All Things Chiropractic

Hosts Paul Andrews and Dr. Mark Davini examine a real-world hospital cyberattack in New Mexico that forced mass appointment cancellations and diverted emergency care, highlighting the fallout: thousands of outpatient visits disrupted and hundreds of ER patients turned away.

The episode covers common vulnerabilities—Wi‑Fi risks, default router passwords, smart devices and printers with hard drives—and practical steps for clinics: battery backups, printed schedules, blackout forms, business associate agreements, IT support, penetration testing, and continuity protocols.

Listeners will get actionable guidance on whether to treat patients during outages, how to prepare electronic and paper workflows, and why relying solely on vendors or assumptions about HIPAA compliance isn’t enough. Expect real examples, regulatory concerns around AI overlays, and tips to keep your practice operating when tech fails.

Join hosts Paul Andrews and Dr. Mark Davini as they discuss how chiropractors can set up their day for success — from arriving early and reviewing the schedule to preparing mentally with intentions or brief affirmations.

They cover practical tips on staff coordination, handling early or time-consuming patients, music and office atmosphere, and the business side of practice management (capacity, procedures, goals) to reduce burnout and improve patient experience.

The episode also emphasizes introspection and mentorship: how your practice reflects you and why small, actionable changes can make your clinic more efficient, patient-centered, and rewarding.

Join hosts Paul Andrews and Dr. Mark Davini as they break down the management styles that shape successful chiropractic practices. In this episode they explore leadership approaches from benevolent dictatorship and contributory (democratic) models to coaching, laissez-faire, transactional, and transformational techniques.

Paul and Dr. Mark discuss generational dynamics, hiring challenges, staff training, rotating staff-led meetings, and the importance of walking the walk as a practice owner. They share real-world stories about setting expectations, giving feedback, rewarding staff, and maintaining proper hierarchy without losing team morale.

Listen for practical takeaways on staff meetings, onboarding, coaching versus delegation, bonus strategies, and how owners can balance business realities with empathy to build a loyal, high-performing team.

In this episode of All Things Chiropractic, Paul Andrews and Dr. Mark Davini break down the Department of Education’s new STATS (Student Tuition and Transparency System) and Earnings Accountability Framework finalized in July 2026, and explain why it may pose an existential threat to chiropractic schools and the profession.

They unpack how the federal benchmark—comparing chiropractic doctor earnings to bachelor’s degree holders—interacts with high tuition, student loan repayments, regional salary variations, and the high cost of College's compliance requirements. The hosts discuss how low insurance fee schedules and in‑network reimbursement pressure new graduates and small practice owners, and why many schools could lose federal funding if graduates don’t meet income thresholds.

Paul and Mark offer concrete responses and hope: entrepreneurship, shifting to self‑pay services and newer clinical modalities, investing in staff and practice culture, coaching, and sharing successful models so more chiropractors can thrive. They emphasize clinical excellence paired with business savvy as the path forward.

Guests: Paul Andrews and Dr. Mark Davini. Key takeaways include the regulatory timeline, the risks to schools and the profession, income benchmarks, root causes (tuition inflation and insurance), and practical strategies for individual chiropractors to increase revenue and protect the profession. Send feedback or success stories to [email protected] or visit allthingschiropractic.com.

In Part 2 of our interview with Dr Lisa Rister, hosts Paul Andrews and Dr. Mark Davini continue their conversation with Dr. Rister about GLP-1 medications and the evolving obesity-medicine landscape. The discussion covers how these drugs work, potential side effects like dopamine suppression and mood changes, and emerging agents.

Dr. Rister outlines practical clinical concerns for chiropractors and patients: the importance of individualized care, nutrition and lifestyle management, monitoring body composition (lean muscle vs. fat loss), micronutrient deficiencies, osteoporosis risk, and safe titration to reduce toxin release and side effects. The episode also addresses the challenges of easy online access to prescriptions, medico-legal implications, and how to collaborate with prescribers.

Key takeaways include counseling patients before starting medication, running targeted tests (e.g., fasting insulin, micronutrient panels), tailored supplement strategies, and providing ongoing support for titration and maintenance. For resources mentioned in the episode, listeners can visit spinalcarechiropractic.com or email [email protected].

Hosts Paul Andrews and Dr. Mark Davini welcome Dr. Lisa Rister from The Woodlands, Texas, for part one of a two-part conversation. Dr. Rister shares her chiropractic origin story—from Saskatchewan, Canada, through Northwestern Chiropractic College, to co-founding Spinal Care Chiropractic Center in 1999—and reflects on long-term partnerships in practice.

The episode covers clinical observations about obesity’s impact on spinal health, how adipose tissue drives inflammation, and why chiropractors are well positioned to advise on nutrition and lifestyle. Dr. Rister also discusses her advanced training in nutrition and functional medicine, practical experiences with GLP‑1 medications (Ozempic/Wegovy), and the broader benefit-versus-risk conversation surrounding their use.

This is an engaging, informative first part that blends personal story with actionable insights for chiropractors and patients interested in weight, metabolic health, and integrative care. Stay tuned for part two next week.

spinalcarechiropractic.com/balancepoint-nutrition/

Hosts Paul Andrews and Dr. Mark Davini discuss how rapidly evolving technology is changing chiropractic practice and whether seasoned professionals must adapt. They examine the difference between being "old school" and truly "outdated," using examples like EHRs, online continuing education, shockwave versus ultrasound, AI front-desk systems, and appointment text reminders.

Key topics include generational attitudes toward learning new tools, how COVID accelerated online adoption, practical advice to learn EHRs the right way, and when new technology genuinely improves practice versus when it only helps keep a business compliant.

Listeners can expect candid conversation, real-world examples, and actionable takeaways about what to adopt, what to be discerning about, and how to give yourself permission to learn (and fail) as you modernize your practice.

On this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini sit down with Dr. John O'Connor to hear his personal journey from paralysis to elite practitioner and to preview his interactive six-CEU class (Sept. 25, Norwood, MA). The conversation covers three core technologies—photobiomodulation/class IV laser, cervical and lumbar spinal decompression, and radial shockwave therapy and how to integrate them into effective protocols.

Dr. O'Connor shares practical tips on intake and patient communication, shifting to an elevated private‑pay model, increasing treatment acceptance and ROI, and moving from high‑volume insurance care to outcome-focused, boutique clinical pathways. Expect actionable advice on documentation, case selection, and creating compelling care plans that patients understand and buy into.

Hosts Paul Andrews and Dr. Mark Davini explore the growing ‘AI arms race’ between providers and payers, discussing how artificial intelligence is reshaping documentation, coding, claims processing, and audits in chiropractic practices.

They share real-world examples—from classroom AI cheats to law school laptop bans—and dive into AI tools like EHR listeners, payer analytics, and appeals drafting. Key points include the power of payer-side algorithms, the risks of AI hallucination, the need for human oversight, and how expanded ICD-10 coding and electronic records fuel data-driven scrutiny.

Hosts Paul Andrews and Dr. Mark Davini dig into why missed appointments are more than an annoyance — they undermine patient care and cost practices significant revenue. In this episode they talk about weak or absent recall systems erode credibility, interrupt treatment plans, and shrink the bottom line.

Topics covered include: the difference between time and number-of-adjustments-based care, quick-response outreach (call within 10–15 minutes), wording and scripts to keep patients from becoming defensive, using technology (texts, emails) to automate confirmations, and multi-step follow-up examples (calls, postcards, signed doctor self-termination letters). They also discuss scheduling capacity, when to avoid squeezing patients in, handling payment/credit-card holds and insurance complications, and how staff training and consistent procedures prevent revenue loss and malpractice exposure.