Episode Transcript
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Hi Everyone. Thank you for joining
us for another episode of catch up with
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Cairo touch, our podcast series,
where we talked about the state of the
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Chiropractic Profession, best practices and recommendations
to manage and grow your practice and share
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expert advice with a variety of guest
speakers. I'm one of your hosts,
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Dr Brian blest. I'm an account
executive here with power touch, where I
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consult with chiropractors to determine which software
solution is best for them. We have
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Dr Shay Start with us today talk
about becoming a sports chiropractor and starting a
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brand new practice while working as an
associate. Dr Stark just open her practice
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this month in Houston Texas. She
used Chiro touch during her associate ship in
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Montana and has been gracious enough to
take time out of her day to join
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us. Great to have you to
day, Dr Stark. Great to be
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here. Thank you for inviting me. First of all, can you please
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tell the listeners a little bit about
your new practice in your journey back to
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Houston, kind of how it all
started for you? Yeah, absolutely so.
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My new practice is called Dark Chiropractic
and sport and it's located on the
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north side of Houston, Texas.
I, like you said, had done
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an associate ship in Bozeman, Montana, for about five and a half years
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right out of school and learned a
ton of stuff. When I graduated,
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I had zero intention of ever starting
a practice, to be honest with you,
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and it was my experience at my
previous practice that I learned so much
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and really just got the confidence to
move forward in my career and have a
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little bit more control of my career. I absolutely love all of my co
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workers and Montana and I wish them
all the best and I'm still very good
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friends with all of them. I
just kind of made the decision about six
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months ago that it was time to
go home. I was born and raised
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in Houston and most of my family
still lived here, so I just kind
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of made that decision. Like I've
spent five and a half years in Montana
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and as beautiful as it is and
as wonderful a city as Bozeman is and
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as wonderful as a practice as where
I was at, it just didn't feel
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like home and so after weeks and
weeks of just throwing it back and forth,
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I made the decision I'm just going
to do it. If not now,
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then when? And so I kind
of got the ball rolling back then
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and here I am. You know, that transitions to kind of a new
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chapter in your life of saying,
okay, I'm going to so sick.
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That's what a lot of people do. Write a lot of chiropractors. They
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they start out this I need to
learn. So they go and they associate
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and then they transition to either purchasing
a practice, staying in associate or starting
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their own. So what has really
been the biggest hurdle for you in opening
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up this new practice? In all
honesty, the financial side of it.
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I take my hat off to anybody
who starts a practice out of school.
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It is a huge financial commitment and
I even underestimated it. Honestly, when
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I decided to open a practice.
I was like, Oh, it'll be
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fine, I'll get a business loan, like all, just go and it'll
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be great. And then I started
talking to banks and nobody wants to lend
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to a start up business. So
then I had to get creative with it.
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But in all honesty, if I
wasn't in such a good position in
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my associate ship, there's no way
I could have done it, because financially.
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It's just a huge undertaking and there's
a lot of stuff you don't know
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as an associate. You don't know
the requirements of a business owner, and
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I gave myself six months to figure
everything out. You know, I had
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told my employers back in January that
I was going to go home and I
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was going to start a practice,
and I use that six months to do
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every single step as much as I
could before I got here, and thank
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God I did, because I needed
every single one of those days to get
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things done. Things don't move as
quickly as you think they would. And
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then, of course, covid hit
and things slowed down patient wise in our
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practice for a little bit. So
that gave me more time to focus on
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building my practice here, but then
again it also caused delays because a lot
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of people weren't working. Things were
slowed down as far as like Response Times.
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It was definitely a challenge, but
I'm grateful that I did it the
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way that I did it and gave
myself enough time to get things done and
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understand the little thing that I never
had to worry about before. Can you
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elaborate a little bit more on,
you know, what those little you know
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the nuances. They're a little bit
more detail as to the extra information that
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they need to know. So I
filed an LLC for my office and it
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then turned into a professional LLC,
so a PLC because I, you know,
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hold a professional license. But that
took several weeks to go through that
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entire process get it filed in the
state of Texas and get all the paperwork
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approved and filed and everything. So
that was a few weeks and then it
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came to the point where I needed
to find a place to have an office.
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Now, luckily, I came to
Houston back in March to work with
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the Houston livestock show and Rodeo as
a sports medicine provided her and so I
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was here for about a week and
I was able to meet with a real
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turn and look at different spaces and
see what was available in different parts of
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town and costwise. So that was
a huge thing. But finding a place
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to hold my office was a large
undertaking as well. It's not as easy
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as you think it would be.
And then once I had a place,
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then it was every little thing that
goes into having a business right. So
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then it comes down to who is
your phone and Internet provider going to be?
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Who's going to be your electronic health
records provider? Who's going to process
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your payments, all of those types
of things. What is required for different
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systems? You know, can I
do everything on Wi fi? Do I
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need static IP addresses? Things I'd
never heard of in my life. I'm
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like, I have no idea.
You need to buy equipment. And coming
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from a large practice like I did, we had everything. We had so
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many different state of the art technologies
that we were able to use to help
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treat our patients. And then so
it was like, okay, well,
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now I have to dial back everything
I've been doing for five years and start
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from the beginning. So then it's
like I had to think about it.
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What modalities do I want to offer
in my practice? What soft tissue techniques
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do I want to offer? What
taping techniques do I want to offer?
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And then it comes down to what
do I need to do each of those
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things right? So then, as
I why, I need to buy an
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instrument and I need to buy tape
and I need to buy all of these
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other things to get things going.
And then it's like okay, well,
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now I need to figure out how
to buy office furniture and what I want.
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Is it going to fit in my
face? What kind of insurance do
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I need, not just chiropractic side, but liability insurance for my practice?
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Do I need to worry about hiring
a janitorial service or do I want to
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offer rehab? What Rehab tools do
I need? There are so many things
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that I never had to consider before
because someone else was doing it for me.
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Having you just gone through this,
what do you say to somebody that
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might be looking to do the same
thing? Two pieces of advice. Number
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one, give yourself plenty of time. Like for me, six months seemed
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like a long time, but when
I look back at it, I don't
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think it was long enough. If
I would have maybe started planning a year
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ago, I would have been in
a much better place mentally and I wouldn't
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have had to rush to get things
going. And then the second piece of
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advice is be prepared financially. Banks
and financial institutions do not want to lend
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to a brand new business. So
for me, I went from a practice
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of seven chiropractors and multiple locations to
wanting to do it as all me.
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I do front desk, I do
billing, I do chiropractic. I do
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everything. So I went from very
big too very small, and I wasn't
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asking for a lot of money,
but it's still difficult to find. So
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plan ahead. Starting your own practice
is not a spur of the moment decision
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right, it's not a spontaneous decision
like this is something that I would highly
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recommend, like start saving years ahead
of time, have a nest egg so
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you don't necessarily have to borrow money
from people, because that's very difficult.
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And, if not, figure out
before you start to commit to things,
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how you're going to get that money. How did you become you know that
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idea of I want to build a
sports practice. Have you always been interested
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in treating athletes? Have you been
an athlete? Yeah, so I was
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a volleyball player and I played High
School, Club, junior college and then
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Division One. So I played twenty
years and when I started to get really
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competitive, I started noticing at least
every season I had some sort of major
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injury where I missed playing time.
But never once, not in high school,
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not with my my club program,
not at my junior college and not
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at a division one level. Had
I ever heard of Chiropractic? I didn't
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know what Chiropractic was until I had
graduated Undergrad. Like I had no idea,
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but I was really passionate about athletics. I was really passionate about sports
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medicine. My ultimate goal was to
make sure that nobody went through the same
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experience that I did when it came
to injuries. So I knew I always
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wanted to be involved in sports medicine. When I went to Undergrad, I
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had the goal of going to medical
school. That was my past and then
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I wanted to take a year off
after Undergrad because I was burnt out from
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being a student athlete and, you
know, going through all those years of
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school. So I wanted to be
your off. Well, at the time
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I didn't realize it took an entire
year to apply to medical school. So
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one year turned into two years.
And then as I got closer to preparing
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and I took my mcats and all
that kind of stuff, I was like,
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you know what, this is really
not what I want to do,
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because by that time I had had
a shoulder surgery and I had had two
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knee surgeries and I was like,
okay, if I go to medical school,
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what can I do with sports medicine. I can be an orthopedic surgeon
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or I can just be an orthopedic
specialist at the sports injuries, but it's
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like neither one of those really ignited
a fire in me, and so then
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I started looking at other options and
a family friend of one of my friends
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was a chiropractor and I met her
at a party and I was talking to
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her and she explained to me what
Chiropractic was and then encouraged me to look
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into it. And so I did
a little bit of research and I'm like,
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Oh, okay, there are different
specialties in Chiropractic, like this is
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interesting. I was also looking at
physicians assistant at the time. So I
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was like, well, if I
can be a pea to an orthopedic surgeon,
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like I kind of could potentially have
the best of both worlds. So
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when I got back calm, I
contacted a pea and I contacted a chiropractor.
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Well, the PA never called me
back at the Chiropractor, did I
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know? It's serendipitous. Every time
I look back on it I'm life,
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wow, everything happens for a reason. So I went and shattered him and
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he was a fourth chiropractor and after
the first day I was hooked. I
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said this is exactly what I want
to do. I watched him do extra
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spinal adjustments, I watched him do
obviously regular spinal adjustments, I watched new
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top tissue work, I watched him
do different rehab techniques and things like that
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and I said this is amazing,
this is exactly what I've been looking for.
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After that day, I went and
started researching chiropractic school I was living
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in North Carolina at the time and
so I was thinking. I'm like,
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okay, well, there's not a
school in North Carolina. I had gone
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to high school in Arizona and I
was like, well, there's not one
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in Arizona either. And then I
stumbled upon Texas Chiropractic College, which is
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in outside of Houston, and I
said done. I didn't even look at
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any other school and I applied to
Texas chiropractic college and I got accepted and
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I moved back to Houston. About
a month after I had moved back,
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I was playing a pickup game of
volleyball tour. My acl on the other
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side ended up having three knee surgeries
within three hundred sixty four days. So
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I had to defer chiropractic school for
a couple of years, but I got
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to know a chiropractor here in Houston. He did my rehab from my acl
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reconstruction and my other two surgeries,
and so I really continued with that passion
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for Chiropractic and then once I finally
got to go to school, I was
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laser focused on what I wanted to
do as far as a specialty. So
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when I was going through school I
knew I always wanted to be involved in
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more stuff. So I held a
position on my schools Student Body Association,
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I held a position for my school
chapter of the student American Chiropractic Association.
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I kind of revitalized my schools chapter
of the Sports Council. I traveled every
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year to different conferences and then I
ended up serving two years on the National
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Student Executive Committee for the ACA Sports
Council and it kind of just gave me
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a different perspective and I had all
of these amazing mentors who are supports chiropractor
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who had been to the Olympics and
treated professional athlete and ran these successful practices,
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and it was through that that I
found my opportunity in Montana and work
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with one of the best four chiropractors
in the country. So networking exactly.
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That's the number one thing. Networking
is such a huge thing. But looking
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back at so funny because I'm like
literally everything fell into place when it was
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supposed to to bring me to where
I am right now. Except, like
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you know, that knee surgeries and
during the acls and everything like that.
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Well, yeah, I mean I've
had surgeries now. It's just at this
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point it is what it is.
Going through it, though, it's further
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instilled in me my mission, which
is to keep young athletes as healthy as
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possible so that they don't repeat my
issues. You mentioned that you were treating
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down in Houston for like the Rodeo, right. Yeah, so how did
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you get hooked up with that,
and explain of kind of, I guess,
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how you can, like how do
you get connected with athletes and teens,
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and is it just networking still?
Yes, absolutely so. I'm going
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to plug my organization here a little
bit. As I said, like,
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I had served two years as on
this the National Student Committee, Executive Committee
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for the ACA Sports Council. Well, about a year out of pool up
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in Montana, I get a phone
call from the ACA Sport Council president at
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the time and she encouraged me to
run for a position and I'm like,
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are you sure, like I'm one
year out of school, I don't really
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know anything yet, and she goes
absolutely, she goes, you did a
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great job on the student committee,
like we want new blood in the organization
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and we think you're a great choice, and I'm like, okay. So
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I ran for secretary. It happened
to be unopposed. I wasn't mad about
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it. So I got onto the
ACA Sports Council Executive Committee back in two
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thousand and sixteen and I've worked my
way up through almost all of the positions
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now and I'm currently the president of
this National Fourth Organization, which still blows
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me away. I don't think I
deserve it, but I appreciate being in
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the Bishop. One of the things
that the ACA Sports Council does is it
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provides event opportunities to fourth chiropractors.
So I've worked quite a few events on
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behalf of the ACA Sports Council all
over the country. I've worked the national
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collegiate and high school taekwondo championships a
couple of years ago. I had never
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worked a combat sport before. It
was amazing. I fell in love with
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the sport. I would love to
do something like that again. It's amazing.
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And then, of course, went
back to my roots pretty quickly and
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I've worked several professional beach volleyball events
where I was dealing with professional athletes and
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that was an amazing experience. You
kind of go in there a little bit
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timid and then these athletes are so
grateful for you being there and keeping them
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healthy that you immediately get over it
and you just watch in awe how amazing
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these people functions on a daily basis, how at a high level they're performing,
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and you get to be a part
of it and it's amazing. And
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then the Rodeo was kind of a
fluke thing. One of my close friends
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are named after Amber Gregory. She
is a sport chiropractor here in Houston as
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well. We graduated at text of
Chiropractic College together and we've been friends ever
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since. I've dragged her around the
country for years and years and years to
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different conferences and events and things like
that, and she had been trying to
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get on the Rodeo Houston Sports Medicine
Committee for a few years and she finally
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got on for two thousand and twenty. She had texted our group text and
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told us that and I was like
that's so amazing, congratulations, I'm so
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proud of you. And then she
sends me a private text message away from
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the group and she says so they
asked me if I knew anybody else who
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would be potentially interested and I wanted
to say you, but I wasn't sure
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if you could do it because you
still live in Montana. And I told
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her I said absolutely, throw my
name in the hat as if I have
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to figure it out, I'll figure
it out. But I grew up going
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to the Houston livestock show and Rodeo. It's one of the biggest rodeos in
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the world. I was so stoked. And then to have them contact me
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and they asked me for information.
You know, I sent them my cee
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and I said I'm a bio and
that kind of stuff, and the committee
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woman, you know, need a
pretty quickly, and she goes, we
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have to have you, like this
resume of stellar like we have to have
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you. That's a testament to everything. It's like a prize for you going
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through, you know, like you
said in school, I went through.
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I did all this in school.
I was a president here, I was
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a secretary here. I work my
butt off. Yeah, I networked at
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all comes together as a very impressive
cv because you done the work. So
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I mean for younger practitioners out there
or for other practitioners that want to get
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into the sport side of things,
network, do some extra work out there,
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because that work pays off. And
absolutely don't join your if you sort
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of want to be a sports charpector
join the ESA Sports Council. Right,
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come on, I guarantee you guys
are taking new members right. Absolutely,
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always, always, the traditional model
is, you know, you've got your
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orthopedic, you've got your PT,
you've got your athletic trainers. So when
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you're going into these professional sports arenas, I how are you co treating a
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kind of meshing with them, for
say, when it comes to the treating
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of athletes, it's honestly one of
my favorite things to do because we learn
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from each other, like that's the
number one thing. You could be half
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of your game. Just got back
from treating athletes at the Olympics, like
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whatever, and you walk into an
event situation like that and you have to
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leave all of that at the front
door. None of that matters. Ego
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has no place in sports medicine.
And so you go there and everybody respects
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each other as a provider and you
watch, you listen, you clean table,
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you take out the garbage, you
do your documentation, you do whatever
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you need to do to be a
part of the team, whatever it is,
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but you stay humble and you do
the work like that's the most important
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part of it. And there everybody
else there is the same way and they're
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so interested to learn about you and
where you come from and how you practice
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and what techniques you know and you
work together. I was working in a
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VP event, which is professional beach
volleyball, last year and we were getting
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towards the end of the day and
a couple of guys just got off the
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court and we had probably three or
four people working on each person just to
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kind of flush them out because they've
been playing all days. So we had
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basically we had a provider on each
limb and we were doing soft tissue stuff
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to help recover because they had to
come back and play the next day,
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and so we were doing you know, fleurage or you know soft tissue techniques
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light massage, things like that,
stretching like all kinds of stuff like that,
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but we were all working together.
That's the most important thing. Like,
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nobody cares where you have been a
how high you've gotten or how cool
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you think you are. It's what
do you know right who you know may
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have gotten you in the door,
but what you know is going to keep
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you there. Just go in there
ready to learn, ready to watch and
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just ready to interact with some great
people and it's a wonderful experience. That's
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great advice. Everything that you've done, everything you've gone through. You even
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starting this new business is tough,
but, as you can see, stuff
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works out when you put your head
down and you do the work. So
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you've done such a phenomenal job and
I hope that we get enough listeners on
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here that really take it, those
youngest practitioners especially that are coming off associate
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ships and want to build their practice, because you've done such an amazing job
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so far. Oh, thank you
so much. Thank you again for taking
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the time out of your day.
Absolutely and keep up the great work.
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Absolutely. So, Dr Stark,
before we rock and roll here, where
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can people find out more about you? You can check out my website.
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It's www Cairo and sportcom, or
you can check me out on instagram or
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facebook at start Cairo and Fort.
To our listeners, thank you for catching
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up with Cairo touch. We'd love
to hear from you. We have an
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00:22:29.500 --> 00:22:33.089
inbox set up so you can email
us at podcast at Cairo touchcom, where
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you can send questions, feedback comments. So let's podcast at Cairo touchcom and
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remember to tune in every week on
Itunes, spotify, wherever you consume your
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podcasts.
