In this episode, David, Rich, and Strat discuss their recent life changes, including Rich's transition to medical school and Strat's international teaching experiences. They delve into the responsibilities of practitioners in meeting patient expectations, the nuances of chiropractic care, and the importance of evidence-based practice. The discussion also touches on the claims made about chiropractic care for non-musculoskeletal conditions and the potential dangers of misleading information in the profession. In this conversation, the speakers delve into the nuances of chiropractic care, discussing the effectiveness of manual adjustments compared to other therapies, the complexities of clinical decision-making, and the role of chiropractors within the broader healthcare system. They explore the future of chiropractic practice, the concept of maintenance care, and the transition from rehabilitation to performance-based care. The discussion emphasizes the importance of patient-centered approaches and the need for a cultural shift within the chiropractic profession to enhance its credibility and effectiveness.

Chapters: 00:00 - Introduction and Life Updates

07:32 - Teaching Internationally: Experiences and Insights

16:46 - The Role of Manual Therapy

28:15 - Chiropractic Care Beyond Musculoskeletal Conditions

33:32 - The Concept of Happy Accidents in Treatment

41:52 - Mechanisms of Action: What Really Matters?

47:59 - Clinical Decision-Making in Chiropractic Care

54:55 - Chiropractic's Role in the Healthcare Landscape

01:04:31 - Navigating Difficult Conversations with Patients

01:10:42 - Understanding Maintenance Care in Chiropractic

01:16:50 - Patient-Directed Care and Its Importance

01:24:07 - Transitioning from Rehab to Performance Care

01:29:10 - Direct Primary Care: A New Approach to Healthcare