Weds night there was a networking event that I sponsor, that was hosted at the campus of the largest medical group in the area (Cayuga Medical Associates). I spoke with the director of the group about presenting at an in-service and he may have been blowing smoke, but said he would be happy to set it up. I’m thinking I should present to Internal Medicine. They also have many other departments, see this link:

I don’t think he was blowing smoke.  They realize they need other options for managing mechanical spine cases this is moving at a rate that other MDs will have to change their thinking or they will lose their practices.  Remember, ALL you need to start is ONE advocate.  Start with Int Med and we can go from there.  
Most have been brazenly and virulently anti-chiropractic, particularly orthopedics, neurosurgery, cardiology (because I once gave a talk on natural ways to promote heart health, like exercise & diet), sports medicine (they presented in the community and the 2nd slide of the powerpoint was “here’s what we know doesn’t work: chiropractic”). I’ve dealt with several MD’s and mid-levels at Internal Medicine who are also very anti-chiropractic, but there are 2-3 who have been open and if I can even get 2 on board, that’s a win. 

Yes, that is because your topic was way out of how they think.  That is why you MUST MUST MUST stick with mechanical spine pain.  Sports med docs are assholes…stay away from them.  They suck and don’t know it.  Work with the ones that are open.  Int Med can be very difficult mostly because they don’t understand biomechanics. 

SO my questions are:
1) Should I present the modified (shortened) version of what you sent me last year when I presented to the Cornell medical staff? Or go with something condition specific like neck pain? I’m thinking general and if they are game for it, I can come back in a few months to present on 1 or 2 particular conditions.

We are going to do the “Phases of Spine Care”.  I posted the document on the website, go to the Member Portal and download it.  It references everything, I am creating a PowerPoint for the seminar in NY and that is the one that you should use.  The one last yr is out of date already believe it or not!  

2) Assuming it goes well enough, I’m going to try to get on Internal Medicine’s calendar again in the coming year, and also try to get in with neurology (they surprisingly aren’t strongly anti-chiropractic, so I think they can be won over, or at least 1 practitioner there). 

Yes, make sure that you are always scheduling the NEXT event/lecture.  Regarding Neurology, I have spoke in front of the Residents multiple times.  Realize that neurology is mostly concerned nowadays with Movement Disorders (Parkinsons etc) and Stroke management.  That is where their $$$ is found from a billing perspective.  They do VERY little musculoskeletal now and that is also reflected in their training.  Find the ADVOCATE and have them introduce you to like minded MDs.  

Any thoughts on content to present? How to close the deal with the ED? Next steps?

Meet with the Director of the ED or his/her assistant, usually a PA or NP.  Go to #18 – Video Library on the website and watch MAGIC LANGUAGE – in there will be the words to use for the ED people.  That is EASY.  

I currently have the interim director of Cornell’s health clinic as a patient, but when he and I spoke about his clinic referring to us, he said he would love to but it would erode his standing with his staff, that the DO’s are very territorial about musculoskeletal cases and manipulation. Maybe if he becomes full-time director I can broach it again? Thoughts?

#1 – Ask him if they handle PI cases…most do NOT.  Tell him that you want to PI cases AND the ones that do not respond to the their “Standard Care” programs.  Once you start having susses they will use you more.  That will take some time, but keep that Iron in the fire. 

Sorry, meant for it to be a short email…. 

No worries, it was PERFECT…Good questions. 


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