129 - The Four Pillars of Chiropractic Practice Growth

129 - The Four Pillars of Chiropractic Practice Growth

Becoming a better chiropractor means knowing which part of your practice needs more of your attention—the art, science, philosophy, or business. Dr. Lona and Dr. Andrew Alekna break down these four interconnected pillars and explore what happens when one develops faster than the others. Andrew shares why adjusting came naturally to him while business required intentional work, systems, coaching, and mentorship. They also look at the role philosophy plays in developing certainty, why understanding the science is different from being able to communicate it, and how continued training strengthens what happens both at the table and throughout the practice. Rather than assuming experience will automatically make you better, this conversation offers a practical way to audit where you are today. Identify the pillar that feels least developed, find people who are already strong there, and deliberately build the skills needed to create a practice that is both deeply chiropractic and capable of growing. Key Highlights 02:08 – Meet the four areas worth continually developing if you want to become a more complete chiropractor. 03:00 – Consider what gets lost when practice growth moves faster than your development in the fundamentals of chiropractic. 05:27 – Andrew’s adjusting journey offers a useful look at natural ability versus the skills that still require years of refinement. 07:08 – Explore the philosophical journey that can take you from knowing chiropractic works to developing certainty in the way you personally practice. 09:34 – Athleticism may offer an unexpected advantage when developing the precision, speed, and body awareness required for adjusting. 12:26 – Andrew reveals the pillar that challenged him most—and the limitation he discovered when “winging it” was no longer enough. 14:21 – A useful place to look when chiropractic school hasn't prepared you for the realities of running a practice. 15:20 – “Success leaves clues” becomes a practical strategy for strengthening the areas where you know you're falling short. 16:29 – Try looking at these four pillars as a foundation before focusing on everything you want to build on top of them. 17:28 – Applying a familiar chiropractic principle to your business may change the way you look at stalled practice growth. 18:43 – Andrew’s weakest area eventually became one of the most systematized parts of his practice. 20:31 – Patient communication adds another dimension to the art of chiropractic that technical knowledge alone doesn't teach. 22:04 – Use four practical audit points to identify where your art, philosophy, science, or business needs more work. 24:03 - Bringing X-ray imaging in-house can improve more than convenience. It can strengthen the entire patient care pathway. Dr. Timay speaks with John Conidi from Success Partner Next Healthcare about radiology reporting, reducing medico-legal risk, improving access to follow-up imaging, and helping Australian chiropractors deliver more timely care while creating additional value within their practices. Resources Mentioned For more information about Next Healthcare please visit: https://nexthc.com.au [https://nexthc.com.au]   To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast] To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast] Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]

128 - Building a Family Chiropractic Practice Through Pediatric Confidence

Building a family chiropractic practice starts with the doctor’s certainty about why children belong under care. Dr. Lona and Dr. Andrew Alekna explore how personal conviction, pediatric adjusting skills, patient education, and the physical environment of the practice all influence whether families naturally see chiropractic as part of their children’s health. They unpack what changes when doctors become more confident caring for kids, learn to communicate the body’s capacity to adapt and heal, and make the practice visibly welcoming to families. When your philosophy, communication, clinical confidence, and patient experience all tell the same story, parents are more likely to understand why pediatric care belongs in the practice and feel comfortable bringing their children in. Key Highlights 02:07 – A real-life example Dr. Andrew uses to open conversations with parents about chiropractic care for their children. 04:10 – Seeing health through your own children can deepen the way you communicate chiropractic philosophy to other parents. 07:08 – A different way to think about symptoms when the body is actively trying to adapt and heal. 10:31 – The question every doctor should ask about whether their own health choices match what they teach patients. 11:48 – Helping children develop a healthier relationship with their bodies may begin with the language they hear at home. 14:25 – Watch what happens when pediatric care becomes visible enough in the practice that adult patients start asking questions on their own. 15:22 – Before trying to attract more kids, there is one level of certainty the doctor has to develop first. 16:09 – Clinical confidence with children can be built, and there are practical ways to start strengthening that skill set. 19:46 – Once the doctor is ready, the next step is making the practice feel unmistakably welcoming to families. 23:14 – Small changes in playfulness, layout, visuals, and adjusting style can completely change how children experience the office. 25:48 - A thriving practice deserves a financial strategy to match. Dr. Andrew welcomes Bel Gibbons from Success Partner Investorus Strategists to share how personalized financial planning, investment strategies, and long-term wealth creation help chiropractors turn today's success into tomorrow's legacy. Resources Mentioned For more information about Investorus please visit: https://investorus.com.au/ [https://investorus.com.au/] To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast] To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast] Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]

127 - The Difference Between Managing People and Leading Them | Dr. Andrew Alekna

The best leaders aren't the ones their teams can't live without. They're the ones who've built systems, communication, and trust that allow the practice to thrive even when they're away. Dr. Lona and Dr. Andrew Alekna explore what happens after you've hired the right people. They discuss why communication, accountability, and consistent leadership rhythms determine whether a team becomes independent or remains dependent on the practice owner. Through personal stories and practical examples, they unpack the mindset shifts required to let go of control, address difficult conversations early, and create an environment where both people and the practice continue to grow. If you've ever struggled to delegate, hesitated to hold your team accountable, or found yourself becoming the bottleneck in your own practice, this conversation offers practical leadership principles for building a stronger team—and a practice that doesn't rely on you for every decision. Key Highlights 03:47 – A clearer way to measure whether your practice can truly operate without you. 05:21 – The leadership shift that helps you support team growth without letting your ego get in the way. 07:24 – Where to look first when a team member is missing expectations or falling short on a KPI. 09:20 – Keeping the mission at the center of difficult team conversations. 10:59 – Why early accountability can be one of the most supportive things you offer your team. 12:28 – Choosing which hard conversation to have now before the problem becomes harder to fix. 14:21 – Recognizing whether you tend to micromanage, avoid conflict, or move between both. 15:11 – A practical leadership process for delegating without losing visibility or control. 16:48 – Using practice numbers to catch problems before they become obvious in the day-to-day. 18:12 – The communication rhythms that create more clarity, engagement, and freedom across the team. 20:15 – Creating enough growth inside the practice to keep strong team members challenged and engaged. 23:42 – Two practical places to begin when communication or accountability has started to slip. 24:31 - Sustainable weight loss requires more than a diet. It requires the right system and support. Dr. Chris welcomes Dr. Roger Sahoury from Success Partner SprintSet to explore how chiropractors can expand their impact with a guided weight-loss program that attracts new patients, supports lasting lifestyle change, and creates a scalable revenue stream through coaching, technology, and proven business systems. Resources Mentioned For more information SprintSet about please visit: https://sprintset.com/ [https://sprintset.com/] To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast] To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast] Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]

126 - Referral Marketing for Chiropractic Practices with Dr. Rachel Hovey

Referrals don't happen by accident. They're cultivated through consistent conversations, intentional systems, and genuine community connections. Dr. Lona and Dr. Rachel Hovey discuss why referral growth is still one of the most underutilized and effective practice-building strategies, despite the attention given to newer marketing tactics. They share practical systems for cultivating patient referrals, building meaningful community partnerships, training teams to recognize referral opportunities, and creating consistent follow-up processes that keep practices visible and top of mind. Rather than treating referrals as something that simply happens, this episode encourages practice owners to intentionally build a referral culture that extends from the adjusting table into the community, creating sustainable growth rooted in trust and genuine relationships.   Key Highlights 01:29 – Discover why relationships still create stronger long-term practice growth than the latest marketing trends. 02:23 – Learn to spot the everyday patient comments that can become real referral opportunities. 04:23 – A more natural approach to networking that removes the pressure to promote yourself. 06:11 – Inside Dr. Rachel’s simple system for keeping community connections organized and active. 07:30 – Defining your ideal patient can point you toward better networking opportunities. 09:15 – Strong referral partnerships often begin long before anyone exchanges a referral. 11:13 – See how the right local partnerships can make your practice a trusted community resource. 13:07 – Simple ways to thank referral partners and strengthen those relationships over time. 15:33 – Reframing the referral conversation so it feels helpful rather than uncomfortable. 17:40 – Table talk, whiteboards, and repeated education may be quietly driving your best referrals. 19:23 – Three practical steps for strengthening referral systems inside the practice and throughout the community. 20:29 - Adding the right service can improve patient care while strengthening your practice. Dr. Eric welcomes the expertise of Dr. Dan RuitenBeek from Success Partner Shockwave Centers of America to discuss how regenerative shockwave therapy, staff training, and implementation support help chiropractors expand treatment options, retain more patients, and create new revenue opportunities.   Resources Mentioned For more information about Shockwave please visit: https://www.shockwavecenters.com/ [https://www.shockwavecenters.com/] To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast] To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast] Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]

125 - The Leadership Mistake That Weakens Every Team with Dr. Andrew Alekna

Leadership isn't tested when everything is going well. It’s revealed when the team, culture, or vision begins to drift. Dr. Lona and Dr. Andrew Alekna explore why hiring the right people starts long before an interview and why practices with strong cultures consistently attract, develop, and retain stronger team members. Through candid stories of hiring mistakes, difficult leadership lessons, and hard conversations, they explain that protecting a practice's mission, vision, and core values is ultimately the responsibility of the doctor. Rather than viewing hiring as a staffing problem, this episode reframes it as a leadership discipline where clear expectations, intentional culture, and consistent accountability create a team capable of supporting long-term practice growth. Key Highlights 01:13 – Why hiring challenges often reveal leadership opportunities rather than staffing problems. 04:14 – The overlooked responsibility every practice owner has in shaping culture before making the next hire. 05:35 – Why core values become the filter for every hiring and leadership decision. 07:24 – The interview answer that immediately revealed someone wasn't the right fit. 10:40 – What happened when one difficult conversation allowed the right outcome for everyone involved. 13:12 – The leadership lesson that only became clear after the wrong person left the team. 17:29 – Why addressing small shifts in culture early prevents much bigger problems later. 18:13 – The difference between supporting team members through life and allowing personal challenges to shape the practice environment. 21:27 – Why defining the role before posting the job dramatically improves hiring decisions. 23:00 – The practical hiring process that helps identify the right person before extending an offer. 26:50 - Technology should make running a chiropractic practice easier, not more complicated. Dr. Bobby sits down with Sam Ogutucu from Success Partner Medic Cloud to explore how specialized IT support and in-house digital X-ray solutions help practices improve efficiency, enhance the patient experience, protect retention, and create stronger long-term profitability.   Resources Mentioned For more information about Medic Cloud please visit: https://mediccloud.com.au [https://mediccloud.com.au] To schedule a Strategy Session with Dr Lona: https://go.oncehub.com/DrLonaBuildPodcast [https://go.oncehub.com/DrLonaBuildPodcast] To schedule a Strategy Session with Dr Bobby: https://go.oncehub.com/DrBobbyBuildPodcast [https://go.oncehub.com/DrBobbyBuildPodcast] Learn more about the Remarkable CEO Podcast: https://theremarkablepractice.com/podcast [https://theremarkablepractice.com/podcast]