Dear Doctor: Do you ask for referrals? I mean, when an opportunity arises, do you promote yourself? If you're like many chiropractors I work with, questions like these may make you a bit uncomfortable, as if there is perhaps something tainted or inappropriate about tooting your own horn a little. It was Red Motley who said "Nothing happens until somebody sells something," and when you have something as impactful and life-changing as chiropractic services to offer, you're in a great spot. Our work makes a huge difference for those who partake, and there's nothing shameful or tacky about letting people know -- as long as you don't do anything shameful or tacky. I, for one, am proud of being a chiropractor -- against staggering odds, chiropractic has survived the Germ Theory Age to emerge as the Natural Way to Health -- streamlining the function of the body is a superior solution to waiting for breakdown and relying on heroic intervention as the salvation. This deal-with-the-cause-not-the-effect approach is the thing that differentiates the chiropractic/wellness/lifestyle proponents from the medical/allopathic line of reasoning. If you start by refining body function so the individual has the best use of his or her resources, that's when you can really tell if more invasive treatment is indicated or not. Ironically, it's our own lack of capacity as a profession that is hindering the widespread approval and acceptance we have already earned. If you do the math, to get two hundred fifty million people adjusted even once a month would require 124,000 chiropractors seeing 500 visits each week. If you realize that the typical practice sees 100-150 visits per week, we would need almost 500,000 chiropractors, ten times what we now have. The issue isn't and never has been the availability of new patients and people who are interested in quality-of-life-driven health care. The issue is our ability to get our message out to the public in an understandable and confidence-inspiring way -- and that begins with being able to ask for a referral, with dignity, professionalism, integrity and love. From there, we can grow the ranks of the profession to the desired number to comfortably serve the citizens of the world, with no fear, no ego, no competition, and no energy squandered on circling the wagons and shooting in. Do I sound too idealistic? I can't help it, I really believe it's possible. If you have faith in your work, and in the principles that underlie chiropractic, seek and capitalize on opportunities to spread the word. Not only will your practice grow, but you'll be making a significant contribution to the greater good. Be willing to overcome the stigma of sales, and you'll be more valuable to those around you in the long run, the result of which is a more fulfilling and successful life for you and those you care about. Dennis Perman DC, for The Masters Circle