Add THIS to Your Initial Patient Funnel: Lowering The Stress Response In Patients Immediately [Ep. 148]

On this episode of the Profitable Practice Podcast. I’m going to give you a clear-cut system on how you can gain the trust of your initial patient or client right on that first visit and you are going to love it! Stay tuned.

Hello and welcome to the profitable practice podcast with me, Andrea Maxim. A Naturopathic Doctor Health preneur. In every week, I’m bringing you no-nonsense, no BS actionable strategies to create a practice that is not only profitable but fully sustainable by you. If you’re an action taker like me and want to create a practice that is profitable, then you come to the right place!

Hey everyone! Welcome to another episode of the Profitable Practice Podcast. I am of course your host, Andrea Maxim and today’s episode I’m bringing on a special guest, Amanda Ferris who’s a naturopathic doctor and she created a really beautiful system to start to get into the mental-emotional side of your patients and this is a huge part of the first pillar of the Maximize Practitioner Program which is all about developing the foundational experience and in the foundational experience, it’s all about building up your confidence, building up your confidence to talk to your patients or clients, building up the confidence to rebook them in often and usually when we can create a system around our patient flow, it really helps to take away a lot of the unknowns and therefore give you the confidence, the strength, the authority to say “this is how we are going to work together!” this is how I’m going to treat you, this is how I’m going to get you better. Here is what you need to do. For me, here’s the treatment plan and my job is to make sure that I am meeting you where you’re at and as well as identifying the root causes of what’s causing your problems and Amanda has a really beautiful insight into how you’re going to do just that. So, without further ado, let’s jump into the interview now. 

Andrea Maxim: Hey Amanda! Thank you so much for coming to the Profitable Practice Podcast today. How are you doing?

Amanda Ferris: Good. Thanks. Thanks for having me in Andrea.

Andrea Maxim: Good! Now for those that don’t know Amanda, she is a naturopathic doctor and the number one reason why I wanted to have her on the show is that she’s going to help us create a better system of treatment for our patients and really help us feel about the confidence of that interaction that was creating and creating that therapeutic space. So this falls so perfectly in line with the Maximize Practitioner method, building that foundational experience and then putting together some of those business essential pieces. So, I’m so thankful to have you here. Why don’t you give a bit of your background on who you are and why this system or this treatment method that you use is so powerful?

Amanda Ferris: Great! Thanks for having me Andrea, I’m happy to be here. So I’m Dr. Amanda Ferris and I’ve been practicing for just over fifteen years and I have had some evolution and change within my practice over the last few years and I do have some things I’d be able to give to your viewers and another people who are just starting out and just really to help understand on how you can be a more effective naturopath from the few of the things that I have learned. Definitely want to do that. So, I’ll say that I became a naturopath really like many people who were motivated by improving your own health and I was diagnosed with an autoimmune decease in my undergrad. A Hashimoto thyroiditis and that really propelled me into becoming a naturopath because I didn’t like the prognosis of like you just totally decline and there’s nothing we can do for you and I hated that. So, definitely that was the big motivation that as I went to school and as the first year of my practice well really all about that trying to solve too much toxicity and too much deficiency and how do I improve my detoxification and that was really the overall focus of everything and definitely helped and saw that lots of improvement and I went after that with my patients as well. But as I got in to practice for a little bit longer and also following along my own journey, I came up against bumping up against this dilemma in working with patients and in the doctor-patient relationship and it was the best way I can describe this is you know when someone walks into your treatment room and you’re about to meet them for the first time there’s often a feeling and as they get talking, you can sense a little bit how this is going to go and whether or not this is going to be kind of easy and easy person to work with collaboratively or whether you’re going to find, there’s a wall. So, I began to kind of grapple with this and say “wow! Certainly love the people who come into my office” and say “you know I’ve really been searching this stuff” and I’m kind of sick of conventional stuff I’m doing and I want to go on a different route and I’ve really researched this and I really want to try it in a different way. I’ve never been quite well since this thing happened. You know, they’re primed. They’re coming in with this bias towards this way and really there is an openness for you to be able to work with them and I could pick up that patient pretty easily and I knew that treatments are just going to work better on this person who really well-prescribed things and going home and do them and were going to see results faster. Then there is another type of patient who comes in and you can feel the “okay, I’m coming into this symptom. You can have access to this but all this stuff, no sorry.” Not on the table for you, right? And but we know as naturopaths that we want to get all the roots and we know that mental-emotional piece is there and we want to tackle it and I wanted to tackle it with all this love homeopathy that was definitely my favorite modality. I loved that there was a story to it and that you could connect like the past energetic signatures of what had happened and the past stories into the present symptoms and you could feel them and whether the symptoms are angry or hidden or you could really get to that with homeopathy.  Not every patient wants homeopathy or wants to go as deep as you need to go and there is still sometimes there is just a lot of that resistance. So, over the last two years I just really started to do a lot more research. I knew it was stress. You know its stress; you know we’ve got to get to that. So, I’m really wanted to understand the stress response a lot better and understand fight-flight and understand all that and I just started to do a lot more research and I ended up taking my trauma certificate at Wilfrid Laurier University with the social workers. It’s a professional development program, highly recommended that any health care practitioner can take. You don’t have to have a social work background. I’m not one. Although I considered it because I thought you know when I really want to do is more counseling because I would always find that as would do history and uncover roots and pieces people would inhabitable and say you know after twenty minutes of talking to someone and tears come and you’re out of route and I’ll say “I could really go to a counselor” and always thought you know we can do this and if certainly if you are able to develop relationship long enough, you get to go there, right? But it takes time and often with when you get a new patient, I always found especially when there’s a new practitioner you know you’ve got three visits or so before you’ve got to have some serious results of them or make a really deep connection or switch there bias out of their mindset that coming in that they’re willing to create that long term collaborative relationship so you got to it pretty quick but they have to be willing, right? And so that’s the piece I really wanted to get a little deeper with because I knew that in my own health, I did all! I did all the diets, I did all the supplement, I did all the stuff but I still wasn’t better and treating something as deep as the autoimmune condition and deep chronic illness, you need more than three visits. Right? It’s going to take time but not everybody that comes in knows that. Right? They don’t always. They’re like “okay give me the magic herb” that’s going to solve the problem and so If they haven’t been primed, right? If they’re not on that side of things. So I really wanted to understand that a whole lot more and so really the realization that I came to was that that piece that’s holding people back is a background of trauma and when I understood how trauma plays out in the present in someone’s body because of their past things it’s not just psychological things that they haven’t exactly worked out or resolve or let go out of whatever, it’s an actual physiological shift within the nervous system that then dictates all of their health and so the AC study and that’s really what the science behind it and that was like “Oh my gosh!” there really is something to this as much as homeopathy where unresolved past place out in the future really is very significant which we as naturopaths or other health care practitioners really understand but I think it’s a really big challenge for a lot of practitioners to know what to do with it because if you’re busy taking in history and getting labs and doing so much other work, how do you really fit in all of that work that needs to be done? That is a long term deep doctor-patient relationship to be able to counsel them through and a lot of us with not all of the background of counseling that you might need to have especially to do any kind of deep work with that and you can also you know it’s sometimes very dangerous to go in too deeply into a route and you end up re-traumatizing someone when they come in there so there’s a lot of education that’s needed in here.

Andrea Maxim: So that’s exactly where I wanted to take this conversation, to be honest, is now you’re telling me and we know this. We know the mental-emotional causes of things and the energetics of the individuals are going to be where people start to unravel and start to peel away the onion and that’s where we get the most amazing results and I think a lot of us don’t recognize that the one on one consultation is a therapy and in it itself they’re feeling your energy, they’re feeling you care and so that is like a great starting point but now my big question is and I’ll be very honest. I don’t like getting into the mental-emotional side of the people that is not a cave that I like to go into. So, for someone who isn’t necessarily comfortable with breaching that or starting to develop that much deeper level of treatment, how do we start to educate these practitioners especially some of our newer practitioners regardless of professions so this could even be a hands-on base therapy, this could be more one on one interaction? How do we even get started into this without opening a box and being like “shit, I need to close this up as soon as possible?”

Amanda Ferris: Well, say first that that resistance comes out of a or hesitancy maybe? It comes out of deep respect because you understand that the journey that this person has been on is so important and is so… You just really appreciate that if you do open it, you’re doing something very delicate and very deep and I think that’s really great to say that out loud and to honor that like you know it’s a bit like walking on a minefield, right? You know you have to get rid of them but, where are they? So, the big first thing I would say is that it’s about patient education. Psychoeducation is the first and biggest pillar of it all and not just for the practitioner because you’re asking what kind of a practitioner do but they can educate their patient and I think that’s the first way to broach it and one of the places I saw, one of the biggest leaps in my own health as I worked with. I worked with my own naturopaths for sixteen years. We have a connection and I trust him like you know I can bring up anything there but those are the patients who usually come in and say “Hey! I’m willing to work with you forever.” Great! What about the one’s in that second group, right? So, when I made that big shift for me it wasn’t all, it was partly with him but partly from educating myself. So, when I watched videos and I went to seminars and I learned from people who explained what was happening in my nervous system. I experienced this incredible *sighs* That’s what’s going on in my body that I can’t put my finger on, it doesn’t make sense because I should be able to always go after the best health and eat the best diet and do the best stuff. I can’t. There’s something about it… There’s this block to self-care and that block is the imbalance of the nervous system and I think when people can have a really good education piece for their patients for that, it takes the own itself that this is your problem, this is why you can’t do this cause there’s so much resistance in a one on one consultation when you start giving your assessments and what you think is going on. There’s a lot of resistance that can come up there but when you speak about it in more, this is what happens to humans and their nervous systems. This happens to all of us and when a person experience this trauma and it isn’t resolve, they don’t have the coping mechanism, they don’t have the support, they don’t have the tools or the time then it can become etched in the nervous system and then it’s played out in your everyday life even if you’re not recognizing it, even if it’s not within the awareness that this is about this past thing their bodies play it out and we know as practitioners that what your digestive issue is rooted in, right? That’s we know that the body plays out those physical deceases and those symptoms because of that deeper root but I really think it’s about this education piece that if you can package something for them in the form of hand out, in a form of videos that you do on your social media that maybe something like just making it general about everyone. This is what happens with everyone with trauma because I think that that’s part of a piece about lessening that resistance that they have when they come into the room and then all those stuff on the table and they put it on the table, you will be so confident to work with it because you will know how to take that.

Andrea Maxim: Now I’m a complete novice in everything that you’re talking about and I’m not quite grasping what it is that we could start that education process on. So, you could maybe summarize it or elaborate on this whole concept of its getting into the nervous system and the nervous system needs a shift. I love to hear it from you so that I can get a better idea or grasp it on myself.

Amanda Ferris: Yeah. So, and the reason for that is a lot of research has just come out in last years and when I got it from going to over to the social work side, I got a different view of it then typically the more naturopathic continue again that I have had in the past. So, people like Vessel Vandercock, Stephen Porges, and Polyvagal Theory, Dan Siegel. People who are doing the research on this really how our brains are getting trained in a certain way then how those neuroplastic deep the brain, how we then just completely keep redoing those same things until we train the brain the other way, that’s really what this is about. This is about how our nervous system like when trauma happens that the nervous system is basically traumatized as well into being in a state where it’s more prone to go to the fight-flight or freeze reaction. So, the way I teach it is about teaching the autonomic nervous system which we all know there’s this sympathetic and parasympathetic, right? But there are safety states in both of those and there are survival states in both of those. When I learned it was like “sympathetic bad, parasympathetic good” let’s just keep getting into parasympathetic to teach everybody how to calm down but the problem with that is that people think like if I’m going to get a newer life or do anything to reach my goals, I have to be in the sympathetic whole day so then I just need tools at night to come down and calm down and relax but the tweak that I make and what I teach in my workshop is that it’s about a balance between the two and you can be in a sympathetic mobilizing go go go! Go after your dreams, go after your goals in an excited and safe way, or you can do it in a way like you’re interpreting danger and you’re setting off your survival, fight-flight, equals information, equals fuels and chronic decease, right? So it’s really a lot about refraining that fight-flight is not a bad thing it’s necessary for your survival and that’s a piece patients really go “oh I never thought about fight-flight being a good thing for me I thought I was trying to resist it all the time and get out of it and calm down and shut off my brain” and all that stuff. No! you’re just trying to switch your body so that you feel safe because that’s really the dividing line. If you feel safe, you will act in and mobilize your energy in a way that promotes health that promotes growth, that promotes restoration and if you feel unsafe you’re going to act in your survival stage which is fighting flight or freeze because freeze is a parasympathetic state. It’s that shutdown, “the situation is too big for me, I’m outta here”  to associate move into that state and that’s where you see a lot more of the things people come to us for chronic fatigue syndrome and all those things are people stuck and freeze. So they basically after you have this trauma and your nervous system is imbalanced I don’t want to say damage because it’s not wrong, it’s protecting you, it’s just never got the signal that everything’s okay and it then lives life and lives unguard for you like this security had, trigger happy security guard I like to call it that goes around trying to find any particular danger again and so that’s for you become hyper-vigilant and then we see anxiety state and we see all of that, so it’s about changing the perspective that my body’s not wrong, my body’s just working on my behalf but there’s a part of me that needs to get a different message there’s this part like my consciousness and my nervous system are two different things because I can logically think I’m fine, there’s no bear, everything’s fine but my body is not sensing that. Hearing things or anticipating things or imagining things that are saying “nope! stay in fight-flight, stay in the freeze.” So, I think that’s the main aspect of it to understand that it is about the autonomic nervous system, it is about trying to get into the state of safety where you’re not turning on your survival states of fight-flight-freeze all the time, right? Like we can do it for a bit but if you don’t have ways throughout your days to start shifting yourself into a balance nervous system state, then you’re just no matter what vitamins you do, no matter what therapies you do you’re kind of going to be one step forward and two steps back which I think is kind of what we need such high doses of things and you know it’s a really how to react on that.

Andrea Maxim: Yeah. That’s exactly where I want to go next is, we acknowledge this, we’ve educated it and now the tools and language to say and I understand much better what it is that you’re describing. What are those therapeutic steps that I now take with that patient you again solidify that relationship and show them that what I’m telling them is true and start to break down that imbalance of the nervous system?

Amanda Ferris: Well I think one of the things  is definitely having an explanation of their particular health concerns that relate to this when I know  that I teach it in a group and I got to say that I really love teaching in groups and doing it from afar because it really helps that patient say that “this is all on me.” So I would encourage people to do videos about this once you get that kind of a good understanding of it for yourself it’s a great way to kind of go around in that direct peace but what you want to be able to do is relate it to whatever their concern is so you could take whatever issues symptoms that they’re having and whatever related to how that plays out in fight-flight or freeze and so they understand and oh my body is working on my behalf, my symptom is not something I need to fight because if you stay in a mindset of more fight, you’re continuing the fight-flight state, right? Those hormones force you to think and give you urges of “I got to fight this! I’m getting this once and for all” I love when patients say to me “I’m going to deal with this past trauma once and for all!” That’s not how trauma works, right? So when they understand the nervous system this is going to be a daily thing that it’s about creating awareness you got to act, you got to understand “oh I’m sensing my gut turn, I’m sensing my neck turn, sensing my jaw, oh that means my nervous system sensing a threat, I now need a technique to all day long start moving me into that not just parasympathetic I mean like chill out and go to the beach thing but into a state where I feel safe and I can keep going at wherever I’m going at. So, I think that…

Andrea Maxim: I’m just going to stop you right there because I don’t want to lose this moment. Without… Because I understand that this is like a checklist type of therapy that you just give people and I so value that you have these workshops and your training practitioners but just as a quick takeaway so again I’m dealing with the patient and every day they’re fighting these issues and they’re trying to like overcome their symptoms. What are even just some basic techniques that I could start to give to these patients and just say “Okay? Here’s where we going to start” and then of course if I want to advance learning, I can go to you.

Amanda Ferris:  Right. Well, my program is actually to teach your patients.

Andrea Maxim: Okay.

Amanda Ferris: Yeah. This is what I’ve done is that you as a practitioner, you can access the same information and teaching that I found through it, right? But I want groups of people and patients that just explain the nervous system is the piece that I do but this is certainly something you as a practitioner I mean can do this in their consultations but if you have a very the definition of the autonomic nervous system of fight-flight or freeze and you have that kind of written out I think that people can at least identify with that’s normal, I’m going to move in and out of these things all the time. The first step is identifying. The first step is noticing and that would something I learned the most is just notice, notice, notice. But then the next step or the tool you want to give them is what technique are they going to do to pull them out of this fight flight freeze response and that’s where we everyone’s already recommending; do the breathing techniques, doing exercises,  doing yoga those are the proven therapies that will help to balance and regulate the nervous system but I find people are more apt to do them if they understand the reason what they doing.

Andrea Maxim: Sure!

Amanda Ferris: It is about the nervous system not just about because some people think, “I’m not going to allow myself to get to that self-beautiful self-care state where I sit around take care of myself until I will solve my problem.” I have to solve my issues then I will go by and relax a person and ill do some gratitude journals and do all that stuff but first I have to solve my problem but it’s a bit of that’s because the survival state and the nervous system mix you feel that you got to still fight. So, its helping people understand that they’re going to come up against these urges and they’re going to have to overcome them with the breathing techniques. The other technique that I have got a lot of benefit from and I think everyone can just look up online and use these techniques. A lot of social workers use them as a practical technique to give to patients is heart math. Heart math is an organization in the states and they have really all of their research like many many well research physicians and doctors who use the principle of heart rate variability. So they understand that if you look at the rhythm of the heart and if it’s in a state of high variability, that is a sign of health and so you can have biofeedback and I think that’s great for patients to work with and it can be done on an app on your phone and its just an ear sensor that clips into your ear and takes your heart rate and you receive right on your phone “Oh! I’m not in a good state of an HRV” then therefore I know that my nervous system is in a survival state. But when you hit that state of high HRV (heart rate variability) then you know your nervous system is balanced. So, that’s one of the best tools I’ve found to get people and my phrase I use all the time is “get out of your head and get into your body” because we sure can stay on the psychological piece of the stress and that was a… not a trap but something I a route I went down on because I think that what you going to say it before or you might think in your practice “Okay! We got an hour. If I open that route” that whole time, right? And so, when I work with people its less about the story and more about what’s happening in your body because they understand that the story is reflected in the body and its reflected in something like HRV so scientific piece that you can bring to them and they can do all the research and the courses online and they can order the stuff online the app is free uhm you can do it with there are some free apps that do HRV heart rate plus coherence one that  I used and a very little cost without buying 150$ ear sensor, yeah that’s definitely downfall, but you can do it with you get  your heart rate from your pulse on your finger that connects to your phone which to camera they can do it that way, and that’s really, you know because it allows them to then go out in  their life and say, “ok I notice that something starting happening like fight flights going off I don’t think I really need it everything’s okay” so I got to shift my body back into a balanced state because I know that if I do this through out of the day its going to decrease my inflammation and its going to help my chronic decease.

Andrea Maxim: Yeah.

Amanda Ferris: That’s I think the real take-home nutshell and then it’s going to make all supplements that I just bought and work with, work better because now my next turned on, right? Now my gut will act, my immune system will actually work so it allows them that piece and the heart math is an excellent and well research, evidence-based tool that you can use in your practice.

Andrea Maxim: That lasso bit just like completely solidify this entire interview so I’m so thankful for you to put it all into not only why but tenderable ways that we can now connect the dots because even I’m thinking that in my own self, how would I start to make note of those things that I love it and there’s an actual tool that we can do that and share with our practitioner or excuse me our patients. So, the final question that I want to ask is this; I would love to hear what your initial sort of patient flow looks like? You know when you’re incorporating this obviously its sounds like you’re doing it real in that very first visit. You’ve mentioned you know you have three visits to kind of really solidify that relationship. I would love to just hear kind of an example of how you incorporating that with a new patient just to give again our practitioners an idea of how they can start implementing it.

Amanda Ferris: Right.  Well for me personally, I actually close my practice over a year in a half ago to develop this, it was really because I came to that spot, I can’t and I need to do something about this piece for me became a very big piece. And so, I’ve developed this program to be totally as I… it’s a four-hour workshop its psycho-educational you know submersion into here’s all the good now go back to your practitioner work with it, right? But if I were an and also, I mean I definitely have done a lot of one on one coaching with this online but I have the luxury of I’m not prescribing, I’m not doing any kind of physical exam or anything or total focus on doing this so I’ll say that for sure but if going back into practice which one day I would love to but not just yet I’m having so much fun doing this actually. I learn there’s a part of me that’s just very much a teacher and wants to be doing this as my own passion. I would for sure have it as on my website with my tools as this is something that I promote to everyone like if you going to use something like the heart math or something like breathing technique or something that you really love to use and say that you’re specifically treating the nervous system you know when you come out with all of your protocol with your patient and you have your nervous system treatment what that’s going to be so that they understand that all the reason I’m doing this is to treat this part of my body not just to be nice to myself or because that tense to not get done, I think? Because if it doesn’t, if it comes across and it would be really great for you and you’ll be happier, right?  It doesn’t always connect to that. But if they know they’re treating their nervous system with those tools, so that they’re ready to go in your visit and that you have that one aspect even like on your social media, on your website you have that set out and you know its something like heart math; works of professionals so you can buy all of their tools, all of their products and be able to resell them to your patients. That’s the way that you can have it available for you.

Andrea Maxim: So basically, like a right of the hop. This is just the initial interaction. This is kind of part of it and so the benefit of them because of all the other therapies that were doing and I love that you tied that in like we are so going to give them the nutrients and supplements and other things to take but you’re absolutely right but if there’s a chronic blocker there that’s just going to end up being you know expensive piece they say. So…

Amanda Ferris: They fight against that in every visit and if you feel that, yeah exactly. So, I think that if you have that set out from the get-go and you tell them that you know their body will heal better if its in a state of safety which is in a balance sympathetic and parasympathetic state. People like to call in heart math work its call coherence, people call it to flow, and athlete calls it in the zone all of that perfect nervous system balances. So, I would say that out, right? Part of the treatment was going to do over the time is to make sure your nervous system is functioning in a way that serves your healing and these are the other supports that you need is that you know you work that out with them but they’re going to work better if addressing the stress piece. So, and that you know as a practitioner there’s a time and a place for telling your truth and your story is very important and especially if trauma work there needs to be a stage for that and I think you can say that outright in your visit that “I want to know your story” “I want to be a part of your journey of healing anything from the past that’s unresolved and then needs that support” but I know that that the best way to do it is to put your nervous system into this balanced state where you and I can really experience that safe relationship and that we’re able to move that forward. So, I think on a first visit it opens the door for… We’re not going to get in that right now but I want to set the stage because that is an important piece and that I’m not going to pressure you for that because I think if people feel that “oh! Next time I go back, she’s going to be asking about things that wrote on my thing that happened a long time ago and I don’t want to talk about it” we don’t have to because trauma is treated in the present. You don’t have to treat the past. You don’t have to go back to the past to treat what’s happening in the body right now. And so, what’s happening right now? Is the next journey. The next tight. And that’s what you work with. So, that’s really about you know and then you may have to recognize that there’s a place where deeper trauma treatment and referral might be necessary but for many many people, I think you can do this for a safely within the naturopathic protocols.

Andrea Maxim: Thank you so much for coming on and sharing this. This is really powerful and I as your speaking thinking how about how we’re going to integrate that to our patient flow and so usually when I have an interview like this and I start getting my wheels turning it means that you’re totally on the right track and I so appreciate. If people wanted to reach out to you personally, what are some great ways?

Amanda Ferris: Well, my website has everything at AmandaFerrisND.com. I’m on Instagram not where I am sharing bits of my address to stress workshop all the time and really it’s just about trying to tell people “hey, you don’t have to fight this so hard. Your nervous system is really on your side” and so I’m really about creating that safety piece. So, I would definitely love to work with another naturopath who wanted me to come in and teach and what I do for that program is that we charge a rate together per person so you would have a retreat day or a workshop day and you charge a patient let’s say for seventy-five dollars for a workshop and I would just have a portion and you would also have a portion too. So, I want to work on people to help build your practice and know that I’m not trying to you work with any of your patients, right? That’s not my goal right now is I just love teaching about this so this is all I ever wanted to do. So, yeah, it’s a way that you could build your practice is to we can work together and work with your patient and help them with that. So, people who are hungry for more are the ones and I like to work with a group of ten. I think that works really great.

Andrea Maxim: Awesome! Thank you again so much.

Amanda Ferris: Thank you for having me.

So, as you heard in that interview; I was trying to figure out ways that we could put this activity into your initial patient funnel. So, every single patient or client you see, you can be using this as a tool, as an education piece, as a piece of homework for them to review. You can use this in your video marketing if you need to because not many practitioners are talking about this. Not many practitioners even want to go down this rabbit hole and you as my Maximize Practitioner are not one of them. And so, this is really going to help to solidify that foundational experience which is the first pillar of the maximize practitioner method and as you build out your system and how you want your patient flow to go, you’re now deeping in to pillar two which is business essentials. But now everybody can do that on their own and if you are like most to the people listening to this episode or listen to any of my podcast while you are inspired and excited while you’re listening as soon as the podcast is over, you don’t do anything with that information and I will not tolerate lack of taking imperfect action. So, in the theme of taking imperfect action and actually taking action in general, I want you to book a game plan call with me. The link is in the show notes. It’s a thirty-minute call where you and I just going to lay it all out, see where the systems are broken in your business, where the leaky holes are, and how we can plug them up as quickly as possible. I will look forward to chatting with you on that game plan call and again the link is in the notes. I am Andrea Maxim, the host of the Profitable Practice Podcast. See you next week and I’m out.

You guys are killer! Thank you as always for listening to the Profitable Practice Podcast. Leave me a comment and if you haven’t already, I would love a review on iTunes. Definitely subscribe to this podcast and leave me a quick review. For those ready to maximize your practice, contact me at www.maximizedbusiness.ca