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Success in chiropractic isn’t about luck, personality, or talent — it’s about intentional thinking, consistent action, and refusing to quit when things get uncomfortable.
If you’re feeling the pressure of growth — or realizing your systems and team aren’t ready for the commitment you want to bring — book a free strategy call with Dr. George Birnbach: https://myfivestar.com/work-with-us/
This episode was generated using AI voices, based directly on real teachings, coaching calls, and frameworks from Dr. Noel Lloyd and Five Star Management.
Welcome back to the Chiropractic Deep Dives, a special segment of the Successful Chiro Podcast. Our mission is, well, it’s always the same, to take these really complex sources, in this case, an intense internal strategy call, and just deliver immediate, actionable insights straight to you. This Deep Dive is brought to you by Five Star Management.
You know, as a chiropractic consulting company, we believe that the systems you use are really only as good as the energy you bring to them. That’s so true. So today we’re sharing some vital knowledge. It’s distilled directly from a session led by Dr. Noel Lloyd, and it’s focused entirely on two things, two pillars, commitment, and energy. And that is such a core challenge right now for so many chiros, isn’t it? I mean, you look around, you see others who seem to be thriving, but you feel that, uh, that frustrating lack of consistent energy, right? You know the things you should be doing, but you just keep putting them off. Dr. Lloyd was talking about that exact energy drain.
He was and his mission for that call. And you know, our mission for you in this deep dive was so clear. It was to install the mental framework, you need to consistently make better decisions, take massive action, and just stay the course to get to those new heights. Exactly. And when you do that, the outcome is well, it’s predictable.
You get more excitement, more consistency, more joy, more growth. And this is the big one. More fun. Dr. Lloyd always says, fun isn’t a bonus. Fun is job one. I love that. So where do we start? Let’s start with the diagnosis. How do you even know if you’re suffering from this commitment deficit or an energy drain?
Dr. Lloyd detailed the symptoms and there are things people often mistake for just, you know, burnout. Okay? Like what? Well, tasks that should be routines suddenly look daunting. Or you look at your big goals, say doubling your practice in two years, and the journey just looks too hard. Too far away. Too far away.
The simplest way to put it is that everything just feels like too much work. And that feeling too much work, that’s where the whole negative cycle starts. It is. And Dr. Lloyd’s foundational premise, which is so key here, is that we are intentional beings. We’re not instinctual like an animal. Exactly. A deer runs from a threat on instinct.
We as humans. Have this unique capacity to actually choose our internal dialogue and energetic, committed people. They weren’t born that way. They’ve just learned a specific kind of self conversation. So it’s a language, a language you can learn. You can absolutely learn it, but it requires being intentional.
But hold on, just choosing the thought isn’t enough. Is it? Because I know plenty of people who think positive thoughts, but they don’t actually move the needle. That’s a critical distinction. And Dr. Lloyd was very clear on this. Positive thought must translate into positive action, right? He said, if what you think makes no difference in what you do, it makes no difference what you think the action is, what creates the momentum.
You have to act your way into the right feeling, not wait for the right feeling to show up before you act. You can’t wait. Yeah, you’ll be waiting forever. Okay? So to build that energy we have to what? Clear the field first. You have to clear the field. We have to identify and, uh, really eliminate the mental enemies, the bad thoughts that are hurting us every single day.
One of the participants, um, had a really interesting, almost philosophical take on this. He said it starts with assessing what is. Right, the reality, the reality. Maybe it’s a slow Monday morning. Mm. Then you unconsciously decide that it should be something different, a busy Monday. And it’s that gap that dichotomy between is and should.
That’s where the frustration comes from. That’s the leak. It’s a huge leak. And the classic version of this is just the comparison trap. You know, looking at other big practices and feeling like you’re not enough. Yeah. Wishing you were hitting, you know, Dr. numbers or making Dr. money, and that’s the point that was made on the call.
You’re comparing your messy middle journey to someone else’s highlight reel to their destination. You don’t see the 10 years of work that went into it. A failure, the investment, all of it. The freedom comes when you just let go of that comparison. It really is the thief of joy. Okay, so that’s external frustration.
What about the internal stuff like self-doubt? That’s another huge one. Another participant pointing this out. It’s that internal conversation like, that’s too many people for us to handle, or That marketing plan is gonna be too hard. And if your team starts thinking that way. It is over. You’ll subconsciously cap your own growth.
It becomes a self-fulfilling prophecy before you even start, this connects directly to what I thought was one of the most powerful insights of the whole session. It was about purging specific kinds of questions. The three forbidden questions. Yes. Yes. Dr. Lloyd’s stress this. You have to ban any question that starts with the words when, why, or who.
Give me an example, why does that office have more visits? Or who’s gonna step up around here? Or my favorite, when is the economy gonna get better? And the reason those are so toxic is they shift control. Yeah. They put it completely outside of your hands. 100%. They invite blame, complaint and delay. Yeah.
They are commitment killers because they paralyze you while you wait for an answer, you’ll probably never get. What about the fear of of success? That sounds counterintuitive. It does, but it’s very real. A participant talked about his practice jumping from like 368 visits to 425 in a week. Wow. And his first thought wasn’t excitement.
It was, there’s no way this can last. The fear of losing control. Exactly the fear that the systems will fail or the team will get overwhelmed. Another participant confessed to that exact anxiety that if they grow too fast, their current patients will drop off. That’s a super relatable fear, though. It is.
And Dr. Lloyd shared this great analogy from his dad about thunderstorms. When you hear the thunder, it means you’re still alive after the lightning. The storm is scary, but you’re still here. You can handle it. You have to ground yourself. In your own capability tying this all together, is that that pressure trap, that thought of, how am I gonna do all of this?
Yes. Juggling home work, new initiatives that thought just sucks the energy right out of the room. So if those are the bad thoughts, what about bad actions? The obstacles we put on our own way, let’s run through them. It starts with the smallest betrayal of your day. Hitting the snooze button. Hitting the snooze button.
It’s a literal, immediate opt out of discipline, choosing comfort over momentum, and right there with it is procrastination. Just putting off the hard stuff. Yeah. Choosing the easy thing over the difficult thing. A great example given was spending two hours on social media posts because it feels productive.
Instead of doing the hard work of say, staff management or looking at your stats. Exactly. You choose the comfortable activity over the growth driving activity and finally the shiny new object syndrome. Oh, yeah. Chasing some new fad before you’ve even mastered the fundamentals. You got it. Okay, so that’s the problem.
Let’s get to the solution. The best thoughts, the best actions. The first one is foundational clarity of vision. If your commitment and energy are low, it’s usually because your vision isn’t clear or you’re not engaged with it. It’s that analogy, right? It’s hard to remember. Your job is to drain the swamp when you’re up to your tail in alligators, that’s the one you have to pull back.
Remember the goal and re-engage with your why. But that big picture can still feel overwhelming. It can. So the antidote is to focus on the micro step. The mantra shared was. I can’t do it all, but I can do the next thing. I love that. And there was a specific method for that, wasn’t there? Super simple.
After a big training, you might have a thousand ideas, write them all down, but then just pick the top three to tackle immediately. Keep a physical pad on your desk. Focus on one thing at a time. Let’s go back to that personal accountability idea. If we ban why, who and when? What’s the question we should be asking?
The only legitimate question is, what do I need to do to get what I want? That puts you right back in the driver’s seat. Instantly asking, what’s wrong with me is useless. It bleeds energy asking What do I need to do? Points you directly toward a solution. And then there’s chunking the challenge. That idea of one day at a time.
Yeah. One participant brought up the old aphorism. How do you eat an elephant? One bite at a time. You don’t have to solve the whole thing today. Just take the first bite that leads perfectly into the next one, which I think is a huge mind shift for doctors thinking who not how? This is the highest form of leverage.
Instead of asking how I get something done, like building a new website, ask who knows how to do it better than I do and delegate it to them. That’s a tough one for a lot of high achievers. It is, but it’s essential if you spend five hours trying to fix something a pro could do in 30 minutes. You’ve just wasted five hours of your high value time thinking who frees you up to do what only you can do?
Okay, here’s the one that I think should be taped to every chiropractor’s mirror the idea of differentiating between pressure and stress. This is an absolute game changer. The rule is this, if time and money will fix the problem, it’s just pressure. It’s just a cost of doing business. It shouldn’t be allowed to cause deep emotional stress, right?
If time and money won’t fix it, maybe a deep relationship issue or a health problem that is true stress, and that requires a totally different kind of thinking. Like Dr. Lloyd quotes his father, if you can fix it with money, it’s not a problem. We have to stop confusing logistical pressure with real existential stress.
Knowing the difference saves so much energy. So we’ve talked about actions and thoughts. Mm-hmm. What about cultivating a certain state? Like gratitude. Gratitude is a foundational energy source. A participant talked about starting each day with intentional gratitude. The reason we get overwhelmed is we lump all our frustrations together.
We treat a late report like it’s a life or death situation. Exactly. When you engage gratitude, you put the small stuff in its proper place, it gives you perspective, and that leads to a healthier outlook, right. Thankful for yesterday. Grateful for today, hopeful for tomorrow. Beautifully put. It keeps you balanced, but it has to be an active choice, and there was a great actionable step for this.
Meditating on gratitude on the drive-in to the clinic. Yes. Turn off the radio. Rehearse the good things your team has done. Focus on patient wins. Walk in the door as a leader, focused on celebration, not a boss looking for what’s wrong. And this focus on the positive is why FSM is so big on tracking wins.
It is. Your true competitor isn’t the doctor down the street. It’s who you were yesterday. And a participant gave a great example. He was celebrating having a hundred pie day patients this year versus 80 last year. Yes. He wasn’t comparing his 100 to someone else’s 600. That’s the coaching principle.
Compare yourself to yourself. An associate hitting 10 patients in a day for the first time is a massive win. You have to celebrate that growth. To wrap this all up, I wanna leave everyone with Dr. Lloyd’s story about persistence. Ah, it’s a powerful one. He shared how he took over clinic, had to fire the entire staff, and suddenly he’s back to being a solo practitioner.
Working seven to seven, running the whole clinic alone. And then he was tempted to quit to just sell it for parts, but he refused to surrender. He made that committed choice to rebuild it one day, one system at a time, and he did. He built it back up and he sold it a huge profit. That refusal to give up that commitment, it built his reputation with himself.
The lesson is so clear. Success is not about luck or personality. It’s about intentional choice and persistence. You have to choose the actions and thoughts that serve your goals. So what does this all mean for you listening right now? It means adopting that intentional language, asking what do I need to do?
And taking responsibility and stop comparing your chapter one to someone else’s Chapter 20. Exactly. And if you’re feeling that pressure, that fear of growth, or you realize you need help with the thinking who, not how part. Because your systems aren’t ready for the growth, your new commitment is about to generate.
We want to help you for personalized guidance on building the team and systems to handle that energy. We really encourage you to book a free call with Dr. George Birnbach. He can help you map out those critical next steps. The link for that is right in the show notes. And of course, subscribe for more tips and deep dives dedicated to your success. Thank you so much for joining us for this chiropractic deep dive. We’ll see you next time.
Current and cutting edge guidance to profit and joy in practice. Glad to have finally found them. I made an extra 75k this year and am moving out of my own personal “Groundhog Day” hell toward a joyous life.
I have been a client multiple times over the last 25 years. Excellent coaching, relevant and fresh content and have my best interest at heart.
Exceptional!! Definitely recommend. Game changer
I was a client years ago and just rejoined in Jan. 2018. Dr. Lloyd helped me learn how to attract and retain great patients years ago, and now with my new practice in Portland, OR. I'm super excited to be back with him and FSM. Thanks a lot Dr. Lloyd!
Best Organization ever. Very good and educated seminars. Dr Lloyd and Dr. Birnbach are the best.
Great program. Drs Noel and George provide powerful and highly relevant material that is current with changing times and tailored to our individual offices. I greatly appreciate the ability to grow while serving patients ethically and congruently.
So many ideas to promote my office. Like they say, if you can't find something you like on the menu, your not hungry!
I always look forward to going to the 5 star seminars to get recharged and callobrated for our office. In the previous 2 years we have grown personally and professionally in our practice with helping more people and having more fun! I am confident that we are able to train other Doctor’s and team members to be their very best. The steps are simple and Drs. Noel, George, and Leah are excellent and will help you with what you need! #bestdecision EVER!
Dr Lloyd is very precise and gives you the tools that can be valuable to not only uplift your practice but also improve the psyche to know that you can get to a target with his steps<br>Thank you for terrific weekend.<br>Dr Jignesh Bhakta. I would throw in a six star but they only allow 5.
Dr. Lloyd & Dr. Birnbach have been instrumental in providing us with the skills to make our practice grow. Thanks to their guidance we are on target to make our goals a reality. Thank you Five Star Management. You all are truly a class act operation.
Having great time at the new patient seminar. Dr. Loyd and Dr.<br>Birnbach dishing out great info.<br><br>Dr. Guyton
Fantastic work teaching chiropractors to expand their offices. Dr. Lloyd and Dr. Birnbach have been instrumental in helping us create the practice of our dreams and sharing chiropractic with our community!<br>Thanks<br>Dr. J
Five Star has changed my practice and my life. My stress is down, my success is up and my patients are happier than ever!
I love the seminars. Always great content to help a chiropractic or alternative medicine practice run smoothly. Thanks for your help!
Fantastic group! They helped me start a successful practice.
It is hard to imagine a better organization to coach and advise chiropractic businesses than Five Star Management. Every person at Five Star is available to whatever I need of them at the moment. I have valued my personal coaching relationship with Dr. Noel Lloyd. Everyone at my clinic knows that this year will be our best year ever in practice. Thanks to their guidance I have hired my first associate chiropractor and we are about to rip it up. No looking back!
Fivestar is a focused, step by step, approach to getting your practice in shape and then shooting for the stars.
Best year ever after best year ever, love this program. Thank you Dr. Lloyd!
Dr. Lloyd and Dr. Birnbach are fantastic! I learn something new every time I go to a seminar! They provide great feedback and offer resources to make your practice operate with ease! Thanks so much
I have been a member for 2 years. Since joining I have hired an associate, a community outreach assistant and had my first child with a 16 week maternity leave. I have had best ever numbers across the board and have helped more people than ever! Plus I have more time off to spend with my family. 5 star is hands down the best! Thanks Dr Llyod and the 5 star team because you guys rock!
Dr Noel Lloyd has been amazing to work with. He can help with any situation and can customize it for your office. Not the typical practice in a box only one way to do things. He's help make practicing fun again as well as increasing my profits.
Fivestar has helped me streamline my clinic procedures to provide excellent care to our patients in a low-stress atmosphere, with plenty of time for each patient. Thank you for helping me care for our patients better!"
My husband and I have been clients for two years. We have been thrilled with five star. The coaching is custom tailored to fit the needs of your practice and the vision that you have for your practice. Dr. Noel Lloyd, Dr.George Birnbach, Dr. Leah Meadows and their fantastic team do not have their own agenda. They listen to you and help you to reach your goals. The seminars are fantastic. I always come away with a very long to do list. The information is relevant to chiropractic practices today.We would highly recommend five star to any doctor looking to help more people, have more fun, make more money, or reduce their stress.
I've been a client for over 4 years now. Solid systems, solid support, great staff. I have tripled my my income in the last 4 years without working additional hours and the seminars help not only me, but help train and involve my staff. Dr. Lloyd, Dr. Birnbach, and Dr. Meadows are all truly committed to getting you to the next level and beyond. The clients in Five Star vary from the beginner to the seasoned multi practice owner with multiple associates making it relevant for just about anyone. Thanks for all your help!
My Name is Dr. Ricky Hanks. I have been in practice now fore 30 years.I am in my second year as a client in 5 Star Management. The whole team is amazing. The front line ladies of Amanda and Brittany are wonderful. The personalized coaching form of Dr. Lloyd is refreshing, caring, and based in chiropractic wisdom. Drs. George Birnbach and Leah Meadows add a special variety of marketing wisdom, business organization, and chiropractic office skills to the overall program. The 5 Star website is a virtual gold mine of wisdom and webinars that are taking me to the next level of excellence.<br><br>The whole 5 Star program has been an experience that has returned more than 10 times a ROI (Return on my Investment) in this program just in my first year.<br><br>Dr. Lloyd has been a compassionate, caring and understanding consultant/coach who has led me to be a better husband, father, grandfather,chiropractor,business owner, and person overall.<br>He has taught me to communicate better and more effectively with my team and my patients. His business/financial training has re-enforced that life is a fair and equitable exchange.<br><br>Have more Fun...Help more People...Be more Successful !!!<br><br>I highly recommend 5 Star to old veteran Chiropractors like me and especially young Chiropractors still in school or just fresh out of school. I only wish I had started with the Five Star Team 30 years ago!!!<br><br>Ricky L. Hanks DC