Q: Dr. M I¼ve been in practice for a few years and cannot get above 70 visits a week, in fact, the last few weeks the numbers have even dipped to the 20¼s. There are a few other DC¼s in my town and some are doing better even though they have been here less time than me. I once met you and we discussed my small town and how I felt about it. You mentioned that I may need to move if this is how I felt, I should have listened then. Can you give me some advice to get my practice going to possibly my leaving town A: Thanks for the e-mail. I wish I can provide some encouraging wisdom but the reality remains with you. Just remember that with some tweaking of your marketing and public relations you can boost your numbers dramatically or as much as your area allows. There are some DC's with a drawing potential similar to yours that do fantastic and even draw from far and wide. Also .. if any of our great DC marketing gurus would replace you .. even with your staff and budget .. no doubt they can turn your numbers and practice around and make it happen. The potential to increase your ability to create new patients .. maintain those you have and begin the cycle of referrals are available if you wish to make some changes. First you need to consider .. prior to moving away .. if you can do it on your own. I recommend you purchase or re-read my Smart Start Book and use the independent study guide found on my webpage under Practice Tips .. this will give you guidance week by week: www.chirosmart.net. Possibly you need a coach .. a consultant to kick you in the pants each week and provide you the tools to get it going again. Maybe you need to move but first try again to make it happen where you are. Use my book for guidance or visit my webpage and check the cyberconsulting area for answers and make some changes. You have to create a demographic farm and create awareness for your office and do it differently than you have already. Outline a program and reply with it and we'll go from there Have a Great Day Dr. M