Blog

07/Aug/2017

There are not a lot of people out there that cannot relate to having between 150K-200K in student loan debt while trying to go out and start a practice, while not being completely sure of your skills.  In my experience, I ended up working as an independent contractor at a successful clinic.  When you start into practice, you think you are going to go out and change the world, little do you know that it is not that easy. 

The “business class” that you take in school tells you to go out and join your local chamber of commerce, be involved and get out and be seen in the community.  They don’t tell you that just because you are visible doesn’t mean those people become patients.  About a three months into practice you realize that this is not going to be as easy as they portrayed in school.  I thought I was doing all of the right things, treating the few patients that I had with care and getting them as well as I could. 

After a few months of working, I started to realize that the harder I worked the more money the owner of the clinic would make.  As you will figure out throughout this blog, I am very much a numbers person.  I started to crunch the numbers because I was not happy with the situation that I was in and my wife would be the first person to tell you that.  I had conversations with the clinic owner in hopes of changing the percentage, it was eventually changed to a more favorable rate but ultimately did not work out.

The clinic that I was working in was moving towards more internal medicine and supplements.  Come to find out this is not how I wanted to practice and after about six months, I started to think about leaving.  I had done the math about how many patients I was going to need to see to make it work on my own.  The main hang up in the equation was that I had a non-compete clause in the contract that I signed.  This is what sparked my interest in setting up a clinic that was outside of the radius so that I would have some income just in case I was to get sued for a breach of contract.  This is where the Arnold clinic comes into the picture, but I will get into that at a later post.

I spoke to attorneys and was assured that the likelihood of me losing a lawsuit for a non-compete clause would be rare, but that I would need to have the money available to fight the suit just in case it came along.  My wife and I started scouting potential sites (I refer to a lot of the decisions that I have made in my career as “we” because Kristina has been by my side from the beginning and has been very supportive of decisions that have been made).  We found a location in downtown Kearney and was told that I better have everything lined up and ready to go when I handed in my notice.  Normally with independent contractors, when you hand in a notice that you are leaving, the clinic makes you leave that same day and not to return, but this was not the case.  I worked the final month of my contract, but was not able to bring patients with me when I decided to leave.

The one thing that I had going for me at the time in 2013 was that I had saved enough money that I did not need to take out a business loan to start my practice.  I started with very basic equipment and a simple exam table, I am certified to perform DOT/CDL Physicals and needed this type of table in order to accomplish what I needed to get done.

As it turns out, I never ended up having to fight a lawsuit for a breach of contract, opened up a satellite office in Arnold and have had a successful practice in Kearney since the beginning.  If I would not have left when I did, Kristina and I have determined that I would have left the chiropractic profession as I was not happy with the job that I had and with the profession in general.  While I took a decrease in income after the first year, my sanity and happiness was much better.  The learning lesson in this: do what makes you happy and run with it.  Now I know that sounds cliché, but I am now a true believer in this thinking, your happiness and satisfaction with your job translates into how you are portrayed to the community and your patients which is highly beneficial when building a practice.

If there are any questions, please feel free to contract me and I will be glad to give more insight.


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31/Jul/2017

I have been wanting to start writing down thoughts for the past four years, so here is the start of something that is beneficial to the readers and an outlet for me.  I have wanted tell my story for some time as I feel that people coming out of chiropractic school are ill prepared for what the working environment is really like and how much of a struggle starting your own practice or buying one can really be.  This blog will document: how I got to where I am, the struggles that come along with practice, struggling with student loans and some interesting tidbits in practice.

The first thing I would like to do is introduce myself, you could just go read the about me page on the website but I hope to delve a little deeper into where I come from, my background and how I got to where I am now.

I was born and raised in Valley, NE about 15 minutes outside of Omaha on Hwy 275.  I had a fairly normal upbringing in a middle class family.  My dad worked in Omaha ever since I can remember and my mother is a retired music teacher.  I was blessed with a very solid educational background at a public school, my teachers were very instrumental in my educational guidance, but sports were my real passion throughout school.  I played basketball and baseball throughout high school and eventually accepted a baseball scholarship to play at UNK, which is what ultimately brought me to Kearney, NE. 

While attending UNK, I met my wife, Kristina Rupp, from North Platte and we have basically be inseparable since we were 19 years old (it’s really strange writing that, I don’t feel that old).  I majored in Exercise Science and Chemistry from UNK.  Baseball was my life the first two years of school, at which point it was determined that my love for the game had diminished and that I was actually on pace to graduate close to a year early.  I ended up graduating in 3.5 years from UNK. 

While taking Pre-Med classes at UNK, I ended up doing some shadowing and felt that chiropractic would fit my desire to treat the public with their health concerns and the lifestyle that I would eventually like to lead.  While researching chiropractic schools, I knew that I wanted to stay in the Midwest but also wanted a quality evidence based education.  I ended up actually only applying to National University of Health Sciences in Lombard, IL as I felt that this would fit my personality and my desire to live in a larger city. 

Three weeks after I graduated from UNK, I moved to Lombard.  My parents and Kristina helped me move but Kristina ended up having to go back to Kearney to finish up another year and a half of nursing school.  I will never forget orientation day at National.  Roughly 50 people that have never met each other, sitting in a room all of us anticipating what is to come.(You end up getting over those nerves, as some of my best friends and colleagues are the people that I spent 3.5 years with in Lombard).

If I recall, there was a group of 7 people that started and finished together and I can honestly say that we keep up regularly, go to each other weddings, children are starting to trickle into the equation and I consider them to be colleagues and resources, besides being good friends.  We stressed, studied, bickered, complained, led and followed while in school. 

When I was in undergrad, I shadowed a doctor which ultimately led to a part time job in college and went off to chiropractic school with the understanding that I would ultimately go back and work in that clinic.  I never really had to look or think about future employment, which we will get to later, but ended up being a mistake in my case.  With roughly a year left in school, I ended up working the morning shift on the National campus, most people wanted the afternoon session, city clinic, Salvation Army clinic or hell some had the option of a Florida clinic.  Dr. Grant Iannelli was my clinician and I consider him one of few people that helped shape how I continue to practice to this day, not only is he a great human being and is one hell of a chiropractor.

My friends make fun of me, as I believe I moved back to Kearney one day after I graduated into a house that Kristina bought without me ever seeing (we still live in that house, so it was a really good choice).  In the future posts, I would like to dive into my first year of practice, starting my own practice, operating a satellite office and eventually purchasing a large practice. 

If there is anyone that has any questions please feel free to contact me.


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