My time at UCSD Medical School

I had a rare opportunity to be invited to UCSD medical school to be on staff. It was a very part time position, but it gave me an insight into medical training that I do not think more than a small handful of chiropractors have ever seen.

On the bright side, I saw Mark Wallace M.D. who I consider a great friend of mine, and who is a huge supporter of chiropractic and patients rights. Mark works tirelessly for his patients, to make sure they are doing the best they possibly can be. Between the two of us, we have a long list of patient miracles where everyone else gave up on the patient, but between the two of us, we helped the patient heal, often completely from their supposedly incurable illness.

On the less bright side, I saw pharmaceutical representatives trying to influence the professors of the med school as to their prescribing habits. The group that I ended up hanging out with at the Medical school were by and large very top notch, and I do not think they were overly influenced by the drug reps. On the other hand, with the average doctor who is not focused on studying, teaching, and research on a daily basis, I think the drug reps could have a much stronger influence, and there were instances where I saw that too.

I will tell you one thing for certain is that you are much, much, better off getting your problem fixed when it is small, and early, than waiting until you need to be in the hospital to get it fixed.

The third start of my new San Diego Chiropractic Blog!!

I love being a chiropractor. I love being in San Diego. It is pretty much that simple. Chiropractic is simply finding bones in the spine that are stuck, and using a chiropractic adjustment, a chiropractor will unstick those bones and let the messages travel from your brain to your body, to tell the body what to do.

San Diego can be summed up by stating that it is almost always sunny. We have a great ocean, and fantastic people. Some of the nicest and sunniest people in the world are drawn to San Diego. I have faced great challenges, and great opportunities since I have been here. I wouldn’t have it any other way. I hope you enjoy reading more about the San Diego Chiropractic scene, and enjoy your time in San Diego as much as I do!

Medicare

Seaside Chiropractic has chosen to not be a Medicare provider and not be a participating provider in the Medicare system. Medicare has a long list of laws that a doctor is required to follow in order to get paid by the Medicare system. For a large organization such as a hospital or a large group of medical doctors it’s worth the organizations efforts to pay the legal fees to have their documents reviewed on a regular basis, and to have their procedures reviewed to make sure they are following within compliance of the Medicare laws.

Medicare regulations are long, complex and changing on a regular basis. It would require tens of thousands of dollars per year, I predict, to stay in compliance with these regulations. The benefit that Medicare is willing to pay to our office in return for this work is not enough, in my opinion, to make it worth while. This morning I spoke to the Medicare office that provides information to Southern California doctors. I was told by them that their payment for basic chiropractic adjustment is $26 dollars.

Based on previous analysis I have done, I would guess it costs our office somewhere between ten and twenty dollars per claim that we submit to insurance companies, just for the submission of the claim. So unfortunately, the processing of the claim and the legal costs, and the other costs including the doctor’s time, to remain in compliance to the Medicare laws will end up costing the office more than the money that Medicare would pay to us if we were to follow all of these steps, in my opinion. So as a result of this, our office has not and will not be a participating provider in the Medicare system.

Just a final note so you can understand my position on this, I have a good friend of mine who is a participating provider in the Medicare system. My memory of what he told me was that after many years of working with Medicare and doing a good job in helping his patients and carefully documenting every visit that he saw with his patients, Medicare did an investigation of his office.

His story continued that Medicare found that the specific way that he was documenting visits in his office, was not exactly the way the Medicare regulations required you to do so, as a result of this he was fined many tens of thousands of dollars from the Medicare system. If fact, I believe, by the time it was done including fines, penalties and legal costs he had spent well over $100,000 dollars.

This was not a doctor who was committing fraud, this was not a doctor who was cutting corners, he simply (at least the way he described it to me) saw Medicare patients, documented his visits, billed Medicare and was paid for them, but did it in a way that was not in 100% agreement with the laws of the way you document each visit that was required by Medicare.

If you have further questions on this, please contact me or one of my office staff

A Fish Tale that has nothing to do with our San Diego Chiropractic Office

Last night Tracey my personal assistant was relaxing in bed with her husband when she heard splashing coming from the fish tank. To get the full visual on this, Tracey is a few weeks from giving birth to Adrienne

She saw that her arrowana fish was fighting with her budha cofree fish. She lay ed down, and a few minutes later heard the same thing again. This time when she was watching them, they were fighting, splashing and swimming around the tank furiously.

The arawana is around 24 inches long, and weighs around 3 pounds.

The next thing she knows, the arawana leaps from the tank and is flopping on the ground. Tracy screams for Nelson, who comes running out.

Sitting next to the fish tank is a litter box for the cat, with a little doggy door on it for the cat to come in. The fish flopping on the ground somehow manages to catch some air, and leaps through the litter box doggy door, and into the cat litter.

Nelson, Tracey’s husband grabs the two foot long fish, who has now been breaded in cat litter and is holding him up in the air.

Tracey told him, you can’t just throw him into the tank, the cat litter will kill the other fish.

Tracey then filled the tub, and they placed the fish into it to give him a quick rinse. Nelson then put the fish back into the tank.

When they looked at the fish, swimming in the tank it looked shocked, and had cat litter all over his face and neck with chunks of cat liter flaking off him and floating around in the tank.

The next morning all the cat litter was off his face, he had a few battle wounds, and all the fish were O.K.

Good-Bye Derek MacBay student! Hello Derek MacBay Chiropractor!

A few years back, Derek MacBay worked in our San Diego Seaside Chiropractic office. He was a fun and enthusiastic addition to our office and everybody loved him. Yesterday I received an announcement and it hit me emotionally, much harder than I expected it would. It was the announcement that Derek had graduated from Chiropractic College.

Although chiropractic is one of the most amazing and beautiful inventions ever created on this planet, being a chiropractor is not necessarily the easiest job. I have such tremendous respect and admiration for Derek, for having made it through what he just went through. As a chiropractic student you are expected to learn all of the same information that is learned by medical students, other than studying about surgery and drugs. A chiropractic student these days is expected to learn how to diagnose everything from Osgood-Schlatter Disease to lung cancer and to be able to know if that pain running down the patients arm is coming from a pinched nerve in their neck or if the patient is suffering from a heart attack. It is a tremendous amount of information that has to be learned in an extremely short period of time. By a short period of time, I mean three and a half or four years.

A chiropractic student generally graduates Chiropractic College with over 100,000 dollars in debt. A chiropractic student is expected to have the same diagnostic skill level as a medical doctor graduating from medical school, but a chiropractic student has to do it without all of the help that medical students receive. Medical students have many more programs and facilities available to them than chiropractic students. A massive amount of money flows from pharmaceutical companies into medical schools, which allow the medical schools to have much nicer facilities. There are also many more programs available to help the medical student finance his or her education, than for the chiropractic student.

Most if not all the medical schools in California are also financed through your tax dollars. Places like University of California, San Diego Medical School or UCLA Medical School, are public institutions funded, in addition to pharmaceutical companies, by the state of California and your tax dollars. Chiropractic Colleges on the other hand receive none of this. As a medical doctor you also have programs available to you where you can do things like practice in a rural area that doesn’t have as many medical doctors in it for a certain amount of years and have some or all of your student loans forgiven.

The average salary of medical doctors is still astronomically higher than the average starting salary of chiropractors. So for somebody like Derek to go through what he has gone through, he’s done it purely from the view point of helping others and making the world a better place. I know Derek, and I know how energetic and passionate he is about life. I know that as a result of his graduating he is going to touch, shape and save thousands and thousands of lives.

For Derek, on behalf of Myself, Reagan, my Wife Jo, Seaside Chiropractic, the entire chiropractic profession and as a member of the human race, I congratulate you on what you have accomplished. I am thrilled to watch the story of your life, and the miracles you will create unfold before us. So Good-Bye! Derek MacBay, the previous employee and assistant of Seaside Chiropractic and Hello! Dr. Derek MacBay Chiropractor.

San Diego Car Accident Info

If you have been in a San Diego car accident, you can at least be comforted by the fact that approximately 1 out of 8 people in San Diego are in an auto accident each year. After doing approximately 700,000 chiropractic adjustments I would say that at least half of the treatment I do is because of either injuries from recent auto accidents or injuries from auto accidents far in the past.Sports injuries might slightly beat Auto Accidents or come in a close second.

If you found this page, you may have been looking for a San Diego auto accident attorney or a San Diego chiropractic office. Either way I will give you the basic information to get you started. By the way, I am not an attorney and anything I have on this page should not be taken as legal advice, if you need a good attorney I have lots of great contacts I could refer you to.

The first thing after an car accident, is to make sure that nothing life threatening has taken place to you. There are the obvious things such as broken bones or bleeding, but I am guessing if you have one of those this website is not the first place you turned to. If you do have an obvious broken bone or bleeding from your auto accident for gosh sakes dial 911 and put down that keyboard. The not so obvious things are the hidden broken bones.

People often expect that if they broke a bone they would have excruciating pain. The funny thing is, it depends on what part of the bone is broken and what part of the body it is in. When I broken my elbow I did have excruciating pain, (by the way I was skateboarding in a half pipe, trying to explain to some kids that were watching how to do a front side aerial, bad idea). On the other hand, over the years, I have seen a good handful of people who had small fractures of their vertebrae and had little or no pain. So if the car accident had any significant amount of force at all, you would definitely want to be checked out by a doctor and possibly have an x-ray taken to evaluate if there is a fracture.

The thing that is surprising to most people is just how little force it takes to injure someone. In physics, there is an interesting thing that takes place. If you take a light weight object and jam it into somebody going really, really fast it would do little or no damage. An example of this would be a one year old child on a bicycle going 20 miles per hour who runs into a full grown man. I’m not saying the guy who gets hit won’t get some cuts or bruises, but the little kid is probably not going to cause any significant permanent damage. On the other hand, if you take something as big as a cruise ship even if it going one mile an hour and it bumps into the back of you without you expecting it, the potential exists for it to kill you. All that force is transmitted into you body in a single second.

The same thing goes with car accidents, if I am driving my Toyota Landcruiser, and someone rear ends me with their Honda Civic, and they are going 10 miles per hour they are barely going to budge my car. But on the other hand, if someone is sitting in a Honda Civic and somebody gets bumped from behind by someone driving a Toyota Landcruiser, that car is going to take off like a billiard ball. Even when small car like a Honda Civic hits another car such as a Honda Civic, the person inside the car still weighs very little compared to the two cars. So the person inside can get accelerated and thrown at remarkable speeds, compared to the speed of the cars and the amount of apparent damage on the bumpers. Some cars are designed so that they have the bumper compress and bounce and show no damage at all, but it still can throw the person around quite rapidly.

The bones in the spine are tiny compared to the size of a car and weigh only a few ounces. If your seat is hit just right during the accident and throws you forward or to the side, the amount that the vertebrae can be thrown out of alignment can be significant. A vertebra will normally just fall back into alignment on its own, unless there’s also muscle spasm that goes along with it afterward. That muscle spasm can squeeze the bones together and can cause them to get stuck. You can read about that in the cartoon book on my website.

Often people don’t have any pain after the car accident, but instead have their worst pain, from my experience and observation, about two weeks after the auto accident takes place. This of course doesn’t count the ones that have the severe broken bones or internal injuries. So my suggestion is if you have a car accident, even if it was only a 5 or 10 mile per hour accident, have a good chiropractor check you out, to make sure that all of the vertebrae are still moving well, and none of them have got stuck out of alignment.

And of course, for gosh sake, if you think there’s even a chance something might have gotten broken, make sure to go immediately to the emergency room, probably in the ambulance to have them check you out and take an x-ray and make sure nothing got broken.

Over the years we have done work with many, many hundreds if not thousands of people who have been involved in auto accidents, so if you have any other questions feel free to call my office and we would be happy to answer your questions at no charge. If it is a legal question, we have some great attorneys we can refer you to.

Pulstar Robot In Our San Diego Chiropractic Office

Lately I have had many questions regarding our new chiropractic robot.

Here’s a posting to explain how it works. The thing is called a Pulstar. It has something called a straingauge in it. A straingauge is an engineering tool that you use to press on an object and measure how many pounds of force of resistance the object pushes back.

If you have a straingauge and you push against a brick wall it’s going to have a really high reading. If you push into a blob of Jell-O it’s going to have a really low reading. What this tool does is it applies a 15 pound pulse through a set of prongs that are placed on either side of a vertebrae. It gives this 15 pound pulse into a vertebrae and the straingauge in the prongs measures how many pounds of force of resistance the bone pushes back. It is measuring whether the bone is stuck, or moving.

A 15 pound pulse feels like a quick, firm yet very gentle force. The computer then records how much that bone resisted and whether the bone is moving or whether it is stuck.

It puts a graphical display up on the screen which shows you which vertebrae had more resistance to the pulse, and which vertebrae had less. The computer then does an analysis and makes a recommendation of which vertebrae is the most stuck compared to its neighbor.

You then set the number of pounds of force you want to use on the pulse and also how many pulses you want it to do. You then put the tips of the prongs against the vertebrae and the machine delivers a rapid succession of pulses at the desired force. The machine turns off when it either feels the vertebrae move or it gets to the preset number of pulses. What ends up happening eventually is you do this over and over again until the machine feels the vertebrae move at which point it automatically turns off.

Even the patients we’ve had who are the most terrified of chiropractic have found this to be completely harmless, painless and gentle. Not a single person so far has found it uncomfortable.

That is a quick report on our new Robot and I will be writing on this a lot more in the future.

Current State of San Diego Chiropractic

In San Diego today, there is probably the highest concentration of chiropractors to individuals of just about any place on the planet. It is an interesting state because there are many, many people, but there is a high ratio of chiropractors to individuals.

One would think then that the chiropractors of San Diego would be doing everything they possibly could to maximize the percentage of the population who comes under chiropractic care. The interesting thing is that doesn’t actually take place, at least for the majority of the chiropractors.

There’s two main things that I see missing from them. Number one, even with the ratio of so many chiropractors to people here, the number of chiropractors who go out to actively do education and promotional campaigns, to attract these people who have never been into the chiropractors office and to educate them about chiropractic is actually quite low.

I find it’s a very small percentage of the chiropractic offices who do things on an ongoing regular basis to reach out to educate the population about the almost miraculous benefits that chiropractic can provide in their life, over their lifetime. Most patients have been so brainwashed in terms of the benefits of pharmaceutical drugs for getting rid of their symptoms, that it takes a tremendous amount of education to get them to really understand that health means your body is functioning properly in all areas and at all levels, and that mealy feeling good is not necessarily and indication of being healthy.

In fact many times the people I have met who had the most serious diseases such as cancer, stoke, heart attack, immediately before they were diagnosed with their diseases were actually feeling fine. We have one patient who had gone in for a mammogram and her doctor had told her she was completely healthy, absolutely nothing wrong, and six months later she had breast cancer that had spread out of the breast area and into other parts of her body and it almost killed her.

Needless to say feeling good does not necessarily mean you are healthy, and the more testing you could do of valid health indicators, assuming of course that they are low cost, the much safer it is for the individual. That’s why things like pap smears and mammograms and also having a chiropractor check you spine on a regular basis are so vital to making sure you are healthy. I know my dentist Dr. Steven Schneider in Poway has me come back at least every six months to have my teeth checked. When I really pinned him down on it he said if I am able to afford it, it is even healthier to get checked out more often especially if you teeth are prone to decay like mine are.

So needless to say chiropractors need to educate patients not just about chiropractic but also about the importance of getting their health checked in objective measurable ways as opposed to simply judging their health by the way they feel. This is where I also see many chiropractic offices in San Diego come way below the target on this because they’ll do either no education, very little education. If they do educate their patients they educate them about important things such as nutrition and exercise, but when checking the patients I find out the patient’s still don’t even understand the absolute basics of chiropractic. That’s true for the majority of San Diego chiropractic offices that I have seen.

A good way a chiropractor can test if his patients actually understand chiropractic, or a way that you can check to see if you actually understand chiropractic, see if you can out loud actually answer these questions: What is chiropractic?
What is a subluxation?
Other than going by how I feel,
which is an unreliable measurement of health,
how do I know if I need to go to the chiropractor or not?
If I am going to a chiropractor intensively, how do I know when I am done?
If I am being treated for something such as a car accident injury or an automobile injury and the doctor wants to see me intensively, how do I know when I have been seen enough?
Can you describe what a nerve is?
Can you describe what a cell is?
Can you give a simple definition of what a symptom is or what a disease is?
If you find that either yourself or if you find your patients failed to easily answer these simple questions, then your patients haven’t been educated enough about chiropractic.

This became such an issue in my office, that I went out of my way to create a book, which you can find on this website. It’s called What You Need to Know, and it was written as my gift to the entire population of the world as a way for people to learn more about chiropractic.

It more than any other educational material that I have ever seen can take someone who knows nothing about chiropractic and let them sit down for 10 or 20 minutes and if they really studied it and really understand what’s in the book, they have a deeper understanding of chiropractic than almost any other non-chiropractor that I have ever met.

Of course at our office we also use the patient progress graph developed by the greatest chiropractic educator that has ever lived, Dr. David Singer. What this graph allows us to do is to judge our patients progress, not by how they feel but by the changes in their body that are actually measurable by a good chiropractor. Real simply it’s a graph. It doesn’t go by how a patient feels but instead measures the progress over time of the changes in their bones and what’s stuck and what’s moving and how their posture is coming along and graphs it over time. Any human being be it a patient and insurance company or another chiropractor can simply look at the graph and check it.

If the graph is going up the patient is getting better chiropractically, if the graph is going down the patient is getting worse chiropractically. If the graph is flattened out at a higher level than they started then that means that using the techniques that the chiropractor is using and with the patient, doing the things that they are currently doing in their life the patient has reached the maximum possible improvement.

I have found after working on so many thousands of patients over the past 15 years, that it is simply not possible for a chiropractor to only go by how a patient feels, and make any kind of an accurate estimate on what’s happening to the structure of a patients spine.

It would be like judging a dogs health by how much it is barking. If a dog is barking a lot it does not necessarily mean a dog is sick, it may be very healthy. If a dog is very quiet it may be very healthy but it may also be very sick.

I have found that chiropractors who take written notes in their files of what bones were out of alignment and stuck on each visit also have great difficulty in determining if a patient has reached maximum improvement.

In my mind, and I believe in the mind of most people, if they simply look at a lot of data written down in numbers and symbols on a piece of paper they cannot make a good estimation over time of whether things are improving or not, unless that information is put into the form of a graph.

I found that with my stocks, if I simply look at a list of the prices they have been at I can’t easily see how they are doing over time. If I make it into a graph the information becomes much clearer.

Now it’s not just the chiropractors I’m criticizing, it’s also the medical doctors. I have often heard of medical doctors by and large asking their patients how they were feeling. What I would love to see would be a medical doctor do an overall assessment of my health numerically and then recheck it periodically and to see how each of those findings were improving over time. Instead they usually just look the one thing that might be wrong with the person at the moment which is within a dangerous range, such as high blood pressure, or some other test being off. Instead they can keep track of all findings in the normal range as well as those things in the abnormal ranges. This way when some finding begins to get a little worse, the person may have the chance to correct some aspect of their health before a serious illness sets in.

So if you have a chiropractor tell your chiropractor that you want him to go out and meet more people to help them. There are still about 95% of the people in San Diego who don’t regularly go to chiropractors. And also if you are a chiropractic patient demand from your chiropractor that he takes the time to help you fully understand chiropractic inside and out, and not just glossing over it at a superficial level regarding how you feel.

Bottom line, find a good chiropractor and ask them to teach you all you need to know about chiropractic, and ask your medical doctor to measure your health using objective findings, and not just to go by how you feel.

Little disclaimer, ask your doctor before acting on this or any other medical advice.

Learning The Pulstar For San Diego Use

Most of last week I was at an Internet conference in Vegas. Then on Saturday there was another conference in Vegas on the Pulstar adjusting tool. We will be integrating this into our San Diego Chiropractic office over the upcoming months.

This thing is amazing. A few years ago I first came across this concept and was hooked. I have been studying up on it, and finally a few weeks ago I grabbed one. Just in case you are interested in getting one you need to call Sense Technologies, and you can pick one up for $28,000. If you are shopping for one, you may want to call me or e-mail me first, I have great contacts with the company. They are very nice guys. I am not the scientist and not a total expert on this thing yet, but the guys at Sense Technologies are. The below is my best opinion on how it works.

The concept of this thing is amazing. It is a motion detector in a way. The hand piece is held in your hand, the two prongs are placed against one of the vertebrae and it delivers a gentle pulse to the bone. The pulse is purely mechanical, just a little push. The bone then moves as much as it is able to. Sometimes just a little, sometimes more. If the bone is really stuck, the machine picks that up and shows it on the screen. If the bone moves well, it shows that also.

I am a dang good chiropractor. I have been checking bones for over 15 years, and have done at this point I figure around 700,000 adjustments. I can feel a lot of nuance between one bones motion and anther’s. In many cases, this thing picks up bones that are lacking motion that I was unable to detect.

I am very excited about this because it means as an organization we will be able to help more people.

When you turn the thing to the treatment setting it provides a series of impulses at whatever force you set it to until it feels the bone release. It has an display of all of the data during the adjustment, you can keep track of patients from one visit to the next.

If you read this, and e-mail me I will probably do a free of your spine with it to see if you need chiropractic or not.

Finding out how to be Number 1 in Google for San Diego Chiropractic

My purpose is to help as many people as possible. It always has been, and always will be. It is what defines me. For most of my life, the main way I helped was with people’s bodies. I have also helped people with their minds. I have also helped people with all kinds of other stuff from changing their oil, to teaching them how to surf.

Today’s article is dedicated to two people, Mr. Google, and Mr. Matt Cutts. I have been using the Internet for the past few years as a way to get in contact with more people to help them learn about chiropractic. Most of these people have been in San Diego, some of them have been as far away as Russia, China, and Africa.

I have learned a lot about the Internet, but this past week, I got a big old bucket of lesson at a conference I went to. Chiropractic is awesome, but there are many, many chiropractors in San Diego trying to get their websites to show up as number one in the search engines. Just type in San Diego chiropractic, or San Diego chiropractor into Google and you will see what I mean.

I have been studying Internet marketing hard for the past year, in an attempt to get our offices website up to the top in the search engine rankings. Based on what people tell me, this site is very friendly and teaches people a ton about chiropractic. The problem is not nearly enough people find it. If you are searching for San Diego chiropractor or San Diego chiropractic in the search engines as of last week it showed up as number 716 for San Diego chiropractic and 564 for San Diego chiropractor in Google. That means that if you search for those phrases, which are very commonly searched, you hardly stand a rat’s arse chance in hell in finding our site.

So I went to the Pub Con Internet marketing conference in Vegas this past week with the hopes of uncovering what I have been doing wrong. There were around 2000 of the top Internet marketing people from all over the world at this. They cover everything from paid advertising on the Internet, to the work of the black hats doing unethical marketing techniques, to marketing to people’s cell phones.

The highlight of the whole event is when everyone gets together in one room, and they have 4 of the top 5 or 6 experts in Internet marketing present to the group. They select 5 or 10 websites of the attendees to basically do a brutal critique of the persons site and what they are doing right or wrong about it. It is the main reason I came to conference, with the hope they would pick my website. Two of these guys who do the reviews are probably the two biggest Internet rock stars in the world. One of them is Danny Sullivan, and the other one is Matt Cutts.

Matt is unique because he is an engineer at Google, and I believe the only one who is allowed to discuss with the public what is considered desirable, and undesirable by Google.

That morning about 2 hours before the event I found out to have your site reviewed, you need a preprinted business card.I realized I did not have any business cards with me. So out the door I raced hopped in my car to go find a place who could make me a business card, it had to be preprinted, and the Valet pointed out I had a flat tire. Rats! I was still getting over being sick, had been overworking this week to learn as much as I could at the seminar, and was operating at about one third my normal strength.

I asked the Valet where the nearest tire store was, zip I was there, and told them I needed it fixed or replaced NOW! I was told it would take at least a few hours, could not be fixed, and my tire that fit was on the other side of town. I told them this would not work and begged for a solution. The guy suggested, well we could just put your spare on for now?… Vooomm…

I am racing down the road and into an office super store. At first the guy said, no way, it would take at least 24 hours to make me cards. I said “I only need one card, do you at least have Microsoft word and a blank business card? I will give you a hundred dollars!” So he makes me the cards, and I realize I only have twenty seven dollars and a free Chipotle burrito card to give him, but he was happy. Vrooom!…

Off I race back to the conference, on my spare tire. I get there, hungry, grab a snack, wolf down half of it, and run in and turn in my card.

My buddy Jared and I disagree, but I think there were around 30 cards and 6 were picked, he said 50 cards and 10 were picked. Either way, around the fourth card in, I was picked.

I stood up there, microphone in hand, in front of 2000 of the top Internet marketing people in the world, with four of the top ones on stage ready to rip me apart.

They bring my site up onto a screen that must have been twenty fee plus tall, and thirty feet plus wide. I say, with my crackling voice from my recovering cold into the microphone. I want to be number one in Google when you search for San Diego Chiropractic.

Immediately, I believe it was Danny Sulivan who said this, “You may want to put San Diego Chiropractic on your main page.” It took me a second to get what he was saying. It was simply that if you want to do good for a phrase in the search engines, you want to have that phrase on your site!

Well, that was only the beginning, and in around five or ten minutes I must have written 10 pages of notes. Jared said I had the microphone under my arm while I was writing. In that five minutes I felt like I was christened into the world of Internet marketing for real. I was in.

For those in the Internet marketing world you will understand it when I say that this article is the real beginning of my being in that group. Thanks to all four of the guys on the stage, and special thanks to Matt Cutts, and Mr. Google!