104. The 4 ways to grow your practice
E104

104. The 4 ways to grow your practice

Spencer Dupre (00:00.66)
Yo, yo, yo everybody. What is up? Welcome back to another episode of your favorite podcast. The What Now? Cairo podcast. For all those chiropractors out there that are running your clinics day to day, thinking, man, what do do now? Yeah, you book a tea time. Book your tea time. Dude, actually though, been the highlight of my summer is golf. Summer, back to school, big time for us.

ZT (00:15.801)
golf.

Spencer Dupre (00:30.082)
pediatric prenatal offices.

ZT (00:32.729)
Yeah, I was curious, like is August, September, like trending in like big months for you all.

Spencer Dupre (00:39.084)
Yeah, October is usually our biggest month, but back to school, yeah, dude. mean, think we're already close to more new people and more visits than we did all of June and July. So yeah, things are trending up at Empower. The summer's slow is officially over. busy, which is good. Back to school action. But yeah.

ZT (00:52.217)
There you go.

ZT (01:05.325)
Dude, you think you like often in the summer, wait till it's like 70 degrees and you're not sweating over the ball come the third hole.

Spencer Dupre (01:11.074)
This is I'm saying bro, I might get a pushcart.

ZT (01:14.329)
I mean, it's in my agenda to get a pushcart.

Spencer Dupre (01:20.43)
Well, my thing is, I think I'm gonna get the membership at Bridalwood. For those of you guys who don't know, Bridalwood's like just a big neighborhood. It's like hundred bucks a month and you can play 20 bucks after two o'clock and you know, I'd be working. Yeah, and I always play like around like two, between two and four is like when I'm trying to tee off, you know, cause like I got stuff to do. but dude, you gotta put, I mean for 20 bucks, dude, you can play nine and then you don't have to get in all 18.

ZT (01:25.241)
It's the fifth.

ZT (01:30.905)
That's basically when you play.

ZT (01:45.805)
I will say, so I, when we played in Lubbock at the Rawls course, which is Texas techs golf course, it's very like link style. and we, we walked, it's like a very walkable course and that was super enjoyable. just felt.

Spencer Dupre (01:51.342)
Wow.

ZT (02:03.769)
Yeah, it was just great. Everyone goes to their ball. Like you're not like driving back and forth, getting your steps in. wasn't as, it wasn't going to sound bad. I thought it was going to be like exhausting, but it's really, I mean, I think I got like 10,000 steps in. No.

Spencer Dupre (02:08.428)
Yeah.

Spencer Dupre (02:14.157)
Yeah.

Spencer Dupre (02:18.818)
Yeah, but you're not hiking. you're walking, I mean, if you're smashing, you ever watched like the UFC, like when they say smash? Yeah, you're like, anyway, anyway, we're getting off track.

ZT (02:28.695)
Yeah. Yeah.

Some of these public DFW courses are not walkable though, not walk like champions would be tough. It's a long course from a track side of things.

Spencer Dupre (02:36.398)
Yeah, that's true.

Yeah, they need to work on some things. Dude. All right. So, today, yeah, not golf related, but if you're looking to play more golf in your practice today, we're to help you do that. or just free up your time, dude. mean, I think this is the biggest thing. Like that people need to think about if you're too busy in your office, if you feel like you're the one like doing all of the work.

ZT (02:46.965)
Not call for it.

ZT (02:52.067)
Y'all.

ZT (02:56.322)
And

Spencer Dupre (03:09.922)
This is the episode that you're gonna wanna revisit.

ZT (03:13.709)
I also too, like, I know I talked a little bit, I went through some EMDR therapy earlier this year and a big thing that she mentioned just from like a happiness that she finds a lot of entrepreneurs do is like they, they don't play enough, obviously. And obviously that's like a common thing in therapy, which I was always like, I'm not going to go like sit in a sandbox and like, so I was like, what does that mean? She was like, well, what did you like to do? Like late middle school or the high school? That's golf. So boom.

Spencer Dupre (03:33.87)
You

Spencer Dupre (03:39.778)
Well, what did I do late middle school or early high school? Video.

ZT (03:45.335)
Yeah, I mean, that's another one, which is like, typically, it's video games, golfing.

Spencer Dupre (03:49.262)
Yeah, I like golf. It's been fun. But all right, you guys, so today, enough of the golf talk, but if you're looking for ways to actually get out of the office a little bit more, if you're like a one man show, like if you're like you you and a CA kind of office and you're trying to scale, or if you have big team and you're too involved in patient care, i.e. me, where like,

ZT (04:14.617)
Mm.

Spencer Dupre (04:16.278)
all the things as the business owner aren't getting done because you're just like seeing a bunch of people. This is the same conversation. It's applicable across the board. I like love whenever things I can just like rinse and repeat and plug back in because it means a scalable, it's repeatable. That's not really, think how it's kind of going to work. So today we're going to talk about the four types of leverage. It, I first heard about the four types of leverage from the game. Is that hormones these podcasts? Yeah.

ZT (04:43.961)
Yeah.

Spencer Dupre (04:44.75)
Anyway, from Alex Hormozzi, and Alex Hormozzi was talking about the four types of leverage that he learned from this guy, Ravikant. And it's a concept and an idea that's applicable across all businesses, across really any organization, but we're talking about it in the chiropractic standpoint. So there's four main types of leverage. You've heard this talk, you've heard about this, right Zach? Yeah. So there's four main types of leverage and we're going to go through each one of them and just talk about them a little bit, but.

The four types of leverage are people, systems and technology, capital and media. So in terms of people, what are you doing to leverage team and people Zach?

ZT (05:28.697)
Yes, that's, it's been a big top of mind discussion at our office. So, the last two months we've actually been a two man team, two man and woman team. a woman, so I've had my office manager Piper, and then myself, and it's been great. Like things have been super efficient. things aren't getting dropped nearly as much as they used to. She's been a huge addition to the team. And I think I've shared that she's moving.

So she's going to Illinois at the end of September, but she's a unicorn in the sense that she, like her genius is claims. It's following up on super bills, all of that. Like she loves doing the backend things that most people, at least I would think, hate doing. know I, I know I hate like, it's like low, low, low. but that's her favorite thing. And as we're moving into more personal injury,

Spencer Dupre (06:18.702)
It's just not your genius.

ZT (06:26.733)
We're in network with Blue Cross Blue Shield now. she's going to start handling all of that from a remote. she's basically going to be our virtual office manager. and so we're going to, going to leverage that and then have a CA. So the CA is going to run the front desk and that's, that's going to be their job. Whereas before we had someone in office that was kind of a CA kind of an office manager. They were trying to wear too many hats and multiple things were getting dropped. So.

And that's how we're going to leverage people and then obviously bring it in chiropractors and things like that.

Spencer Dupre (07:02.038)
Yeah, real quick to circle back, leverage. me look up. Zach, how would you explain leverage?

ZT (07:13.025)
I mean, leverage from like a very easy standpoint is like, think of it more as like a, a teeter totter, right? So if you have more leverage, you're the heavier person weighing the teeter totter down and to create opposite leverage or to create that change, you would need more on the other side. So that's how, like in a very simple standpoint, I would look at it.

Spencer Dupre (07:38.924)
So here's like the definition definition like the official definition. Leverage describes an advantage or power to influence decisions or outcomes often by using available resources strategically. So that's what leverage is. It's really just resourcefulness, using the things that you have to be resourceful to create a more desirable outcome. It helps you be more efficient. all those things. So people is one of the levers that you can pull in your office because

They're a resource. They are an asset. And if you put the asset or the people in a strategic position, they work better. You are able to do more with less input and that's where you're going to get leveraged. it's basically developer delegate is what we're talking about, right? And so the way that, mean, team is probably the biggest lever that you could pull because you can get exponentially more work done by having more team available. I mean,

ZT (08:18.467)
Thank

Spencer Dupre (08:37.538)
Dude, I remember whenever I was taking my own phone calls and I love talking on the phone. I really like to talk to people, but just fielding all the, like, hey, can I move my appointment 10 minutes back, kind of phone call, it's just not a high leverage opportunity for me. I can be doing an adjustment at that same time, which is a higher leverage, because not everybody can adjust. yeah, team is one to think about.

ZT (08:39.99)
haha

ZT (08:48.11)
Yeah.

Spencer Dupre (09:04.012)
that, like we're always thinking about that. But I think the most important thing is really developing team. It's one thing to have like a player on the court, it's one thing to have a player in your team, but it's another one to have the good player on your team, right? And so what are you doing to like develop your team?

ZT (09:20.993)
Yeah. I mean, I think, you know, we both had our office. We both had our office managers, go through training with, with Bailey. that was one way. Yep. and another thing is, really like getting them. For me, it's not necessarily like developed from a skill standpoint, because again, like I'm not good at claims. I'm not good at like following up. like, I don't necessarily have the skills to do that.

Spencer Dupre (09:23.896)
Hi Morgan.

Spencer Dupre (09:33.634)
really slow.

ZT (09:50.884)
but more so from like a mentality and a mindset. So how can we work on that through the different books you read, the media we consume, you know, for an office that people are coming to for health and wellness, like what are we doing? Right. So I really encourage them to take care of themselves and things like that. What about you?

Spencer Dupre (10:11.18)
Yeah, I mean, I put Logan through Bailey's office manager course. If you don't know who Bailey is, Bailey is on our show a couple episodes back talking about how to make half a million dollars without ever adjusting anyone. That's because she's not a chiropractor. She is a

I don't want to use the term lay person, like she's like a not Cairo who owns a clinic and she's really good at team systems, operations management, all that stuff. She put together a course for office managers. It's great. Logan developed a ton for that. It's the same thing like with, it's really just getting your team properly educated to then be able to make the decisions that you would want them to make for you basically. And that's really how you're to leverage them, putting the right people in the right seats.

ZT (10:57.561)
And that's like another thing that we do quarterly is we do our red light, green light, yellow light, which I got from Matt Morris, which I think shout out to him. He laid a great foundation too. but like what that does from right seat is green light are tasks that you really enjoy doing and you're good at doing, probably for most chiropractors that's adjusting that's exams, whatever.

Spencer Dupre (11:04.088)
Mm-hmm.

ZT (11:25.173)
then you have your yellow light tasks. So things that you are either good at doing, but you don't like doing, or things that you like doing, but you're not good at. and then there's red lights, which are things that you're not good at and you don't enjoy doing. And so really making sure that everyone is in the majority green light situations. Obviously we always have to do things that we don't like doing. but if we don't like doing them and we're not good at them, that's when it's time to find someone else.

Spencer Dupre (11:52.098)
Yeah. And so the net, like the other type of leverage and besides like, the other type of team, I think that you could hire. I think of like team, like in two ways. think of like in-house team and then like team adjacent. So those, these are people like, the bookkeeper that you hire out, like you don't have a full-time in-house bookkeeper, but like I hired out my bookkeeping because I suck at bookkeeping. They're way better at bookkeeping. So I'm leveraging the, like somebody else's business. So their team is doing the work for me.

ZT (12:08.909)
No.

Spencer Dupre (12:20.134)
this is a great example with like Jeremy and patch because, there are CMO, our chief marketing officer, fractional CMO. like, they're not full time for us, but whatever they work for us, they do all of our marketing stuff. But there's like six or seven people. They do SEO, they do Google ads, they run all my email campaigns, they do blah, blah, all of these things. And, you can hire these like team adjacent plugins, like plugin team.

bookkeeper, CMO, tax advisor, all that stuff to take a lot of work off of your plate. And I think that that's like a really great way for like the small business owner because you can get the same amount of work from a team member for a fraction of the price. And usually that's like all they're doing. So my bookkeeper is only doing bookkeeping. like, I don't have to train her. She's got way more expertise. You get a higher level of performance, I think, for a cheaper price when you hire this like adjacent plugin team members.

I think whenever you get like really big at scale, can obviously bring them in house like all the time, but I don't need a bookkeeper doing the books all the time. But that's a huge leverage because really our team, we have like six people in house, but then we have another like five or six people adjacent to the team. Right. So our team is actually pretty big. and it helps it to where I can, you know, just be Dr. Spencer, business owner Spencer, focus on my leadership and my golf swing.

ZT (13:43.085)
Yep. Which is important.

Spencer Dupre (13:44.556)
Yeah. Okay. Next type of leverage is technology and systems. So technology and systems, this is like your software. These are your SOPs and your systems and your processes because you can have great people, but if they have no direction, they have nowhere to go. You can have the fastest car in the world, but if it doesn't have a road to drive on, then it ain't going nowhere. Right. So what we need to do is actually get these rock star team members.

ZT (13:49.369)
Mm-hmm.

Spencer Dupre (14:10.414)
and give them the instruments to play. That's their systems, this is technology and stuff. So what are y'all doing in the Office, Zach, in terms of your systems, in terms of your technology stack, all of those things? Where was your biggest lever that really saved you a lot of time?

ZT (14:23.334)
and I think a big one that we've utilized, and I know a lot of people have talked about this, but as we're recreating our SOPs and getting right into hire, now that we're on a cloud-based EHR system that can be done at home, or on Apple products. So we filmed a lot of our, filmed a lot of our SOPs on Loom. and so that way, if there's a question, you can go in and watch a quick two minute Loom video on how to check someone in, schedule them out, yada, yada, yada.

And so that's been huge. If you know, Piper learned something and I need to know about it, she can record a loom vice versa. So I think loom has been a huge tech stack for us. Um, and I know we've gone in pretty deep lengths about like Kyra HD, go high level HubSpot. So I don't think we need to touch on that too much. Um, but loom has been a game changer, not just from a progress exam standpoint, but also from an SOP and system standpoint.

Spencer Dupre (15:09.474)
Yeah.

Spencer Dupre (15:21.026)
Dude, I think your tech stack where tech is at right now, it's so cheap and it's so accessible, but it does so much, especially like with AI coming out. I've been saying, dude, whoever can use AI the best to create the most human experience will win. And I think that Empower are doing actually a pretty good job of that. But one of the things that we just did to switch and get some more leverage and make our systems more efficient is I got rid of all of our paper intake forms.

and I put them all on iPads. And so we have all Apple everything. so everything is cloud based and they all sync up. like whatever is on computer number one is also on computer number two. They're carbon copies of each other, like to the point where like the mouse is the same on the computers and like everything is the same. The iPad, same thing. They're exact same in the same case, different colors. So we know what room they go in.

But one of the best things that we've been doing that saved us a ton of time and has like improved our clinical accuracy just now as a team of doctors is we got this app called Patient Notes. It's an AI scribe. There's a bunch of different ones. Jane actually has a native one, but I was looking and I don't, I like the Jane AI scribe. I think it's accurate. I don't think it works as seamlessly as it could.

just like make every single part available to AI, not just like one section. It's like add an AI section and then you still have your spine notes. And so that means you still have to like go and manually enter all these things. Like just let AI run all the whole show that I tell it to. Anyway, all that being said is what we do now is intake forms go on the iPad and we have the Apple Pencil so we can write on them literally just like they'd be on a clipboard.

And so they pull up in the iPad in the background. We opened this app called patient notes and we hit record. And what it does, it's a HIPAA compliant AI scribe. So what it does is it listens to your video or listens to your recording and it creates a transcript from that transcript and then does whatever you prompt it to do. There's a bunch of default ones, but we prompted it to create like a soap note. And so basically what it'll do is it'll give a summary of the patient visit. It'll give the most key clinical insights, and then it'll give us like red flags, yellow flags and technique considerations.

ZT (17:25.722)
Bye!

Spencer Dupre (17:46.19)
because I uploaded a lot of our technique manuals and stuff on what we should do. So kind of give you a guide there. From that, you can generate a school note, you can generate a OB letter, you can generate a letter to their primary doctor, you can generate a narrative report that we all love to write in school, all of those kind of things. And it's literally just press start and you press stop and then you copy and paste it back into the chart so you get way more accurate reports and then.

It doesn't have to be this thing where you have to go and like type up notes based off of the things that you wrote down. And so then the iPad is listening so I can confidently engage in the conversation with the person sitting in the exam chair. And I don't have to worry about like, hold on, let me write that down really quick. I can just take more notes like that I want, but I know that the software is taking notes for me. And we just included it in our informed consent saying like, hey, we use AI to take notes. Are you okay with that? mean, it's part of our data collection stuff. So you have to agree to it.

So that has been a huge game changer because then we can take those same notes, we put them into our doctor's meeting notes, and then the doctor's meeting, we just go over those. So then now all the doctors are briefed at Lyth on all of the patient interactions. So then as a collaborative care office, we all know exactly what's going on for each person. So that has been huge.

ZT (19:01.998)
Nice. That's great. Yep. I can see that being really big. I mean, for a one doc office at the moment, like I don't have doctors meetings, so, but yeah.

Spencer Dupre (19:11.682)
We don't have doctors meetings, but it's the accuracy of your notes and the fact of that. Now you can just sit and communicate versus sit and have to write and then do all of those things that and then it's digitized. like it, you save all the time of printing out the paper. You save the time of having to then shred the scan, the papers, upload them back into the file, shred it. We just drag and drop now. Like you just drag it over from the iCloud into Jane. Then you delete it from iCloud and then,

ZT (19:17.956)
Okay.

Yeah. Yeah.

ZT (19:34.522)
Mm-hmm.

Spencer Dupre (19:41.848)
So just sits there for like two minutes. It's not stored there. So everything's all secure. then, what else was I to say? yeah, dude, then you save on paper and ink. Ink be expensive. And then like, in your patient experience, you don't hear the printer like, like the whole time in the office. It creates a little more cohesive of an experience.

ZT (19:45.038)
Nice.

ZT (19:53.732)
Yeah. Yeah.

ZT (20:01.178)
Yeah.

ZT (20:07.002)
Thankfully, our music is loud enough being a non-Peds office that I never really hear the printer.

Spencer Dupre (20:11.116)
Yeah. Our office is super loud too, but it's just another thing that decreases the stimulation. Yeah, the paper's pile up for us, so that's why we're piling up. What other software are y'all using? I know you're using HD and stuff, but do have anything cool and innovative that you feel like you're using?

ZT (20:20.472)
Yeah. Yeah.

ZT (20:31.981)
Um, no, we're working. That's been like a big goal twos. I know we've talked in lengths on the podcast about like, you can almost get too many things going on. Um, so really like power HD has enabled us to keep it to like just one tab, two tabs open in time. Sorry about the, sorry about the pups.

Spencer Dupre (20:44.846)
Yeah.

Spencer Dupre (20:57.889)
Those are big dogs.

ZT (21:00.506)
They're some big boys. They're, you know, collective 160 pounds almost.

Spencer Dupre (21:01.548)
of the big dogs eat.

Spencer Dupre (21:06.55)
Yeah. but yeah, dude, mean, honestly, whoever's out there, think that using AI is like huge and

ZT (21:13.806)
Yeah. And that's, that's another thing too, is like, I've made it a point where between our SOP manual and then our SOP manual being uploaded to chat, GBT, like if you have a systems based question and you haven't asked the SOP manual or chat, GBT, like I should be the third, if not fourth, now that Piper will be like our office manager, person to be asked, which sounds, could sound like almost like rude at a point.

Spencer Dupre (21:27.116)
You do a test though.

ZT (21:43.31)
But like if I'm with patients for three hours at a time, like I don't have the ability to be interrupted for five, 10 minutes to teach you the small tasks that should be interesting.

Spencer Dupre (21:55.362)
Dude, think that's a huge thing that chiropractors need to get over is we need to get out of our own way and let other people actually who are better at our jobs. There are some people that go to school literally for business management and their whole job is literally to like learn SOPs, manage teams and all that stuff. Like, dude, you went to school to crack backs, like lack of a better term. You went to school to detect and correct for T-pill subluxation and clear interference from the nervous system. dude, I mean, you get what I'm saying. Like let people who are better at it do it.

ZT (22:14.17)
Hehehehehe

Spencer Dupre (22:23.726)
Right? Like you wouldn't go, yeah, I'm gonna just leave it at that. But yeah, that's systems, dude.

ZT (22:29.166)
I mean, we can, we can talk in lengths and I know we're wrapping up here soon, but like we're, I think that's something that's held the profession back for so long is that we've just had every chiropractic office is just a mom and pop shop. And like, we're not allowing these big brains that didn't go to school to, you know, remove subluxation, you know, determine businesses.

Spencer Dupre (22:45.422)
Alright, see you.

Spencer Dupre (22:54.83)
Yeah, I think that, uh, yeah, that's a, that's a good episode, honestly. But I, yeah, it, all I mean said, dude, like the, huge game changer for us in our office, whether you're a solo doc or whether you are, um, running a multi-doc practice, putting your intake forms, uh, on the iPad and recording your visit with patient notes, it's $15 a month and you get unlimited recordings. It's HIPAA compliant.

ZT (22:59.29)
Thank

Spencer Dupre (23:24.718)
It will, I mean, big thing for me is like if I get audited, like I'm always like audit wary. I know it's not like a big reality for a lot of people. And especially as a cash based office, like there's really no fear of an audit, but I like to know that all my, my eyes are dotted and my T's are crossed, but I also don't like spending six or seven hours doing that a week.

Just to have all of those notes there is really nice. for 15 bucks a month, dude, for somebody a month, 15 bucks a month, that's 50 cents a day. 50 cents a day to not do notes anymore. And we had like a, mean, our note system was pretty efficient. Like it was taking me like maybe 30 minutes a day, but now it's like literally seconds, like truly seconds. Even if you copy and repeat like your notes and stuff, which I know like whatever.

ZT (23:46.766)
Yeah.

ZT (23:53.188)
Mm-hmm.

Yeah.

ZT (24:06.426)
Nick, car esteem looks very simple.

ZT (24:13.178)
Thanks

Spencer Dupre (24:13.87)
but it's just to have good, accurate note taking as a doctor team. It's gonna be better. It also record your team meetings and stuff. So like you can record your team meetings and have it take notes on your meetings and it's really cool stuff. Okay, that's the second type of leverage. That's systems and technology, right? Make sure that your systems are efficient so the path forward is clear. The next one is finances or capital. So one of the big things like where people can get over leveraged in their business

especially when you're starting up is not having like the cash on hand to be able to do things. so leveraging other, it's basically getting other people's money and using other people's money instead of yours. And this is where like a lot of like really big name businesses like really do that. I don't think in chiropractic it's necessarily like going to be the biggest lever that you can pull is like using other people's money unless you're like franchising like.

Alejandro and Emily Elias, like if you wanna, say you wanna get an office, well you can use their money and their systems to open up your own office and you don't have to come up with the 10, 15, $20,000 it would take for you to open up your office and then worry about, are you gonna be able to pay it back? You can use their money, their systems that have a guaranteed proven way to get you a million dollar practice. Right, and then you just pay that back later.

after you have an asset that's generating cash. It helps you not lose opportunity. What are your thoughts on that,

ZT (25:45.974)
I don't think there are ways, you know, there's line of credits, there's loans, there's equipment loans. I have no experience in that, so I'm not going to necessarily speak on it, but I know that that's like kind of that next tier I would say from a leverage standpoint.

Spencer Dupre (26:05.838)
Yeah, for me, the biggest thing that I really like in my practice is I really like consistency and I really like the sure thing that I know my practice has taken care of. so having a savings account that I could then leverage for capital. basically, say I have $10,000 in my money market account, I can then go and use that instead of spending my $10,000, I can go and get a $10,000 loan against that.

ZT (26:32.474)
against it.

Spencer Dupre (26:32.844)
instead of having to come up with another $10,000 or pull it out of my savings account. So like we're about to go and get SoftWave. SoftWave's a pretty expensive investment. And since we're running the whole wellness center thing, I think that SoftWave has a separate business, not as an addition to our chiropractic office, like really kind of fits our model. So it's with the whole wellness center thing. So we're gonna go and we're probably gonna add that later on in the year, or that's at least my idea right now. And instead of having to go to the bank,

and put my personal credit online or put my business up as an asset against it. I just have the savings account that I can take a line of credit against and the only stuff that I take from it is what I need. so that's just leveraging capital. It's really, really applicable in real estate and all that kind of stuff. Same thing in your car-packing business though, if you wanted to buy the place that you were renting or build a building for your office.

ZT (27:19.194)
That would be.

Spencer Dupre (27:25.356)
Well, that would take a lot of cash. so having different ways to have access to capital is going to give you more leverage, you more buying power. You'll be more of financial weight in the market.

ZT (27:35.962)
We could always have Sir Shannon on to discuss utilizing lines of credit and things like that. Yeah.

Spencer Dupre (27:41.838)
Yeah, it's obviously not financial advice. It's just idea, but leverage. It's just, how do you get access to other people's money that you don't have to come with on your own? Because you would have to then generate your own dollar to then spend your own dollar. Whereas in, you just get somebody's dollar that they have and then you figure it out later. At least that's kind of where I'm at. Not financial advice. But, okay, then the last type of leverage is called media. So this is just your...

evergreen content. it's basically the media outlives you, right? And so the idea behind media, and Zach is the media king compared to me, you'd be on TikTok, bro.

ZT (28:19.3)
So I mean, that's, I do be on TikTok.

Spencer Dupre (28:23.64)
follow at drzachthompson on tiktok.

ZT (28:26.488)
Yeah, I'm just blabbing on there. It's just fun.

Spencer Dupre (28:28.334)
But yeah, so it's basically though, like, I mean, you're sitting here, we're having this conversation, but then other people right now in this moment are watching your TikToks from two years ago or, you know, whatever. And so you're still having multiple conversations at masses. So you're one conversation to a million people versus one conversation to one person. And so your media continues to live on and have the conversation without you. So people are getting to know you while you sleep. What are you guys doing for media?

ZT (28:55.186)
our goal is to posts a week on Instagram. typically we like those posts to also go on YouTube. That's, but my Google SEO team, they run the YouTube side of things. so he just takes whatever we post on Instagram should be going on YouTube. because YouTube is the second biggest search engine, which is always crazy. always crazy to think about.

And so we.

Spencer Dupre (29:25.39)
I learned a lot about golf on YouTube.

ZT (29:27.992)
Right. And, but I mean, now people are searching on chat, GBT, which is interesting. haven't like consumer wise other than like hotels or trips, that kind of thing. But it's weird to think that there's someone searching on chat, like best chiropractor near me.

Spencer Dupre (29:44.472)
Dude, don't use chat. use perplexity just because chat has to get updated. And I'm aware that chat has to get updated with its version of the internet. perplexity is living. When I looked up the definition of leverage, instead of going to Google or Safari looking it up, I just typed it into perplexity. And then it distills all that information for me. Software is leverage. But yeah, dude, me and Kaelin were looking for somewhere to go to brunch the other day. And we were like, hey, find me the best brunch place that's not like Big Chain.

near me. Dude, we found this place in South Lake that's bomb and had like really great ingredients, seed oil free, like really cool stuff. And it was great, dude. And I mean, I find myself more and more using perplexity at least.

ZT (30:27.674)
I'm just going to gatekeep the brunt spot.

Spencer Dupre (30:31.596)
forget what it was called, I'm not gatekeeping, but I'm forgetting. I have to ask Kate, but it was fire, dude. like, they had like shrimp and grits and beignets and like, I'm so sus about Cajun food in Texas. And it was good. So I'm about it. yeah, so.

ZT (30:44.76)
Yeah. Okay.

ZT (30:50.906)
Yeah, we actually, we used, we used chat, when we went to like Tahoe back in May, like that whole trip was basically playing through chat.

Spencer Dupre (30:58.904)
I think it's funny how like chat is like, like referencing chat, like just, yeah, like I was talking to chat and like people kind of know what that means now. It's starting to become like a household verbiage.

I still don't know personally how reliable chat GPT is in terms of like searching and researching and stuff. know they have the deep research thing and.

ZT (31:16.386)
It's kind of, it's, it's like the, the base. I'll like for Lake Tahoe, like I used it as the base and then I would go better via like, so again, so, and this is how like people find you, right? They'll maybe find you on chat, GBT, and then go look at your Instagram, go look at your YouTube, whatever. And so I know a lot of people like, we'll just focus on one as opposed to how can we get this, like, how can we take care of multiple medias? And I think that's where leverage comes in as.

What can you utilize? Who can you utilize to get your messaging out there?

Spencer Dupre (31:49.996)
Yeah, exactly. mean, and the thing is, is like the more messages that you have out there, the more that these AI engines are going to be able to find your stuff because they're crawling your everybody's content for keywords. And so the more keywords that you have, the more relevant you're going to be in their searches. Like, yeah, dude, I mean, I have had a ton of. I've spent a lot of time talking to perplexity about golf and like researching my irons and like just.

ZT (32:00.997)
Mm-hmm.

Spencer Dupre (32:15.982)
different kind of things like to learn because I'm a huge learning guy. I love to learn, but I'm not just learning about that. I'm learning about, you what are the new what's the new Apple products coming out going to be like and how can I use those? What's the average market price of a car? I asked this the other day, like what's the average price in my market for a chiropractic adjustment to figure out where my price that compared to everybody else? know, demographic research and all of those kind of things like that's huge, like where I used to have to do the like Google where you'd have like

16 or 17 pages open and you're like, I used to do this. I'd have like a bunch of different tabs open and I would like take notes on like, okay, this and this and this and this and this, like the information I wanted from those tabs so I wouldn't get lost in it. And I mean, now it's like literally right in front of you. So I guess I'm old school, aging myself.

ZT (32:46.042)
Thank

ZT (32:51.258)
tabs.

ZT (33:04.302)
Yeah, you are old school, old school guy. cool.

Spencer Dupre (33:05.838)
Hey, that's me. That's me. right, dude, 33 minutes. Okay, so four types of leverage to recap. Team, systems and tech, finances and media. And so the basic premise is you need to have a well-trained team using efficient systems funded by other people's capital that is deployed by media. And that's pretty much like the stack. so...

A lot of times you don't have to think about media and capital as much as you do team and systems. And for us, the biggest decision of do we need to focus on team or do we need to focus on systems or are we in a develop or delegate situation? Do we need to develop a system for the team member to do a better job or do we have too much work that our team members that we need to put somebody else in that seat to do that? And that's pretty much it.

ZT (33:56.889)
Nice.

Spencer Dupre (33:57.816)
That's like the forever wheel that we are turning with Empower just to continue our growth and to continue to have like the same experience as we see more patients. Because as you get busier, you don't have more time, you just have to more hands and how to be more efficient. So, got anything else?

ZT (34:14.33)
Yep. Amen.

Spencer Dupre (34:18.456)
That was good. All right guys, thanks so much for listening to this episode of the What Now Podcast, your favorite podcast every week. See you guys. Peace.

ZT (34:19.514)
That was good.

ZT (34:26.108)
Peace. Go low.