹𝘆 𝗶𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝗹𝗶𝗸𝗲 𝘆𝗼𝘂𝗿 𝗳𝗮𝗺𝗶𝗹𝘆 𝗮𝗻𝗱 𝗳𝗿𝗶𝗲𝗻𝗱𝘀. Your patients will feel that difference. Referrals will flow into your practice more frequently. Your stress will melt away, replaced by gratitude and presence. You will tithe joyfully with open hands, invest with confidence, and actually enjoy the money you’ve earned instead of always needing more. This isn’t settling, it’s alignment. It’s trusting that 𝗰𝗼𝗻𝘀𝗶𝘀𝘁𝗲𝗻𝘁, 𝗲𝘅𝗰𝗲𝗹𝗹𝗲𝗻𝘁 𝘀𝗲𝗿𝘃𝗶𝗰𝗲 𝘁𝗼 𝘁𝗵𝗲 𝗽𝗲𝗼𝗽𝗹𝗲 𝗚𝗼𝗱 𝘀𝗲𝗻𝗱𝘀 𝘆𝗼𝘂 𝗶𝘀 𝗲𝗻𝗼𝘂𝗴𝗵. Your practice will grow from that foundation, often in surprising and beautiful ways, without you forcing it through tactics that drain your soul.

𝗜𝗳 𝘆𝗼𝘂’𝗿𝗲 𝗻𝗼𝘁 𝗮𝘁 𝘆𝗼𝘂𝗿 𝗠𝗮𝗴𝗶𝗰 𝗡𝘂𝗺𝗯𝗲𝗿 𝘆𝗲𝘁, 𝗰𝗮𝗹𝗰𝘂𝗹𝗮𝘁𝗲 𝘆𝗼𝘂𝗿 𝗻𝘂𝗺𝗯𝗲𝗿 𝗥𝗜𝗚𝗛𝗧 𝗡𝗢𝗪, 𝘄𝗿𝗶𝘁𝗲 𝗶𝘁 𝗱𝗼𝘄𝗻, 𝗮𝗻𝗱 𝗺𝗮𝗸𝗲 𝗶𝘁 𝘆𝗼𝘂𝗿 𝗻𝗲𝘄 𝗻𝗼𝗿𝘁𝗵 𝘀𝘁𝗮𝗿. Then go to work on yourself with the same intensity you once wasted on marketing schemes. Show up at the events, devour the books, make those calls, create that content, and deliver every adjustment like it’s a sacred act, because it is. The moment you commit to becoming the person whose Magic Number is inevitable, your practice will rise to meet you. 𝗬𝗼𝘂’𝗹𝗹 𝘀𝗲𝗿𝘃𝗲 𝗺𝗼𝗿𝗲 𝗽𝗲𝗼𝗽𝗹𝗲, 𝗹𝗶𝘃𝗲 𝗺𝗼𝗿𝗲 𝗳𝗿𝗲𝗲𝗹𝘆, 𝗮𝗻𝗱 𝗳𝗶𝗻𝗮𝗹𝗹𝘆 𝗲𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗲 𝘁𝗵𝗲 𝗮𝗯𝘂𝗻𝗱𝗮𝗻𝘁, 𝗽𝗲𝗮𝗰𝗲𝗳𝘂𝗹, 𝗽𝘂𝗿𝗽𝗼𝘀𝗲-𝗳𝗶𝗹𝗹𝗲𝗱 𝗹𝗶𝗳𝗲 𝘁𝗵𝗮𝘁 𝗖𝗵𝗶𝗿𝗼𝗽𝗿𝗮𝗰𝘁𝗶𝗰 𝘄𝗮𝘀 𝗮𝗹𝘄𝗮𝘆𝘀 𝗺𝗲𝗮𝗻𝘁 𝘁𝗼 𝗴𝗶𝘃𝗲 𝘆𝗼𝘂. The Magic Number isn’t just math. It’s your path to freedom. Start today.

In Health and Faith, Jay

05/04/2026

https://open.substack.com/pub/giveloveserve/p/bb1?r=1uad6z&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

Anger, Sadness, Guilt, Grief, Confusion, ...

05/03/2026

Dr. Sid Williams taught us about Perseverance...

Perseverance is not just pushing through when things are easy, it is choosing not to quit when everything in you wants to. It is persistence, tenacity, the willingness to keep going even when progress feels slow and the outcome is uncertain. Life will test you. Faith will test you. There will be moments where stopping feels easier than continuing. But perseverance is what carries you through those moments. It is not about having perfect strength, it is about steady faith.

Galatians 6:9
“And let us not be weary in well doing: for in due season we shall reap, if we faint not.”

God never promised it would always be easy, but He did promise that your effort is not wasted. There is a season of harvest, but it comes after a season of persistence. The challenge is that most people quit just before the breakthrough. Perseverance keeps you moving when results are not visible yet. So the question is not how hard it feels right now, it is this, are you willing to keep going until what God has promised becomes reality?

05/02/2026

𝗜 𝗛𝗢𝗣𝗘 𝗜 𝗗𝗢𝗡’𝗧 𝗦𝗨𝗖𝗞 𝗔𝗦 𝗠𝗨𝗖𝗛 𝗔𝗦 𝗔 𝗙𝗥𝗜𝗘𝗡𝗗 𝗔𝗡𝗬𝗠𝗢𝗥𝗘

I wrote something years ago that, at the time, I believed with everything in me. I said I sucked at being a friend and I was OK with it. I thought it was the price you had to pay to serve at a high level. I thought that kind of sacrifice was noble. I thought that was what God wanted from me.

I was wrong.

Not a little wrong. 𝗗𝗲𝗮𝗱 𝘄𝗿𝗼𝗻𝗴.

Back then, my life had one singular focus, Chiroprac-TIC. High volume. More people. More impact. More sacrifice. And I wore that like a badge of honor. If relationships outside the office suffered, so be it. If friendships faded, that was just part of the calling. If my body broke down, I pushed through it. If my mind never shut off, I told myself that was passion. If my spirit felt restless, I ignored it and adjusted another patient.

I convinced myself I was serving God at the highest level. But here’s the truth I had to learn the hard way… 𝗚𝗼𝗱 𝗱𝗼𝗲𝘀𝗻’𝘁 𝗻𝗲𝗲𝗱 𝘆𝗼𝘂𝗿 𝗯𝘂𝗿𝗻𝗼𝘂𝘁 𝘁𝗼 𝗮𝗰𝗰𝗼𝗺𝗽𝗹𝗶𝘀𝗵 𝗛𝗶𝘀 𝘄𝗶𝗹𝗹. I paid dearly to understand that.

Through the tornado that shook everything I thought was stable. Through a 5-year federal lawsuit that drained me in ways I can’t fully explain. Through multiple severe injuries that forced me to confront my own physical limitations. And ultimately, through losing my practice during the COVID experience, something I never thought could happen.

Looking back, it wasn’t just circumstances. 𝗜𝘁 𝘄𝗮𝘀 𝗰𝗼𝗿𝗿𝗲𝗰𝘁𝗶𝗼𝗻.

God wasn’t asking me to sacrifice everything for volume. He wasn’t asking me to idolize my calling. He wasn’t asking me to trade relationships, health, and peace for numbers on a visit sheet. He was asking me to 𝗽𝘂𝘁 𝗛𝗶𝗺 𝗳𝗶𝗿𝘀𝘁… 𝗳𝗼𝗿 𝗿𝗲𝗮𝗹. And when I didn’t listen, life got louder.

Here’s what I see now that I couldn’t see then… 𝗬𝗼𝘂 𝗰𝗮𝗻’𝘁 𝗽𝗼𝘂𝗿 𝗼𝘂𝘁 𝗳𝗿𝗼𝗺 𝗮𝗻 𝗲𝗺𝗽𝘁𝘆 𝗰𝘂𝗽, 𝗻𝗼 𝗺𝗮𝘁𝘁𝗲𝗿 𝗵𝗼𝘄 “𝗻𝗼𝗯𝗹𝗲” 𝘆𝗼𝘂𝗿 𝗺𝗶𝘀𝘀𝗶𝗼𝗻 𝘀𝗼𝘂𝗻𝗱𝘀.

I had lost balance. I had lost peace. I had lost physical, mental, and spiritual health, all while telling myself I was doing God’s work. I wasn’t pointing people to Him as much as I was unintentionally pointing them to my accomplishments, my volume, my “sacrifice.”

And that’s a dangerous place to live.

Things are different now. The new practice in New Hampshire is still rooted in purpose, still grounded in service, but it’s no longer driven by ego disguised as calling. I still love Chiropractic. I still believe the adjustment comes through me, not from me. But now, I also understand that 𝗺𝘆 𝗳𝗶𝗿𝘀𝘁 𝗺𝗶𝗻𝗶𝘀𝘁𝗿𝘆 𝗶𝘀𝗻’𝘁 𝗺𝘆 𝗽𝗿𝗮𝗰𝘁𝗶𝗰𝗲… 𝗶𝘁’𝘀 𝗺𝘆 𝗹𝗶𝗳𝗲. My wife. My kids. My friendships. My health. My walk with God when no one is watching.

Those aren’t distractions from the mission. 𝗧𝗵𝗲𝘆 𝗮𝗿𝗲 𝘁𝗵𝗲 𝗺𝗶𝘀𝘀𝗶𝗼𝗻. And if I neglect those, I’m not serving at a higher level, I’m just out of alignment.

I’m still working on repairing relationships that I nearly destroyed. Some have healed beautifully. Some are still in process. Some may never fully come back. That’s a hard truth to sit with, but it’s real.

So when I read what I wrote years ago about sucking as a friend and being OK with it, I don’t judge that version of me… but I don’t agree with him anymore either.

If you’re in that season right now, chasing volume at the expense of everything else, telling yourself it’s “just what it takes,” I get it. I lived it. But hear this from someone who paid the price…

𝗬𝗼𝘂𝗿 𝗰𝗮𝗹𝗹𝗶𝗻𝗴 𝘀𝗵𝗼𝘂𝗹𝗱𝗻’𝘁 𝗰𝗼𝘀𝘁 𝘆𝗼𝘂 𝗲𝘃𝗲𝗿𝘆𝘁𝗵𝗶𝗻𝗴 𝗚𝗼𝗱 𝗴𝗮𝘃𝗲 𝘆𝗼𝘂.

Serve hard. Love Chiropractic. Be excellent. But don’t lose your soul trying to prove something, even if you’re calling it service to God.

Because at the end of the day, I don’t want to be known as the guy who adjusted the most people.

𝗜 𝘄𝗮𝗻𝘁 𝘁𝗼 𝗯𝗲 𝗸𝗻𝗼𝘄𝗻 𝗮𝘀 𝘁𝗵𝗲 𝗺𝗮𝗻 𝘄𝗵𝗼 𝘀𝗲𝗿𝘃𝗲𝗱 𝗚𝗼𝗱 𝘄𝗲𝗹𝗹, 𝗹𝗼𝘃𝗲𝗱 𝗵𝗶𝘀 𝗳𝗮𝗺𝗶𝗹𝘆 𝗳𝗶𝗲𝗿𝗰𝗲𝗹𝘆, 𝗮𝗻𝗱 𝘀𝗵𝗼𝘄𝗲𝗱 𝘂𝗽 𝗮𝘀 𝗮 𝗯𝗲𝘁𝘁𝗲𝗿 𝗳𝗿𝗶𝗲𝗻𝗱 𝘁𝗵𝗮𝗻 𝗵𝗲 𝘂𝘀𝗲𝗱 𝘁𝗼 𝗯𝗲.

In Health and Faith,
Jay

PS- The following is the Article that I originally wrote:

I SUCK AT BEING A FRIEND OUTSIDE THE OFFICE…

Last week we adjusted 575 people. When I say we, I mean it. I could not have done that without the help of my 3 awesome chiropractic assistants who all work alone on their shifts and do everything in the office for me except the adjustment. I really don’t think I even do the adjustment in the office. I believe it comes through me, not from me if I am doing my job properly. I also believe serving that many people comes at a price.

I used to love to go surfing but I have not been in the water in about a year and a half. I used to love fishing but I have not gone out even once this year. I used to love getting on my Trek and going for a 40 mile bike ride but there is dust building on my bicycle in the garage. I used to work out 6 days a week but now I have to pay a personal trainer just to be accountable to show up once a week on my day off. There are many things in my life which are beginning to seem less important.

I used to hate reading. Now I make Bible study every morning an essential part of my day. I thought reading would ruin your eyes! That was the excuse I made because I have always been such a slow reader that it was frustrating. Now I can’t go to sleep without reading from a Green Book (a set of chiropractic text books written by BJ Palmer). My entire life is now devoted to being a servant of God. As I see it, the best way to be a servant of God is to serve Him by serving man through the vehicle of chiropractic. Serving Him is my primary purpose in life now, not surfing, not fishing, not biking, and unfortunately, not hanging out with friends outside the office either.

When you are so focused on THE most important thing in life, when that becomes so very clear, other things become much less important. Part of serving God is to make your family a high priority too. Since I put my whole self into taking care of God’s children in my office, I choose to spend ALL my time outside the office with my wife, son and daughter (even though the kids are 18 and 22 now). Yes, occasionally I spend a day with a friend, but only my family knows that the only thing I enjoy talking about is chiropractic and I just can’t do small talk any more. I usually can’t hold a conversation with friends for too long. I don’t enjoy watching sports or any TV for that matter. I don’t read the newspaper or watch the news so I don’t stay up on current events. All I care and am interested in is Chiroprac-TIC, for better or worse, because it makes me a better servant. But as a result of this, I suck as a friend. It is inevitable; anyone other than a chiropractor usually chooses not to hang with me too often and quite frankly, I just can’t stand spending time idly discussing anything other than chiropractic either so I choose not to hang out with friends too often.

OK, everyone knows I am long winded when it comes to chiropractic, but here is the skinny… If you are a high volume chiropractor and you feel the same way, IT IS OK. Don’t feel guilty. Get over that. If you too believe that Serving God by serving man through Chiroprac-TIC and spending the rest of the time strictly with your family is what you are called to do, don’t be surprised if you have awesome friendships in the office in the 2-4 minutes you spend with them that will last a lifetime but you can not hold a conversation with them outside the office. Maybe that is the price we must pay to serve at the level we serve at. If it is, I am OK with that. Our reward is not here on Earth, it is in Heaven. Keep serving God.

In Health and Faith, Jay

PS- if you are not serving as many people as you would like to, maybe you should rethink what you are doing and who you are spending time with outside the office…

04/28/2026

𝗜𝗦 𝗜𝗧 𝗔 𝗕𝗔𝗗 𝗧𝗛𝗜𝗡𝗚 𝗧𝗛𝗔𝗧 𝗜 𝗥𝗘𝗔𝗟𝗟𝗬 𝗗𝗢𝗡’𝗧 𝗖𝗔𝗥𝗘 𝗜𝗙 𝗬𝗢𝗨 𝗗𝗢𝗡’𝗧 𝗚𝗘𝗧 𝗖𝗛𝗘𝗖𝗞𝗘𝗗?

I’m just going to say it straight… 𝗜 𝗿𝗲𝗮𝗹𝗹𝘆 𝗱𝗼𝗻’𝘁 𝗴𝗶𝘃𝗲 𝗮 𝗿𝗮𝘁’𝘀 𝗔** 𝗮𝗻𝘆𝗺𝗼𝗿𝗲 when someone makes the conscious decision not to have their spine checked regularly over time with repetition. And before you jump all over that statement, understand this… that feeling doesn’t come from a lack of care. It comes from 𝗖𝗟𝗔𝗥𝗜𝗧𝗬.

If you’ve sat through my orientation videos, heard me explain it in detail, written it out in your own handwriting on the quiz that you understand the importance of 𝗧𝗜𝗠𝗘 𝗔𝗡𝗗 𝗥𝗘𝗣𝗘𝗧𝗜𝗢𝗡, and still choose to walk around with what I’ve called the 𝗦𝗜𝗟𝗘𝗡𝗧 𝗞𝗜𝗟𝗟𝗘𝗥, a subluxation of the spine, interfering with your nervous system and disrupting communication between your brain and your approximately 70 trillion tissue cells, knowing full well that you are not functioning optimally even if you’re not in pain or don’t have symptoms or a diagnosed medical condition… then honestly, 𝗧𝗛𝗔𝗧’𝗦 𝗢𝗡 𝗬𝗢𝗨, 𝗡𝗢𝗧 𝗢𝗡 𝗠𝗘.

It has always been my contention that 𝗜𝗧’𝗦 𝗢𝗨𝗥 𝗝𝗢𝗕 𝗧𝗢 𝗧𝗛𝗥𝗢𝗪 𝗔 𝗟𝗜𝗙𝗘𝗦𝗔𝗩𝗘𝗥, not to make someone grab it. Some people would rather keep treading water with their nose just above the surface. They’re “fine.” They’re “managing.” They’re “not in pain.” Until they’re not. And when they finally start flailing, yelling for help, sometimes it’s too late to get to them in time. And that moment… 𝗧𝗛𝗔𝗧 𝗜𝗦 𝗡𝗢𝗧 𝗢𝗡 𝗨𝗦.

Let me make it even more real. When a dentist tells you to brush your teeth in the morning, after meals, before bed, and floss at least twice a day, and you choose not to… and years later you’re sitting in a chair needing a tooth pulled or a root canal, the dentist doesn’t sit there blaming themselves or getting flustered. Why? Because 𝗧𝗛𝗘 𝗜𝗡𝗦𝗧𝗥𝗨𝗖𝗧𝗜𝗢𝗡𝗦 𝗪𝗘𝗥𝗘 𝗖𝗟𝗘𝗔𝗥. The responsibility was clear. The choice was yours.

The same exact thing happens in Chiropractic. Someone comes in a year later, frustrated that the back pain I “took care of” isn’t gone after one, two, or even ten adjustments. And I’m thinking… 𝗬𝗢𝗨 𝗦𝗧𝗢𝗣𝗣𝗘𝗗. You chose not to follow through with the once a week care plan. You chose to abandon the process that required time and repetition. And now somehow it’s supposed to be my fault? 𝗡𝗢𝗣𝗘.

And here’s the part that might sting a little… after I’ve explained all of this, after you’ve seen the videos, after we’ve talked face to face, after you’ve acknowledged that you understand it, and you still choose not to follow through… 𝗜 𝗗𝗢𝗡’𝗧 𝗚𝗜𝗩𝗘 𝗘𝗩𝗘𝗡 𝗔 𝗟𝗜𝗧𝗧𝗟𝗘 𝗙*** 𝗔𝗡𝗬𝗠𝗢𝗥𝗘. Not because I don’t care about you as a person, but because I respect your ability to make your own decisions.

Don’t want to brush and floss your teeth? Fine. Let them rot out of your head one by one. Don’t want to have your spine checked every 7 to 14 days? Fine. Walk around subluxated. Function below your potential. Live with a nervous system that’s not communicating the way it was designed to. Become more and more dis eased over time. That’s your call.

But I’m not going to chase you. 𝗜’𝗠 𝗡𝗢𝗧 𝗬𝗢𝗨𝗥 𝗠𝗢𝗠𝗠𝗬. I’m not doing recalls. I’m not calling you to remind you to take care of your health. At some point, 𝗔𝗗𝗨𝗟𝗧𝗦 𝗡𝗘𝗘𝗗 𝗧𝗢 𝗧𝗔𝗞𝗘 𝗥𝗘𝗦𝗣𝗢𝗡𝗦𝗜𝗕𝗜𝗟𝗜𝗧𝗬.

And here’s where I’ve landed after all these years… 𝗜’𝗗 𝗥𝗔𝗧𝗛𝗘𝗥 𝗔𝗗𝗝𝗨𝗦𝗧 𝟱𝟬 𝗣𝗘𝗢𝗣𝗟𝗘 𝗔 𝗗𝗔𝗬 𝗪𝗛𝗢 𝗚𝗘𝗧 𝗧𝗛𝗘 𝗕𝗜𝗚 𝗜𝗗𝗘𝗔 than spend my time and energy chasing 450 people who don’t. That’s not being a monster. That’s being focused. That’s being efficient. That’s honoring the people who are actually ready to receive what we have to offer.

And it reminds me of the 𝗣𝗔𝗥𝗔𝗕𝗟𝗘 𝗢𝗙 𝗧𝗛𝗘 𝗦𝗢𝗪𝗘𝗥.

A sower went out to sow seed. Some fell along the path and was eaten by birds. Some fell on rocky ground where it sprang up quickly but had no root and withered away. Some fell among thorns and got choked out by the cares of life. But some fell on 𝗚𝗢𝗢𝗗 𝗦𝗢𝗜𝗟, took root, grew strong, and produced a harvest.

That’s exactly what happens when we share the Chiropractic message.

Some people hear it and dismiss it immediately.
Some get excited, start care, and then disappear just as fast.
Some let life, stress, money, or distractions choke it out.
But some… 𝗦𝗢𝗠𝗘 hear it, believe it, act on it consistently, and their lives change because of it.

So where should our energy go?

Not on the people who ignore it.
Not on the ones who quit.
Not on the ones who know what to do and choose not to do it.

But on the ones who are 𝗥𝗘𝗔𝗗𝗬. The ones who are 𝗪𝗜𝗟𝗟𝗜𝗡𝗚. The ones who are 𝗖𝗢𝗠𝗠𝗜𝗧𝗧𝗘𝗗.

Do I wish everyone got it? Absolutely. I would love nothing more. But that’s not reality. So I’m going to continue to 𝗧𝗘𝗟𝗟 𝗧𝗛𝗘 𝗦𝗧𝗢𝗥𝗬, 𝗦𝗛𝗔𝗥𝗘 𝗧𝗛𝗘 𝗦𝗖𝗜𝗘𝗡𝗖𝗘, 𝗛𝗢𝗡𝗢𝗥 𝗧𝗛𝗘 𝗣𝗛𝗜𝗟𝗢𝗦𝗢𝗣𝗛𝗬, and deliver the goods to every new patient who walks through my door.

What they choose to do after that… 𝗧𝗛𝗔𝗧’𝗦 𝗕𝗘𝗧𝗪𝗘𝗘𝗡 𝗧𝗛𝗘𝗠 𝗔𝗡𝗗 𝗚𝗢𝗗.

In Health and Faith,
Jay

04/26/2026

https://open.substack.com/pub/practicebeneaththepractice/p/the-chiropractic-conundrum-legitimacy?utm_campaign=post-expanded-share&utm_medium=web

And the Reckoning Every Chiropractor Will Make Whether You Want To Or Not

04/26/2026

𝗬𝗢𝗨𝗥 𝗕𝗢𝗗𝗬 𝗜𝗦 𝗡𝗢𝗧 𝗜𝗡𝗩𝗜𝗡𝗖𝗜𝗕𝗟𝗘… 𝗔𝗡𝗗 𝗧𝗛𝗔𝗧’𝗦 𝗔 𝗚𝗢𝗢𝗗 𝗧𝗛𝗜𝗡𝗚

I’ve recently started training for a 20-mile hike coming up in September, and my walks have been getting progressively longer. This week alone I did a 6-mile walk and a 3-mile walk. The result? My legs are painful, my lower back is stiff, and I’ve got joint aches I haven’t felt in a long time. And as I sat there in that very familiar discomfort, it hit me…

The last time I felt like this was when I was adjusting 150+ patients a day.

As many of you know, I didn’t walk away from that volume unscathed. I racked up injuries to my L3 disc, both shoulders, both knees, my lower back muscles, and even dealt with neck pain and stiffness. At the time, I thought maybe it was my technique. Maybe I needed to adjust differently. Maybe I needed to “toughen up.”

But sitting here now, sore from something as simple as walking, I had a crystal-clear realization… 𝗜𝗧 𝗪𝗔𝗦𝗡’𝗧 𝗧𝗛𝗘 𝗧𝗘𝗖𝗛𝗡𝗜𝗤𝗨𝗘… 𝗜𝗧 𝗪𝗔𝗦 𝗧𝗛𝗘 𝗩𝗢𝗟𝗨𝗠𝗘.

One step isn’t a problem. A dozen steps aren’t a problem. Even 5,000 steps aren’t a problem. But 15,000 steps in two hours? That creates a lasting issue. The same applies in practice. One adjustment, ten adjustments, even fifty adjustments won’t hurt you. But 150–200 adjustments a day, day after day, without giving your body time to recover? That’s a completely different story.
That’s not strength. That’s repetitive stress injury disguised as service.

And eventually, your body collects the bill.

So what’s the solution? It’s not sexy, and it may not impress the crowd, but it works:
𝗡𝗘𝗩𝗘𝗥 𝗪𝗢𝗥𝗞 𝗧𝗪𝗢 𝗗𝗔𝗬𝗦 𝗜𝗡 𝗔 𝗥𝗢𝗪.
𝗦𝗘𝗧 𝗔 “𝗣𝗜𝗧𝗖𝗛 𝗖𝗢𝗨𝗡𝗧” 𝗔𝗡𝗗 𝗦𝗧𝗜𝗖𝗞 𝗧𝗢 𝗜𝗧. Mine is 50 PV/day.
𝗪𝗢𝗥𝗞 𝗢𝗨𝗧 to keep your body strong and resilient.
𝗚𝗘𝗧 𝗔𝗗𝗝𝗨𝗦𝗧𝗘𝗗 𝗪𝗘𝗘𝗞𝗟𝗬 like you tell your patients to do.
𝗘𝗔𝗧 𝗡𝗢𝗡-𝗜𝗡𝗙𝗟𝗔𝗠𝗠𝗔𝗧𝗢𝗥𝗬 𝗙𝗢𝗢𝗗𝗦.
𝗦𝗟𝗘𝗘𝗣 7–9 𝗛𝗢𝗨𝗥𝗦 like your life depends on it, because it does.
𝗗𝗢𝗡’𝗧 𝗟𝗘𝗧 𝗬𝗢𝗨𝗥 𝗘𝗚𝗢 𝗧𝗘𝗟𝗟 𝗬𝗢𝗨 𝗬𝗢𝗨 𝗛𝗔𝗩𝗘 𝗧𝗢 𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗪𝗢𝗥𝗟𝗗 𝗔𝗟𝗢𝗡𝗘.
𝗦𝗟𝗢𝗪 𝗗𝗢𝗪𝗡 𝗔𝗡𝗗 𝗦𝗘𝗥𝗩𝗘 𝗘𝗔𝗖𝗛 𝗣𝗘𝗥𝗦𝗢𝗡 𝗥𝗘𝗩𝗘𝗥𝗘𝗡𝗧𝗟𝗬.

And here are a few more that most docs ignore until it’s too late:

𝗦𝗖𝗛𝗘𝗗𝗨𝗟𝗘 𝗥𝗘𝗖𝗢𝗩𝗘𝗥𝗬 𝗗𝗔𝗬𝗦 like they’re non-negotiable appointments.
𝗨𝗦𝗘 𝗜𝗡𝗦𝗧𝗥𝗨𝗠𝗘𝗡𝗧𝗦 𝗪𝗛𝗘𝗡 𝗔𝗣𝗣𝗥𝗢𝗣𝗥𝗜𝗔𝗧𝗘 to reduce physical wear and tear.
𝗣𝗔𝗬 𝗔𝗧𝗧𝗘𝗡𝗧𝗜𝗢𝗡 𝗧𝗢 𝗬𝗢𝗨𝗥 𝗕𝗢𝗗𝗬’𝗦 𝗪𝗔𝗥𝗡𝗜𝗡𝗚 𝗦𝗜𝗚𝗡𝗦, they whisper before they scream.
𝗜𝗡𝗩𝗘𝗦𝗧 𝗜𝗡 𝗘𝗥𝗚𝗢𝗡𝗢𝗠𝗜𝗖𝗦, table height, positioning, flow, it matters more than you think.
𝗕𝗨𝗜𝗟𝗗 𝗔 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘 𝗧𝗛𝗔𝗧 𝗦𝗘𝗥𝗩𝗘𝗦 𝗬𝗢𝗨 𝗧𝗢𝗢, not one that slowly breaks you.

Now let’s address the elephant in the room…

𝗧𝗛𝗘 𝗠𝗢𝗡𝗘𝗬.

I get it. Adjusting 50 people a day at $50 is $2,500 a day, about $10K a week, roughly $40K a month. But 100 people a day? Now you’re talking $80K a month. That difference can be life-changing. It’s tempting. It pulls on you. It whispers, “Just push a little harder.”

But here’s the truth I had to come to grips with…

𝗧𝗛𝗔𝗧 𝗜𝗡𝗖𝗢𝗠𝗘 𝗖𝗢𝗠𝗘𝗦 𝗪𝗜𝗧𝗛 𝗔 𝗣𝗥𝗜𝗖𝗘.

And for me, that price was my body, my longevity, and eventually my ability to serve at all.

So I made a decision. 𝗜 𝗖𝗛𝗢𝗦𝗘 𝗟𝗢𝗡𝗚𝗘𝗩𝗜𝗧𝗬 𝐎𝐕𝐄𝐑 𝗘𝗚𝗢. I chose a model that allows me to show up fully present, clear-minded, and physically capable of delivering powerful adjustments for years to come. I’m convinced that if I had stayed at that previous volume, it wouldn’t have just ended my career… it would have led to a life lived in pain. And I don’t believe that’s what God wants for me.

If you don’t believe me, take a look at your next Chiropractic meeting. Look to the back of the room. You’ll see them. The docs who can’t sit for long, constantly shifting, standing because their bodies won’t let them rest because they’re in too much pain. All in the name of “serving more people.”

I’ve been that doc.

And if I’m being honest, I have to ask myself… 𝗪𝗔𝗦 𝗜 𝗦𝗘𝗥𝗩𝗜𝗡𝗚 𝗚𝗢𝗗… 𝗢𝗥 𝗠𝗬 𝗘𝗚𝗢?

Today, I’ve found something better. 𝗖𝗢𝗡𝗧𝗘𝗡𝗧𝗠𝗘𝗡𝗧. 𝗣𝗘𝗔𝗖𝗘. 𝗖𝗢𝗠𝗙𝗢𝗥𝗧. 𝗛𝗘𝗔𝗟𝗧𝗛. 𝗔𝗡𝗗 𝗔𝗕𝗨𝗡𝗗𝗔𝗡𝗖𝗘. Not just financially, but in the areas that matter most, faith, family, and the ability to keep doing what I love without breaking down in the process.

And the beautiful part? It’s all come through a 𝗟𝗢𝗪𝗘𝗥 𝗩𝗢𝗟𝗨𝗠𝗘, 𝗛𝗜𝗚𝗛𝗘𝗥 𝗜𝗠𝗣𝗔𝗖𝗧, 𝗖𝗛𝗜𝗥𝗢𝗣𝗥𝗔𝗖𝗧𝗜𝗖 𝗖𝗔𝗦𝗛 𝗢𝗡𝗟𝗬 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘.

You don’t have to break yourself to build something great. In fact, if you do… it won’t last.

In Health and Faith,
Jay

04/19/2026

𝗬𝗢𝗨 𝗖𝗔𝗡 𝗟𝗘𝗔𝗗 𝗔 𝗛𝗢𝗥𝗦𝗘 𝗧𝗢 𝗪𝗔𝗧𝗘𝗥… 𝗕𝗨𝗧 𝗬𝗢𝗨 𝗖𝗔𝗡’𝗧 𝗙𝗥𝗘𝗔𝗞𝗜𝗡𝗚 𝗠𝗔𝗞𝗘 𝗜𝗧 𝗧𝗔𝗞𝗘 𝗔𝗖𝗧𝗜𝗢𝗡

I saw a post from my friend Matthew Loop that was about as subtle as a brick through a window, and honestly, it needed to be. He said, “How about just do the f***ing work!?” and then laid out the scenario that’s playing out everywhere right now. He speaks to docs that own businesses that are on the verge of bankruptcy and they’re still finding time to watch multiple NBA games every week. Let that sink in.

You could be posting two to three times per day on social media to generate awareness, leads, and traffic, but your last post is a picture of a pizza from two months ago. You could be pounding the pavement every single day, meeting potential referral partners face-to-face, building relationships that actually grow your business, but instead you’re complaining about this, making excuses about that, and blaming your failures on everything and everyone else.

Matthew advises in his post to “𝗤𝘂𝗶𝘁 𝘀𝗶𝘁𝘁𝗶𝗻𝗴 𝗮𝗿𝗼𝘂𝗻𝗱 𝗮𝗻𝗮𝗹𝘆𝘇𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗽𝗿𝗼𝗯𝗹𝗲𝗺𝘀 𝗹𝗶𝗸𝗲 𝘁𝗵𝗲𝘆’𝗿𝗲 𝗴𝗼𝗶𝗻𝗴 𝘁𝗼 𝘀𝗼𝗹𝘃𝗲 𝘁𝗵𝗲𝗺𝘀𝗲𝗹𝘃𝗲𝘀. If your house was on fire, you wouldn’t be sitting on the couch debating which Netflix show to watch. You’d be sprinting, moving, doing something. 𝗬𝗼𝘂𝗿 𝗯𝘂𝘀𝗶𝗻𝗲𝘀𝘀 𝗶𝘀 𝗼𝗻 𝗳𝗶𝗿𝗲 𝗮𝗻𝗱 𝘆𝗼𝘂’𝗿𝗲 𝘁𝗼𝗼 𝗱𝗶𝘀𝘁𝗿𝗮𝗰𝘁𝗲𝗱 𝘁𝗼 𝗴𝗿𝗮𝗯 𝗮 𝗯𝘂𝗰𝗸𝗲𝘁.”

That’s the part most docs I’ve spoken to don’t want to hear, because it removes the excuse that it’s the economy, the town, the competition, or “people just don’t value chiropractic.” 𝗡𝗼. 𝗧𝗵𝗮𝘁’𝘀 𝗻𝗼𝘁 𝗶𝘁. More often than not, it’s a lack of focused, consistent, uncomfortable action.

𝒀𝒐𝒖 𝑪𝒂𝒏 𝑵𝒐𝒕 𝑯𝒂𝒗𝒆 𝑾𝒉𝒂𝒕 𝒀𝒐𝒖 𝑨𝒓𝒆 𝑼𝒏𝒘𝒊𝒍𝒍𝒊𝒏𝒈 𝑻𝒐 𝑪𝒐𝒏𝒇𝒓𝒐𝒏𝒕 𝒂𝒏𝒅 𝑻𝒂𝒌𝒆 𝑨𝒄𝒕𝒊𝒐𝒏 𝑶𝒏!

And here’s where I’m going to say something that might hit even harder and offend a few of you. I’ve learned that when someone starts vomiting excuses before and after asking for help, they don’t actually want help. 𝗧𝗵𝗲𝘆 𝘄𝗮𝗻𝘁 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝘁𝗼 𝗹𝗶𝘀𝘁𝗲𝗻, 𝗻𝗼𝗱, 𝗮𝗻𝗱 𝘃𝗮𝗹𝗶𝗱𝗮𝘁𝗲 𝘁𝗵𝗲𝗶𝗿 𝗶𝗻𝗮𝗰𝘁𝗶𝗼𝗻. That’s not coaching, that’s free psychological counseling.

𝙀𝙭𝙘𝙪𝙨𝙚𝙨 𝙖𝙧𝙚 𝙡𝙞𝙠𝙚 𝘼** 𝙝𝙤𝙡𝙚𝙨, 𝙚𝙫𝙚𝙧𝙮𝙤𝙣𝙚’𝙨 𝙜𝙤𝙩 𝙤𝙣𝙚 𝙖𝙣𝙙 𝙩𝙝𝙚𝙮 𝙖𝙡𝙡 𝙨𝙩𝙞𝙣𝙠!

At some point I realized that I wasn’t helping them, I was enabling them. That’s when these people’s coaches and mentors have to make a decision. Typically the decision is that those people now win a one-way trip to the 𝗯𝗹𝗼𝗰𝗸𝗲𝗱 𝗰𝗮𝗹𝗹𝘀 𝘀𝗲𝗰𝘁𝗶𝗼𝗻 of your coach’s or mentor’s phone. Not because they don’t care, but because they care enough to stop pretending that excuses produce results.

The truth is, the answers you’re looking for aren’t hidden. They’ve been sitting in plain sight for decades in books like All You Can Do, Awaken the Giant Within, Think and Grow Rich, The 7 Habits of Highly Effective People, See You at the Top, The Power of Positive Thinking, and most importantly The Bible.

The formula is simple, 𝗳𝗮𝗶𝘁𝗵, 𝗱𝗶𝘀𝗰𝗶𝗽𝗹𝗶𝗻𝗲, 𝗮𝗰𝘁𝗶𝗼𝗻, 𝗰𝗼𝗻𝘀𝗶𝘀𝘁𝗲𝗻𝗰𝘆.

But how many people have actually taken the time to read all those books? And even fewer are willing to apply what they learn. That’s the gap. 𝗡𝗼𝘁 𝗸𝗻𝗼𝘄𝗹𝗲𝗱𝗴𝗲… 𝗲𝘅𝗲𝗰𝘂𝘁𝗶𝗼𝗻.

𝙏𝙝𝙚𝙧𝙚’𝙨 𝙣𝙤 𝙡𝙖𝙘𝙠 𝙤𝙛 𝙖𝙫𝙖𝙞𝙡𝙖𝙗𝙡𝙚 𝙠𝙣𝙤𝙬𝙡𝙚𝙙𝙜𝙚 𝙖𝙣𝙙 𝙝𝙚𝙡𝙥, 𝙩𝙝𝙚𝙧𝙚’𝙨 𝙟𝙪𝙨𝙩 𝙖𝙣 𝙪𝙣𝙬𝙞𝙡𝙡𝙞𝙣𝙜𝙣𝙚𝙨𝙨 𝙩𝙤 𝙏𝙖𝙠𝙚 𝘼𝙘𝙩𝙞𝙤𝙣.

I’ve seen this play out over and over again. The ones who read, take direction, and follow through with 𝗺𝗮𝘀𝘀𝗶𝘃𝗲 𝗮𝗰𝘁𝗶𝗼𝗻, especially those who apply what’s shared in the book I painstakingly wrote called Chiropractic Cash Only Practice, The Final Textbook, they don’t just survive, they thrive. Not because they’re smarter. Not because they’re more talented. Because they’re willing to do what most people won’t. 𝗧𝗵𝗲𝘆 𝘀𝗵𝗼𝘄 𝘂𝗽. 𝗧𝗵𝗲𝘆 𝗱𝗼 𝘁𝗵𝗲 𝘄𝗼𝗿𝗸. 𝗧𝗵𝗲𝘆 𝘀𝘁𝗼𝗽 𝗵𝗶𝗱𝗶𝗻𝗴 𝗯𝗲𝗵𝗶𝗻𝗱 𝗲𝘅𝗰𝘂𝘀𝗲𝘀.

So if you’re struggling right now or if this message was difficult to hear don’t get offended. 𝗚𝗲𝘁 𝗵𝗼𝗻𝗲𝘀𝘁. Your business isn’t waiting for better conditions, it’s waiting for better decisions. Because until your level of action changes, nothing else will.

𝐃𝐨𝐧’𝐭 𝐣𝐮𝐬𝐭 𝐓𝐚𝐤𝐞 𝐀𝐜𝐭𝐢𝐨𝐧, 𝐭𝐚𝐤𝐞 𝐌𝐚𝐬𝐬𝐢𝐯𝐞 𝐀𝐜𝐭𝐢𝐨𝐧. 𝐖𝐡𝐞𝐧 𝐲𝐨𝐮 𝐝𝐨 𝐭𝐡𝐞 𝐫𝐢𝐠𝐡𝐭 𝐭𝐡𝐢𝐧𝐠𝐬 𝐟𝐨𝐫 𝐚 𝐥𝐨𝐧𝐠 𝐞𝐧𝐮𝐟 𝐭𝐢𝐦𝐞, 𝐭𝐡𝐞 𝐫𝐞𝐬𝐮𝐥𝐭𝐬 𝐚𝐫𝐞 𝐩𝐫𝐞𝐝𝐢𝐜𝐭𝐚𝐛𝐥𝐞.

In Health and Faith, Jay

04/19/2026

I don't always share my daily Bible Minute on this page but I thot that this one was appropriate...

Bible Minute: What We’re All Really Looking For

We’re all different, different personalities, different dreams, different goals, but underneath all of that, we’re all chasing the same things, peace, comfort, love, contentment. And here’s the problem, we keep looking for them in the wrong places. We try to find peace in circumstances, comfort in control, love in people, contentment in abundance. And it works for a moment, but it never lasts.

Matthew 6:33
“But seek ye first the kingdom of God, and his righteousness; and all these things shall be added unto you.”

Not second, not when everything else fails, first. Because when you put Him first, something changes. Peace shows up even when life isn’t perfect, love becomes steady, and contentment stops depending on what you have. So here’s the question, are you chasing what you want, or are you going to the source of it?

04/19/2026

Worth a watch. Dr. Nicole, Thank you for sharing this. https://www.instagram.com/reel/DXSMVuUkcGX/?igsh=bXhyNW5rM245ODN3

04/15/2026

USSRI also known at the People's Republic of RI. So grateful I'm out of there.