CF 360: Selling Part Of The Clinic, Females Controlling High Blood Pressure, & Muscle Strength and Cardiorespiratory Fitness Today we’re going to talk about Selling Part Of The Clinic, Females Controlling High Blood Pressure, & Muscle Strength and Cardiorespiratory Fitness But first, here’s that sweet sweet bumper music  

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  OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel.  I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together.  Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do. 

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You have found yourself smack dab in the middle of Episode #360 Now if you missed last week’s episode, we talked about ‘Do physicians follow guidelines and updated chiropractic trends’. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

I just returned from a trip to Ft. Worth for a business thing. I mentioned last episode that I am potentially selling 60% interest in the clinic here to a private equity group out of Houston.  You know, selling 60% of your blood sweat and tears over the course of 25 years or so….that’s a hard thing to come to terms with. But, when you consider some factors, it starts to shine up like a bright shiny penny.  For example, I live in Amarillo, TX.

While I love my city, there aren’t a ton of chiros busting down the gates to be established here. If I wanted to sell my practice on the market by myself, I’d be hard pressed to find a buyer. If I DID actually find a buyer, I don’t think I could get what I’d want for it at all.  How many stories do I need to hear about chiros that are ready to retire not being able to sell their practices so they’re basically just SOL and have to shut the doors and get nothing for their years of work? How many of those do I have hear before I actually take them to heart and believe them?

This group is offering more for 60% than I believe I could get for 100% on my own. Basically.  Another thing is that I’m 52 and while I am young for retirement when we consider other professions, I am getting to an age that a full day take more of a toll on my body and my energy than I’d like to admit. When I see 45 patients in one day at 52 vs when I was 42….there’s just a damn difference. 

Here’s the most important factor; I’ve had COVID 5-6 times now and I’ve only missed 1 day of work. I know some of you are clutching pearls right now but I didn’t always know at that exact time that I actually had COVID and just to safe, I always wore a mask and was OCD about keeping my hands clean. 

The point is; that’s not fair to me, it’s not fair to my patients, it’s not fair to my family, and it’s not fair to my employees that LITERALLY EVERYTHING depends on my presence in the clinic. IF I’m out, everything suffers. I’m a fool and I’m irresponsible if I don’t do everything I can to make this clinic and the lives of my people more stable.  If I get sick sick, if I need a surgery, if I break a bone…..everybody is wondering if they need to find a new job.

We can’t have that and bringing in a partner is how we’re going to be bigger, stronger, and more stable.  They’re going to help me bring in an associate, when the finances make sense, they’re going to help bring in a PT, and they’re going to help bring in pain management services. 

When you combine these with the fact that we already have a young and slowly building medical brand, acupuncture, massage, etc….these things should all contribute to a very well-rounded, comprehensive clinic that can run should I happen to be absent. 

And lastly, I want to travel while my hips and knees allow me to travel. I want to paint and sculpt and make music and do my voiceover and do more of the things that feed my soul. Instead of ONLY the things that feed my family. I need more of a mix. The longer I live, the less time I have to live.  So it’s time to make a move and make it count.  See? When you really start to break it down and put it into context, selling 60% doesn’t seem quite so awful now does it?? 

Plus, the clinic doesn’t change. We’re already successful. They don’t want to change what make my clinic what it is. They just want to add to it and optimize what we’re already doing so well.  Yes please. And pay me while we’re at it and allow me to get off of the damn hamster wheel I’ve been on for 27 years. 

So….that’s what’s up with me. Ft. Worth was an owner’s meeting for this group and I met with and made friends with chiros and PTs and MDs from around the state of Texas.  All of them except for one, when I asked them if they were happy and would they sell part of their clinics again…..all but one said absolutely and if I’d have known about them sooner, I’d have done it sooner. And I have two good TCA buddies that have been with this group for over 3-4 years or so and they say they’re working less and making more money and would absolutely do it again. 

There you have it. I’ll talk more about this as I go through the selling process but now you know my thinking on it and why, for me, the price is right and why we’re doing it.  More to come.

Here’s this week’s research.

Item #1 Our first on today is called, “Hypertension Management in Women With a Multidisciplinary Approach” by Nobakht et al and published in the Mayo Clinic Proceedings in March 2025 and that’s This Month kind of HOT!!

Remember, the citations can be found at chiropracticforward.com under this episode. 

Hypertension Management in Women With a Multidisciplinary Approach Nobakht, Niloofar et al. Mayo Clinic Proceedings, Volume 100, Issue 3, 514 – 533

Why They Did It Current clinical practice guidelines were established by several organizations to guide the diagnosis and treatment of hypertension in men and women in a similar manner despite data demonstrating differences in underlying mechanisms. Few publications have provided a contemporary and comprehensive review focused on characteristics of hypertension that are unique to women across their life spectrum. 

How They Did It We performed a computerized search using PubMed, OVID, EMBASE, and Cochrane library databases between 1995 and 2023 that highlighted relevant clinical studies, challenges to the management of hypertension in women, and multidisciplinary approaches to hypertension control in women, including issues unique to racial and ethnic minority groups Basically they found the following:

They say 626 million women are living with hypertension and in the US, nearly 1 in 2 adults has it.  Hypertension is more prevalent with black women at 45.3% followed by white, hispanic, and asian all very close to each other in the 31% range. 

Some risk factors are oral contraceptives, salt sensitivity, and endocrine conditions. Pregnancy, of course. Menopause as well.  Some of the multidisciplinary recommendations are as follows:

DASH diet

Weight loss

Physical activity

Stress management

Adequate sleep

Limiting alcohol consumption

Smoking cessation

Recommendations of the review are:

• Multidisciplinary approach to hypertension management
• Personalized strategies considering lifecycle, race, and individual factors
• Increased awareness and culturally sensitive screening
• Long-term cardiovascular risk monitoring

Item #2

The second one this week is called, “Comparison of Muscle Strength and Cardiorespiratory Fitness in Relation to Cardiovascular and All-Cause Mortality: The Copenhagen City Heart Study” by Schnohr et al and published in Mayo Clinic Proceedings in March 2025 and it’s all so damn hot. 

Comparison of Muscle Strength and Cardiorespiratory Fitness in Relation to Cardiovascular and All-Cause Mortality: The Copenhagen City Heart Study Schnohr, Peter et al. Mayo Clinic Proceedings, Volume 100, Issue 3, 488 – 498

Why They Did It To compare the association between muscle strength (MS), cardiorespiratory fitness (CRF), and all-cause and cardiovascular disease (CVD) mortality.

How They Did It Th