In the last article, we looked at the first Proactive approach in the hierarchy of health – Protection. Instead of reacting to problems as they arise, in protection we proactively take steps to prevent problems in the future. The benefit to this approach is that we have fewer costly and inconvenient health crises AND generally our overall health (and perhaps other problems) will improve at the same time.

The limitations of protection are that it is impossible to prevent any and all potential problems from arising (if you want to make God laugh, tell him/her your plans!) and protection does nothing to take you to the next level of health and well-being (it just keeps you where you are).

This leads us to the final rung on the hierarchy of health – Optimization. Optimization is where the healthiest and most vital people spend the majority of their time, focus and energy.

In Optimization, the focus is not on fixing problems (reactive), or even on preventing future problems (protection). The focus of optimization is on increasing our level of health and becoming more resourceful over time. Instead of focusing on what we DON’T want (problems), we shift towards seeking what we DO want (health, energy, vitality, resilience, performance, etc.).

Why does the approach of Optimization produce the healthiest people on the planet? It does so because it is the only approach that has actual health as the outcome!

If you take a pill and your headache goes away, it does not mean you are healthier – in fact you are probably now a bit less healthy. If you correct a structural abnormality and your back pain goes away you are probably somewhat healthier, but for how long? Regular self care to prevent a relapse of pain or disease likely improves overall health levels, but if you are only focused on whether the problem comes back or not, how do you know?

Optimization has the goal of moving forward and getting better. A maestro doesn’t ask ‘how little do I have to practice in order to stay as good as I already am?’ A maestro asks, ‘how can I refine things so that I am a little better today than I was yesterday?’ I have a friend who is a retired concert musician and he told me that even as his physical skills have diminished with age, his discernment and enjoyment of the same music continues to improve.

People who approach health from the perspective of Optimization are maestros of their health. Success is based on vitality, high energy levels, clear headedness, mental and emotional fulfillment, physical and mental performance, the ability to learn and carry out new things, and having the energy and ability to contribute to others.

It is not that these individuals never have health problems that need to be treated in a reactive way (although they tend to happen much less in these folks). What you do see is that they learn from these crises and often come out the other side better. Optimizers also tend to miraculously get better as they age.

Many of you know that I receive the care I deliver at Nexus Chiropractic on a regular basis from my personal chiropractors in Gatineau. Even though my back hurts sometimes, I don’t go there to get my back pain fixed. I also don’t go there to prevent any future problems. I take the time out of my crazy schedule to make the 5-hour return trip because I literally see each entrainment as an opportunity to improve the efficiency of my nervous system and thereby increasing my level of health. That is what our Optimization programs at Nexus are designed to produce.

The next article will be the final installment in this series. We will summarize the Hierarchy of Health and give you some practical ways to evaluate what outcomes you desire for your health and determine what changes you can make to get there.

When it comes to health problems, we have 4 ways in which we can approach them. All four have their own benefits and are appropriate at different times. Which we choose for a given situation is not only important in having short term success, it is also paramount to achieving the health we want long term.

Let us take a look at each of Patch, Fix, Protect and Optimize.

     Patching is what we do when we know there is a larger problem, but we need to buy ourselves some time in the short term. Your old springs a leak and you know it will need to be replaced, but you need to finish watering the garden. So, you wrap some duct tape around the hole, so the flowers don’t die today.

The Patch strategy is a great one when we are in crisis and if something is not done immediately, disability and even death may result. If someone were shot with a bullet inside them, yes, the bullet will eventually need to come out. However, in the short term, compressing the wound with a bandage will keep them alive long enough to be properly fixed.

Antibiotics can be a great patch when faced with an infection that may kill you. They buy you the time (save your life) so that you can make changes that will strengthen your health and immune system in the future.

Patches can become a problem when they are used as fixes. Antibiotics used unnecessarily will harm your long-term health. Pain medication used simply to cover up a secondary condition(symptom) actually allow people to continue to damage their bodies without knowing it – leading to more serious problems down the road.

Most people truly only need patches (hopefully) a few times during their lives when in serious crisis. When we need them, they are wonderful. When we over use them, we suffer needlessly.

The Fix strategy is one that looks to get to the cause of the problem. It looks to correct the primary condition leading to the secondary effects. If faulty electrical was leading to burned out light bulbs and malfunctioning appliances the patch solution would be to replace them. The Fix solution would be to hire an electrician to correct the wiring.

When we Fix something we typically gain parallel benefits as well. Corrected wiring improves the function of EVERYTHING requiring electricity. Perhaps the electrical bill goes down as efficiency increases. Safety also improves as the chance of a devastating electrical fire decreases.

The Fix approach works the same way with our health. Taking a pain pill may make us feel better for awhile but correcting abnormal spine structure and nervous system function is not only more sustainable but leads to a myriad of health benefits besides.

The Protect strategy begins to move beyond being focused on problems or symptoms. Once we have corrected what was abnormal we have a choice to do some regular work to keep it that way. Protect recognizes that maintaining proper function is better than waiting for the next crisis. Once we get the old piano in tune, it is much less work more enjoyable to have it retuned on a regular schedule than to let it get back to it’s previous state and start over again.

A health crisis can be a time, energy and resource draining thing to face. They are certainly not convenient. Some attention to Protection is a great way to stay healthy long term and avoid future problems.

Finally, we come to the Optimization strategy. This is where exceptionally healthy people spend most of their energy and attention. Instead of focusing on patching, fixing and preventing problems, they look to optimize and improve their health, function and performance regardless of problems.

They know that the best way to be healthy is to continually improve their adaptability and efficiency. Does it mean they will never have a crisis or problems? Of course not, but they will sure be better equipped to handle them when they occur.

Unfortunately, most people spend most of their lives in Patch, and Fix modes when what they truly want are the benefits of Protect and Optimize. Fortunately, changing that only requires a few simple decisions.

At Nexus Chiropractic we are not interested in patching people up. Very few people entering our office truly need patching and if they do, a trip to the ER is probably in order.

We begin seeing most people from a Fix perspective, which is what we do during the Initial Phase of Care (IPC). By addressing abnormalities in the spine and nervous system (Neurospinal Shift) and objectively measuring those changes we know our patients are going back into life healthier.

Once the system is normalized, people may now choose to enter either a Protection or Optimization program. This is where we see people really create long term health strategies that spill over into not only physical benefits, but mental/emotional well-being, greater energy and vitality and an over all greater quality of life.

After reading this article, take some time to look at where you are perhaps frustrated with your health, or not getting the results you would like. Maybe a small shift in your approach is all you need to get what you want?

Thorin Gault, D.C.

April 17, 2018

Over the next several articles we will be exploring – in detail – the 4 Ways of Healthcare. Each Way has a different approach to how we treat our health, different outcomes or objectives, and different ways to measure success. Above all else, which Way we focus on will certainly determine how healthy we are – or are not.

We all spend at least some time using several of the Ways of healthcare, yet most of us do so unconsciously – unaware of exactly what we are doing and why. The unfortunate, yet all too common, impact of this lack of understanding and awareness is desiring one health related outcome and acting in a way that cannot produce it. This is not due to a lack of discipline or will power – it is due to an ineffective approach.

It is my experience and belief that the major cause of frustration with our own personal health, as well as the ‘healthcare system’ is this lack of understanding. We spend too much time, effort and resources on approaches that cannot create the result we desire.

The purpose of this series of articles is to help you to define PRECISELY what you want in regards to you and your family’s health and then to CONSCIOUSLY choose a Way to get there. Included in this will be some suggested practices and interventions in each of these ways.

Something very important to understand is that each of the  4 Ways are good and appropriate at specific times. Each is effective at producing its own result. I have seen some health ‘gurus’ promote one Way as the only way and I believe this to be folly.

Each has a time, each has a place. The key to great results is to apply the appropriate approach at the appropriate time. The only way to do this is to understand what you want and how to get it.

So without further delay, the 4 Ways of Healthcare are:

Symptom Treatment – This approach seeks relief from pain, symptoms, or crisis. I prefer the term secondary condition over pain or symptom because it more accurately reflects what is actually going on. Pain and symptoms don’t typically exist on their own – they are secondary to something more primary underlying the problem.

The Symptom Treatment Way of healthcare is considered successful if the immediate secondary condition is relieved – by any means possible. If a person with back pain or headache takes a narcotic and feels better, the treatment is deemed successful and we move on our way.

There are many treatments and practitioners who are very good at Symptom Treatment. This is NOT our focus at Nexus Chiropractic.

An easy to understand analogy is that of a lawn covered in dandelions (I kind of like dandelions but my neighbours do NOT). Using the first Way of healthcare we would simply chop the heads of the flowers off with a lawnmower and call it a day. Quick, easy, effective…..until?

The second Way of Healthcare goes a bit deeper than symptom treatment and Addresses the Primary Condition that may have led to the symptom. This is the baseline type of care we provide at Nexus and where most people start with us.

This Way of healthcare may monitor symptoms in the background but does not primarily use symptom relief as a measure of success.

Obviously this second Way of healthcare requires a bit more work than the first and absolutely requires baseline objective indicators (an examination beyond symptoms), a reasonable plan of correction (beyond symptom relief), and an objective follow up to determine whether the primary condition was handled.

To go back to our dandelion analogy, in this Way of healthcare, we have to get down on our hands and knees with a tool and start pulling weeds out by their roots. More work? Yes. More time? Yes. More sustainable and long lasting results? Absolutely.

The third Way of healthcare is Prevention/Adaptability. The focus here shifts away from fixing anything to preventing problems in the future. This includes tuning things up before they get turn into pain or disability as well as helping the body to be more adaptable to future stress and trauma.

At Nexus, people using this third Way of healthcare are what we call our protection patients. We have already done the work to normalize the primary condition and now do regular tune ups to keep things in tip top shape.

Going back to the dandelion story. Prevention may include pulling a few weeds from time to time or feeding the lawn special nutrients twice a year to prevent future dandelion overgrowth.

The fourth and final Way of healthcare is Optimization. Optimization goes beyond correction and prevention and focuses on making things better and more efficient over time. This Way is extremely rare in healthcare today.

The folks who use this Way of healthcare at Nexus are our optimization practice members – different from patients looking to treat or prevent something bad. These people desire continued improvement in spine and nervous system efficiency and evolving levels of health.

In our lawn analogy, the focus now turns on the health and beauty of not only the grass, but the entire grounds. Planning, time, and effort go into making the yard more functional and brilliant every season.

In the upcoming articles we will be digging deeper into each Way of Healthcare, the results they produce, and how you can choose which one is appropriate for you at any given time.

One of the most important determinants of success in any endeavour is focus. We tend to attract what we focus on and the more we focus, the more it grows. Our success requires focus. This is why it is important that the doctors, coaches, advisors and fiduciaries we work will possess a focus that is consistent with the results we are looking to achieve. When what WE want is very different from our doctor’s (or any other advisor) the outcome often leads to frustration, disappointment, and failure.

A few weeks ago I had the opportunity to give a lecture to trainer Tom Irvine of Quest Personal Training Studio’s fitness class at St. Lawrence College. I have been speaking and demonstrating NSA for his classes for years. This time, I chose to speak less about what I do and more about the different approaches in chiropractic and what the differences were. After all, I did not want to turn a potential future chiropractor off of the profession if they were not personally interested in MY focus in practice.

With so many techniques and systems within chiropractic, the best way to break down our differences was where we place most of our focus. I defined 4 distinct groups:

1. Pain and symptom treatment focus. These chiropractors aim to ‘fix’ your pain and symptoms and do so as quickly as possible. Success is defined as the pain going away and treatment is focused on achieving that goal.

2. Pain and symptom prevention focus. These doctors feel that an ounce of prevention is worth a pound of cure so focus more on stopping problems before they happen. This may be in the form of regular ‘maintenance’ care and prescribed exercises. Success is a lower frequency of problems in the future. A doctor in this group may sacrifice the quick ‘fix’ of a symptom to ensure an injury more fully heals to prevent a future flare up.

3. Optimizing function focus. While pain and symptoms may be addressed, the focus is on getting your body functioning at its’ optimum. This may include optimal movement, immune system function, and in the chiropractor’s case definitely optimal nerve function. This doctor recognizes that pain and symptoms can be a part of a well functioning body so will not treat them at the expense of the whole. Often, these chiropractors are “subluxation-based” and recommend regular check-ups to ensure being in tip-top shape.

4. Evolving strategy focused. These doctors recognize that a living human is not a static entity and that there is an opportunity for everyone to develop new strategies for health and life. They know that once function is optimized, there is still another level to go. There is no ceiling to our potential for awareness, adaptability, resourcefulness, vitality, and happiness. The goal of these chiropractors is to help their practice members develop never-ending refinement. They also recognize that new physical strategies can impact our emotional, mental and spiritual lives. These doctors see pain and symptoms as a calling for more awareness and new strategies, not something to do battle with.

Of course, most chiropractors do not fit into only one of these categories. They do, however have one in which they place the most focus. One is not better than the other but they will definitely get different results. In my experience, when you start to take care of optimal function and evolving strategies, the symptoms often take care of themselves.

The great thing is that you get to choose which one fits best for you. A great way to find out what your doctor’s focus is to ask them what their highest vision for you in care. This also applies to any other coach or advisor you employ (a financial advisor focused on getting you out of bankruptcy will get very different results than one focussing on building your legacy for generations to come)!

Make sure your doctor’s focus is consistent with yours. What I look for in any coach is someone who is a little bit beyond me. Someone who will stretch me just beyond my comfort zone and makes sure I am learning something new. If you can identify your health focus above I would encourage you to choose a doctor 1 level past it.

“The more presence and congruence you possess, the less force is required in any endeavour”

–       Dr. Donny Epstein