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Maybe they're not ready for our message this year, but they'll be back in the next five years statistically speaking and maybe they'll be more ready at that point in time. I know that was my experience in practice. So I just didn't want to overlook how important this could be in building someone's practice and how easy it can be to just modify the communication a little bit just to add to that patient satisfaction, and therefore increase your compliance and referrals. Yes, and I think patients have a good ability to sort out who is making recommendations for them the patient versus the chiropractor, and I think that's important to keep in mind. I'll also say, I think what we're learning from not only these surveys but also other work in this area is that we need to all appreciate how interconnected we are. Someone who maybe does pressure a patient or let's say judges a patient. Maybe the patient based on whatever is just looking to get out of their current acute headache that they have and that they're not ready to commit to corrective care and so forth. That is legitimate and should be offered by the chiropractor. If the chiropractor judges them or seems disappointed or any of that and a patient goes away unhappy, again, we're connected. That unhappy patient is going to talk to others, and it's going to create a barrier for others to use chiropractic or for that patient to revisit. It's such a fine art of that balance of caring but not caring too much, or not personalizing it, but keep it in the frame of the patient and the patient's goals and what they want, without judgment, without any of that. So being honest about what you recommend, but then moving away from that and getting behind the patient's decision for what they would like to do. I'm not saying we have all the answers, but we do know that this is an area that needs further study and further discussion. I could take us to our last slide which is a continuing advice that we have for some of the chiropractors. One before this, Alan, if you could. We would certainly advise, and I mentioned this at the top of the program, we would certainly advise that chiropractors address safety proactively with the patients. Another finding that I didn't really get into much but I'll touch on here for a second is that patients, including those in our office as well as patients that haven't seen us in a long period of time, and those people that have never seen a chiropractor, all underestimated the level of education it takes to be a chiropractor. For someone who works every day in education, I found that concerning is that the majority of patients do not know that it takes at least seven years, and that would be the minimal path that you could take for seven years. Most of my students would have more than that. Seven years of education to be a chiropractor. They don't know that their insurance offers coverage even though we would all indicate that that coverage isn't what it should be. They do have in many cases coverage that they're not aware of. They're not aware of costs and they're not aware of exact management plans that are specified.

Dr. Marchiori:

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